STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BAKERSFIELD MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BAKERSFIELD MEMORIAL HOSPITAL (EIN 95-1802779)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-08
IRS object ID
202331289349304313
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-08T18:02:16-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951802779EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKERSFIELD MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAKEBusinessNameControlTxt
Phone6613271792PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1185 BERRY STREET SUITE 200AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN HOLBERTPersonNm
Person TitleVP CFOPersonTitleTxt
Phone6615410007PhoneNum
Signature2023-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastHOLBERTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES LANCASTERPreparerPersonNm
PTINP00742579PTIN
Phone4159635100PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEN KELLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 34TH STREETAddressLine1Txt
CityBAKERSFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$838,942,885GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAKERSFIELDMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionAS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), BAKERSFIELD 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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2314TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$1,218,734TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$979,042NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$33,112,680PYContributionsGrantsAmt
CY Contributions Grants$3,694,210CYContributionsGrantsAmt
PY Program Service Revenue$539,552,344PYProgramServiceRevenueAmt
CY Program Service Revenue$532,258,795CYProgramServiceRevenueAmt
PY Investment Income$40,898,692PYInvestmentIncomeAmt
CY Investment Income$27,593,766CYInvestmentIncomeAmt
PY Other Revenue$3,306,004PYOtherRevenueAmt
CY Other Revenue$3,202,551CYOtherRevenueAmt
PY Total Revenue$616,869,720PYTotalRevenueAmt
CY Total Revenue$566,749,322CYTotalRevenueAmt
PY Grants And Similar Paid$1,633,318PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,066,062CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$251,353,665PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$280,498,898CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$269,134,738PYOtherExpensesAmt
CY Other Expenses$261,384,487CYOtherExpensesAmt
PY Total Expenses$522,121,721PYTotalExpensesAmt
CY Total Expenses$546,949,447CYTotalExpensesAmt
PY Revenues Less Expenses$94,747,999PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,799,875CYRevenuesLessExpensesAmt
Total Assets BOY$901,379,592TotalAssetsBOYAmt
Total Assets EOY$875,986,419TotalAssetsEOYAmt
Total Liabilities BOY$156,467,787TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,023,023TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$744,911,805NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$731,963,396NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBAKERSFIELD MEMORIAL HOSPITAL (BMH) IS DEDICATED TO DELIVERING HEALTH SERVICES THAT ARE COMPASSIONATE, HIGH-QUALITY AND AFFORDABLE. WE PROMOTE HEALTHY LIFESTYLES AS AN INTEGRAL PART OF THE COMMUNITY WE SERVE, WITH A SPECIAL CONCERN FOR THE UNDERSERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$490,433,496ExpenseAmt
Grant$5,066,062GrantAmt
Revenue$533,995,467RevenueAmt
DescBAKERSFIELD MEMORIAL HOSPITAL'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL HAS 385 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 124,672; EMERGENCY VISITS OF 88,428; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 7,682; AND INPATIENT AND OUTPATIENT CARDIAC PROCEDURES OF 3,209. BMH HAS A 24-HOUR EMERGENCY ROOM AND PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE PROGRAM AS WELL AS A WIDE RANGE OF COMMERCIALLY INSURED. BMH ALSO PROVIDES SERVICES TO INDIVIDUALS WITHOUT THE ABILITY TO PAY - SERVICES FOR WHICH BMH RECEIVES NO REIMBURSEMENT FROM ANY OUTSIDE SOURCE.INPATIENT SERVICES: ACUTE MEDICAL/SURGICAL CARE/PSYCHIATRIC; CANCER CENTER; CARDIOVASCULAR SURGERY; CARDIAC CATHETERIZATION LAB; PEDIATRIC ACUTE AND INTENSIVE CARE; NEONATAL INTENSIVE CARE; EMERGENCY/QUICK CARE; INTENSIVE CARE; PHARMACY; SURGERY; SPEECH PATHOLOGY; SOCIAL SERVICES; RESPIRATORY CARE; PHYSICAL THERAPY; TRANSITIONAL CARE UNIT AND WOMEN AND INFANT CARE UNIT.OUTPATIENT SERVICES: AMBULATORY TREATMENT CENTER; CARDIAC REHABILITATION; CARDIOPULMONARY; DIAGNOSTIC IMAGING; LABORATORY; OUTPATIENT SURGERY CENTER; REHABILITATION SERVICES; AND WELLNESS/OCCUPATIONAL MEDICINE.SUPPORT SERVICES: CHAPLAINCY PROGRAM; EDUCATIONAL SERVICES; HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY.Desc
Total Program Service Expenses$490,433,496TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document104IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2314EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARA CARTOSCELLI ACCOUNTING DEPARTPersonNm
Phone9166313370PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 DATA DRIVEAddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JON VANBOENING
DIRECTOR8.0050.00Yes (X)$0$1,846,355$354,864
KENNETH KELLER
PRESIDENT & CEO50.000.00Yes (X)$0$928,938$135,093Yes (X)
KEVIN WALTERS
VP, CHIEF STRATEGY OFFICER/CAO (THRU 6/11/21)50.000.00$881,767$0$55,753Yes (X)
BRUCE PETERS
DIRECTOR (THRU 1/7/22)8.0050.00Yes (X)$0$785,300$111,078
DAVID YEAGER
DIVISION CFO, SOCAL50.000.00$724,516$0$47,989Yes (X)
HEMMAL KOTHARY MD
DIRECTOR50.000.00Yes (X)$455,230$0$52,564
SUDHIR P KAKARLA
CMO50.000.00$459,022$0$31,154Yes (X)
TERRI CHURCH
VP / CNE50.000.00$420,926$0$58,145Yes (X)
RODNEY MARK ROOT MD
VP / CMO50.000.00$450,134$0$20,087Yes (X)
MICHAEL SLOAN
VP / HR50.000.00$382,931$0$81,184Yes (X)
SID GALLEGO
REGISTERED NURSE50.000.00$335,802$0$84,471Yes (X)
DEL CARMEN SARAFIAN
REGISTERED NURSE50.000.00$315,077$0$88,466Yes (X)
DAVID J LOZANO
DIRECTOR OF PHARMACY (THRU 12/21/21)50.000.00$303,500$0$60,830Yes (X)
JAIME D CAMPBELL
VP / COO (THRU 12/17/21)50.000.00$325,436$0$28,899Yes (X)
JEAN ESTALLO
REGISTERED NURSE50.000.00$271,083$0$70,998Yes (X)
ROBIN MANGARIN-SCOTT
VP MARKETING & COMMUNICATIONS50.000.00$275,667$0$61,330Yes (X)
JOHNSON K GILL
VP VALUE BASED OPS (THRU 3/29/21)50.000.00$272,309$0$11,703Yes (X)
JOHN HOLBERT
CFO (AS OF 8/2/21)50.000.00$138,958$0$10,095Yes (X)
MORGAN CLAYTON
DIRECTOR8.000.00Yes (X)$0$0$0
DANIEL CLIFFORD
DIRECTOR8.000.00Yes (X)$0$0$0
CHRISTINA DEL TORO-DIAZ MD
DIRECTOR (AS OF 3/1/22)8.000.00Yes (X)$0$0$0
JOHN R FINDLEY MD
DIRECTOR8.000.00Yes (X)$0$0$0
DONALD MCMURTREY
DIRECTOR8.000.00Yes (X)$0$0$0
JAVIER MIRO MD
DIRECTOR8.000.00Yes (X)$0$0$0
SANDRA SERRANO
DIRECTOR (THRU 12/31/21)8.000.00Yes (X)$0$0$0
D BRADLEY HANNINK
VICE-CHAIRMAN8.000.00Yes (X)$0$0$0Yes (X)
ROBERT NORIEGA
CHAIRMAN8.000.00Yes (X)$0$0$0Yes (X)
SUSIE SMALL
SECRETARY8.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,012,358TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,560,593TotReportableCompRltdOrgAmt
Total Other Compensation$1,364,703TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K631IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL SOLUTIONS LLC
1010 N 102ND STOMAHANE68114STAFFING SERVICES$14,972,260
TERRIO PHYSICAL THERAPY
FITNESS INCBAKERSFIELDCA93312PHYSICAL THERAPISTS$3,684,747
PREMIER HOSPITALISTS OF BFL
3838 SAN DIMAS STBAKERSFIELDCA93301MEDICAL SERVICES$3,372,176
TOTAL RENAL CARE - DAVITA
PO BOX 402946ATLANTAGA303842946MEDICAL/PHYSICIAN SERVICES$3,104,748
COMPREHENSIVE BLOOD & CANCER
6501 TRUXTUN AVEBAKERSFIELDCA93309MEDICAL/PHYSICIAN SERVICES$3,014,952
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Related Organizations$725,339RelatedOrganizationsAmt
Government Grants$2,597,802GovernmentGrantsAmt
All Other Contributions$371,069AllOtherContributionsAmt
Total Contributions$3,694,210TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT NET OF CHARITY & BAD DEBT900099$339,364,660$339,364,660
MEDICARE/MEDICAID PAYMENTS900099$190,950,807$190,950,807
MILLENNIUM SURGERY CENTER INC621400$1,079,397$1,079,397
VACCINATION SITE900099$534,456$534,456
EDUCATION900099$120,866$120,866

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,609TotalRevenueColumnAmt
Related Or Exempt Func Income$208,609RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$532,258,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,641,858TotalRevenueColumnAmt
Exclusion$6,641,858ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$216,412RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$216,412RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,412TotalRevenueColumnAmt
Exclusion$216,412ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$293,026,220SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$272,074,312SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$20,951,908SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,951,908TotalRevenueColumnAmt
Exclusion$20,951,908ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$149,984GrossSalesOfInventoryAmt
Cost Of Goods Sold$119,251CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,733TotalRevenueColumnAmt
Exclusion$30,733ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE RETENTION CREDIT900099$1,422,299$1,422,299
CAFETERIA722514$1,113,367$1,113,367
A/R FINANCE CHARGES900099$180,548$180,548

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$239,192TotalRevenueColumnAmt
Related Or Exempt Func Income$99,855RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$139,337UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,955,406OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$566,749,322TotalRevenueColumnAmt
Related Or Exempt Func Income$533,995,467RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,218,734UnrelatedBusinessRevenueAmt
Exclusion$27,840,911ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,957,187TotalAmt
Program Services$4,957,187ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$108,875TotalAmt
Program Services$108,875ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,901,099TotalAmt
Program Services$1,538,528ProgramServicesAmt
Management And General$2,362,571ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$369,668TotalAmt
Program Services$177,993ProgramServicesAmt
Management And General$191,675ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$214,315,638TotalAmt
Program Services$206,566,399ProgramServicesAmt
Management And General$7,749,239ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,802,557TotalAmt
Program Services$15,605,558ProgramServicesAmt
Management And General$1,196,999ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,172,101TotalAmt
Program Services$32,054,376ProgramServicesAmt
Management And General$117,725ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,937,835TotalAmt
Program Services$12,069,621ProgramServicesAmt
Management And General$868,214ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$857,446TotalAmt
Management And General$857,446ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,115TotalAmt
Management And General$1,115ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,662TotalAmt
Management And General$7,662ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,064,086TotalAmt
Management And General$1,064,086ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$77,571,335TotalAmt
Program Services$58,998,442ProgramServicesAmt
Management And General$18,572,893ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,232,425TotalAmt
Program Services$42,199ProgramServicesAmt
Management And General$2,190,226ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,642,823TotalAmt
Program Services$5,783,938ProgramServicesAmt
Management And General$858,885ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,684,252TotalAmt
Program Services$944,369ProgramServicesAmt
Management And General$17,739,883ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,457,838TotalAmt
Program Services$5,580,969ProgramServicesAmt
Management And General$876,869ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$156,347TotalAmt
Program Services$38,696ProgramServicesAmt
Management And General$117,651ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$598,083TotalAmt
Program Services$361,478ProgramServicesAmt
Management And General$236,605ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,180,888TotalAmt
Program Services$2,180,888ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,571,916TotalAmt
Program Services$21,571,916ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,972,223TotalAmt
Program Services$1,972,223ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$85,541,548$85,540,481$1,067
MEDICAL PROVIDER/OUT OF$18,333,867$18,333,867
MEDI-CAL PROVIDER FEE$12,208,949$12,208,949
UNRELATED BUSINESS TAX$406,250$406,250

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,895,434TotalAmt
Program Services$3,796,544ProgramServicesAmt
Management And General$1,098,890ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$546,949,447TotalAmt
Program Services$490,433,496ProgramServicesAmt
Management And General$56,515,951ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,703BOYAmt
EOY$2,250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$71,289,690BOYAmt
EOY$88,851,441EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,022BOYAmt
EOY$89,604EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$57,501,303BOYAmt
EOY$62,414,017EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,013,248BOYAmt
EOY$388,423EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,628,895BOYAmt
EOY$9,076,988EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$89,671,234BOYAmt
EOY$59,787,110EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$224,127,040LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$56,482,935LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$175,699,855BOYAmt
EOY$167,644,105EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$333,802,747BOYAmt
EOY$144,957,768EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$111,010,385BOYAmt
EOY$283,279,579EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$39,715,644BOYAmt
EOY$41,113,804EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,100,000BOYAmt
EOY$6,100,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,916,866BOYAmt
EOY$12,281,330EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$901,379,592BOYAmt
EOY$875,986,419EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$108,835,295BOYAmt
EOY$78,818,514EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$45,797BOYAmt
EOY$242,349EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$1,195,215EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,586,695BOYAmt
EOY$63,766,945EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,467,787BOYAmt
EOY$144,023,023EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$738,886,083BOYAmt
EOY$725,082,232EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,025,722BOYAmt
EOY$6,881,164EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$744,911,805BOYAmt
EOY$731,963,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$901,379,592BOYAmt
EOY$875,986,419EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,799,875ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$41,636,972NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$8,888,688OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$1,979MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,683OtherActivitiesAmt
Total Lobbying Expenditures$7,662TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II - B, LINE 1D BAKERSFIELD 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 HOSPITAL FOR ANNUAL MEMBERSHIP DUES: AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS $125 AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES $ 8 AMERICAN COLLEGE OF PHYSICIANS $ 50 AMERICAN NURSES ASSOCIATION $ 64 AMERICAN ORGANIZATION FOR NURSING LEADERSHIP $ 68 ASSOCIATION OF NUTRITION & FOODSERVICE PROFESSIONALS $ 2 SOCIETY OF HUMAN RESOURCE MANAGEMENT $ 7 SOCIETY OF THORACIC SURGEONS $ 562 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION $4,620 340 B HEALTH $ 177 TOTAL EXPENDITURES PAID TO ORGANIZATIONS $ 5,683ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,710BeginningYearBalanceAmt
Investment Earnings Or Losses-$142InvestmentEarningsOrLossesAmt
End Year Balance$70,568EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,853BeginningYearBalanceAmt
Investment Earnings Or Losses-$143InvestmentEarningsOrLossesAmt
End Year Balance$70,710EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,090BeginningYearBalanceAmt
Investment Earnings Or Losses-$237InvestmentEarningsOrLossesAmt
End Year Balance$70,853EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,964BeginningYearBalanceAmt
Investment Earnings Or Losses$126InvestmentEarningsOrLossesAmt
End Year Balance$71,090EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,036BeginningYearBalanceAmt
Contributions-$72ContributionsAmt
End Year Balance$70,964EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.99000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,400,000OtherCostOrOtherBasisAmt
Book Value$12,400,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,101,635OtherCostOrOtherBasisAmt
Depreciation$19,072,711DepreciationAmt
Book Value$114,028,924BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,521,193OtherCostOrOtherBasisAmt
Depreciation$565,837DepreciationAmt
Book Value$955,356BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,721,591OtherCostOrOtherBasisAmt
Depreciation$35,105,407DepreciationAmt
Book Value$34,616,184BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,382,621OtherCostOrOtherBasisAmt
Depreciation$1,738,980DepreciationAmt
Book Value$5,643,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$167,644,105TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$283,279,579BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$283,279,579TotalBookValueSecuritiesAmt
Federal Income Tax Liability$72,250FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$37,510,618
PENSION PAYABLE$12,140,064
ROU - LEASE LIABILITY LT$14,020,013
STATE INCOME TAXES$24,000
FieldValueIRS element (for citing)
Total Liability$63,766,945TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:BAKERSFIELD MEMORIAL FOUNDATION, A RELATED ORGANIZATION, HOLDS A PERMANENT ENDOWMENT FUND. THE EARNINGS ON THIS ENDOWMENT IS USED TO FUND NURSING SCHOLARSHIPS GRANTED BY THE FOUNDATION EACH YEAR.
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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served25850PersonsServedCnt
Total Community Benefit Expns$5,849,125TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,849,125NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served74880PersonsServedCnt
Total Community Benefit Expns$202,065,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,270,852DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,794,736NetCommunityBenefitExpnsAmt
Total Expense0.07460TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served100730PersonsServedCnt
Total Community Benefit Expns$207,914,713TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,270,852DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,643,861NetCommunityBenefitExpnsAmt
Total Expense0.08530TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served26808PersonsServedCnt
Total Community Benefit Expns$1,917,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$220,101DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,696,931NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served551PersonsServedCnt
Total Community Benefit Expns$715,778TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$160DirectOffsettingRevenueAmt
Net Community Benefit Expns$715,618NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served92PersonsServedCnt
Total Community Benefit Expns$332,340TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$332,340NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served6014PersonsServedCnt
Total Community Benefit Expns$628,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,550DirectOffsettingRevenueAmt
Net Community Benefit Expns$626,107NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs54ActivitiesOrProgramsCnt
Persons Served33465PersonsServedCnt
Total Community Benefit Expns$3,593,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$222,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,370,996NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs54ActivitiesOrProgramsCnt
Persons Served134195PersonsServedCnt
Total Community Benefit Expns$211,508,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$161,493,663DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,014,857NetCommunityBenefitExpnsAmt
Total Expense0.09140TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served2223PersonsServedCnt
Total Community Benefit Expns$119,608TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,608NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$1,568TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,568NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served2225PersonsServedCnt
Total Community Benefit Expns$121,176TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$121,176NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,707,198BadDebtExpenseAmt
Reimbursed By Medicare$84,646,571ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$108,206,398CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,559,827MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MILLENNIUM SURGERY CENTER INC
AMBULATORY SURGERY CENTER0.598700.41780
2 MEMORIAL MEDICAL PLAZA
MEDICAL OFFICE BUILDING0.214400.66060
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKERSFIELD MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 34TH STREETAddressLine1Txt
CityBAKERSFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNWebsiteAddressTxt
State License120000181StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAKERSFIELD MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION A:PRESENTATION OF HOSPITAL'S COMPLETE WEBSITE ADDRESS:WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MEMORIAL-HOSPITAL
BAKERSFIELD MEMORIAL HOSPITALPART V, SECTION B, LINE 5: FOR THE 2022 (TY 2021) CHNA REPORT, BMH CONDUCTED INTERVIEWS WITH COMMUNITY STAKEHOLDERS TO OBTAIN INPUT ON HEALTH NEEDS, BARRIERS TO CARE AND RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THIRTY INTERVIEWS WERE COMPLETED FROM OCTOBER TO DECEMBER 2021. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITALS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE INTERVIEWS. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. EXAMPLES OF THE ORGANIZATIONS CONSULTED INCLUDE: KERN COUNTY DEPARTMENT OF PUBLIC HEALTH, KERN HEALTH SYSTEMS, FIRST 5 KERN COUNTY, COMMUNITY ACTION PARTNERSHIP OF KERN COUNTY, KERN COUNTY SUPERINTENDENT OF SCHOOLS, BAKERSFIELD HOMELESS CENTER, AND ALZHEIMER'S ASSOCIATION, KERN COUNTY.A SURVEY WAS DISTRIBUTED TO ENGAGE COMMUNITY RESIDENTS AND OBTAIN INPUT ON HEALTH AND SOCIAL NEEDS. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEYMONKEY LINK, AND IN A PAPER COPY FORMAT. THE ELECTRONIC AND PAPER SURVEYS WERE AVAILABLE IN ENGLISH AND SPANISH. THE SURVEYS WERE AVAILABLE FROM SEPTEMBER 13 TO NOVEMBER 15, 2021. DURING THIS TIME, 255 USABLE SURVEYS WERE COLLECTED.
BAKERSFIELD MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: THIS CHNA WAS CONDUCTED IN PARTNERSHIP WITH DIGNITY HEALTH MERCY HOSPITALS BAKERSFIELD, KERN MEDICAL, ADVENTIST HEALTH (BAKERSFIELD, DELANO AND TEHACHAPI VALLEY), VALLEY CHILDREN'S HEALTHCARE AND KAISER PERMANENTE.
BAKERSFIELD MEMORIAL HOSPITALPART V, SECTION B, LINE 11: THE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED STATISTICAL DATA ON THE SEVERITY OF ISSUES AND ALSO INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. AS WELL, THE COMMUNITY PRIORITIZATION OF THE NEEDS WAS TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, BAKERSFIELD MEMORIAL HOSPITAL CHOSE TO FOCUS ON: ACCESS TO CARE, CHRONIC DISEASE, FOOD INSECURITY, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PREVENTIVE PRACTICES, AND SUBSTANCE USE.ACCESS TO HEALTH CARE: FINANCIAL ASSISTANCE, CONNECTED COMMUNITY NETWORK, PRESCRIPTION PURCHASING, HOMEMAKER CARE PROGRAM, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH INITIATIVE, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMCHRONIC DISEASES: CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMFOOD INSECURITY: LEARNING AND OUTREACH CENTERS, CONNECTED COMMUNITY NETWORK, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAM MENTAL HEALTH: ART AND SPIRITUALITY CENTER, MENTAL HEALTH SUPPORT GROUPS, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMOVERWEIGHT AND OBESITY: HEALTHY KIDS IN HEALTHY HOMES, COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMPREVENTIVE PRACTICES: COMMUNITY WELLNESS PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMSUBSTANCE USE: ANTI-VAPING PROGRAM, EMERGENCY DEPARTMENT SUBSTANCE USE NAVIGATOR PROGRAM, COMMUNITY HEALTH IMPROVEMENT GRANTS PROGRAMTAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, BAKERSFIELD MEMORIAL HOSPITAL WILL NOT DIRECTLY ADDRESS DENTAL CARE, ECONOMIC INSECURITY, ENVIRONMENTAL CONDITIONS, HOUSING AND HOMELESSNESS, PREGNANCY AND BIRTH OUTCOMES, SEXUALLY TRANSMITTED INFECTIONS, VIOLENCE PREVENTION AND UNINTENTIONAL INJURIES AS PRIORITY HEALTH NEEDS. ADDITIONALLY, THE HOSPITAL DOES NOT INTEND TO EMPHASIZE COMMUNITY COVID-19 INTERVENTIONS AT THIS POINT IN THE PANDEMIC, BUT WILL CONTINUE TO DELIVER ACUTE MEDICAL CARE TO ADDRESS COVID-19. KNOWING THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, BMH CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. THE HOSPITALS HAVE INSUFFICIENT RESOURCES TO EFFECTIVELY ADDRESS ALL THE IDENTIFIED NEEDS AND, IN SOME CASES, THE NEEDS ARE CURRENTLY ADDRESSED BY OTHERS IN THE COMMUNITY.
BAKERSFIELD MEMORIAL HOSPITALPART 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 7AALL 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-ASSESSMENTSCHNA REPORT WEB SITE LOCATION FOR BAKERSFIELD MEMORIAL HOSPITAL IS PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MEMORIAL-HOSPITAL/ABOUT-US/COMMUNITY-BENEFIT-REPORT-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10ATHE HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTHE IMPLEMENTATION STRATEGY IS ALSO ON BAKERSFIELD MEMORIAL HOSPITAL'S WEB SITE, AT THE SAME LOCATION AS THEIR CHNA REPORT LISTED IN PART V, SECTION B, LINE 7A ABOVE.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B AND 16CHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/MEMORIAL-HOSPITAL/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - ST AGNESUSP SURGERY CENTERS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 E HERNDON AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd
FieldValueIRS element (for citing)
FacilitySURGERY CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:BAKERSFIELD MEMORIAL HOSPITAL FOLLOWS THE METHOD USED BY DIGNITY HEALTH, A RELATED ORGANIZATION. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, BMH USES AN ADJUSTED COST TO CHARGE RATIO (CCR) CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE 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. BMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $12.2 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).
PART I, LINE 7G:INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $6,511 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF BMH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $365,118 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:THE MISSION OF BMH AS THE LARGEST HEALTH CARE PROVIDER IN KERN COUNTY IS TO OCCUPY A LEADERSHIP ROLE IN BUILDING A HEALTHIER COMMUNITY. THE HOSPITAL'S WORK TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED EXTENDS BEYOND PROVIDING HEALTH CARE AND COMMUNITY HEALTH IMPROVEMENT SERVICES. THE HOSPITAL 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. IN ADDITION TO THE EXAMPLES BELOW, THE HOSPITAL'S PUBLICLY AVAILABLE ANNUAL COMMUNITY BENEFIT REPORTS DESCRIBE SPECIFIC COMMUNITY BUILDING ACTIVITIES IN A SECTION TITLED "OTHER PROGRAMS AND NON-QUANTIFIABLE BENEFITS."SOME OF THE COMMUNITY BUILDING PROGRAMS OFFERED INCLUDE:COMMUNITY SUPPORTPROGRAM: COLLEGE DREAM PROGRAMDESCRIPTION: THE COLLEGE DREAM PROGRAM PROVIDES EDUCATIONAL TUTORING SERVICES, MENTORING SERVICES, ASSISTANCE WITH COLLEGE APPLICATIONS, ASSISTANCE WITH FINANCIAL AID APPLICATIONS, SAT COURSES, AND ENSURES STUDENTS CURRENT CLASSES WILL HELP WITH THEIR ACADEMIC GOALS.PROGRAM: HOMEWORK CLUBDESCRIPTION: THE HOMEWORK CLUB PROVIDES AN ACADEMICALLY STRUCTURED AFTER SCHOOL PROGRAM FOR UNDERSERVED STUDENTS ATTENDING FIRST THROUGH SIXTH GRADE. THE PROGRAM FOCUSES ON PROVIDING A SAFE ENVIRONMENT FOR PRE-TEENS TO WORK ON HOMEWORK AND OTHER ACADEMIC SKILLS.PROGRAM: OPERATION BACK TO SCHOOLDESCRIPTION: THE OPERATION BACK-TO-SCHOOL PROGRAM PROVIDES POOR AND UNDERSERVED SCHOOL-AGE CHILDREN WITH THE NECESSARY CLOTHES AND SCHOOL SUPPLIES TO RETURN TO SCHOOL IN AUGUST/SEPTEMBER. ALL HOSPITAL DEPARTMENTS, COMMUNITY PARTNERS AND BUSINESSES ARE INVITED TO PARTICIPATE IN THIS PROGRAM BY DONATING NEW OR GENTLY USED CLOTHES AND NEW AGE-APPROPRIATE SCHOOL SUPPLIES. ALL DONATIONS ARE COLLECTED, INVENTORIED BY THE DEPARTMENT ADMINISTRATIVE OFFICES AND DISTRIBUTED THROUGH THE LEARNING CENTER, OUTREACH CENTER, MERCY HOUSING AND A VARIETY OF OTHER COMMUNITY SERVICE AGENCIES.LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERSPROGRAM: HOMEMAKER CARE PROGRAM - TRAININGDESCRIPTION: THE HOMEMAKER CARE PROGRAM PROVIDES A TWO-WEEK COMPREHENSIVE EMPLOYMENT READINESS SKILLS TRAINING FOCUSING IN INDIVIDUALS TRANSITIONING FROM UNEMPLOYMENT INTO THE WORKFORCE. PARTICIPANTS ARE TRAINED TO OFFER COMPETENT AND RELIABLE SERVICES TO THE EVER GROWING SENIOR POPULATION.
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.BMH 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. BMH 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. DIGNITY COMMUNITY CARE HOSPITALS FOLLOW 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, DIGNITY COMMUNITY CARE DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'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. BMH'S SHORTFALL INCLUDES $23.6 MILLION REPORTED ON PART III, SECTION B, LINE 7.
PART III, LINE 9B:BMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. BMH ALSO FOLLOWS COMMONSPIRIT HEALTH'S COLLECTION POLICY. BMH'S BILLING AND 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 BMH 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 BMH'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, BMH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, BMH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2:THE HOSPITAL ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT CLINICS, PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS TO IDENTIFY AND SERVE THE NEEDS OF VULNERABLE POPULATIONS. BMH OBTAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH REFERRAL RELATIONSHIPS, SERVICE PLANNING ACTIVITIES, COMMUNITY HEALTH PARTNERSHIPS, AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE HOSPITALS UTILIZE DATABASES AND PLANNING TOOLS TO EVALUATE CHANGES IN CURRENT AND PROJECTED COMMUNITY NEED FOR HEALTH CARE SERVICES, INCLUDING PHYSICIANS. THE HOSPITAL CREATE AND MAKE AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.
PART VI, LINE 3:INFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE AVAILABLE FROM BMH, INCLUDING 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 BMH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRES THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4:THE POPULATION OF THE MEMORIAL HOSPITAL SERVICE AREA IS 622,303. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 29.5% OF THE POPULATION, 59.6% ARE ADULTS, AGES 18-64, AND 10.9% OF THE POPULATION ARE SENIORS, AGES 65 AND OLDER. ALMOST HALF OF THE POPULATION IN THE SERVICE AREA IDENTIFIES AS HISPANIC/LATINO (49.4%). 37.4% OF THE POPULATION IDENTIFIES AS WHITE/CAUCASIAN, 5.4% AS BLACK/AFRICAN AMERICAN. 4.9% AS ASIAN AND 2.2% OF THE POPULATION IDENTIFIES AS MULTIRACIAL (TWO-OR-MORE RACES), 0.5% AS AMERICAN INDIAN/ALASKAN NATIVE, AND 0.1% AS NATIVE HAWAIIAN/PACIFIC ISLANDER. AMONG THE RESIDENTS IN THE SERVICE AREA, 20.2% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 43.4% ARE AT 200% OF FPL OR BELOW. EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 22.3% OF ADULTS, AGES 25 AND OLDER, LACK A HIGH SCHOOL DIPLOMA, WHICH IS HIGHER THAN THE STATE RATE (16.7%). 18.3% OF AREA ADULTS HAVE A BACHELOR'S OR HIGHER DEGREE. BAKERSFIELD IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE, DENTAL HEALTH AND MENTAL HEALTH. THE DEMOGRAPHICS DATA BELOW REPRESENTS ONLY THE TOP 75% OF HOSPITAL DISCHARGES FOR BAKERSFIELD MEMORIAL HOSPITAL (BASED ON ZIP CODE):TOTAL POPULATION: 450,953ASIAN/PACIFIC ISLANDER: 3.9%BLACK/AFRICAN AMERICAN - NON-HISPANIC: 6.0%HISPANIC OR LATINO: 65.0%WHITE NON-HISPANIC: 21.3%ALL OTHERS: 3.8%% BELOW POVERTY: 19.3%UNEMPLOYMENT: 8.8%NO HIGH SCHOOL DIPLOMA: 26.8%MEDICAID: 49.2%UNINSURED: 7.3%OTHER AREA HOSPITALS: 9
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 BMH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND 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 HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES BAKERSFIELD MEMORIAL HOSPITAL, 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 STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVERANCHO CORDOVACA95670680220314501(C)(3)$3,710,575$0N/AN/AMEDICAL FND SUPPORT
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800SACRAMENTOCA95814941498697501(C)(3)$365,118$0N/AN/ACOMMUNITY HEALTH
BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION
420 34TH STREETBAKERSFIELDCA93301953555043501(C)(3)$284,720$0N/AN/AFOUNDATION SUPPORT
CALIFORNIA STATE UNIVERSITY BAKERSFIELD FOUNDATION
9001 STOCKDALE HWYBAKERSFIELDCA93311952643086501(C)(3)$250,000$0N/AN/ACOMMUNITY HEALTH
DIGNITY COMMUNITY CARE
185 BERRY STREETSAN FRANCISCOCA94107815009488501(C)(3)$192,316$0N/AN/ACOMMUNITY HEALTH
CITYSERVE NETWORK
7001 AUBURN STREETBAKERSFIELDCA93306824490879501(C)(3)$12,535$0N/AN/ACOMMUNITY HEALTH
911 AT EASE INTERNATIONAL INC
PO BOX 30363SANTA BARBARACA93130845130619501(C)(3)$12,500$0N/AN/ACOMMUNITY HEALTH
BAKERSFIELD HOMELESS CENTER
1600 EAST TRUXTUN AVEBAKERSFIELDCA93305952858936501(C)(3)$10,000$0N/AN/ACOMMUNITY HEALTH
LINKS FOR LIFE INC
1706 CHESTER AVENUE 200BAKERSFIELDCA93301931088003501(C)(3)$10,000$0N/AN/ACOMMUNITY HEALTH
BAKERSFIELD KERN REGIONAL HOMELESS COLLABORATIVE
1900 E BRUNDAGE LN STE 3BAKERSFIELDCA93307611948977501(C)(3)$8,000$0N/AN/ACOMMUNITY HEALTH
COURT APPOINTED SPECIAL ADVOCATES OF KERN COUNTY
1717 COLUMBUS STBAKERSFIELDCA93305770344298501(C)(3)$7,800$0N/AN/ACOMMUNITY HEALTH
MENDIBURU MAGIC FOUNDATION AGAINST CANCER
PO BOX 20687BAKERSFIELDCA93390311742956501(C)(3)$7,500$0N/AN/ACOMMUNITY HEALTH
ALZHEIMER'S DISEASE ASSOCIATION OF KERN COUNTY INC
PO BOX 22108BAKERSFIELDCA93390770017561501(C)(3)$7,000$0N/AN/ACOMMUNITY HEALTH
WOUNDED HEROES FUND KERN COUNTY CHAPTER
3121 STANDARD STBAKERSFIELDCA93308800215850501(C)(3)$6,500$0N/AN/ACOMMUNITY HEALTH
RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CA
420 34TH STBAKERSFIELDCA93301953167869501(C)(3)$5,200$0N/AN/ACOMMUNITY HEALTH
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PROVISION OF FOOD/MEALS2996$17,412FMVFOOD, MEALS, FOOD BASKETS
DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY3736$26,388FMVCLOTHING,CAR SEATS, HOUSEHOLD ITEMS, HYGIENE KITS, SCHOOL SUPPLIES
HOMELESS INITIATIVE TRANSPORTATION DONATIONS759$65,075FMVTRANSPORTATION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE HOSPITAL AND SUPPORT VARIOUS COMMUNITY PROGRAMS. BAKERSFIELD MEMORIAL HOSPITAL PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS SPECIAL NEEDS DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS. SPECIAL NEEDS THE DIRECTOR OF SPECIAL NEEDS REVIEWS AND APPROVES ALL GRANTS AND DONATIONS RELATED TO ITS DEPARTMENT. ONCE THE GRANT/DONATION IS PROVIDED NO FURTHER TRACKING IS CONDUCTED AS THE ORGANIZATIONS RECEIVING THE GRANT ARE CHARITABLE ORGANIZATIONS. DONATING DIRECTLY TO COMMUNITY EVENTS/PROGRAMS THE SENIOR DIRECTOR OF SALES AND MARKETING REVIEWS AND EVALUATES REQUESTS FOR THE HOSPITAL TO DONATE TO OR SPONSOR COMMUNITY EVENTS AND PROGRAMS. ORGANIZATIONS SEEKING DONATIONS MAY BE CHARITABLE OR NON-CHARITABLE. THE FOLLOWING ARE THE CRITERIA THAT MARKETING USES TO EVALUATE DONATIONS: 1. RELEVANCE TO HEALTHCARE-RELATED ISSUES 2. RELEVANCE TO THE HOSPITAL'S MISSION 3. RELEVANCE TO THE HOSPITAL'S PRESENCE OR SUPPORT OF COMMUNITY PROGRAMS OR SERVICES. PROVIDE A COMMUNITY BENEFIT (I.E. HEALTH EDUCATION) AND/OR IMPROVE THE LIVES OF THE COMMUNITY IN WHICH THE HOSPITAL SERVES 4. OPPORTUNITY FOR THE HOSPITAL TO BUILD AND FOSTER RELATIONSHIPS IN THE COMMUNITY TO FURTHER ITS REACH IN THE COMMUNITY (I.E. BUSINESS DEVELOPMENT, SERVICE-LINE GROWTH, ETC.) IF DEEMED APPROPRIATE AND MEETING THE CRITERIA, THE REQUEST IS PRESENTED TO THE HOSPITAL PRESIDENT, WHO APPROVES THE SPONSORSHIP OR DONATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JON VANBOENING
DIRECTOR$0$627,101$0$1,050,240$0$169,014$0$336,782$0$18,082$0$2,201,219$0$151,894
KENNETH KELLER
PRESIDENT & CEO$0$450,044$0$465,993$0$12,901$0$72,980$0$62,113$0$1,064,031$0$0
KEVIN WALTERS
VP, CHIEF STRATEGY OFFICER/CAO (THRU$189,450$0$197,476$0$494,841$0$23,277$0$32,476$0$937,520$0$0$0
BRUCE PETERS
DIRECTOR (THRU 1/7/22)$0$410,352$0$374,948$0$0$0$86,095$0$24,983$0$896,378$0$0
DAVID YEAGER
DIVISION CFO, SOCAL$475,248$0$249,268$0$0$0$36,397$0$11,592$0$772,505$0$0$0
HEMMAL KOTHARY MD
DIRECTOR$303,384$0$151,846$0$0$0$17,186$0$35,378$0$507,794$0$0$0
SUDHIR P KAKARLA
CMO$327,266$0$72,731$0$59,025$0$25,030$0$6,124$0$490,176$0$0$0
TERRI CHURCH
VP / CNE$301,926$0$114,383$0$4,617$0$37,297$0$20,848$0$479,071$0$0$0
RODNEY MARK ROOT MD
VP / CMO$83,832$0$0$0$366,302$0$13,708$0$6,379$0$470,221$0$0$0
MICHAEL SLOAN
VP / HR$249,682$0$132,300$0$949$0$24,257$0$56,927$0$464,115$0$0$0
SID GALLEGO
REGISTERED NURSE$314,204$0$15,688$0$5,910$0$53,926$0$30,545$0$420,273$0$0$0
DEL CARMEN SARAFIAN
REGISTERED NURSE$300,449$0$4,875$0$9,753$0$57,887$0$30,579$0$403,543$0$0$0
DAVID J LOZANO
DIRECTOR OF PHARMACY (THRU 12/21/21)$194,841$0$44,411$0$64,248$0$40,105$0$20,725$0$364,330$0$0$0
JAIME D CAMPBELL
VP / COO (THRU 12/17/21)$255,236$0$70,200$0$0$0$17,630$0$11,269$0$354,335$0$0$0
JEAN ESTALLO
REGISTERED NURSE$256,595$0$12,842$0$1,646$0$60,540$0$10,458$0$342,081$0$0$0
ROBIN MANGARIN-SCOTT
VP MARKETING & COMMUNICATIONS$213,319$0$57,667$0$4,681$0$32,078$0$29,252$0$336,997$0$0$0
JOHNSON K GILL
VP VALUE BASED OPS (THRU 3/29/21)$62,539$0$0$0$209,770$0$4,459$0$7,245$0$284,013$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACLUB DUES HAVE BEEN PAID BY THE ORGANIZATION FOR BUSINESS USE BY ONE LISTED PERSONS, WHO IS THE PRESIDENT, FOR RECRUITING AND BUSINESS ENTERTAINMENT PURPOSES. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE INCOME AS EXPENSES RELATED TO PERSONAL USAGE ARE PAID BY THE EMPLOYEE.
PART I, LINE 3ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, BMH 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, LINES 4A-BPART 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2021 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): M. ROOT, $366,302, K. WALTERS, $444,166 AND J. K. GILL, $209,532. PART I, LINE 4B: CERTAIN OFFICERS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS RELATED TO THIS PLAN OCCURED IN 2021. 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. A PAYMENT PURSUANT TO THE PLAN ARRANGEMENTS OCCURRED DURING 2021 INCLUDE J. VANBOENING, $151,894. 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 II SUPPLEMENTAL DISCLOSURESTHE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2021.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRENDA MCMURTREY
FAMILY MEMBER OF D MCMURTREY, BOD$177,993EMPLOYMENT0
TEL-TEC SECURITY SYSTEMS
OWNER, M CLAYTON, BOD$169,300SECURITY SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2CERTAIN REPORTABLE INDIVIDUALS HAVE A BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF BMH (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. J. VANBOENING, D. YEAGER K. KELLER, D. YEAGER, J. CAMPBELL, J. VANBOENING
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ADIGNITY 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 7BTHE 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 11BTHE ORGANIZATION'S CFO WORKED CLOSELY WITH THE RELATED ORGANIZATION'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW. DUE TO TIMING THE FINAL DRAFT OF THE FORM 990 WAS NOT PRESENTED TO THE BOARD BEFORE THE RETURN WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15FORM 990, PART VI, SECTION B, LINE 15A 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 THE TOP MANAGEMENT OFFICIALS (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 COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS BASED ON A COMPREHENSIVE EVALUATION FOCUSING ON ALL ASPECTS OF THE INCUMBENT'S ASSIGNED DUTIES AND ASSESSED PERFORMANCE IN CARRYING OUT THE PHILOSOPHY AND MISSION OF COMMONSPIRIT AND ITS SPONSORING CONGREGATIONS. ADDITIONALLY, COMPARATIVE DATA AND MARKET SURVEYS REGARDING COMPENSATION IN THE SURROUNDING MARKETPLACE ARE CONSIDERED. THE SALARIES ARE FINALIZED BY THE SERVICE AREA LEADER IN COORDINATION WITH THE ORGANIZATION'S VP OF HUMAN RESOURCES.
FORM 990, PART VI, SECTION C, LINE 19FEDERAL 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' CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST.
FORM 990, PART VII, SECTION AJ. VANBOENING AND B. PETERS RECEIVED COMPENSATION AS EMPLOYEES OF THE RELATED ORGANIZATION, DIGNITY HEALTH. H. KOTHARY'S HOURS AND COMPENSATION RELATED TO HIS ROLE AS AN EMPLOYEE OF THE FILING ORGANIZATION AND NOT FOR SERVING AS A BOARD DIRECTOR. PRESENTATION OF ADDITIONAL INFORMATION OF CERTAIN INDIVIDUAL LISTED IN PART VII, SECTION A: KEVIN WALTERS VP, CHIEF STRATEGY OFFICER/CAO (THRU 6/11/21)
FORM 990, PART IX, LINE 11GMEDICAL FEES: PROGRAM SERVICE EXPENSES 28,498,085. MANAGEMENT AND GENERAL EXPENSES 1,847,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,345,301. OPTUM 360 FEES (REVENUE CYCLE): PROGRAM SERVICE EXPENSES 13,890,039. MANAGEMENT AND GENERAL EXPENSES 190,032. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,080,071. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 8,159,739. MANAGEMENT AND GENERAL EXPENSES 8,123,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,282,795. REPAIRS/MAINTENANCE: PROGRAM SERVICE EXPENSES 5,192,176. MANAGEMENT AND GENERAL EXPENSES 5,168,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,361,010. PROFESSIONAL FEES/ CONSULTING: PROGRAM SERVICE EXPENSES 1,256,302. MANAGEMENT AND GENERAL EXPENSES 1,250,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,506,956. STORAGE/JANITORIAL/WASTE MANAGEMENT: PROGRAM SERVICE EXPENSES 615,484. MANAGEMENT AND GENERAL EXPENSES 612,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,228,201. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 905,646. MANAGEMENT AND GENERAL EXPENSES 901,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,807,221. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 480,971. MANAGEMENT AND GENERAL EXPENSES 478,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 959,780.
FORM 990, PART XI, LINE 9:CHANGE IN OWNERSHIP INTEREST - JOINT VENTURE -158,784. GAIN ON ADOPTION OF ASU 2017-17 8,192,030. INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION 855,442.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XII, LINE 3BTHE 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HOSPITALNE501(C)(3)LINE 3ACH0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-COMM MEM HOSPITAL OF MO VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(C)(3)LINE 10CSH0
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(C)(3)LINE 10SFH0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RDARROYO GRANDECA93420203256066FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
BARROW FOUNDATION UK
311724184FUNDRAISING FOUNDATION501(C)(3)LINE 12D, III-O013 CHURCH STREETNUNNEYENGLANDUKBA11 4LWUKN/A
BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROADPHOENIXAZ85013860174371FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 7DIGNITY HEALTH0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(C)(3)LINE 12A, ISLHS0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(C)(3)LINE 3BSLHV0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242INACTIVEPA501(C)(3)LINE 12A, ICSH0
BRAZOSPORT HEALTH FOUNDATION INC
100 MEDICAL DRIVELAKE JACKSONTX77566760080110FUNDRAISING FOUNDATIONTX501(C)(3)LINE 12A, ITCHB0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261PHYSICIANSTX501(C)(3)LINE 3TCHB0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HOSPITALTX501(C)(3)LINE 3SLH-CO0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931REHABILITATIONTX501(C)(3)LINE 10SJSC0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUELOS ANGELESCA90015954000909FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HOSPITALND501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLECENTENNIALCO80112840405257HOSPITALCO501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HOSPITALIA501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL AVECENTENNIALCO80112840902211FUNDRAISING FOUNDATIONCO501(C)(3)LINE 7CHIC0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204COLORADO SPRINGSCO80920270930004FUNDRAISING FOUNDATIONCO501(C)(3)LINE 12A, ICSH0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796TELEHEALTHCO501(C)(3)LINE 12A, ICHI NS0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191SURGERY CENTEROR501(C)(3)LINE 10MMC - ROSEBURG0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200BAKERSFIELDCA93311844171789CLINICCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724INACTIVEKS501(C)(3)LINE 3CSH0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847SENIOR LIVINGMN501(C)(3)LINE 10CSH0
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7ACH0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651INVESTMENTSKY501(C)(3)LINE 12A, ICSH0
CHI LIVING COMMUNITIES
930 S WYNN ROADOREGONOH43616341892096SENIOR LIVINGOH501(C)(3)LINE 12A, ISFH-OH0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HOSPITALGA501(C)(3)LINE 3MHCS0
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HOME HEALTHCO501(C)(3)LINE 10CHI NS0
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HOLDING COCO501(C)(3)LINE 12A, ICSH0
CHI NEBRASKA
12809 WEST DODGE ROADOMAHANE68510363233121HOLDING CONE501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(C)(3)LINE 12A, ICSH0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HOSPITALAR501(C)(3)LINE 3CHI-SVHS0
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(C)(3)LINE 12A, ISVIMC0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131PHYSICIANSAR501(C)(3)LINE 3CHI-SVHS0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(C)(3)LINE 12A, I0N/A
COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112853374038FUNDRAISING FOUNDATIONCO501(C)(3)LINE 7CSH0
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200SAN FRANCISCOCA94107850919176OPERATING INVESTMENTSDE501(C)(3)LINE 12A, ICSH0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565RESEARCHCO501(C)(3)LINE 12A, ICSH0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVESAN BERNARDINOCA92411951643373HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237419853HOLDING COOH501(C)(2)GSH0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAH-CMHMV0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611400619HOSPITALKY501(C)(3)LINE 3SJHS0
DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200SAN FRANCISCOCA94107815009488HOSPITALCO501(C)(3)LINE 3CSH0
DIGNITY HEALTH
185 BERRY STREET STE 200SAN FRANCISCOCA94107941196203HOSPITALCA501(C)(3)LINE 3CSH0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVEREDDINGCA96003237115371SENIOR CENTER SERVICESCA501(C)(3)LINE 7DIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200SAN FRANCISCOCA94107462037641FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUESAN BERNARDINOCA92404237440086FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROADCHANDLERAZ85224742418514FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVERANCHO CORDOVACA95670680220314MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVESANTA CRUZCA95065770056778COMMUNITY HEALTH SYSTEMCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVESANTA CRUZCA95065942450442FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVESANTA CRUZCA95065770127719OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONSCA501(C)(3)LINE 10DOMINICAN HEALTH SERVICES0
EAST TEXAS CLINICAL SERVICES
101 VISION PARK SUITE 100SHENANDOAHTX77384454736213HEALTHCARETX501(C)(3)LINE 12A, ISLHS0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HOSPITALWA501(C)(3)LINE 3FHS0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HOSPITALKY501(C)(3)LINE 3KOH0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, IFH0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(C)(3)LINE 10CHILC0
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISING FOUNDATIONWA501(C)(3)LINE 10FHS0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HOSPITALWA501(C)(3)LINE 3CSH0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739PHYSICIANSWA501(C)(3)LINE 10FHS0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUESAN LUIS OBISPOCA93401203256125FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HOSPITALND501(C)(3)LINE 3SAMC0
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUEGLENDALECA91204953625651FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108INACTIVECO501(C)(3)LINE 12A, ICSH0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311778403EDUCATIONOH501(C)(3)LINE 2GSH0
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7GSH-KN0
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311206047FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, IGSH0
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HOSPITALWA501(C)(3)LINE 3FHS0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISING FOUNDATIONMN501(C)(3)LINE 12A, ISFMC-MN0
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808ASSISTED LIVINGIA501(C)(3)LINE 7CHI-IA CORP0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611029768HOSPITALKY501(C)(3)LINE 3KOH0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800LOUISVILLEKY40202611352729PHYSICIANSKY501(C)(3)LINE 10JHSMH0
KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611029769HEALTHCAREKY501(C)(3)LINE 12A, ICSH0
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HOSPITALMN501(C)(3)LINE 3CSH0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISING FOUNDATIONND501(C)(3)LINE 7LHC0
LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, IKOH0
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HOSPITALND501(C)(3)LINE 3CSH0
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HOSPITALTX501(C)(3)LINE 3SLH-CO0
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635ASSISTED LIVINGKY501(C)(3)LINE 10CHILC0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREETSANTA MARIACA93454953818027FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROADSAN ANDREASCA95249680127677HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISING FOUNDATIONTN501(C)(3)LINE 7MHCS0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HOSPITALTN501(C)(3)LINE 3CSH0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(C)(3)LINE 10MHCS0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MEDICAL CENTER-LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MEDICAL CENTER-SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX75904752721155PHYSICIANSTX501(C)(3)LINE 12A, IMHSET0
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX75902752492741INACTIVETX501(C)(3)LINE 3MHSET0
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(C)(3)LINE 12A, IMF-DM IA0
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(C)(3)LINE 10CHI-IA CORP0
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(C)(3)LINE 2CHI-IA CORP0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119BAKERSFIELDCA93302770201321FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MERCY FOUNDATION NORTH
2625 EDITH AVENUE SUITE EREDDINGCA96001943136799FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, I0N/A
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISING FOUNDATIONIA501(C)(3)LINE 7CHI-IA CORP0
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISING FOUNDATIONOR501(C)(3)LINE 7MMC - ROSEBURG0
MERCY FOUNDATION SACRAMENTO
3400 DATA DRIVE 3RD FLRRANCHO CORDOVACA95670237072762FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, I0N/A
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHMH-CORNING0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMHVC0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHBMHS0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HOSPITALND501(C)(3)LINE 3CSH0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISING FOUNDATIONND501(C)(3)LINE 7MHDL0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HOSPITALND501(C)(3)LINE 3CSH0
MERCY MCMAHON TERRACE
3865 J STREETSACRAMENTOCA95816680117340SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIESCA501(C)(3)LINE 10DIGNITY HEALTH0
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HOSPITALND501(C)(3)LINE 3CSH0
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HOSPITALIA501(C)(3)LINE 3CHI-IA CORP0
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE ENEWTONIA50314421470935HOSPITALIA501(C)(3)LINE 3CHI-IA CORP0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREETMERCEDCA95340770035928FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HOSPITALOR501(C)(3)LINE 3CSH0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMMC WILLISTON0
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUEBISMARCKND58501911845296MANAGEMENTND501(C)(3)LINE 7SAMC0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVDNORTHRIDGECA91328237444901FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HOSPITALND501(C)(3)LINE 3CSH0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IOCH0
PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREETSANTA MARIACA93454770447575CLINICCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVERANCHO CORDOVACA95670465322209HOSPITALCA501(C)(3)LINE 3DIGNITY HEALTH0
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625LTERM CAREOH501(C)(3)LINE 10CHILC0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(C)(3)LINE 10CHILC0
SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112222876836INACTIVENJ501(C)(3)LINE 12B, IISCHS0
SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112223639733INACTIVENJ501(C)(3)LINE 10CSH0
SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112223319886INACTIVENJ501(C)(3)LINE 3SCHS0
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SERMC0
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120INACTIVENE501(C)(3)LINE 3SERMC0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SFMC-NE0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREETSAN FRANCISCOCA94109941156295HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVELEXINGTONKY40504611334601HOSPITALKY501(C)(3)LINE 3KOH0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200LEXINGTONKY40504611159649FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, ISJHS0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREETDICKINSONND58601363418207FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, ISJHHC0
SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVESAN GABRIELCA91776953430341INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISING FOUNDATIONNE501(C)(3)LINE 12A, IAHMHS0
SEQUOIA HOSPITAL FOUNDATION
170 ALAMEDA DE LAS PULGASREDWOOD CITYCA94062942909990FUNDRAISING FOUNDATIONCA501(C)(3)LINE 70N/A
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAYGRASS VALLEYCA95945941439787HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809INACTIVEMO501(C)(3)LINE 3CSH0
ST FRANCIS FOUNDATION OF SANTA BARBARA
2323 DE LA VINA ST SUITE 104SANTA BARBARACA93105237137119FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREETSANTA BARBARACA93103770022302INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUEOXNARDCA93030202865781FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOSEPHS FOUNDATION
350 WEST THOMAS ROADPHOENIXAZ85013942941245FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREETSTOCKTONCA95204510432777FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUELONG BEACHCA90813237153876FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUELONG BEACHCA90813237373088INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREETSAN FRANCISCOCA94117943336143FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAYHENDERSONNV89052880349432FUNDRAISING FOUNDATIONNV501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HOSPITALND501(C)(3)LINE 3CSH0
ST ANNE OC
1145 BROADWAY PLAZA STE 1200TACOMAWA98402863590968INACTIVEWA501(C)(3)LINE 10FHS0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAYPENDLETONOR97801930391614HOSPITALOR501(C)(3)LINE 3CSH0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAYPENDLETONOR97801930992727FUNDRAISING FOUNDATIONOR501(C)(3)LINE 12A, ISAH0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HOSPITALAR501(C)(3)LINE 3SVIMC0
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HOSPITALKS501(C)(3)LINE 3CSH0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISING FOUNDATIONKS501(C)(3)LINE 12A, ISCH0
ST CLARE COMMONS
12469 FIVE POINT ROADTOLEDOOH43551270163752LIVING COMMOH501(C)(3)LINE 10CHILC0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692INVESTMENTSOR501(C)(4)CSH0
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(C)(3)LINE 10CSH0
ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112222536017INACTIVENJ501(C)(3)LINE 8SCHS0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HOSPITALMN501(C)(3)LINE 3CSH0
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISING FOUNDATIONTX501(C)(3)LINE 12A, ISJSC0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594LTERM CARETX501(C)(3)LINE 10SJSC0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112520591461INACTIVEMD501(C)(3)LINE 3CSH0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIANSTX501(C)(3)LINE 3SJSC0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112521311775INACTIVEMD501(C)(3)LINE 12A, ISJMC0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HOSPITALTX501(C)(3)LINE 3SJSC0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(C)(3)LINE 10SJSC0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(C)(3)LINE 12A, ISLHS0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HOSPITALMN501(C)(3)LINE 3CSH0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STDICKINSONND58601450226429HOSPITALND501(C)(3)LINE 3CSH0
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(C)(3)LINE 10CHILC0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISING FOUNDATIONTX501(C)(3)LINE 7SLHS0
ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S HEALTH SYSTEM CORP
PO BOX 20269HOUSTONTX77225760536232MANAGEMENTTX501(C)(3)LINE 12A, ICSH0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004760531716PROPERTY MGMTTX501(C)(3)LINE 12A, ISLHS0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(C)(3)LINE 12A, ISLCDC-SL0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARDNEBRASKA CITYNE68410470443636HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVDNEBRASKA CITYNE68410470707604FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SMCH0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISING FOUNDATIONAR501(C)(3)LINE 12A, ISVIMC0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HOSPITALAR501(C)(3)LINE 3CSH0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696PHYSICIANSAR501(C)(3)LINE 10SVIMC0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112341412964HOLDING COOH501(C)(3)LINE 12A, ICSH0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112455357161INACTIVEOH501(C)(3)LINE 12A, ISFH-OH0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSISTED LIVINGOH501(C)(3)LINE 10CHILC0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HOSPITALTX501(C)(3)LINE 3SLH-CO0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537486HOSPITALOH501(C)(3)LINE 3CSH0
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(C)(3)LINE 12A, ICHI NEBRASKA0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLECENTENNIALCO80112840927232INACTIVECO501(C)(3)LINE 3CHIC0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, ITHS0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(C)(3)LINE 12A, I0N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HOSPITALOH501(C)(3)LINE 3THS0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSISTED LIVINGOH501(C)(3)LINE 7THS0
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HOSPITALMN501(C)(3)LINE 3CSH0
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(C)(3)LINE 10CSH0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112221768334INACTIVENJ501(C)(3)LINE 10SCHS0
WOODLAND MEMORIAL HOSPITAL FOUNDATION
1321 COTTONWOOD STREET 305WOODLANDCA95695946167964FUNDRAISING FOUNDATIONCA501(C)(3)LINE 70N/A
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
1003 WILLOW CREEK ROADPRESCOTTAZ86301860098923HOSPITALAZ501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROADPRESCOTTAZ86301861038463FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IYRMC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
AMERICAN MERCY HOME CARE LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150830486150HOME HEALTHOHN/AN/A00
ARIZONA CARE NETWORK - NEXT LLC
4222 E THOMAS RD STE 400PHOENIXAZ85018474696671CARE NETWORKAZN/AN/A00
ARIZONA CARE NETWORK LLC (ACN LLC)
4222 E THOMAS RD STE 400PHOENIXAZ85013454494682CARE NETWORKAZN/AN/A00
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUELOS ANGELESCA90025851067265DIAGNOSTIC SERVICESCAN/AN/A00
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906841513085REAL ESTATECON/AN/A00
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
3100 MAIN STE 566HOUSTONTX77002472079184HEALTHCARE SRVCTXN/AN/A00
BERGAN MERCY SURGERY CENTER LLC
7500 MERCY RD STE 4300OMAHANE68124208671994AMBUL SURG CTRNEN/AN/A00
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUECHATTANOGATN37404621875199PHYS OFFICETNN/AN/A00
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
HEALTH SERVICESN/AN/A00709 WING ON PLAZA 62 MODY ROAD TSHONG KONGCHCH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINGKYN/AN/A00
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUEBAKERSFIELDCA93309461602286RADIATION / ONCOLOGYCAN/AN/A00
CENTRAL NEBRASKA REHABILITATION SVCS LLC
3004 W FAIDLEY AVEGRAND ISLANDNE68803810653461PHYSICAL THERAPYNEN/AN/A00
CENTURA SUMMIT ORTHOPEDICS LLC
68 SCHOOL RDFRISCOCO80443871308304HEALTHCARE SRVCCON/AN/A00
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVDNASHVILLETN37215465683027SURGERY CENTERCON/AN/A00
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906262982714REAL ESTATECON/AN/A00
COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC
6281 TRI RIDGE BLVD 300LOVELANDOH45150311746556HOME HEALTHOHN/AN/A00
DE JV LLC
8686 NEW TRAILS DRIVETHE WOODLANDSTX77381320496548EMERGENCY CARENVN/AN/A00
DHHP SURGERY CENTERS LLC
1513 S GRAND AVENUE STE 350LOS ANGELESCA90015831847466SURGERYDEN/AN/A00
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107352484591HOLDING COMPANYDEN/AN/A00
DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC
5555 GLENRIDGE CONNECTOR SUITE 700ATLANTAGA30342352548698MANAGEMENT SERVICESDEN/AN/A00
DIGNITY HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150824674115HEALTHCARE SRVCDEN/AN/A00
DIGNITY HEALTH SPECIALTY PHARMACY LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107320589462SPECIALTY PHARMACY SERVICESDEN/AN/A00
DIGNITY HOME RECOVERY CARE LLC
49 MUSIC SQUARE WEST SUITE 401NASHVILLETN37203832832522HOME RECOVERY PROGRAMDEN/AN/A00
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254202999237SURGERYTXN/AN/A00
DIGNITYUSP NORCAL SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254202468509SURGERYTXN/AN/A00
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254134248908SURGERYTXN/AN/A00
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
14201 DALLAS PARKWAYDALLASTX75254352584991SURGERYTXN/AN/A00
DIGNITY-ABRAZO HEALTH NETWORK LLC
4222 E THOMAS RD STE 400PHOENIXAZ85018465477985MANAGEMENT SERVICESAZN/AN/A00
DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
1545 SOQUEL DRIVESANTA CRUZCA94065770095477IMAGING CENTERCAN/AN/A00
ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVECOLORADO SPRINGSCO80909352656413AMBUL SURG CTRCON/AN/A00
ENDOSCOPY CENTER OF ARKANSAS
1024 NORTH UNIVERSITY AVELITTLE ROCKAR72207201337002DIAGNOSTIC SERVICESARN/AN/A00
FOLSOM SIERRA ENDOSCOPY CENTER LP
1671 CREEKSIDE DRIVE SUITE 100FOLSOMCA95630680482416ENDOSCOPYCAN/AN/A00
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NWGIG HARBORWA98335463494108REAL ESTATEWAN/AN/A00
FRANCISCAN SPECIALTY CARE LLC
330 SEVEN SPRINGS WAYBRENTWOODTN37027813725123HEALTHCARE SRVCWAN/AN/A00
GOLDEN RIDGE SURGERY CENTER LLC
660 GOLDEN RIDGE RD 100GOLDENCO80401841498087HEALTHCARE SRVCCON/AN/A00
GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC
6281 TRI RIDGE BLVD 300LOVELANDOH45150201792869HOME HEALTHOHN/AN/A00
HC SL VINTAGE I LLC
1400 N WATER ST STE 500MILWAUKEEWI53202270453767PROPERTY HOLDINGWIN/AN/A00
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEN/AN/A00
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD STSALINAKS67402464265403ONCOLOGYKSN/AN/A00
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLAZA STE 110OMAHANE68130204267902AMBUL SURG CTRNEN/AN/A00
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEN/AN/A00
LEXINGTON MBO PARTNERS LTD
5050 SOUTH SYRACUSE ST STE 800DENVERCO80237651132855REAL ESTATECON/AN/A00
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLINCOLNNE68510262496856REAL ESTATENEN/AN/A00
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201BAKERSFIELDCA93301364510880REAL ESTATECARELATED0Yes (1)BAKERSFIELD MEMORIAL HOSPITAL$192,207$3,359,8440.21440
MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC
2740 M STREETMERCEDCA95340943358445MANAGEMENT OF CANCER CENTERCAN/AN/A00
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAYBRENTWOODTN37027814437201HEALTHCARE SRVCTXN/AN/A00
MILITARY ROAD PROPERTIES LLC
18229 TERRACE COURT SWNORMANDY PARKWA98166912067879REAL ESTATEWAN/AN/A00
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNEN/AN/A00
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVESANTA CRUZCA95065460502935NEONATAL HEALTHCARECAN/AN/A00
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARN/AN/A00
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREETBISMARKND58501841641341DIAGNOSTIC SERVICESNDN/AN/A00
NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209770409291AMBULATORY SURGICAL CENTERCAN/AN/A00
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCON/AN/A00
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE SPARK RAPIDSMN56470204926259HEALTHCARE SRVCMNN/AN/A00
PENINSULA RADIATION ONCOLOGY CENTER LLC
4230 BRIDGEPORT WAY W STE BUNIVERSITY PLACEWA98466870808610HEALTHCARE SRVCWAN/AN/A00
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCON/AN/A00
PERFORMANCE MED EQUIP & RESPIR SVSC LLC
19625 62ND AVE SOUTH 101KENTWA98032452901632HOLDING COMPANYWAN/AN/A00
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100SANTA MARIACA93454770573567SURGERYCAN/AN/A00
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXN/AN/A00
PRECISION MEDICINE ALLIANCE LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159DIAGNOSTIC SERVICESCON/AN/A00
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCAN/AN/A00
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120HENDERSONNV89074271466450AMBULANCENVN/AN/A00
REID-ANC HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150371454747HOME HEALTHINN/AN/A00
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RDLEXINGTONKY40503453801157INACTIVEDEN/AN/A00
SAINT JOSEPH HEALTH ASC LLC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504852155230SURGERYKYN/AN/A00
SAINT JOSEPH-ANC HOME CARE SERVICES
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150263330545HOME HEALTHKYN/AN/A00
SANTA CRUZ COMPREHENSIVE IMAGING LLC
1661 SOQUEL DRIVE SUITE GSANTA CRUZCA95065010550623IMAGINGCAN/AN/A00
SANTA CRUZ LAND & BUILDING LP
1555 SOQUEL DRIVESANTA CRUZCA95065770285236REAL ESTATECAN/AN/A00
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCAN/AN/A00
SEVEN OAKS SURGERY CENTER LLC
1801 ORANGE TREE LANE SUITE 200REDLANDSCA92374851559544SURGERYCAN/AN/A00
SOUTHEASTERN HOME CARE LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150271219638HOME HEALTHOHN/AN/A00
ST JOSEPH'S SURGERY CENTER LP
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001201019390SURGERYTXN/AN/A00
ST ELIZABETH HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150261236191HOME HEALTHKYN/AN/A00
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECON/AN/A00
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTIC SERVICESTXN/AN/A00
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXN/AN/A00
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTIC SERVICESTXN/AN/A00
TEMPLETON SURGERY CENTER LLC
1310 LAS TABLAS ROAD SUITE 104TEMPLETONCA94365202246616SURGERYCAN/AN/A00
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUEOXNARDCA93030770332349REAL ESTATECAN/AN/A00
THREE SPRING IMAGING LLC
1 MERCADO ST STE 200ADURANGOCO81301813571570HEALTHCARE SRVCCON/AN/A00
TIA ARIZONA LLC
3030 N CENTRAL AVENUE SUITE 1402PHOENIXAZ85012863158670CLINICAZN/AN/A00
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
18330 ROSCOE BLVDNORTHRIDGECA91328800864336SURGERYCAN/AN/A00
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVE STE 100CLIVEIA50325205345295HEALTHCARE SRVCIAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (59 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC
12809 WEST DODGE RDOMAHANE68154470802396MANAGED CARENEN/AC0
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVEBRYANTX77802742466914HEALTHCARETXN/AC0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112841112049MANAGEMENT SERVICESCON/AC0
AMERICAN NURSING CARE INC
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHN/AC0
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHN/AC0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851INACTIVEKYN/AC0
BRAZOSPORT HEALTH ALLIANCE
1 WEST WAY COURTLAKE JACKSONTX77566760518376HEALTHCARETXN/AC0
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD STE 500CHATTANOOGATN37411621570736HEALTHCARETNN/AC0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511INACTIVECON/AC0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVELUFKINTX75904834184717CONDO ASSOCTXN/AC0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101PISMO BEACHCA93449743000596AMBULATORY SURGERY CENTERCAN/AS0
COMCARE SERVICES INC
9100 E MINERAL CIRCLECENTENNIALCO80112840904813INACTIVECON/AC0
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHN/AC0
DES MOINES MEDICAL CENTER INC
1111 6TH AVEDES MOINESIA50314420837382REAL ESTATEIAN/AC0
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107460675371HOLDING CONVN/AC0
DIGNITY HEALTH INSURANCE LTD
981065338CAPTIVE INSURANCEN/AC0PO BOX 1051 GRAND CAYMAN ISLGRAND CAYMAN ISLCJCJ
DIGNITY HEALTH PROVIDER RESOURCES INC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107473366764HEALTH PLANCAN/AC0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVELAKE JACKSONTX77566760222679HEALTHCARETXN/AC0
FRANCISCAN CITY URGENT CARE SERVICES PS
C/O CPGUSA 1345 AVE OF THE AMERICASNEW YORKNY10105812174959INACTIVENYN/AC0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HOLDING COCON/AC0
GALLERIA PAVILION OWNERS' ASSOCIATION
800 N GIBSON RDHENDERSONNV89011824275367REAL ESTATENVN/AC0
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNEN/AC0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473451750INSURANCEWAN/AC0
HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
1400 E CHURCH STREETSANTA MARIACA93454770074057HEALTH SERVICESCAN/AC0
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MGMTNEN/AC0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET STTACOMAWA98402911865474INACTIVEWAN/AC0
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464368223INSURANCENEN/AC0
HIGHLINE MEDICAL GROUP
1717 S J STREETTACOMAWA98405911407026MEDICAL SERVICESWAN/AC0
INTEGRATED MEDICAL SERVICES
9250 N 3RD STREET SUITE 4010PHOENIXAZ85020860783428MULTI-SPECIALTY PHYSICIANS GROUPAZN/AC0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER STHOT SPRINGSAR71913710720429REAL ESTATEARN/AC0
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDN/AC0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVELUFKINTX75904463622849INACTIVETXN/AC0
MERCY PARK APARTMENTS LTD
1111 6TH AVEDES MOINESIA50314421202422INACTIVEIAN/AC0
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97471930824308RETAIL SALESORN/AC0
MHI CLINICAL SERVICES
1201 W FRANK AVELUFKINTX75904461967952HEALTHCARETXN/AC0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200BAKERSFIELDCA93311770513445OUTPAITENT SURGERY SERVICESCASYes (1)BAKERSFIELDL MEMORIAL HOSPITAL$1,079,397$2,652,4430.59870
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RDCHATTANOOGATN37421621570739MGMT SVC ORGTNN/AC0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538BISMARKND58506450439894HEALTHCARENDN/AC0
QUALCHOICE ADVANTAGE
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912INSURANCEWAN/AC0
QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461224037ADMIN SERVICESCON/AC0
QUALCHOICE HEALTH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461222808HOLDING COCON/AC0
QUALCHOICE HOLDINGS INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112274075520HOLDING COARN/AC0
QUALCHOICE OF NEBRASKA
2401 S 73RD STOMAHANE68124810738827INACTIVENEN/AC0
RIVERLINK HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464380824INSURANCEOHN/AC0
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112464828332INSURANCEKYN/AC0
ROSS PARK PHARMACY INC
380 SUMMIT AVESTEUBENVILLEOH43952341832654PHARMACYOHN/AC0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112222441202INACTIVENJN/AC0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408INACTIVECON/AC0
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LEXINGTONKY40503270164198INACTIVEKYN/AC0
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001421720801INSURANCEWAN/AC0
ST MARY HEALTH VENTURES INC
1050 LINDEN AVENUELONG BEACHCA90813951912528RETAIL PHARMACYCAN/AC0
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORN/AC0
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STTACOMAWA98405911480569RENTALWAN/AC0
ST LUKE'S HEALTH SYSTEM HOLDINGS INC
6624 FANNIN STE 800HOUSTONTX77030760637138HOLDING COTXN/AC0
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARN/AC0
STE HOLDINGS
12809 WEST DODGE RDOMAHANE68154822383629HOLDING CONEN/AC0
SUGAR LAND DOCTOR GROUP
1317 LAKE POINT PARKWAYSUGAR LANDTX77478454270163INACTIVETXN/AC0
TOWSON MANAGEMENT INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112521710750INACTIVEMDN/AC0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026MGMT SERVICESOHN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION
B$284,720SEE PART VII
BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION
C$572,278SEE PART VII
MILLENNIUM SURGERY CENTER
L$63,000SEE PART VII
BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION
P$54,874SEE PART VII
MILLENNIUM SURGERY CENTER
S$2,118,737SEE PART VII
MEMORIAL MEDICAL PLAZA
S$209,612SEE PART VII

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2FormAndLineReferenceDesc
ExplanationTRANSACTIONS B AND C: BMH IS SUPPORTED BY ONE FUNDRAISING FOUNDATION. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF BMH. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO THE SUPPORTED ORGANIZATION FROM THE FOUNDATION OR DIRECTLY TO THE FOUNDATION FROM BMH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" REPRESENT FUNDS BMH TRANSFERRED TO THE FOUNDATION FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED FROM THE FOUNDATION AS GRANTS TO BMH. TRANSACTION L: BAKERSFIELD MEMORIAL HOSPITAL PROVIDED MANAGED CARE CONSULTING SERVICES TO MILLENNIUM SURGERY CENTER INC. THESE SERVICES WERE PAID BASED ON CONTRACT TERMS ESTABLISHED BY CURRENT MARKET VALUE OF SUCH SERVICES. TRANSACTION P: BASED ON AGREEMENT SET FORTH WITH BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION, SELECT ADMINISTRATIVE EXPENSES ARE REIMBURSED ON A MONTHLY BASIS TO THE FOUNDATION. TRANSACTION S: AMOUNTS INCLUDED WERE RELATED TO SHAREHOLDER DISTRIBUTIONS. MILLENNIUM SURGERY CENTER INC'S CEO AND CFO REVIEWED THE QUARTERLY FINANCIALS TO DETERMINE THE AMOUNT OF THE DISTRIBUTION. AFTER THE CEO AND CFO REVIEWED THE AMOUNT FOR DISTRIBUTION, THIS INFORMATION WAS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL.ExplanationTxt