COMMONSPIRIT OREGON: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMMONSPIRIT OREGON (EIN 93-0386868)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-15
- IRS object ID
- 202641359349308059
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-15T12:05:56-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMONSPIRIT HEALTH | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930386868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMONSPIRIT OREGON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5416772457 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3033 N 3RD AVE | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMIE POINDEXTER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5416772457 | PhoneNum |
| Signature | 2026-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA KROHN | PreparerPersonNm |
| PTIN | P01210500 | PTIN |
| Phone | 3032989100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | RUSSELL WOOLLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3033 N 3RD AVE | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $353,024,895 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHIMERCYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1909 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF COMMONSPIRIT OREGON IS TO PROVIDE EXCELLENT, COMPASSIONATE CARE FOR THE PEOPLE OF OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1521 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $3,843,490 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,301,434 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,288,248 | PYContributionsGrantsAmt |
| CY Contributions Grants | $682,358 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $300,270,131 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $327,128,428 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,084,452 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,696,118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,008,065 | PYOtherRevenueAmt |
| CY Other Revenue | $4,545,987 | CYOtherRevenueAmt |
| PY Total Revenue | $316,650,896 | PYTotalRevenueAmt |
| CY Total Revenue | $352,052,891 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $923,158 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,020,994 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $110,379,431 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $122,395,395 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $157,444,471 | PYOtherExpensesAmt |
| CY Other Expenses | $179,903,021 | CYOtherExpensesAmt |
| PY Total Expenses | $268,747,060 | PYTotalExpensesAmt |
| CY Total Expenses | $304,319,410 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $47,903,836 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,733,481 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $665,371,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,049,426,116 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $60,182,231 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $91,633,273 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $605,189,659 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $957,792,843 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $278,058,681 | ExpenseAmt |
| Grant | $2,020,994 | GrantAmt |
| Revenue | $324,612,119 | RevenueAmt |
| Desc | SEE SCHEDULE H. | Desc |
| Total Program Service Expenses | $278,058,681 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1521 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID NOSACKA CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2536804000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 S J STREET | AddressLine1Txt |
| City | TACOMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KETUL PATEL | ||||||||||
| EX OFFICIO/REGION PRESIDENT NW | 1.00 | 59.00 | Yes (X) | $0 | $5,665,901 | $88,958 | ||||
| DANIEL BARCHI | ||||||||||
| BOARD MEMBER | 1.00 | 59.00 | Yes (X) | $0 | $4,514,498 | $405,348 | ||||
| KATHLEEN SANFORD | ||||||||||
| BOARD MEMBER | 1.00 | 49.00 | Yes (X) | $0 | $2,984,531 | $54,602 | ||||
| DAVID NOSACKA | ||||||||||
| CORPORATE TREASURER/SVP&CFO NORTHWEST REGION | 1.00 | 49.00 | $0 | $872,310 | $61,972 | Yes (X) | ||||
| SUSAN WILLIAMS MD | ||||||||||
| BOARD MEMBER THRU 4/30/25/PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $839,952 | $40,965 | ||||
| RUSSELL WOOLLEY | ||||||||||
| MARKET PRESIDENT/BOARD MEMBER THRU 4/30/25 | 59.00 | 1.00 | Yes (X) | $708,857 | $0 | $102,943 | Yes (X) | |||
| JASON GRAY MD | ||||||||||
| FORMER OFFICER | 40.00 | 10.00 | $544,559 | $0 | $49,122 | Yes (X) | ||||
| BRIAN PINELLE | ||||||||||
| FORMER COO & CNO | 0.00 | 0.00 | $438,775 | $35,850 | $20,499 | Yes (X) | ||||
| MIRIAM CHAMBLISS | ||||||||||
| CORPORATE SECRETARY/VP GENERAL COUNSEL NORTHWEST R | 1.00 | 49.00 | $0 | $428,659 | $45,640 | Yes (X) | ||||
| JAMIE POINDEXTER | ||||||||||
| MARKET VP OPERATIONAL FINANCE/CFO | 59.00 | 1.00 | $0 | $343,113 | $37,367 | Yes (X) | ||||
| GREGORY JACKSON | ||||||||||
| FORMER MARKET VP OPERATIONAL FINANCE/INTERIM CFO | 0.00 | 0.00 | $0 | $345,106 | $22,304 | Yes (X) | ||||
| HOLLY COOK | ||||||||||
| MKT CNO - ROSEBURG | 10.00 | 40.00 | $38,875 | $261,218 | $39,046 | Yes (X) | ||||
| JERRY SMEAD | ||||||||||
| DIRECTOR PHARMACY (THRU 7/3/2024) | 40.00 | 0.00 | $306,238 | $0 | $26,798 | Yes (X) | ||||
| ANN FULLER | ||||||||||
| DIRECTOR CLINICAL INFORMATICS (THRU 7/1/2024) | 40.00 | 0.00 | $296,881 | $0 | $22,679 | Yes (X) | ||||
| DEBRA RINAKER | ||||||||||
| DIRECTOR FAMILY BIRTH CENTER (THRU 7/1/2024) | 40.00 | 0.00 | $287,633 | $0 | $15,667 | Yes (X) | ||||
| DEBORA ST MARIE-LIGHTCAP | ||||||||||
| MKT DIRECTOR HR OPERATIONS (THRU 7/1/2024) | 40.00 | 0.00 | $282,870 | $0 | $10,083 | Yes (X) | ||||
| AARON BALLENSKY | ||||||||||
| PHARMACY MANAGER | 40.00 | 0.00 | $252,641 | $0 | $23,756 | Yes (X) | ||||
| BRAD SEELY | ||||||||||
| BOARD MEMBER THRU 4/30/25/OPHTHALMOLOGIST | 1.00 | 0.00 | Yes (X) | $0 | $121,511 | $27,149 | ||||
| NEAL BROWN | ||||||||||
| CHAIR THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GABRIELLE JONES RSM | ||||||||||
| VICE CHAIR THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ADEN BLISS | ||||||||||
| TREASURER & SECRETARY THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LAYNE JORGENSEN | ||||||||||
| BOARD MEMBER THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOBY LUTHER | ||||||||||
| BOARD MEMBER THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELONY MARSH | ||||||||||
| BOARD MEMBER THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY POWELL MD | ||||||||||
| BOARD MEMBER THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANA RAMIREZ | ||||||||||
| BOARD MEMBER THRU 4/30/25 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,157,329 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,412,649 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,094,898 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 299 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROFESSIONAL MGMT OF OREGON LLC | |||||
| 2801 NW MERCY DRIVE STE 200 | ROSEBURG | OR | 97470 | MANAGEMENT SERVICE BUSINESS | $11,026,600 |
| MEDICAL SOLUTIONS LLC | |||||
| 1010 N 102ND ST STE 300 | OMAHA | NE | 68114 | STAFFING SERVICES | $4,904,513 |
| CEP AMERICA-ANESTHESIA PC | |||||
| 2100 POWELL ST STE 400 | EMERYVILLE | CA | 94608 | MEDICAL SERVICES | $4,342,908 |
| AVIVA HEALTH | |||||
| 150 NE KENNETH FORD DR | ROSEBURG | OR | 97470 | MEDICAL SERVICES | $2,632,394 |
| GALEN INPATIENT PHYSICIANS INC | |||||
| 225 N JACKSON AVE | SAN JOSE | CA | 95116 | MEDICAL SERVICES | $2,374,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $668,787 | RelatedOrganizationsAmt |
| All Other Contributions | $13,571 | AllOtherContributionsAmt |
| Total Contributions | $682,358 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $324,612,119 | $324,612,119 | $0 | $0 |
| EQUITY CHANGES OF UNCO | 900099 | $2,516,309 | $0 | $2,516,309 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $327,128,428 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,478,246 | TotalRevenueColumnAmt |
| Exclusion | $5,478,246 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $792,139 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $972,004 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$179,865 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$179,865 | TotalRevenueColumnAmt |
| Exclusion | -$179,865 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,217,872 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,217,872 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,217,872 | TotalRevenueColumnAmt |
| Exclusion | $14,217,872 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $9,953 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,953 | TotalRevenueColumnAmt |
| Exclusion | $9,953 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| LABORATORY SERVICES | 621500 | $1,662,145 | $0 | $1,310,231 | $351,914 |
| EMPLOYEE RETENTION CRE | 900099 | $1,222,903 | $0 | $0 | $1,222,903 |
| CAFETERIA | 722100 | $1,062,547 | $0 | $0 | $1,062,547 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $768,304 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $16,950 | UnrelatedBusinessRevenueAmt |
| Exclusion | $751,354 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,715,899 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $352,052,891 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $324,612,119 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,843,490 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,914,924 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,020,994 | TotalAmt |
| Program Services | $2,020,994 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,096 | TotalAmt |
| Program Services | $27,447 | ProgramServicesAmt |
| Management And General | $961,649 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,055,284 | TotalAmt |
| Program Services | $91,090,728 | ProgramServicesAmt |
| Management And General | $3,964,556 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,525,053 | TotalAmt |
| Program Services | $4,366,306 | ProgramServicesAmt |
| Management And General | $158,747 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,531,985 | TotalAmt |
| Program Services | $13,861,866 | ProgramServicesAmt |
| Management And General | $670,119 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,293,977 | TotalAmt |
| Program Services | $6,929,278 | ProgramServicesAmt |
| Management And General | $364,699 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,086 | TotalAmt |
| Management And General | $455,086 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,714 | TotalAmt |
| Program Services | $11,128 | ProgramServicesAmt |
| Management And General | $586 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,278 | TotalAmt |
| Management And General | $23,278 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,944,272 | TotalAmt |
| Program Services | $72,203,463 | ProgramServicesAmt |
| Management And General | $4,740,809 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,076 | TotalAmt |
| Program Services | $221,422 | ProgramServicesAmt |
| Management And General | $11,654 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,330,309 | TotalAmt |
| Program Services | $6,013,794 | ProgramServicesAmt |
| Management And General | $316,515 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,448,807 | TotalAmt |
| Management And General | $10,448,807 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,953,747 | TotalAmt |
| Program Services | $5,656,060 | ProgramServicesAmt |
| Management And General | $297,687 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,448 | TotalAmt |
| Program Services | $564,726 | ProgramServicesAmt |
| Management And General | $29,722 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,106 | TotalAmt |
| Program Services | $40,951 | ProgramServicesAmt |
| Management And General | $2,155 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,496 | TotalAmt |
| Program Services | $561,496 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,497,983 | TotalAmt |
| Program Services | $7,123,084 | ProgramServicesAmt |
| Management And General | $374,899 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,320,303 | TotalAmt |
| Program Services | $7,904,288 | ProgramServicesAmt |
| Management And General | $416,015 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,466,384 | TotalAmt |
| Program Services | $1,466,384 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $37,235,031 | $37,235,031 | $0 | $0 |
| STATE PROVIDER TAX | $17,749,259 | $16,861,796 | $887,463 | $0 |
| REPAIRS AND MAINTENANCE | $2,383,223 | $2,264,062 | $119,161 | $0 |
| UNRELATED BUSINESS TAXE | $1,515,911 | $0 | $1,515,911 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,135,588 | TotalAmt |
| Program Services | $1,634,377 | ProgramServicesAmt |
| Management And General | $501,211 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,319,410 | TotalAmt |
| Program Services | $278,058,681 | ProgramServicesAmt |
| Management And General | $26,260,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100 | BOYAmt |
| EOY | $2,528 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,927,136 | BOYAmt |
| EOY | $41,963,332 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,889,690 | BOYAmt |
| EOY | $96,000,652 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,745 | BOYAmt |
| EOY | $1,051,231 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,938,056 | BOYAmt |
| EOY | $10,397,822 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,132,476 | BOYAmt |
| EOY | $2,619,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $320,956,908 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $230,039,899 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,117,697 | BOYAmt |
| EOY | $90,917,009 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,146,822 | BOYAmt |
| EOY | $552,286,236 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,161,168 | BOYAmt |
| EOY | $254,188,229 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,371,890 | BOYAmt |
| EOY | $1,049,426,116 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,921,106 | BOYAmt |
| EOY | $39,441,710 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,405 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,261,125 | BOYAmt |
| EOY | $52,187,158 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,182,231 | BOYAmt |
| EOY | $91,633,273 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $605,189,659 | BOYAmt |
| EOY | $957,792,843 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $605,189,659 | BOYAmt |
| EOY | $957,792,843 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,371,890 | BOYAmt |
| EOY | $1,049,426,116 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $47,733,481 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $17,654,580 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $287,215,123 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $23,278 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $23,278 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $7,228 CATHOLIC HEALTH ASSOCIATION - $3,527 HOSPITAL ASSOCIATION OF OREGON - $12,407 340B DUES - $116 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,744,501 | OtherCostOrOtherBasisAmt |
| Book Value | $2,744,501 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $143,670,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,053,853 | DepreciationAmt |
| Book Value | $64,616,663 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,410,477 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,691,663 | DepreciationAmt |
| Book Value | $1,718,814 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $151,842,673 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,446,590 | DepreciationAmt |
| Book Value | $16,396,083 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,288,741 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,847,793 | DepreciationAmt |
| Book Value | $5,440,948 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $90,917,009 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CSH OPERATING INVESTMENT POOL | Desc |
| Book Value | $552,286,236 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $552,286,236 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $197,418,036 |
| INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST | $45,225,548 |
| DEPOSITS | $19,793 |
| ROU FINANCE - NET | $1,227,975 |
| ROU OPERATING | $10,296,877 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $254,188,229 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $2,026,810 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| CHI DEBT PROGRAM | $9,639,901 |
| CURRENT PORTION OF OPERATING LEASE LIABILITY | $4,288,128 |
| CURRENT PORTION OF FINANCE LEASE LIABILITY | $475,239 |
| LONG-TERM PORTION OF OPERATING LEASE LIABILITY | $7,946,222 |
| LONG-TERM PORTION OF FINANCE LEASE LIABILITY | $711,533 |
| UNCLAIMED PROPERTY | $47,312 |
| PHYSICIAN RECRUIT AND GUARANTEE PAYABLE | $5,300,753 |
| INTERCOMPANY PAYABLES | $20,691,192 |
| OTHER LIABILITIES | $848,200 |
| ACCRUED GRANTS | $211,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,187,158 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMONSPIRIT OREGON'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24571 | PersonsServedCnt |
| Total Community Benefit Expns | $5,852,565 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,852,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 73331 | PersonsServedCnt |
| Total Community Benefit Expns | $74,198,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,406,797 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,791,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 97902 | PersonsServedCnt |
| Total Community Benefit Expns | $80,050,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,406,797 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,644,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 5986 | PersonsServedCnt |
| Total Community Benefit Expns | $1,004,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,004,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 39 | PersonsServedCnt |
| Total Community Benefit Expns | $8,602,649 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $835,599 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,767,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 19152 | PersonsServedCnt |
| Total Community Benefit Expns | $16,862,828 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,710,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,152,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01690 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 8704 | PersonsServedCnt |
| Total Community Benefit Expns | $1,621,664 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,621,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 33881 | PersonsServedCnt |
| Total Community Benefit Expns | $28,091,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,546,282 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,544,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 131783 | PersonsServedCnt |
| Total Community Benefit Expns | $108,142,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,953,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,189,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12210 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 133 | PersonsServedCnt |
| Total Community Benefit Expns | $16,129 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 133 | PersonsServedCnt |
| Total Community Benefit Expns | $16,129 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $460,521 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,200,512 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,568,577 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,368,065 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER INC | |||||||||||
| 1 | 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | HTTP://WWW.CHIMERCYHEALTH.COM/ | 14-1133 | Yes (X) | Yes (X) | Yes (X) | A | |
| ST ANTHONY HOSPITAL | |||||||||||
| 2 | 2801 ST ANTHONY WAY | PENDLETON | OR | 97801 | HTTP://WWW.SAHPENDLETON.ORG | 14-0034 | Yes (X) | Yes (X) | Yes (X) | B | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FACILITY REPORTING GROUP - A | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 24 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE SCHEDULE H SUPPLEMENTAL INFO | Yes (X) | Yes (X) | Yes (1) | 25 | Yes (1) | SEE SCHEDULE H SUPPLEMENTAL INFO | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | Yes (X) | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | Yes (X) | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| FACILITY REPORTING GROUP - B | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 24 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE SCHEDULE H SUPPLEMENTAL INFO | Yes (X) | Yes (X) | Yes (1) | 25 | Yes (1) | SEE SCHEDULE H SUPPLEMENTAL INFO | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTPS://WWW.SAHPENDLETON.ORG/FINANCIAL-ASSISTANCE | Yes (X) | HTTPS://WWW.SAHPENDLETON.ORG/FINANCIAL-ASSISTANCE | Yes (X) | HTTPS://WWW.SAHPENDLETON.ORG/FINANCIAL-ASSISTANCE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 7: | COMMONSPIRIT OREGON:HTTPS://CHIMERCYHEALTH.COM/ABOUT-US/HEALTH-NEEDS-REPORTS/ST. ANTHONY HOSPITAL, PENDLETON:HTTPS://WWW.SAHPENDLETON.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE | COMMONSPIRIT OREGON:HTTPS://CHIMERCYHEALTH.COM/ABOUT-US/HEALTH-NEEDS-REPORTS/ST. ANTHONY HOSPITAL, PENDLETON:HTTPS://WWW.SAHPENDLETON.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: MERCY MEDICAL CENTER, INC. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: | HEALTH NEEDS WERE RANKED BASED ON THEIR IMPORTANCE AND POTENTIAL IMPACT ON THE COMMUNITY. THIS PRIORITIZATION PROCESS INCORPORATED A COMPREHENSIVE REVIEW OF SECONDARY DATA INDICATORS, INSIGHTS GATHERED THROUGH STAKEHOLDER INTERVIEWS AND FOCUS GROUPS, AND COLLABORATIVE DISCUSSIONS WITH COMMUNITY PARTNERS. THE PARTICIPATING KEY STAKEHOLDERS INCLUDED: ADAPT, AVIVA HEALTH, BLUE ZONES PROJECT (UMPQUA THRIVE), CHI MERCY HEALTH AND FOUNDATION LEADERSHIP, COW CREEK BAND OF UMPQUA TRIBE OF INDIANS, CREATING COMMUNITY RESILIENCE AND PACIFIC HEALTH, UHA CAC MEMBER, UMPQUA HEALTH, UNITED COMMUNITY ACTION NETWORK, DOUGLAS ESD, PEACE AT HOME, DOUGLAS CARES, SHERIFF'S DEPT, EVERGREEN FAMILY MEDICINE, DOUGLAS COUNTY PUBLIC HEALTH, FAMILY DEVELOPMENT CENTER, ADVANTAGE DENTAL, ROSEBURG SCHOOL DISTRICT, MSK BUILDING SUPPLY AND SOUTH UMPQUA SCHOOL BOARD, OREGON PACIFIC BANK, OSU EXT SNAP EDUCATION, DHS, UMPQUA ECONOMIC PARTNERSHIP, VA, BOYS AND GIRLS CLUB, FORD FAMILY FOUNDATION, DOUGLAS COUNTY FAIRGROUNDS, NEIGHBORHOOD WORKS, HARMS REDUCTION CENTER, AND HIGHLAND ELEMENTARY-REEDSPORT. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: | THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: | THE CHNA SIGNIFICANT NEEDS BEING ADDRESSED FOR THE STIPULATED PERIOD IN QUESTION ARE ADOLESCENT & YOUTH HEALTH AND EARLY CHILDHOOD DEVELOPMENT AND ENGAGEMENT, AND ACCESS TO AFFORDABLE, QUALITY, AND EQUITABLE HEALTHCARE SERVICES. AS PART OF OUR COMMITMENT TO HEALTH IMPROVEMENT IN DOUGLAS COUNTY, CHI MERCY MEDICAL CENTER WILL BE OFFERING ANNUALLY REPEATING GRANT AMOUNTS THAT RANGE UP TO $150,000. THESE FUNDS WILL BE USED BY APPLICANTS TO PROMOTE THE WELL-BEING AND HEALTH ADVANCEMENT OF VULNERABLE AND UNDERSERVED POPULATIONS THROUGH THE FORMATION AND PROLIFERATION OF VITAL SERVICES THAT ALIGN WITH ADDRESSING KEY ISSUES THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT WORK. THE SPECIFIC PROGRAMS AND/OR INITIATIVES ARE YET TO BE DETERMINED BUT WILL SHOW DIRECT RESONANCE WITH THE IMPROVEMENT TARGETS AS OUTLINED IN THIS CHIS.IN ADDITION TO THIS GRANT DRIVEN MECHANISM, THE FIRST HEALTH NEED IS SUPPORTED BY THE FOLLOWING PROGRAMS AIMED AT CHILDREN, AGES 05, SCHOOL-AGED YOUTH, ADOLESCENTS, AND FAMILIES IN DOUGLAS COUNTY: (1) BEYOND THE DIAGNOSIS; A TYPE 1 DIABETES INITIATIVE THAT PROVIDES EDUCATION, PEER SUPPORT, AND FAMILY-CENTERED ACTIVITIES FOR YOUTH WITH T1D TOIMPROVE DISEASE MANAGEMENT AND LONG-TERM HEALTH OUTCOMES. (2) HKOP (HEALTHY KIDS OUTREACH PROGRAM) WHICH DELIVERS SCHOOL-BASED DENTAL, NURSING, AND HEALTH EDUCATION SERVICES ACROSS 13 SCHOOL DISTRICTS IN PARTNERSHIP WITH THE ESD.PLANNED RESOURCES: MERCY FOUNDATION STAFFING, COMMUNITY HEALTH IMPROVEMENT GRANT FUNDING, SCHOOL PARTNERSHIPS.PLANNED COLLABORATORS: EDUCATION SERVICE DISTRICT, EVERGREEN FAMILY MEDICINE, 13 DOUGLAS COUNTY SCHOOL DISTRICTS, AVIVA, MERCY FOUNDATION, COWCREEK TRIBE, DHS, AND OSU EXTENSION SNAP EDUCATION.ANTICIPATED IMPACTS (OVERALL LONG-TERM GOALS): IMPROVED MANAGEMENT OF TYPE 1 DIABETES, BETTER ORAL AND PHYSICAL HEALTH FOR YOUTH, ENHANCED EARLY CHILDHOOD DEVELOPMENT AND SCHOOL READINESS.MEASURES AND DATA SOURCES: FAMILY SURVEYS, ER VISIT RECORDS, STUDENT ENCOUNTER DATA, PARTNER REPORTS. THE SECOND IDENTIFIED HEALTH NEED I.E. ACCESS TO AFFORDABLE, QUALITY, AND EQUITABLE HEALTHCARE SERVICES WILL BE SUPPORTED BY THE FOLLOWING PROGRAMS AND INITIATIVES: (1) FAMILY PRACTICE RESIDENCY PROGRAM WHICH PROVIDES CLINICAL RESIDENCY OPPORTUNITIES TO FAMILY MEDICINE PHYSICIANS TO BUILD THE LOCAL PROVIDER PIPELINE. (2) UROLOGY RECRUITMENT STRATEGY WHICH AIMS TO EXPAND SPECIALTY CARE BY RECRUITING UROLOGY PROVIDERS. THIS EFFORT INCLUDES $75,000 IN BUILT-ENVIRONMENT RENOVATION INVESTMENTS TO SUPPORT THE OPENING OF A NEW CLINIC. (3) FAMILY PRACTICE ENDOSCOPY INITIATIVE WHICH INVOLVES BROADENING SPECIALTY CARE ACCESS BY RECRUITING ENDOSCOPIC DOCTORS AND PROVIDING PASS-THROUGH COST SUPPORT FOR PATIENT CARE SPACE REMODELING AND ONGOING ANNUAL LEASE EXPENSES. (4) THE NURSE RESIDENCY EFFORT ENTAILS CREATING, MANAGING AND AUGMENTING A STRUCTURED CLINIC CAREER PATHWAY FOR NEWLY GRADUATED NURSES TO IMPROVE RETENTION AND STRENGTHEN THE NURSING WORKFORCE.(5) THE AVIVA DENTAL RESIDENCY PROGRAM IS DESIGNED TO EXPAND ACCESS TO AFFORDABLE DENTAL SERVICES FOR ADULTS AND YOUTH. WE ARE FINANCIALLY SUPPORTING THIS INITIATIVE WITH A $50,000 NON-REPEATING CONTRIBUTION TO OUR FQHC PARTNER; AVIVA HEALTH. PLANNED RESOURCES: HOSPITAL RECRUITMENT FUNDS, RENOVATION AND RESIDENCY INVESTMENTS, CHIG CONTRIBUTION, MERCY FOUNDATION SUPPORT.PLANNED COLLABORATORS: ENDOSCOPY AND UROLOGY PRACTICES (CMG SURGERY, EVERGREEN FAMILY MEDICINE, PRACTICE MANAGEMENT ORGANIZATION), AVIVA, UMPQUA COMMUNITY COLLEGE, OREGON HEALTH SCIENCE UNIVERSITY, LINUS OAKES CHI SENIOR LIVING, ST. ANTHONY'S. ANTICIPATED IMPACTS (OVERALL LONG-TERM GOALS): INCREASED ACCESS TO SPECIALTY AND DENTAL CARE, IMPROVED PROVIDER PIPELINE AND RETENTION, STRONGER HEALTHCARE WORKFORCE. MEASURE DATA SOURCE: WORKFORCE VACANCY RATES (VISIER, ICIMS), PARTNER REPORTS, PROGRAM/GRANT RECIPIENT PROGRESS REPORTS. THE CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) IDENTIFIED MATERNAL, FETAL, AND INFANT, HEALTH AND SUBSTANCE USE AND ALCOHOL USE DISORDERS AS SIGNIFICANT CONCERNS, AND WHILE CHI MERCY HEALTH CONTINUES TO SUPPORT PROGRAMS AND LEAD EFFORTS THAT ARE AIMED AT REDUCING SERVICE GAPS IN THESE TARGET AREAS, WE ARE NOT INCLUDING THOSE EFFORTS IN THIS 20252027 IMPLEMENTATION PLAN. REASONS INCLUDE: (1) COMMUNITY PARTNERSHIPS: OTHER ORGANIZATIONS IN DOUGLAS COUNTY, INCLUDING LOCAL PUBLIC HEALTH AGENCIES, EARLY LEARNING SYSTEMS, AND BEHAVIORAL HEALTH PROVIDERS, ARE ACTIVELY LEADING INITIATIVES IN THESE AREAS. (2) RESOURCE PRIORITIZATION: THE HOSPITAL IS PRIORITIZING RESOURCES TOWARD YOUTH HEALTH/ENGAGEMENT AND IMPROVING ACCESS TO AFFORDABLE, EQUITABLE HEALTHCARE, WHERE IT HAS THE GREATEST ABILITY TO MAKE A MEASURABLE IMPACT. (3) EXISTING HOSPITAL PROGRAMS AND MEASURES ARE ALREADY IN PLACE TO FOSTER AND SUPPORT PROGRESS IN MATERNAL, FETAL, AND INFANT HEALTH AND SUBSTANCE ABUSE AND ALCOHOL USE DISORDERS.CHI MERCY HEALTH WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS ADDRESSING MATERNAL/CHILD HEALTH AND SUBSTANCE USE AND WILL PROVIDE REFERRALS, EDUCATION, PROGRAMMING AND SUPPORT WHERE APPROPRIATE, BUT WILL NOT DIRECTLY PRIORITIZE STRATEGIES OR ALLOCATE MAJOR RESOURCES IN THESE AREAS FOR THE PURPOSE OF THIS COMMUNITY HEALTH IMPROVEMENT STRATEGY. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: | THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. IN ACCORDANCE WITH ORS 442.614, A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE WILL RECEIVE FREE OR DISCOUNTED EMCARE. A PATIENT IS NOT REQUIRED TO APPLY FOR MEDICAL ASSISTANCE, AS DEFINED IN ORS 414.025, BEFORE BEING SCREENED FOR OR PROVIDED FINANCIAL ASSISTANCE.HOSPITAL FACILITIES SHALL SCREEN A PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE IF THE PATIENT:* IS UNINSURED;* IS ENROLLED IN THE STATE MEDICAL ASSISTANCE PROGRAM; OR* OWES THE HOSPITAL $500 OR MORE AFTER ALL ADJUSTMENTS FROM INSURANCE OR THIRD-PARTY PAYERS, IF APPLICABLE, HAVE BEEN MADE.BEFORE BILLING THE PATIENT, THE HOSPITAL FACILITY SHALL SCREEN THE PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND APPLY ANY ASSISTANCE FOR WHICH THE PATIENT QUALIFIES. A HOSPITAL FACILITY SHALL NOTIFY THE PATIENT THAT THEY WERE SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND PROVIDE THE PATIENT WITH INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE IF THE PATIENT WAS DENIED, OR HOW TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE ABOVE WHAT THE PATIENT MAY HAVE BEEN PREVIOUSLY AWARDED. A HOSPITAL FACILITY MAY USE THE THIRD-PARTY SERVICES OF CONIFER, WAYSTAR, OR EXPERIAN, TO SCREEN AND APPROXIMATE A PATIENT'S HOUSEHOLD INCOME AND HOUSEHOLD SIZE ACCORDING TO THE ELIGIBILITY CRITERIA SET FORTH IN THIS ADDENDUM. THE SCREENING PROCESS WILL NOT CAUSE ANY NEGATIVE IMPACT ON THE PATIENT'S CREDIT SCORE. PATIENTS WILL NOT BE REQUIRED TO PROVIDE ANY SEPARATE SUPPORTING DOCUMENTATION AS PART OF THE SCREENING FOR PRESUMPTIVE FINANCIAL ASSISTANCE, BUT A PATIENT MAY PROVIDE SUCH DOCUMENTATION VOLUNTARILY. IF THE SCREENING PROCESS FAILS TO RETURN INFORMATION ABOUT THE PATIENT, OR SPECIFIES THAT THE PATIENT'S INCOME IS UNKNOWN, THE HOSPITAL FACILITY WILL MAKE A GOOD FAITH EFFORT TO DETERMINE THE PATIENT'S PRESUMPTIVE ELIGIBILITY STATUS BASED ON OTHER INFORMATION AVAILABLE. A HOSPITAL FACILITY WILL DOCUMENT THE METHODS UTILIZED TO CONDUCT THE PRESUMPTIVE ELIGIBILITY SCREENINGPATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PURSUANT TO THE TERMS OF THE FINANCIAL ASSISTANCE POLICY, UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, CERTAIN ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE. THIS ADDENDUM UPDATES SUCH ELIGIBILITY CRITERIA WITH THE FOLLOWING: * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 400% OF THE FPL.* ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FPL SHALL RECEIVE FREE CARE.* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 201% TO 300% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO 75% FROM HIS OR HER ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 301% TO 350% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 50% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 351% TO 400% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 25% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES). |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 2: ST. ANTHONY HOSPITAL |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 2: | ON MAY 1ST, 2025 ALL THE ASSETS AND OPERATIONS OF ST. ANTHONY HOSPITAL (93-0391614), A RELATED 501(C)(3) ORGANIZATION, WERE MERGED INTO COMMONSPIRIT OREGON. |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 5: | THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED A MULTI-FACETED APPROACH TO GATHER COMMUNITY INPUT. PRIMARY RESEARCH WAS CONDUCTED VIA A COMPREHENSIVE PRC COMMUNITY HEALTH SURVEY. THIS INVOLVED A RANDOM SAMPLE OF 201 COMMUNITY RESIDENTS AGED 18 AND OLDER, CONDUCTED VIA TELEPHONE SURVEY. DATA WERE DATA WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO ACCURATELY REPRESENT THE TOTAL SERVICE AREA AS A WHOLE. COMPLEMENTING THIS, AN ONLINE KEY INFORMANT SURVEY CONSULTED 54 KEY COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, PUBLIC HEALTH AND OTHER HEALTH PROVIDERS, SOCIAL SERVICE PROVIDERS, AND COMMUNITY LEADERS, SPECIFICALLY FOCUSING ON GATHERING INSIGHTS INTO THE HEALTH NEEDS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS. PARTICIPATING ORGANIZATIONS INCLUDED: ADVANTAGE DENTAL, CAPECO, CASON'S PLACE, CREATING CONQUERORS, DESIRE FOR HEALING, DOULAS LATINAS INTERNATIONAL, EUVALCREE, GREATER OREGON BEHAVIORAL HEALTH INC, HELIX SCHOOL DISTRICT, HERMISTON SCHOOL DISTRICT, HORIZON PROJECT, INC., INTERMOUNTAIN EDUCATIONAL SERVICE DISTRICT, MILTON FREEWATER SCHOOL DISTRICT, MODA HEALTH, OREGON CHILD DEVELOPMENT COALITION, OREGON DEPARTMENT OF HUMAN SERVICES, OREGON STATE POLICE, OREGON WASHINGTON HEALTH NETWORK, PENDLETON SCHOOL DISTRICT, PIONEER RELIEF NURSERY, ST. ANTHONY HOSPITAL, UMATILLA COUNTY, UMATILLA COUNTY DEVELOPMENTAL DISABILITIES PROGRAM, UMATILLA COUNTY PUBLIC HEALTH, UMATILLA MORROW COUNTY HEAD START, WIC, YAKIMA VALLEY FARM WORKERS CLINIC AND YELLOWHAWK TRIBAL HEALTH CENTER. |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 7D: | THE CHNA REPORT WAS PRESENTED IN A PUBLIC ONLINE SESSION IN THE SPRING OF 2025. ALL INTERESTED PARTIES WERE INVITED TO ATTEND. THIS SESSION WAS ALSO RECORDED, AND THE RECORDING IS AVAILABLE ON ST. ANTHONY HOSPITAL'S WEBSITE AS WELL AS YOUTUBE.THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMONSPIRIT COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11: | THE HOSPITAL INTENDS TO ADDRESS EACH OF THE IDENTIFIED SIGNIFICANT NEEDS TO SOME EXTENT. THESE NEEDS AND PROGRAMS ARE AS FOLLOWS:1. BEHAVIORAL HEALTH- PROGRAM ACTIVITIES:* SUICIDE PREVENTION:- SUMMARY: PARTNER WITH COMMUNITY COUNSELING SOLUTIONS TO PROVIDE MENTAL HEALTH FIRST AID (MHFA) AND APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST) FOR THE COMMUNITY. PROVIDE SUPPORT FOR THE CREATING CONQUERORS SUICIDE AND SUBSTANCE USE PREVENTION PROGRAM.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF COMMUNITY MEMBERS TRAINED IN MHFA AND ASIST; REFERRALS TO EASTERN OREGON PERINATAL LOSS COLLABORATIVE (FOR PERINATAL LOSS SUPPORT PROGRAMS).- COLLABORATING ORGANIZATIONS: COMMUNITY COUNSELING SOLUTIONS, CREATING CONQUERORS, EASTERN OREGON PERINATAL LOSS COLLABORATIVE.* COMMUNITY OUTREACH:- SUMMARY: PROVIDE COMMUNITY-BASED OUTREACH SERVICES WITH HEALTH AND WELLNESS EDUCATION.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF PARTICIPANTS IN COMMUNITY-BASED OUTREACH HEALTH AND WELLNESS EDUCATION EVENTS.- COLLABORATING ORGANIZATIONS: INTERNAL WITH EXTERNAL REACH* PERINATAL LOSS SUPPORT:- SUMMARY: PROVIDE MENTAL HEALTH ASSISTANCE/RESOURCES FOR FAMILIES EXPERIENCING PERINATAL LOSS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF PEOPLE ACCESSING MENTAL HEALTH ASSISTANCE AND RESOURCES FOR PERINATAL LOSS.- COLLABORATING ORGANIZATIONS: EASTERN OREGON PERINATAL LOSS COLLABORATIVE.2. CANCER- PROGRAM ACTIVITIES:* CANCER TREATMENT:- SUMMARY: PROVIDE CONSULTATION AND TREATMENT IN THE HOSPITAL'S MEDICAL ONCOLOGY CENTER.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF PATIENTS SEEN AT ST. ANTHONY HOSPITAL ONCOLOGY CLINIC.- COLLABORATING ORGANIZATIONS: INTERNAL PROGRAM* CANCER SCREENINGS:- SUMMARY: INCREASE VISIBILITY OF RECOMMENDED CANCER SCREENINGS THROUGH MARKETING CAMPAIGNS, WITH EMPHASIS ON COLORECTAL CANCER SCREENING, REPRODUCTIVE CANCER SCREENING, AND BREAST CANCER SCREENING.- KEY METRICS (ANTICIPATED IMPACTS): PERCENTAGE INCREASE IN CANCER SCREENING RATES AMONG ELIGIBLE POPULATIONS.- COLLABORATING ORGANIZATIONS: MARKETING TEAM, PUBLIC HEALTH DEPARTMENT.* PROVIDER RECRUITMENT:- SUMMARY: RECRUIT PROVIDERS TO CARE FOR PATIENTS WITH CANCER DIAGNOSES AND TO PROVIDE WOMEN'S AND PRIMARY CARE TO INCREASE CANCER SCREENINGS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF PRIMARY CARE PROVIDERS AT ST. ANTHONY HOSPITAL.- COLLABORATING ORGANIZATIONS: RECRUITING TEAM.3. TOBACCO USE- PROGRAM ACTIVITIES:* SMOKING CESSATION PROGRAM:- SUMMARY: BOOST EFFORTS TO PROVIDE A ROBUST AND COMPREHENSIVE SMOKING CESSATION PROGRAM TO SUPPORT COMMUNITY MEMBERS IN QUITTING TOBACCO USE.- KEY METRICS (ANTICIPATED IMPACTS): PERCENTAGE OF PARTICIPANTS SUCCESSFULLY COMPLETING THE PROGRAM; PERCENTAGE OF PROGRAM COMPLETERS REPORTING SUSTAINED ABSTINENCE AT 3 AND 6 MONTHS.- COLLABORATING ORGANIZATIONS: UMATILLA COUNTY PUBLIC HEALTH, COMMUNITY OUTREACH PARTNERS.* COMMUNITY EDUCATION:- SUMMARY: PROVIDE EDUCATION TO COMMUNITY MEMBERS ABOUT THE HARMS OF TOBACCO AND VAPING AND AVAILABLE QUIT RESOURCES.- KEY METRICS (ANTICIPATED IMPACTS): INCREASE IN COMMUNITY KNOWLEDGE REGARDING THE HARMS OF TOBACCO/VAPING AND CESSATION RESOURCES.- COLLABORATING ORGANIZATIONS: UMATILLA COUNTY PUBLIC HEALTH, COMMUNITY OUTREACH PARTNERS.4. NUTRITION, PHYSICAL ACTIVITY, & WEIGHT- PROGRAM ACTIVITIES:* NUTRITIONAL COUNSELING:- SUMMARY: PROVIDE 1:1 NUTRITION COUNSELING BY REGISTERED DIETITIANS FOR PATIENTS WITH OBESITY AND OTHER HEALTH CONDITIONS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF PATIENTS RECEIVING 1:1 NUTRITIONAL COUNSELING; SELF-REPORTED INCREASE IN HEALTHY EATING HABITS AMONG COUNSELING PARTICIPANTS.- COLLABORATING ORGANIZATIONS: UNSPECIFIED (INTERNAL PROGRAM).* LIFESTEPS PROGRAM:- SUMMARY: OFFER A WEIGHT MANAGEMENT PROGRAM AT LEAST ANNUALLY FOR ADULTS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF ADULTS PARTICIPATING IN THE LIFESTEPS WEIGHT MANAGEMENT PROGRAM; AVERAGE WEIGHT LOSS/BMI REDUCTION AMONG LIFESTEPS PARTICIPANTS.- COLLABORATING ORGANIZATIONS: UNSPECIFIED (INTERNAL PROGRAM).* SUPPORT OF FARMERS' MARKET:- SUMMARY: PROVIDE FINANCIAL SUPPORT FOR THE PENDLETON FARMERS' MARKET, WHICH OPERATES WEEKLY FROM LATE SPRING TO EARLY FALL.- KEY METRICS (ANTICIPATED IMPACTS): INCREASED UTILIZATION OF THE PENDLETON FARMERS' MARKET.- COLLABORATING ORGANIZATIONS: OSU EXTENSION SERVICE, PENDLETON FARMERS' MARKET.* COMMUNITY EXERCISE SUPPORT:- SUMMARY: PROVIDE FINANCIAL AND OTHER SUPPORT TO COMMUNITY EXERCISE PROGRAMS, INCLUDING THOSE TARGETED FOR SENIORS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF COMMUNITY MEMBERS PARTICIPATING IN SUPPORTED EXERCISE PROGRAMS.- COLLABORATING ORGANIZATIONS: OSU EXTENSION SERVICES.5. DIABETES- PROGRAM ACTIVITIES (YEAR ENDING JUNE 30, 2025 - AS PER NEW IMPLEMENTATION STRATEGY):* DIABETIC EDUCATION PROGRAM:- SUMMARY: PROVIDE 1:1 COUNSELING TO DIABETIC AND PRE-DIABETIC PATIENTS REFERRED BY THEIR PROVIDERS.- KEY METRICS (ANTICIPATED IMPACTS): AVERAGE REDUCTION IN HBA1C LEVELS FOR PARTICIPATING DIABETIC PATIENTS; INCREASE IN SELF-REPORTED ADHERENCE TO DIABETES MANAGEMENT PLANS (DIET, EXERCISE, MEDICATION).- COLLABORATING ORGANIZATIONS: INTERNAL PROGRAM* COMMUNITY OUTREACH:- SUMMARY: PROVIDE INFORMATION ON HEALTHY EATING AND DIABETES MANAGEMENT AT COMMUNITY EVENTS.- KEY METRICS (ANTICIPATED IMPACTS): NUMBER OF COMMUNITY MEMBERS ATTENDING DIABETES EDUCATION EVENTS; INCREASE IN COMMUNITY KNOWLEDGE ABOUT DIABETES RISK FACTORS, PREVENTION STRATEGIES, AND HEALTHY EATING FOR DIABETES.- COLLABORATING ORGANIZATIONS: INTERNAL PROGRAM |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 13H: | THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. IN ACCORDANCE WITH ORS 442.614, A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE WILL RECEIVE FREE OR DISCOUNTED EMCARE. A PATIENT IS NOT REQUIRED TO APPLY FOR MEDICAL ASSISTANCE, AS DEFINED IN ORS 414.025, BEFORE BEING SCREENED FOR OR PROVIDED FINANCIAL ASSISTANCE.HOSPITAL FACILITIES SHALL SCREEN A PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE IF THE PATIENT:* IS UNINSURED;* IS ENROLLED IN THE STATE MEDICAL ASSISTANCE PROGRAM; OR* OWES THE HOSPITAL $500 OR MORE AFTER ALL ADJUSTMENTS FROM INSURANCE OR THIRD-PARTY PAYERS, IF APPLICABLE, HAVE BEEN MADE.BEFORE BILLING THE PATIENT, THE HOSPITAL FACILITY SHALL SCREEN THE PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND APPLY ANY ASSISTANCE FOR WHICH THE PATIENT QUALIFIES. A HOSPITAL FACILITY SHALL NOTIFY THE PATIENT THAT THEY WERE SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND PROVIDE THE PATIENT WITH INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE IF THE PATIENT WAS DENIED, OR HOW TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE ABOVE WHAT THE PATIENT MAY HAVE BEEN PREVIOUSLY AWARDED. A HOSPITAL FACILITY MAY USE THE THIRD-PARTY SERVICES OF CONIFER, WAYSTAR, OR EXPERIAN, TO SCREEN AND APPROXIMATE A PATIENT'S HOUSEHOLD INCOME AND HOUSEHOLD SIZE ACCORDING TO THE ELIGIBILITY CRITERIA SET FORTH IN THIS ADDENDUM. THE SCREENING PROCESS WILL NOT CAUSE ANY NEGATIVE IMPACT ON THE PATIENT'S CREDIT SCORE. PATIENTS WILL NOT BE REQUIRED TO PROVIDE ANY SEPARATE SUPPORTING DOCUMENTATION AS PART OF THE SCREENING FOR PRESUMPTIVE FINANCIAL ASSISTANCE, BUT A PATIENT MAY PROVIDE SUCH DOCUMENTATION VOLUNTARILY. IF THE SCREENING PROCESS FAILS TO RETURN INFORMATION ABOUT THE PATIENT, OR SPECIFIES THAT THE PATIENT'S INCOME IS UNKNOWN, THE HOSPITAL FACILITY WILL MAKE A GOOD FAITH EFFORT TO DETERMINE THE PATIENT'S PRESUMPTIVE ELIGIBILITY STATUS BASED ON OTHER INFORMATION AVAILABLE. A HOSPITAL FACILITY WILL DOCUMENT THE METHODS UTILIZED TO CONDUCT THE PRESUMPTIVE ELIGIBILITY SCREENINGPATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PURSUANT TO THE TERMS OF THE FINANCIAL ASSISTANCE POLICY, UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, CERTAIN ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE. THIS ADDENDUM UPDATES SUCH ELIGIBILITY CRITERIA WITH THE FOLLOWING: * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 400% OF THE FPL.* ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FPL SHALL RECEIVE FREE CARE.* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 201% TO 300% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO 75% FROM HIS OR HER ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 301% TO 350% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 50% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 351% TO 400% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 25% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY INSTITUTE OF REHABILITATION | ||||
| 2400 NW STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT THERAPY SERVICES |
| 2 - MMC - CCC LAB DRAW SITE | ||||
| 2880 NW STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT LABORATORY DRAWING CENTER |
| 3 - MMC - MYRTLE CREEK DRAW SITE | ||||
| 861 OLD HWY | MYRTLE CREEK | OR | 97457 | OUTPATIENT LABORATORY DRAWING CENTER |
| 4 - MERCY OUTPATIENT LABORATORY | ||||
| 2480 STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT LABORATORY DRAWING CENTER |
| 5 - HOME HEALTH & HOSPICE | ||||
| 2400 NW STEWART PARKWAY 200 | ROSEBURG | OR | 97471 | HOME CARE |
| 6 - MERCY OUTPATIENT IMAGING | ||||
| 1813 W HARVARD AVE SUITE 411 | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES |
| 7 - MERCY UMPQUA ORTHOPEDIC RADIOLOGY | ||||
| 277 MEDICAL LOOP | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES |
| 8 - MERCY SLEEP LAB | ||||
| 2400 STEWART PARKWAY SUITE 300 | ROSEBURG | OR | 97471 | SLEEP TESTING SERVICES |
| 9 - MMC OUTPATIENT IMAGING & LAB DRAW SITE | ||||
| 2570 NW EDENBOWER | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES AND OUTPATIENT LAB DRAW SITE |
| 10 - ST ANTHONY FAMILY CARE CLINIC | ||||
| 3001 ST ANTHONY WAY | PENDLETON | OR | 97801 | RURAL HEALTH CLINIC |
| 11 - ST ANTHONY WOMEN'S CLINIC | ||||
| 3001 ST ANTHONY WAY | PENDLETON | OR | 97801 | CLINIC FOR PREGNANCY/OBGYN ISSUES |
| 12 - ST ANTHONY ORTHOPEDIC CLINIC | ||||
| 3001 ST ANTHONY WAY | PENDLETON | OR | 97801 | ORTHO PHYSICIAN CLINIC |
| 13 - ST ANTHONY OUTPATIENT PHYSICAL THERAPY | ||||
| 1425 SOUTHGATE | PENDLETON | OR | 97801 | CLINIC FOR PHYSICAL, OCCUPATIONAL AND SPEECH OUTPATIENT THERAPY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:* THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. * COMPLETED A FINANCIAL ASSISTANCE APPLICATION AND PROVIDED SUPPORTING DOCUMENTATION TO VERIFY INCOME. IN SOME CASES, PATIENTS MAY BE AWARDED FINANCIAL ASSISTANCE WITHOUT A FORMAL APPLICATION. DETAILS ARE OUTLINED IN THE FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE POLICY ADDENDUM-OREGON.* THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. A PATIENT IS NOT REQUIRED TO APPLY FOR MEDICAL ASSISTANCE, AS DEFINED IN ORS 414.025, BEFORE BEING SCREENED FOR OR PROVIDED FINANCIAL ASSISTANCE. * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 400% OF THE FPG.PURSUANT TO THE TERMS OF THE FINANCIAL ASSISTANCE POLICY, UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, CERTAIN ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE. THIS ADDENDUM UPDATES SUCH ELIGIBILITY CRITERIA WITH THE FOLLOWING:* THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 400% OF THE FPL.* ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FPL SHALL RECEIVE FREE CARE.* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 201% TO 300% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO 75% FROM HIS OR HER ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 301% TO 350% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 50% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES).* ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 351% TO 400% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO THE GREATER OF 25% OR THE HOSPITAL FACILITY'S AGB FROM THEIR ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY(IES). IN ACCORDANCE WITH ORS 442.614, A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE WILL RECEIVE FREE OR DISCOUNTED EMCARE. A PATIENT IS NOT REQUIRED TO APPLY FOR MEDICAL ASSISTANCE, AS DEFINED IN ORS 414.025, BEFORE BEING SCREENED FOR OR PROVIDED FINANCIAL ASSISTANCE. HOSPITAL FACILITIES SHALL SCREEN A PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE IF THE PATIENT:* IS UNINSURED;* IS ENROLLED IN THE STATE MEDICAL ASSISTANCE PROGRAM; OR* OWES THE HOSPITAL $500 OR MORE AFTER ALL ADJUSTMENTS FROM INSURANCE OR THIRD-PARTY PAYERS, IF APPLICABLE, HAVE BEEN MADE.BEFORE BILLING THE PATIENT, THE HOSPITAL FACILITY SHALL SCREEN THE PATIENT FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND APPLY ANY ASSISTANCE FOR WHICH THE PATIENT QUALIFIES. A HOSPITAL FACILITY SHALL NOTIFY THE PATIENT THAT THEY WERE SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND PROVIDE THE PATIENT WITH INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE IF THE PATIENT WAS DENIED, OR HOW TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE ABOVE WHAT THE PATIENT MAY HAVE BEEN PREVIOUSLY AWARDED. A HOSPITAL FACILITY MAY USE THE THIRD-PARTY SERVICES OF CONIFER, WAYSTAR, OR EXPERIAN, TO SCREEN AND APPROXIMATE A PATIENT'S HOUSEHOLD INCOME AND HOUSEHOLD SIZE ACCORDING TO THE ELIGIBILITY CRITERIA SET FORTH IN THIS ADDENDUM. THE SCREENING PROCESS WILL NOT CAUSE ANY NEGATIVE IMPACT ON THE PATIENT'S CREDIT SCORE. PATIENTS WILL NOT BE REQUIRED TO PROVIDE ANY SEPARATE SUPPORTING DOCUMENTATION AS PART OF THE SCREENING FOR PRESUMPTIVE FINANCIAL ASSISTANCE, BUT A PATIENT MAY PROVIDE SUCH DOCUMENTATION VOLUNTARILY. IF THE SCREENING PROCESS FAILS TO RETURN INFORMATION ABOUT THE PATIENT, OR SPECIFIES THAT THE PATIENT'S INCOME IS UNKNOWN, THE HOSPITAL FACILITY WILL MAKE A GOOD FAITH EFFORT TO DETERMINE THE PATIENT'S PRESUMPTIVE ELIGIBILITY STATUS BASED ON OTHER INFORMATION AVAILABLE. A HOSPITAL FACILITY WILL DOCUMENT THE METHODS UTILIZED TO CONDUCT THE PRESUMPTIVE ELIGIBILITY SCREENING.COMMONSPIRIT HOSPITAL ORGANIZATIONS RECOGNIZE THAT NOT ALL PATIENTS AND GUARANTORS ARE ABLE TO COMPLETE THE FAA OR PROVIDE REQUISITE DOCUMENTATION. FINANCIAL COUNSELORS ARE AVAILABLE AT EACH HOSPITAL FACILITY LOCATION TO ASSIST ANY INDIVIDUAL SEEKING APPLICATION ASSISTANCE. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:* RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;* HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;* PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);* FOOD STAMP ELIGIBILITY;* ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);* LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR* PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. |
| PART I, LINE 6A: | COMMONSPIRIT OREGON PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. |
| PART I, LINE 7: | COMMONSPIRIT HEALTH HOSPITALS USE AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE TO CALCULATE MEDICAID AND OTHER MEANS-TESTED PROGRAMS EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ST. ANTHONY HOSPITAL, PENDLETON:THROUGH COMMUNITY BUILDING ACTIVITIES, ST. ANTHONY HOSPITAL ASSISTS IN PROMOTING THE HEALTH OF THE COMMUNITY BY IMPROVING ACCESS TO SERVICES, SUPPORTING FAMILIES, AND PROVIDING DIRECT PROGRAM SUPPORT.THE HOSPITAL PROVIDES FREE HOUSING FOR NURSING STUDENTS COMPLETING CLINICALS IN OUR COMMUNITY. WE ARE ALSO ABLE TO HOST AMERICAN RED CROSS BLOOD DRIVES, PROVIDING SPACE AND FOOD TO AID IN THEIR EFFORTS AT NO COST TO THE RED CROSS. WE PROVIDE SPACE FOR CANCER SURVIVORS TO MEET AND RECEIVE SUPPORT, A SUPPORT GROUP FOR CAREGIVERS OF PATIENTS WITH DEMENTIA, AND EMERGENCY PLANNING EFFORTS IN OUR COMMUNITY. WE PROVIDE MINISTERIAL FELLOWSHIP TO THOSE IN OUR COMMUNITY. THE HOSPITAL ALSO SPONSORS THE ATHLETIC TRAINER PROVIDED TO PENDLETON HIGH SCHOOL AT NO CHARGE TO WORK WITH STUDENT ATHLETES. DURING THE SUMMER MONTHS, THE HOSPITAL PROVIDES FREE FIRST AID STATIONS AT THREE AREA MUSIC FESTIVALS THAT ARE WIDELY ATTENDED, AS WELL AS MEDICAL STATION SUPPORT FOR UMATILLA COUNTY FAIR.THE HOSPITAL SUPPORTS FAMILIES IN THE COMMUNITY THROUGH ITS SUPPORT OF PIONEER RELIEF NURSERY. SAH PROVIDES SUPPLIES, UTILITIES AND FREE SPACE FOR PIONEER RELIEF NURSERY. THE NURSERY PROVIDES FREE CHILDCARE AND TRAINING TO PARENTS WHO HAVE RISK FACTORS FOR ABUSE AND NEGLECT. ITS GOAL IS TO PREVENT CHILD ABUSE AND NEGLECT IN UMATILLA COUNTY THROUGH INTENSIVE FAMILY SUPPORT. THEY ADDRESS THE CYCLE OF CHILD ABUSE AND NEGLECT BY PROVIDING THERAPEUTIC EARLY CHILDHOOD CLASSROOMS, PARENTING EDUCATION, PLANNED RESPITE AND COMPREHENSIVE FAMILY SUPPORT. PRN UTILIZES RESEARCH-BASED STRATEGIES TO HELP FAMILIES BUILD SKILLS TO COPE WITH THE STRESSES OF RAISING CHILDREN IN FAMILIES WITH RISK FACTORS SUCH AS POVERTY, SUBSTANCE ABUSE, DOMESTIC VIOLENCE AND ISOLATION.THE HOSPITAL SUPPORTS THE COMMUNITY BY HELPING TO PROVIDE MEALS WEEKLY FOR THE UNDERSERVED AT THE SALVATION ARMY. ST. ANTHONY HOSPITAL HAS FAITHFULLY PROVIDED THIS SERVICE TO THOSE IN NEED IN OUR COMMUNITY FOR MANY YEARS. ST. ANTHONY HOSPITAL ALSO CONTINUES TO WORK COLLABORATIVELY AND PROVIDE SUPPORT FOR THE UMATILLA COUNTY HEALTH PARTNERSHIP.COMMONSPIRIT OREGON:HOSTED ITS 10TH ANNUAL KIDS SAFETY DAY AT A LOCALLY OWNED GROCERY STORE WITH OVER 20 NON-PROFIT VENDORS, INCLUDING MERCY, TO PROMOTE SAFETY TOPICS FOR OUR CHILDREN. THE THEME IS SELECTED BY TRAUMA HOSPITAL STAFF. SEVERAL HOSPITAL STAFF COORDINATED AND PARTICIPATED IN THE ONE-DAY EVENT.THIS EVENT ALSO INCLUDED HOSPITAL VOLUNTEERS. THE LOCALLY OWNED GROCERY STORE PROVIDED THE SPACE WITHOUT FEES. |
| PART III, LINE 2: | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. |
| PART III, LINE 3: | COMMONSPIRIT OREGON MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT OREGON'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT OREGON ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, COMMONSPIRIT OREGON DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. |
| PART III, LINE 4: | COMMONSPIRIT OREGON DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." |
| PART III, LINE 8: | COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. COMMONSPIRIT OREGON'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $ 12,368,065 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. |
| PART III, LINE 9B: | COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. |
| PART VI, LINE 3: | INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. |
| PART VI, LINE 4: | COMMONSPIRIT OREGON:COMMUNITIES ARE MOSTLY RURAL; RESIDENTS ARE OLDER, LESS DIVERSE WITH LOWER INCOMES AND EDUCATION. THE HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) HAS DESIGNATED THE COUNTY AS A MEDICALLY UNDERSERVED AREA. THE COUNTY SEAT IN ROSEBURG IS THE LARGEST WITH 23,237 RESIDENTS. APPROXIMATELY HALF OF THE POPULATION RESIDE IN THE THIRTY-TWO UNINCORPORATED AREAS AND ONLY THREE OTHER COMMUNITIES HAVE MORE THAN 5,000 RESIDENTS. HOUSEHOLD INCOMES LAG BEHIND. THE MEDIAN INCOME IN DOUGLAS COUNTY IS $50,031 COMPARED TO THE STATE AVERAGE OF $65,667 AND NATIONALLY AT $64,994. THE CONNECTION BETWEEN EDUCATION AND INCOME IS CLEAR WITH ONLY 18.5% OF CITIZENS ATTAINING A BACHELOR'S DEGREE COMPARED TO 34.4% STATEWIDE AND 32.9% NATIONALLY. RESIDENTS MOSTLY IDENTIFY AS WHITE 87.5%. THE CHART TO THE RIGHT ILLUSTRATES THE AVERAGE AGE OF ITS RESIDENTS. ST. ANTHONY HOSPITAL, PENDLETON:GEOGRAPHIC AREA: THE HOSPITAL PRIMARILY SERVES UMATILLA COUNTY, IN RURAL EASTERN OREGON, WHICH ENCOMPASSES 3,215.45 SQUARE MILES AND IS LOCATED IN NORTHEAST OREGON. THE COMMUNITY SERVED ALSO EXTENDS TO SOUTHERN MORROW COUNTY AND INCLUDES THE CONFEDERATED TRIBES OF THE UMATILLA INDIAN RESERVATION. THE LARGEST CITIES WITHIN UMATILLA COUNTY ARE HERMISTON, PENDLETON, UMATILLA, AND MILTON-FREEWATER.DEMOGRAPHICS:* POPULATION SIZE: THE TOTAL POPULATION OF THE SERVICE AREA (PRIMARILY UMATILLA COUNTY) IS 79,904 RESIDENTS (ACCORDING TO THE LATEST CENSUS ESTIMATES).* POPULATION COMPOSITION (RACE & ETHNICITY):- WHITE: 76.3%- HISPANIC: 28.1% (NOTE: HISPANIC IS OFTEN CONSIDERED AN ETHNICITY AND CAN OVERLAP WITH RACIAL CATEGORIES, BUT IT IS LISTED SEPARATELY IN THE PROVIDED DATA).- AMERICAN INDIAN OR ALASKA NATIVE: 3.2%- ASIAN: 0.9%- BLACK: 0.8%- NATIVE HAWAIIAN/PACIFIC ISLANDER: 0.1%* AVERAGE INCOME: THE MEDIAN HOUSEHOLD INCOME IN UMATILLA COUNTY IS $70,322.* THE PERCENT OF POPULATION LIVING IN POVERTY (BELOW 100% FPL) IS 11.7%. ADDITIONALLY, 23.7% OF RESIDENTS STATED THEY WOULD NOT BE ABLE TO AFFORD A $400 EMERGENCY EXPENSE WITHOUT GOING INTO DEBT, INDICATING FINANCIAL VULNERABILITY BEYOND JUST THE POVERTY LINE.* PERCENTAGE OF PATIENTS OR RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS:- PERCENT OF PEOPLE WITHOUT HEALTH INSURANCE: 11.1%- PERCENT OF PEOPLE WITH MEDICAID: 28.1%* UNEMPLOYMENT RATE: THE UNEMPLOYMENT RATE (SEPTEMBER 2024) IS 3.7%.* EDUCATION: 15.5% OF THE POPULATION AGED 25 AND OLDER DO NOT HOLD A HIGH SCHOOL DIPLOMA OR GED.* NON-ENGLISH SPEAKING: 2.6% OF PEOPLE AGED 5 AND OLDER ARE NON-ENGLISH SPEAKING.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY: THERE IS ONE ADDITIONAL HOSPITAL IN UMATILLA COUNTY, LOCATED APPROXIMATELY 30 MILES FROM ST. ANTHONY HOSPITAL.THE COMMUNITY INCLUDES DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS; SPECIFICALLY, PRIMARY CARE, DENTAL, AND MENTAL HEALTH ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. |
| PART VI, LINE 5: | FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. |
| PART VI, LINE 6: | THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN - BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| MERCY FOUNDATION | ||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 936088946 | 501(C)3 | $709,216 | $0 | GENERAL SUPPORT |
| TRUTH INITIATIVE FOUNDATION | ||||||||
| 900 G STREET NW 4TH FLOOR | WASHINGTON | DC | 20001 | 901956621 | 501(C)3 | $33,570 | $0 | GENERAL SUPPORT |
| DOUGLAS COUNTY OF OREGON | ||||||||
| 2110 FREAR STEEET SW | ROSEBURG | OR | 97471 | 936002293 | GOVERNMENT | $10,000 | $0 | GENERAL SUPPORT |
| UMPQUA COMMUNITY COLLEGE | ||||||||
| PO BOX 967 | ROSEBURG | OR | 97470 | 930519151 | 501(C)3 | $1,000,000 | $0 | GENERAL SUPPORT |
| WINSTON CHRISTIAN CHURCH | ||||||||
| 231 SHERRY ST | WINSTON | OR | 97496 | 930561882 | 501(C)3 | $10,000 | $0 | GENERAL SUPPORT |
| UMPQUA COMMUNITY HEALTH CENTER INC | ||||||||
| 150 NE KENNEDY FORD DR | ROSEBURG | OR | 97470 | 931070304 | 501(C)3 | $50,000 | $0 | GENERAL SUPPORT |
| DOUGLAS COUNTY CANCER SERVICES | ||||||||
| 2880 NW STEWART PKWY | ROSEBURG | OR | 97471 | 943113835 | 501(C)3 | $84,167 | $0 | GENERAL SUPPORT |
| HIV ALLIANCE INC | ||||||||
| 1195 CITY VIEW ST | EUGENE | OR | 97402 | 930963546 | 501(C)3 | $30,000 | $0 | GENERAL SUPPORT |
| EXPLORE ENGAGE ENJOY | ||||||||
| 2198 NE STEPHENS ST SUITE 101 | ROSEBURG | OR | 97470 | 882261805 | 501(C)3 | $30,500 | $0 | GENERAL SUPPORT |
| FRIENDLY KITCHEN | ||||||||
| 1440 UMPQUA COLLEGE RD | ROSEBURG | OR | 97471 | 930779289 | 501(C)3 | $5,270 | $0 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL DONATIONS ARE GIVEN TO NON-PROFIT ORGANIZATIONS TO BE USED IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE; AND AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THEIR DISTRIBUTION. THE ORGANIZATION MAKES A RECORD OF ALL DONATIONS IN THE GENERAL LEDGER. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KETUL PATEL | ||||||||||||||
| EX OFFICIO/REGION PRESIDENT NW | $0 | $1,399,822 | $0 | $4,002,957 | $0 | $263,122 | $0 | $74,757 | $0 | $14,201 | $0 | $5,754,859 | $0 | $0 |
| DANIEL BARCHI | ||||||||||||||
| BOARD MEMBER | $0 | $1,390,381 | $0 | $2,711,475 | $0 | $412,642 | $0 | $367,951 | $0 | $37,397 | $0 | $4,919,846 | $0 | $0 |
| KATHLEEN SANFORD | ||||||||||||||
| BOARD MEMBER | $0 | $914,805 | $0 | $1,792,752 | $0 | $276,974 | $0 | $18,925 | $0 | $35,677 | $0 | $3,039,133 | $0 | $0 |
| DAVID NOSACKA | ||||||||||||||
| CORPORATE TREASURER/SVP&CFO NORTHWES | $0 | $624,949 | $0 | $243,163 | $0 | $4,198 | $0 | $20,325 | $0 | $41,647 | $0 | $934,282 | $0 | $0 |
| SUSAN WILLIAMS MD | ||||||||||||||
| BOARD MEMBER THRU 4/30/25/PHYSICIAN | $0 | $822,570 | $0 | $15,000 | $0 | $2,382 | $0 | $12,520 | $0 | $28,445 | $0 | $880,917 | $0 | $0 |
| RUSSELL WOOLLEY | ||||||||||||||
| MARKET PRESIDENT/BOARD MEMBER THRU 4 | $421,092 | $0 | $181,409 | $0 | $106,356 | $0 | $60,653 | $0 | $42,290 | $0 | $811,800 | $0 | $0 | $0 |
| JASON GRAY MD | ||||||||||||||
| FORMER OFFICER | $416,293 | $0 | $125,180 | $0 | $3,086 | $0 | $16,085 | $0 | $33,037 | $0 | $593,681 | $0 | $0 | $0 |
| BRIAN PINELLE | ||||||||||||||
| FORMER COO & CNO | $142,080 | $0 | $0 | $0 | $296,695 | $35,850 | $13,649 | $0 | $6,850 | $0 | $459,274 | $35,850 | $0 | $0 |
| MIRIAM CHAMBLISS | ||||||||||||||
| CORPORATE SECRETARY/VP GENERAL COUNS | $0 | $306,158 | $0 | $121,211 | $0 | $1,290 | $0 | $12,689 | $0 | $32,951 | $0 | $474,299 | $0 | $0 |
| JAMIE POINDEXTER | ||||||||||||||
| MARKET VP OPERATIONAL FINANCE/CFO | $0 | $235,610 | $0 | $33,672 | $0 | $73,831 | $0 | $4,506 | $0 | $32,861 | $0 | $380,480 | $0 | $0 |
| GREGORY JACKSON | ||||||||||||||
| FORMER MARKET VP OPERATIONAL FINANCE | $0 | $270,234 | $0 | $73,827 | $0 | $1,045 | $0 | $10,283 | $0 | $12,021 | $0 | $367,410 | $0 | $0 |
| HOLLY COOK | ||||||||||||||
| MKT CNO - ROSEBURG | $38,510 | $182,507 | $0 | $38,988 | $365 | $39,723 | $11,799 | $0 | $19,008 | $8,239 | $69,682 | $269,457 | $0 | $0 |
| JERRY SMEAD | ||||||||||||||
| DIRECTOR PHARMACY (THRU 7/3/2024) | $123,711 | $0 | $43,552 | $0 | $138,975 | $0 | $12,423 | $0 | $14,375 | $0 | $333,036 | $0 | $0 | $0 |
| ANN FULLER | ||||||||||||||
| DIRECTOR CLINICAL INFORMATICS (THRU | $78,117 | $0 | $29,857 | $0 | $188,907 | $0 | $8,392 | $0 | $14,287 | $0 | $319,560 | $0 | $0 | $0 |
| DEBRA RINAKER | ||||||||||||||
| DIRECTOR FAMILY BIRTH CENTER (THRU 7 | $93,136 | $0 | $32,597 | $0 | $161,900 | $0 | $9,019 | $0 | $6,648 | $0 | $303,300 | $0 | $0 | $0 |
| DEBORA ST MARIE-LIGHTCAP | ||||||||||||||
| MKT DIRECTOR HR OPERATIONS (THRU 7/1 | $89,539 | $0 | $30,722 | $0 | $162,609 | $0 | $9,109 | $0 | $974 | $0 | $292,953 | $0 | $0 | $0 |
| AARON BALLENSKY | ||||||||||||||
| PHARMACY MANAGER | $227,176 | $0 | $25,158 | $0 | $307 | $0 | $10,563 | $0 | $13,193 | $0 | $276,397 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. |
| PART I, LINE 4A: | CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2024 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): ANN FULLER, $172,293; BRIAN PINELLE, $229,537; DEBRA RINAKER, $156,738; JERRY SMEAD, $118,709; DEBORA ST. MARIE-LIGHTCAP $139,039 |
| PART I, LINE 4B: | CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY. SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN ELIGIBLE LISTED PERSONS RECEIVED AN ADDITIONAL PAYMENT DURING 2024 DUE TO A DELAY IN THE START DATE OF THE SERP. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: KATHLEEN SANFORD, $82,742 AND DANIEL BARCHI, $400,000. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2024, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: KATHLEEN SANFORD, $158,357 AND KETUL PATEL, $244,754. |
| PART II: | COMMONSPIRIT OREGON FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. BRIAN PINNELLE'S COMPENSATION REPORTED IN SCH J, PT. II INCLUDES $101,818 FOR SERVICES PROVIDED TO COMMONSPIRIT OREGON FROM AN UNRELATED ORGANIZATION AMN HEALTHCARE |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TODD LUTHER | |||
| FAMILY MEMBER OF BOARD MEMBER | $269,366 | COMPENSATION & BENEFITS | 0 |
| ANDREA GRAY MD | |||
| FAMILY MEMBER OF BOARD MEMBER | $34,700 | PHYSICIAN CALL SERVICES | 0 |
| EVERGREEN FAMILY MEDICINE | |||
| TIMOTHY POWELL IS A BOARD MEMBER IN BOTH EVERGREEN FAMILY MEDICINE AND MMC | $45,670,991 | MANAGEMENT SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | ON MAY 1ST, 2025 ALL THE ASSETS AND OPERATIONS OF ST. ANTHONY HOSPITAL (93-0391614), A RELATED 501(C)(3) ORGANIZATION, WERE MERGED INTO COMMONSPIRIT OREGON. |
| FORM 990, PART V, LINE 1C: PAYMENTS TO VENDORS | PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY COMMONSPIRIT OREGON. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF COMMONSPIRIT OREGON ARE REPORTED TO THE IRS. |
| FORM 990, PART VI, SECTION A, LINE 3 | COMMONSPIRIT OREGON HAS DELEGATED LIMITED CONTROL OVER MANAGEMENT DUTIES FOR CERTAIN HOSPITAL DEPARTMENTS TO THE FOLLOWING MANAGEMENT COMPANIES: PROFESSIONAL MANAGEMENT OF OREGON, LLC, CEP AMERICA, DOUGLAS MEDICAL GROUP, STEWART PARKWAY MEDICAL GROUP, UMPQUA MEDICAL GROUP AND EVERGREEN FAMILY MEDICINE, PC. THE SURGICAL AND EMERGENCY AREAS ARE MANAGED BY THESE MANAGEMENT ORGANIZATIONS. THE MANAGEMENT COMPANIES HAVE THEIR OWN EMPLOYEES THAT THEY HIRE, FIRE AND SUPERVISE. TIM POWELL, AS CEO OF EVERGREEN FAMILY MEDICINE, PC, PROVIDES EXECUTIVE LEADERSHIP SERVICES TO CENTENNIAL MEDICAL GROUP EAST DBA EVERGREEN FAMILY MEDICINE, A DISREGARED ENTITY OF CENTENNIAL MEDICAL GROUP. DURING CALENDAR YEAR 2024 TIM POWELL RECEIVED $773,849 AS COMPENSATION FOR HIS SERVICES TO COMMONSPIRIT OREGON AND CENTENNIAL MEDICAL GROUP. NO OTHER CURRENT OR FORMER OFFICER, DIRECTOR, ETC. HAVE RECEIVED COMPENSATION FROM THE MANAGEMENT COMPANIES DURING THE 2024 CALENDAR YEAR. |
| FORM 990, PART VI, SECTION A, LINE 4 | IN CONNECTION WITH COMMONSPIRIT HEALTH'S SYSTEM WIDE GOVERNANCE ALIGNMENT AND CORPORATE RESTRUCTURING, THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AND RESTATED. SEVERAL SIGNIFICANT CHANGES WERE MADE TO THE GOVERNING DOCUMENTS INCLUDING: 1. THE ORGANIZATION'S NAME WAS CHANGED TO COMMONSPIRIT OREGON. 2. BOARD OF DIRECTORS "BOARD AND STANDING COMMITTEES: A. THE NUMBER OF BOARD MEMBERS AND THE COMPOSITION OF THE BOARD HAS CHANGED. THE BOARD NOW CONSISTS OF THREE (3) DIRECTORS, WHO ARE APPOINTED BY THE CORPORATE MEMBER. ONE OF THOSE DIRECTORS IS THE REGION PRESIDENT, WHO SERVES AS AN EX OFFICIO VOTING BOARD MEMBER. THE NEW GOVERNING DOCUMENTS ELIMINATE FOUR STANDING BOARD COMMITTEES (GOVERNANCE, EXECUTIVE, AUDIT AND COMPLIANCE, AND QUALITY AND VALUE) WHILE MAINTAINING THE BOARD'S ABILITY BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, TO ESTABLISH ONE OR MORE STANDING OR AD HOC COMMITTEES. 3. BOARD OF COMMUNITY ADVISORS: A. THE NEW GOVERNING DOCUMENTS REQUIRE THE BOARD TO ESTABLISH ONE OR MORE BOARDS OF COMMUNITY ADVISORS RELATED TO HOSPITALS OWNED AND OPERATED BY THE CORPORATION. ALL BOARDS OF COMMUNITY ADVISORS ARE TO BE OPERATED SUBSTANTIALLY IN ACCORDANCE WITH, AND HAVE THE RESPONSIBILITIES GENERALLY DESCRIBED IN, A SET OF BYLAWS, APPROVED BY THE BOARD (THE "BOARD OF COMMUNITY ADVISORS BYLAWS"). ANY PROPOSED AMENDMENT OR MODIFICATION TO THE BOARD OF COMMUNITY ADVISORS BYLAWS APPLICABLE TO A BOARD OF COMMUNITY ADVISORS IS SUBJECT TO APPROVAL BY THE BOARD. B. THE BOARD MAKES APPOINTMENTS TO THE BOARDS OF COMMUNITY ADVISORS. EACH BOARD OF COMMUNITY ADVISORS MUST CONSIST OF NO FEWER THAN SIX AND NO MORE THAN TWELVE MEMBERS. THE BOARD RETAINS THE POWER TO REMOVE MEMBERS OF THE BOARD OF COMMUNITY ADVISORS, WITH OR WITHOUT CAUSE. C. THE BOARD DELEGATED CERTAIN FIDUCIARY DUTIES TO THE BOARDS OF COMMUNITY ADVISORS, AND GRANTED THE BOARDS OF COMMUNITY ADVISORS AUTHORITY TO ACT ON BEHALF OF THE BOARD, WITH RESPECT TO THE FOLLOWING MATTERS FOR THE HOSPITAL(S) SUPPORTED BY THAT BOARD OF COMMUNITY ADVISORS: * MEDICAL STAFF MEMBERSHIP, CREDENTIALING, AND PRIVILEGES * QUALITY, SAFETY, AND PATIENT EXPERIENCE * APPROVE HOSPITAL POLICIES AND PROCEDURES IN ADDITION THE BOARD MAY DELEGATE OTHER DUTIES AND RESPONSIBILITIES, INCLUDING ADVISORY RESPONSIBILITIES WITH RESPECT TO THE SUPPORTED HOSPITALS, TO THE BOARDS OF COMMUNITY ADVISORS. |
| FORM 990, PART VI, SECTION A, LINE 6 | ACCORDING TO THE BYLAWS OF COMMONSPIRIT OREGON THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | WITH THE EXCEPTION OF AN EX OFFICIO DIRECTOR, THE CORPORATE MEMBER SHALL APPOINT AND APPROVE EACH MEMBER OF THE BOARD IN ACCORDANCE WITH THE GOVERNANCE MATRIX. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE COMMONSPIRIT OREGON - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE COMMONSPIRIT OREGON - APPROVE MEMBERS OF THE COMMONSPIRIT OREGON BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE COMMONSPIRIT OREGON - APPROVAL OF ISSUANCE OF DEBT BY COMMONSPIRIT OREGON - APPROVAL OF PARTICIPATION OF COMMONSPIRIT OREGON IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY COMMONSPIRIT OREGON - APPROVAL OF A MERGER INVOLVING THE COMMONSPIRIT OREGON - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMMONSPIRIT OREGON - TO REQUIRE THE TRANSFER OF ASSETS BY THE COMMONSPIRIT OREGON TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR COMMONSPIRIT OREGON PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION B, LINE 11B | ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CONTROLLER. A COPY OF THE DRAFT RETURN IS MADE AVAILABLE TO BOARD MEMBERS THAT WOULD LIKE TO REVIEW IT. SUBSEQUENT TO THE REVIEW BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. |
| FORM 990, PART VI, SECTION B, LINE 16A: | COMMONSPIRIT OREGON HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 212,489. MANAGEMENT AND GENERAL EXPENSES 11,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,673. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 17,659,360. MANAGEMENT AND GENERAL EXPENSES 1,962,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,621,511. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 24,007,685. MANAGEMENT AND GENERAL EXPENSES 1,263,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,271,247. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,443,699. MANAGEMENT AND GENERAL EXPENSES 720,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,164,441. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 14,880,230. MANAGEMENT AND GENERAL EXPENSES 783,170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,663,400. |
| FORM 990, PART XI, LINE 9: | ST ANTHONY HOSPITAL ASSETS TRANSER 290,907,431. AFFILIATE TRANSFERS TO MERCY SERVICES CORP -24,858. AFFILIATE TRANSFERS TO ST ANTHONY HOSPITAL -2,286,043. TRANSFER TO/FROM AFFILIATES -1,080,407. ZONE CLEARING -301,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (196 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | |||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HOSPITAL | NE | 501(C)(3) | LINE 3 | ACH | 0 | |
| ALEGENT CREIGHTON HEALTH | |||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | |||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA | |||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | |||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | |||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ALVERNA APARTMENTS | |||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | LINE 10 | CSH | 0 | |
| APPLETREE COURT | |||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | SFH | 0 | |
| ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 345 S HALCYON RD | ARROYO GRANDE | CA | 93420 | 203256066 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| BAKERSFIELD MEMORIAL HOSPITAL | |||||||||||
| 420 34TH STREET | BAKERSFIELD | CA | 93301 | 951802779 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| BAYLOR ST LUKE'S HEALTH VENTURES | |||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| BAYLOR ST LUKE'S MEDICAL GROUP | |||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | BSLHV | 0 | |
| BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON | |||||||||||
| 1201 9TH AVE | SEATTLE | WA | 98101 | 910653422 | RESEARCH | WA | 501(C)(3) | LINE 4 | VMFH | 0 | |
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | INACTIVE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| BURLESON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| BURLESON ST JOSEPH MANOR | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | REHABILITATION | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |
| CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1401 SOUTH GRAND AVENUE | LOS ANGELES | CA | 90015 | 954000909 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DCC | 0 | |
| CARRINGTON HEALTH CENTER | |||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| CATHOLIC HEALTH INITIATIVES - COLORADO | |||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840405257 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||
| 9100 EAST MINERAL AVE | CENTENNIAL | CO | 80112 | 840902211 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | |||||||||||
| 1150 KELLY JOHNSON BLVD 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | TELEHEALTH | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CENTENNIAL MEDICAL GROUP INC | |||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | SURGERY CENTER | OR | 501(C)(3) | LINE 10 | CS OR | Yes (1) | |
| CENTRAL CALIFORNIA HEALTH CENTERS | |||||||||||
| 300 OLD RIVER ROAD STE 200 | BAKERSFIELD | CA | 93311 | 844171789 | CLINIC | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| CENTRAL KANSAS MEDICAL CENTER | |||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 480543724 | INACTIVE | KS | 501(C)(3) | LINE 3 | CSH | 0 | |
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | CSH | 0 | |
| CHI HEALTH FOUNDATION | |||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | ACH | 0 | |
| CHI KENTUCKY INC | |||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | INVESTMENTS | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI LIVING COMMUNITIES | |||||||||||
| 930 S WYNN ROAD | OREGON | OH | 43616 | 341892096 | SENIOR LIVING | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |
| CHI MEMORIAL HOSPITAL - GEORGIA | |||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HOSPITAL | GA | 501(C)(3) | LINE 3 | MHCS | 0 | |
| CHI NEBRASKA | |||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68510 | 363233121 | HOLDING CO | NE | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST JOSEPH CHILDREN'S HEALTH | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST JOSEPH'S CHILDREN | |||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | |||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CHI-SVHS | 0 | |
| CHI ST VINCENT HOT SPRINGS | |||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(C)(3) | LINE 12A, I | SVIMC | 0 | |
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | |||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIANS | AR | 501(C)(3) | LINE 3 | CHI-SVHS | 0 | |
| COMMONSPIRIT HEALTH | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 421178204 | REHABILITATION | IA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| COMMONSPIRIT HEALTH FOUNDATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 853374038 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CSH | 0 | |
| COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC | |||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 850919176 | OPERATING INVESTMENTS | DE | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| COMMONSPIRIT HEALTH RESEARCH INSTITUTE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | RESEARCH | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| COMMONSPIRIT KANSAS INC | |||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HOSPITAL | KS | 501(C)(3) | LINE 3 | CSH | 0 | |
| COMMONSPIRIT MOUNTAIN REGION | |||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 841335382 | MANAGEMENT COMPANY | CO | 501(C)(3) | LINE 12A, I | CHIC | 0 | |
| COMMONSPIRIT OREGON | |||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 0 | |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | |||||||||||
| 1805 MEDICAL CENTER DRIVE | SAN BERNARDINO | CA | 92411 | 951643373 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | HOLDING CO | OH | 501(C)(2) | GSH | 0 | ||
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION | |||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AH-CMHMV | 0 | |
| CONTINUING CARE HOSPITAL | |||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611400619 | HOSPITAL | KY | 501(C)(3) | LINE 3 | SJHS | 0 | |
| DIGNITY COMMUNITY CARE | |||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 815009488 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |
| DIGNITY HEALTH | |||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 941196203 | HOSPITAL | CA | 501(C)(3) | LINE 3 | CSH | 0 | |
| DIGNITY HEALTH CONNECTED LIVING | |||||||||||
| 200 MERCY OAKS DRIVE | REDDING | CA | 96003 | 237115371 | SENIOR CENTER SERVICES | CA | 501(C)(3) | LINE 7 | DH | 0 | |
| DIGNITY HEALTH FOUNDATION | |||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 462037641 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DIGNITY HEALTH FOUNDATION - INLAND EMPIRE | |||||||||||
| 2101 N WATERMAN AVENUE | SAN BERNARDINO | CA | 92404 | 237440086 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DIGNITY HEALTH FOUNDATION EAST VALLEY | |||||||||||
| 475 SOUTH DOBSON ROAD | CHANDLER | AZ | 85224 | 742418514 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DIGNITY HEALTH MEDICAL FOUNDATION | |||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 680220314 | MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC | CA | 501(C)(3) | LINE 12A, I | DCC | 0 | |
| DOMINICAN HEALTH SERVICES | |||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770056778 | COMMUNITY HEALTH SYSTEM | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DOMINICAN HOSPITAL FOUNDATION | |||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 942450442 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DOMINICAN OAKS CORPORATION | |||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770127719 | OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS | CA | 501(C)(3) | LINE 10 | DHS | 0 | |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | |||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |
| FLAGET HEALTHCARE INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | FH | 0 | |
| FRANCISCAN CARE CENTER | |||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| FRANCISCAN FOUNDATION | |||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING FOUNDATION | WA | 501(C)(3) | LINE 10 | FHS | 0 | |
| FRANCISCAN HEALTH SYSTEM | |||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CSH | 0 | |
| FRANCISCAN MEDICAL GROUP | |||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | PHYSICIANS | WA | 501(C)(3) | LINE 10 | FHS | 0 | |
| FRENCH HOSPITAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1911 JOHNSON AVENUE | SAN LUIS OBISPO | CA | 93401 | 203256125 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DCC | 0 | |
| GARRISON MEMORIAL HOSPITAL | |||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HOSPITAL | ND | 501(C)(3) | LINE 3 | SAMC | 0 | |
| GLENDALE MEMORIAL HEALTH FOUNDATION | |||||||||||
| 1420 SOUTH CENTRAL AVENUE | GLENDALE | CA | 91204 | 953625651 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DCC | 0 | |
| GLOBAL HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | INACTIVE | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311778403 | EDUCATION | OH | 501(C)(3) | LINE 2 | GSH | 0 | |
| GOOD SAMARITAN HOSPITAL | |||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| GOOD SAMARITAN HOSPITAL FOUNDATION | |||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | GSH-KN | 0 | |
| GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 311206047 | FUNDRAISING FOUNDATION | OH | 501(C)(3) | LINE 12A, I | GSH | 0 | |
| HARRISON MEDICAL CENTER | |||||||||||
| 1800 NW MYHRE RD | SILVERDALE | WA | 98383 | 910565546 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |
| HEALTHCARE AND WELLNESS FOUNDATION | |||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | LINE 12A, I | SFMC-MN | 0 | |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | |||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029768 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | |||||||||||
| 100 E LIBERTY ST STE 800 | LOUISVILLE | KY | 40202 | 611352729 | PHYSICIANS | KY | 501(C)(3) | LINE 10 | KOH | 0 | |
| KENTUCKYONE HEALTH INC | |||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029769 | HEALTHCARE | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| LAKEWOOD HEALTH CENTER | |||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | LHC | 0 | |
| LEGACY FOUNDATION OF KENTUCKIANA INC | |||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | KOH | 0 | |
| LISBON AREA HEALTH SERVICES | |||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| LONGMONT UNITED HOSPITAL | |||||||||||
| 1950 MOUNTAIN VIEW AVE | LONGMONT | CO | 80501 | 840460697 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CHIC | 0 | |
| MADISON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| MADONNA MANOR INC | |||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | ASSISTED LIVING | KY | 501(C)(3) | LINE 10 | CHILC | 0 | |
| MARIAN REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 953818027 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| MARK TWAIN MEDICAL CENTER | |||||||||||
| 768 MOUNTAIN RANCH ROAD | SAN ANDREAS | CA | 95249 | 680127677 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | |||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING FOUNDATION | TN | 501(C)(3) | LINE 7 | MHCS | 0 | |
| MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HOSPITAL | TN | 501(C)(3) | LINE 3 | CSH | 0 | |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | |||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(C)(3) | LINE 10 | MHCS | 0 | |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| MERCY FOUNDATION BAKERSFIELD | |||||||||||
| PO BOX 119 | BAKERSFIELD | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| MERCY FOUNDATION INC | |||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 7 | CS OR | Yes (1) | |
| MERCY HEALTH CARE FOUNDATION | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHMH-CORNING | 0 | |
| MERCY HEALTHCARE FOUNDATION | |||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MHVC | 0 | |
| MERCY HOSPITAL OF DEVILS LAKE | |||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | |||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | MHDL | 0 | |
| MERCY HOSPITAL OF VALLEY CITY | |||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| MERCY MCMAHON TERRACE | |||||||||||
| 3865 J STREET | SACRAMENTO | CA | 95816 | 680117340 | SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES | CA | 501(C)(3) | LINE 10 | DH | 0 | |
| MERCY MEDICAL CENTER | |||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| MERCY MEDICAL CENTER MERCED FOUNDATION | |||||||||||
| 301 E 13TH STREET | MERCED | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| MERCY MEDICAL FOUNDATION | |||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MMC WILLISTON | 0 | |
| NEBRASKA HEART HOSPITAL | |||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| NORTHLAND HEALTHCARE ALLIANCE | |||||||||||
| 2223 EAST ROSSER AVENUE | BISMARCK | ND | 58501 | 911845296 | DIAGNOSTIC SERVICES | ND | 501(C)(3) | LINE 7 | SAMC | 0 | |
| NORTHLAND PACE PROGRAM | |||||||||||
| 2223 EAST ROSSER AVENUE | BISMARCK | ND | 58501 | 261689193 | HEALTHCARE | ND | 501(C)(3) | LINE 10 | NHA | 0 | |
| NORTHRIDGE HOSPITAL FOUNDATION | |||||||||||
| 18300 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 237444901 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DCC | 0 | |
| OAKES COMMUNITY HOSPITAL | |||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| OAKES COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | OCH | 0 | |
| PACIFIC CENTRAL COAST HEALTH CENTERS | |||||||||||
| 1414 E MAIN STREET SUITE 201 | SANTA MARIA | CA | 93454 | 770447575 | CLINIC | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| PORT CITY OPERATING COMPANY LLC | |||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 465322209 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DH | 0 | |
| PROVIDENCE CARE CENTER | |||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | LTERM CARE | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | |||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| SAINT CLARE'S COMMUNITY CARE INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222876836 | INACTIVE | NJ | 501(C)(3) | LINE 12B, II | SCHS | 0 | |
| SAINT CLARE'S HEALTH SERVICES INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 223639733 | INACTIVE | NJ | 501(C)(3) | LINE 10 | CSH | 0 | |
| SAINT CLARE'S HOSPITAL INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 223319886 | INACTIVE | NJ | 501(C)(3) | LINE 3 | SCHS | 0 | |
| SAINT ELIZABETH FOUNDATION | |||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SERMC | 0 | |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | |||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| SAINT FRANCIS MEDICAL CENTER | |||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | |||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SFMC-NE | 0 | |
| SAINT FRANCIS MEMORIAL HOSPITAL | |||||||||||
| 900 HYDE STREET | SAN FRANCISCO | CA | 94109 | 941156295 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | |||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |
| SAINT JOSEPH HEALTH SYSTEM INC | |||||||||||
| ONE ST JOSEPHS DRIVE | LEXINGTON | KY | 40504 | 611334601 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |
| SAINT JOSEPH HOSPITAL FOUNDATION INC | |||||||||||
| 701 BOB OLINK DR 200 | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | SJHS | 0 | |
| SAINT JOSEPH LONDON FOUNDATION INC | |||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | |||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | |||||||||||
| 2500 FAIRWAY STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | SJHHC | 0 | |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 12A, I | AHMHS | 0 | |
| SIERRA NEVADA MEMORIAL-MINERS HOSPITAL | |||||||||||
| 155 GLASSON WAY | GRASS VALLEY | CA | 95945 | 941439787 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| SJRMC JOPLIN MISSOURI | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | INACTIVE | MO | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST FRANCIS HOSPITAL SUPPORT CORPORATION | |||||||||||
| 601 E MICHELTORENA STREET | SANTA BARBARA | CA | 93103 | 770022302 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST JOHN'S HEALTHCARE FOUNDATION | |||||||||||
| 1600 NORTH ROSE AVENUE | OXNARD | CA | 93030 | 202865781 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST JOSEPH'S FOUNDATION (PHOENIX) | |||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 942941245 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST JOSEPH'S FOUNDATION OF SAN JOAQUIN | |||||||||||
| 1800 N CALIFORNIA STREET | STOCKTON | CA | 95204 | 510432777 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST MARY MEDICAL CENTER FOUNDATION | |||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237153876 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST MARY PROFESSIONAL BUILDING INC | |||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237373088 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST MARY'S MEDICAL CENTER FOUNDATION | |||||||||||
| 450 STANYAN STREET | SAN FRANCISCO | CA | 94117 | 943336143 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST ROSE DOMINICAN HEALTH FOUNDATION | |||||||||||
| 3001 ST ROSE PARKWAY | HENDERSON | NV | 89052 | 880349432 | FUNDRAISING FOUNDATION | NV | 501(C)(3) | LINE 12A, I | DH | 0 | |
| ST ALEXIUS MEDICAL CENTER | |||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST ANNE OC | |||||||||||
| 1145 BROADWAY PLAZA STE 1200 | TACOMA | WA | 98402 | 863590968 | INACTIVE | WA | 501(C)(3) | LINE 10 | FHS | 0 | |
| ST ANTHONY HOSPITAL | |||||||||||
| 2801 ST ANTHONY WAY | PENDLETON | OR | 97801 | 930391614 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST ANTHONY HOSPITAL FOUNDATION | |||||||||||
| 2801 ST ANTHONY WAY | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 12A, I | SAH | 0 | |
| ST ANTHONY'S HOSPITAL ASSOCIATION | |||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HOSPITAL | AR | 501(C)(3) | LINE 3 | SVIMC | 0 | |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | |||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING FOUNDATION | KS | 501(C)(3) | LINE 12A, I | CS KS | 0 | |
| ST CLARE COMMONS | |||||||||||
| 12469 FIVE POINT ROAD | TOLEDO | OH | 43551 | 270163752 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| ST DOMINIC OF ONTARIO OREGON | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | INVESTMENTS | OR | 501(C)(4) | CSH | 0 | ||
| ST ELIZABETH HEALTH SERVICES | |||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | INACTIVE | NE | 501(C)(3) | LINE 3 | SERMC | 0 | |
| ST FRANCIS HOME | |||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | LINE 10 | CSH | 0 | |
| ST FRANCIS LIFE CARE CORPORATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222536017 | INACTIVE | NJ | 501(C)(3) | LINE 8 | SCHS | 0 | |
| ST FRANCIS MEDICAL CENTER | |||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST JOSEPH MANOR | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | LTERM CARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |
| ST JOSEPH MEDICAL CENTER INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 520591461 | INACTIVE | MD | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST JOSEPH PHYSICIAN ASSOCIATES | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521311775 | INACTIVE | MD | 501(C)(3) | LINE 12A, I | SJMC | 0 | |
| ST JOSEPH REGIONAL HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| ST JOSEPH REGIONAL HEALTH PARTNERS | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |
| ST JOSEPH SERVICES CORPORATION | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||
| 2500 FAIRWAY STREET | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST LEONARD | |||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |
| ST LUKE'S COMMUNITY HEALTH SERVICES | |||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| ST LUKE'S FOUNDATION | |||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 7 | SLHS | 0 | |
| ST LUKE'S HEALTH CLINICAL OPERATIONS | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |
| ST LUKE'S HEALTH SYSTEM CORPORATION | |||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | 760536232 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| ST LUKE'S HOSPITAL AT THE VINTAGE | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| ST LUKE'S PROPERTIES CORPORATION | |||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 760531716 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | SLCDC-SL | 0 | |
| ST MARY'S COMMUNITY HOSPITAL | |||||||||||
| 1301 GRUNDMAN BOULEVARD | NEBRASKA CITY | NE | 68410 | 470443636 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 1301 GRUNDMAN BLVD | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | SMCH | 0 | |
| ST VINCENT FOUNDATION | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING FOUNDATION | AR | 501(C)(3) | LINE 12A, I | SVIMC | 0 | |
| ST VINCENT INFIRMARY MEDICAL CENTER | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST VINCENT MEDICAL GROUP | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | PHYSICIANS | AR | 501(C)(3) | LINE 10 | SVIMC | 0 | |
| SYLVANIA FRANCISCAN HEALTH | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 341412964 | HOLDING CO | OH | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 455357161 | INACTIVE | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |
| THE COMMONS OF PROVIDENCE | |||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSISTED LIVING | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| THE COMMUNITY HOSPITAL OF BRAZOSPORT | |||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 741385192 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 310537486 | HOSPITAL | OH | 501(C)(3) | LINE 3 | CSH | 0 | |
| THE PHYSICIAN NETWORK | |||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(C)(3) | LINE 12A, I | CHI NEBRASKA | 0 | |
| TOTAL HEALTHCARE | |||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840927232 | INACTIVE | CO | 501(C)(3) | LINE 3 | CHIC | 0 | |
| TRINITY HEALTH FOUNDATION | |||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 311329423 | FUNDRAISING FOUNDATION | OH | 501(C)(3) | LINE 12A, I | THS | 0 | |
| TRINITY HEALTH SYSTEM | |||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| TRINITY HOSPITAL TWIN CITY | |||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HOSPITAL | OH | 501(C)(3) | LINE 3 | THS | 0 | |
| TRI-STATE HEALTH SERVICES INC | |||||||||||
| ONE ROSS PARK BLVD | STEUBENVILLE | OH | 43952 | 341522484 | ASSISTED LIVING | OH | 501(C)(3) | LINE 7 | THS | 0 | |
| UNITY FAMILY HEALTHCARE | |||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| VILLA NAZARETH INC | |||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(C)(3) | LINE 10 | CSH | 0 | |
| VIRGINIA MASON FRANCISCAN HEALTH | |||||||||||
| TACOMA FINANCIAL CENTER BUILDING 11 | TACOMA | WA | 98402 | 861332353 | HOLDING CO | WA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| VIRGINIA MASON INSTITUTE | |||||||||||
| 1100 9TH AVE | SEATTLE | WA | 98101 | 263763656 | EDUCATION | WA | 501(C)(3) | LINE 10 | VMMC | 0 | |
| VIRGINIA MASON MEDICAL CENTER | |||||||||||
| 1100 9TH AVE | SEATTLE | WA | 98101 | 910565539 | HOSPITAL | WA | 501(C)(3) | LINE 3 | VMFH | 0 | |
| VISITING NURSE ASSOCIATION OF ST CLARE'S INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 221768334 | INACTIVE | NJ | 501(C)(3) | LINE 10 | SCHS | 0 | |
| YAVAPAI COMMUNITY HOSPITAL ASSOCIATION | |||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 860098923 | HOSPITAL | AZ | 501(C)(3) | LINE 3 | DCC | 0 | |
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 861038463 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | YRMC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (90 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN MERCY HOME CARE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 830486150 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK - NEXT LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 474696671 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 454494682 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | IMAGING CENTER | DE | N/A | N/A | 0 | 0 | ||||
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| BAPTIST DEACONESS MADISON HOME CARE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 933197463 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| BAYLOR CHI ST LUKE'S HEALTH SERVICES LLC | ||||||||||||||
| 3100 MAIN STE 566 | HOUSTON | TX | 77002 | 472079184 | HEALTHCARE SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7500 MERCY RD STE 4300 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 2501 CITICO AVENUE | CHATTANOOGA | TN | 37404 | 621875199 | HEALTHCARE SERVICES | TN | N/A | N/A | 0 | 0 | ||||
| BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | 709 WING ON PLAZA 62 MODY ROAD TS | HONG KONG | CH | CH | ||||||
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC SERVICES | KY | N/A | N/A | 0 | 0 | ||||
| CBCC OUTSMARTING CANCER LLC | ||||||||||||||
| 6501 TRUXTUN AVENUE | BAKERSFIELD | CA | 93309 | 461602286 | RADIATION / ONCOLOGY | CA | N/A | N/A | 0 | 0 | ||||
| CENTURA SUMMIT ORTHOPEDICS LLC | ||||||||||||||
| 68 SCHOOL RD | FRISCO | CO | 80443 | 871308304 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| CHER LLC | ||||||||||||||
| 8610 EXPLORER DR 302 | COLORADO SPRINGS | CO | 80902 | 205633472 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| CHICAMSURG SURGERY CENTERS LLC | ||||||||||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | 465683027 | SURGERY CENTER | CO | N/A | N/A | 0 | 0 | ||||
| COLORADO SPRINGS CK LEASING LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| COMMUNITY HEALTH AT HOME - INFUSION LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 833517309 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| COMMUNITY HEALTH AT HOME LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 833536760 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 311746556 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| DE JV LLC | ||||||||||||||
| 8686 NEW TRAILS DRIVE | THE WOODLANDS | TX | 77381 | 320496548 | EMERGENCY CARE | NV | N/A | N/A | 0 | 0 | ||||
| DEACONESS HOME HEALTH LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 843167946 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD) | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | 3 MORE LONDON RIVERSIDE 4TH FLOOR | LONDON | UK | UK | ||||||
| DH PACIFICLINKAGE HEALTH INT'L LTD | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | RMS 1318-20 HOLLYWOOD PLAZA 610 NA | HONG KONG | CH | CH | ||||||
| DHHP SURGERY CENTERS LLC | ||||||||||||||
| 1401 S GRAND AVENUE | LOS ANGELES | CA | 90015 | 831847466 | SURGERY | DE | N/A | N/A | 0 | 0 | ||||
| DHRT HOLDINGS LLC | ||||||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 352484591 | HOLDING COMPANY | DE | N/A | N/A | 0 | 0 | ||||
| DIGITAL MEDICAL IMAGING LLC | ||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 206 | TEMPLETON | CA | 93465 | 874209407 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH AT HOME LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 824674115 | DIAGNOSTIC SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HOME RECOVERY CARE LLC | ||||||||||||||
| 3854 AMERICAN WAY SUITE A | BATON ROUGE | LA | 70816 | 832832522 | HOME RECOVERY PROGRAM | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202999237 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP NORCAL SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202468509 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 134248908 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 352584991 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITY-ABRAZO HEALTH NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 465477985 | MANAGEMENT SERVICES | AZ | N/A | N/A | 0 | 0 | ||||
| DOMINICAN MAGNETIC RESONANCE IMAGING CENTER | ||||||||||||||
| PO BOX 880 | APTOS | CA | 95001 | 770095477 | IMAGING CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ECCS ACQUISITION COMPANY LLC | ||||||||||||||
| 2940 NORTH CIRCLE DRIVE | COLORADO SPRINGS | CO | 80909 | 352656413 | AMBUL SURG CTR | CO | N/A | N/A | 0 | 0 | ||||
| ENDOSCOPY CENTER OF ARKANSAS | ||||||||||||||
| 1024 NORTH UNIVERSITY AVE | LITTLE ROCK | AR | 72207 | 201337002 | DIAGNOSTIC SERVICES | AR | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC | ||||||||||||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | 463494108 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN SPECIALTY CARE LLC | ||||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 813725123 | DIAGNOSTIC SERVICES | WA | N/A | N/A | 0 | 0 | ||||
| GO PHYSICAL THERAPY LLC | ||||||||||||||
| 3004 WEST FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | N/A | N/A | 0 | 0 | ||||
| GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 201792869 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| HC SL VINTAGE I LLC | ||||||||||||||
| 1400 N WATER ST STE 500 | MILWAUKEE | WI | 53202 | 270453767 | PREPERTY HOLDING | WI | N/A | N/A | 0 | 0 | ||||
| HEALTH AT HOME HOLDCO LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 920827634 | HOME HEALTH | CO | N/A | N/A | 0 | 0 | ||||
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | INACTIVE | NE | N/A | N/A | 0 | 0 | ||||
| HEARTLAND ONCOLOGY LLC | ||||||||||||||
| 2337 E CRAWFORD ST | SALINA | KS | 67402 | 464265403 | ONCOLOGY | KS | N/A | N/A | 0 | 0 | ||||
| INTUITIVE HEALTH OF PUGET SOUND LLC | ||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 880771168 | INACTIVE | WA | N/A | N/A | 0 | 0 | ||||
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17030 LAKESIDE HILLS PLAZA STE 110 | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY | NE | N/A | N/A | 0 | 0 | ||||
| LEXINGTON MBO PARTNERS LTD | ||||||||||||||
| 4600 SOUTH SYRACUSE ST STE 500 | DENVER | CO | 80237 | 651132855 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| LINCOLN CK LEASING LLC | ||||||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 262496856 | REAL ESTATE | NE | N/A | N/A | 0 | 0 | ||||
| LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE | ||||||||||||||
| 1950 MOUNTAIN VIEW AVE | LONGMONT | CO | 80501 | 454432224 | ORTHOPEDIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| MOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 870687391 | MEDICAL IMAGING | TX | N/A | N/A | 0 | 0 | ||||
| NATIONAL PURCHASING PARTNERS LLC | ||||||||||||||
| 17930 INTERNATIONAL BLVD STE 900 | SEATAC | WA | 98188 | 203470995 | GROUP PURCHASING | WA | N/A | N/A | 0 | 0 | ||||
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | N/A | N/A | 0 | 0 | ||||
| NEXIFY HEALTH PRIVATE LIMITED | ||||||||||||||
| IT SERVICES | N/A | N/A | 0 | 0 | 9TH FL MSR BLOCK KRISHE SAPPHIRE | HYDERABAD | IN | IN | ||||||
| NICU OPERATING CO OF SANTA CRUZ LLC | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 460502935 | NEONATAL HEALTHCARE | CA | N/A | N/A | 0 | 0 | ||||
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | N/A | N/A | 0 | 0 | ||||
| NORTHERN PLAINS LABORATORY LLC | ||||||||||||||
| 401 N 9 STREET | BISMARCK | ND | 58501 | 841641341 | DIAGNOSTIC SERVICES | ND | N/A | N/A | 0 | 0 | ||||
| NSC CHANNEL ISLANDS LLC | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 770409291 | AMBULATORY SURGICAL CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | N/A | N/A | 0 | 0 | ||||
| PARK RAPIDS AREA HEALTH CARE | ||||||||||||||
| 600 PLEASANT AVENUE S | PARK RAPIDS | MN | 56470 | 204926259 | HEALTHCARE SERVICES | MN | N/A | N/A | 0 | 0 | ||||
| PARKVIEW HEALTH AT HOME LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45140 | 991995656 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| PEAK ONE SURGERY CENTER LLC | ||||||||||||||
| PO BOX 4460 | FRISCO | CO | 80443 | 201620230 | SURGERY CENTER | CO | N/A | N/A | 0 | 0 | ||||
| PENINSULA RADIATION ONCOLOGY CENTER LLC | ||||||||||||||
| 4230 BRIDGEPORT WAY W STE B | UNIVERSITY PLACE | WA | 98466 | 870808610 | HEALTHCARE SERVICES | WA | N/A | N/A | 0 | 0 | ||||
| PENRAD IMAGING LLC | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | N/A | N/A | 0 | 0 | ||||
| PLAZA SURGERY CENTER LP | ||||||||||||||
| 525 E PLAZA DRIVE SUITE 100 | SANTA MARIA | CA | 93454 | 770573567 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| PMC HOSPITAL LLC | ||||||||||||||
| 4600 E SAM HOUSTON PKWY SOUTH | PASADENA | TX | 77505 | 273280598 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| PRECISION MEDICINE ALLIANCE LLC | ||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 352569159 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY | ||||||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| RBR MANAGEMENT LLC | ||||||||||||||
| 91 CORPORATE PARK DRIVE SUITE 120 | HENDERSON | NV | 89074 | 271466450 | AMBULANCE | NV | N/A | N/A | 0 | 0 | ||||
| REID-ANC HOME CARE SERVICES LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 371454747 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRODSBURG RD | LEXINGTON | KY | 40503 | 453801157 | INACTIVE | DE | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH HEALTH ASC LLC | ||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 852155230 | SURGERY | KY | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ COMPREHENSIVE IMAGING LLC | ||||||||||||||
| PO BOX 880 | APTOS | CA | 95001 | 010550623 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ SURGERY CENTER LLC | ||||||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SANTA MARIA MRI LLC | ||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 206 | TEMPLETON | CA | 93465 | 770554581 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| SEVEN OAKS SURGERY CENTER LLC | ||||||||||||||
| 1801 ORANGE TREE LANE SUITE 200 | REDLANDS | CA | 92374 | 851559544 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SOUTHEASTERN HOME CARE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 271219638 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ST JOSEPH'S SURGERY CENTER LP | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 201019390 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| ST ELIZABETH HOME CARE SERVICES LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 261236191 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| PO BOX 4717 | HOUSTON | TX | 77210 | 462795726 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| THE MEDICAL PAVILION AT ST JOHN'S | ||||||||||||||
| 1600 ROSE AVENUE | OXNARD | CA | 93030 | 770332349 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| THREE SPRING IMAGING LLC | ||||||||||||||
| 1 MERCADO ST STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| TIA ARIZONA LLC | ||||||||||||||
| 15051 N KIERLAND BLVD SUITE 200 | SCOTTSDALE | AZ | 85254 | 863158670 | CLINIC | AZ | N/A | N/A | 0 | 0 | ||||
| TOPTOLIFE LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 872868634 | RETAIL | CO | N/A | N/A | 0 | 0 | ||||
| UCSF HEALTH- GOHEALTH URGENT CARE MGMT LLC | ||||||||||||||
| 5555 GLENRIDGE CONNECTOR SUITE 700 | ATLANTA | GA | 30342 | 352548698 | MANAGEMENT SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | ||||||||||||||
| 18330 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 800864336 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC | |||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | N/A | C | 0 | ||||||
| ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC | |||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | HEALTHCARE | TX | N/A | C | 0 | ||||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 841112049 | MANAGEMENT SERVICES | CO | N/A | C | 0 | ||||||
| BC HOLDING COMPANY INC | |||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | INACTIVE | KY | N/A | C | 0 | ||||||
| BRAZOSPORT HEALTH ALLIANCE | |||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760518376 | HEALTHCARE | TX | N/A | C | 0 | ||||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 272269511 | LAB SERVICES | CO | N/A | C | 0 | ||||||
| CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON PC | |||||||||||||||
| 1100 9TH AVE | SEATTLE | WA | 98101 | 831583223 | MEDICAL SERVICES | WA | N/A | C | 0 | ||||||
| CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC | |||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 834184717 | CONDO ASSOC | TX | N/A | C | 0 | ||||||
| COASTAL SURGICAL SPECIALISTS INC | |||||||||||||||
| 921 OAK PARK BLVD SUITE 101 | PISMO BEACH | CA | 93449 | 743000596 | AMBULATORY SURGERY CENTER | CA | N/A | S | 0 | ||||||
| DIGNITY HEALTH HOLDING CORPORATION | |||||||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 460675371 | HOLDING CO | NV | N/A | C | 0 | ||||||
| DIGNITY HEALTH PROVIDER RESOURCES INC | |||||||||||||||
| 3033 N 3RD AVENUE | PHOENIX | AZ | 85013 | 473366764 | HEALTH PLAN | CA | N/A | C | 0 | ||||||
| DIVERSIFIED HEALTH RESOURCES INC | |||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | HEALTHCARE | TX | N/A | C | 0 | ||||||
| FRANCISCAN SERVICES INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 232487967 | HOLDING CO | CO | N/A | C | 0 | ||||||
| GALLERIA PAVILION OWNERS' ASSOCIATION | |||||||||||||||
| 800 N GIBSON RD | HENDERSON | NV | 89011 | 824275367 | REAL ESTATE | NV | N/A | C | 0 | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 470659440 | MEDICAL CLINIC | NE | N/A | C | 0 | ||||||
| HARVESTPLAINS HEALTH OF IOWA | |||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | INACTIVE | WA | N/A | C | 0 | ||||||
| HEALTH AT HOME BLOCKER LLC | |||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | DE | 45150 | 884220080 | HOME HEALTH | CO | N/A | C | 0 | ||||||
| HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC | |||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | OH | 93454 | 770074057 | HEALTH SERVICES | DE | N/A | C | 0 | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 470664558 | INACTIVE | NE | N/A | C | 0 | ||||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | |||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | INACTIVE | WA | N/A | C | 0 | ||||||
| HIGHLINE MEDICAL GROUP | |||||||||||||||
| 1717 S J STREET | TACOMA | WA | 98405 | 911407026 | MEDICAL SERVICES | WA | N/A | C | 0 | ||||||
| MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC | |||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710720429 | REAL ESTATE | AR | N/A | C | 0 | ||||||
| MEDQUEST | |||||||||||||||
| 1602 11TH ST W | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | N/A | C | 0 | ||||||
| MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC | |||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 463622849 | INACTIVE | TX | N/A | C | 0 | ||||||
| MERCY SERVICES CORP | |||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 930824308 | INACTIVE | OR | C | Yes (1) | CS OR | 1.00000 | |||||
| MHI CLINICAL SERVICES | |||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 461967952 | HEALTHCARE | TX | N/A | C | 0 | ||||||
| MILLENNIUM SURGERY CENTER INC | |||||||||||||||
| 9300 STOCKDALE HWY 200 | BAKERSFIELD | CA | 93311 | 770513445 | OUTPATIENT SURGERY SERVICES | CA | N/A | S | 0 | ||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 621570739 | MANAGEMENT SERVICES | TN | N/A | C | 0 | ||||||
| NORTH CENTRAL HEALTH CARE ALLIANCE | |||||||||||||||
| PO BOX 5538 | BISMARK | ND | 58506 | 450439894 | HEALTHCARE | ND | N/A | C | 0 | ||||||
| NORTHLAND MANAGEMENT SERVICES INC | |||||||||||||||
| 2223 EAST ROSSER AVENUE | BISMARCK | ND | 58501 | 450452840 | MEDICAL EQUIPMENT | ND | N/A | C | 0 | ||||||
| QUALCHOICE HEALTH PLAN SERVICES INC | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | N/A | C | 0 | ||||||
| QUALCHOICE HEALTH INC | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | N/A | C | 0 | ||||||
| RIVERLINK HEALTH | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | N/A | C | 0 | ||||||
| ROSS PARK PHARMACY INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 341832654 | PHARMACY | OH | N/A | C | 0 | ||||||
| SAINT CLARE'S PRIMARY CARE INC | |||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222441202 | INACTIVE | NJ | N/A | C | 0 | ||||||
| SJH SERVICES CORPORATION | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 232307408 | INACTIVE | CO | N/A | C | 0 | ||||||
| SJL PHYSICIAN MANANGEMENT SERVICES INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 270164198 | INACTIVE | KY | N/A | C | 0 | ||||||
| ST MARY HEALTH VENTURES INC | |||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 951912528 | RETAIL PHARMACY | CA | N/A | C | 0 | ||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 931216943 | ATHLETIC CLUB | OR | N/A | C | 0 | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 911480569 | RENTAL | WA | N/A | C | 0 | ||||||
| ST LUKE'S HEALTH SYSTEM HOLDINGS INC | |||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | N/A | C | 0 | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | N/A | C | 0 | ||||||
| STE HOLDINGS | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 822383629 | HOLDING CO | NE | N/A | C | 0 | ||||||
| STRATEGIC AND PHYSICIANS INSURANCE LTD | |||||||||||||||
| 981065338 | CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 1051 GRAND CAYMAN ISL | GRAND CAYMAN ISL | CJ | CJ | |||||||
| TOWSON MANAGEMENT INC | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 521710750 | INACTIVE | MD | N/A | C | 0 | ||||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | |||||||||||||||
| 3033 N 3RD AVE | PHOENIX | AZ | 85013 | 341471026 | MGMT SERVICES | OH | N/A | C | 0 | ||||||
| UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION | |||||||||||||||
| 1950 MOUNTAIN VIEW AVE | LONGMONT | CO | 80501 | 841526130 | REAL ESTATE | CO | N/A | C | 0 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTENNIAL MEDICAL GROUP INC | ||
| Q | $20,758,481 | FMV |
| MERCY FOUNDATION INC | ||
| B | $709,216 | FMV |
| MERCY FOUNDATION INC | ||
| P | $664,250 | FMV |
| MERCY FOUNDATION INC | ||
| C | $352,540 | FMV |