PORT CITY OPERATING COMPANY LLC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PORT CITY OPERATING COMPANY LLC (EIN 46-5322209)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202421349349308757
- Schema version
- 2022v5.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-13T16:48:43-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 SECOND STREET SUITE 1400 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 465322209 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT CITY OPERATING COMPANY LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 2099432000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3400 DATA DRIVE | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NIKKI OCHOA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2094676442 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NIKKI | PersonFirstNm |
| Person Last | OCHOA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| 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 | JAMES LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 4159635100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONALD WILEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3400 DATA DRIVE | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,148,908,845 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIGNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), PORT CITY OPERATING COMPANY, LLC, ("PORT CITY") IS COMMITTED TO MAKE THE HEALING PRESENCE OF GOD KNOWN BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $3,354,975 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,920,761 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,641,257 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $686,914,418 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $751,145,063 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,934,132 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,997,509 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,488,344 | PYOtherRevenueAmt |
| CY Other Revenue | $14,763,718 | CYOtherRevenueAmt |
| PY Total Revenue | $712,257,655 | PYTotalRevenueAmt |
| CY Total Revenue | $784,547,547 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,563,113 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,894,311 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $670,480,443 | PYOtherExpensesAmt |
| CY Other Expenses | $709,829,992 | CYOtherExpensesAmt |
| PY Total Expenses | $683,043,556 | PYTotalExpensesAmt |
| CY Total Expenses | $726,724,303 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,214,099 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $57,823,244 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $767,368,321 | TotalAssetsBOYAmt |
| Total Assets EOY | $808,946,654 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $177,081,810 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $151,799,057 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $590,286,511 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $657,147,597 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PORT CITY LLC IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $615,522,157 | ExpenseAmt |
| Grant | $16,894,310 | GrantAmt |
| Revenue | $710,609,348 | RevenueAmt |
| Desc | ST. JOSEPH'S MEDICAL CENTER (SJMC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. SJMC IS A 355-BED LICENSED ACUTE CARE FACILITY, PROVIDING GENERAL MEDICAL/ SURGICAL CARE, OBSTETRICS, NEONATAL ICU, EMERGENCY SERVICES, CANCER SERVICES, WITH SPECIALITIES IN CARDIAC SURGERY AND CARDIOVASCULAR CARE, RESPIRATORY, AND ORTHOPEDICS. THERE ARE NUMEROUS ANCILLARY AND OUTPATIENT SUPPORT SERVICES. PORT CITY IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,830,658 | ExpenseAmt |
| Revenue | $27,169,713 | RevenueAmt |
| Desc | ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. BHC IS A 35 BED ACUTE PSYCHIATRIC AND CHEMICAL DEPENDENCY HOSPITAL, PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,036,898 | ExpenseAmt |
| Revenue | $12,718,105 | RevenueAmt |
| Desc | ST. JOSEPH'S MEDICAL CENTER HOME HEALTH (SJHHA) OPERATES AND IS LICENSED AS A HOSPITAL BASED HOME HEALTH AGENCY WITH THE STATE OF CALIFORNIA. SJHHA PROVIDES SKILLED NURSING CARE SERVICES, SOCIAL SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES, AS WELL AS HOME HEALTH AIDES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $637,389,713 | 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 | 0 | 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 | Yes (1) | 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 | 0 | 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 | 203 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | 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 | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARA CARTOSCELLI ACCOUNTING DEPT | PersonNm |
| Phone | 9166313334 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3400 DATA DRIVE | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOHN E PETERSDORF | |||||||
| VICE CHAIR/ SECRETARY | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $2,349,200 | $1,593,397 |
| JULIE SPRENGEL | |||||||
| BOARD MEMBER | 2.00 | 50.00 | Yes (X) | $0 | $2,477,881 | $86,155 | |
| ROBERT QUINN MD | |||||||
| BOARD MEMBER | 2.00 | 50.00 | Yes (X) | $0 | $1,011,624 | $101,147 | |
| DONALD J WILEY | |||||||
| PRESIDENT AND CEO | 50.00 | 4.00 | Yes (X) | $0 | $815,519 | $268,591 | |
| SUE PIETRAFESO | |||||||
| BOARD MEMBER | 2.00 | 50.00 | Yes (X) | $0 | $452,854 | $62,899 | |
| ANDREA NIKKI OCHOA | |||||||
| CHIEF FINANCIAL OFFICER | 45.00 | 5.00 | Yes (X) | $0 | $278,670 | $59,639 | |
| MARTY ARDRON | |||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| APHRIEKAH DUHANEY-WEST | |||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DEBRA CUNNINGHAM | |||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,385,748 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,171,828 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS LLC | |||||
| 1010 N 102ND ST | OMAHA | NE | 68114 | STAFFING SERVICES | $17,726,806 |
| ANESTHESIA SRV OF SAN JOAQUIN | |||||
| 10 C0MMERCE DR | NEW ROCHELLE | NY | 10801 | MEDICAL/PHYSICIAN SERVICES | $12,412,400 |
| PROLINK HEALTHCARE LLC | |||||
| 4600 MONTGOMERY ROAD | CINCINNATI | OH | 45212 | STAFFING SERVICES | $7,300,503 |
| INPATIENT SPECIALISTS OF CALIF | |||||
| PO BOX 742936 | LOS ANGELES | CA | 900742936 | MEDICAL/PHYSICIAN SERVICES | $7,034,815 |
| TOURO UNIVERSITY MEDICAL GROUP | |||||
| 1805 N CALIFORNIA ST | STOCKTON | CA | 98501 | MEDICAL/PHYSICIAN SERVICES | $5,636,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 98 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,478,633 | RelatedOrganizationsAmt |
| Government Grants | $5,334,658 | GovernmentGrantsAmt |
| All Other Contributions | $827,966 | AllOtherContributionsAmt |
| Noncash Contributions | $15,830 | NoncashContributionsAmt |
| Total Contributions | $10,641,257 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT NET OF CHARITY | 900099 | $477,586,105 | $477,586,105 | |
| MEDICARE / MEDICAID PA | 900099 | $270,120,579 | $270,120,579 | |
| STUDENT ROTATIONS | 900099 | $1,149,157 | $1,149,157 | |
| PROGRAM RELATED RENTAL | 900099 | $687,027 | $687,027 | |
| LABORATORY | 621500 | $647,897 | $647,897 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $954,298 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $954,298 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $751,145,063 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,492,400 | TotalRevenueColumnAmt |
| Exclusion | $4,492,400 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $167,354 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $167,354 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,354 | TotalRevenueColumnAmt |
| Exclusion | $167,354 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $367,866,407 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $364,361,298 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,505,109 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,505,109 | TotalRevenueColumnAmt |
| Exclusion | $3,505,109 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EMPLOYEE RETENTION CRE | 900099 | $9,926,545 | $9,926,545 | |
| MANAGEMENT SERVICE AGR | 561000 | $2,707,078 | $2,707,078 | |
| CAFETERIA | 722514 | $1,172,380 | $1,172,380 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $790,361 | TotalRevenueColumnAmt |
| Exclusion | $790,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,596,364 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $784,547,547 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $750,497,166 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,354,975 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,054,149 | 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 | $16,804,032 | TotalAmt |
| Program Services | $16,804,032 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,279 | TotalAmt |
| Program Services | $90,279 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,291,211 | TotalAmt |
| Management And General | $1,291,211 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,193 | TotalAmt |
| Management And General | $70,193 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $579,887 | TotalAmt |
| Management And General | $579,887 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,682,272 | TotalAmt |
| Program Services | $456,688,371 | ProgramServicesAmt |
| Management And General | $58,993,901 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,518 | TotalAmt |
| Program Services | $50,209 | ProgramServicesAmt |
| Management And General | $1,315,309 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,344,135 | TotalAmt |
| Program Services | $8,563,424 | ProgramServicesAmt |
| Management And General | $780,711 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,500,852 | TotalAmt |
| Program Services | $382,494 | ProgramServicesAmt |
| Management And General | $24,118,358 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,346,280 | TotalAmt |
| Program Services | $8,236,500 | ProgramServicesAmt |
| Management And General | $109,780 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,856 | TotalAmt |
| Program Services | $288,374 | ProgramServicesAmt |
| Management And General | $193,482 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,518 | TotalAmt |
| Program Services | $266,634 | ProgramServicesAmt |
| Management And General | $19,884 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,309,545 | TotalAmt |
| Program Services | $3,309,545 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,887,556 | TotalAmt |
| Program Services | $23,887,556 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,237,622 | TotalAmt |
| Program Services | $4,237,622 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $76,980,087 | $76,980,087 | |
| MED-CAL PROVIDER FEE | $32,019,587 | $32,019,587 | |
| FOOD COST | $3,399,600 | $3,110,650 | $288,950 |
| DUES AND SUBSCRIPTIONS | $1,160,941 | $622,336 | $538,605 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,886,332 | TotalAmt |
| Program Services | $1,852,013 | ProgramServicesAmt |
| Management And General | $1,034,319 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,724,303 | TotalAmt |
| Program Services | $637,389,713 | ProgramServicesAmt |
| Management And General | $89,334,590 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,770 | BOYAmt |
| EOY | $2,690 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,148,218 | BOYAmt |
| EOY | $64,141,902 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,833 | BOYAmt |
| EOY | $2,898,776 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,652,974 | BOYAmt |
| EOY | $94,888,613 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,234 | BOYAmt |
| EOY | $1,239,422 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,196,182 | BOYAmt |
| EOY | $8,054,921 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,028,676 | BOYAmt |
| EOY | $72,198,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $306,933,400 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,558,388 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,464,239 | BOYAmt |
| EOY | $226,375,012 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,846,601 | BOYAmt |
| EOY | $120,141,300 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,488,596 | BOYAmt |
| EOY | $194,152,914 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,894,080 | BOYAmt |
| EOY | $1,920,910 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,310,000 | BOYAmt |
| EOY | $10,310,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,526,918 | BOYAmt |
| EOY | $12,621,360 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,368,321 | BOYAmt |
| EOY | $808,946,654 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,072,088 | BOYAmt |
| EOY | $71,378,941 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,142 | BOYAmt |
| EOY | $175,475 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,100,443 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,352,373 | BOYAmt |
| EOY | $6,218,692 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,327,764 | BOYAmt |
| EOY | $74,025,949 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,081,810 | BOYAmt |
| EOY | $151,799,057 | 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 | $590,223,444 | BOYAmt |
| EOY | $656,711,475 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,067 | BOYAmt |
| EOY | $436,122 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,286,511 | BOYAmt |
| EOY | $657,147,597 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,368,321 | BOYAmt |
| EOY | $808,946,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $57,823,244 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,771,817 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$36,245 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $5,302,270 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | Yes (1) | MailingsMembersInd |
| Mailings Members | $2,655 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $67,538 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $70,193 | 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 | SCHEDULE C, PART II - B, LINE 1 PORT CITY ENGAGED IN LETTER-WRITING CAMPAIGNS, CO-SPONSORSHIP CAMPAIGNS, EDUCATION WITH MEMBERS OF CONGRESS, AND OTHER LOBBYING ACTIVITIES AIMED AT INFLUENCING PUBLIC POLICY. THIS IS DONE PRIMARILY THROUGH EMPLOYED DIVISION-LEVEL ADVOCACY LEADERS WITH LEADERSHIP AND GUIDANCE FROM NATIONAL EMPLOYEES. DRAFT LETTERS WERE PROVIDED ON DIGNITY HEALTH ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. THE HOSPITAL COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR THROUGH EMAIL AND PHONE. DIGNITY HEALTH ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON DIGNITY HEALTH ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, COVID-19 RELIEF FOR INDIVIDUALS AND HEALTH ENTITIES, PHYSICIAN AND NURSING SHORTAGES, AND SOCIAL JUSTICE ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, HOUSING). CENTRAL TO THE DIGNITY HEALTH MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE DIGNITY HEALTH ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE DIGNITY HEALTH ADVOCACY PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE COMMONSPIRIT HEALTH PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES (E.G., PAYMENT ISSUES, QUALITY AND SAFETY, ETC.) AS WELL AS SOCIAL JUSTICE POLICIES. SCHEDULE C, PART II - B, LINE 1 LOBBYING EXPENDITURES PAID DIRECTLY BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES: 340 B HEALTH: $364 ALLIANCE OF CATHOLIC HEALTHCARE: $ 5,010 AMERICAN ACADEMY OF FAMILY PHYSICIANS: $ 462 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS: $ 1,285 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES: $ 7 AMERICAN HOSPITAL ASSOCIATION: $ 5,313 AMERICAN SOCIETY OF ANESTHESIOLOGISTS: $ 5 AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS: $ 966 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES: $ 162 CATHOLIC HEALTH ASSOCIATION: $7,370 MASSACHUSETTS MEDICAL SOC. NEJM GROUP: $ 1,560 NATIONAL ASSOCIATION OF EMS PHYSICIANS: $ 126 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $44,908 TOTAL EXPENDITURES PAID TO ORGANIZATIONS: $ 67,538 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,024,873 | OtherCostOrOtherBasisAmt |
| Book Value | $14,024,873 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $208,148,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,228,681 | DepreciationAmt |
| Book Value | $169,920,101 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $267,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $230,260 | DepreciationAmt |
| Book Value | $37,640 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,136,171 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,783,246 | DepreciationAmt |
| Book Value | $24,352,925 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,355,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $316,201 | DepreciationAmt |
| Book Value | $18,039,473 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $226,375,012 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CSH POOLED INVESTMENTS | Desc |
| Book Value | $194,152,914 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $194,152,914 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION PAYABLE | $11,864,693 |
| ASSET RETIREMENT OBLIGATION LIABILITY | $10,451,299 |
| DUE TO RELATED PARTIES | $51,709,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $74,025,949 | 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 | ST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER REVIEW ITS TAX 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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 15981 | PersonsServedCnt |
| Total Community Benefit Expns | $9,196,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,196,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 62882 | PersonsServedCnt |
| Total Community Benefit Expns | $308,388,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $273,377,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,011,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04820 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 78863 | PersonsServedCnt |
| Total Community Benefit Expns | $317,585,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $273,377,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,208,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 12268 | PersonsServedCnt |
| Total Community Benefit Expns | $3,471,161 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $461,830 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,009,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 954 | PersonsServedCnt |
| Total Community Benefit Expns | $28,741,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,764,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,977,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $721,251 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $721,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1987 | PersonsServedCnt |
| Total Community Benefit Expns | $1,295,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,295,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 15209 | PersonsServedCnt |
| Total Community Benefit Expns | $34,229,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,226,136 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,003,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 94072 | PersonsServedCnt |
| Total Community Benefit Expns | $351,815,284 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $283,603,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,211,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09390 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1467 | PersonsServedCnt |
| Total Community Benefit Expns | $66,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1467 | PersonsServedCnt |
| Total Community Benefit Expns | $66,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2934 | PersonsServedCnt |
| Total Community Benefit Expns | $132,690 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $132,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,292,994 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $128,546,327 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $136,820,494 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,274,167 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ST JOSEPH'S SURGERY CENTER LP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.68460 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.09800 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPHS MEDICAL CENTER OF STOCKTON | |||||||||||
| 1 | 1800 N CALIFORNIA ST | STOCKTON | CA | 95204 | WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN | 030000284 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| ST JOSEPHS BEHAVIORAL HEALTH CENTER | |||||||||||
| 2 | 2510 N CALIFORNIA ST | STOCKTON | CA | 95204 | WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN | 030000367 | Yes (X) | A | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY GROUP A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, PAGE 8 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | PRESENTATION OF HOSPITALS' COMPLETE WEBSITE ADDRESSES:ST. JOSEPH'S MEDICAL CENTER OF STOCKTONWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTONST. JOSEPH'S BEHAVIORAL HEALTH CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL |
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: ST JOSEPHS MEDICAL CENTER OF STOCKTON, - FACILITY 2: ST JOSEPHS BEHAVIORAL HEALTH CENTER |
| FACILITY GROUP A PART V, SECTION B, LINE 5: | COMMUNITY INPUT OR CONTRIBUTIONS TO THIS IMPLEMENTATION STRATEGY INCLUDED INTERVIEWS WITH 10 KEY INFORMANTS, 29 FOCUS GROUP DISCUSSIONS WITH 291 DIVERSE COMMUNITY RESIDENTS, AND DATA ANALYSES OF OVER 100 INDICATORS, CREATING A ROBUST PICTURE OF THE ISSUES AFFECTING PEOPLE'S HEALTH WHERE THEY LIVE, WORK, AND PLAY. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES, COMMUNITY-BASED ORGANIZATIONS, AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND RACIAL/ETHNIC POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE ON LOCAL HEALTH NEEDS WERE CONSULTED.BELOW IS THE FULL LIST OF ORGANIZATIONS THAT CONTRIBUTED TO THE DEVELOPMENT OF THE SAN JOAQUIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT AND ITS PROCESS: 211 SAN JOAQUIN; ADVENTIST HEALTH, LODI MEMORIAL AND DAMERON HOSPITALS; AMELIA ADAMS WHOLE LIFE CENTER; ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION (APSARA); BOYS AND GIRLS CLUB; CATHOLIC CHARITIES STOCKTON DIOCESE; CHILD ABUSE PREVENTION COUNCIL; CITY OF STOCKTON - OFFICE OF THE MAYOR & OFFICE OF VIOLENCE PREVENTION; COMMUNITY FOUNDATION OF SAN JOAQUIN; COMMUNITY MEDICAL CENTERS; DATA CO-OP; DELTA HEALTH CARE; CALIFORNIA DEPARTMENT OF HEALTH AND HUMAN SERVICES, REGION 9; DIGNITY HEALTH, ST. JOSEPH'S MEDICAL CENTER AND BEHAVIORAL HEALTH CENTER; EL CONCILIO; EMERGENCY FOOD BANK; FAITH IN THE VALLEY; FIRST 5 OF SAN JOAQUIN; HEALTH FORCE PARTNERS; HEALTH NET; HEALTH PLAN OF SAN JOAQUIN; HISPANIC CHAMBER OF COMMERCE; KAISER PERMANENTE; LITTLE MANILA RISING; LOVE INC. MANTECA; MARY MAGDALENE COMMUNITY SERVICES; PUBLIC HEALTH ADVOCATES; REINVENT SOUTH STOCKTON COALITION; SAN JOAQUIN PRIDE CENTER; SIERRA VISTA HOMES, RESIDENTS COUNCIL; SAN JOAQUIN COUNTY (SJC) BEHAVIORAL HEALTH SERVICES; SJC CHILDREN'S ALLIANCE; SJC CLINICS; SJC COUNCIL OF GOVERNMENTS; SJC OFFICE OF EDUCATION EARLY CHILDHOOD EDUCATION & COMPREHENSIVE HEALTH PROGRAMS; SJC HEALTH CARE SERVICES AGENCY AND WHOLE PERSON CARE PROGRAM; SJC HUMAN SERVICES AGENCY: AGING AND COMMUNITY SERVICES; SJC PUBLIC HEALTH SERVICES; ST. MARY'S DINING ROOM; STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS (STAND); STOCKTON NAACP; SUTTER HEALTH VALLEY AREA; THIRD CITY COALITION; UNIVERSITY OF THE PACIFIC, SCHOOL OF HEALTH SCIENCES; VISIONARY HOME BUILDERS; WOMEN'S CENTER YOUTH AND FAMILY SERVICES AGENCY. |
| FACILITY GROUP A PART V, SECTION B, LINE 6A: | ADVENTIST HEALTH; LODI MEMORIAL AND DAMERON HOSPITALS; DIGNITY HEALTH ST. JOSEPH'S MEDICAL CENTER AND BEHAVIORAL |
| FACILITY GROUP A PART V, SECTION B, LINE 6B: | COMMUNITY FOUNDATION OF SAN JOAQUIN; COMMUNITY MEDICAL CENTERS; FIRST 5 OF SAN JOAQUIN; HEALTH NET; HEALTH PLAN OF SAN JOAQUIN; SAN JOAQUIN COUNTY CLINICS; SAN JOAQUIN COUNTY OFFICE OF EDUCATION; SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES; UNIVERSITY OF THE PACIFIC |
| FACILITY GROUP A PART V, SECTION B, LINE 7D: | THE 2022 (TY 2021) CHNA REPORT WAS ANNOUNCED AND DISSEMINATED TO OVER 350 CONTACTS VIA AN E-NEWSLETTER HIGHLIGHTING VARIOUS COMMUNITY HEALTH DEPARTMENT UPDATES. RECIPIENTS OF THE INFORMATION INCLUDE BOTH HOSPITAL STAFF, COMMUNITY BASED ORGANIZATION LEADERS, AND OTHER PUBLIC AND PRIVATE STAKEHOLDERS. ADDITIONALLY, ALL OTHER CONTRIBUTING HOSPITALS AND FUNDING PARTNERS HAVE ALSO SHARED WIDELY. |
| FACILITY GROUP A PART V, SECTION B, LINE 11: | ST. JOSEPH'S MEDICAL CENTER OF STOCKTON:THE HOSPITAL HAS MANY PROGRAMS AND SERVICES TO HELP ADDRESS ALL IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS.MENTAL HEALTH/BEHAVIORAL HEALTH INCLUDING SUBSTANCE USE: COMMUNITY HEALTH SOCIAL WORKER STAFFED TO ADVANCE MENTAL HEALTH PROGRAMMING; YOUTH OVERCOMING LIFE'S OBSTACLES (YOLO) GROUP (AGES 14-17); MENTAL HEALTH FIRST AID TRAINING; TRAUMA INFORMED SYSTEMS TRAINING THROUGH EMBEDDED LOCAL TRAINERS AND LOCAL COACHES; ESTABLISHED PSYCHIATRY RESIDENCY IN PARTNERSHIP WITH TOURO UNIVERSITY; SUBSTANCE USE NAVIGATOR FUNDING ACQUIRED AND POSITION STAFFED IN THE EMERGENCY DEPARTMENT.ACCESS TO CARE: EXPANSION OF GRADUATE MEDICAL EDUCATION; CONTINUED FOCUS PROGRAMMING TO FULLY INTEGRATE ROUTINE OPT-OUT HEP C, HIV, AND SYPHILIS SCREENING IN THE ED AND ENSURE PATIENT LINKAGES TO CARE THROUGH NAVIGATION SERVICES; CONTINUED THE HOMECOMING PROGRAM IN PARTNERSHIP WITH CATHOLIC CHARITIES TO PROVIDE A SUCCESSFUL POST HOSPITAL RECOVERY THROUGH COMPREHENSIVE CASE MANAGEMENT, ADDRESSING BOTH HEALTH AND HEALTH RELATED SOCIAL NEEDS.INCOME AND EMPLOYMENT: IMPLEMENTATION OF THE CONNECTED COMMUNITY NETWORK (CCN) TO STREAMLINE COMMUNITY RESOURCE CONNECTIONS AND COMMUNICATIONS AMONG SOCIAL SERVICE PROVIDERS; LAUNCH OF COMMUNITY HEALTH ADVOCATE PILOT TO IDENTIFY HEALTH RELATED SOCIAL NEEDS OF PATIENTS IN THE SJMC EMERGENCY DEPT AND REFER THEM TO COMMUNITY RESOURCES (THIS PROGRAM SUPPORTS MANY OTHER HEALTH NEEDS AS WELL); IMPLEMENTATION OF THE PATHWAYS COMMUNITY HUB, AN EVIDENCE BASED, PAY FOR OUTCOMES MODEL, THAT SUPPORTS THE VALUABLE ROLE OF COMMUNITY HEALTH WORKERS.HOUSING: INCREASED INVESTMENTS THROUGH A HOMELESS HEALTH INITIATIVE FUND WHICH EXPANDED MOBILE STREET OUTREACH IN PARTNERSHIP WITH THE SALVATION ARMY OF STOCKTON, INCREASED PERMANENT HOUSING SOLUTIONS IN COLLABORATION WITH STAND AFFORDABLE HOUSING AND SAN JOAQUIN COUNTY WHOLE PERSON CARE, AND COMPREHENSIVE CASE MANAGEMENT SERVICES FOR EMERGENCY DEPARTMENT PATIENTS POST DISCHARGE; CONTINUED COLLABORATION WITH THE GOSPEL CENTER RESCUE MISSION TO ENSURE SAFE PATIENT DISCHARGES THROUGH THE RECUPERATIVE CARE PROGRAM; ACTIVE INVOLVEMENT WITH THE SAN JOAQUIN COUNTY CONTINUUM OF CARE TO COLLECTIVELY FIND SOLUTIONS TO ADDRESS HOMELESSNESS.CHRONIC DISEASE/HEALTHY EATING & ACTIVE LIVING (HEAL): INVESTMENTS TO SUPPORT THE COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDING IMPROVING PARK BEAUTIFICATION & INCREASING PARK ACTIVATION TO ADDRESS COMMUNITY SAFETY, HEALTH AND WELLNESS IN CHNA PRIORITY NEIGHBORHOODS; IMPLEMENTATION OF MULTIPLE DIABETES EDUCATION PROGRAMS, INCLUDING DIABETES NAVIGATION SERVICES, POWER HOUR, DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP), CERTIFIED DIABETES CARE & EDUCATION SPECIALIST (CDCES) CONSULTATIONS, THE SUGAR FIX SUPPORT GROUP, AND PSYCHO-SOCIAL ASSESSMENTS AND RESOURCE REFERRALS FOR PATIENTS EXPERIENCING SOCIAL BARRIERS TO DIABETES CARE; THE ANNUAL COMMUNITY GRANTS PROGRAM SUPPORTS THE CHNA NEEDS THROUGH A COMPETITIVE APPLICATION PROCESS.COMMUNITY SAFETY: INVESTMENTS TO IMPROVE PARK BEAUTIFICATION & INCREASE PARK ACTIVATION TO ADDRESS COMMUNITY SAFETY, HEALTH AND WELLNESS IN CHNA PRIORITY NEIGHBORHOODS; ACTIVE PARTICIPATION IN THE SAN JOAQUIN HUMAN TRAFFICKING TASK FORCE TO BRING AWARENESS OF, EDUCATION AND SUPPORT TO VICTIMS OF HUMAN TRAFFICKING AND LEADERSHIP IN THE HEALTHCARE WORKGROUP TO SUPPORT RESPONSE PROTOCOLS WITHIN OTHER HEALTHCARE FACILITIES.FAMILY AND SOCIAL SUPPORT: CONNECTED COMMUNITY NETWORK IMPROVE REFERRAL LINKAGES & ENHANCE COMMUNICATION AMONG SOCIAL SERVICE PARTNERS; IMPLEMENTATION OF THE PATHWAYS COMMUNITY HUB, MITIGATES HEALTH RELATED SOCIAL RISK FACTORS, THROUGH THE ASSESSMENT OF CLOSURE OF 21 SPECIFIC "PATHWAYS; COMMUNITY HEALTH ADVOCATE PROGRAM, OFFERING SOCIAL NEEDS SCREENING AND REFERRALS TO EMERGENCY DEPARTMENT PATIENTS TO PROACTIVELY MITIGATE RISKS THAT INCREASE POOR HEALTH OUTCOMES IF LEFT UNADDRESSED; CONTINUED THE LIFELINE HOME MONITORING SERVICES IN AN EFFORT TO IMPROVE INDEPENDENT LIVING AND SAFETY FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES.EDUCATION: EXPANDED THE CONNECTED COMMUNITY NETWORK INTO THE EDUCATION SECTOR BY ONBOARDING THE SAN JOAQUIN COUNTY OFFICE OF EDUCATION TO IMPROVE EDUCATIONAL ATTAINMENT BY ADDRESSING UNMET SOCIAL NEEDS; ESTABLISHED A RELATIONSHIP WITH LOCAL UNIVERSITIES TO SUPPORT MASTERS LEVEL SOCIAL WORK INTERNSHIPS.TRANSPORTATION: CONNECTED COMMUNITY NETWORK IMPROVE REFERRAL LINKAGES & ENHANCE COMMUNICATION AMONG SOCIAL SERVICE PARTNERS; HOMECOMING PROJECT IN PARTNERSHIP WITH CATHOLIC CHARITIES TO PROVIDE A SUCCESSFUL POST HOSPITAL RECOVERY THROUGH COMPREHENSIVE CASE MANAGEMENT, ADDRESSING BOTH HEALTH AND HEALTH RELATED SOCIAL NEEDS.ST. JOSEPH'S BEHAVIORAL HEALTH CENTER:AS A HOSPITAL EXCLUSIVELY DELIVERING BEHAVIORAL HEALTH SERVICES, NEEDS IDENTIFIED IN THE BROADER CHNA BEYOND MENTAL HEALTH, ACCESS TO CARE, AND FAMILY AND SOCIAL SUPPORTS ARE NOT ONES THAT THE HOSPITAL IS ABLE TO ADDRESS, HOWEVER, IT IS OUR MISSION TO WORK COLLABORATIVELY WITH ST. JOSEPH'S MEDICAL CENTER AND OTHER STAKEHOLDERS TO SUPPORT INITIATIVES BY LENDING OUR EXPERTISE.THE FOLLOWING PROGRAMS ARE SUPPORTING THE IDENTIFIED NEEDS OF MENTAL HEALTH, ACCESS TO CARE, AND FAMILY/SOCIAL SUPPORTS: 24/7/365 BEHAVIORAL EVALUATION SERVICES, WHICH PROVIDES FREE EVALUATION TO INDIVIDUALS WITH BEHAVIORAL HEALTH CONCERNS. MEDICATION ASSISTED THERAPY (MAT) PROGRAM, COMMUNITY SUPPORT GROUPS, AND AFTERCARE SERVICES, WHICH PROVIDE FREE SUPPORT PROGRAMS TO INDIVIDUALS LIVING WITH LIFEAFFECTING SUBSTANCE AND/OR CONTINUING BEHAVIOR HEALTH ISSUES. SUPPORT OF THE GRADUATE MEDICAL EDUCATION PSYCHIATRY PROGRAM PROVIDES RESIDENTS WITH QUALITY EDUCATION AND EXPERIENCE, IN AN EFFORT TO ENCOURAGE CONTINUED PRACTICE IN SAN JOAQUIN COUNTY. ADDITIONALLY, MEETING SPACE IS MADE AVAILABLE TO COMMUNITY GROUPS TO GATHER AND PROVIDE COMMUNITY SERVICES AT NO COST. TRANSPORTATION ASSISTANCE FOR QUALIFIED CLIENTS THAT OTHERWISE WOULD NOT BE ABLE TO ATTEND SJBHC OUTPATIENT SERVICES GROUPS. THROUGH A FORMAL PROCESS, GRANTS ARE ADMINISTERED ANNUALLY TO NON-PROFIT ORGANIZATIONS THAT BEST DEMONSTRATE THEIR ABILITY TO IMPACT COMMUNITY HEALTH NEEDS THROUGH COLLABORATION WITH OTHER ORGANIZATIONS. |
| FACILITY 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. IF APPLICABLE, 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.PATIENT 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.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. |
| PART V, SECTION B, LINE 7A | CHNA REPORT WEB SITE LOCATIONS FOR ST JOSEPH'S MEDICAL CENTER OFSTOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER ARE PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTHSCHEDULE H, PART V, SECTION B, LINE 7BWWW.HEALTHIERSANJOAQUIN.ORGHTTP://WWW.SJCPHS.ORG/ASSETS/20220817_4%2028%2022%20FINAL%20SJC%20CHNA%20REPORT.PDF |
| PART V, SECTION B, LINE 10A | THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTH |
| PART V, SECTION B, LINE 16A, 16B AND 16C | ST. JOSEPH'S MEDICAL CENTER OF STOCKTON:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. JOSEPH'S BEHAVIORAL HEALTH CENTER:HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - ST JOSEPH'S SURGERY CENTER LP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 N CALIFORNIA STREET SUITE 1 | AddressLine1Txt |
| City | STOCKTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SURGERY CENTER | FacilityTxt |
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.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).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.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. |
| PART I, LINE 7: | PORT CITY OPERATING COMPANY, LLC, (PORT CITY) DBA ST. JOSEPH'S MEDICAL CENTER OF STOCKTON (SJMC) AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) FOLLOWS THE METHOD USED BY COMMONSPIRIT HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, THE ORGANIZATION USES 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 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 SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.SCHEDULE H, PART I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. PORT CITY'S HOSPITAL FACILITIES RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $32 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $72 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET GAIN IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS.SCHEDULE H, PART I, LINE 7IINCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $790 THOUSAND IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT: FRIENDS OF SENIORS: THE HOSPITAL MANAGES A PROGRAM IN WHICH VOLUNTEERS PROVIDE A HELPING HAND TO SENIORS LIVING AT HOME. THEY HELP SENIORS MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. SERVICES INCLUDE FRIENDLY VISITING, TRANSPORTATION, LIGHT HOUSEWORK AND YARD CLEANUP.SCREENING & REFERRAL: COMMUNITY HEALTH ADVOCATE: HEALTH RELATED SOCIAL NEEDS SCREENING IN THE EMERGENCY DEPARTMENT, TO IDENTIFY AND HELP MEET NON-MEDICAL NEEDS OF VULNERABLE PATIENTS. |
| PART III, LINE 2: | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE PART I, LINE 7) 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 DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT.PORT CITY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES: AT OR BELOW 250%, 251%-400% OR 401%-500% OF THE FEDERAL POVERTY LEVEL. PORT CITY ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE HOSPITAL FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'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 HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS 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, DIGNITY COMMUNITY CARE 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: | THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2023, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH 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 COMPLIES WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE 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 TO BE 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. PORT CITY'S SHORTFALL INCLUDES $8.3 MILLION REPORTED ON PART III, SECTION B, LINE 7. |
| PART III, LINE 9B: | PORT CITY ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. PORT CITY ALSO FOLLOWS COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY. COMMONSPIRIT HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR CHARITY CARE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE HOSPITAL FACILITIES OR THE 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 FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY 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, PORT CITY WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.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 ACCOUNTS TO A COLLECTION AGENCY, PORT CITY REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. |
| PART VI, LINE 2: | ST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH:THE HOSPITALS TOGETHER HAVE VISIBILITY TO THE EMERGING HEALTH CARE NEEDS THROUGH THE COURSE OF SERVICE PROVISION OF FOLLOWING PROGRAMS: THE COMMUNITY HEALTH ADVOCATE PROGRAM AS A STRATEGY TO ADDRESS MULTIPLE IDENTIFIED UNMET NEEDS THROUGH A UNIVERSAL SCREENING OF THE SOCIAL DETERMINANTS OF HEALTH FOR PATIENTS IN THE HOSPITAL EMERGENCY DEPARTMENT; AND THE HOMECOMING PROGRAM THAT ASSESS THE HEALTH AND SOCIAL SERVICE NEEDS OF INDIVIDUALS POST HOSPITALIZATION BY PROVIDING SHORT-TERM CASE MANAGEMENT TO ENSURE A SAFE RECOVERY. ADDITIONALLY, THE CONNECTED COMMUNITY NETWORK OF SAN JOAQUIN IS A NETWORK OF HEALTH AND SOCIAL SERVICE PROVIDERS UNITED THROUGH A SHARED TECHNOLOGY PLATFORM THAT ALLOWS VISIBILITY TO COMMUNITY CARE COORDINATION AND HELPS TO ASSESS SERVICE GAPS AND CAPACITY ISSUES AMONG IN-NETWORK PROVIDERS. |
| PART VI, LINE 3: | INFORMATION ABOUT PORT CITY'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'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 THE PORT CITY'S FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES PORT CITY'S FACILITIES SERVE. 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.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, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES 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 WORKS, 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: | SAN JOAQUIN COUNTY IS LOCATED IN THE CENTRAL VALLEY OF CALIFORNIA AND IS ROUGHLY 60 MILES EAST OF SAN FRANCISCO AND 35 MILES SOUTH OF SACRAMENTO. HISTORICALLY, AGRICULTURE HAS BEEN A STRONG DRIVER OF THE ECONOMY AND MANY MIGRANTS AND IMMIGRANTS HAVE SETTLED HERE TO WORK IN THE FIELDS AND HELP WITH AGRICULTURAL PROCESSING OR SHIPPING. THE COUNTY IS MOSTLY RURAL, WITH ONE LARGE URBAN CORE (STOCKTON) AND SEVEN SMALLER CITIES, AS WELL AS MANY RANCHING AND FARMING COMMUNITIES SCATTERED ACROSS THE COUNTY.SAN JOAQUIN COUNTY IS HOME TO A HIGH CONCENTRATION OF RESIDENTS AT ELEVATED RISK FOR COVID-19 AND WHO HAVE EXPERIENCED ENORMOUS IMPACTS FROM THE PANDEMIC. A QUARTER OF RESIDENTS ARE FOREIGN-BORN. OVERALL, 14.5% OF RESIDENTS LIVE IN POVERTY AND RESIDENTS AGED 65 YEARS AND OLDER HAVE A POVERTY RATE OF 9.9%. THE EDUCATIONAL ATTAINMENT OF SAN JOAQUIN COUNTY RESIDENTS IS MUCH LOWER THAN CALIFORNIA RESIDENTS. ONLY 18.8% OF COUNTY RESIDENTS AGED 25 AND OLDER HAVE A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 33.9% OF CALIFORNIANS AGED 25 AND OLDER THAT HAVE A BACHELOR'S DEGREE OR HIGHER. THE DEMOGRAPHICS DATA BELOW REPRESENTS ONLY THE TOP 75% OF ST. JOSEPH'S HOSPITAL DISCHARGES (BASED ON ZIP CODE):TOTAL POPULATION: 330,246ASIAN/PACIFIC ISLANDER: 16.2%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 10.1%HISPANIC OR LATINO: 52.6%WHITE NON-HISPANIC: 15.7%ALL OTHERS: 5.4%% BELOW POVERTY: 15.4%UNEMPLOYMENT: 7.5%NO HIGH SCHOOL DIPLOMA: 26.3%MEDICAID: 38.1%UNINSURED: 6.4%OTHER AREA HOSPITALS: 7WITHIN SAN JOAQUIN COUNTY THERE ARE A TOTAL OF SEVEN HOSPITALS, TWO BEHAVIORAL HEALTH HOSPITALS, AND TWO FEDERALLY QUALIFIED HEALTH CENTERS TO MEET THE ACCESS TO CARE NEEDS OF THOSE MEDICALLY UNDERSERVED. |
| 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 REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT 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.HOSPITAL LEADERSHIP CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS HOSPITAL LEADERS SIT ON MANY COMMUNITY BOARDS, STEERING COMMITTEES, AND OTHER COMMUNITY ADVISORY COMMITTEES INCLUDING THE SAN JOAQUIN BUSINESS COUNCIL, WOMEN'S CENTER YOUTH AND FAMILY SERVICES, CONTINUUM OF CARE, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, SAN JOAQUIN COMMUNITY FOUNDATION, SAN JOAQUIN HISPANIC CHAMBER OF COMMERCE AND REINVENT SOUTH STOCKTON COALITION. |
| PART VI, LINE 6: | PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND THEREFORE AFFILIATED WITH ALL ENTITIES WITHIN COMMONSPIRIT HEALTH. AFFILIATES OF PORT CITY ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA AND IN 20 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES.TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES PORT CITY, FOR THE YEAR ENDED JUNE 30, 2023, IS $2.9 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 41. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| DIGNITY HEALTH MEDICAL FOUNDATION | ||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 680220314 | 501(C)(3) | $13,998,782 | $0 | N/A | N/A | MEDICAL FND SUPPORT |
| ST JOSEPH'S FOUNDATION OF SAN JOAQUIN | ||||||||||
| 1800 N CALIFORNIA STREET | STOCKTON | CA | 95204 | 510432777 | 501(C)(3) | $1,065,418 | $0 | N/A | N/A | FOUNDATION SUPPORT |
| DIGNITY HEALTH | ||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 941196203 | 501(C)(3) | $590,000 | $0 | N/A | N/A | HOSPITAL SUPPORT |
| CALIFORNIA HEALTH FOUNDATION AND TRUST | ||||||||||
| 1215 K STREET SUITE 800 | SACRAMENTO | CA | 95814 | 941498697 | 501(C)(3) | $790,471 | $0 | N/A | N/A | COMMUNITY HEALTH |
| THE COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN | ||||||||||
| 2044 FAIR ST | STOCKTON | CA | 95206 | 680475602 | 501(C)(3) | $92,610 | $0 | N/A | N/A | COMMUNITY HEALTH |
| ST MARYS DINING ROOM | ||||||||||
| 545 W SONORA ST | STOCKTON | CA | 95203 | 942687280 | 501(C)(3) | $141,750 | $0 | N/A | N/A | COMMUNITY HEALTH |
| UNITED WAY OF SAN JOAQUIN COUNTY | ||||||||||
| 777 N PERSHING AVE SUITE 2B | STOCKTON | CA | 95203 | 941279805 | 501(C)(3) | $30,000 | $0 | N/A | N/A | COMMUNITY HEALTH |
| ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATIONS INC | ||||||||||
| 225 N MICHIGAN AVE STE 1700 | CHICAGO | IL | 60601 | 133039601 | 501(C)(3) | $7,500 | $0 | N/A | N/A | COMMUNITY HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| PROVISION OF FOOD/MEALS | 1763 | $79,808 | BOOK | FOOD/MEALS |
| TRANSPORTATION | 164 | $4,930 | FMV | TRANSPORTATION |
| DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY | 96 | $5,344 | FMV | CLOTHING/HYGIENE KITS/BACK PACKS/COATS |
| MEDICAL SUPPLIES/EQUIPMENT TO PATIENTS/INDIGENTS | 1 | $197 | FMV | MEDICAL SUPPLIES |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE MEDICAL CENTER AND SUPPORT VARIOUS COMMUNITY PROGRAMS. ST. JOSEPH'S MEDICAL CENTER PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS COMMUNITY HEALTH DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN E PETERSDORF | ||||||||||||||
| VICE CHAIR/ SECRETARY | $0 | $596,879 | $0 | $497,099 | $0 | $1,255,222 | $0 | $1,527,986 | $0 | $65,411 | $0 | $3,942,597 | $0 | $1,242,454 |
| JULIE SPRENGEL | ||||||||||||||
| BOARD MEMBER | $0 | $1,256,240 | $0 | $1,203,338 | $0 | $18,303 | $0 | $68,323 | $0 | $17,832 | $0 | $2,564,036 | $0 | $0 |
| ROBERT QUINN MD | ||||||||||||||
| BOARD MEMBER | $0 | $546,030 | $0 | $453,873 | $0 | $11,721 | $0 | $69,514 | $0 | $31,633 | $0 | $1,112,771 | $0 | $0 |
| DONALD J WILEY | ||||||||||||||
| PRESIDENT AND CEO | $0 | $494,801 | $0 | $289,677 | $0 | $31,041 | $0 | $210,664 | $0 | $57,928 | $0 | $1,084,111 | $0 | $0 |
| SUE PIETRAFESO | ||||||||||||||
| BOARD MEMBER | $0 | $381,735 | $0 | $66,217 | $0 | $4,902 | $0 | $30,144 | $0 | $32,755 | $0 | $515,753 | $0 | $0 |
| ANDREA NIKKI OCHOA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $251,566 | $0 | $23,703 | $0 | $3,401 | $0 | $35,197 | $0 | $24,442 | $0 | $338,309 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | ALTHOUGH THE ORGANIZATION DOES NOT EMPLOY PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: (1) HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (4) APPROVAL BY THE BOARD OR HUMAN RESOURCES AND COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A CERTAIN LISTED PERSONS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 TO 24 MONTHS 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 LISTED PERSONS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 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. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2022. |
| PART I, LINE 4B | CERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2022. DIGNITY HEALTH'S CERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE LISTED PERSON DURING 2022 INCLUDE J. PETERSDORF $1,242,454. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). |
| SCHEDULE J, PART III SUPPLEMENTAL DISCLOSURES | THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE 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 DIGNITY HEALTH 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 DIGNITY HEALTH'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 2022. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2A | THE ORGANIZATION DOES NOT HAVE EMPLOYEES. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY HEALTH, A RELATED ORGANIZATION, PER THE EMPLOYEE LEASE AGREEMENT. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY HEALTH'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. |
| FORM 990, PART VI, SECTION A, LINE 2 | CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF PORT CITY (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. DONALD WILEY, ANDREA NIKKI OCHOA - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 6 | PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND 20% BY KAISER FOUNDATION HOSPITAL (KFH), BOTH 501(C)(3) EXEMPT ORGANIZATIONS. DIGNITY HEALTH IS THE MANAGING MEMBER OF PORT CITY. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). |
| FORM 990, PART VI, SECTION A, LINE 7A | DIGNITY HEALTH AND KFH, KNOWN AS THE COMPANY MEMBERS, APPOINT A BOARD OF MANAGERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | RESERVED RIGHTS OF THE COMPANY MEMBERS INCLUDE: SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S PROPERTY, WITH OR WITHOUT THE GOODWILL, OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, APPROVE A MERGER OR CONVERSION, UNDERTAKE ANY OTHER ACT OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, AND AMEND THE ORGANIZATION'S AGREEMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | PORT CITY'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF MANAGERS AND/OR SUBCOMMITTEE OF THE BOARD OF MANAGERS SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. COPIES OF FORM 990, EXCLUDING COMPENSATION INFORMATION WERE PROVIDED VIA EMAIL TO EACH BOARD MEMBER PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF 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 AT LEAST ANNUALLY (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 - 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 DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS 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 | THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY HEALTH. FOR 2022 COMPENSATION, COMPENSATION LEVELS FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL WERE ESTABLISHED BY THE RELATED ORGANIZATION, COMMONSPIRIT. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AS NECESSARY AND 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 COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (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 (A) THE DECISION MADE AND THE DATE APPROVED; AND (B) 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 | FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST. |
| FORM 990, PART VII, SECTION A | S. PIETRAFESO, R. QUINN, MD, J. SPRENGEL AND J. PETERSDORF RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. ANDREA N OCHOA AND D. WILEY ARE EMPLOYEES OF DIGNITY HEALTH BUT PROVIDE SERVICES AS OFFICERS TO PORT CITY. |
| FORM 990, PART IX, LINE 11G | REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 15,627,449. MANAGEMENT AND GENERAL EXPENSES 282,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,909,557. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 394,122,631. MANAGEMENT AND GENERAL EXPENSES 36,461,224. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 430,583,855. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 32,418,672. MANAGEMENT AND GENERAL EXPENSES 20,909,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,328,652. MAINTENANCE/REPAIRS: PROGRAM SERVICE EXPENSES 8,413,158. MANAGEMENT AND GENERAL EXPENSES 778,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,191,479. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 1,724,849. MANAGEMENT AND GENERAL EXPENSES 159,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,884,419. LAUNDRY /LINEN: PROGRAM SERVICE EXPENSES 1,536,219. MANAGEMENT AND GENERAL EXPENSES 142,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,678,338. JANITORIAL/LANDSCAPE/STORAGE: PROGRAM SERVICE EXPENSES 945,397. MANAGEMENT AND GENERAL EXPENSES 87,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,032,858. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,899,996. MANAGEMENT AND GENERAL EXPENSES 173,118. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,073,114. |
| FORM 990, PART XI, LINE 9: | GAIN ON ADOPTION OF ASU 2017-07 5,302,270. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. |
| FORM 990, PART XII, LINE 3B | THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2022, TO JUNE 30, 2023. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (214 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 | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | 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 | DIGNITY HEALTH | 0 | |||||||
| BAKERSFIELD MEMORIAL HOSPITAL | |||||||||||||||||
| 420 34TH STREET | BAKERSFIELD | CA | 93301 | 951802779 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| BARROW FOUNDATION UK | |||||||||||||||||
| 311724184 | FUNDRAISING FOUNDATION | 501(C)(3) | LINE 12D, III-O | 0 | 13 CHURCH STREET | NUNNEY | ENGLAND | UK | BA11 4LW | UK | N/A | ||||||
| BARROW NEUROLOGICAL FOUNDATION | |||||||||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 860174371 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 7 | DIGNITY HEALTH | 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 | |||||||
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | INACTIVE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| BRAZOSPORT HEALTH FOUNDATION INC | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | TCHB | 0 | |||||||
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | TCHB | 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 | DIGNITY COMMUNITY CARE | 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 - IOWA CORP | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HOSPITAL | IA | 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 | MMC - ROSEBURG | 0 | |||||||
| CENTRAL CALIFORNIA HEALTH CENTERS | |||||||||||||||||
| 300 OLD RIVER ROAD STE 200 | BAKERSFIELD | CA | 93311 | 844171789 | CLINIC | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 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 NATIONAL HOME CARE | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HOME HEALTH | CO | 501(C)(3) | LINE 10 | CSH NS | 0 | |||||||
| CHI NATIONAL SERVICES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HOLDING CO | CO | 501(C)(3) | LINE 12A, I | CSH | 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 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 | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 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 | |||||||
| COMMUNITY HOSPITAL OF SAN BERNARDINO | |||||||||||||||||
| 1805 MEDICAL CENTER DRIVE | SAN BERNARDINO | CA | 92411 | 951643373 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 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 | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 815009488 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| DIGNITY HEALTH | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 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 | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 462037641 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION - INLAND EMPIRE | |||||||||||||||||
| 2101 N WATERMAN AVENUE | SAN BERNARDINO | CA | 92404 | 237440086 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION EAST VALLEY | |||||||||||||||||
| 475 SOUTH DOBSON ROAD | CHANDLER | AZ | 85224 | 742418514 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 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 | DIGNITY COMMUNITY CARE | 0 | |||||||
| DOMINICAN HEALTH SERVICES | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770056778 | COMMUNITY HEALTH SYSTEM | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN HOSPITAL FOUNDATION | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 942450442 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 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 | DIGNITY COMMUNITY CARE | 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 | DIGNITY COMMUNITY CARE | 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 | |||||||
| HOUSE OF MERCY | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | ASSISTED LIVING | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 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 | JHSMH | 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 | |||||||
| LUFKIN VISION ACQUISITIONS | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 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 | DIGNITY HEALTH | 0 | |||||||
| MARK TWAIN MEDICAL CENTER | |||||||||||||||||
| 768 MOUNTAIN RANCH ROAD | SAN ANDREAS | CA | 95249 | 680127677 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 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 | |||||||
| MEMORIAL MULTISPECIALTY ASSOCIATES | |||||||||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 75904 | 752721155 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| MEMORIAL SPECIALTY HOSPITAL | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752492741 | INACTIVE | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |||||||
| MERCY AUXILIARY OF CENTRAL IOWA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MF-DM IA | 0 | |||||||
| MERCY CLINICS INC | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(C)(3) | LINE 10 | CHI-IA CORP | 0 | |||||||
| MERCY COLLEGE OF HEALTH SCIENCES | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | LINE 2 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION BAKERSFIELD | |||||||||||||||||
| PO BOX 119 | BAKERSFIELD | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY FOUNDATION NORTH | |||||||||||||||||
| 2625 EDITH AVENUE SUITE E | REDDING | CA | 96001 | 943136799 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| MERCY FOUNDATION OF DES MOINES IA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 7 | MMC - ROSEBURG | 0 | |||||||
| MERCY FOUNDATION SACRAMENTO | |||||||||||||||||
| 3400 DATA DRIVE 3RD FLR | RANCHO CORDOVA | CA | 95670 | 237072762 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| 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 FOUNDATION COUNCIL BLUFFS | |||||||||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHBMHS | 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 | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER | |||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MEDICAL CENTER - CENTERVILLE | |||||||||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | |||||||||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50314 | 421470935 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER MERCED FOUNDATION | |||||||||||||||||
| 301 E 13TH STREET | MERCED | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 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 | MANAGEMENT | 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 | DIGNITY COMMUNITY CARE | 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 | |||||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770447575 | CLINIC | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| PINEYWOODS MEDICAL DEVELOPMENT CORP | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 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 HEALTH SERVICES | |||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | INACTIVE | NE | 501(C)(3) | LINE 3 | 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 | DIGNITY COMMUNITY CARE | 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 | |||||||
| SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 438 WEST LAS TUNAS DRIVE | SAN GABRIEL | CA | 91776 | 953430341 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 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 | |||||||
| SEQUOIA HOSPITAL FOUNDATION | |||||||||||||||||
| 170 ALAMEDA DE LAS PULGAS | REDWOOD CITY | CA | 94062 | 942909990 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | N/A | |||||||
| SIERRA NEVADA MEMORIAL-MINERS HOSPITAL | |||||||||||||||||
| 155 GLASSON WAY | GRASS VALLEY | CA | 95945 | 941439787 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 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 | DIGNITY HEALTH | 0 | |||||||
| ST JOHNS HEALTHCARE FOUNDATION | |||||||||||||||||
| 1600 NORTH ROSE AVENUE | OXNARD | CA | 93030 | 202865781 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST JOSEPHS FOUNDATION (PHOENIX) | |||||||||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 942941245 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST JOSEPHS FOUNDATION OF SAN JOAQUIN | |||||||||||||||||
| 1800 N CALIFORNIA STREET | STOCKTON | CA | 95204 | 510432777 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARY MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237153876 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARY PROFESSIONAL BUILDING INC | |||||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 237373088 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST MARYS MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 450 STANYAN STREET | SAN FRANCISCO | CA | 94117 | 943336143 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| ST ROSE DOMINICAN HEALTH FOUNDATION | |||||||||||||||||
| 3001 ST ROSE PARKWAY | HENDERSON | NV | 89052 | 880349432 | FUNDRAISING FOUNDATION | NV | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 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 | |||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HOSPITAL | KS | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | |||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING FOUNDATION | KS | 501(C)(3) | LINE 12A, I | SCH | 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 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 FOUNDATION OF BRYAN TEXAS | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | SJSC | 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 ST | 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 | |||||||
| 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 | |||||||
| WOODLAND MEMORIAL HOSPITAL FOUNDATION | |||||||||||||||||
| 1321 COTTONWOOD STREET 305 | WOODLAND | CA | 95695 | 946167964 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | N/A | |||||||
| YAVAPAI COMMUNITY HOSPITAL ASSOCIATION | |||||||||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 860098923 | HOSPITAL | AZ | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1003 WILLOW CREEK ROAD | PRESCOTT | AZ | 86301 | 861038463 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | YCHA DBA YRMC | 0 | |||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (88 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 (ACN LLC) | ||||||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85013 | 454494682 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | DIAGNOSTIC SERVICES | CA | N/A | N/A | 0 | 0 | ||||||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | DIAGNOSTIC SERVICES | CA | 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 | ||||||||
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | ||||||||||||||||||
| 3100 MAIN STE 566 | HOUSTON | TX | 77002 | 472079184 | HEALTHCARE SRVC | 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 | PHYS OFFICE | 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 IMAGING | 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 | ||||||||
| CENTRAL NEBRASKA REHABILITATION SVCS LLC | ||||||||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | N/A | N/A | 0 | 0 | ||||||||
| CENTURA SUMMIT ORTHOPEDICS LLC | ||||||||||||||||||
| 68 SCHOOL RD | FRISCO | CO | 80443 | 871308304 | HEALTHCARE SRVC | 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 MERCY HOME CARE OF SPRINGFLD LLC | ||||||||||||||||||
| 6281 TRI RIDGE BLVD 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 | ||||||||
| DHHP SURGERY CENTERS LLC | ||||||||||||||||||
| 1513 S GRAND AVENUE STE 350 | LOS ANGELES | CA | 90015 | 831847466 | SURGERY | DE | N/A | N/A | 0 | 0 | ||||||||
| DHRT HOLDINGS LLC | ||||||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 352484591 | HOLDING COMPANY | DE | N/A | N/A | 0 | 0 | ||||||||
| DIGNITY-GOHEALTH URGENT CARE MANAGEMENT LLC | ||||||||||||||||||
| 5555 GLENRIDGE CONNECTOR SUITE 700 | ATLANTA | GA | 30342 | 352548698 | MANAGEMENT SERVICES | DE | N/A | N/A | 0 | 0 | ||||||||
| DIGNITY HEALTH AT HOME LLC | ||||||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | N/A | N/A | 0 | 0 | ||||||||
| DIGNITY HEALTH SPECIALTY PHARMACY LLC | ||||||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 320589462 | SPECIALTY PHARMACY 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 | ||||||||||||||||||
| 1545 SOQUEL DRIVE | SANTA CRUZ | CA | 94065 | 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 | ||||||||
| FOLSOM SIERRA ENDOSCOPY CENTER LP | ||||||||||||||||||
| 1671 CREEKSIDE DRIVE SUITE 100 | FOLSOM | CA | 95630 | 680482416 | ENDOSCOPY | CA | 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 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||||||
| GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC | ||||||||||||||||||
| 6281 TRI RIDGE BLVD 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 | PROPERTY HOLDING | WI | N/A | N/A | 0 | 0 | ||||||||
| HEALTH AT HOME HOLDCO LLC | ||||||||||||||||||
| 6281 TRI RIDGE BLVD 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 | LAUNDRY | 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 | ||||||||
| 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 SRVC | NE | N/A | N/A | 0 | 0 | ||||||||
| LEXINGTON MBO PARTNERS LTD | ||||||||||||||||||
| 5050 SOUTH SYRACUSE ST STE 800 | 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 | ||||||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||||||
| MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC | ||||||||||||||||||
| 2740 M STREET | MERCED | CA | 95340 | 943358445 | MANAGEMENT OF CANCER CENTER | CA | N/A | N/A | 0 | 0 | ||||||||
| MERCY REHABILITATION HOSPITAL LLC | ||||||||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 814437201 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||||||
| MILITARY ROAD PROPERTIES LLC | ||||||||||||||||||
| 18229 TERRACE COURT SW | NORMANDY PARK | WA | 98166 | 912067879 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||||||
| MOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||||||
| 1900 N PEARL ST STE 2400 | DALLAS | TX | 75201 | 870687391 | MEDICAL IMAGING | TX | 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 | ||||||||
| 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 | BISMARK | 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 SRVC | MN | N/A | N/A | 0 | 0 | ||||||||
| PENINSULA RADIATION ONCOLOGY CENTER LLC | ||||||||||||||||||
| 4230 BRIDGEPORT WAY W STE B | UNIVERSITY PLACE | WA | 98466 | 870808610 | HEALTHCARE SRVC | 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 | ||||||||
| PERFORMANCE MED EQUIP & RESPIR SVSC LLC | ||||||||||||||||||
| 19625 62ND AVE SOUTH 101 | KENT | WA | 98032 | 452901632 | HOLDING COMPANY | WA | 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 | ||||||||
| 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 | ||||||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||||||
| PRECISION MEDICINE ALLIANCE LLC | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 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 | ||||||||
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 263330545 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||||||
| SANTA CRUZ COMPREHENSIVE IMAGING LLC | ||||||||||||||||||
| 1661 SOQUEL DRIVE SUITE G | SANTA CRUZ | CA | 95065 | 010550623 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||||||
| SANTA CRUZ LAND & BUILDING LP | ||||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770285236 | REAL ESTATE | 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 | ||||||||
| 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 | ||||||||||||||||||
| 15305 DALLAS PARKWAY SUITE 1600 LB | ADDISON | TX | 75001 | 201019390 | SURGERY | TX | RELATED | 0 | Yes (1) | PORT CITY OPERATING COMPANY LLC | -$63,850 | $3,448,388 | 0.68460 | |||||
| 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 | ||||||||
| TEMPLETON SURGERY CENTER LLC | ||||||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 104 | TEMPLETON | CA | 94365 | 202246616 | SURGERY | CA | 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 | ||||||||
| THE VASCULAR CENTER OF COLORADO LLC | ||||||||||||||||||
| 2222 N NEVADA AVE STE 3000 | COLORADO SPRINGS | CO | 80907 | 753193527 | MEDICAL SERVCS | CO | N/A | N/A | 0 | 0 | ||||||||
| THREE SPRING IMAGING LLC | ||||||||||||||||||
| 1 MERCADO ST STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||||||
| TIA ARIZONA LLC | ||||||||||||||||||
| 3030 N CENTRAL AVENUE SUITE 1402 | PHOENIX | AZ | 85012 | 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 | ||||||||
| VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | ||||||||||||||||||
| 18330 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 800864336 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||||||
| WEST LAKES SURGERY CENTER LLC | ||||||||||||||||||
| 12499 UNIVERSITY AVE STE 100 | CLIVE | IA | 50325 | 205345295 | HEALTHCARE SRVC | IA | N/A | N/A | 0 | 0 | ||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | 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 PROVIDERS 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 | ||||
| AMERICAN NURSING CARE INC | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | N/A | C | 0 | ||||
| AMERIMED INC | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | 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 | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | LAB SERVICES | CO | 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 | ||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | N/A | C | 0 | ||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | 0 | ||||
| DIGNITY HEALTH HOLDING CORPORATION | |||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 460675371 | HOLDING CO | NV | N/A | C | 0 | ||||
| DIGNITY HEALTH INSURANCE LTD | |||||||||||||
| 981065338 | CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 1051 GRAND CAYMAN ISL | GRAND CAYMAN ISL | CJ | CJ | |||||
| DIGNITY HEALTH PROVIDER RESOURCES INC | |||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 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 | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 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 | |||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | N/A | C | 0 | ||||
| HARVESTPLAINS HEALTH OF IOWA | |||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | INSURANCE | WA | N/A | C | 0 | ||||
| HEALTH AT HOME BLOCKER LLC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 884220080 | HOME HEALTH | CO | N/A | C | 0 | ||||
| HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC | |||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770074057 | HEALTH SERVICES | CA | N/A | C | 0 | ||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MGMT | NE | N/A | C | 0 | ||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | |||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | INACTIVE | WA | N/A | C | 0 | ||||
| HEARTLANDPLAINS HEALTH | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464368223 | INSURANCE | NE | N/A | C | 0 | ||||
| HIGHLINE MEDICAL GROUP | |||||||||||||
| 1717 S J STREET | TACOMA | WA | 98405 | 911407026 | MEDICAL SERVICES | WA | N/A | C | 0 | ||||
| INTEGRATED MEDICAL SERVICES | |||||||||||||
| 9250 N 3RD STREET SUITE 4010 | PHOENIX | AZ | 85020 | 860783428 | MULTI-SPECIALTY PHYSICIANS GROUP | AZ | 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 | RETAIL SALES | OR | N/A | C | 0 | ||||
| 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 | |||||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | N/A | C | 0 | ||||
| NORTH CENTRAL HEALTH CARE ALLIANCE | |||||||||||||
| PO BOX 5538 | BISMARK | ND | 58506 | 450439894 | HEALTHCARE | 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 | ||||
| QUALCHOICE HOLDINGS INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 274075520 | HOLDING CO | AR | N/A | C | 0 | ||||
| RIVERLINK HEALTH | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | N/A | C | 0 | ||||
| ROSS PARK PHARMACY INC | |||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 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 | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | INACTIVE | CO | N/A | C | 0 | ||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||
| 424 LEWIS HARGETT CR STE 160 | LEXINGTON | KY | 40503 | 270164198 | INACTIVE | KY | N/A | C | 0 | ||||
| SOUNDPATH HEALTH INC | |||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | 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 | |||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | N/A | C | 0 | ||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 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 | |||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 822383629 | HOLDING CO | NE | N/A | C | 0 | ||||
| TOWSON MANAGEMENT INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521710750 | INACTIVE | MD | N/A | C | 0 | ||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | |||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S SURGERY CENTER LP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $215,639 | InvolvedAmt |
| Method Of Amount Determination | SEE PART VII | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2 COLUMN (C) | FormAndLineReferenceDesc |
| Explanation | PART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS. | ExplanationTxt |