SIERRA NEVADA MEMORIAL-MINERS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SIERRA NEVADA MEMORIAL-MINERS HOSPITAL (EIN 94-1439787)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-04-30
IRS object ID: 202511219349300601
Schema version: 2023v6.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-04-30T23:01:15-05:00	ReturnTs
Tax Period End	2024-06-30	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	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941439787	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA NEVADA MEMORIAL - MINERS HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SIER	BusinessNameControlTxt
Phone	5302746099	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	185 BERRY STREET SUITE 200	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94107	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT LOWES	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5302256390	PhoneNum
Signature	2025-04-30	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES R LANCASTER	PreparerPersonNm
PTIN	P00742579	PTIN
Phone	4159635100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT LOWES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	185 BERRY STREET SUITE 200	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94107	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$425,969,471	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1934	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), SIERRA NEVADA MEMORIAL HOSPITAL IS COMMITTED TO 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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	921	TotalEmployeeCnt
Total Volunteers	38	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,243,719	PYContributionsGrantsAmt
CY Contributions Grants	$992,841	CYContributionsGrantsAmt
PY Program Service Revenue	$188,810,574	PYProgramServiceRevenueAmt
CY Program Service Revenue	$211,681,261	CYProgramServiceRevenueAmt
PY Investment Income	$5,225,056	PYInvestmentIncomeAmt
CY Investment Income	$9,085,872	CYInvestmentIncomeAmt
PY Other Revenue	$3,337,255	PYOtherRevenueAmt
CY Other Revenue	$355,092	CYOtherRevenueAmt
PY Total Revenue	$202,616,604	PYTotalRevenueAmt
CY Total Revenue	$222,115,066	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,954,196	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,217,069	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$105,481,811	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$109,729,496	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$82,220,712	PYOtherExpensesAmt
CY Other Expenses	$81,517,999	CYOtherExpensesAmt
PY Total Expenses	$198,656,719	PYTotalExpensesAmt
CY Total Expenses	$200,464,564	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,959,885	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,650,502	CYRevenuesLessExpensesAmt
Total Assets BOY	$321,033,669	TotalAssetsBOYAmt
Total Assets EOY	$360,484,313	TotalAssetsEOYAmt
Total Liabilities BOY	$34,185,562	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$36,321,033	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$286,848,107	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$324,163,280	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SIERRA NEVADA MEMORIAL HOSPITAL ("SNMH") IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$175,208,092	ExpenseAmt
Grant	$9,217,069	GrantAmt
Revenue	$211,681,261	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$175,208,092	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	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	42	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	921	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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 (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL KORPIEL
BOARD MEMBER	2.00	50.00	Yes (X)	$0	$1,251,767	$125,144
SCOTT NEELEY MD
PRESIDENT/ CEO	50.00	0.00	Yes (X)	$0	$719,070	$96,085	Yes (X)
TYLER HILL MD
CMO	50.00	0.00		$418,115	$0	$40,181		Yes (X)
DAVID HALL
CFO (THRU 4/23/24)	25.00	25.00		$0	$315,484	$69,137	Yes (X)
ABDUL N WASAY
REGISTERED NURSE	50.00	0.00		$289,137	$0	$59,397			Yes (X)
LORI A KATTERHAGEN
VP CNO/COO (THRU 3/14/23)	50.00	0.00		$307,238	$0	$29,125		Yes (X)
ROBERT LOWES
CFO (EFF 4/24/24)	25.00	25.00		$0	$280,636	$45,636	Yes (X)
MATTHEW T GIRE
REGISTERED NURSE NATL CERT	50.00	0.00		$245,430	$0	$71,777			Yes (X)
SANDRA L YOUNG
PHARMACIST	50.00	0.00		$281,328	$0	$26,616			Yes (X)
ROBERT J KANYUCH
DIRECTOR QUALITY	50.00	0.00		$238,124	$0	$40,700			Yes (X)
KATHERYN K KRAY
DIRECTOR NURSING	50.00	0.00		$238,449	$0	$24,448			Yes (X)
ROBERT LONG
VICE-CHAIR	2.00	2.00	Yes (X)	$0	$7,625	$0	Yes (X)
VIVIAN TIPTON
BOARD MEMBER (THRU 5/31/24)	2.00	1.00	Yes (X)	$0	$3,750	$0
THOMAS BOYLE MD
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
JASON FOUYER
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
DARYL GRIGSBY
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
ANN GUERRA
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
ALISON J LEHMAN
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
EDWARD SYLVESTER
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
STEPHANIE ORTIZ
BOARD CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,017,821	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,578,332	TotReportableCompRltdOrgAmt
Total Other Compensation	$628,246	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	309	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
CEP AMERICA-ANESTHESIA VITUITY
2100 POWELL ST	EMERYVILLE	CA	946081803	MEDICAL/PHYSICIAN SERVICES	$1,990,197
SYNERGY SURGICALISTS PC
280 W KAGY BLVD	BOZEMAN	MT	59715	MEDICAL SERVICES	$1,446,684
WEATHERBY LCOUMS INC
PO BOX 972633	DALLAS	TX	753972633	STAFFING SERVICES	$693,862
RESTORIX HEALTH INC
PO BOX 71849	CHICAGO	IL	60694	MEDICAL/PHYSICIAN SERVICES	$638,839
ALLIANCE HEALTHCARE SERVICES
FILE 55826	LOS ANGELES	CA	900745826	MEDICAL SERVICES	$607,384

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$725,803	RelatedOrganizationsAmt
Government Grants	$212,383	GovernmentGrantsAmt
All Other Contributions	$54,655	AllOtherContributionsAmt
Total Contributions	$992,841	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT NET OF CHARITY AND BAD DE	900099	$108,962,000	$108,962,000
MEDICARE / MEDICAID PAYMENTS	900099	$102,287,910	$102,287,910
CRISIS STABILIZATION UNIT	900099	$80,566	$80,566
MANAGEMENT SERVICES	900099	$72,349	$72,349
EDUCATION	900099	$63,922	$63,922

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$214,514	TotalRevenueColumnAmt
Related Or Exempt Func Income	$214,514	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$211,681,261	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,178,276	TotalRevenueColumnAmt
Exclusion	$3,178,276	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$209,762,001	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$203,854,405	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,907,596	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,907,596	TotalRevenueColumnAmt
Exclusion	$5,907,596	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$205,204	$205,204
A/R FINANCE CHARGES	900099	$76,593	$76,593
RECEIPT WRITE OFF	900099	$50,678	$50,678

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,617	TotalRevenueColumnAmt
Exclusion	$22,617	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$355,092	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$222,115,066	TotalRevenueColumnAmt
Related Or Exempt Func Income	$211,681,261	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,440,964	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	$9,205,688	TotalAmt
Program Services	$9,205,688	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$11,381	TotalAmt
Program Services	$11,381	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$727,281	TotalAmt
Program Services	$677,293	ProgramServicesAmt
Management And General	$49,988	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$287,605	TotalAmt
Program Services	$246,900	ProgramServicesAmt
Management And General	$40,705	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$85,529,753	TotalAmt
Program Services	$79,775,300	ProgramServicesAmt
Management And General	$5,754,453	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,029,946	TotalAmt
Program Services	$4,791,880	ProgramServicesAmt
Management And General	$238,066	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,177,601	TotalAmt
Program Services	$11,603,954	ProgramServicesAmt
Management And General	$573,647	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,977,310	TotalAmt
Program Services	$5,724,529	ProgramServicesAmt
Management And General	$252,781	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$268,297	TotalAmt
Management And General	$268,297	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,220	TotalAmt
Management And General	$1,220	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,230	TotalAmt
Management And General	$14,230	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$585,131	TotalAmt
Management And General	$585,131	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,993,683	TotalAmt
Program Services	$23,122,054	ProgramServicesAmt
Management And General	$8,871,629	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$511,596	TotalAmt
Program Services	$8,856	ProgramServicesAmt
Management And General	$502,740	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,808,621	TotalAmt
Program Services	$2,471,125	ProgramServicesAmt
Management And General	$337,496	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,645,669	TotalAmt
Program Services	$571,078	ProgramServicesAmt
Management And General	$7,074,591	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,985,413	TotalAmt
Program Services	$2,831,471	ProgramServicesAmt
Management And General	$153,942	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$189,834	TotalAmt
Program Services	$109,029	ProgramServicesAmt
Management And General	$80,805	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$81,968	TotalAmt
Program Services	$66,502	ProgramServicesAmt
Management And General	$15,466	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$678,886	TotalAmt
Program Services	$678,886	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,764,571	TotalAmt
Program Services	$7,739,038	ProgramServicesAmt
Management And General	$25,533	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,750,109	TotalAmt
Program Services	$1,750,109	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$22,843,565	$22,843,565
FOOD/OTHER SUPPLIES	$600,749	$557,651	$43,098
LICENSES AND TAXES	$297,936	$138,721	$159,215
EMPLOYEE APPAREL	$191,608	$177,862	$13,746

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,913	TotalAmt
Program Services	$105,220	ProgramServicesAmt
Management And General	$199,693	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$200,464,564	TotalAmt
Program Services	$175,208,092	ProgramServicesAmt
Management And General	$25,256,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,500	BOYAmt
EOY	$1,500	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,109,110	BOYAmt
EOY	$9,161,076	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,165	BOYAmt
EOY	$15,741	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,877,985	BOYAmt
EOY	$25,001,493	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$564,005	BOYAmt
EOY	$277,031	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,120,590	BOYAmt
EOY	$3,116,003	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,131,057	BOYAmt
EOY	$10,089,137	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$92,310,262	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,204,657	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,251,035	BOYAmt
EOY	$56,105,605	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$79,466,458	BOYAmt
EOY	$82,572,438	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$128,420,821	BOYAmt
EOY	$152,900,036	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,128,387	BOYAmt
EOY	$9,767,557	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,900,000	BOYAmt
EOY	$2,900,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,025,556	BOYAmt
EOY	$8,576,696	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$321,033,669	BOYAmt
EOY	$360,484,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,949,108	BOYAmt
EOY	$15,149,735	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$267,253	BOYAmt
EOY	$209,874	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,969,201	BOYAmt
EOY	$20,961,424	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,185,562	BOYAmt
EOY	$36,321,033	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	$280,343,195	BOYAmt
EOY	$315,913,495	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,504,912	BOYAmt
EOY	$8,249,785	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$286,848,107	BOYAmt
EOY	$324,163,280	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$321,033,669	BOYAmt
EOY	$360,484,313	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,650,502	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$13,518,217	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,146,454	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	$2,584	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	$11,646	OtherActivitiesAmt
Total Lobbying Expenditures	$14,230	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 1D SIERRA NEVADA MEMORIAL HOSPITAL 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 THE ORGANIZATION'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. THE ORGANIZATION 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. ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON THE ORGANIZATION'S 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 ORGANIZATION'S 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 HOSPITAL'S ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE ORGANIZATION'S 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 1I LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: 340B HEALTH; $54 AMERICAN ACADEMY OF FAMILY PHYSICIANS; $130 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS; $ 513 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES; $ 1 AMERICAN HOSPITAL ASSOCIATION; 3,659 AMERICAN MEDICAL ASSOCIATION; $ 135 AMERICAN OSTEOPATHIC ASSOCIATION; $ 24 AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS; $ 60 ASSOCIATION OF WOMEN'S HEALTH, OBSTETRIC & NEONATAL NURSES; $ 2 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME; $ 105 CALIFORNIA MEDICAL ASSOCIATION; $ 170 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA; $ 6,756 SOCIETY OF TEACHERS OF FAMILY MEDICINE; $ 37 TOTAL EXPENDITURES PAID TO ORGANIZATIONS; $ 11,646	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,802,118	BeginningYearBalanceAmt
Investment Earnings Or Losses	$359,582	InvestmentEarningsOrLossesAmt
End Year Balance	$3,161,700	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,748,664	BeginningYearBalanceAmt
Contributions	$100	ContributionsAmt
Investment Earnings Or Losses	$53,354	InvestmentEarningsOrLossesAmt
End Year Balance	$2,802,118	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,980,176	BeginningYearBalanceAmt
Contributions	$295,618	ContributionsAmt
Investment Earnings Or Losses	-$527,130	InvestmentEarningsOrLossesAmt
End Year Balance	$2,748,664	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,307,020	BeginningYearBalanceAmt
Contributions	$100	ContributionsAmt
Investment Earnings Or Losses	$673,056	InvestmentEarningsOrLossesAmt
End Year Balance	$2,980,176	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,291,469	BeginningYearBalanceAmt
Contributions	$196,565	ContributionsAmt
Investment Earnings Or Losses	-$181,014	InvestmentEarningsOrLossesAmt
End Year Balance	$2,307,020	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.66000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.34000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,182,377	OtherCostOrOtherBasisAmt
Book Value	$4,182,377	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,052,844	OtherCostOrOtherBasisAmt
Depreciation	$16,964,768	DepreciationAmt
Book Value	$42,088,076	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,750	OtherCostOrOtherBasisAmt
Depreciation	$84,750	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,159,142	OtherCostOrOtherBasisAmt
Depreciation	$18,508,419	DepreciationAmt
Book Value	$7,650,723	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,831,149	OtherCostOrOtherBasisAmt
Depreciation	$646,720	DepreciationAmt
Book Value	$2,184,429	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$56,105,605	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS	Desc
Book Value	$152,900,036	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$152,900,036	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OTHER NON-CURRENT LIABILITIES	$691,120
DUE TO RELATED PARTIES	$14,048,477
PENSION PAYABLE	$6,221,827

Field	Value	IRS element (for citing)
Total Liability	$20,961,424	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT ALZHEIMER'S RESEARCH, THE CANCER CENTER, THE CARDIAC PROGRAM AND OTHER HOSPITAL PROGRAM NEEDS.
PART X, LINE 2:	SNMH REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

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)
Persons Served	887	PersonsServedCnt
Total Community Benefit Expns	$2,517,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,517,194	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	18328	PersonsServedCnt
Total Community Benefit Expns	$30,321,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,511,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	19215	PersonsServedCnt
Total Community Benefit Expns	$32,838,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,511,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,517,194	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	4543	PersonsServedCnt
Total Community Benefit Expns	$592,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$547,659	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	204	PersonsServedCnt
Total Community Benefit Expns	$689,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$689,675	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	296	PersonsServedCnt
Total Community Benefit Expns	$159,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$159,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	13	PersonsServedCnt
Total Community Benefit Expns	$709,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$709,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	5056	PersonsServedCnt
Total Community Benefit Expns	$2,150,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,105,731	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	24271	PersonsServedCnt
Total Community Benefit Expns	$34,989,634	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,556,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,622,925	NetCommunityBenefitExpnsAmt
Total Expense	0.02300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$407,566	BadDebtExpenseAmt
Reimbursed By Medicare	$54,022,102	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$70,592,262	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,570,160	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 GRASS VALLEY OUTPATIENT SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.23400	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.29000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 GLASSON WAY	AddressLine1Txt
City	GRASS VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95945	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCAT	WebsiteAddressTxt
State License	230000152	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SIERRA NEVADA MEMORIAL - MINER'S HOSPITA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website URL	SEE PART V, SECTION C	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, SECTION C	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, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	PRESENTATION OF HOSPITAL'S COMPLETE WEBSITE ADDRESS:HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPITAL
SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL	PART V, SECTION B, LINE 5: FOR THE 2022 (TY 2021) CHNA REPORT, QUALITATIVE DATA INCLUDED INTERVIEWS WITH 23 COMMUNITY HEALTH EXPERTS, MEMBERS OF THE COUNTY'S DEPARTMENT OF PUBLIC HEALTH, SOCIAL-SERVICE PROVIDERS THAT REPRESENTED MEDICALLY UNDERSERVED POPULATIONS, AND MEDICAL PERSONNEL IN ONE-ON-ONE AND GROUP INTERVIEWS. NINETEEN ADDITIONAL COMMUNITY SERVICE PROVIDERS GAVE INPUT THROUGH AN ONLINE SURVEY. ALL INTERVIEW PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. KEY INFORMANTS WERE FROM THE HOSPITAL, NEVADA COUNTY DEPARTMENT OF PUBLIC HEALTH, CHAPA-DE INDIAN HEALTH, WESTERN SIERRA MEDICAL CLINIC, SIERRA FAMILY HEALTH CENTER, HOSPITALITY HOUSE, CONNECTING POINT, GRASS VALLEY POLICE DEPARTMENT, HOSPICE OF THE FOOTHILLS, GOLD COUNTRY SENIOR SERVICES AND FREED CENTER FOR INDEPENDENT LIVING. FURTHER, 11 COMMUNITY RESIDENTS PARTICIPATED IN 2 FOCUS GROUPS ACROSS THE COUNTY; FOCUS GROUP PARTICIPANTS CONSISTED OF COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. DUE TO THE COVID-19 PANDEMIC ALL COMMUNITY INPUT FOR THE 2022 CHNA REPORT WAS PROVIDED OVER ZOOM, AND SURVEYS WERE RECEIVED ELECTRONICALLY.
SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL	PART V, SECTION B, LINE 11: SIERRA NEVADA MEMORIAL HOSPITAL IS ADDRESSING OR DEVELOPING PARTNERSHIP INITIATIVES TO FOCUS ON SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THAT INCLUDE: 1) ACCESS TO BASIC NEEDS, SUCH AS HOUSING, JOBS, AND FOOD; 2) ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES; 3) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES; 4) ACCESS TO SPECIALTY AND EXTENDED CARE; 5) SYSTEM NAVIGATION; 6) INCREASED COMMUNITY CONNECTIONS; 7) INJURY AND DISEASE PREVENTION AND MANAGEMENT; AND 8) SAFE AND VIOLENCE FREE ENVIRONMENT.INITIATIVES THAT ADDRESS THESE PRIORITIES LARGELY TARGET VULNERABLE AND AT-RISK POPULATIONS, WITH EMPHASIS ON COLLABORATION WITH COMMUNITY PARTNERS. THE HOSPITAL IS ADDRESSING THESE NEEDS WITH NUMEROUS DIRECT SERVICE PROGRAMS, GRANT FUNDING TO THE COMMUNITY, PATIENT FINANCIAL ASSISTANCE, AND COMMUNITY PARTNERSHIPS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, AVAILABLE TO THE PUBLIC ONLINE.PROGRAM AND ACTIVITIES TO HELP ADDRESS THESE NEEDS INCLUDE: HOMELESS RECUPERATIVE CARE PROGRAM, RESOURCES FOR LOW-INCOME PATIENTS, RESOURCES FOR HOMELESS PATIENTS, NEVADA COUNTY HEALTH COLLABORATIVE INTEGRATED NETWORK, CRISIS STABILIZATION UNIT, MENTAL HEALTH CRISIS SUPPORT PARTNERSHIP, CARE TRANSITION INTERVENTION PROGRAM, TELE-PSYCHIATRY, SUBSTANCE USE NAVIGATION, PATIENT NAVIGATOR PROGRAM, HEALTH PROFESSION EDUCATION - OTHER, HEALTH PROFESSION EDUCATION - NURSING, ONCOLOGY NURSE NAVIGATOR, FALLS PREVENTION PROGRAM, HEALTHIER LIVING PROGRAM, DISEASE-SPECIFIC SUPPORT GROUPS, ALZHEIMER'S OUTREACH PROGRAM, CARDIAC REHABILITATION, COMPLEX DISCHARGE MANAGEMENT ASSISTANCE, COMMUNITY BASED VIOLENCE PREVENTION AND DIGNITY HEALTH COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM.AS A RURAL COMMUNITY HOSPITAL, SIERRA NEVADA MEMORIAL DOES NOT HAVE THE CAPACITY OR RESOURCES TO ADDRESS ALL PRIORITY HEALTH ISSUES IDENTIFIED IN NEVADA COUNTY. THE HOSPITAL IS NOT ADDRESSING ACCESS TO FUNCTIONAL NEEDS AND ACTIVE LIVING AND HEALTHY EATING AS THESE PRIORITIES ARE BEYOND THE CAPACITY AND EXPERTISE OF SIERRA NEVADA MEMORIAL. HOWEVER, THE HOSPITAL WILL LOOK FOR OPPORTUNITIES TO COORDINATE AND COLLABORATE WITH OTHER ENTITIES THAT OFFER PROGRAMS THAT ADDRESS THESE NEEDS. MOREOVER, THE HOSPITAL HAS CONTINUOUSLY ENGAGED IN COLLABORATIVE EFFORTS FOCUSING ON DEVELOPMENT OF A BROAD CLINICAL AND SOCIOECONOMIC PLAN WITH MULTI-DISCIPLINARY PARTNERS FROM HEALTH CARE, BUSINESS, SOCIAL SERVICES, GOVERNMENT, COMMUNITY-BASED ORGANIZATIONS AND WIDER SOCIETY.
SIERRA NEVADA MEMORIAL - MINER'S HOSPITAL	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, BALANCES BELOW TEN DOLLARS ($10.00) WOULD BE ADJUSTED USING A SMALL BALANCE ADJUSTMENT AND NOT BILLED TO THE PATIENT/GUARANTOR. 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	ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHNA REPORT WEB SITE LOCATION FOR SNMH IS PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH-AND-COMMUNITY-BENEFIT
PART V, SECTION B, LINE 10A	DIGNITY HEALTH AFFILIATED HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTHE HOSPITAL'S IMPLEMENTATION STRATEGY IS ALSO ON SNMH'S WEB SITE, AT THE SAME LOCATION AS THE CHNA REPORT LISTED IN PART V, SECTION B, LINE 7A ABOVE.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C	HTTPS://WWW.DIGNITYHEALTH.ORG/SACRAMENTO/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-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 - GRASS VALLEY SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	408 SIERRA COLLEGE DRIVE	AddressLine1Txt
City	GRASS VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95945	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 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:	SCHEDULE H, PART I, LINE 7FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SNMH 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. SIERRA NEVADA MEMORIAL HOSPITAL RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $18.8 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D).SCHEDULE H, PART I, LINE 7I, COLUMN CTHE CALIFORNIA HOSPITAL ASSOCIATION CREATED A PRIVATE PROGRAM, THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"), ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. DURING THE YEAR, SIERRA NEVADA MEMORIAL HOSPITAL (SNMH) RECORDED A PLEDGE TO A GRANT FUND ESTABLISHED BY CHFT IN THE AMOUNT $348,012. THE GRANT IS REPORTED UNDER OTHER BENEFITS (PART I, LINE 7I, COLUMN C), AS CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS.
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 DISCLOSURE) 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 PAYMENT ASSISTANCE AND ARE OTHERWISE UNINSURED.AS NOTED IN PART I, LINE 3B, SNMH 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. SNMH 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:	SNMH FOLLOWS THE COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. SNMH 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 WAYSTAR (FORMERLY PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR 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, THE HOSPITAL 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'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, 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 COMPORTS 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. SNMH'S SHORTFALL INCLUDES $16.6 MILLION REPORTED ON PART III, SECTION B, LINE 7.
PART III, LINE 9B:	SNMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. SNMH ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. THE HOSPITAL'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF SNMH 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 COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, SNMH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE HOSPITAL PATIENT FINANCIAL ASSISTANCE DEPARTMENT. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, SNMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2:	IN ADDITION TO THE HOSPITAL CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, THE HOSPITAL ASSESSES THE HEALTH NEEDS OF THE COMMUNITY IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. THE HOSPITAL OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, COMMUNITY GRANTS PROGRAM, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS.THE HOSPITAL CREATES AND MAKES AVAILABLE TO THE PUBLIC AN ANNUAL COMMUNITY BENEFIT REPORT THAT SUMMARIZES IDENTIFIED HEALTH NEEDS, UPDATES COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORTS ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.
PART VI, LINE 3:	COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT THE ORGANIZATION'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 HOSPITAL FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES SNMH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITE.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, 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 SNMH 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:	SIERRA NEVADA MEMORIAL HOSPITAL IS LOCATED WEST OF LAKE TAHOE IN THE SIERRA NEVADA MOUNTAINS. THE HOSPITAL'S SERVICE AREA ENCOMPASSES FOUR ZIP CODES IN THE COMMUNITIES OF GRASS VALLEY, PENN VALLEY, AND NEVADA CITY (95945, 95946, 95949, 95959). PORTIONS OF THE SERVICE AREA ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR PRIMARY CARE. IT IS ESTIMATED THAT OVER ONE-THIRD OF THE COUNTY POPULATION LIVES IN UNINCORPORATED COMMUNITIES, AND WHILE HEALTH RESOURCES ARE MORE AVAILABLE IN POPULATED COMMUNITIES, NEVADA COUNTY'S RURAL ENVIRONMENT CONTRIBUTES TO BARRIERS IN ACCESSING HEALTH CARE AND HEALTH-RELATED SERVICES. RESIDENTS OF NEVADA COUNTY ARE PRIMARILY WHITE AND A HIGH PROPORTION OF ADULTS ARE OVER THE AGE OF 65 (28.5%).TOTAL POPULATION: 76,537HISPANIC OR LATINO: 8.9%WHITE - NON-HISPANIC: 80.3%BLACK/AFRICAN AMERICAN: 0.5%ASIAN/PACIFIC ISLANDER: 1.3%ALL OTHERS: 9.0%% BELOW POVERTY: 5.4%UNEMPLOYMENT: 2.6%NO HIGH SCHOOL DIPLOMA: 4.8%MEDICAID: 23.5%UNINSURED: 4.7%OTHER AREA HOSPITALS: 1
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.
PART VI, LINE 6:	AFFILIATES OF SNMH PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, LAS VEGAS AND HENDERSON, 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 SNMH, FOR THE YEAR JUNE 30, 2024, IS $2.6 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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	680220314	501(C)(3)	$7,726,579	$0	MEDICAL FOUNDATION SUPPORT
SIERRA NEVADA MEMORIAL HOSPITAL FOUNDATION
140 LITTON DRIVE	GRASS VALLEY	CA	95945	680005939	501(C)(3)	$777,004	$0	FOUNDATION SUPPORT
NEVADA COUNTY HEALTH AND HUMAN SERVICES
950 MAIDU AVENUE	NEVADA CITY	CA	95959	946000526	NV CNTY HHS	$240,000	$0	COMMUNITY HEALTH
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800	SACRAMENTO	CA	95814	941498697	501(C)(3)	$348,012	$0	COMMUNITY HEALTH
HOSPICE OF THE FOOTHILLS
11270 ROUGH READY HWY	GRASS VALLEY	CA	95945	942674084	501(C)(3)	$94,479	$0	COMMUNITY HEALTH

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
CLOTHING TO HOMELESS	23	$10,321	BOOK	CLOTHING
MEALS TO HOMELESS	6	$60	BOOK	FOOD
SCHOLARSHIP	1				$1,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S CFO REVIEWS FINANCIAL INFORMATION MONTHLY AND APPROVES THE GRANT PAYMENT BASED ON THAT REVIEW. THE GRANTS TO THE FOUNDATION ARE BASED ON ACTUAL EXPENSES, NOT TO EXCEED THE APPROVED BUDGET.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (11 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
MICHAEL KORPIEL
BOARD MEMBER	$0	$667,992	$0	$572,802	$0	$10,973	$0	$82,565	$0	$42,579	$0	$1,376,911	$0	$0
SCOTT NEELEY MD
PRESIDENT/ CEO	$0	$458,288	$0	$257,226	$0	$3,556	$0	$69,305	$0	$26,780	$0	$815,155	$0	$0
TYLER HILL MD
CMO	$339,572	$0	$78,093	$0	$450	$0	$0	$0	$40,181	$0	$458,296	$0	$0	$0
DAVID HALL
CFO (THRU 4/23/24)	$0	$246,788	$0	$66,074	$0	$2,622	$0	$34,295	$0	$34,841	$0	$384,620	$0	$0
ABDUL N WASAY
REGISTERED NURSE	$286,160	$0	$800	$0	$2,177	$0	$21,022	$0	$38,375	$0	$348,534	$0	$0	$0
LORI A KATTERHAGEN
VP CNO/COO (THRU 3/14/23)	$64,780	$0	$0	$0	$242,458	$0	$0	$0	$29,125	$0	$336,363	$0	$0	$0
ROBERT LOWES
CFO (EFF 4/24/24)	$0	$208,083	$0	$71,722	$0	$831	$0	$22,094	$0	$23,542	$0	$326,272	$0	$0
MATTHEW T GIRE
REGISTERED NURSE NATL CERT	$208,205	$0	$34,600	$0	$2,625	$0	$30,902	$0	$40,875	$0	$317,207	$0	$0	$0
SANDRA L YOUNG
PHARMACIST	$266,273	$0	$10,585	$0	$4,470	$0	$0	$0	$26,616	$0	$307,944	$0	$0	$0
ROBERT J KANYUCH
DIRECTOR QUALITY	$182,999	$0	$41,833	$0	$13,292	$0	$0	$0	$40,700	$0	$278,824	$0	$0	$0
KATHERYN K KRAY
DIRECTOR NURSING	$196,430	$0	$41,453	$0	$566	$0	$0	$0	$24,448	$0	$262,897	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, SNMH 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.
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. THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED SEVERANCE PAYMENT DURING THE 2023 CALENDAR YEAR, AND THIS SEVERANCE PAYMENT WAS INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III)): L. KATTERHAGEN, $242,291.
SCHEDULE J, PART II 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 IT 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 COMMONSPIRIT'S HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'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 2023.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
TAYLOR TIPTON
FAMILY MEMBER OF V TIPTON, BOARD MEMBER	$40,705	EMPLOYMENT	0
THOMAS M BOYLE MD
T. BOYLE, MD, BOARD MEMBER; SOLE PROPRIETOR	$246,900	PHYSICIAN/MEDICAL SERVICES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	SNMH'S MISSION IS TO CONTRIBUTE TO THE WELLNESS OF OUR COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST-EFFECTIVE MANNER, COLLABORATING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE. THE HOSPITAL OFFERS A WIDE RANGE OF SERVICES AND SPECIALTIES TO ACCOMMODATE THE GROWING NEEDS OF WESTERN NEVADA COUNTY. AS THE SOLE ACUTE CARE PROVIDER IN OUR SERVICE AREA, SNMH TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SNMH IS LICENSED WITH 104 ACUTE BEDS, SPECIALIZING IN ORTHOPEDICS, ONCOLOGY AND GENERAL MEDICAL SERVICE. SERVICES PROVIDED IN FISCAL YEAR 2024 INCLUDED 76,583 OUTPATIENT VISITS, 3,983 INPATIENT EMERGENCY VISITS, 26,722 OUTPATIENT EMERGENCY VISITS AND 1,936 INPATIENT AND OUTPATIENT SURGERIES. SNMH'S LIST OF INPATIENT, OUTPATIENT AND SUPPORT SERVICES IS QUITE EXHAUSTIVE. INPATIENT SERVICES INCLUDE ACUTE MEDICAL/SURGICAL CARE; INTENSIVE CARE; PHARMACY; ORTHOPEDIC AND GENERAL SURGERY; AND WOMEN & INFANT CARE UNIT. OUTPATIENT SERVICES: AMBULATORY TREATMENT CENTER; CARDIAC REHABILITATION; CARDIOPULMONARY; DIAGNOSTIC IMAGING; LABORATORY; OUTPATIENT SURGERY CENTER; NEUROLOGICAL REHABILITATION SERVICES; WOUND CARE CENTER; AMBULANCE; CANCER CENTER; AND EMERGENCY SERVICES.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN REPORTABLE INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF SNMH (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. S. NEELEY, MD, D. HALL S. NEELEY, MD, R. LOWES
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE CORPORATE MEMBER IS DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION. 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 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"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	DIGNITY COMMUNITY CARE, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY COMMUNITY CARE BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. THE CORPORATE MEMBER CAN ELECT ONE MEMBER AND APPOINT TWO OTHER MEMBERS IF NOMINATED BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE FOUNDATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS. RESERVED RIGHTS OF THE CORPORATE MEMBER INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S CFO REVIEWED THE FORM 990. IN ADDITION, IN THE PROCESS OF PREPARATION, THE FORM 990 WAS REVIEWED BY ACCOUNTING AND FINANCE (REGIONAL DIGNITY HEALTH MANAGEMENT AND COMMONSPIRIT'S TAX DEPARTMENT), WHICH WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE SHARED WITH THE ORGANIZATION'S BOARD SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE.
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 - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP 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	FOR 2023 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 AND CONFLICT OF INTEREST POLICY 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	M. KORPIEL, S. NEELEY, D. HALL AND R. LOWES RECEIVED COMPENSATION FOR SERVICES PROVIDED FROM THE RELATED ORGANIZATION, DIGNITY HEALTH. IN EARLY 2019, COMMONSPIRIT OBTAINED AN INDEPENDENT, OUTSIDE REVIEW OF THE APPROPRIATE ANNUAL STIPEND TO BE PROVIDED TO ITS BOARD AND BOARD COMMITTEE MEMBERS. THE REVIEW INCLUDED COMPARABILITY DATA AND REPORTED OUT ON REASONABLE AND APPROPRIATE STIPEND RANGES. THE SPONSORSHIP AND GOVERNANCE COMMITTEE OF THE COMMONSPIRIT BOARD CONSIDERED THE DATA AND RANGES AND MADE A RECOMMENDATION TO THE COMMONSPIRIT BOARD AS TO REASONABLE AND APPROPRIATE STIPEND LEVELS, WHICH THE BOARD APPROVED. R. LONG AND V. TIPTON ARE BOARD COMMITTEE MEMBERS TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. R. LONG AND V. TIPTON RECEIVED COMPENSATION FOR THEIR SERVICES AS BOARD COMMITTEE MEMBERS FROM THE RELATED ORGANIZATION, COMMONSPIRIT.
FORM 990, PART IX, LINE 11G	REVENUE CYCLE SERVICE: PROGRAM SERVICE EXPENSES 4,874,615. MANAGEMENT AND GENERAL EXPENSES 40,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,915,582. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,459,332. MANAGEMENT AND GENERAL EXPENSES 58,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,517,691. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 3,146,662. MANAGEMENT AND GENERAL EXPENSES 4,768,997. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,915,659. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 1,298,790. MANAGEMENT AND GENERAL EXPENSES 1,968,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,267,202. PROFESSIONAL CONSULTING: PROGRAM SERVICE EXPENSES 437,559. MANAGEMENT AND GENERAL EXPENSES 663,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,100,712. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 207,870. MANAGEMENT AND GENERAL EXPENSES 315,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 522,913. CASE MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 102,167. MANAGEMENT AND GENERAL EXPENSES 154,842. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 257,009. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 595,059. MANAGEMENT AND GENERAL EXPENSES 901,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,496,915.
FORM 990, PART XI, LINE 9:	GAIN ON ADOPTION OF ASU 2017-17 438,740. INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION 1,744,873. CHANGE IN OWNERSHIP INTEREST OF GRASS VALLEY SURGERY CENTER -37,159.
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, 2023, TO JUNE 30, 2024.
FORM 990, J WEBSITE:	WWW.DIGNITYHEALTH.ORG/SACRAMENTO/LOCATIONS/SIERRA-NEVADA-MEMORIAL-HOSPIT AL

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (203 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)	PF		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		0							N/A
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 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 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 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
COMMONSPIRIT MOUNTAIN REGION
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	841335382	MANAGEMENT COMPANY	CO	501(C)(3)	LINE 12A, I	CHIC	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
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 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 SACRAMENTO
3400 DATA DRIVE 3RD FLR	RANCHO CORDOVA	CA	95670	237072762	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I		0							N/A
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC - ROSEBURG	0
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 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
1414 E MAIN STREET SUITE 201	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
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	465322209	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY HEALTH	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
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
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 MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	520591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH	0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC	0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STREET	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	0
ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL	0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVD	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC	0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	341412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH	0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	455357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSISTED LIVING	OH	501(C)(3)	LINE 10	CHILC	0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	310537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH	0
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC	0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I		0							N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSISTED LIVING	OH	501(C)(3)	LINE 7	THS	0
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	0
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 (83 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AMERICAN MERCY HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	830486150	HOME HEALTH	OH	N/A	N/A	0	0
ARIZONA CARE NETWORK - NEXT LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	474696671	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA CARE NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	454494682	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUE	LOS ANGELES	CA	90025	851067265	IMAGING CENTER	DE	N/A	N/A	0	0
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	841513085	REAL ESTATE	CO	N/A	N/A	0	0
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
3100 MAIN STE 566	HOUSTON	TX	77002	472079184	HEALTHCARE SERVICES	TX	N/A	N/A	0	0
BERGAN MERCY SURGERY CENTER LLC
7500 MERCY RD STE 4300	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	N/A	N/A	0	0
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUE	CHATTANOOGA	TN	37404	621875199	HEALTHCARE SERVICES	TN	N/A	N/A	0	0
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
					HEALTH SERVICES		N/A	N/A	0	0	709 WING ON PLAZA 62 MODY ROAD TS	HONG KONG	CH	CH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC SERVICES	KY	N/A	N/A	0	0
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE	BAKERSFIELD	CA	93309	461602286	RADIATION / ONCOLOGY	CA	N/A	N/A	0	0
CENTRAL NEBRASKA REHAB 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	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	465683027	SURGERY CENTER	CO	N/A	N/A	0	0
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	N/A	N/A	0	0
COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	311746556	HOME HEALTH	OH	N/A	N/A	0	0
DE JV LLC
8686 NEW TRAILS DRIVE	THE WOODLANDS	TX	77381	320496548	EMERGENCY CARE	NV	N/A	N/A	0	0
DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD)
					HEALTH SERVICES		N/A	N/A	0	0	3 MORE LONDON RIVERSIDE 4TH FLOOR	LONDON	UK	UK
DH PACIFICLINKAGE HEALTH INT'L LTD
					HEALTH SERVICES		N/A	N/A	0	0	RMS 1318-20 HLWD PLAZA 610 NATHAN	HONG KONG	CH	CH
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 MGMT 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	DIAGNOSTIC SERVICES	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
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NW	GIG HARBOR	WA	98335	463494108	REAL ESTATE	WA	N/A	N/A	0	0
FRANCISCAN SPECIALTY CARE LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	813725123	DIAGNOSTIC SERVICES	WA	N/A	N/A	0	0
GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	201792869	HOME HEALTH	OH	N/A	N/A	0	0
HC SL VINTAGE I LLC
1400 N WATER ST STE 500	MILWAUKEE	WI	53202	270453767	PROPERTY HOLDING	WI	N/A	N/A	0	0
HEALTH AT HOME HOLDCO LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	920827634	HOME HEALTH	CO	N/A	N/A	0	0
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	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	NE	N/A	N/A	0	0
LEXINGTON MBO PARTNERS LTD
4600 SOUTH SYRACUSE ST STE 500	DENVER	CO	80237	651132855	REAL ESTATE	CO	N/A	N/A	0	0
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	LINCOLN	NE	68510	262496856	REAL ESTATE	NE	N/A	N/A	0	0
LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	454432224	ORTHOPEDIC SERVICES	CO	N/A	N/A	0	0
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201	BAKERSFIELD	CA	93301	364510880	REAL ESTATE	CA	N/A	N/A	0	0
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
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	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	BISMARCK	ND	58501	841641341	DIAGNOSTIC SERVICES	ND	N/A	N/A	0	0
NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	770409291	AMBULATORY SURGICAL CENTER	CA	N/A	N/A	0	0
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	N/A	N/A	0	0
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE S	PARK RAPIDS	MN	56470	204926259	HEALTHCARE SERVICES	MN	N/A	N/A	0	0
PEAK ONE SURGERY CENTER LLC
PO BOX 4460	FRISCO	CO	80443	201620230	SURGERY CENTER	CO	N/A	N/A	0	0
PENINSULA RADIATION ONCOLOGY CENTER LLC
4230 BRIDGEPORT WAY W STE B	UNIVERSITY PLACE	WA	98466	870808610	HEALTHCARE SERVICES	WA	N/A	N/A	0	0
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A	N/A	0	0
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
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	273280598	HOSPITAL	TX	N/A	N/A	0	0
PRECISION MEDICINE ALLIANCE LLC
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
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 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	CA	N/A	N/A	0	0
ST ELIZABETH HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	261236191	HOME HEALTH	KY	N/A	N/A	0	0
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A	N/A	0	0
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	N/A	N/A	0	0
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
PO BOX 4717	HOUSTON	TX	77210	462795726	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUE	OXNARD	CA	93030	770332349	REAL ESTATE	CA	N/A	N/A	0	0
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 SERVICES	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	0
ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	HEALTHCARE	TX	N/A	C	0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	841112049	MANAGEMENT SERVICES	CO	N/A	C	0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	INACTIVE	KY	N/A	C	0
BRAZOSPORT HEALTH ALLIANCE
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760518376	HEALTHCARE	TX	N/A	C	0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
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
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	460675371	HOLDING CO	NV	N/A	C	0
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	MANAGEMENT SERVICES	NE	N/A	C	0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET ST	TACOMA	WA	98402	911865474	INACTIVE	WA	N/A	C	0
HIGHLINE MEDICAL GROUP
1717 S J STREET	TACOMA	WA	98405	911407026	MEDICAL SERVICES	WA	N/A	C	0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710720429	REAL ESTATE	AR	N/A	C	0
MEDQUEST
1602 11TH ST W	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C	0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVE	LUFKIN	TX	75904	463622849	INACTIVE	TX	N/A	C	0
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	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	MANAGEMENT SERVICES	TN	N/A	C	0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538	BISMARK	ND	58506	450439894	HEALTHCARE	ND	N/A	C	0
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 MANANGEMENT SERVICES INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	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
STRATEGIC AND PHYSICIANS INSURANCE LTD
				981065338	CAPTIVE INSURANCE		N/A	C	0	PO BOX 1051 GRAND CAYMAN ISL	GRAND CAYMAN ISL	CJ	CJ
TOWSON MANAGEMENT INC
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	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd