UCSF HEALTH COMMUNITY HOSPITALS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- UCSF HEALTH COMMUNITY HOSPITALS (EIN 94-1156295)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-03
- IRS object ID
- 202331239349300803
- Schema version
- 2021v4.2
- 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 | 2023-05-03T01:55:02-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | 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 | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941156295 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 4153536600 | 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 | CHARLES THEVNIN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4153536635 | PhoneNum |
| Signature | 2023-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHARLES | PersonFirstNm |
| Person Last | THEVNIN | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 4159635100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHARLES THEVNIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 HYDE STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,942,373 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIGNITYHEALTH.ORG/SAINTFRANCIS | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1938 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), SAINT FRANCIS 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 | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1115 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,513,988 | PYContributionsGrantsAmt |
| CY Contributions Grants | $933,601 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $195,282,147 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $182,234,556 | CYProgramServiceRevenueAmt |
| PY Investment Income | $688,487 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,532,170 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,153,744 | PYOtherRevenueAmt |
| CY Other Revenue | $3,239,534 | CYOtherRevenueAmt |
| PY Total Revenue | $211,638,366 | PYTotalRevenueAmt |
| CY Total Revenue | $187,939,861 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,968,783 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,849,897 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $135,905,501 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $135,851,148 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $110,075,902 | PYOtherExpensesAmt |
| CY Other Expenses | $99,665,640 | CYOtherExpensesAmt |
| PY Total Expenses | $248,950,186 | PYTotalExpensesAmt |
| CY Total Expenses | $238,366,685 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$37,311,820 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$50,426,824 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $317,451,684 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,378,387 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,880,348 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $128,857,567 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $225,571,336 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $180,520,820 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SAINT FRANCIS MEMORIAL HOSPITAL ("SFMH") IS COMMITTED TO PROVIDING COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $207,520,868 | ExpenseAmt |
| Grant | $2,849,897 | GrantAmt |
| Revenue | $182,234,556 | RevenueAmt |
| Desc | SFMH'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISIONS OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL HAS 294 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 69,368; EMERGENCY VISITS OF 23,498; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 2,353.INPATIENT SERVICES: ACUTE MEDICAL SURGICAL CARE AND REHAB, INTENSIVE AND BURN CARE, ADULT PSYCH, PHARMACY, CARDIOPULMONARY, SURGERY AND TELEMETRY UNIT, GENDER AFFIRMATION SERVICES. OUTPATIENT SERVICES: EMERGENCY CARE, SPORTS MEDICINE AND OCCUPATIONAL HEALTH CLINICS, PULMONARY REHAB, OUTPATIENT BURN CARE, SPINE AND JOINT/PAIN/MS CLINIC, DIAGNOSTIC IMAGING, RADIATION ONCOLOGY, GASTROINTESTINAL SERVICES AND PHYSICAL THERAPY SERVICES, HYPERBARIC OXYGEN CLINIC. SUPPORT SERVICES: CHAPLAINCY PROGRAM, FAMILY SUPPORT SERVICES, PALLIATIVE CARE, PARKING SERVICES, NURSING EDUCATION SERVICES, HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. | Desc |
| Total Program Service Expenses | $207,520,868 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 103 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1115 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 (34 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL J MORISSETTE CPA | ||||||||||
| BOARD MEMBER (THRU 7/13/21) | 3.00 | 50.00 | Yes (X) | $0 | $4,395,351 | $563,544 | ||||
| TODD A STRUMWASSER MD | ||||||||||
| BOARD MEMBER | 3.00 | 50.00 | Yes (X) | $0 | $2,206,993 | $131,944 | ||||
| BENJIE M LOANZON | ||||||||||
| BOARD MEMBER | 3.00 | 50.00 | Yes (X) | $0 | $1,475,778 | $133,961 | ||||
| TRACEY PIERCE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 50.00 | $0 | $852,490 | $84,595 | Yes (X) | ||||
| JILL WELTON BSN MSN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 50.00 | $0 | $798,071 | $102,627 | Yes (X) | ||||
| DARYN KUMAR | ||||||||||
| PRESIDENT & CEO | 50.00 | 0.00 | Yes (X) | $0 | $595,017 | $83,417 | Yes (X) | |||
| MONICA M MAJORS | ||||||||||
| DIVISION VP MARKETING COMMUNICATIONS | 16.00 | 34.00 | $494,683 | $0 | $62,490 | Yes (X) | ||||
| YIPI YANG | ||||||||||
| REGISTERED NURSE | 50.00 | 0.00 | $411,771 | $0 | $90,567 | Yes (X) | ||||
| CHARLES THEVNIN | ||||||||||
| CFO | 25.00 | 25.00 | $383,697 | $0 | $55,672 | Yes (X) | ||||
| DEBORAH CHEW | ||||||||||
| REGISTERED NURSE | 50.00 | 0.00 | $337,870 | $0 | $98,676 | Yes (X) | ||||
| ISATOU E NJIE | ||||||||||
| STAFF NURSE II | 50.00 | 0.00 | $372,289 | $0 | $60,379 | Yes (X) | ||||
| BRADLEY GROTE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 50.00 | $0 | $373,033 | $50,539 | Yes (X) | ||||
| TODD A LEVINE MD | ||||||||||
| CMO | 50.00 | 0.00 | $358,415 | $0 | $8,623 | Yes (X) | ||||
| CHARLENE BATTAGLIA | ||||||||||
| SENIOR DIRECTOR - NURSING | 50.00 | 0.00 | $286,815 | $0 | $35,180 | Yes (X) | ||||
| BARRY R HIGHSTED | ||||||||||
| SR DIRECTOR OF NURSING OPS (THRU 2/11/22) | 50.00 | 0.00 | $286,198 | $0 | $25,449 | Yes (X) | ||||
| KECIA M KELLY | ||||||||||
| VP COO/CNO (THRU 7/2/21) | 50.00 | 0.00 | $204,281 | $0 | $40,491 | Yes (X) | ||||
| TIFFANY CASTER | ||||||||||
| COO | 50.00 | 0.00 | $195,603 | $0 | $744 | Yes (X) | ||||
| RICHARD WARD MD | ||||||||||
| BOARD MEMBER | 3.00 | 5.00 | Yes (X) | $13,033 | $0 | $0 | ||||
| CHARLES CASEY | ||||||||||
| BOARD MEMBER | 3.00 | 5.00 | Yes (X) | $0 | $7,000 | $0 | ||||
| MAN-KIT LEUNG MD | ||||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $1,805 | $0 | $0 | ||||
| N THOMAS AHLBERG MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL BATTEY | ||||||||||
| BOARD MEMBER (THRU 3/24/22) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT DEVENS | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DARRAGH FLYNN MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH KIM PHYSD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACLYN MCGOWAN MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL PENN MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| VICTOR PRIETO MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SCHRADER MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOANNE SUN MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL A TAYLOR MD | ||||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT HARVEY MD | ||||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CLEMENT JONES MD | ||||||||||
| VICE-CHAIR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KIMBERLY MACPHERSON | ||||||||||
| BOARD CHAIR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,346,460 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,703,733 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,628,898 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 426 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| SAN FRANCISCO CYBERKNIFE LLC | |||||
| 18201 VON KARMAN AVE | IRVINE | CA | 92612 | MEDICAL SERVICES | $2,530,000 |
| VITUITY HOSPITALISTS PC | |||||
| 2100 POWELL ST | EMERYVILLE | CA | 946081803 | MEDICAL/PHYSICIAN SERVICES | $1,783,500 |
| CEP AMERICA PSYCHIATRY PC | |||||
| 2100 POWELL ST | EMERYVILLE | CA | 946081803 | MEDICAL/PHYSICIAN SERVICES | $1,590,201 |
| ANESTHESIOLOGISTS MED GR OF SF | |||||
| 2001 ADDISON ST | BERKELEY | CA | 947041165 | MEDICAL SERVICES | $1,342,135 |
| MEDICAL SOLUTIONS LLC | |||||
| 1010 N 102ND ST | OMAHA | NE | 68114 | STAFFING SERVICES | $1,205,678 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $583,856 | GovernmentGrantsAmt |
| All Other Contributions | $349,745 | AllOtherContributionsAmt |
| Total Contributions | $933,601 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT NET OF CHARITY | 900099 | $153,424,205 | $153,424,205 |
| MEDICARE/MEDICAID PAYM | 900099 | $25,776,441 | $25,776,441 |
| MEDICAL OFFICE BUILDIN | 621110 | $1,880,308 | $1,880,308 |
| PHYSICIAN PROFESSIONAL | 900099 | $1,008,606 | $1,008,606 |
| RALLY FAMILY VISITATIO | 446110 | $128,966 | $128,966 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,030 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,030 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $182,234,556 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,532,170 | TotalRevenueColumnAmt |
| Exclusion | $1,532,170 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,288 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,187 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,101 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,101 | TotalRevenueColumnAmt |
| Exclusion | $36,101 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,197 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $325 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,872 | TotalRevenueColumnAmt |
| Exclusion | $7,872 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROPERTY TAX REFUNDS | 900099 | $1,305,235 | $1,305,235 |
| PARKING LOT | 812930 | $974,195 | $974,195 |
| EMPLOYEE RETENTION CRE | 900099 | $382,019 | $382,019 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $534,112 | TotalRevenueColumnAmt |
| Exclusion | $534,112 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,195,561 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,939,861 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $182,234,556 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,771,704 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,770,052 | TotalAmt |
| Program Services | $2,770,052 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,845 | TotalAmt |
| Program Services | $79,845 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,074 | TotalAmt |
| Program Services | $796,084 | ProgramServicesAmt |
| Management And General | $754,990 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,295 | TotalAmt |
| Program Services | $294,295 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,304,629 | TotalAmt |
| Program Services | $92,970,515 | ProgramServicesAmt |
| Management And General | $5,334,114 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,364,108 | TotalAmt |
| Program Services | $10,771,558 | ProgramServicesAmt |
| Management And General | $592,550 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,270,455 | TotalAmt |
| Program Services | $16,318,083 | ProgramServicesAmt |
| Management And General | $952,372 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,066,587 | TotalAmt |
| Program Services | $6,642,592 | ProgramServicesAmt |
| Management And General | $423,995 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,945 | TotalAmt |
| Management And General | $581,945 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,774 | TotalAmt |
| Management And General | $6,774 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,425 | TotalAmt |
| Management And General | $5,425 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,131,959 | TotalAmt |
| Program Services | $28,108,437 | ProgramServicesAmt |
| Management And General | $12,023,522 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,113 | TotalAmt |
| Program Services | $9,397 | ProgramServicesAmt |
| Management And General | $554,716 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,228,867 | TotalAmt |
| Program Services | $2,913,192 | ProgramServicesAmt |
| Management And General | $315,675 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,153,702 | TotalAmt |
| Program Services | $449,940 | ProgramServicesAmt |
| Management And General | $8,703,762 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,782,189 | TotalAmt |
| Program Services | $4,707,873 | ProgramServicesAmt |
| Management And General | $74,316 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,112 | TotalAmt |
| Program Services | $34,678 | ProgramServicesAmt |
| Management And General | $67,434 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,050 | TotalAmt |
| Program Services | $65,379 | ProgramServicesAmt |
| Management And General | $29,671 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,157 | TotalAmt |
| Program Services | $1,007,157 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,011,866 | TotalAmt |
| Program Services | $15,011,866 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,405,410 | TotalAmt |
| Program Services | $1,405,410 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $14,749,037 | $14,749,037 | |
| MEDI-CAL PROVIDER FEE | $6,364,879 | $6,364,879 | |
| FOOD COSTS & SUPPLIES | $1,021,608 | $792,842 | $228,766 |
| LICENSES AND TAXES | $995,567 | $924,518 | $71,049 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,980 | TotalAmt |
| Program Services | $333,239 | ProgramServicesAmt |
| Management And General | $124,741 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,366,685 | TotalAmt |
| Program Services | $207,520,868 | ProgramServicesAmt |
| Management And General | $30,845,817 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,710 | BOYAmt |
| EOY | $490 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,945 | BOYAmt |
| EOY | $142,376 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,439,063 | BOYAmt |
| EOY | $36,752,612 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,837,168 | BOYAmt |
| EOY | $6,292,420 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,929,332 | BOYAmt |
| EOY | $9,567,524 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $176,232,167 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,220,224 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,957,769 | BOYAmt |
| EOY | $133,011,943 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $987,383 | BOYAmt |
| EOY | $915,641 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,217,694 | BOYAmt |
| EOY | $112,644,193 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,901,620 | BOYAmt |
| EOY | $10,051,188 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,451,684 | BOYAmt |
| EOY | $309,378,387 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,471,763 | BOYAmt |
| EOY | $92,487,857 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,731 | BOYAmt |
| EOY | $4,731 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,403,854 | BOYAmt |
| EOY | $36,364,979 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,880,348 | BOYAmt |
| EOY | $128,857,567 | 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 | $117,134,477 | BOYAmt |
| EOY | $72,083,961 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,436,859 | BOYAmt |
| EOY | $108,436,859 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,571,336 | BOYAmt |
| EOY | $180,520,820 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,451,684 | BOYAmt |
| EOY | $309,378,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$50,426,824 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$89,921 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $130,900 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $5,335,329 | 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 | $2,184 | 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 | $4,590 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,774 | 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 SAINT FRANCIS MEMORIAL HOSPITAL ENGAGED IN LETTER-WRITING CAMPAIGNS, COSPONSORSHIP CAMPAIGNS, 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 HOSPITAL'S ADVOCACY PRIORITIES; DIVISION-EMPLOYED ADVOCACY LEADERS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. THE HOSPITAL COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR THROUGH EMAIL AND PHONE. THE ADVOCACY ACTIVITIES INVOLVED COMMUNICATIONS ON ITS ADVOCACY PRIORITIES, INCLUDING ISSUES RELATED TO ACCESS AND COVERAGE FOR ALL, HOSPITAL AND HEALTH PROVIDER REIMBURSEMENT, COVID-19 RELIEF FOR INDIVIDUALS AND HEALTH ENTITIES, AND SOCIAL JUSTICE ISSUES (E.G. ENVIRONMENTAL STEWARDSHIP, HOUSING). CENTRAL TO COMMONSPIRIT HEALTH SYSTEM'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 ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE 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: AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES $ 3 AMERICAN HOSPITAL ASSOCIATION $4,306 AMERICAN OCCUPATIONAL THERAPY ASSOCIATION $90 AMERICAN PHYSICAL THERAPY ASSOCIATION $74 ACCREDITATION COUNCIL FOR EDUCATION IN NUTRITION & DIETETICS $31 ASSOCIATION OF NUTRITION & FOODSERVICE PROFESSIONALS $1 HOSPICE & PALLIATIVE NURSES ASSOCIATION $26 340 B HEALTH $59 TOTAL $4,590 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,266,090 | BeginningYearBalanceAmt |
| End Year Balance | $53,266,090 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $45,349,214 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,916,876 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $53,266,090 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $45,901,737 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$552,523 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $45,349,214 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,326,828 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$425,091 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $45,901,737 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,582,994 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,743,834 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $46,326,828 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.71000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.29000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,552,900 | OtherCostOrOtherBasisAmt |
| Book Value | $45,552,900 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,720,104 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,453,164 | DepreciationAmt |
| Book Value | $67,266,940 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,963 | DepreciationAmt |
| Book Value | $8,711 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,350,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,749,097 | DepreciationAmt |
| Book Value | $11,601,632 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,581,760 | OtherCostOrOtherBasisAmt |
| Book Value | $8,581,760 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $133,011,943 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| UNCONSOLIDATED FOUNDATION | $108,436,859 | F |
| OWNERSHP IN HEALTH-RELATED | $4,207,334 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $112,644,193 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER NON-CURRENT LIABILITIES | $808,970 |
| DUE TO RELATED PARTIES | $33,212,146 |
| PENSION PAYABLE | $2,343,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,364,979 | 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 THE HOSPITAL'S HEALTHCARE NEEDS AND OTHER HOSPITAL PROGRAM NEEDS. |
| PART X, LINE 2: | THE ORGANIZATION 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 | 0 | ExpensesExceedBudgetInd |
| 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 | 5245 | PersonsServedCnt |
| Total Community Benefit Expns | $6,061,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,061,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13164 | PersonsServedCnt |
| Total Community Benefit Expns | $78,467,741 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,536,708 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,931,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15910 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 79 | PersonsServedCnt |
| Total Community Benefit Expns | $179,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $179,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 18488 | PersonsServedCnt |
| Total Community Benefit Expns | $84,709,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,536,728 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,172,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 22009 | PersonsServedCnt |
| Total Community Benefit Expns | $1,237,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $713,149 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $524,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 247 | PersonsServedCnt |
| Total Community Benefit Expns | $1,117,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $182,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $934,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 120 | PersonsServedCnt |
| Total Community Benefit Expns | $271,700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $271,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2048 | PersonsServedCnt |
| Total Community Benefit Expns | $232,133 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,612 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $224,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 24424 | PersonsServedCnt |
| Total Community Benefit Expns | $2,859,011 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $903,569 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,955,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 42912 | PersonsServedCnt |
| Total Community Benefit Expns | $87,568,027 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,440,297 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,127,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19340 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $11,986 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,486 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 40 | PersonsServedCnt |
| Total Community Benefit Expns | $1,153 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 41 | PersonsServedCnt |
| Total Community Benefit Expns | $13,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,948,092 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $29,387,450 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,964,861 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,577,411 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 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 | SAINT FRANCIS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 HYDE ST | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATION | WebsiteAddressTxt |
| State License | 220000069 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEMORIAL HOSPITAL | 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 | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.SFHIP.ORG/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | PRESENTATION OF HOSPITAL'S COMPLETE WEBSITE ADDRESS:WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS |
| SAINT FRANCIS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: FOR THE 2022 (TY 2021) CHNA REPORT, THE DATA SOURCES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES DATA FROM PUBLIC HEALTH DEPARTMENTS AND COMMUNITY AGENCIES; SURVEYS, FOCUS GROUPS; INTERVIEWS; REVIEW OF OTHER ASSESSMENTS; AND INPUT FROM THE HOSPITAL'S COMMUNITY. THE CHNA INCLUDED FIVE FOCUS GROUPS (LISTED BELOW). PARTICIPANTS OF THE HEALTH EQUITY/PARITY COALITIONS WERE COMPENSATED FOR THEIR TIME. AS PART OF OUR PARTNERSHIP WITH KAISER PERMANENTE, WE SHARED THE TRANSCRIPTS FROM THE FOCUS GROUPS AND KAISER SHARED THE TRANSCRIPTS FROM THEIR 15 KEY INFORMANT INTERVIEWS. WE COORDINATED INTERVIEWEES TO ENSURE WE DID NOT REACH OUT TO THE SAME GROUP TWICE. TO ANALYZE THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, KEY HEALTH NEEDS WERE TABULATED FROM THE INTERVIEWS AND AGGREGATED TO PULL OUT KEY HEALTH NEEDS AND ILLUSTRATIVE QUOTES. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING FIVE GROUPS IN THE SUMMER AND FALL OF 2021. ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION (APIHPC), RAFIKI AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION (CLI), FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANT MAKERS, ZELLERBACH FAMILY FOUNDATION), INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN.KEY INFORMANT INTERVIEWS WERE CONDUCTED AS PART OF THE KAISER CHNA, WITH PEOPLE FROM THE FOLLOWING 15 ORGANIZATIONS: BAYVIEW YMCA, COMPASS FAMILY SERVICES, GLIDE FOUNDATION, HUCKLEBERRY YOUTH PROGRAMS, KAISER PERMANENTE GREATER SAN FRANCISCO, LA CASA DE LAS MADRES, LAVENDER YOUTH RECREATION CENTER (LYRIC), MISSION ECONOMIC DEVELOPMENT AGENCY, NEMS (NORTH EAST MEDICAL SERVICES), ON LOK/30 ST. SENIOR CENTER, RAMS (RICHMOND AREA MULTI-SERVICES), SAN FRANCISCO AIDS FOUNDATION, SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO HUMAN RIGHTS COMMISSION, SAN FRANCISCO UNIFIED SCHOOL DISTRICT. |
| SAINT FRANCIS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: ST. MARY'S MEDICAL CENTER, SUTTER CPMC AND UCSF MEDICAL CENTER. |
| SAINT FRANCIS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, ASIAN PACIFIC ISLANDER HEALTH PARITY COALITION, AFRICAN AMERICAN HEALTH EQUITY COALITION, CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION |
| SAINT FRANCIS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7D: SFMH'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS EMAILED DIRECTLY TO COMMUNITY PARTNERS |
| SAINT FRANCIS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: ACCESS TO WELCOMING HEALTHCARE: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED BY BUILDING BRIDGES FOR OUR PATIENTS TO GET THE CARE THEY NEED. AS OVER 40% OF THE HOSPITAL'S PATIENTS ARE ON MEDI-CAL, FOCUSING ON THAT POPULATION ENSURES WE ARE DIRECTLY SERVING LOW-INCOME INDIVIDUALS. WE ARE FOCUSED ON TWO PATIENT POPULATIONS: SENIORS AND PERSONS WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS. BRIDGES INCLUDE CLEARER PATHWAYS TO HOUSING SOLUTIONS, FOLLOW UP CASE MANAGEMENT FROM A NON-PROFIT PROVIDER, POST-DISCHARGE SENIOR SERVICES, AND ADVOCACY FOR SUPPORT FOR THESE POPULATIONS. WORK WITH CARE PARTNERS TO SUPPORT PATIENTS' ACCESS TO MEDI-CAL'S CAL-AIM BENEFITS. PARTNERS AND PROGRAMS INCLUDE: STREET-BASED MEDICINE OUTREACH, SERIOUS ILLNESS PROGRAM FOR CHINESE SENIORS, COMMUNITY GRANTS PROGRAM, PATIENT FINANCIAL ASSISTANCE, AND DELANCEY STREET FOUNDATION. BEHAVIORAL HEALTH & SUBSTANCE USE: CONVENING WITH THE SAN FRANCISCO POLICE DEPARTMENT, SF DEPARTMENT OF PUBLIC HEALTH, AND SFFD ON CARE FOR PATIENTS UNDER 5150 HOLDS; IMPLEMENTATION OF CAL-AIM; RALLY FAMILY SERVICES; MEDICATION ASSISTED TREATMENT; SUBSTANCE USE NAVIGATOR; AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP.ECONOMIC OPPORTUNITY: THE HIGHLIGHT OF THAT WORK IS A $3 MILLION DOLLAR FLEXIBLE HOUSING SUBSIDY POOL PROGRAM TO CREATE HOSPITAL TO HOUSING REFERRAL PROCESS DURING COVID THAT WAS SIGNIFICANTLY EXPANDED BY THE CITY AND COUNTY DUE TO ITS SUCCESS. THE HOSPITAL ALSO SUPPORTS HEALTH PROFESSIONS EDUCATION TO HELP CREATE SKILLED CAREER LADDERS, AND ENGAGES WITH THE TENDERLOIN HEALTH IMPROVEMENT PARTNERSHIP. |
| SAINT FRANCIS MEMORIAL 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, PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | ALL RELATED 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-ASSESSMENTSSAINT FRANCIS MEMORIAL HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE VIEWED DIRECTLY AT HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/ABOUT-US/COMMUNITY-BENEFITS |
| SCHEDULE H, PART V, SECTION B, LINE 10A | RELATED DIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGIES ARE ALSO ON HOSPITAL FACILITY'S WEBSITE, AT THE SAME LOCATION AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE. |
| SCHEDULE H, PART V, SECTION B, LINE 16A-16C | HTTPS://WWW.DIGNITYHEALTH.ORG/BAYAREA/LOCATIONS/SAINTFRANCIS/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|---|
| 1 - GOHEALTH URGENT CARE RAPID COVID-19 TEST | |||||
| 100 INTERNATIONAL TERMINAL L3 A | SIDE | SAN FRANCISCO | CA | 94128 | COVID TESTING SITE |
| 2 - SAN FRANCISCO CYBERKNIFE LLC | |||||
| 900 HYDE STREET | SAN FRANCISCO | CA | 94109 | ONCOLOGY | |
| 3 - GOHEALTH URGENT CARE MANAGEMENT LLC | |||||
| 5555 GLENRIDE CONNECTOR STE 700 | ATLANTA | GA | 30342 | CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: - THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 13H, 3RD PARAGRAPH. - THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: - RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; - HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR - PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.THE FOLLOWING REQUIREMENTS FOR ADDITIONAL HARDSHIP DISCOUNTS IS AN ADDENDUM OF THE FINANCIAL ASSISTANCE POLICY THAT APPLY TO PATIENTS RECEIVING SERVICES AT A COMMONSPIRIT HOSPITAL ORGANIZATION IN THE STATE OF CALIFORNIA ONLY.A PATIENT WHO RECEIVES DISCOUNTED CARE, BUT (1) WHOSE LIABILITY STILL EXCEEDS 30% OF THE SUM OF (A) HIS OR HER FAMILY INCOME, AND (B) HIS OR HER MONETARY ASSETS, AND (2) WHO DOES NOT HAVE THE ABILITY TO PAY HIS OR HER BILL, AS DETERMINED BY A REVIEW OF FACTORS SUCH AS PROJECTED FAMILY INCOME FOR THE COMING YEAR AND EXISTING OR ANTICIPATED HEALTH CARE LIABILITIES MAY BE GIVEN AN ADDITIONAL HARDSHIP DISCOUNT. FOR PURPOSES OF THE DETERMINATION OF THIS HARDSHIP DISCOUNT, THE COMMONSPIRIT HOSPITAL ORGANIZATION WILL NOT CONSIDER ASSETS IN RETIREMENT PLANS QUALIFIED UNDER THE INTERNAL REVENUE CODE IN EFFECT AT THE TIME OF THE DETERMINATION OR DEFERRED COMPENSATION PLANS.IF THE PATIENT MEETS ALL ELIGIBILITY CRITERIA, THE PATIENT WILL RECEIVE A HARDSHIP DISCOUNT, WHICH WILL REDUCE THE PATIENT'S REMAINING LIABILITY TO NO MORE THAN 30% OF THE SUM OF HIS OR HER (1) PATIENT FAMILY INCOME, AND (2) MONETARY ASSETS.A PATIENT MAY ALSO RECEIVE DISCOUNTS OR WAIVERS UNDER THIS ADDENDUM IF CONSIDERED HOMELESS OR TRANSIENT OR IF THEY PARTICIPATE IN A FEDERAL, STATE, OR LOCAL MANAGED INDIGENT CARE PROGRAM. |
| PART I, LINE 7: | FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SAINT FRANCIS MEMORIAL HOSPTIAL (SFMH) USES A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2, 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.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. SFMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $6.4 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $11.8 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET INCREASE IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $56,024 IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SFMH'S EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES EXTEND BEYOND PROVIDING HEALTH CARE SERVICES. SFMH TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL, ECONOMIC AND ENVIRONMENTAL BARRIERS TO GOOD HEALTH, AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. SFMH SERVES AS MEMBERS OF COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF SAN FRANCISCO AND THE TENDERLOIN NEIGHBORHOOD.COALITION BUILDING - UNDER COALITION BUILDING IS THE SAN FRANCISCO HEP B FREE, WHICH IS A CITYWIDE CAMPAIGN, CREATED TO EDUCATE, TEST, VACCINATE AND TREAT SAN FRANCISCO ASIAN AND PACIFIC ISLANDER (API) RESIDENTS OF HEPATITIS B (HBV). SFMH ALONG WITH OTHER COMMUNITY ORGANIZATIONS, HOSPITAL AND THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH ARE COLLABORATING TO PROVIDE CONVENIENT, FREE OR LOW-COST TESTING OPPORTUNITIES AT STREET FAIRS AND CLINICS.WORKFORCE DEVELOPMENT - SFMH HAS PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS HEALTH CARE WORKFORCE SHORTAGES, OFFERING HEALTH CAREER MENTORING PROJECTS AND PROVIDING SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. |
| PART III, LINE 2: | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE SCHEDULE H, PART I, LINE 7) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT.AS NOTED IN PART I, LINE 3, SFMH PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. SFMH ALSO PROVIDES PATIENTS OPTIONS FOR UNINSURED PATIENT DISCOUNT AND SELF-PAY DISCOUNTS. IN CALIFORNIA, PATIENTS WHO ARE UNINSURED OR WITH HIGH MEDICAL COSTS ARE ELIGIBLE TO RECEIVE DISCOUNTED CARE IN ADDITION TO AN INTEREST-FREE EXTENDED PAYMENT PLAN THAT WILL ALLOW PAYMENT OF THE DISCOUNTED AMOUNT OVER TIME. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. |
| PART III, LINE 3: | THE DIGNITY HEALTH FINANCIAL ASSISTANCE POLICY WAS UPDATED AND RENAMED AS COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. SFMH FOLLOWS THIS POLICY.THE FILING ORGANIZATION MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. COMMONSPIRIT HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED 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, SFMH 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, 2022, 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 12-13.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 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. SFMH'S SHORTFALL INCLUDES $14.6 MILLION REPORTED ON PART III, SECTION B, LINE 7. |
| PART III, LINE 9B: | SFMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. SFMH FOLLOWS COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF SFMH 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 PATIENT FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, SFMH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, SFMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES HEALTH NEEDS BY FREQUENTLY CONNECTING WITH CLINICAL STAFF IN THE HOSPITAL AND COMMUNITY TO DETERMINE HOW NEEDS ARE BEST MET. ADDITIONALLY, THE HOSPITAL TRACKS HOW THE CARE LANDSCAPE CHANGES, AS FUNDING, STAFFING, AND AVAILABILITY OF SERVICES CHANGES THE HEALTH NEEDS THAT ARE MOST PREVALENT. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR 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 SFMH 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 THE HOSPITAL 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: | SFMH SERVES SAN FRANCISCO AND THE GREATER BAY AREA, BUT A LARGE PORTION OF ITS PATIENT POPULATION COMES FROM THE TENDERLOIN, POLK, CIVIC CENTER AND NOB HILL AREAS. THE HOSPITAL SERVES A LARGE POPULATION EXPERIENCING HOMELESS, MENTAL HEALTH AND SUBSTANCE USE CHALLENGES. THE HOSPITAL SEES THE LARGEST NUMBER OF AMBULANCE TRANSPORTS FOR BEHAVIORAL HEALTH ISSUES IN THE CITY.TOTAL POPULATION: 831,456ASIAN/PACIFIC ISLANDER: 34.6%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 5.6%HISPANIC OR LATINO: 16.1%WHITE NON-HISPANIC: 38.1%ALL OTHERS: 5.6%% BELOW POVERTY: 5.1%UNEMPLOYMENT: 3.7%NO HIGH SCHOOL DIPLOMA: 11.4%MEDICAID: 18.5%UNINSURED: 4.0%OTHER AREA HOSPITALS: 8 |
| 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 SFMH ALSO 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 18 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 AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES SFMH, FOR THE YEAR ENDED JUNE 30, 2022, IS $3.2 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 44. |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| DIGNITY HEALTH MEDICAL FOUNDATION | ||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 680220314 | 501(C)(3) | $2,693,086 | $0 | N/A | N/A | MEDICAL FND SUPPORT |
| CALIFORNIA HEALTH FOUNDATION AND TRUST | ||||||||||
| 1215 K ST STE 800 | SACRAMENTO | CA | 95814 | 941498697 | 501(C)(3) | $56,024 | $0 | N/A | N/A | COMMUNITY HEALTH |
| GLIDE FOUNDATION | ||||||||||
| ONE FERRY BLDG STE 200 | SAN FRANCISCO | CA | 941110000 | 941156481 | 501(C)(3) | $5,986 | $0 | N/A | N/A | COMMUNITY HEALTH |
| ST JAMES INFIRMARY | ||||||||||
| 730 POLK ST 4TH FL | SAN FRANCISCO | CA | 94109 | 943330568 | 501(C)(3) | $6,088 | $0 | N/A | N/A | COMMUNITY HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| TRANSPORTATION | 105 | $1,634 | $0 | ||
| PROVISION OF FOOD/MEALS | 20475 | $0 | $78,211 | FMV | MEALS/FOOD |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AS A 501(C)(3) ORGANIZATION, WE PROVIDE ASSISTANCE TO VARIOUS CHARITABLE ORGANIZATIONS TO PROMOTE COMMONSPIRIT'S MISSION. A DESIGNATED COMMITTEE ESTABLISHES AND EVALUATES PRIORITIES AND ALLOCATION OF FUNDS WITH EMPHASIS ON PROMOTION OF HEALTHY COMMUNITIES AND COMMUNITY COLLABORATION. WE DO NOT MONITOR AND REPORT PROGRAM OUTCOMES. SPENDING IS TRACKED ON AN ONGOING BASIS TO ENSURE THAT ANNUAL SPENDING IS WITHIN THE BUDGETED AMOUNT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL J MORISSETTE CPA | ||||||||||||||
| BOARD MEMBER (THRU 7/13/21) | $0 | $1,406,997 | $0 | $2,977,013 | $0 | $11,341 | $0 | $517,062 | $0 | $46,482 | $0 | $4,958,895 | $0 | $0 |
| TODD A STRUMWASSER MD | ||||||||||||||
| BOARD MEMBER | $0 | $898,479 | $0 | $1,285,887 | $0 | $22,627 | $0 | $74,490 | $0 | $57,454 | $0 | $2,338,937 | $0 | $0 |
| BENJIE M LOANZON | ||||||||||||||
| BOARD MEMBER | $0 | $648,147 | $0 | $819,000 | $0 | $8,631 | $0 | $69,861 | $0 | $64,100 | $0 | $1,609,739 | $0 | $0 |
| TRACEY PIERCE | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $374,238 | $0 | $472,500 | $0 | $5,752 | $0 | $58,680 | $0 | $25,915 | $0 | $937,085 | $0 | $0 |
| JILL WELTON BSN MSN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $417,915 | $0 | $373,647 | $0 | $6,509 | $0 | $61,734 | $0 | $40,893 | $0 | $900,698 | $0 | $0 |
| DARYN KUMAR | ||||||||||||||
| PRESIDENT & CEO | $0 | $500,236 | $0 | $86,441 | $0 | $8,340 | $0 | $32,557 | $0 | $50,860 | $0 | $678,434 | $0 | $0 |
| MONICA M MAJORS | ||||||||||||||
| DIVISION VP MARKETING COMMUNICATIONS | $347,414 | $0 | $146,493 | $0 | $776 | $0 | $23,913 | $0 | $38,577 | $0 | $557,173 | $0 | $0 | $0 |
| YIPI YANG | ||||||||||||||
| REGISTERED NURSE | $409,445 | $0 | $2,000 | $0 | $326 | $0 | $74,758 | $0 | $15,809 | $0 | $502,338 | $0 | $0 | $0 |
| CHARLES THEVNIN | ||||||||||||||
| CFO | $334,881 | $0 | $34,338 | $0 | $14,478 | $0 | $27,837 | $0 | $27,835 | $0 | $439,369 | $0 | $0 | $0 |
| DEBORAH CHEW | ||||||||||||||
| REGISTERED NURSE | $335,118 | $0 | $2,000 | $0 | $752 | $0 | $58,568 | $0 | $40,108 | $0 | $436,546 | $0 | $0 | $0 |
| ISATOU E NJIE | ||||||||||||||
| STAFF NURSE II | $370,289 | $0 | $2,000 | $0 | $0 | $0 | $41,841 | $0 | $18,538 | $0 | $432,668 | $0 | $0 | $0 |
| BRADLEY GROTE | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $291,223 | $0 | $76,908 | $0 | $4,902 | $0 | $30,904 | $0 | $19,635 | $0 | $423,572 | $0 | $0 |
| TODD A LEVINE MD | ||||||||||||||
| CMO | $317,231 | $0 | $40,000 | $0 | $1,184 | $0 | $0 | $0 | $8,623 | $0 | $367,038 | $0 | $0 | $0 |
| CHARLENE BATTAGLIA | ||||||||||||||
| SENIOR DIRECTOR - NURSING | $247,115 | $0 | $31,958 | $0 | $7,742 | $0 | $31,086 | $0 | $4,094 | $0 | $321,995 | $0 | $0 | $0 |
| BARRY R HIGHSTED | ||||||||||||||
| SR DIRECTOR OF NURSING OPS (THRU 2/1 | $248,744 | $0 | $0 | $0 | $37,454 | $0 | $0 | $0 | $25,449 | $0 | $311,647 | $0 | $0 | $0 |
| KECIA M KELLY | ||||||||||||||
| VP COO/CNO (THRU 7/2/21) | $202,768 | $0 | $0 | $0 | $1,513 | $0 | $18,066 | $0 | $22,426 | $0 | $244,773 | $0 | $0 | $0 |
| TIFFANY CASTER | ||||||||||||||
| COO | $145,023 | $0 | $20,000 | $0 | $30,580 | $0 | $0 | $0 | $744 | $0 | $196,347 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, SFMH 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 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN LISTED PERSONS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO PAYMENTS WERE MADE PURSUANT TO THE PLAN ARRANGEMENTS OCCURRED DURING 2021. |
| PART I, LINE 4B | CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2021. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). |
| SCHEDULE J, PART III - SUPPLEMENTAL DISCLOSURES | THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE THE ORGANIZATION 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 THE ORGANIZATION SERVES, PROMOTING EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE COMPENSATION AND BENEFITS 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 2021. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CLEMENT JONES MD | |||
| CLEMENT JONES, MD (PROF CORP) | $91,281 | LEASE PAYMENTS PAID TO SFMH | 0 |
| RICHARD WARD MD | |||
| RICHARD WARD, MD - BM | $97,153 | LEASE PAYMENTS PAID TO SFMH | 0 |
| CLEMENT JONES MD | |||
| CLEMENT JONES, MD (PROF CORP) | $10,423 | MEDICAL SERVICES | 0 |
| VICTOR PRIETO MD | |||
| VICTOR PRIETOR, MD - BM (PROF CORP) | $115,850 | MEDICAL SERVICES | 0 |
| JUSTIN MCGOWAN | |||
| FAMILY MEMBER OF JACLYN MCGOWAN (BM) | $135,286 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE COMMONSPIRIT HEALTH 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 FORM 990 WAS REVIEWED BY FINANCE AND ACCOUNTING (REGIONAL DIGNITY HEALTH MANAGEMENT AND COMMONSPIRIT'S TAX DEPARTMENT), WHICH WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE. MANAGEMENT PROVIDED THE DRAFT OF THE FORM 990 TO THE FINANCE COMMITTEE BEFORE FILING THE RETURN WITH THE IRS FOR DISCUSSION AT THE COMMITTEE MEETING. THE DRAFT WAS COMPLETE EXCEPT IT EXCLUDED COMPENSATION INFORMATION. SUBSEQUENT TO ITS REVIEW, THE FINANCE COMMITTEE REPORTED BACK TO THE BOARD REGARDING ITS REVIEW AND PROVIDED A DRAFT TO THE BOARD OF TRUSTEES, AGAIN EXCLUDING COMPENSATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. |
| FORM 990, PART VI, SECTION B, LINE 15 | FORM 990, PART VI, SECTION B, LINE 15A ALTHOUGH THE PRESIDENT IS COMPENSATED BY DIGNITY HEALTH, FOR 2021 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 OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). 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 FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION B, LINE 15B FOR 2021, THE PARENT ORGANIZATION'S HUMAN RESOURCES DEPARTMENT CONDUCTED AN ANNUAL REVIEW AND ANALYSIS TO PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGE OF KEY EXECUTIVES. THE COMPENSATION FOR THESE INDIVIDUALS WAS BASED ON THE QUALIFICATION AND EXPERIENCE OF THE CANDIDATES. COMPENSATION IS ALSO REVIEWED ANNUALLY AS PART OF THE MERIT INCREASE PROCESS. |
| 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 | PRESENTATION OF ADDITIONAL INFORMATION OF CERTAIN INDIVIDUAL LISTED IN PART VII, SECTION A: (15) BARRY R HIGHSTED SR DIRECTOR OF NURSING OPS (THRU 2/11/22) B. LOANZON, D. MORISSETTE, T. STRUMWASSER, MD, D. KUMAR, T. PIERCE AND J. WELTON RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. B. GROTE RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. 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. C. CASEY IS A BOARD COMMITTEE MEMBER TO A RELATED ORGANIZATION, DIGNITY COMMUNITY CARE. C. CASEY RECEIVED COMPENSATION FROM THE RELATED ORGANIZATION, COMMONSPIRIT, FOR SERVING AS BOARD COMMITTEE MEMBER. |
| FORM 990, PART IX, LINE 11G | REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 4,903,867. MANAGEMENT AND GENERAL EXPENSES 77,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,981,023. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 14,720,387. MANAGEMENT AND GENERAL EXPENSES 152,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,872,592. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 3,789,235. MANAGEMENT AND GENERAL EXPENSES 5,267,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,056,785. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 2,188,047. MANAGEMENT AND GENERAL EXPENSES 3,041,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,229,728. PROFESSIONAL CONSULTING & OTHER SERVICES: PROGRAM SERVICE EXPENSES 459,168. MANAGEMENT AND GENERAL EXPENSES 638,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,097,473. PARKING AND SECURITY: PROGRAM SERVICE EXPENSES 800,834. MANAGEMENT AND GENERAL EXPENSES 1,113,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,914,101. STORAGE/SHRED/JANITORIAL: PROGRAM SERVICE EXPENSES 421,361. MANAGEMENT AND GENERAL EXPENSES 585,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,007,110. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 173,502. MANAGEMENT AND GENERAL EXPENSES 241,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 414,693. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 652,036. MANAGEMENT AND GENERAL EXPENSES 906,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,558,454. |
| FORM 990, PART XI, LINE 9: | GAIN ON ADOPTION OF ASU 2017-17 4,565,884. CHANGE IN EQUITY INTEREST IN JOINT VENTURES 769,445. |
| 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 - FINANCIAL STATEMENTS AND REPORTING | THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2021 TO JUNE 30, 2022. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (214 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HOSPITAL | NE | 501(C)(3) | LINE 3 | ACH | 0 | |||||||
| ALEGENT CREIGHTON HEALTH | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM | |||||||||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH-COMM MEM HOSPITAL OF MO VALLEY IA | |||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH-IMMANUEL MEDICAL CENTER | |||||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH-MEMORIAL HOSPITAL SCHUYLER | |||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALEGENT HEALTH-MERCY HOSPITAL CORNING IOWA | |||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| ALVERNA APARTMENTS | |||||||||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| APPLETREE COURT | |||||||||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | SFH | 0 | |||||||
| ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION | |||||||||||||||||
| 345 S HALCYON RD | ARROYO GRANDE | CA | 93420 | 203256066 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| BAKERSFIELD MEMORIAL HOSPITAL | |||||||||||||||||
| 420 34TH STREET | BAKERSFIELD | CA | 93301 | 951802779 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| BARROW FOUNDATION UK | |||||||||||||||||
| 311724184 | FUNDRAISING FOUNDATION | 501(C)(3) | LINE 12D, III-O | 0 | 13 CHURCH STREET | NUNNEY | ENGLAND | UK | BA11 4LW | UK | N/A | ||||||
| BARROW NEUROLOGICAL FOUNDATION | |||||||||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 860174371 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 7 | DIGNITY HEALTH | 0 | |||||||
| BAYLOR ST LUKE'S HEALTH VENTURES | |||||||||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| BAYLOR ST LUKE'S MEDICAL GROUP | |||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | BSLHV | 0 | |||||||
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | INACTIVE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| BRAZOSPORT HEALTH FOUNDATION INC | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | TCHB | 0 | |||||||
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | TCHB | 0 | |||||||
| BURLESON ST JOSEPH HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| BURLESON ST JOSEPH MANOR | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | REHABILITATION | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1401 SOUTH GRAND AVENUE | LOS ANGELES | CA | 90015 | 954000909 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| CARRINGTON HEALTH CENTER | |||||||||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES - COLORADO | |||||||||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840405257 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||||||||
| 9100 EAST MINERAL AVE | CENTENNIAL | CO | 80112 | 840902211 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | |||||||||||||||||
| 1150 KELLY JOHNSON BLVD 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | TELEHEALTH | CO | 501(C)(3) | LINE 12A, I | CHI NS | 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 | |||||||||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | INACTIVE | KS | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | CSH | 0 | |||||||
| CHI HEALTH FOUNDATION | |||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | ACH | 0 | |||||||
| CHI KENTUCKY INC | |||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | INVESTMENTS | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI LIVING COMMUNITIES | |||||||||||||||||
| 930 S WYNN ROAD | OREGON | OH | 43616 | 341892096 | SENIOR LIVING | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |||||||
| CHI MEMORIAL HOSPITAL - GEORGIA | |||||||||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HOSPITAL | GA | 501(C)(3) | LINE 3 | MHCS | 0 | |||||||
| CHI NATIONAL HOME CARE | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HOME HEALTH | CO | 501(C)(3) | LINE 10 | CHI NS | 0 | |||||||
| CHI NATIONAL SERVICES | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HOLDING CO | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI NEBRASKA | |||||||||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68510 | 363233121 | HOLDING CO | NE | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST JOSEPH CHILDREN'S HEALTH | |||||||||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST JOSEPH'S CHILDREN | |||||||||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| CHI ST VINCENT HOSPITAL HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CHI-SVHS | 0 | |||||||
| CHI ST VINCENT HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(C)(3) | LINE 12A, I | SVIMC | 0 | |||||||
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | |||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIANS | AR | 501(C)(3) | LINE 3 | CHI-SVHS | 0 | |||||||
| COMMONSPIRIT HEALTH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| COMMONSPIRIT HEALTH FOUNDATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 853374038 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CSH | 0 | |||||||
| COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 850919176 | OPERATING INVESTMENTS | DE | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| COMMONSPIRIT HEALTH RESEARCH INSTITUTE | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | RESEARCH | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| COMMUNITY HOSPITAL OF SAN BERNARDINO | |||||||||||||||||
| 1805 MEDICAL CENTER DRIVE | SAN BERNARDINO | CA | 92411 | 951643373 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | HOLDING CO | OH | 501(C)(2) | GSH | 0 | ||||||||
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION | |||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AH-CMHMV | 0 | |||||||
| CONTINUING CARE HOSPITAL | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611400619 | HOSPITAL | KY | 501(C)(3) | LINE 3 | SJHS | 0 | |||||||
| DIGNITY COMMUNITY CARE | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 815009488 | HOSPITAL | CO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| DIGNITY HEALTH | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 941196203 | HOSPITAL | CA | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| DIGNITY HEALTH CONNECTED LIVING | |||||||||||||||||
| 200 MERCY OAKS DRIVE | REDDING | CA | 96003 | 237115371 | SENIOR CENTER SERVICES | CA | 501(C)(3) | LINE 7 | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION | |||||||||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 462037641 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION - INLAND EMPIRE | |||||||||||||||||
| 2101 N WATERMAN AVENUE | SAN BERNARDINO | CA | 92404 | 237440086 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH FOUNDATION EAST VALLEY | |||||||||||||||||
| 475 SOUTH DOBSON ROAD | CHANDLER | AZ | 85224 | 742418514 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DIGNITY HEALTH MEDICAL FOUNDATION | |||||||||||||||||
| 3400 DATA DRIVE | RANCHO CORDOVA | CA | 95670 | 680220314 | MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| DOMINICAN HEALTH SERVICES | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770056778 | COMMUNITY HEALTH SYSTEM | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN HOSPITAL FOUNDATION | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 942450442 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| DOMINICAN OAKS CORPORATION | |||||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770127719 | OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS | CA | 501(C)(3) | LINE 10 | DOMINICAN HEALTH SERVICES | 0 | |||||||
| EAST TEXAS CLINICAL SERVICES | |||||||||||||||||
| 101 VISION PARK SUITE 100 | SHENANDOAH | TX | 77384 | 454736213 | HEALTHCARE | TX | 501(C)(3) | LINE 12A, I | SLHS | 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 | |||||||||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |||||||
| HEALTHCARE AND WELLNESS FOUNDATION | |||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | LINE 12A, I | SFMC-MN | 0 | |||||||
| HOUSE OF MERCY | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | ASSISTED LIVING | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |||||||
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029768 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |||||||
| KENTUCKYONE HEALTH MEDICAL GROUP INC | |||||||||||||||||
| 100 E LIBERTY ST STE 800 | LOUISVILLE | KY | 40202 | 611352729 | PHYSICIANS | KY | 501(C)(3) | LINE 10 | JHSMH | 0 | |||||||
| KENTUCKYONE HEALTH INC | |||||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029769 | HEALTHCARE | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |||||||
| LAKEWOOD HEALTH CENTER | |||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | |||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | LHC | 0 | |||||||
| LEGACY FOUNDATION OF KENTUCKIANA INC | |||||||||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | KOH | 0 | |||||||
| LISBON AREA HEALTH SERVICES | |||||||||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| LUFKIN VISION ACQUISITIONS | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| MADISON ST JOSEPH HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| MADONNA MANOR INC | |||||||||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | ASSISTED LIVING | KY | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| MARIAN REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 953818027 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MARK TWAIN MEDICAL CENTER | |||||||||||||||||
| 768 MOUNTAIN RANCH ROAD | SAN ANDREAS | CA | 95249 | 680127677 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | |||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING FOUNDATION | TN | 501(C)(3) | LINE 7 | MHCS | 0 | |||||||
| MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HOSPITAL | TN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | |||||||||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(C)(3) | LINE 10 | MHCS | 0 | |||||||
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| MEMORIAL MEDICAL CENTER-LIVINGSTON | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| MEMORIAL MEDICAL CENTER-SAN AUGUSTINE | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| MEMORIAL MULTISPECIALTY ASSOCIATES | |||||||||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 75904 | 752721155 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| MEMORIAL SPECIALTY HOSPITAL | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752492741 | INACTIVE | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |||||||
| MERCY AUXILIARY OF CENTRAL IOWA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MF-DM IA | 0 | |||||||
| MERCY CLINICS INC | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(C)(3) | LINE 10 | CHI-IA CORP | 0 | |||||||
| MERCY COLLEGE OF HEALTH SCIENCES | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | LINE 2 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION BAKERSFIELD | |||||||||||||||||
| PO BOX 119 | BAKERSFIELD | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY FOUNDATION NORTH | |||||||||||||||||
| 2625 EDITH AVENUE SUITE E | REDDING | CA | 96001 | 943136799 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| MERCY FOUNDATION OF DES MOINES IA | |||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |||||||
| MERCY FOUNDATION INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 7 | MMC - ROSEBURG | 0 | |||||||
| MERCY FOUNDATION SACRAMENTO | |||||||||||||||||
| 3400 DATA DRIVE 3RD FLR | RANCHO CORDOVA | CA | 95670 | 237072762 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 0 | N/A | |||||||
| MERCY HEALTH CARE FOUNDATION | |||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHMH-CORNING | 0 | |||||||
| MERCY HEALTHCARE FOUNDATION | |||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MHVC | 0 | |||||||
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | |||||||||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 12A, I | AHBMHS | 0 | |||||||
| MERCY HOSPITAL OF DEVILS LAKE | |||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | |||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | MHDL | 0 | |||||||
| MERCY HOSPITAL OF VALLEY CITY | |||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MCMAHON TERRACE | |||||||||||||||||
| 3865 J STREET | SACRAMENTO | CA | 95816 | 680117340 | SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES | CA | 501(C)(3) | LINE 10 | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER | |||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MEDICAL CENTER - CENTERVILLE | |||||||||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | |||||||||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50314 | 421470935 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |||||||
| MERCY MEDICAL CENTER MERCED FOUNDATION | |||||||||||||||||
| 301 E 13TH STREET | MERCED | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| MERCY MEDICAL CENTER INC | |||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| MERCY MEDICAL FOUNDATION | |||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | MMC WILLISTON | 0 | |||||||
| NEBRASKA HEART HOSPITAL | |||||||||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HOSPITAL | NE | 501(C)(3) | LINE 3 | CHI NEBRASKA | 0 | |||||||
| NORTHLAND HEALTHCARE ALLIANCE | |||||||||||||||||
| 2223 EAST ROSSER AVENUE | BISMARCK | ND | 58501 | 911845296 | MANAGEMENT | ND | 501(C)(3) | LINE 7 | SAMC | 0 | |||||||
| NORTHRIDGE HOSPITAL FOUNDATION | |||||||||||||||||
| 18300 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 237444901 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY COMMUNITY CARE | 0 | |||||||
| OAKES COMMUNITY HOSPITAL | |||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| OAKES COMMUNITY HOSPITAL FOUNDATION | |||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | OCH | 0 | |||||||
| PACIFIC CENTRAL COAST HEALTH CENTERS | |||||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770447575 | CLINIC | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| PINEYWOODS MEDICAL DEVELOPMENT CORP | |||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |||||||
| 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 JOSEPH BEREA HOSPITAL FOUNDATION INC | |||||||||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH HEALTH SYSTEM INC | |||||||||||||||||
| ONE ST JOSEPHS DRIVE | LEXINGTON | KY | 40504 | 611334601 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |||||||
| SAINT JOSEPH HOSPITAL FOUNDATION INC | |||||||||||||||||
| 701 BOB OLINK DR 200 | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | SJHS | 0 | |||||||
| SAINT JOSEPH LONDON FOUNDATION INC | |||||||||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | |||||||||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 7 | SJHS | 0 | |||||||
| SAINT JOSEPH'S HOSPITAL FOUNDATION | |||||||||||||||||
| 2500 FAIRWAY STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 12A, I | SJHHC | 0 | |||||||
| SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION | |||||||||||||||||
| 438 WEST LAS TUNAS DRIVE | SAN GABRIEL | CA | 91776 | 953430341 | INACTIVE | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 0 | |||||||
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 12A, I | AHMHS | 0 | |||||||
| SEQUOIA HOSPITAL FOUNDATION | |||||||||||||||||
| 170 ALAMEDA DE LAS PULGAS | REDWOOD CITY | CA | 94062 | 942909990 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | N/A | |||||||
| SIERRA NEVADA MEMORIAL-MINERS HOSPITAL | |||||||||||||||||
| 155 GLASSON WAY | GRASS VALLEY | CA | 95945 | 941439787 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DIGNITY COMMUNITY CARE | 0 | |||||||
| SJRMC JOPLIN MISSOURI | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | INACTIVE | MO | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST FRANCIS FOUNDATION OF SANTA BARBARA | |||||||||||||||||
| 2323 DE LA VINA ST SUITE 104 | SANTA BARBARA | CA | 93105 | 237137119 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DIGNITY HEALTH | 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 FOUNDATION OF BRYAN TEXAS | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | SJSC | 0 | |||||||
| ST JOSEPH MANOR | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | LTERM CARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| ST JOSEPH MEDICAL CENTER INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 520591461 | INACTIVE | MD | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST JOSEPH PHYSICIAN ASSOCIATES | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| ST JOSEPH PHYSICIAN ENTERPRISE INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521311775 | INACTIVE | MD | 501(C)(3) | LINE 12A, I | SJMC | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH CENTER | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |||||||
| ST JOSEPH SERVICES CORPORATION | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |||||||
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||||||||
| 2500 FAIRWAY ST | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |||||||
| ST LEONARD | |||||||||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S COMMUNITY HEALTH SERVICES | |||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLH-CO | 0 | |||||||
| ST LUKE'S FOUNDATION | |||||||||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 7 | SLHS | 0 | |||||||
| ST LUKE'S HEALTH CLINICAL OPERATIONS | |||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 0 | |||||||
| ST LUKE'S HEALTH SYSTEM CORP | |||||||||||||||||
| 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 | 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 (ACN LLC) | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85013 | 454494682 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | DIAGNOSTIC SERVICES | CA | N/A | N/A | 0 | 0 | ||||
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | ||||||||||||||
| 3100 MAIN STE 566 | HOUSTON | TX | 77002 | 472079184 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7500 MERCY RD STE 4300 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 2501 CITICO AVENUE | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | N/A | N/A | 0 | 0 | ||||
| BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | 709 WING ON PLAZA 62 MODY ROAD TS | HONG KONG | CH | CH | ||||||
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | N/A | N/A | 0 | 0 | ||||
| CBCC OUTSMARTING CANCER LLC | ||||||||||||||
| 6501 TRUXTUN AVENUE | BAKERSFIELD | CA | 93309 | 461602286 | RADIATION / ONCOLOGY | CA | N/A | N/A | 0 | 0 | ||||
| CENTRAL NEBRASKA REHABILITATION SVCS LLC | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | N/A | N/A | 0 | 0 | ||||
| CENTURA SUMMIT ORTHOPEDICS LLC | ||||||||||||||
| 68 SCHOOL RD | FRISCO | CO | 80443 | 871308304 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||
| CHICAMSURG SURGERY CENTERS LLC | ||||||||||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | 465683027 | SURGERY CENTER | CO | N/A | N/A | 0 | 0 | ||||
| COLORADO SPRINGS CK LEASING LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD 300 | LOVELAND | OH | 45150 | 311746556 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| DE JV LLC | ||||||||||||||
| 8686 NEW TRAILS DRIVE | THE WOODLANDS | TX | 77381 | 320496548 | EMERGENCY CARE | NV | N/A | N/A | 0 | 0 | ||||
| DHHP SURGERY CENTERS LLC | ||||||||||||||
| 1513 S GRAND AVENUE STE 350 | LOS ANGELES | CA | 90015 | 831847466 | SURGERY | DE | N/A | N/A | 0 | 0 | ||||
| DHRT HOLDINGS LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 352484591 | HOLDING COMPANY | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC | ||||||||||||||
| 5555 GLENRIDGE CONNECTOR SUITE 700 | ATLANTA | GA | 30342 | 352548698 | MANAGEMENT SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH AT HOME LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH SPECIALTY PHARMACY LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 320589462 | SPECIALTY PHARMACY SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HOME RECOVERY CARE LLC | ||||||||||||||
| 49 MUSIC SQUARE WEST SUITE 401 | NASHVILLE | TN | 37203 | 832832522 | HOME RECOVERY PROGRAM | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202999237 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP NORCAL SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202468509 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 134248908 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 352584991 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITY-ABRAZO HEALTH NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 465477985 | MANAGEMENT SERVICES | AZ | N/A | N/A | 0 | 0 | ||||
| DOMINICAN MAGNETIC RESONANCE IMAGING CENTER | ||||||||||||||
| 1545 SOQUEL DRIVE | SANTA CRUZ | CA | 94065 | 770095477 | IMAGING CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ECCS ACQUISITION COMPANY LLC | ||||||||||||||
| 2940 NORTH CIRCLE DRIVE | COLORADO SPRINGS | CO | 80909 | 352656413 | AMBUL SURG CTR | CO | N/A | N/A | 0 | 0 | ||||
| ENDOSCOPY CENTER OF ARKANSAS | ||||||||||||||
| 1024 NORTH UNIVERSITY AVE | LITTLE ROCK | AR | 72207 | 201337002 | DIAGNOSTIC SERVICES | AR | N/A | N/A | 0 | 0 | ||||
| FOLSOM SIERRA ENDOSCOPY CENTER LP | ||||||||||||||
| 1671 CREEKSIDE DRIVE SUITE 100 | FOLSOM | CA | 95630 | 680482416 | ENDOSCOPY | CA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC | ||||||||||||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | 463494108 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN SPECIALTY CARE LLC | ||||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 813725123 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| GOLDEN RIDGE SURGERY CENTER LLC | ||||||||||||||
| 660 GOLDEN RIDGE RD 100 | GOLDEN | CO | 80401 | 841498087 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||
| GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD 300 | LOVELAND | OH | 45150 | 201792869 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| HC SL VINTAGE I LLC | ||||||||||||||
| 1400 N WATER ST STE 500 | MILWAUKEE | WI | 53202 | 270453767 | PROPERTY HOLDING | WI | N/A | N/A | 0 | 0 | ||||
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | N/A | N/A | 0 | 0 | ||||
| HEARTLAND ONCOLOGY LLC | ||||||||||||||
| 2337 E CRAWFORD ST | SALINA | KS | 67402 | 464265403 | ONCOLOGY | KS | N/A | N/A | 0 | 0 | ||||
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17030 LAKESIDE HILLS PLAZA STE 110 | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | N/A | N/A | 0 | 0 | ||||
| LEXINGTON MBO PARTNERS LTD | ||||||||||||||
| 5050 SOUTH SYRACUSE ST STE 800 | DENVER | CO | 80237 | 651132855 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| LINCOLN CK LEASING LLC | ||||||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 262496856 | REAL ESTATE | NE | N/A | N/A | 0 | 0 | ||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC | ||||||||||||||
| 2740 M STREET | MERCED | CA | 95340 | 943358445 | MANAGEMENT OF CANCER CENTER | CA | N/A | N/A | 0 | 0 | ||||
| MERCY REHABILITATION HOSPITAL LLC | ||||||||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 814437201 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| MILITARY ROAD PROPERTIES LLC | ||||||||||||||
| 18229 TERRACE COURT SW | NORMANDY PARK | WA | 98166 | 912067879 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | N/A | N/A | 0 | 0 | ||||
| NICU OPERATING CO OF SANTA CRUZ LLC | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 460502935 | NEONATAL HEALTHCARE | CA | N/A | N/A | 0 | 0 | ||||
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | N/A | N/A | 0 | 0 | ||||
| NORTHERN PLAINS LABORATORY LLC | ||||||||||||||
| 401 N 9 STREET | BISMARK | ND | 58501 | 841641341 | DIAGNOSTIC SERVICES | ND | N/A | N/A | 0 | 0 | ||||
| NSC CHANNEL ISLANDS LLC | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 770409291 | AMBULATORY SURGICAL CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | N/A | N/A | 0 | 0 | ||||
| PARK RAPIDS AREA HEALTH CARE | ||||||||||||||
| 600 PLEASANT AVENUE S | PARK RAPIDS | MN | 56470 | 204926259 | HEALTHCARE SRVC | MN | N/A | N/A | 0 | 0 | ||||
| PENINSULA RADIATION ONCOLOGY CENTER LLC | ||||||||||||||
| 4230 BRIDGEPORT WAY W STE B | UNIVERSITY PLACE | WA | 98466 | 870808610 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| PENRAD IMAGING LLC | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | N/A | N/A | 0 | 0 | ||||
| PERFORMANCE MED EQUIP & RESPIR SVSC LLC | ||||||||||||||
| 19625 62ND AVE SOUTH 101 | KENT | WA | 98032 | 452901632 | HOLDING COMPANY | WA | N/A | N/A | 0 | 0 | ||||
| PLAZA SURGERY CENTER LP | ||||||||||||||
| 525 E PLAZA DRIVE SUITE 100 | SANTA MARIA | CA | 93454 | 770573567 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| PMC HOSPITAL LLC | ||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| PRECISION MEDICINE ALLIANCE LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 352569159 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY | ||||||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| RBR MANAGEMENT LLC | ||||||||||||||
| 91 CORPORATE PARK DRIVE SUITE 120 | HENDERSON | NV | 89074 | 271466450 | AMBULANCE | NV | N/A | N/A | 0 | 0 | ||||
| REID-ANC HOME CARE SERVICES LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 371454747 | HOME HEALTH | IN | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRODSBURG RD | LEXINGTON | KY | 40503 | 453801157 | INACTIVE | DE | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH HEALTH ASC LLC | ||||||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 852155230 | SURGERY | KY | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 263330545 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ COMPREHENSIVE IMAGING LLC | ||||||||||||||
| 1661 SOQUEL DRIVE SUITE G | SANTA CRUZ | CA | 95065 | 010550623 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ LAND & BUILDING LP | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770285236 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ SURGERY CENTER LLC | ||||||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SEVEN OAKS SURGERY CENTER LLC | ||||||||||||||
| 1801 ORANGE TREE LANE SUITE 200 | REDLANDS | CA | 92374 | 851559544 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SOUTHEASTERN HOME CARE LLC | ||||||||||||||
| 6281 TRI RIDGE BLVD STE 300 | LOVELAND | OH | 45150 | 271219638 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ST JOSEPH'S SURGERY CENTER LP | ||||||||||||||
| 15305 DALLAS PARKWAY SUITE 1600 LB | ADDISON | TX | 75001 | 201019390 | SURGERY | TX | 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 | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| TEMPLETON SURGERY CENTER LLC | ||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 104 | TEMPLETON | CA | 94365 | 202246616 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| THE MEDICAL PAVILION AT ST JOHN'S | ||||||||||||||
| 1600 ROSE AVENUE | OXNARD | CA | 93030 | 770332349 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| THREE SPRING IMAGING LLC | ||||||||||||||
| 1 MERCADO ST STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||
| TIA ARIZONA LLC | ||||||||||||||
| 3030 N CENTRAL AVENUE SUITE 1402 | PHOENIX | AZ | 85012 | 863158670 | CLINIC | AZ | N/A | N/A | 0 | 0 | ||||
| VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | ||||||||||||||
| 18330 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 800864336 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| WEST LAKES SURGERY CENTER LLC | ||||||||||||||
| 12499 UNIVERSITY AVE STE 100 | CLIVE | IA | 50325 | 205345295 | HEALTHCARE SRVC | IA | N/A | N/A | 0 | 0 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (59 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC | |||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | N/A | C | 0 | ||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC | |||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | HEALTHCARE | TX | N/A | C | 0 | ||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 841112049 | MANAGEMENT SERVICES | CO | N/A | C | 0 | ||||
| AMERICAN NURSING CARE INC | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | N/A | C | 0 | ||||
| AMERIMED INC | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | N/A | C | 0 | ||||
| BC HOLDING COMPANY INC | |||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | INACTIVE | KY | N/A | C | 0 | ||||
| BRAZOSPORT HEALTH ALLIANCE | |||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | HEALTHCARE | TX | N/A | C | 0 | ||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||
| 5600 BRAINERD ROAD STE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | N/A | C | 0 | ||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | INACTIVE | 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 | ||||
| COMCARE SERVICES INC | |||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840904813 | INACTIVE | CO | N/A | C | 0 | ||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | N/A | C | 0 | ||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | 0 | ||||
| DIGNITY HEALTH HOLDING CORPORATION | |||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 460675371 | HOLDING CO | NV | N/A | C | 0 | ||||
| DIGNITY HEALTH INSURANCE LTD | |||||||||||||
| 981065338 | CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 1051 GRAND CAYMAN ISL | GRAND CAYMAN ISL | CJ | CJ | |||||
| DIGNITY HEALTH PROVIDER RESOURCES INC | |||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 473366764 | HEALTH PLAN | CA | N/A | C | 0 | ||||
| DIVERSIFIED HEALTH RESOURCES INC | |||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | HEALTHCARE | TX | N/A | C | 0 | ||||
| FRANCISCAN CITY URGENT CARE SERVICES PS | |||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | INACTIVE | NY | 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 SERVICES OF THE PACIFIC CENTRAL COAST INC | |||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770074057 | HEALTH SERVICES | CA | N/A | C | 0 | ||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MGMT | NE | N/A | C | 0 | ||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | |||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | INACTIVE | WA | N/A | C | 0 | ||||
| HEARTLANDPLAINS HEALTH | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464368223 | INSURANCE | NE | N/A | C | 0 | ||||
| HIGHLINE MEDICAL GROUP | |||||||||||||
| 1717 S J STREET | TACOMA | WA | 98405 | 911407026 | MEDICAL SERVICES | WA | N/A | C | 0 | ||||
| INTEGRATED MEDICAL SERVICES | |||||||||||||
| 9250 N 3RD STREET SUITE 4010 | PHOENIX | AZ | 85020 | 860783428 | MULTI-SPECIALTY PHYSICIANS GROUP | AZ | N/A | C | 0 | ||||
| MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC | |||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710720429 | REAL ESTATE | AR | N/A | C | 0 | ||||
| MEDQUEST | |||||||||||||
| 1301 15TH AVENUE WEST | 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 PARK APARTMENTS LTD | |||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421202422 | INACTIVE | IA | 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 | OUTPAITENT SURGERY SERVICES | CA | N/A | S | 0 | ||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||
| 6028 SHALLOWFORD RD | CHATTANOOGA | TN | 37421 | 621570739 | MGMT SVC ORG | TN | N/A | C | 0 | ||||
| NORTH CENTRAL HEALTH CARE ALLIANCE | |||||||||||||
| PO BOX 5538 | BISMARK | ND | 58506 | 450439894 | HEALTHCARE | ND | N/A | C | 0 | ||||
| QUALCHOICE ADVANTAGE | |||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | INSURANCE | WA | 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 | ||||
| QUALCHOICE OF NEBRASKA | |||||||||||||
| 2401 S 73RD ST | OMAHA | NE | 68124 | 810738827 | INACTIVE | NE | N/A | C | 0 | ||||
| RIVERLINK HEALTH | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | N/A | C | 0 | ||||
| RIVERLINK HEALTH OF KENTUCKY INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464828332 | INSURANCE | KY | N/A | C | 0 | ||||
| ROSS PARK PHARMACY INC | |||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | PHARMACY | OH | N/A | C | 0 | ||||
| SAINT CLARE'S PRIMARY CARE INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222441202 | INACTIVE | NJ | N/A | C | 0 | ||||
| SJH SERVICES CORPORATION | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | INACTIVE | CO | N/A | C | 0 | ||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||
| 424 LEWIS HARGETT CR STE 160 | LEXINGTON | KY | 40503 | 270164198 | INACTIVE | KY | N/A | C | 0 | ||||
| SOUNDPATH HEALTH INC | |||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | N/A | C | 0 | ||||
| ST MARY HEALTH VENTURES INC | |||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 951912528 | RETAIL PHARMACY | CA | N/A | C | 0 | ||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | N/A | C | 0 | ||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | N/A | C | 0 | ||||
| ST LUKE'S HEALTH SYSTEM HOLDINGS INC | |||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | N/A | C | 0 | ||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | N/A | C | 0 | ||||
| STE HOLDINGS | |||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 822383629 | HOLDING CO | NE | N/A | C | 0 | ||||
| SUGAR LAND DOCTOR GROUP | |||||||||||||
| 1317 LAKE POINT PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | INACTIVE | TX | N/A | C | 0 | ||||
| TOWSON MANAGEMENT INC | |||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521710750 | INACTIVE | MD | N/A | C | 0 | ||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | |||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | MGMT SERVICES | OH | N/A | C | 0 | ||||
| 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 | 0 | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |