COMMONSPIRIT WASHINGTON COMMUNITY CARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COMMONSPIRIT WASHINGTON COMMUNITY CARE (EIN 91-0565546)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-12
IRS object ID: 202521329349306232
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-12T16:14:30-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COMMONSPIRIT HEALTH	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1Txt
City	ENGLEWOOD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	910565546	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HARRISON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HARR	BusinessNameControlTxt
Phone	5642401000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 NW MYHRE RD	AddressLine1Txt
City	SILVERDALE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98383	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SCHULTZ	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5642401000	PhoneNum
Signature	2025-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK STOCKI	PreparerPersonNm
PTIN	P00642127	PTIN
Phone	3032989100	PhoneNum

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST MICHAEL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CHAD MELTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 NW MYHRE RD	AddressLine1Txt
City	SILVERDALE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98383	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$783,615,143	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1918	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	HARRISON MAKES A POSITIVE DIFFERENCE IN PEOPLE'S LIVES THROUGH EXCEPTIONAL HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2282	TotalEmployeeCnt
Total Volunteers	65	TotalVolunteersCnt
Total Gross UBI	$215,263	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$99,769	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,353,149	PYContributionsGrantsAmt
CY Contributions Grants	$6,490,543	CYContributionsGrantsAmt
PY Program Service Revenue	$657,198,477	PYProgramServiceRevenueAmt
CY Program Service Revenue	$765,089,583	CYProgramServiceRevenueAmt
PY Investment Income	$2,350,168	PYInvestmentIncomeAmt
CY Investment Income	$554,502	CYInvestmentIncomeAmt
PY Other Revenue	$11,676,773	PYOtherRevenueAmt
CY Other Revenue	$11,427,442	CYOtherRevenueAmt
PY Total Revenue	$687,578,567	PYTotalRevenueAmt
CY Total Revenue	$783,562,070	CYTotalRevenueAmt
PY Grants And Similar Paid	$160,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$345,844	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$209,678,957	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$226,632,002	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$429,069,860	PYOtherExpensesAmt
CY Other Expenses	$440,006,759	CYOtherExpensesAmt
PY Total Expenses	$638,908,817	PYTotalExpensesAmt
CY Total Expenses	$666,984,605	CYTotalExpensesAmt
PY Revenues Less Expenses	$48,669,750	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$116,577,465	CYRevenuesLessExpensesAmt
Total Assets BOY	$779,747,984	TotalAssetsBOYAmt
Total Assets EOY	$781,208,401	TotalAssetsEOYAmt
Total Liabilities BOY	$142,395,157	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$143,126,930	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$637,352,827	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$638,081,471	NetAssetsOrFundBalancesEOYAmt
Mission	HARRISON MEDICAL CENTER PROVIDES ACUTE MEDICAL AND SURGICAL SERVICES, EMERGENCY SERVICES AND A RANGE OF GENERAL AND SPECIALIZED SERVICES TO RESIDENTS OF THE KITSAP PENINSULA AND ADJACENT AREAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$541,005,071	ExpenseAmt
Grant	$345,844	GrantAmt
Revenue	$764,879,513	RevenueAmt
Desc	SEE SCHEDULE H.	Desc
Total Program Service Expenses	$541,005,071	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2282	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID NOSACKA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2536804000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1145 BROADWAY SUITE 1200	AddressLine1Txt
City	TACOMA	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98402	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JIM TERWILLIGER
FORMER OFFICER/PRESIDENT, PUGET SOUND MARKET	0.00	50.00	Yes (X)	$0	$996,476	$20,951
CHAD MELTON
PRESIDENT	50.00	0.00		$718,617	$0	$55,049	Yes (X)
DAVID NOSACKA
TREASURER/SVP&CFO NORTHWEST REGION	2.00	50.00		$0	$645,696	$57,994	Yes (X)
KIM MOORE MD
FORMER OFFICER/VP/INTERIM CHIEF MEDICAL OFFICER	0.00	40.00	Yes (X)	$0	$495,696	$35,165
DIANNE AROH
FORMER OFFICER/DIV SVP/CHIEF NURSING OFFICER	0.00	40.00	Yes (X)	$0	$508,305	$22,333
DAVID WEISS
FORMER KEY EMPLOYEE	0.00	40.00	Yes (X)	$0	$420,643	$39,293
MIRIAM CHAMBLISS
SECRETARY/VP GENERAL COUNSEL NORTHWEST REGION	2.00	50.00		$0	$412,275	$47,607	Yes (X)
REVELA ROSIMO
RN	40.00	0.00		$327,938	$0	$57,109		Yes (X)
PETER RE
RN CERT	40.00	0.00		$331,151	$0	$26,106		Yes (X)
MA EJEM-DAGAHOY
RN	40.00	0.00		$305,223	$0	$49,993		Yes (X)
RONALD DOMMERMUTH
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00	Yes (X)	$0	$295,826	$49,020
MATTHEW SMITH
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00	Yes (X)	$0	$268,321	$48,618
PETER LUNDBLAD
FORMER HIGHEST COMPENSATED EMPLOYEE	0.00	40.00	Yes (X)	$0	$265,843	$16,533
PAUL LIMUEL LINGAT
FLOAT RN CERT	40.00	0.00		$269,126	$0	$8,478		Yes (X)
ALPHA LINGAT
FLOAT RN	40.00	0.00		$260,308	$0	$8,376		Yes (X)
ROSALIE APALISOK
VP PATIENT CARE SERVICES	40.00	0.00		$235,855	$0	$13,975			Yes (X)
JEANELL RASMUSSEN
FORMER VP & CNO	40.00	2.00	Yes (X)	$130,619	$34,950	$21,081
DENNIS HUNTHAUSEN
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
CHUCK ARNOLD
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
BOB CARLILE
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
ULI CHI PHD
CHAIR	2.00	6.00		$0	$0	$0	Yes (X)			Yes (X)
SR JUDE CONNELLY OSF
DIRECTOR (THROUGH 3/28/24)	2.00	6.00		$0	$0	$0				Yes (X)
CAROLYN CORVI
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
SR RUTH GOODWIN OSF
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
TOD HAMACHEK
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
KAREN LEE
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
ROBERT LEMON
VICE CHAIR	2.00	6.00		$0	$0	$0	Yes (X)			Yes (X)
GREGG MEYER MD MSC
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
JOHN OPPENHEIMER
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)
DIANN PULS
DIRECTOR	2.00	6.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,578,837	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,344,031	TotReportableCompRltdOrgAmt
Total Other Compensation	$577,681	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	572	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTH SOUND INPATIENT PHYS
1123 PACIFIC AVE	TACOMA	WA	98402	MEDICAL SERVICES	$5,483,282
DOCTORS CLINIC
9621 RIDGETOP BLVD NW	SILVERDALE	WA	98383	MEDICAL SERVICES	$3,939,923
COMPHEALTH
7259 BINGHAM JCT BLVD	MIDVALE	UT	84047	STAFFING AGENCY	$3,079,013
OLYMPIC ANESTHESIA SERVICES
990 SYLVAN WAY 101	BREMERTON	WA	98310	MEDICAL SERVICES	$2,858,853
NORTHWEST UROLOGICAL SVCS LLC
2230 PETTYGROVE ST SUITE 210	PORTLAND	OR	97210	MEDICAL SERVICES	$1,171,893

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$34,348	RelatedOrganizationsAmt
Government Grants	$5,599,377	GovernmentGrantsAmt
All Other Contributions	$856,818	AllOtherContributionsAmt
Total Contributions	$6,490,543	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	900099	BusinessCd
Total Revenue Column	$765,089,583	TotalRevenueColumnAmt
Related Or Exempt Func Income	$764,875,650	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$213,933	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$765,089,583	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,008	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,330	UnrelatedBusinessRevenueAmt
Exclusion	$219,678	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,410,268	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,410,268	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,410,268	TotalRevenueColumnAmt
Exclusion	$2,410,268	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$386,567	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$53,073	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$386,567	SecuritiesAmt
Other	-$53,073	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,494	TotalRevenueColumnAmt
Exclusion	$333,494	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INSURANCE RECOVERIES	524298	$4,183,622	$0	$0	$4,183,622
340B CONTRACT REVENUE	600049	$2,778,394	$0	$0	$2,778,394
CAFETERIA	722100	$1,838,439	$0	$0	$1,838,439

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,719	TotalRevenueColumnAmt
Exclusion	$216,719	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,017,174	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$783,562,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	$764,875,650	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$215,263	UnrelatedBusinessRevenueAmt
Exclusion	$11,980,614	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$342,524	TotalAmt
Program Services	$342,524	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$3,320	TotalAmt
Program Services	$3,320	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,070,049	TotalAmt
Management And General	$1,070,049	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$180,578,406	TotalAmt
Program Services	$156,724,490	ProgramServicesAmt
Management And General	$23,853,916	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,415,231	TotalAmt
Program Services	$7,186,275	ProgramServicesAmt
Management And General	$1,228,956	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,852,113	TotalAmt
Program Services	$20,718,570	ProgramServicesAmt
Management And General	$3,133,543	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,716,203	TotalAmt
Program Services	$10,879,779	ProgramServicesAmt
Management And General	$1,836,424	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$734,328	TotalAmt
Management And General	$734,328	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$56,914	TotalAmt
Management And General	$56,914	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$168,089,654	TotalAmt
Program Services	$158,184,261	ProgramServicesAmt
Management And General	$9,905,393	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,372	TotalAmt
Program Services	$530	ProgramServicesAmt
Management And General	$16,842	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,813,021	TotalAmt
Program Services	$3,786,836	ProgramServicesAmt
Management And General	$1,026,185	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,503,793	TotalAmt
Program Services	$2,964,145	ProgramServicesAmt
Management And General	$21,539,648	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,307,423	TotalAmt
Program Services	$5,936,797	ProgramServicesAmt
Management And General	$1,370,626	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$147,348	TotalAmt
Program Services	$86,405	ProgramServicesAmt
Management And General	$60,943	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$70,892	TotalAmt
Program Services	$61,476	ProgramServicesAmt
Management And General	$9,416	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,154,602	TotalAmt
Program Services	$3,154,602	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$18,987,318	TotalAmt
Management And General	$18,987,318	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$39,983,325	TotalAmt
Program Services	$2,094,738	ProgramServicesAmt
Management And General	$37,888,587	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,441,453	TotalAmt
Program Services	$3,851,497	ProgramServicesAmt
Management And General	$589,956	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$137,516,282	$137,516,282	$0	$0
STATE PROVIDER TAX	$16,461,564	$16,461,564	$0	$0
OTHER TAXES	$7,311,287	$5,873,030	$1,438,257	$0
REPAIRS AND MAINTENANCE	$4,780,551	$3,824,441	$956,110	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,629,632	TotalAmt
Program Services	$1,353,509	ProgramServicesAmt
Management And General	$276,123	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$666,984,605	TotalAmt
Program Services	$541,005,071	ProgramServicesAmt
Management And General	$125,979,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,349	BOYAmt
EOY	$1,350	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$178,136	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$86,852,614	BOYAmt
EOY	$148,494,992	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$73,401	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,284,006	BOYAmt
EOY	$15,627,803	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$944,125	BOYAmt
EOY	$568,667	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$877,525,182	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$303,167,950	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$595,161,989	BOYAmt
EOY	$574,357,232	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$31,935,405	BOYAmt
EOY	$2,322,392	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,941,215	BOYAmt
EOY	$25,941,215	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,553,880	BOYAmt
EOY	$13,716,614	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$779,747,984	BOYAmt
EOY	$781,208,401	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$38,396,370	BOYAmt
EOY	$52,452,049	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,998,787	BOYAmt
EOY	$90,674,881	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,395,157	BOYAmt
EOY	$143,126,930	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$637,352,827	BOYAmt
EOY	$638,081,471	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$637,352,827	BOYAmt
EOY	$638,081,471	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$779,747,984	BOYAmt
EOY	$781,208,401	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$116,577,465	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$786,071	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$116,634,892	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$56,914	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$56,914	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $6,379 ALLOCATED 340B-$67 WASHINGTON STATE HOSPITAL ASSOCIATION - $50,468	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,689,105	OtherCostOrOtherBasisAmt
Book Value	$33,689,105	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$600,546,296	OtherCostOrOtherBasisAmt
Depreciation	$125,320,664	DepreciationAmt
Book Value	$475,225,632	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,791,463	OtherCostOrOtherBasisAmt
Depreciation	$13,209,814	DepreciationAmt
Book Value	$2,581,649	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$213,158,230	OtherCostOrOtherBasisAmt
Depreciation	$163,318,755	DepreciationAmt
Book Value	$49,839,475	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,340,088	OtherCostOrOtherBasisAmt
Depreciation	$1,318,717	DepreciationAmt
Book Value	$13,021,371	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$574,357,232	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$58,408,780
UNCLAIMED PROPERTY	$27,550
CURRENT PORTION OF OPERATING LEASE LIABILITY	$3,562,798
LT PORTION OF FINANCE LEASE LIABILITY	$10,301,008
PHYSICIAN RECRUIT AND GUARANTEE PAYABLE	$16,730,728
OTHER LIABILITIES	$174,588
RETAINAGE LIABILITY	$1,469,429

Field	Value	IRS element (for citing)
Total Liability	$90,674,881	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	HARRISON MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	10077	PersonsServedCnt
Total Community Benefit Expns	$3,481,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,481,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	61486	PersonsServedCnt
Total Community Benefit Expns	$100,571,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,005,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,565,077	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	71563	PersonsServedCnt
Total Community Benefit Expns	$104,052,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,005,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,046,402	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	5028	PersonsServedCnt
Total Community Benefit Expns	$656,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,080	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$542,146	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	676	PersonsServedCnt
Total Community Benefit Expns	$13,808,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,211,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,597,225	NetCommunityBenefitExpnsAmt
Total Expense	0.01740	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4010	PersonsServedCnt
Total Community Benefit Expns	$7,913,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,433,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,480,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1491	PersonsServedCnt
Total Community Benefit Expns	$333,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$333,234	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	11205	PersonsServedCnt
Total Community Benefit Expns	$22,711,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,758,328	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,952,872	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	82768	PersonsServedCnt
Total Community Benefit Expns	$126,763,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,764,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,999,274	NetCommunityBenefitExpnsAmt
Total Expense	0.06740	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$5,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	102	PersonsServedCnt
Total Community Benefit Expns	$5,975	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,975	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	137	PersonsServedCnt
Total Community Benefit Expns	$11,622	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,759,225	BadDebtExpenseAmt
Reimbursed By Medicare	$171,142,283	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$236,226,094	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$65,083,811	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HARRISON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 NW MYHRE ROAD	AddressLine1Txt
City	SILVERDALE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98383	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.VMFH.ORG/OUR-HOSPITALS/ST-	WebsiteAddressTxt
State License	HAC.FS.00000142	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	RURAL HEALTHCARE CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HARRISON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H SUPPLEMENTAL INFO	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://WWW.KITSAPPUBLICHEALTH.ORG/EPI/REPORTS	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H SUPPLEMENTAL INFO	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HARRISON MEDICAL CENTER	PART V, SECTION B, LINE 5: VIRGINIA MASON FRANCISCAN HEALTH CONTRACTS WITH THE KITSAP PUBLIC HEALTH DISTRICT TO CONDUCT AND CREATE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR ST. MICHAEL MEDICAL CENTER. TO ENSURE MEANINGFUL COMMUNITY ENGAGEMENT, MULTIPLE METHODS WERE EMPLOYED TO GATHER AND RECEIVE FEEDBACK. IN PARTNERSHIP WITH KITSAP COMMUNITY RESOURCES, SEVEN COMMUNITY FOCUS GROUPS AND SIXTEEN KEY INFORMANT INTERVIEWS WERE HELD. THROUGH THE FOCUS GROUPS AND INTERVIEWS, 33 COMMUNITY ORGANIZATIONS WERE ENGAGED. ASSESSMENT OUTREACH AND ENGAGEMENT WAS SPECIFICALLY DESIGNED TO ENSURE THAT THE VOICES OF OUR MINORITY POPULATIONS, BLACK, INDIGENOUS, PERSONS OF COLOR, AND LGBTQ COMMUNITIES WERE REPRESENTED AND RECOGNIZED AS WELL AS THOSE WITH LIVED EXPERIENCE. NUMEROUS ORGANIZATIONS CONTRIBUTED TO THE CHNA, INCLUDING THE ALLIANCE FOR EQUITABLE HEALTHCARE, BAINBRIDGE COMMUNITY FOUNDATION, BREMERTON CHAMBER OF COMMERCE, BREMERTON HOUSING AUTHORITY, CITY OF POULSBO, COFFEE OASIS, EAGLE'S WINGS, COORDINATED CARE, FISHLINE FOOD BANK, COMPREHENSIVE SERVICES ISLAMIC CENTER OF KITSAP, KITSAP BLACK STUDENT UNION, KITSAP COMMUNITY FOUNDATION, KITSAP COUNTY FIRE DEPARTMENT, KITSAP COUNTY GOVERNMENT, KITSAP ECONOMIC DEVELOPMENT ALLIANCE, KITSAP IMMIGRANT ASSISTANCE CENTER, KITSAP MENTAL HEALTH SERVICES, KITSAP PRIDE, KITSAP REGIONAL LIBRARY, KITSAP RESCUE MISSION, KITSAP STRONG, MARVIN WILLIAMS RECREATION CENTER, MOLINA HEALTHCARE, MOUNT ZION MISSIONARY BAPTIST CHURCH, NAACP BREMERTON, OLYMPIC COLLEGE, OLYMPIC EDUCATIONAL SERVICE DISTRICT 114, PENINSULA COMMUNITY HEALTH SERVICES, PORT GAMBLE S'KLALLAM TRIBE, PUGET SOUND ENERGY, ST. VINCENT DE PAUL BREMERTON, SUQUAMISH TRIBE, UNITED WAY OF KITSAP COUNTY, AND WASHINGTON DEPARTMENT OF COMMERCE.
HARRISON MEDICAL CENTER	PART V, SECTION B, LINE 6B: KITSAP COMMUNITY RESOURCES WAS A PARTNER IN COMPILING THE CHNA.
HARRISON MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE CHNA IS MADE WIDELY AVAILABLE TO COMMUNITY PARTNERS AND MEMBERS OF THE COMMUNITY WHO PARTICIPATE IN HEALTH RELATED COALITIONS, COMMITTEES, PROGRAMS AND EVENTS.
HARRISON MEDICAL CENTER	PART V, SECTION B, LINE 11: SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA INCLUDE BEHAVIORAL HEALTH, ACCESS TO HEALTH CARE, PREGNANCY AND BIRTHS, BASIC NEEDS, AND CHRONIC DISEASE. ST. MICHAEL MEDICAL CENTER IS TAKING ACTION AND DEDICATING RESOURCES TO ADDRESS EACH OF THESE PRIORITIES. BEHAVIORAL HEALTH: ST. MICHAEL MEDICAL CENTER CONTINUED TO PROVIDE FUNDING AND SUPPORT TO KITSAP MENTAL HEALTH SERVICES. ADDITIONALLY, PARTNERSHIPS WITH CONCERT HEALTH AND QUARTET HEALTH ALLOW FOR EXPANDED VIRTUAL BEHAVIORAL HEALTH SERVICES. FUNDING AND PROGRAM SUPPORT WAS PROVIDED TO COMMUNITY BASED ORGANIZATIONS FOCUSED ON ADDRESSING BEHAVIORAL HEALTH COMMUNITY NEEDS. GRANT FUNDING WAS PROVIDED TO COMMUNITY BASED ORGANIZATIONS TO ADDRESS BEHAVIORAL HEALTH. ACCESS TO HEALTH CARE: ST. MICHAEL MEDICAL CENTER PROVIDED FINANCIAL SUPPORT AND DONATED CARE TO PROJECT ACCESS NORTHWEST WHICH PROVIDES INSURANCE PREMIUM SUPPORT, DONATED CARE, AND CARE COORDINATION TO VULNERABLE COMMUNITY MEMBERS. THE MEDICAL CENTER SUPPORTED PATIENTS WITH TRANSPORTATION, HOUSING, MEDICAL EQUIPMENT AND OTHER SUPPORT SERVICES TOWARD REMOVING BARRIERS TO CARE. THROUGH THE FAMILY MEDICINE PRACTICE & RESIDENCY, COMMUNITY OUTREACH, CARE AND EDUCATION WAS PROVIDED TO VULNERABLE COMMUNITY MEMBERS THROUGH NUMEROUS COMMUNITY BASED ORGANIZATIONS. ST. MICHAEL MEDICAL CENTER PROVIDED DEDICATED SPACE FOR UNHOUSED PATIENTS TO RECUPERATE, AND THROUGH THE WIC PROGRAM PROVIDED SUPPLEMENTAL NUTRITION SUPPORT FOR PREGNANT INDIVIDUALS AND FAMILIES. GRANT FUNDING WAS PROVIDED TO COMMUNITY BASED ORGANIZATIONS TO ADDRESS ACCESS TO CARE. BASIC NEEDS: ST. MICHAEL MEDICAL CENTER PROVIDED FINANCIAL SUPPORT TO COMMUNITY BASED ORGANIZATIONS WHOSE FOCUS IS ON BASIC NEEDS FOR VULNERABLE COMMUNITY MEMBERS, AND PROVIDED RESOURCES AND SUPPORT FOR HOUSING, TRANSPORTATION, AND CLOTHING TO THE UNHOUSED. THE MEDICAL CENTER PARTNERED WITH COMMUNITY BASED FOOD BANKS AND RECREATION CENTERS TO BRING NUTRITIONAL EDUCATION AND SUPPORT TO HIGH RISK COMMUNITY MEMBERS. A MEDICALLY TAILORED FOOD PROGRAM ADDRESSED FOOD INSECURITY AND TRANSPORTATION BARRIERS FOR DIABETES PATIENTS. CHRONIC DISEASE: THE MEDICAL CENTER ACTIVATED HEALTHY EATING, ACTIVE LIVING COMMUNITY EDUCATION, DIET AND NUTRITION CLASSES, AND BLOOD PRESSURE SCREENINGS FOCUSED ON HIGH RISK POPULATIONS. THE MEDICAL CENTER SUPPORTED FAITH COMMUNITIES TO CREATE AND SUSTAIN HEALTH MINISTRIES TO FOSTER PROGRAMMING FOCUSED ON CHRONIC DISEASE PREVENTION AND EDUCATION. THROUGH THE FAMILY MEDICINE PRACTICE & RESIDENCY, PROGRAMS WERE HELD AT NUMEROUS COMMUNITY BASED ORGANIZATIONS SERVING VULNERABLE POPULATIONS AND DIABETES EDUCATION AND SUPPORT CLASSES WERE OFFERED THROUGH COMMUNITY BASED ORGANIZATIONS AND SCHOOLS. BREAST CANCER AND SKIN CANCER SCREENINGS WERE HELD TO INCREASE KNOWLEDGE, AND SUPPORT EARLY DETECTION. GRANT FUNDING WAS PROVIDED TO COMMUNITY BASED ORGANIZATIONS TO ADDRESS CHRONIC DISEASE. PREGNANCY & BIRTHS: ST. MICHAEL MEDICAL CENTER PROVIDED SUPPLEMENTAL NUTRITION SUPPORT FOR LOW-INCOME, PREGNANT INDIVIDUALS AND FAMILIES THROUGH THE WIC PROGRAM, AND ACTIVATED COMMUNITY EDUCATION AND ENGAGEMENT EFFORTS TO EDUCATE THE COMMUNITY ON PRENATAL CARE.
HARRISON MEDICAL CENTER	PART V, SECTION B, LINE 13H: NO MINIMUM ACCOUNT BALANCE SHALL BE REQUIRED FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE.THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION.PATIENT COOPERATION STANDARDS - 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."PATIENT COOPERATION STANDARDS," AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY, SHALL ONLY APPLY TO THE EXTENT THEY:1) ALLOW THE HOSPITAL FACILITY TO PURSUE REIMBURSEMENT FROM ANY THIRD-PARTY COVERAGE THAT MAY BE IDENTIFIED TO THE HOSPITAL FACILITY, IN ACCORDANCE WITH WAC 246-453-020(1);2) ALLOW THE HOSPITAL FACILITY TO MAKE EVERY REASONABLE EFFORT TO DETERMINE THE EXISTENCE OR NONEXISTENCE OF THIRD-PARTY SPONSORSHIP THAT MIGHT COVER IN FULL OR IN PART THE CHARGES FOR SERVICES PROVIDED TO EACH PATIENT, IN ACCORDANCE WITH WAC246-453-020(4); AND3) DO NOT IMPOSE APPLICATION PROCEDURES FOR CHARITY CARE SPONSORSHIP WHICH PLACE AN UNREASONABLE BURDEN UPON THE RESPONSIBLE PARTY, TAKING INTO ACCOUNT ANY PHYSICAL, MENTAL, INTELLECTUAL, OR SENSORY DEFICIENCIES OR LANGUAGE BARRIERS WHICH MAY HINDER THE RESPONSIBLE PARTY'S CAPABILITY OF COMPLYING WITH THE APPLICATION PROCEDURES, IN ACCORDANCE WITH WAC 246-453-020(5).ELIGIBILITY FOR FINANCIAL ASSISTANCE SHALL NOT BE BASED ON A PERSON'S RESIDENCY.
SCHEDULE H, PART V, SECTION B, LINE 3E:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A:	HTTPS://WWW.VMFH.ORG/ABOUT-VMFH/WHY-CHOOSE-VMFH/REPORTS-TO-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 10A:	HTTPS://WWW.VMFH.ORG/ABOUT-VMFH/WHY-CHOOSE-VMFH/REPORTS-TO-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 16A:	HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-DISCOUNTS
SCHEDULE H, PART V, SECTION B, LINE 16B:	HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-DISCOUNTS
SCHEDULE H, PART V, SECTION B, LINE 16C:	HTTPS://WWW.VMFH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-DISCOUNTS

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - OLYMPIC PROFESSIONAL BUILDING
2600 CHERRY AVENUE SUITE 203	BREMERTON	WA	98310	IV OPTIMUM CLINIC
2 - HARRISON HOME HEALTH
4205 WHEATON WAY SUITE A	BREMERTON	WA	98310	HOME HEALTH SERVICES
3 - HARRISON BELFAIR URGENT & PRIMARY CARE
21 NE ROMANCE HILL ROAD	BELFAIR	WA	98528	PRIMARY & URGENT CARE
4 - HARRISON PORT ORCHARD URGENTPRIMARY CAR
450 S KITSAP BLVD	PORT OCHARD	WA	98366	PRIMARY & URGENT CARE
5 - HARRISON HEALTH AND WELLNESS
3909 NW RANDALL WAY SUITE 201	SILVERDALE	WA	98383	CARDIOPULMONARY REHAB, OUTPATIENT REHAB, NUTRITION COUNSELING, MASSAGE
6 - HARRISON WOUND CARE
742 LEBO BLVD SUITE A	BREMERTON	WA	98310	WOUND CARE, HYPERARIC MEDICINE & INFUSION CENTER
7 - HARLOW MEDICAL BUILDING
1780 NW MYHRE RD	SILVERDALE	WA	98383	HOSPITAL PHARM, PED REHAB CLINIC, HOSPITAL LAB, BREAST CARE, GEN SURGERY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * NO MINIMUM ACCOUNT BALANCE SHALL BE REQUIRED FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE* PURSUANT TO THE TERMS OF THE FINANCIAL ASSISTANCE POLICY, UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, CERTAIN ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE. THIS ADDENDUM UPDATES SUCH ELIGIBILITY CRITERIA WITH THE FOLLOWING:1. ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 300% PERCENT OF THE FPL SHALL RECEIVE A FULL DISCOUNT FROM THEIR ACCOUNT BALANCE FOR APPROPRIATE HOSPITAL BASED MEDICAL SERVICES AND EMERGENCY CARE OR EMERGENCY SERVICES PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY THIRD-PARTY PAYERS OR SPONSORS. 2. ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 301% TO 350% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO 75%, WHICH MAY BE REDUCED FROM THEIR ACCOUNT BALANCE FOR APPROPRIATE HOSPITAL BASED MEDICAL SERVICES AND EMERGENCY CARE OR EMERGENCY SERVICES PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY THIRD-PARTY PAYERS OR SPONSORS, AND ANY AMOUNTS REASONABLY RELATED TO ASSETS CONSIDERED AS SET FORTH IN THE HOSPITAL FACILITY'S POLICY ON ASSET TESTING. 3. ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 351% TO 400% OF THE FPL SHALL RECEIVE DISCOUNTED CARE UP TO 50% FROM THEIR ACCOUNT BALANCE FOR APPROPRIATE HOSPITAL BASED MEDICAL SERVICES AND EMERGENCY CARE OR EMERGENCY SERVICES PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD-PARTY PAYERS OR SPONSORS, AND ANY AMOUNTS REASONABLY RELATED TO ASSETS CONSIDERED AS SET FORTH IN THE HOSPITAL FACILITY'S POLICY ON ASSET TESTING. 4. IN THE EVENT A HOSPITAL FACILITY PROVIDES DISCOUNTED CARE GREATER THAN WHAT IS REQUIRED ABOVE (EITHER THROUGH AMOUNTS GENERALLY BILLED ("AGB"), SELF-PAY, OR OTHER DISCOUNTS) THE PATIENT SHALL RECEIVE THAT GREATER DISCOUNTED CARE AMOUNT.* WITH RESPECT TO THOSE ASSETS THAT MAY BE TAKEN INTO CONSIDERATION, HOSPITAL FACILITY WILL SEEK ONLY SUCH INFORMATION REGARDING ASSETS AS IS REASONABLY NECESSARY AND READILY AVAILABLE TO DETERMINE THE EXISTENCE, AVAILABILITY, AND VALUE OF SUCH ASSETS.1. HOSPITAL FACILITY WILL CONSIDER ASSETS AND COLLECT INFORMATION RELATED TO SUCH ASSETS AS REQUIRED BY THE CENTERS FOR MEDICARE AND MEDICAID ("CMS") FOR MEDICARE COST REPORTING. SUCH INFORMATION MAY INCLUDE REPORTING OF ASSETS CONVERTIBLE TO CASH AND UNNECESSARY FOR THE PATIENT'S DAILY LIVING.2. DUPLICATE FORMS OF VERIFICATION WILL NOT BE REQUESTED AND ONLY ONE CURRENT ACCOUNT STATEMENT IS REQUIRED TO VERIFY MONETARY ASSETS.3. IF NO DOCUMENTATION FOR AN ASSET IS AVAILABLE, A WRITTEN AND SIGNED STATEMENT FROM THE PATIENT OR GUARANTOR IS SUFFICIENT.4. ASSET INFORMATION WILL NOT BE USED FOR COLLECTION ACTIVITIES.THE FOLLOWING TYPES OF ASSETS SHALL BE EXCLUDED FROM CONSIDERATION:-THE FIRST $5,000 OF MONETARY ASSETS FOR AN INDIVIDUAL OR $8,000 OF MONETARY ASSETS FOR A FAMILY OF TWO, PLUS AN ADDITIONAL $1,500 OF MONETARY ASSETS FOR EACH ADDITIONAL FAMILY MEMBER. THE VALUE OF ANY ASSET THAT HAS A PENALTY FOR EARLY WITHDRAWAL SHALL BE THE VALUE OF THE ASSET AFTER THE PENALTY HAS BEEN PAID;-ANY EQUITY IN A PRIMARY RESIDENCE;RETIREMENT PLANS OTHER THAN 401(K) PLANS;-ONE MOTOR VEHICLE AND A SECOND MOTOR VEHICLE IF IT IS NECESSARY FOR EMPLOYMENT OR MEDICAL PURPOSES;-ANY PREPAID BURIAL CONTRACT OR BURIAL PLOT; AND-ANY LIFE INSURANCE POLICY WITH A FACE VALUE OF $10,000 OR LESSASSISTANCE IS OFFERED TO THOSE WHOSE ANNUAL FAMILY INCOME FALLS WITHIN THE CATEGORIES ABOVE AND HAVE:-COOPERATED WITH EFFORTS TO EXHAUST ALL OTHER PAYMENT OPTIONS; AND-COMPLETED A FINANCIAL ASSISTANCE APPLICATION AND PROVIDED SUFFICIENT SUPPORT TO VERIFY INCOME. IN SOME CASES, PATIENTS MAY BE AWARDED FINANCIAL ASSISTANCE WITHOUT A FORMAL APPLICATION. DETAILS ARE OUTLINED IN THE FINANCIAL ASSISTANCE POLICYTHE PATIENT COOPERATION STANDARDS AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY, SHALL ONLY APPLY TO THE EXTENT THEY:1) ALLOW THE HOSPITAL FACILITY TO PURSUE REIMBURSEMENT FROM ANY THIRD-PARTY COVERAGE THAT MAY BE IDENTIFIED TO THE HOSPITAL FACILITY, IN ACCORDANCE WITH WAC 246-453-020(1);2) ALLOW THE HOSPITAL FACILITY TO MAKE EVERY REASONABLE EFFORT TO DETERMINE THE EXISTENCE OR NONEXISTENCE OF THIRD-PARTY SPONSORSHIP THAT MIGHT COVER IN FULL OR IN PART THE CHARGES FOR SERVICES PROVIDED TO EACH PATIENT, IN ACCORDANCE WITH WAC 246-453-020(4); AND3) DO NOT IMPOSE APPLICATION PROCEDURES FOR CHARITY CARE SPONSORSHIP WHICH PLACE AN UNREASONABLE BURDEN UPON THE RESPONSIBLE PARTY, TAKING INTO ACCOUNT ANY PHYSICAL, MENTAL, INTELLECTUAL, OR SENSORY DEFICIENCIES OR LANGUAGE BARRIERS WHICH MAY HINDER THE RESPONSIBLE PARTY'S CAPABILITY OF COMPLYING WITH THE APPLICATION PROCEDURES, IN ACCORDANCE WITH WAC 246-453-020(5).ELIGIBILITY FOR FINANCIAL ASSISTANCE SHALL NOT BE BASED ON A PERSON'S RESIDENCY.COMMONSPIRIT HOSPITAL ORGANIZATIONS RECOGNIZE THAT NOT ALL PATIENTS AND GUARANTORS ARE ABLE TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION OR PROVIDE REQUISITE DOCUMENTATION. FINANCIAL COUNSELORS ARE AVAILABLE AT EACH HOSPITAL FACILITY LOCATION TO ASSIST ANY INDIVIDUAL SEEKING APPLICATION ASSISTANCE. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:-RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;-HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;-PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);-FOOD STAMP ELIGIBILITY;-ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);-LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR-PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.IN THE EVENT THE RESPONSIBLE PARTY'S IDENTIFICATION AS AN INDIGENT PERSON IS OBVIOUS TO HOSPITAL FACILITY PERSONNEL, AND THE HOSPITAL FACILITY PERSONNEL ARE ABLE TO ESTABLISH THE POSITION OF THE INCOME LEVEL WITHIN THE BROAD CRITERIA DESCRIBED IN WAC 246-453-040, BASED ON THE INDIVIDUAL LIFE CIRCUMSTANCES CONTAINED WITHIN THE FINANCIAL ASSISTANCE POLICY OR OTHERWISE, THE HOSPITAL FACILITY IS NOT OBLIGATED TO ESTABLISH THE EXACT INCOME LEVEL OR TO REQUEST DOCUMENTATION FROM THE RESPONSIBLE PARTY, UNLESS THE RESPONSIBLE PARTY REQUESTS FURTHER REVIEW.HOSPITAL FACILITIES SHALL MAKE EVERY REASONABLE EFFORT TO REACH INITIAL AND FINAL DETERMINATIONS OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IN A TIMELY MANNER. NEVERTHELESS, HOSPITAL FACILITIES SHALL MAKE THOSE DETERMINATIONS AT ANY TIME, EVEN AFTER THE APPLICATION PERIOD, UPON LEARNING OF FACTS OR RECEIVING THE DOCUMENTATION DESCRIBED HEREIN, INDICATING THAT THE RESPONSIBLE PARTY'S INCOME IS EQUAL TO OR BELOW THREE HUNDRED PERCENT (300%) OF THE FEDERAL POVERTY GUIDELINES AS ADJUSTED FOR FAMILY SIZE. THE TIMING OF REACHING A FINAL DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE SHALL HAVE NO BEARING ON THE HOSPITAL FACILITY'S IDENTIFICATION OF CHARITY CARE DEDUCTIONS FROM REVENUE AS DISTINCT FROM BAD DEBTS. WAC 246-453-020(10).
PART I, LINE 7:	COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO 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 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED 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 II, COMMUNITY BUILDING ACTIVITIES:	ST. MICHAEL MEDICAL CENTER IMPLEMENTED A PROGRAMMING STRATEGY TO DEVELOP A DIVERSE PIPELINE OF STUDENTS INTERESTED IN WORKING IN HEALTHCARE. THROUGH THESE ACTIVITIES, THE MEDICAL CENTER IS SUPPORTING THE CREATION OF A FUTURE WORKFORCE WHILE ADVANCING HEALTH EDUCATION AND KNOWLEDGE.
PART III, LINE 2:	THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 301% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	HARRISON MEDICAL CENTER MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. HARRISON MEDICAL CENTER'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. HARRISON MEDICAL CENTER ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, HARRISON MEDICAL CENTER 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:	HARRISON MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES."
PART III, LINE 8:	COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. HARRISON MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $65,083,811 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B:	COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2:	VIRGINIA MASON FRANCISCAN HEALTH STAFF ARE ACTIVE MEMBERS OF VARIOUS COMMUNITY COALITIONS THROUGHOUT THE SERVICE AREA TO ASCERTAIN THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED.
PART VI, LINE 3:	INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4:	ST. MICHAEL MEDICAL CENTER IS LOCATED IN SILVERDALE, WA. THE COMMUNITY HAS 280,000 RESIDENTS. A LITTLE LESS THAN THREE QUARTERS OF KITSAP'S RESIDENTS ARE NON-HISPANIC WHITE OR CAUCASIAN (71.9%) HISPANIC AND LATINO RESIDENTS ARE THE NEXT LARGEST GROUP REPRESENTING 9.4% OF THE SERVICE AREA'S TOTAL POPULATION. THE THIRD LARGEST RACIAL GROUP IN KITSAP IS PEOPLE IDENTIFYING AS TWO OR MORE RACES (6.2%). THE POPULATION AGED 65 AND OLDER IS INCREASING. AMONG ALL INDIVIDUALS FIVE YEARS AND OLDER, 91% OF THE POPULATION SPEAKS ENGLISH AT HOME. TOP LANGUAGES SPOKEN OTHER THAN ENGLISH INCLUDE SPANISH (2.9%), AND TAGALOG OR FILIPINO (1.8%). LIFE EXPECTANCY IN KITSAP COUNTY HAS BEEN INCREASING SINCE 2000. LIFE EXPECTANCY VARIES BY RACE, HOWEVER, WITH PACIFIC ISLANDERS, BLACK AND AFRICAN AMERICANS EXPERIENCING A LOWER LIFE EXPECTANCY THAN THE AVERAGE OF 83 YEARS. ADDITIONALLY, RESIDENTS OF BREMERTON AND SOUTH KITSAP ALSO EXPERIENCE LOWER LIFE EXPECTANCIES.
PART VI, LINE 5:	FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED
PART VI, LINE 6:	THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
GIG HARBOR FAMILY YMCA
10550 HARBOR HILL DR	GIG HARBOR	WA	98332	910565562	501(C)3	$50,000	$0	GENERAL SUPPORT
RAINIER FOOTHILLS WELLNESS FOUNDATION
1304 GRIFFIN AVE	ENUMCLAW	WA	98022	911192604	501(C)3	$35,752	$0	GENERAL SUPPORT
EMERGENCY FOOD NETWORK
3318 92ND ST S	LAKEWOOD	WA	98499	943131776	501(C)3	$75,000	$0	GENERAL SUPPORT
PLATEAU OUTREACH MINISTRIES
PO BOX 391	ENUMCLAW	WA	98022	911965830	501(C)3	$25,000	$0	GENERAL SUPPORT
RESILIENT IN SUSTAINING EMPOWER
1210 SW 136TH ST STE 229	BURIEN	WA	98166	851218118	501(C)3	$95,000	$0	GENERAL SUPPORT
YMCA OF PIERCE & KITSAP COUNTIES
4717 S 19TH STREET STE 201	TACOMA	WA	98405	910565562	501(C)3	$61,772	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	WHEN CONSIDERING FINANCIAL DONATIONS TO OTHER ORGANIZATIONS, HARRISON MEDICAL CENTER FOCUSES ON THREE AREAS: HEALTH AND WELLNESS PROGRAMS THAT ENHANCE OPPORTUNITIES FOR FAMILIES IN KITSAP COUNTY; SPORTS PROGRAMS THAT SUPPORT HEALTHY, ACTIVE LIFESTYLES; AND BUSINESS DEVELOPMENT OPPORTUNITIES THAT EXPAND THE WELLNESS COMPONENT OF OUR SERVICES. WE BELIEVE OUR EMPLOYEES ARE THE BEST RESOURCE WE CAN OFFER OUR COMMUNITIES AND THEREFORE WE ALSO SUPPORT ORGANIZATIONS IN WHICH THEY ARE ACTIVE VOLUNTEERS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM TERWILLIGER
FORMER OFFICER/PRESIDENT, PUGET SOUN	$0	$704,308	$0	$176,177	$0	$115,991	$0	$19,175	$0	$1,776	$0	$1,017,427	$0	$0
CHAD MELTON
PRESIDENT	$519,392	$0	$198,110	$0	$1,115	$0	$19,477	$0	$35,572	$0	$773,666	$0	$0	$0
DAVID NOSACKA
TREASURER/SVP&CFO NORTHWEST REGION	$0	$568,187	$0	$75,800	$0	$1,709	$0	$19,175	$0	$38,819	$0	$703,690	$0	$0
KIM MOORE MD
FORMER OFFICER/VP/INTERIM CHIEF MEDI	$0	$493,187	$0	$800	$0	$1,709	$0	$20,185	$0	$14,980	$0	$530,861	$0	$0
DIANNE AROH
FORMER OFFICER/DIV SVP/CHIEF NURSING	$0	$502,601	$0	$800	$0	$4,904	$0	$19,243	$0	$3,090	$0	$530,638	$0	$0
DAVID WEISS
FORMER KEY EMPLOYEE	$0	$416,648	$0	$800	$0	$3,195	$0	$19,350	$0	$19,943	$0	$459,936	$0	$0
MIRIAM CHAMBLISS
SECRETARY/VP GENERAL COUNSEL NORTHWE	$0	$280,293	$0	$131,031	$0	$951	$0	$15,119	$0	$32,488	$0	$459,882	$0	$0
REVELA ROSIMO
RN	$324,131	$0	$800	$0	$3,007	$0	$21,958	$0	$35,151	$0	$385,047	$0	$0	$0
PETER RE
RN CERT	$330,311	$0	$800	$0	$40	$0	$7,625	$0	$18,481	$0	$357,257	$0	$0	$0
MA EJEM-DAGAHOY
RN	$296,843	$0	$800	$0	$7,580	$0	$17,962	$0	$32,031	$0	$355,216	$0	$0	$0
RONALD DOMMERMUTH
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$289,745	$0	$0	$0	$6,081	$0	$16,971	$0	$32,049	$0	$344,846	$0	$0
MATTHEW SMITH
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$267,067	$0	$0	$0	$1,254	$0	$13,558	$0	$35,060	$0	$316,939	$0	$0
PETER LUNDBLAD
FORMER HIGHEST COMPENSATED EMPLOYEE	$0	$264,711	$0	$0	$0	$1,132	$0	$15,276	$0	$1,257	$0	$282,376	$0	$0
PAUL LIMUEL LINGAT
FLOAT RN CERT	$268,326	$0	$800	$0	$0	$0	$8,478	$0	$0	$0	$277,604	$0	$0	$0
ALPHA LINGAT
FLOAT RN	$259,508	$0	$800	$0	$0	$0	$8,376	$0	$0	$0	$268,684	$0	$0	$0
ROSALIE APALISOK
VP PATIENT CARE SERVICES	$205,255	$0	$800	$0	$29,800	$0	$12,203	$0	$1,772	$0	$249,830	$0	$0	$0
JEANELL RASMUSSEN
FORMER VP & CNO	$128,634	$0	$0	$0	$1,985	$34,950	$13,436	$0	$7,645	$0	$151,700	$34,950	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4A:	CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY.
PART I, LINE 4B:	DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II.
SCHEDULE J, PART II	HARRISON MEDICAL CENTER FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1C: PAYMENTS TO VENDORS	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY HARRISON MEDICAL CENTER. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF HARRISON MEDICAL CENTER ARE REPORTED TO THE IRS.
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED TO CHANGE THE NUMBER AND COMPOSITION OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF HARRISON MEDICAL CENTER IS FRANCISCAN HEALTH VENTURES (FORMERLY SJM GROUP).
FORM 990, PART VI, SECTION A, LINE 7A	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR IN ACCORDANCE WITH SECTION 5.5.2. ACCORDING TO SECTION 5.5.2 THE BOARD OF DIRECTORS SHALL NOT TAKE ANY ACTIONS THAT WOULD CAUSE THE COMPOSITION OF THE DIRECTORS SERVING ON THE BOARD OF DIRECTORS TO NOT BE IDENTICAL AT ALL TIMES AND IN ALL CIRCUMSTANCES TO THE DIRECTORS SERVING AS THE BOARD OF DIRECTORS OF VIRGINIA MASON FRANCISCAN HEALTH. PRIOR TO EACH ANNUAL MEETING THE CORPORATE MEMBER SHALL SELECT AND SUBMIT TO THE BOARD OF DIRECTORS A SLATE OF NOMINEES QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL REVIEW THE NAMES AND QUALIFICATION OF EACH INDIVIDUAL ON THE RECOMMENDED SLATE AND SHALL VOTE TO ACCEPT OR REFUSE EACH NOMINEE. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL THEN BE SUBMITTED TO THE CORPORATE MEMBER, WHICH SHALL THEN APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE GOVERNANCE MATRIX. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, SHOULD THE BOARD OF DIRECTORS FAIL TO ACT ON ANY OF THE INDIVIDUALS ON THE RECOMMENDED SLATE OF NOMINEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S CORPORATE MEMBER IS FRANCISCAN HEALTH VENTURES (FORMERLY SJM GROUP). PURSUANT TO SECTION 4.4 OF THE ORGANIZATION'S BYLAWS, BOTH FRANCISCAN HEALTH VENTURES AND COMMONSPIRIT HEALTH (FRANCISCAN HEALTH VENTURES'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE FRANCISCAN HEALTH VENTURES BOARD: APPROVE MEMBERS OF THE HARRISON MEDICAL CENTER BOARD AMENDMENT OF THE CORPORATE DOCUMENTS OF THE HARRISON MEDICAL CENTER APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE HARRISON MEDICAL CENTER ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE HARRISON MEDICAL CENTER THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE HARRISON MEDICAL CENTER REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE HARRISON MEDICAL CENTER APPROVAL OF ISSUANCE OF DEBT BY HARRISON MEDICAL CENTER APPROVAL OF PARTICIPATION OF HARRISON MEDICAL CENTER IN A JOINT VENTURE APPROVAL OF FORMATION OF A NEW CORPORATION BY HARRISON MEDICAL CENTER APPROVAL OF A MERGER INVOLVING THE HARRISON MEDICAL CENTER APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HARRISON MEDICAL CENTER TO REQUIRE THE TRANSFER OF ASSETS BY THE HARRISON MEDICAL CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 4.5.2 OF THE ORGANIZATION'S BYLAWS, FRANCISCAN HEALTH VENTURES OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE." (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER TO ENSURE ACCURACY AND COMPLETENESS OF DATA. ONCE THEIR REVIEW IS COMPLETE, THE FORM 990 IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVES AN ELECTRONIC COPY OF THE FORM PRIOR TO FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15	FOR LEADERSHIP POSITIONS WITH SUBSTANTIAL INFLUENCE (INCLUDING THE PRESIDENT/CEO), COMPENSATION IS PRESENTED TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR APPROVAL OF BASE PAY INCREASES AND INCENTIVE ACHIEVEMENT. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS ESTABLISHED BY COMMONSPIRIT HEALTH COMPENSATION USING EXTERNAL COMPENSATION SURVEYS OR STUDIES CONTAINING COMPARABLE DATA FOR SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX EXEMPT FOR SIMILAR JOB RESPONSIBILITIES. COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR CERTAIN EXECUTIVES WITHIN THE ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING VARIABLE COMPENSATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AND FINANCIAL LEGAL COUNSEL TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH AND REASONABLENESS OF THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES) FOR ALL OTHER STAFF AND LEADERSHIP ROLES. THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES (A) THE DECISION MADE AND THE DATE APPROVED; AND (B) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 44,194,412. MANAGEMENT AND GENERAL EXPENSES 2,326,022. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,520,434. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 27,016,383. MANAGEMENT AND GENERAL EXPENSES 3,001,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,018,203. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 52,848,723. MANAGEMENT AND GENERAL EXPENSES 2,781,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,630,235. OTHER FEES: PROGRAM SERVICE EXPENSES 34,124,743. MANAGEMENT AND GENERAL EXPENSES 1,796,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,920,782.
FORM 990, PART XI, LINE 9:	CAPITAL CONTRIBUTION TO AFFILIATE -116,634,892.
FORM 990, PAGE 1, ITEM J	HTTPS://WWW.VMFH.ORG/OUR-HOSPITALS/ST-MICHAEL-MEDICAL-CENTER

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (198 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HOSPITAL	NE	501(C)(3)	LINE 3	ACH	0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH	0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD	ARROYO GRANDE	CA	93420	203256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET	BAKERSFIELD	CA	93301	951802779	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	SLHS	0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	LINE 3	BSLHV	0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	INACTIVE	PA	501(C)(3)	LINE 12A, I	CSH	0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	800240261	PHYSICIANS	TX	501(C)(3)	LINE 3	TCHB	0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	REHABILITATION	TX	501(C)(3)	LINE 10	SJSC	0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUE	LOS ANGELES	CA	90015	954000909	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	840405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL AVE	CENTENNIAL	CO	80112	840902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC	0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204	COLORADO SPRINGS	CO	80920	270930004	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 12A, I	CSH	0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	TELEHEALTH	CO	501(C)(3)	LINE 12A, I	CSH	0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC - ROSEBURG	0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200	BAKERSFIELD	CA	93311	844171789	CLINIC	CA	501(C)(3)	LINE 3	DCC	0
CENTRAL KANSAS MEDICAL CENTER
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	480543724	INACTIVE	KS	501(C)(3)	LINE 3	CSH	0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	SENIOR LIVING	MN	501(C)(3)	LINE 10	CSH	0
CHI HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH	0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH	0
CHI LIVING COMMUNITIES
930 S WYNN ROAD	OREGON	OH	43616	341892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS	0
CHI NEBRASKA
12809 WEST DODGE ROAD	OMAHA	NE	68510	363233121	HOLDING CO	NE	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH	0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHI-SVHS	0
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	SVIMC	0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHI-SVHS	0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	LINE 12A, I		0	N/A
COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	853374038	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CSH	0
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	850919176	OPERATING INVESTMENTS	DE	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	RESEARCH	CO	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT MOUNTAIN REGION
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	841335382	MANAGEMENT COMPANY	CO	501(C)(3)	LINE 12A, I	CHIC	0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVE	SAN BERNARDINO	CA	92411	951643373	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	237419853	HOLDING CO	OH	501(C)(2)		GSH	0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AH-CMHMV	0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611400619	HOSPITAL	KY	501(C)(3)	LINE 3	SJHS	0
DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	815009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	941196203	HOSPITAL	CA	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE	REDDING	CA	96003	237115371	SENIOR CENTER SERVICES	CA	501(C)(3)	LINE 7	DH	0
DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	462037641	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUE	SAN BERNARDINO	CA	92404	237440086	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROAD	CHANDLER	AZ	85224	742418514	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	680220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DCC	0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DH	0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	942450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770127719	OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS	CA	501(C)(3)	LINE 10	DHS	0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH	0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	0
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS	0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH	0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	PHYSICIANS	WA	501(C)(3)	LINE 10	FHS	0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUE	SAN LUIS OBISPO	CA	93401	203256125	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST	GARRISON	ND	58540	450227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC	0
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUE	GLENDALE	CA	91204	953625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	INACTIVE	CO	501(C)(3)	LINE 12A, I	CSH	0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	0
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH-KN	0
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311206047	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	GSH	0
HARRISON MEDICAL CENTER
1800 NW MYHRE RD	SILVERDALE	WA	98383	910565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC-MN	0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800	LOUISVILLE	KY	40202	611352729	PHYSICIANS	KY	501(C)(3)	LINE 10	JHSMH	0
KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	0
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC	0
LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	0
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
LONGMONT UNITED HOSPITAL
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	840460697	HOSPITAL	CO	501(C)(3)	LINE 3	CHIC	0
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MADONNA MANOR INC
2344 AMSTERDAM ROAD	VILLA HILLS	KY	51017	610654635	ASSISTED LIVING	KY	501(C)(3)	LINE 10	CHILC	0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET	SANTA MARIA	CA	93454	953818027	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROAD	SAN ANDREAS	CA	95249	680127677	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS	0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH	0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS	0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	75904	752721155	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	MHSET	0
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	75902	752492741	INACTIVE	TX	501(C)(3)	LINE 3	MHSET	0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119	BAKERSFIELD	CA	93302	770201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC - ROSEBURG	0
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS	0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL	0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MCMAHON TERRACE
3865 J STREET	SACRAMENTO	CA	95816	680117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DH	0
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET	MERCED	CA	95340	770035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC WILLISTON	0
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	911845296	MANAGEMENT	ND	501(C)(3)	LINE 7	SAMC	0
NORTHLAND PACE PROGRAM
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	261689193	HEALTHCARE	ND	501(C)(3)	LINE 10	NHA	0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVD	NORTHRIDGE	CA	91328	237444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH	0
PACIFIC CENTRAL COAST HEALTH CENTERS
1414 E MAIN STREET SUITE 201	SANTA MARIA	CA	93454	770447575	CLINIC	CA	501(C)(3)	LINE 3	DCC	0
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	0
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	465322209	HOSPITAL	CA	501(C)(3)	LINE 3	DH	0
PROVIDENCE CARE CENTER
2025 HAYES AVENUE	SANDUSKY	OH	44870	341658625	LTERM CARE	OH	501(C)(3)	LINE 10	CHILC	0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222876836	INACTIVE	NJ	501(C)(3)	LINE 12B, II	SCHS	0
SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223639733	INACTIVE	NJ	501(C)(3)	LINE 10	CSH	0
SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223319886	INACTIVE	NJ	501(C)(3)	LINE 3	SCHS	0
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC	0
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	INACTIVE	NE	501(C)(3)	LINE 3	SERMC	0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC-NE	0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREET	SAN FRANCISCO	CA	94109	941156295	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVE	LEXINGTON	KY	40504	611334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200	LEXINGTON	KY	40504	611159649	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	SJHS	0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREET	DICKINSON	ND	58601	363418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC	0
SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVE	SAN GABRIEL	CA	91776	953430341	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS	0
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAY	GRASS VALLEY	CA	95945	941439787	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
SJMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	INACTIVE	MO	501(C)(3)	LINE 3	CSH	0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREET	SANTA BARBARA	CA	93103	770022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	0
ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE	OXNARD	CA	93030	202865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST JOSEPHS FOUNDATION (PHOENIX)
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	942941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	0
ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET	STOCKTON	CA	95204	510432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREET	SAN FRANCISCO	CA	94117	943336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY	HENDERSON	NV	89052	880349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DH	0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE	BISMARCK	ND	58501	450226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST ANNE OC
1145 BROADWAY PLAZA STE 1200	TACOMA	WA	98402	863590968	INACTIVE	WA	501(C)(3)	LINE 10	FHS	0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH	0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC	0
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	SCH	0
ST CLARE COMMONS
12469 FIVE POINT ROAD	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	INVESTMENTS	OR	501(C)(4)		CSH	0
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222536017	INACTIVE	NJ	501(C)(3)	LINE 8	SCHS	0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	520591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH	0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC	0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STREET	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	0
ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL	0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVD	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC	0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	341412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH	0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	455357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSISTED LIVING	OH	501(C)(3)	LINE 10	CHILC	0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	310537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH	0
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC	0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I		0	N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSISTED LIVING	OH	501(C)(3)	LINE 7	THS	0
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	221768334	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS	0
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	860098923	HOSPITAL	AZ	501(C)(3)	LINE 3	DCC	0
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	861038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YRMC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (83 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
AMERICAN MERCY HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	830486150	HOME HEALTH	OH	N/A	N/A	0	0
ARIZONA CARE NETWORK - NEXT LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	474696671	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA CARE NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	454494682	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUE	LOS ANGELES	CA	90025	851067265	IMAGING CENTER	DE	N/A	N/A	0	0
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	841513085	REAL ESTATE	CO	N/A	N/A	0	0
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
3100 MAIN STE 566	HOUSTON	TX	77002	472079184	HEALTHCARE SERVICES	TX	N/A	N/A	0	0
BERGAN MERCY SURGERY CENTER LLC
7500 MERCY RD STE 4300	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	N/A	N/A	0	0
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUE	CHATTANOOGA	TN	37404	621875199	HEALTHCARE SERVICES	TN	N/A	N/A	0	0
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
					HEALTH SERVICES		N/A	N/A	0	0	709 WING ON PLAZA 62 MODY ROAD TS	HONG KONG	CH	CH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC SERVICES	KY	N/A	N/A	0	0
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE	BAKERSFIELD	CA	93309	461602286	RADIATION / ONCOLOGY	CA	N/A	N/A	0	0
CENTRAL NEBRASKA REHAB SVCS LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	N/A	N/A	0	0
CENTURA SUMMIT ORTHOPEDICS LLC
68 SCHOOL RD	FRISCO	CO	80443	871308304	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	465683027	SURGERY CENTER	CO	N/A	N/A	0	0
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	N/A	N/A	0	0
COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	311746556	HOME HEALTH	OH	N/A	N/A	0	0
DE JV LLC
8686 NEW TRAILS DRIVE	THE WOODLANDS	TX	77381	320496548	EMERGENCY CARE	NV	N/A	N/A	0	0
DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD)
					HEALTH SERVICES		N/A	N/A	0	0	3 MORE LONDON RIVERSIDE 4TH FLOOR	LONDON	UK	UK
DHHP SURGERY CENTERS LLC
1513 S GRAND AVENUE STE 350	LOS ANGELES	CA	90015	831847466	SURGERY	DE	N/A	N/A	0	0
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	352484591	HOLDING COMPANY	DE	N/A	N/A	0	0
DIGNITY- GOHEALTH AND URGENT CARE MGMT LLC
5555 GLENRIDGE CONNECTOR SUITE 700	ATLANTA	GA	30342	352548698	MANAGEMENT SERVICES	DE	N/A	N/A	0	0
DIGNITY HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	824674115	DIAGNOSTIC SERVICES	DE	N/A	N/A	0	0
DH PACIFICLINKAGE HEALTH INT'L LTD
					HEALTH SERVICES		N/A	N/A	0	0	RMS 1318-20 HLWD PLAZA 610 NATHAN	HONG KONG	CH	CH
DIGNITY HEALTH SPECIALTY PHARMACY LLC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	320589462	SPECIALTY PHARMACY SERVICES	DE	N/A	N/A	0	0
DIGNITY HOME RECOVERY CARE LLC
3854 AMERICAN WAY SUITE A	BATON ROUGE	LA	70816	832832522	HOME RECOVERY PROGRAM	DE	N/A	N/A	0	0
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202999237	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP NORCAL SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202468509	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	134248908	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	352584991	SURGERY	TX	N/A	N/A	0	0
DIGNITY-ABRAZO HEALTH NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	465477985	MANAGEMENT SERVICES	AZ	N/A	N/A	0	0
DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
1545 SOQUEL DRIVE	SANTA CRUZ	CA	94065	770095477	IMAGING CENTER	CA	N/A	N/A	0	0
ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVE	COLORADO SPRINGS	CO	80909	352656413	AMBUL SURG CTR	CO	N/A	N/A	0	0
ENDOSCOPY CENTER OF ARKANSAS
1024 NORTH UNIVERSITY AVE	LITTLE ROCK	AR	72207	201337002	DIAGNOSTIC SERVICES	AR	N/A	N/A	0	0
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NW	GIG HARBOR	WA	98335	463494108	REAL ESTATE	WA	N/A	N/A	0	0
FRANCISCAN SPECIALTY CARE LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	813725123	DIAGNOSTIC SERVICES	WA	N/A	N/A	0	0
GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	201792869	HOME HEALTH	OH	N/A	N/A	0	0
HC SL VINTAGE I LLC
1400 N WATER ST STE 500	MILWAUKEE	WI	53202	270453767	PROPERTY HOLDING	WI	N/A	N/A	0	0
HEALTH AT HOME HOLDCO LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	920827634	HOME HEALTH	CO	N/A	N/A	0	0
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	N/A	N/A	0	0
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67402	464265403	ONCOLOGY	KS	N/A	N/A	0	0
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLAZA STE 110	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	N/A	N/A	0	0
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY	NE	N/A	N/A	0	0
LEXINGTON MBO PARTNERS LTD
4600 SOUTH SYRACUSE ST STE 500	DENVER	CO	80237	651132855	REAL ESTATE	CO	N/A	N/A	0	0
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	LINCOLN	NE	68510	262496856	REAL ESTATE	NE	N/A	N/A	0	0
LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	454432224	ORTHOPEDIC SERVICES	CO	N/A	N/A	0	0
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201	BAKERSFIELD	CA	93301	364510880	REAL ESTATE	CA	N/A	N/A	0	0
MILITARY ROAD PROPERTIES LLC
18229 TERRACE COURT SW	NORMANDY PARK	WA	98166	912067879	REAL ESTATE	WA	N/A	N/A	0	0
MOUNTAIN MEDICAL IMAGING LLC
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	870687391	MEDICAL IMAGING	TX	N/A	N/A	0	0
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A	N/A	0	0
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	460502935	NEONATAL HEALTHCARE	CA	N/A	N/A	0	0
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	N/A	N/A	0	0
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREET	BISMARCK	ND	58501	841641341	DIAGNOSTIC SERVICES	ND	N/A	N/A	0	0
NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	770409291	AMBULATORY SURGICAL CENTER	CA	N/A	N/A	0	0
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	N/A	N/A	0	0
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE S	PARK RAPIDS	MN	56470	204926259	HEALTHCARE SERVICES	MN	N/A	N/A	0	0
PEAK ONE SURGERY CENTER LLC
PO BOX 4460	FRISCO	CO	80443	201620230	SURGERY CENTER	CO	N/A	N/A	0	0
PENINSULA RADIATION ONCOLOGY CENTER LLC
4230 BRIDGEPORT WAY W STE B	UNIVERSITY PLACE	WA	98466	870808610	HEALTHCARE SERVICES	WA	N/A	N/A	0	0
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A	N/A	0	0
PERFORMANCE MED EQUIP & RESPIR SVSC LLC
19625 62ND AVE SOUTH 101	KENT	WA	98032	452901632	HOLDING COMPANY	WA	N/A	N/A	0	0
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100	SANTA MARIA	CA	93454	770573567	SURGERY	CA	N/A	N/A	0	0
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	273280598	HOSPITAL	TX	N/A	N/A	0	0
PRECISION MEDICINE ALLIANCE LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	352569159	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120	OXNARD	CA	93030	770191706	IMAGING	CA	N/A	N/A	0	0
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120	HENDERSON	NV	89074	271466450	AMBULANCE	NV	N/A	N/A	0	0
REID-ANC HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	371454747	HOME HEALTH	IN	N/A	N/A	0	0
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	INACTIVE	DE	N/A	N/A	0	0
SAINT JOSEPH HEALTH ASC LLC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	852155230	SURGERY	KY	N/A	N/A	0	0
SANTA CRUZ COMPREHENSIVE IMAGING LLC
1661 SOQUEL DRIVE SUITE G	SANTA CRUZ	CA	95065	010550623	IMAGING	CA	N/A	N/A	0	0
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROAD	SANTA CRUZ	CA	95065	770194916	SURGERY	CA	N/A	N/A	0	0
SEVEN OAKS SURGERY CENTER LLC
1801 ORANGE TREE LANE SUITE 200	REDLANDS	CA	92374	851559544	SURGERY	CA	N/A	N/A	0	0
SOUTHEASTERN HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	271219638	HOME HEALTH	OH	N/A	N/A	0	0
ST JOSEPH'S SURGERY CENTER LP
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	201019390	SURGERY	TX	N/A	N/A	0	0
ST ELIZABETH HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	261236191	HOME HEALTH	KY	N/A	N/A	0	0
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A	N/A	0	0
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	N/A	N/A	0	0
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
PO BOX 4717	HOUSTON	TX	77210	462795726	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUE	OXNARD	CA	93030	770332349	REAL ESTATE	CA	N/A	N/A	0	0
THE VASCULAR CENTER OF COLORADO LLC
2222 N NEVADA AVE STE 3000	COLORADO SPRINGS	CO	80907	753193527	MEDICAL SERVCS	CO	N/A	N/A	0	0
THREE SPRING IMAGING LLC
1 MERCADO ST STE 200A	DURANGO	CO	81301	813571570	HEALTHCARE SERVICES	CO	N/A	N/A	0	0
TIA ARIZONA LLC
3030 N CENTRAL AVENUE SUITE 1402	PHOENIX	AZ	85012	863158670	CLINIC	AZ	N/A	N/A	0	0
TOPTOLIFE LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	872868634	RETAIL	CO	N/A	N/A	0	0
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
18330 ROSCOE BLVD	NORTHRIDGE	CA	91328	800864336	SURGERY	CA	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	0
ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	HEALTHCARE	TX	N/A	C	0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	841112049	MANAGEMENT SERVICES	CO	N/A	C	0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	INACTIVE	KY	N/A	C	0
BRAZOSPORT HEALTH ALLIANCE
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760518376	HEALTHCARE	TX	N/A	C	0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	LAB SERVICES	CO	N/A	C	0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVE	LUFKIN	TX	75904	834184717	CONDO ASSOC	TX	N/A	C	0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101	PISMO BEACH	CA	93449	743000596	AMBULATORY SURGERY CENTER	CA	N/A	S	0
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	460675371	HOLDING CO	NV	N/A	C	0
DIGNITY HEALTH PROVIDER RESOURCES INC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	473366764	HEALTH PLAN	CA	N/A	C	0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	HEALTHCARE	TX	N/A	C	0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HOLDING CO	CO	N/A	C	0
GALLERIA PAVILION OWNERS' ASSOCIATION
800 N GIBSON RD	HENDERSON	NV	89011	824275367	REAL ESTATE	NV	N/A	C	0
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	N/A	C	0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473451750	INSURANCE	WA	N/A	C	0
HEALTH AT HOME BLOCKER LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	884220080	HOME HEALTH	CO	N/A	C	0
HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
1400 E CHURCH STREET	SANTA MARIA	CA	93454	770074057	HEALTH SERVICES	CA	N/A	C	0
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT SERVICES	NE	N/A	C	0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET ST	TACOMA	WA	98402	911865474	INACTIVE	WA	N/A	C	0
HIGHLINE MEDICAL GROUP
1717 S J STREET	TACOMA	WA	98405	911407026	MEDICAL SERVICES	WA	N/A	C	0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710720429	REAL ESTATE	AR	N/A	C	0
MEDQUEST
1602 11TH ST W	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C	0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVE	LUFKIN	TX	75904	463622849	INACTIVE	TX	N/A	C	0
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	N/A	C	0
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	N/A	C	0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200	BAKERSFIELD	CA	93311	770513445	OUTPATIENT SURGERY SERVICES	CA	N/A	S	0
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	621570739	MANAGEMENT SERVICES	TN	N/A	C	0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538	BISMARK	ND	58506	450439894	HEALTHCARE	ND	N/A	C	0
QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	N/A	C	0
QUALCHOICE HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	N/A	C	0
QUALCHOICE HOLDINGS INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	274075520	HOLDING CO	AR	N/A	C	0
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	N/A	C	0
ROSS PARK PHARMACY INC
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	PHARMACY	OH	N/A	C	0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222441202	INACTIVE	NJ	N/A	C	0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	INACTIVE	CO	N/A	C	0
SJL PHYSICIAN MANANGEMENT SERVICES INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	270164198	INACTIVE	KY	N/A	C	0
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	N/A	C	0
ST MARY HEALTH VENTURES INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	951912528	RETAIL PHARMACY	CA	N/A	C	0
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	N/A	C	0
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J ST	TACOMA	WA	98405	911480569	RENTAL	WA	N/A	C	0
ST LUKE'S HEALTH SYSTEM HOLDINGS INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	N/A	C	0
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	N/A	C	0
STE HOLDINGS
12809 WEST DODGE RD	OMAHA	NE	68154	822383629	HOLDING CO	NE	N/A	C	0
STRATEGIC AND PHYSICIANS INSURANCE LTD
				981065338	CAPTIVE INSURANCE		N/A	C	0	PO BOX 1051 GRAND CAYMAN ISL	GRAND CAYMAN ISL	CJ	CJ
TOWSON MANAGEMENT INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521710750	INACTIVE	MD	N/A	C	0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	MGMT SERVICES	OH	N/A	C	0
UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	841526130	REAL ESTATE	CO	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd