MERCY MEDICAL CENTER-NEWTON: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL CENTER-NEWTON (EIN 42-1470935)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349306955
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T13:38:25-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421470935 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER - NEWTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6417921273 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 4TH AVE E | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDALL L RUBIN | PersonNm |
| Person Title | SVP, CFO | PersonTitleTxt |
| Phone | 6417921273 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RANDALL | PersonFirstNm |
| Person Last | RUBIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HEATHER ADKINS | PreparerPersonNm |
| PTIN | P01725376 | PTIN |
| Phone | 3032989100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DBA SKIFF MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAURIE CONNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 4TH AVE E | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,511,833 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYONE.ORG/NEWTON/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | MERCY MEDICAL CENTER-NEWTON IS A NOT-FOR-PROFIT CATHOLIC HEALTH ORGANIZATION CREATING HEALTHIER COMMUNITIES BY OPERATING A 48-BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 297 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,905,765 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,742,944 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,054,948 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,454,796 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $400 | CYInvestmentIncomeAmt |
| PY Other Revenue | $289,826 | PYOtherRevenueAmt |
| CY Other Revenue | $313,693 | CYOtherRevenueAmt |
| PY Total Revenue | $34,250,539 | PYTotalRevenueAmt |
| CY Total Revenue | $36,511,833 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,553,997 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,307,769 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,341,963 | PYOtherExpensesAmt |
| CY Other Expenses | $25,209,462 | CYOtherExpensesAmt |
| PY Total Expenses | $34,896,460 | PYTotalExpensesAmt |
| CY Total Expenses | $38,518,231 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$645,921 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,006,398 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,093,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,591,972 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,165,486 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,374,720 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,928,308 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,217,252 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,798,766 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Revenue | $34,454,796 | RevenueAmt |
| Desc | SEE SCHEDULE H | Desc |
| Total Program Service Expenses | $35,798,766 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 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 | 0 | 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 |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 297 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDALL L RUBIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5156437860 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 4TH AVE E | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50208 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL WEGNER | |||||||||
| FORMER DIRECTOR / MARKET SVP COO | 0.00 | 40.00 | Yes (X) | $0 | $1,013,647 | $37,256 | |||
| KARL KEELER | |||||||||
| PRESIDENT CHI IOWA CORP | 1.00 | 50.00 | $0 | $714,956 | $43,554 | Yes (X) | Yes (X) | ||
| RANDALL RUBIN | |||||||||
| SVP, CFO CHI IOWA CORP | 1.00 | 50.00 | $0 | $485,411 | $41,095 | Yes (X) | |||
| LAURIE CONNER | |||||||||
| PRESIDENT | 50.00 | 0.00 | $282,982 | $0 | $17,033 | Yes (X) | Yes (X) | ||
| SUSAN PAIR | |||||||||
| CRNA | 40.00 | 0.00 | $168,126 | $58,657 | $40,457 | Yes (X) | |||
| MEGAN DEPOORTER | |||||||||
| CRNA | 40.00 | 0.00 | $161,386 | $51,660 | $40,994 | Yes (X) | |||
| DIXIE BAKKEN | |||||||||
| CRNA | 40.00 | 0.00 | $163,129 | $51,681 | $38,491 | Yes (X) | |||
| COLLEEN JACOBSEN | |||||||||
| MANAGER PHARMACY | 40.00 | 0.00 | $150,071 | $0 | $18,598 | Yes (X) | |||
| RANINA ROBINSON | |||||||||
| PHARMACY MANAGER | 40.00 | 0.00 | $154,329 | $0 | $9,000 | Yes (X) | |||
| MARK ALLEN | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JEFF KING PHD | |||||||||
| CHAIR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ADAM OTTO | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DEBBY PENCE | |||||||||
| VICE CHAIR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| LOIS VOGEL | |||||||||
| SECRETARY/TREASURER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BEV ROSSOW | |||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,080,023 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,376,012 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $286,478 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| AMERICAN BLDG MAINTENANCE CO | |||||
| 3940 RUFFIN RD C | SAN DIEGO | CA | 92123 | FACILITY MANAGEMENT COMPANY | $720,441 |
| DES MOINES RIVER PHYSICIANS | |||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | PHYSICIAN STAFFING | $566,042 |
| IOWA ORTHOPAEDIC CENTER | |||||
| 450 LAUREL ST STE A | DES MOINES | IA | 50314 | MEDICAL SERVICES | $453,558 |
| MEDICAL ONCOLOGY & HEMATOLOGY | |||||
| 1221 PLEASANT ST STE 100 | DES MOINES | IA | 50309 | HEALTHCARE CONSULTING | $414,648 |
| CONTE TCV PC | |||||
| 4949 PLEASANT ST 200 | WEST DES MOINES | IA | 50266 | MEDICAL SERVICES | $308,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $429,746 | RelatedOrganizationsAmt |
| Government Grants | $1,313,198 | GovernmentGrantsAmt |
| Total Contributions | $1,742,944 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICES | 900099 | $34,470,910 | $34,470,910 | $0 | $0 |
| EQUITY CHANGES OF UNCO | 900099 | -$16,114 | -$16,114 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,454,796 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,101 | 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 | $87,101 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,101 | TotalRevenueColumnAmt |
| Exclusion | $87,101 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400 | TotalRevenueColumnAmt |
| Exclusion | $400 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA | 722100 | $107,569 | $0 | $0 | $107,569 |
| MEDICAL SERVICES | 621300 | $23,248 | $0 | $0 | $23,248 |
| TAX REFUND | 900099 | $19,119 | $0 | $0 | $19,119 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,656 | TotalRevenueColumnAmt |
| Exclusion | $76,656 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $226,592 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,511,833 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,454,796 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $314,093 | 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 | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,009 | TotalAmt |
| Program Services | $292,508 | ProgramServicesAmt |
| Management And General | $32,501 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,235,962 | TotalAmt |
| Program Services | $9,212,365 | ProgramServicesAmt |
| Management And General | $1,023,597 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,523 | TotalAmt |
| Program Services | $463,971 | ProgramServicesAmt |
| Management And General | $51,552 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,467,184 | TotalAmt |
| Program Services | $1,320,466 | ProgramServicesAmt |
| Management And General | $146,718 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,091 | TotalAmt |
| Program Services | $687,682 | ProgramServicesAmt |
| Management And General | $76,409 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,304 | TotalAmt |
| Program Services | $5,304 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,834,667 | TotalAmt |
| Program Services | $9,256,350 | ProgramServicesAmt |
| Management And General | $578,317 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,474 | TotalAmt |
| Program Services | $49,926 | ProgramServicesAmt |
| Management And General | $5,548 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,586 | TotalAmt |
| Program Services | $288,527 | ProgramServicesAmt |
| Management And General | $32,059 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,914 | TotalAmt |
| Program Services | $44,022 | ProgramServicesAmt |
| Management And General | $4,892 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,818 | TotalAmt |
| Program Services | $651,436 | ProgramServicesAmt |
| Management And General | $72,382 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,996 | TotalAmt |
| Program Services | $12,596 | ProgramServicesAmt |
| Management And General | $1,400 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,234 | TotalAmt |
| Program Services | $2,011 | ProgramServicesAmt |
| Management And General | $223 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,752 | TotalAmt |
| Program Services | $283,277 | ProgramServicesAmt |
| Management And General | $31,475 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,409,486 | TotalAmt |
| Program Services | $1,268,538 | ProgramServicesAmt |
| Management And General | $140,948 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,014 | TotalAmt |
| Program Services | $108,014 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $9,261,817 | $9,261,817 | $0 | $0 |
| REPAIRS AND MAINTENANCE | $1,716,541 | $1,544,887 | $171,654 | $0 |
| MISCELLANEOUS EXPENSES | $884,544 | $662,082 | $222,462 | $0 |
| RECRUITMENT AND RELOCAT | $173,333 | $130,000 | $43,333 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,982 | TotalAmt |
| Program Services | $251,987 | ProgramServicesAmt |
| Management And General | $83,995 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,518,231 | TotalAmt |
| Program Services | $35,798,766 | ProgramServicesAmt |
| Management And General | $2,719,465 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300 | BOYAmt |
| EOY | $300 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,730,745 | BOYAmt |
| EOY | $5,211,105 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,131,782 | BOYAmt |
| EOY | $4,939,511 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,709 | BOYAmt |
| EOY | $747,761 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,228 | BOYAmt |
| EOY | $122,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,904,683 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,545,038 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,314,666 | BOYAmt |
| EOY | $11,359,645 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,364 | BOYAmt |
| EOY | $211,559 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,093,794 | BOYAmt |
| EOY | $22,591,972 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,568,526 | BOYAmt |
| EOY | $8,667,107 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,145,851 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,109 | BOYAmt |
| EOY | $1,707,613 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,165,486 | BOYAmt |
| EOY | $10,374,720 | 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 | $11,928,308 | BOYAmt |
| EOY | $12,217,252 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,928,308 | BOYAmt |
| EOY | $12,217,252 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,093,794 | BOYAmt |
| EOY | $22,591,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,006,398 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $382,174 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,913,168 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $5,304 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $5,304 | 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 - $927 CATHOLIC HEALTH ASSOCIATION - $493 IOWA HOSPITAL ASSOCIATION - $3,884 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $187,696 | BeginningYearBalanceAmt |
| Contributions | $15,000 | ContributionsAmt |
| Investment Earnings Or Losses | $36,612 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,449 | GrantsOrScholarshipsAmt |
| End Year Balance | $218,859 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $184,094 | BeginningYearBalanceAmt |
| Contributions | $14,125 | ContributionsAmt |
| Investment Earnings Or Losses | $7,803 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $18,326 | GrantsOrScholarshipsAmt |
| End Year Balance | $187,696 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $163,250 | BeginningYearBalanceAmt |
| Contributions | $15,000 | ContributionsAmt |
| Investment Earnings Or Losses | $10,051 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $4,207 | GrantsOrScholarshipsAmt |
| End Year Balance | $184,094 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $133,776 | BeginningYearBalanceAmt |
| Contributions | $16,000 | ContributionsAmt |
| Investment Earnings Or Losses | $14,076 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $602 | GrantsOrScholarshipsAmt |
| End Year Balance | $163,250 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $107,622 | BeginningYearBalanceAmt |
| Contributions | $16,000 | ContributionsAmt |
| Investment Earnings Or Losses | $13,539 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,385 | GrantsOrScholarshipsAmt |
| End Year Balance | $133,776 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,180,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,180,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,951,765 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,082,515 | DepreciationAmt |
| Book Value | $5,869,250 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,486,774 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,242,523 | DepreciationAmt |
| Book Value | $3,244,251 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,286,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $220,000 | DepreciationAmt |
| Book Value | $1,066,144 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,359,645 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $74,867 |
| SECURITY DEPOSITS | $337 |
| INTERCOMPANY PAYABLES | $1,632,409 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,707,613 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | MERCY FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENTS FUNDS ON BEHALF OF MERCY MEDICAL CENTER - NEWTON. MERCY FOUNDATION USES ENDOWMENT FUNDS AS DIRECTED BY THE ENDOWMENT DOCUMENTS. THE ENDOWMENTS FUND SCHOLARSHIPS FOR HEALTH CARE STUDENTS, EQUIPMENT PURCHASES FOR TAX-EXEMPT HEALTHCARE NEEDS AND HOSPITAL TAX-EXEMPT OPERATIONS. |
| PART X, LINE 2: | MERCY MEDICAL CENTER - NEWTON'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. |
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 |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 604 | PersonsServedCnt |
| Total Community Benefit Expns | $56,152 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $56,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,500,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,500,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 604 | PersonsServedCnt |
| Total Community Benefit Expns | $2,556,152 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,556,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 1948 | PersonsServedCnt |
| Total Community Benefit Expns | $126,848 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $124,104 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 479 | PersonsServedCnt |
| Total Community Benefit Expns | $7,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 350 | PersonsServedCnt |
| Total Community Benefit Expns | $4,310 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 2777 | PersonsServedCnt |
| Total Community Benefit Expns | $138,498 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $135,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 3381 | PersonsServedCnt |
| Total Community Benefit Expns | $2,694,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,691,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06990 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $169 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,215,093 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,877,945 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,159,993 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,282,048 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 204 N 4TH AVE E | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.MERCYONE.ORG/NEWTON/ | WebsiteAddressTxt |
| State License | 500041H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCYONE NEWTON MEDICAL CENTER (FORMERLY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | 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 PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| 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 |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) | PART V, SECTION B, LINE 5: * MERCYONE NEWTON (SKIFF) COLLABORATED WITH JASPER COUNTY PUBLIC HEALTH DEPARTMENT TO JOINTLY HOLD A COMMUNITY NEEDS ASSESSMENT AND TOWN HALL, AND COLLABORATED WITH OTHER KEY STAKEHOLDERS TO FORM THE GOALS AND STRATEGIES FOR THE HEALTH IMPLEMENTATION STRATEGY INCLUDING REPRESENTATIVES FROM MERCYONE NEWTON MEDICAL CENTER, JASPER COUNTY PUBLIC HEALTH ADMINISTRATOR, CHIEF OF POLICE FOR NEWTON POLICE DEPARTMENT, CEO JODY EATON WITH CENTRAL IOWA COMMUNITY SERVICES (CICS), HANNAH MCMUNN WITH EMPLOYEE AND FAMILY RESOURCES (EFR), AND NEWTON YMCA CEO.* SIXTY-SEVEN (67) PARTICIPANTS FROM THE JASPER COUNTY COMMUNITY ATTENDED THE CHNA TOWN HALL AND THE ATTENDING PARTICIPANTS INCLUDED, BUT NOT LIMITED TO, JASPER COUNTY PUBLIC HEALTH BOARD MEMBERS, NURSING HOME ADMINISTRATORS AND NURSES, POLICE DEPARTMENT, JASPER COUNTY BOARD OF SUPERVISORS, NEWTON FIRE DEPARTMENT, NEWTON SALVATION ARMY, JASPER COUNTY PUBLIC HEALTH ADMINISTRATOR AND NURSING, AND MORE.* THE PROCESSES FOR DATA COLLECTION BEGAN IN JANUARY 2019 WITH KICK-OFF CONFERENCE CALL WITH THE HOSPITAL AND JASPER COUNTY BOARD OF HEALTH.* A COLLABORATIVE DATA COLLECTION BEGAN IN JANUARY 2019 VIA PRESS RELEASE AND ONLINE SURVEY TO STAKEHOLDERS AND COMMUNITY MEMBERS.* SUMMARY DATA INPUTS WERE SUBMITTED USING VARIOUS METHODS SUCH AS INDIVIDUAL THE AFOREMENTIONED ONLINE SURVEY ASSESSMENT WHICH RECEIVED FEEDBACK TO SPECIFIC QUESTIONS AND ALLOWED FOR GENERAL COMMENTS TO BE SUBMITTED, COMMUNITY FOCUS GROUPS AT THE TOWN HALL IN MARCH 2019, AND ACCESS TO IDPH METRICS FOR JASPER COUNTY THROUGHOUT JAN-MARCH 2019.* A COMMUNITY TOWN HALL WAS HELD AT NEWTON DMACC FACILITY FOLLOWING SURVEY COMPLETION FOR ACTIVE PARTICIPATION FROM COMMUNITY MEMBERS AND ALL KEY STAKEHOLDERS IN MARCH 2019. * KEY STAKEHOLDERS MET TO DETERMINE GOALS AND STRATEGIES FOR THE HEALTH IMPLEMENTATION AND ACTION PLAN IN MAY JUNE 2019 AND THE HEALTH IMPLEMENTATION PLAN WAS APPROVED AND ADOPTED BY THE BOARD OF DIRECTORS AT MERCYONE NEWTON MEDICAL CENTER DURING THIS TIMEFRAME AS WELL.* THE NAMES OF ORGANIZATIONS THAT PROVIDED INPUT INCLUDE, BUT IS NOT LIMITED TO, MERCYONE NEWTON MEDICAL CENTER, NEWTON YMCA, JASPER COUNTY PUBLIC HEALTH, NEWTON POLICE DEPARTMENT, NEWTON FIRE DEPARTMENT, NEWTON VILLAGE, PARK CENTER, JASPER COUNTY BOARD OF SUPERVISORS, PROGRESS INDUSTRIES, CAREMORE, SALVATION ARMY, HIRRTA, ACURA, NEWTON DAILY NEWS, THE DENTAL PRACTICE, DMACC, NEWTON HEALTHCARE CENTER, KEYSTONE LABORATORIES, NEWTON CLINIC, MARION COUNTY PUBLIC HEALTH, PREGNANCY CENTER OF CENTRAL IOWA, GENERAL COMMUNITY MEMBERS, AND MORE.* THE MEDICALLY UNDERSERVED OR LOW INCOME, MINORITY POPULATIONS BEING REPRESENTED WERE THE HOMELESS, INDIVIDUALS WITH BEHAVIORAL AND MENTAL HEALTH ISSUES, UNEMPLOYED AND UNINSURED INDIVIDUALS, COMMUNITY MEMBERS BELOW POVERTY LINE, MINORITY GROUPS INCLUDING HISPANIC, LATINO, ETC., SINGLE PARENTS, GERIATRIC POPULATION, RETIRED POPULATION, AND MORE. |
| MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) | PART V, SECTION B, LINE 6B: JASPER COUNTY PUBLIC HEALTH DEPARTMENT |
| MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) | PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST 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 CHI 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. |
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 7A: | HTTPS://WWW.MERCYONE.ORG/NEWTON/_ASSETS/DOCUMENTS/NEWTON2019CHNAJASPERCOIAREPORT.PDF |
| PART V, SECTION B, LINE 10A: | HTTPS://WWW.MERCYONE.ORG/NEWTON/_ASSETS/DOCUMENTS/2019ACTIONPLANMERCYONENEWTON.PDF |
| PART V, SECTION B, LINE 11: | * KEY STAKEHOLDERS OFTEN WORK TOGETHER BY WAY OF COALITION MEETINGS AND OTHER REGULARLY SCHEDULED MEETINGS TO JOINTLY ADDRESS AND ACHIEVE GOALS FOR EACH PRIORITY.* EVERY 6 MONTHS ALL KEY STAKEHOLDERS, PARTNERS, AND GOAL "LEADS" MEET FOR A PROGRESS REPORT WORK GROUP SESSION TO PROVIDE UPDATES AND PROGRESS TOWARDS MEETING ESTABLISHED GOALS.* MERCYONE NEWTON MEDICAL CENTER WAS NOT IDENTIFIED AS A "LEAD OR PARTNER WITH CHILD CARE SERVICES NEED AS THIS IS NOT PART OF THE HOSPITAL MISSION OF CRITICAL OPERATIONS.* OTHER ITEMS THAT RECEIVED VOTES BUT WERE NOT ADDRESSED AS A TOP PRIORITY/NEED TO ADDRESS WERE EMERGENCY ROOM, SUICIDE, WOMEN'S HEALTH, SINGLE PARENT SUPPORT, TOBACCO, HEALTHCARE INSURANCE, DENTAL CARE, AND HEALTH ENGAGEMENT. THE REASON THESE ITEMS WERE NOT BEING ADDRESSED IS BECAUSE OF LACK OF AVAILABLE RESOURCES AND OTHER NEEDS WERE PRIORITIZED ABOVE THEM. THE TOP 8 ITEMS ADDRESSED WERE THE AREAS OF NEED THAT RECEIVED THE MOST VOTES DURING THE TOWN HALL SESSION.AREA OF NEED #1:MENTAL HEALTH (DIAGNOSIS, TREATMENT, AFTERCARE)GOAL 1: INCREASE VISIBILITY AND AWARENESS OF MENTAL HEALTH SERVICES IN JASPER COUNTY.ACTION/STRATEGY 1: INCREASE VISIBILITY AND AWARENESS OF QUALIFIED LOCAL PROVIDERS IN THE COMMUNITY FOR ASSESSMENT AND TREATING CRISIS MENTAL ILLNESS - MONTHLY MEETINGS TO PLAN AND PROMOTE.HOSPITAL PROGRESS REPORT 3, DEC 2020: CONTINUES TO BE 'PARTIALLY MET / IN PROGRESS.' JULY 2020 - DECEMBER 2020 WAS AGAIN IMPACTED BY THE COVID-19 PANDEMIC AND NECESSARY PRECAUTIONS SUCH AS SOCIAL DISTANCING, LIMITED IN-PERSON MEETINGS, ETC. (1) SUICIDE THE RIPPLE EFFECT AT CAPITOL THEATER IN SEPTEMBER 2020 - SEE PROGRESS REPORT 3 APPENDIX, PAGE 2; (2) DURING THE DERECHO STORM THERE WERE MENTAL HEALTH RESOURCES AVAILABLE THROUGH THE STATE, INCLUDING JASPER COUNTY; (3) YOURLIFEIOWA AND DISASTER RESPONSE TEAM WERE PROMOTED DURING THE PANDEMIC. (4) COVID RECOVERY IOWA ADVERTISEMENTS REGARDING HELP WITH MENTAL HEALTH DURING THE PANDEMIC. CONNIE MCQUESTIN REPRESENTING JASPER COUNTY IN PLACE OF JODY EATON (JODY HAS RETIRED).HOSPITAL PROGRESS REPORT 4, DEC 2021: CONTINUES TO BE 'PARTIALLY MET/IN PROGRESS.' JANUARY 2021-JUNE 2021 WAS AGAIN IMPACTED BY THE COVID-19 PANDEMIC AND NECESSARY PRECAUTIONS SUCH AS SOCIAL DISTANCING, LIMITED IN-PERSON MEETINGS, ETC. JASPER COUNTY CARES COALITION CONTINUES TO MEET VIA ZOOM. (1) DISCOVER HOPE TO OPEN UP MENS SHELTER, TALK ABOUT OPENING WOMENS SHELTER. RECEIVED GRANT FUNDING FOR THE SHELTER. (2) NAMI CENTRAL IOWA'S 8TH ANNUAL TRIVIA NIGHT FUNDRAISER HELD MAY 27TH, 2021 - SEE PROGRESS REPORT 4 APPENDIX, PAGE 1. (3) CAPSTONE RECEIVED GRANT FOR DUAL DIAGNOSIS SUBSTANCE ABUSE AND MENTAL HEALTH THAT HAS ASSISTED IN FUNDING OF STAFF. (4) CONNIE MCQUISTON WITH CICS SHARED BREAKDOWN OF NEWTON SPECIFIC CRISIS RESPONSE CALLS FOR 2020. TOTAL NUMBER OF CALLS FOR JASPER COUNTY - 106; NEWTON SPECIFICALLY - 87. OUT OF THOSE 87 CALLS IN NEWTON THEY HAD THE FOLLOWING NUMBER OF REFERRALS: 49 (SELF), 15 (FAMILY/FRIENDS), 8 (LAW ENFORCEMENT). THE REMAINING NUMBER OF REFERRALS WERE A COMBINATION OF VARIOUS OTHER OPTIONS (SCHOOL, SHELTER, HEALTH CARE PROVIDER, RESIDENTIAL). (5) CLEARVIEW RECOVERY IS OPENING THE PHOENIX HALFWAY HOUSE IN NEWTON 2/22/2021 - SEE PROGRESS REPORT 4 APPENDIX, PAGE 2. (6) YOUR LIFE IOWA WEBSITE IS A WONDERFUL RESOURCE FOR IDENTIFYING MENTAL HEALTH/SUBSTANCE ABUSE RESOURCES BY COUNTY LOCATION. HOSPITAL COMMUNITY HEALTH WORKER AND CASE MANAGEMENT UTILIZE THIS FREQUENTLY.ACTION/STRATEGY 2: BRING VIRTUAL REALITY TRAINING TO MERCYONE NEWTON MEDICAL CENTER ON "WHAT IS A MENTAL HEALTH CRISIS."HOSPITAL PROGRESS REPORT: 100% MET. COMPLETED JULY 2019 AT MERCYONE NEWTON MEDICAL CENTER. TWO SESSIONS HELD AT THE HOSPITAL.HOSPITAL PROGRESS REPORT, JAN 2022: 100% MET. REFER TO PROGRESS REPORT 1.ACTION/STRATEGY 3: CONDUCT A PROMOTIONAL/PR/MARKETING CAMPAIGN IDENTIFYING MENTAL HEALTH TREATMENT OPTIONS - 1 PER QUARTER.HOSPITAL PROGRESS REPORT 3, DEC 2020: THIS GOAL CONTINUES TO BE 'PARTIALLY MET / IN PROGRESS.' WITHIN THE PAST 6 MONTHS THERE HAS BEEN (1) A LOT OF PROMOTIONAL MATERIAL REGARDING YOUR LIFE IOWA, BILLBOARD, TV ADS, ETC. ALSO, IN THE PROCESS OF MAKING YARD SIGNS FOR YOUR LIFE IOWA AT THE LAST JASPER COUNTY HEALTHCARE COALITION. (2) CICS ALSO PROMOTED WORLD MENTAL HEALTH DAY ON OCT 10; (3) TRAINING AT EVERLY BALL FOR HEALTHCARE WORKERS.HOSPITAL PROGRESS REPORT 4, DEC 2021: CONTINUES TO BE 'PARTIALLY MET/IN PROGRESS'. WITHIN THE PAST 6 MONTHS CICS HAS (1) BEEN WORKING WITH TRILIX MARKETING OUT OF DES MOINES TO CREATE PROMOTIONAL MATERIAL (SHORT VIDEOS) REGARDING CICS AND MENTAL HEALTH SERVICES AVAILABLE IN OUR COMMUNITIES INCLUDING MOBILE CRISIS RESPONSE. (2) CICS HAS RUN ADS IN LOCAL NEWS PUBLICATIONS AND ON THE RADIO, AS WELL AS, YARD SIGNS AND BANNERS DISTRIBUTED IN MEMBER COUNTIES. (3) COUNTY BOARD OF SUPERVISORS PROCLAMATION: MAY 2021 AS MENTAL HEALTH MONTH TO INCREASE AWARENESS AND ABANDON NEGATIVE STIGMATISM; AND REINFORCE ACCEPTANCE OF INDIVIDUALS SEEKING TREATMENT. (4) CICS TEAMED UP WITH MHDS REGIONS ACROSS THE STATE TO CREATE A NEW WEBSITE IOWAMHDSREGIONS.ORG WHICH PROMOTES BRAIN HEALTH AND A ONE-STOP SHOP FOR INDIVIDUALS TO THEIR LOCAL MENTAL HEALTH REGION. (5) UTILIZING THE CARES FUNDS, CICS AWARDED GRANTS TO HELP PROMOTE TELEHEALTH OPTIONS FOR INDIVIDUALS DURING THE COVID-19 PANDEMIC. ADDITIONALLY, PROVIDED DROP IN CENTERS WITH TECHNOLOGY TO BE ABLE TO REACH MORE INDIVIDUALS THAT ARE UNABLE TO ATTEND IN PERSON.ACTION/STRATEGY 4: EDUCATE 5 NEWTON CLINIC PHYSICIANS ON MENTAL HEALTH SERVICES ON INTEGRATED CARE AND OPTIONS FOR TREATMENT AND FOLLOW UP BY 6/20/19. HOSPITAL PROGRESS REPORT: 100% MET IN APRIL 2020 DURING VIRTUAL MED STAFF MEETING. JODY EATON, CEO OF CICS, DISCUSSED ALL OF THE MENTAL HEALTH SERVICES IN JASPER COUNTY AND RESOURCES AVAILABLE. WILL EXTEND DEADLINE BY 12 MONTHS TO FURTHER EDUCATE AND EXPLORE ADVANCEMENT ON INTEGRATIVE CARE WITH NEWTON CLINIC.GOAL 2: INCREASE OPTIONS FOR AFTER-HOURS SERVICE FOR MENTAL HEALTH.ACTION/STRATEGY 1: INVESTIGATE 23-HOUR OBSERVATION AND DEVELOP REFERRAL FORM FOR MENTAL HEALTH FOLLOW-UP CARE TO PLACE IN ED FOR PROVIDERS.HOSPITAL PROGRESS: 100% MET. INVESTIGATION COMPLETED DURING FY20 Q1. MERCYONE NEWTON MEDICAL CENTER WOULD NOT QUALIFY BY DESIGNATION TO HAVE A 23-HOUR LICENSED OBSERVATION UNIT FOR MENTAL HEALTH. THE HOSPITAL IS NOT LICENSED TO PROVIDE MENTAL HEALTH INPATIENT OR OBSERVATION PSYCHIATRIC CARE. WE WOULD HAVE TO APPLY FOR MENTAL HEALTH DESIGNATION; HOWEVER, MERCYONE CENTRAL IOWA IS BUILDING A 100-BED MENTAL/BEHAVIORAL HEALTH FACILITY TO OPEN IN 2020-21. MERCYONE NEWTON WILL BE WORKING CLOSELY WITH THEM TO ADDRESS COLLABORATING WITHIN OUR SYSTEM TO ADDRESS THIS NEED FOR JASPER COUNTY. ACTION/STRATEGY 2: EXPLORE TELE-PSYCH SERVICES AND UNDERSTAND REIMBURSEMENT.HOSPITAL PROGRESS: NOT COMPLETED AT THIS TIME.HOSPITAL PROGRESS REPORT 3, DEC 2020: CAPSTONE IS PRIMARILY DOING TELE-PSYCH DURING THE PANDEMIC; GOING WELL. THE HOSPITAL HAS STARTED A JUDICIAL-LAW ENFORCEMENT UPDATE MEETING THAT IS BEING HELD BI-MONTHLY WITH EMPHASIS ON IMPROVING COORDINATION OF CARE AND TIMELY, APPROPRIATE CARE FOR THOSE IN NEED OF CRITICAL MENTAL HEALTH SERVICES AND ARE OFTEN COURT ORDERED TO THE HOSPITAL. ITP WAS ON MEETING TO SPEAK WITH GROUP ON 12/2/2020.HOSPITAL PROGRESS REPORT 4, DEC 2021: BEHAVIORAL HEALTH - JUDICIAL/LAW ENFORCEMENT MEETINGS STILL BEING HELD VIA ZOOM QUARTERLY. ITP REPRESENTATIVES ARE ACTIVE PARTICIPANTS IN MEETING AND WILL START PROVIDING STATISTICS ON INPATIENT PLACEMENTS.FINANCIAL ANALYSIS DONE IN JUNE ON SAMPLE OF BEHAVIORAL HEALTH PATIENTS AT HOSPITAL TO CAPTURE ACCURATE AVERAGE PERCENT OF PAYMENT BY PRIMARY INSURANCE - SEE PROGRESS REPORT 4 APPENDIX, PAGE 3.HOSPITAL PROGRESS REPORT 5, JAN 2022: CONTINUES TO BE PARTIALLY MET; ANALYSIS FROM PREVIOUS PROGRESS REPORT SHOWED 18.7% REIMBURSEMENT.GOAL 3: INVESTIGATE SYNCHRONIZING MOBILE RESPONSE AFTER DISCHARGE FROM ED PARTICIPATIONACTION/STRATEGY 1: EDUCATE ED PHYSICIANS AND STAFF ON THE SERVICES OF MOBILE RESPONSE WITH APPROPRIATE EDUCATIONAL MATERIAL.HOSPITAL PROGRESS REPORT 3, DEC 2020: GOAL MET. IN THE LAST 6 MONTHS BOTH JODY EATON, CICS CEO, AND NICOLE GUNN, EFR GRANT COORDINATOR, BOTH PRESENTED AT THE MERCYONE NEWTON MEDICAL STAFF MEETING SPEAKING AND EDUCATING PROVIDERS (INCLUDING ED PROVIDERS) ON CICS AND THE MOBILE RESPONSE UNIT IN CENTRAL IOWA, AND THE OPIOID PRESCRIPTION AND CDC PRESCRIBING GUIDELINES AND PMP WEBSITE AND TOOLS/RESOURCES, RESPECTIVELY.(CONTINUED BELOW) |
| PART V, SECTION B, LINE 11 (CONTINUED): | AREA OF NEED #2:SUBSTANCE ABUSE (OPIOIDS / METH / MARIJUANA) THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON NOT ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD.GOAL 1: REDUCE OVER PRESCRIPTION AND UTILIZATION OF OPIOID MEDICATIONS.ACTION/STRATEGY 1: CONDUCT CLASSES TO EDUCATE EMERGENCY DEPARTMENT PHYSICIANS AND NEWTON CLINIC PHYSICIANS ON CDC GUIDELINES FOR OPIOID PRESCRIPTION AND SAMSA OPIOID OVERDOSE TOOLKIT.HOSPITAL PROGRESS REPORT 3, DEC 2020: NICOLE GUNN, EFR, WAS ABLE TO DO ONE CLASS UNDER COVID-19 RESTRICTIONS (JULY 2020). IT WAS VIRTUAL FOR PHYSICIANS. NEED TO GET MORE CLASSES PLANNED THIS YEAR BUT SIGNIFICANT BARRIERS AND CHALLENGES TO GET ACCESS TO HEALTHCARE PROVIDERS DUE TO THE COVID-19 PANDEMIC. DID DO A MAILING OVER THE SUMMER THAT TARGETED PHARMACISTS/PHARM TECHS/VETS/OPTOMETRICS/CLINICS WHICH INCLUDED THE CDC PRESCRIPTION GUIDELINES AND A FEEDBACK FORM.HOSPITAL PROGRESS REPORT 4, DEC 2021: 100% MET. NIKKI TO SEND SURVEY RESULTS/FEEDBACK. 62 CONTACTS 28 SURVEYS BACK IN TOTAL. 61% INCREASED KNOWLEDGE IN CDC GUIDELINES. INCREASED/MAINTAINED 95%.ACTION/STRATEGY 2: PROVIDE ED PROVIDERS ACCESS TO PMP AND DECREASING # OF PRESCRIPTIONS; EDUCATE NEW ED MANAGER ON TRACKING.HOSPITAL PROGRESS REPORT 3, DEC 2020: THE LAW CHANGED AND PMP IS NOW REQUIRED; THUS, NOT PUSHED AS MUCH. MERCYONE NEWTON INFORMATICS TEAM WORKING ON PROMOTING INTEROPERABILITY PROJECT THAT CREATES POP-UP TO PMP WEBSITE FOR ED PHYSICIANS AND HOSPITALISTS; THIS PART OF THE PROJECT IS 100% MET. ACTION/STRATEGY 3: HOSPITAL WILL ORCHESTRATE MEETING AND DISCUSSION BETWEEN PAIN SPECIALIST AND LOCAL NEWTON CLINIC PHYSICIANS, REGARDING ALTERNATE PAIN SERVICES AND/OR OPIOID EPIDEMIC.HOSPITAL PROGRESS REPORT 3, DEC 2020: THE PAIN CLINIC CONTINUES TO AVERAGE APPROXIMATELY 150 VISITS PER MONTH EVEN DURING THE PANDEMIC, WITH INCREASED UTILIZATION OF TELEHEALTH AT THAT TIME. WE ARE SEEING +17% FOR PAIN SERVICE PROCEDURES VERSUS LAST YEAR.HOSPITAL PROGRESS REPORT 4, DEC 2021: FY21 (JULY2020-JUNE2021) PAIN SPECIALISTS OF IOWA (PSI) SAW A TOTAL OF 1,484 PATIENTS AT ITS NEWTON LOCATION. PSI PERFORMED 548 PAIN PROCEDURES. THIS IS A 36% INCREASE IN OFFICE VISITS, AND 42% INCREASE IN PROCEDURES COMPARED TO FY20. KETAMINE CLINIC TREATMENTS AND REFERRALS CONTINUE TO STEADILY INCREASE. SINCE 1/1/21 WE HAVE PERFORMED 24 KETAMINE INFUSIONS WITH 4 NEW PATIENT REFERRALS. INCREASED MARKETING ON KETAMINE CLINIC WILL CONTINUE.GOAL 2: PREVENTION AND EDUCATION TO COMMUNITIES AND SCHOOLS ON SUBSTANCE ABUSEACTION/STRATEGY 1: HOLD LIFE SKILLS SESSIONS FOR 9TH/10TH GRADERS (10 SESSIONS OF LIFE SKILLS AND SUBSTANCE ABUSE EDUCATION, EVIDENCE-BASED).HOSPITAL PROGRESS REPORT 3, DEC 2020: LIFE SKILLS CANCELED BACK IN MARCH, ON HOLD DUE TO PANDEMIC. HOPING TO RESUME IN THE SPRING 2021 AND PLANS ARE LOOKING FAVORABLE. PLANS TO DO IT VIRTUALLY IF NEED TO BE. WILL BE COMPLETED DURING HEALTH CLASS.HOSPITAL PROGRESS REPORT 4, DEC 2021: 4TH GRADE IN NEWTON HAS "TOO GOOD FOR DRUGS" PROGRAM. LIFE SKILLS THIS SPRING FOR 9TH AND 10TH GRADE. LOOKING TO OFFER TO MIDDLE SCHOOL AGED KIDS. 106 STUDENTS IN HIGH SCHOOL, 81 SURVEYED, 88% INCREASE IN KNOWLEDGE AFTER EDUCATION.ACTION/STRATEGY 2: CARRY OUT SPECIALIZED PRESENTATION(S) TO ALL SCHOOL DISTRICTS IN THE COUNTY.HOSPITAL PROGRESS REPORT 3, DEC 2020: JULIE BRITTON, SCHOOL RESOURCE OFFICER, PRESENTED TO THE SCHOOLS REGARDING PREVENTION ABOUT DRUGS AND ALCOHOL DURING RED RIBBON WEEK. STICKERS, GAMES, ETC. WERE UTILIZED AND PROVIDED DURING THE EVENT. ADVERTISEMENTS FOR AN ALCOHOL-FREE NEW YEAR'S EVE CELEBRATION PROMOTED - SEE PROGRESS REPORT 3 APPENDIX, PAGE 7.HOSPITAL PROGRESS REPORT 4, DEC 2021: SPRING FOCUS ON DRUNK DRIVING WITH HANDS ON EDUCATIONAL TOOLS; "DRUNK GOGGLES". WELL RECEIVED BY THE KIDS.ACTION/STRATEGY 3: IMPLEMENT AND CARRY OUT JASPER COUNTY SAFE KIDS PROGRAM.HOSPITAL PROGRESS REPORT 3, DEC 2020: HAVE BEEN INSTALLING CAR SEATS, APPROXIMATELY 20 IN THE PAST 6 MONTHS, DURING THE PANDEMIC.HOSPITAL PROGRESS REPORT 4, DEC 2021: LIMITED CAPACITY. KIDS HEALTH FAIR AT YMCA (60KIDS) CAR SEATS WITHIN THE COMMUNITY. NEWTON LIBRARY HOSTS A STORYWALK IN NEWTON -SEE PROGRESS REPORT 4 APPENDIX, PAGE 10. SCHOOL LUNCH PROGRAM TO GIVEAWAY SACK LUNCHES THROUGHOUT THE SUMMER.GOAL 3: MERGE THE SUBSTANCE ABUSE COALITION GROUP INTO THE MENTAL HEALTH COALITION GROUP AND CONTINUE TO HOLD JOINT MONTHLY MEETINGS BY 6/30/20.HOSPITAL PROGRESS: THESE COALITIONS WERE MERGED TO FORM JASPER COUNTY CARES COALITION IN JULY 2020. GOAL MET.AREA OF NEED #3:OBESITY (NUTRITION / EXERCISE) PARTNERED WITH OTHER COMMUNITY GROUPS AS NEEDED.GOAL 1: ENCOURAGE EXERCISE PARTICIPATION IN COMMUNITY TO IMPROVE MENTAL HEALTH.ACTION/STRATEGY 1: IMPLEMENT (AND EDUCATE) FINANCIAL ASSISTANCE PROGRAM TO CAPSTONE, OPTIMAE, PROGRESS INDUSTRIES CLIENTS TO HELP LOWER INCOME INDIVIDUALS HAVE ACCESS TO EXERCISE OPPORTUNITIES.HOSPITAL PROGRESS REPORT 3, DEC 2020: THE YMCS IS STILL DOING THIS PROGRAM, BUT SIGNIFICANT DECREASE IN UTILIZATION SINCE THE ONSET OF THE PANDEMIC REPORTED BY THE LOCAL YMCA.HOSPITAL PROGRESS REPORT 4, DEC 2021: NO ADDITIONAL UPDATES AT THIS TIME.ACTION/STRATEGY 2: PROMOTE AND PROVIDE HEALTHY FOOD AND EXERCISE PREVENTION OPTIONS AND PROGRAMS (I.E. SUMMER FOOD PROGRAM, AFTERSCHOOL ACTIVITIES, EDUCATION).HOSPITAL PROGRESS REPORT 3, DEC 2020: (1) SCHOOLS ARE OFFERING FREE BREAKFAST/LUNCHES FOR SCHOOL AGE CHILDREN DURING THE PANDEMIC. GRAB AND GO MEALS EVEN WHEN OUT OF SESSION. (2) DURING THE DERECHO THE SALVATION ARMY OPENED A FOOD BANK FROM 10,000 DONATED MEALS FROM AMERIGROUP (FOOD SECTION); (3) HOSPITAL DONATED SOME TURKEYS TO SALVATION ARMY FROM TURKEY TOSS (FOOD INSECURITIES)HOSPITAL PROGRESS REPORT 4, DEC 2021: LIMITED CAPACITY. KIDS HEALTH FAIR AT YMCA (60KIDS). CAR SEATS WITHIN THE COMMUNITY. NEWTON LIBRARY HOSTS A STORYWALK IN NEWTON -SEE PROGRESS REPORT 4 APPENDIX, PAGE 10. SCHOOL LUNCH PROGRAM TO GIVEAWAY SACK LUNCHES THROUGHOUT THE SUMMER. NEWTON SCHOOL DISTRICT PARTNERING WITH YMCA FOR AFTER SCHOOL PROGRAM. ACTION/STRATEGY 3: INVESTIGATE DIABETES PREVENTION PROGRAM (DPP).HOSPITAL PROGRESS REPORT 3, DEC 2020: GOAL MET IN REGARD TO INVESTIGATED AND CONTINUE TO EVALUATE RESOURCES, BUT UNABLE TO MOVE FORWARD AT THIS TIME. STILL ON HOLD THROUGH THE PHE, COVID-19 PANDEMIC. REVIEW OF RESOURCES AND FUNDING NEEDED TO COMPLETE THIS PROJECT HAS SHOWN TO BE LIKELY NOT FAVORABLE TOWARDS IMPLEMENTING THIS PROJECT. HOSPITAL PROGRESS REPORT 4, DEC 2021: GOAL MET. NEWTON EXPRESS CARE CLINIC IN PARTNER WITH HYVEE HELD FREE HEALTH SCREENING DAY ON JUNE 26TH, 2021 - SEE PROGRESS REPORT 4 APPENDIX, PAGE 11.ACTION/STRATEGY 4: INVESTIGATE A LIVE WELL CENTER.HOSPITAL PROGRESS 1 DEC 2019: NOT MET. THE BOARD OF SUPERVISORS HAVE PURCHASED A BUILDING BUT MORE LIKELY FOR BUSINESS AND ADMINISTRATIVE SERVICES.HOSPITAL PROGRESS REPORT 3, DEC 2020: THERE ARE NO CHANGES AT THIS TIME; NEW BUILDING PURCHASED BUT NO REMODEL OR FURTHER MOVEMENT OR DIRECTION ON WHAT ALL WILL BE LOCATED IN THE BUILDING. INITIAL PLANS ARE NOT FAVORABLE TOWARDS A LIVE WELL CENTER CONSIDERING THE ECONOMICS RESTRAINTS GIVEN DURING THE PANDEMIC.HOSPITAL PROGRESS REPORT 4, DEC 2021: WANTING ALL SERVICES UNDER ONE LOCATION, POTENTIALLY 2023.GOAL 2: INCREASE HEALTHY FOOD SELECTION AND EXERCISE PREVENTION OPTIONS/PROGRAMS TO INDIVIDUALS OF ALL AGES, BUT ESPECIALLY THE YOUTH.ACTION/STRATEGY 1: HOSPITAL WILL PARTICIPATE IN MEETINGS AROUND NEWTON COMMUNITY HEALTH PARTNERSHIP - QUARTERLY MEETINGSHOSPITAL PROGRESS REPORT 3, DEC 2020: SEE PROGRESS REPORT 2 WITH COMMENTS FROM FRANK LEIBL: "IN ALL REALITY RECEIVING FUNDING FROM THE ROCKEFELLER FOUNDATION NOW SEEMS UNLIKELY BECAUSE OF THE RESOURCES THEY ARE POURING IN TO HELP THOSE AFFECTED BY COVID-19, BUT NEVER SAY NEVER."HOSPITAL PROGRESS REPORT 4, DEC 2021: (1) MELISSA DOEHRMANN, DIRECTOR OF PATIENT CARE SERVICES WITH MERCYONE NEWTON, ED MANAGER TAMI FAIRBANKS, AND COMMUNITY HEALTH WORKER CHERYL GARRLES HAVE BEEN ATTENDING JCCC MEETINGS. (2) MERCYONE NEWTON MEDICAL CENTER CONTINUES TO HOST THE NURSING HOME COMMUNITY COALITION MEETINGS LEAD BY CARE COORDINATION TEAM WITH LOCAL NURSING HOMES AND HOSPITAL REPRESENTATIVES.(CONTINUED BELOW) |
| PART V, SECTION B, LINE 11 (CONTINUED): | AREA OF NEED #4:PRIMARY CARE / VISITING SPECIALISTS (FP/IM, PEDS, NEU, NEP, GI/LIVER)GOAL 1: INCREASE PRIMARY CARE AVAILABILITY, AND ULTIMATELY ACCESS FOR NEW PATIENTS SEEKING TO ESTABLISH CARE.ACTION/STRATEGY 1: MERCYONE NEWTON WILL COLLABORATE TO JOINTLY RECRUIT FAMILY PRACTICE/INTERNAL MEDICINE PHYSICIANS TO NEWTON (ALONG WITH NEWTON CLINIC).HOSPITAL PROGRESS REPORT 3, DEC 2020: 1) HIRED NICOLE FERGUSON, FP WITH NEWTON CLINIC. 2) CONTINUING WITH JOINT RECRUITMENT EFFORTS WITH NEWTON CLINIC TO FIND MORE FP AND OB PHYSICIANS.HOSPITAL PROGRESS REPORT 4, DEC 2021: GOAL MET. 1) HIRED DR. LUKE PERRIN, FP WITH NEWTON CLINIC; 2) CONTINUING JOINT RECRUITMENT EFFORTS WITH NEWTON CLINIC TO FIND MORE FP AND OB PHYSICIANS. INTERVIEWS SCHEDULED WITH POTENTIAL CANDIDATES.ACTION/STRATEGY 2: MERCYONE NEWTON WILL DEVELOP AND OPEN AN OCCUPATIONAL MEDICINE CLINIC WITH BOARD CERTIFIED PHYSICIANS IN OCCUPATIONAL HEALTH AND MEDICINE TO SERVE LOCAL EMPLOYERS/STAFF; WILL HOLD MONTHLY MEETINGS FOR PLANNING AND OPERATIONS MANAGEMENT.HOSPITAL PROGRESS REPORT 3, DEC 2020: 1) OPENED NOV 3RD, 2020, WITH JOANNE HARBERT, ARNP, AND SHE IS HERE TWO MORNINGS PER WEEK; THE CLINIC OPEN M-F 8A-4:30P; 2) EXPLORING TELEHEALTH OPTIONS TO EXPAND PROVIDER COVERAGE AND AVAILABILITIES; 3) 43 DRUGS TESTS IN OCTOBER, WE HAVE AUDIOGRAMS AND RESPIRATOR FIT TESTS SCHEDULE IN DECEMBER 2020.HOSPITAL PROGRESS REPORT 4, DEC 2021: 1) OCCUPATIONAL HEALTH CLINIC SEEING 200 PROVIDER VISITS ; 700 DRUG SCREENS; 25 HEARING TESTS; 40 IMAGING; PROJECTED TO HAVE 1,400VISITS/YEAR. 2) THE 2020 COUNTY HEALTH RANKINGS & ROADMAPS DISCUSSED POPULATION, HEALTH OUTCOMES, HEALTH FACTORS, CLINICAL CARE, SOCIAL & ECONOMIC FACTORS, AND PHYSICIAN ENVIRONMENT - SEE PROGRESS REPORT 4 APPENDIX, PAGE 24 TO SEE HOW JASPER COUNTY RATED ALONG WITH IOWA REPORT. 3) MERCYONE NEWTON IMPLEMENTED INPATIENT PULMONARY TELEHEALTH CONSULTS IN FEBRUARY 2021. THE HOSPITAL CONTINUES TO EXPLORE TELEHEALTH OPTIONS TO EXPAND PROVIDER COVERAGE AND SPECIALTY AVAILABILITY.ACTION/STRATEGY 3: EXPAND FREQUENCY OF NEUROLOGY SPECIALTY COVERAGE IN NEWTON; HOLD BIMONTHLY MEETINGS FOR PLANNING AND ADMINISTRATIVE FOLLOW UP AFTER IMPLEMENTED.HOSPITAL PROGRESS REPORT 3, DEC 2020: 1) DR ADELMAN FROM RUAN NEUROLOGY NOW COMING TO NEWTON IN PLACE OF DR. HURD. HAS PERFORMED 16 EMGS OVER LAST TWO MONTHS.ACTION/STRATEGY 4: EXPAND FREQUENCY OF PAIN SPECIALTY COVERAGE IN NEWTON BY ADDING APC PROVIDER; HOLD MONTHLY MEETINGS FOR PLANNING AND ADMINISTRATIVE FOLLOW UP AFTER IMPLEMENTED.HOSPITAL PROGRESS, DEC 2019: 100% MET. (1) THE HOSPITAL HAS EXPANDED OPERATING ROOM BLOCK TIME FOR THE PAIN SPECIALIST PROVIDERS. (2) HIRED ARNP, REBEKAH ROGERS, AND SHE IS COMING MONDAY AND WEDNESDAY WEEKLY AND THE PAIN SPECIALIST OF IOWA GROUP HAVE THEREBY INCREASED OFFICE VISITS FROM 75/MONTH TO 200/MONTH AS OF FY20 Q2.HOSPITAL PROGRESS, DEC 2020: GOAL MET. REFER TO PROGRESS REPORT 1. FURTHER EXPLORATION ON EXPANDING MORE, I.E. BRINGING NP ON FRIDAYS IF CONTINUED GROWTH IN VOLUMES FOR THE PAIN CLINIC. ACTION/STRATEGY 5: INVEST IN HOSPITALIST PROGRAM STAFFING MATRIX AT THE HOSPITAL TO HELP CREATE DOWNSTREAM AVAILABILITY OF LOCAL FAMILY PRACTICE/INTERNAL MED CLINICS TO IMPROVE ACCESS TO FP/IM (I.E. REDUCES FP/IM PHYSICIAN ROUNDING COMMITMENTS AND COVERAGE TO INPATIENTS WHICH PROVIDES GREATER CLINIC AVAILABILITY FOR APPOINTMENTS AND ALSO IMPROVES RECRUITMENT POTENTIAL OF NEW PHYSICIANS HAVING LESS ON-CALL); HOLD MONTHLY MEETINGS FOR PLANNING AND OPERATIONS.HOSPITAL PROGRESS REPORT 3, DEC 2020: CURRENTLY TWO ADDITIONAL NPS HAVE BEEN ADDED TO HELP WITH INCREASED CENSUS, THEY ARE PRN. WORKING WITH MERCYONE DSM HOSPITALIST GROUP TO GET A BACK UP SCHEDULE TO HAVE A SCHEDULED BACKUP EVERYDAY TO BE SURE THERE IS ADEQUATE BACKUP; ALSO LOOKING AT OPPORTUNITIES WITH CHI ALEGENT HEALTH FOR BACKUP COVERAGE. GOAL IS TO NOT USE NEWTON CLINIC SO THEY CAN FOCUS ON PATIENT ACCESS FOR FP/IM.HOSPITAL PROGRESS REPORT 4, DEC 2021: GOAL MET. REFER TO PREVIOUS PROGRESS REPORTS. WE CONTINUE TO EXPLORE BACK UP HOSPITALISTS COVERAGE DURING THE DAY IF DES MOINES IS UNABLE TO ASSIST WITH PRN HOSPITALISTS. WORKING WITH CHI ALEGENT HEALTH IN ESTABLISHING AMENDMENT TO CURRENT CONTRACT TO ALLOW FOR DAYTIME COVERAGE.GOAL 2: INCREASE SPECIALTY SERVICE OPTIONS AND FREQUENCY OF VISITING PROVIDERS.ACTION/STRATEGY: INVESTIGATE ADDING PALLIATIVE CARE PROVIDERS TO THE SPECIALTY CLINIC; HOLD QUARTERLY MEETINGS FOR PLANNING AND IMPLEMENTATION.HOSPITAL PROGRESS REPORT 3, DEC 2020: PALLIATIVE CARE WENT LIVE JULY 10TH; DR. GOLDMAN. COMES 1X/MONTH. DR. GOLDMAN IS VERY THOROUGH AND SPENDS OVER 1 HR WITH EACH PATIENT AND POSITIVE FEEDBACK FROM THEM; FEEDBACK IS GIVEN TO THE HOSPITALIST. 11 REFERRALS SEEN AS OF MID-OCTOBER 2020.HOSPITAL PROGRESS REPORT 4, DEC 2021: DR. GOLDMAN CONTINUES TO COME 1X/MONTH FOR INPATIENT OR OUTPATIENT CONSULTS. SINCE JANUARY 2021-JUNE 2021 HE HAS CONSULTED WITH 19 PATIENTS.AREA OF NEED #5:DOMESTIC VIOLENCE / SEXUAL ASSAULT THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON HOSPITAL DID NOT ADDRESS: (1) NOT PART OF MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES.GOAL 1: INCREASE AWARENESS OF RESOURCES FOR HELP.ACTION/STRATEGY 1: PROMOTE AWARENESS OF DOMESTIC ABUSE/SEXUAL ASSAULT HOTLINE TELEPHONE NUMBER.HOSPITAL PROGRESS REPORT 3, DEC 2020: NO UPDATE. NEED TO FIND WHO THE MOST CURRENT STAFF MEMBER IS. STOPDVA.ORG AND MOBILE APP PROMOTION.HOSPITAL PROGRESS REPORT 4, DEC 2021: NO UPDATE. LAST CONTACT WITH CIS WAS KATIE BLANCHARD, HOWEVER, HER LAST DAY WAS IN DECEMBER. NEED TO FIND APPROPRIATE CONTACT FOR CIS.ACTION/STRATEGY 2: PROVIDE DOMESTIC ABUSE/SEXUAL ASSAULT PROMOTION AND RESOURCE MATERIALS IN WAITING ROOMS.HOSPITAL PROGRESS REPORT 3, DEC 2020: NO UPDATE. NEED TO FIND WHO THE MOST CURRENT STAFF MEMBER IS. STOPDVA.ORG AND MOBILE APP PROMOTION.HOSPITAL PROGRESS REPORT 4, DEC 2021: NO UPDATE. LAST CONTACT WITH CIS WAS KATIE BLANCHARD, HOWEVER, HER LAST DAY WAS IN DECEMBER. NEED TO FIND APPROPRIATE CONTACT FOR CIS.ACTION/STRATEGY 3: MERCYONE NEWTON WILL CREATE A DESIGNATED OFFICE SPACE FOR VISITING CIS LEADER TO INCREASE PRESENCE IN JASPER COUNTY (TO HELP WORK WITH ED SERT TEAM)HOSPITAL PROGRESS REPORT 3, DEC 2020: NO UPDATE. NEED TO FIND WHO THE MOST CURRENT STAFF MEMBER IS. STOPDVA.ORG AND MOBILE APP PROMOTION.HOSPITAL PROGRESS REPORT 4, DEC 2021: NO UPDATE. LAST CONTACT WITH CIS WAS KATIE BLANCHARD, HOWEVER, HER LAST DAY WAS IN DECEMBER. NEED TO FIND APPROPRIATE CONTACT FOR CIS.(CONTINUED BELOW) |
| PART V, SECTION B, LINE 11 (CONTINUED): | AREA OF NEED #6:HEALTHCARE TRANSPORTATION THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON HOSPITAL DID NOT ADDRESS: (1) NOT PART OF MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES.GOAL 1: INCREASE AWARENESS OF RESOURCES FOR HELP.ACTION/STRATEGY 1: EVALUATE AVAILABLE HEALTHCARE TRANSPORTATION SERVICES.HOSPITAL PROGRESS REPORT 3, DEC 2020: THIS IS GOING TO BE ON THE COMMUNITY HEALTH WORKER PRIORITY LIST FOR TRANSPORTATION. MERCYONE NEWTON HAS RECEIVED A GRANT FOR 3 YEARS FOR A COMMUNITY HEALTH WORKER - NEWTON, KNOXVILLE AND DALLAS COUNTY. HER NAME IS CHERYL GERRELS AND SHE JUST STARTED 6 WEEKS AGO. SHE WAS A CHW IN CENTERVILLE, IA. SHE IS POSITIONED IN THE ED, HOWEVER THEY ARE TYPICALLY PLACED IN A CLINIC SETTING SO NEWTON IS USING AN INNOVATIVE APPROACH TO POSITION ONE IN THEIR ED. THIS IS A PILOT WITH THIS PERSON IN THE ED DEPARTMENT. SHE IS STARTING TO SCREEN ED PATIENTS M-F, 8-4:30 FOR SOCIAL DETERMINANTS (MEDICATION, TRAVEL, PRIMARY CARE PROVIDER, FOOD, ETC.); STARTED SCREENING ON 11/17. SO FAR, HAS IDENTIFIED 7 INDIVIDUALS WHO NEED RESOURCES SHE COULD HELP THEM WITH. GOAL IS FOR CHW TO SCREEN EVERY PATIENT THAT COMES TO THE ED.HOSPITAL PROGRESS REPORT 4, DEC 2021: 1) SURVEY SENT OUT IN MAY TO CONTINUE WITH EFFORTS TO POSITIVELY IMPACT PUBLIC TRANSPORTATION IN OUR AREA. INFORMATION IS CRITICAL TO PROVIDE FEEDBACK TO ASSIST WITH NEXT STEPS PLANNING PHASE - SEE PROGRESS REPORT 4 APPENDIX, PAGE 29. 2) HIRTA PROVIDED VIRTUAL LUNCH AND LEARN ON "DO YOU HAVE TRANSPORTATION" MAY 26TH, 2021. OVERALL GOAL IS FOR PEOPLE TO HAVE THE FORETHOUGHT OF IF THEY HAVE TRANSPORTATION. AVERAGE NO-SHOW RATE FOR THE UNITED STATES HEALTHCARE INDUSTRY IS 18.8%, $150B IS HOW MUCH THE U.S. HEALTHCARE INDUSTRY IS LOSING PER YEAR ON MISSED APPOINTMENTS. CONTINUING TO PROVIDE EDUCATION ON TRANSPORTATION OPPORTUNITIES IS CRUCIAL - SEE PROGRESS 4 REPORT APPENDIX, PAGE 32. 3) COMMUNITY HEALTH WORKER, CHERYL GARRELS, CONTINUES TO SCREEN EVERY ELIGIBLE PATIENT WHO IS ADMITTED TO THE EMERGENCY DEPARTMENT. TO DATE, CHERLY HAS SCREENED A TOTAL OF 1,905 PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH. 1166 SOCIAL NEEDS WERE IDENTIFIED AND FROM THAT, 13% WERE RELATED TO LACK OF TRANSPORTATION. CHERYL CONTINUES TO CONNECT PATIENTS WITH TRANSPORTATION WHEN AVAILABLE, HOWEVER, HAS IDENTIFIED THERE IS STILL A NEED FOR ADDITIONAL SERVICES IN THE COMMUNITY.ACTION/STRATEGY 2: BUDGET FOR CAB VOUCHER PROGRAM FROM ED DEPARTMENT.HOSPITAL PROGRESS: MET. CAB VOUCHER PROGRAM THROUGH ED CONTINUES TO BE IMPLEMENTED. ALSO, CICS HAS HELPED WITH VOLUNTARY TRANSPORTATION FROM ED TO OTHER INPATIENT UNITS, CRISIS STABILIZATION, SUBACUTE.HOSPITAL PROGRESS REPORT 5, JAN 2022: MET 100% MERCYONE NEWTON PAID HOMETOWN CAB $835.00 LAST YEAR FOR VOUCHERS. APPROVAL FROM THE HOUSE SUPERVISOR IS NEEDED TO HAND OUT TO PATIENTS.ACTION/STRATEGY 3: UTILIZE VOLUNTEER SERVICES TO OFFER HEALTHCARE TRANSPORTATION PROGRAMHOSPITAL PROGRESS: PROGRAM RSVP IS CURRENTLY STILL BEING UTILIZED. MERCYONE NEWTON MEDICAL CENTER DOES COLLABORATE AND DONATES TO THIS PROGRAM ANNUALLY.AREA OF NEED #7:CHILD CARE SERVICES THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON NOT ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES.GOAL 1: EXPLORE AVAILABLE RESOURCES AND CHILD CARE SERVICE NEEDS.ACTION/STRATEGY 1: COLLABORATE WITH CHILD CARE RESOURCE AND REFERRAL (JASPER COUNTY) MONTHLY AT PROVIDER MEETING TO EVALUATE AVAILABLE RESOURCES.HOSPITAL PROGRESS REPORT 3, DEC 2020: OFFERING TRAINING AND ADVERTISING SERVICES ON FACEBOOK. CHILDCARE HAS CONTINUED TO BE A STRUGGLE IN THE COMMUNITY AND KEEPING CENTERS OPEN DURING COVID-19 PANDEMIC FOR ESSENTIAL WORKERS. THE LOCAL YMCA OFFERED PARTNERSHIP WITH MERCYONE NEWTON ESSENTIAL EMPLOYEES TO HELP PROVIDE CHILDCARE SERVICES DURING THE COVID-19 PANDEMIC.HOSPITAL PROGRESS REPORT 4, DEC 2021: GOVERNOR REYNOLDS ANNOUNCED ADDITIONAL SUPPORT FOR CHILD CARE PROVIDERS ACROSS THE STATE OF IOWA. THE GOVERNOR'S CHILD CARE TASK FORCE CONTINUES TO REVIEW AND DEVELOP POLICY RECOMMENDATIONS IN ADVANCE OF THE 2022 LEGISLATIVE SESSION - SEE PROGRESS REPORT 4 APPENDIX, PAGE 34. MID-IOWA COMMUNITY ACTION (MICA) SENT OUT THEIR JUNE 2021 BOARD OF HEALTH NEWSLETTER. NEWSLETTER INCLUDED ADDITIONAL RESOURCES AND PROGRAM UPDATES ON: CHILD CARE NURSE CONSULTANT PROGRAM, CHILD HEALTH, 1ST FIVE, MATERNAL HEALTH, AND PICK A BETTER SNACK -SEE PROGRESS REPORT 4 APPENDIX, PAGE 38.ACTION/STRATEGY 2: ESTABLISH A LIST OF CHILD CARE PROVIDERS AND THEIR HOURS OF OPERATIONS.HOSPITAL PROGRESS: GOAL MET. A GLOBAL LIST OF CHILD CARE SERVICE HIGHLIGHTS PROVIDED BY CCR&R.AREA OF NEED #8:SENIOR LIVING / CARE THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON NOT ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES.GOAL 1: BRING AWARENESS TO AFFORDABLE HOUSING NEED FOR SENIORS IN COMMUNITY.ACTION/STRATEGY 2: EXPLORE AFFORDABLE HOUSING OPTIONS FOR SENIORS AND DISCUSS AT MONTHLY MEETINGS (NEWTON COMMUNITY HEALTH COALITION MEETINGS).HOSPITAL PROGRESS REPORT 3, DEC 2020: LTC HAS BEEN CHALLENGING WITH THE COVID-19 PANDEMIC. JUST IN GENERAL, GETTING PEOPLE TO LEAVE THEIR HOMES TO GO TO ASSISTED LIVING PLACES HAS BEEN VERY CHALLENGING DUE TO FEAR OF COVID-19. HOSPITAL HAS ALSO NOTICED INDIVIDUALS ARE REFUSING TO GO TO A FACILITY FOR DISCHARGE PLACEMENT BECAUSE OF RELUCTANCE AND FEAR OF THE PANDEMIC; THEY ARE FEARFUL OF CONTRACTING COVID-19. THE HOSPITAL MODIFIED THE NURSING HOME MEETINGS TO INVOLVE THE ADMINISTRATORS AND DONS (ATTENDANCE WAS NOT WELL ATTENDED AT THE ORIGINAL NURSING HOME COALITION MEETINGS). THE MEETINGS WITH NURSING HOMES IN THE COMMUNITY CONTINUES TO EVOLVE WITH GOALS OF IMPROVEMENT IN COLLABORATION AND COMMUNICATION.HOSPITAL PROGRESS REPORT 4, DEC 2021: CONTINUE TO SEE CHALLENGES ASSOCIATED WITH LTC PLACEMENT DUE TO LACK OF BED AVAILABILITY AND RELUCTANCY FROM PATIENT AND FAMILIES DUE TO THE COVID-19 PANDEMIC. WHAT HAS ASSISTED THE HOSPITAL WITH PLACEMENT IS THE COVID CMS WAIVERS IN PLACE, SPECIFICALLY RELATING TO THE 3 DAY WAIVER THAT THE PATIENT DOES NOT HAVE TO HAVE THREE OVERNIGHT STAYS IN THE HOSPITAL TO QUALIFY FOR SKILLED LEVEL OF CARE. THIS HAS ASSISTED US WITH PLACEMENTS OUT OF OUR EMERGENCY DEPARTMENT ALONG WITH INPATIENT BED FLOW AS WELL. WE CONTINUE TO MEET QUARTERLY WITH OUR NURSING HOME AND COMMUNITY COALITION MEETINGS.THE CHRISTIAN REFORM CENTER WAS OPENED FOR THOSE WITHOUT HOUSING DURING THE DERECHO IN AUG 2020.THERE HAVE BEEN A FEW BUILDERS/DEVELOPERS LOOKING TO CREATE HOUSING FOR SENIORS AND LOW TO MODERATE INCOME FAMILIES. (1) LABORERS IS WORKING ON A PROJECT FOR LOW TO MODERATE INCOME THAT WILL LIKELY GET STARTED IN 2021 THAT WILL CREATE 42 UNITS ON A LARGE LOTS IN THE CENTER OF TOWN. (2) FRONT PORCH DEVELOPMENT IS ALSO LOOKING AT CREATING SENIOR OR LOW TO MODERATE INCOME HOUSING IN THE FORMER COUNTY ANNEX BUILDING DOWNTOWN. THEIR PLANS CALL FOR 25 UNITS. (3) ABOUT A YEAR AGO THE MCCANN VILLAGE (HUD, LOW INCOME SENIOR HOUSING) WAS PURCHASED BY A COMPANY OUT EAST WHO IMMEDIATELY STARTED A FULL RENOVATION OF THESE 80 UNITS. THIS PROJECT IS 80% COMPLETE. DURING THE REMODEL THEY HAVE BEEN ABLE TO KEEP NEARLY ALL THE 80 UNITS OCCUPIED. (4) THERE ALSO HAS BEEN A COUPLE OF DEVELOPERS LOOKING TO BUILD "AFFORDABLE" HOUSING IN NEWTON - $175,000 - $190,000 THREE BEDROOM HOMES).GOAL 2: PROVIDE QUALITY SENIOR HEALTH CARE CLOSER TO HOME FOR SNF/SKILLED SERVICES.ACTION/STRATEGY 1: INCREASE SWING BED/SNF BED UTILIZATION AT LOCAL HOSPITAL (AND NURSING HOMES) BY STRENGTHENING RELATIONSHIP AND ALIGNMENT WITH MERCYONE CONNECT; GOAL >36.HOSPITAL PROGRESS REPORT 3, DEC 2020: IN FY20, MERCYONE NEWTON MEDICAL CENTER FINISHED WITH 48 SKILLED PATIENTS. IN FY21 YTD, WE HAVE HAD 21 SKILLED PATIENTS, ANNUALIZED ESTIMATE 50 TOTAL.HOSPITAL PROGRESS REPORT 4, DEC 2021: IN FY21, WE HAD 34 SKILLED PATIENTS. WE CONTINUE TO WORK CLOSELY WITH DES MOINES TO INCREASE OUR SWING BED NUMBERS ALONG WITH ACCEPTING RURAL FACILITY TRANSFERS DURING THE PANDEMIC. |
| PART V, SECTION B, LINE 16A | HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16B | HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16C | HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. * THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. * THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. 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 CLINIC; * PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); * FOOD STAMP ELIGIBILITY; * SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; * ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); * LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR * PATIENT IS DECEASED WITH NO KNOWN ESTATE. |
| PART I, LINE 7: | THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/21 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE.BASED ON THAT FORMULA, $36,800,619/116,618,589 RESULTS IN A 31.56% COST-TO-CHARGE RATIO.WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MERCYONE NEWTON PARTNERS WITH NUMEROUS ORGANIZATIONS WITHIN THE COMMUNITY TO PROMOTE THE HEALTH AND WELL-BEING OF THE ORGANIZATION'S EMPLOYEES AND THE COMMUNITY IN GENERAL. THIS IS DONE THROUGH PARTICIPATION ON LOCAL ORGANIZATION BOARDS AND IN PARTNERING TO HOST AND SUPPORT COMMUNITY EVENTS WHICH RAISE AWARENESS TO COMMUNITY HEALTH NEEDS. |
| PART III, LINE 2: | COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 31.56%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. |
| PART III, LINE 3: | MERCY MEDICAL CENTER - NEWTON DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. |
| PART III, LINE 4: | MERCY MEDICAL CENTER - NEWTON DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 AND 2020 WAS NOT SIGNIFICANT. |
| 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. MERCYONE NEWTON MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $3,282,048 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. |
| PART III, LINE 9B: | THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. 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. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. |
| PART VI, LINE 2: | MANY SERVICES PROVIDED BY MERCYONE NEWTON MEDICAL CENTER CONTINUE TO SURFACE ARE AREAS OF GREATEST NEED. ACCESS TO QUALITY HEALTH CARE IN OUR RURAL SETTING, AS WELL AS ACCESS TO QUALITY EMERGENCY CARE AND COORDINATED EFFORTS FOR MENTAL AND BEHAVIORAL HEALTH FOLLOW UP, AND THE NEED FOR IMPROVED RURAL ACCESS TO SPECIALTY CARE AND FINANCIAL ASSISTANCE FOR THE UNINSURED AND UNDERSERVED WERE IDENTIFIED BY THE PARTICIPANTS. THESE BARRIERS, COMPOUNDED BY THE CHALLENGES OF PROVIDING QUALITY HEALTH CARE IN A RURAL SETTING, COMBINED WITH NEEDED ACCESS TO HEALTHY FOOD, SAFE HOUSING AND PUBLIC TRANSPORTATION, HAVE GUIDED THE COMMUNITY-BASED ACTIVITIES FOR MERCYONE NEWTON MEDICAL CENTER.OTHER AVENUES OF ASSESSING THE HEALTHCARE NEEDS OF THE COMMUNITY WE SERVE INCLUDE MARKET SHARE ANALYSIS DATA BY THE EXECUTIVE TEAM FROM THE IOWA HOSPITAL ASSOCIATION, TRANSFER ANALYSIS BY THE LEADERSHIP AND EXECUTIVE TEAM AND, STRATEGIC PLANNING SESSIONS WITH KEY STAKEHOLDERS AND PARTNERS IN THE LOCAL HEALTHCARE MARKET AND MERCYONE EXECUTIVE LEADERS, FEEDBACK AND ANALYSIS FROM MULTIPLE PARTNERSHIPS AND GROUP MEETINGS THAT THE HOSPITAL IS INVOLVED IN SUCH AS THE JASPER COUNTY COMMUNICATE CARES COALITION, ETC. |
| PART VI, LINE 3: | NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI 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.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | MERCYONE NEWTON MEDICAL CENTER (SKIFF) IS A RURAL HOSPITAL IN JASPER COUNTY THAT SERVES PRIMARILY THE RESIDENTS OF JASPER COUNTY, BUT ALSO SOME OF THE SURROUNDING COUNTIES SUCH AS POWESHIEK, MARION, AND MARSHALL COUNTIES, OF WHICH EACH SURROUNDING COUNTY ALSO HAS AT LEAST ONE RURAL HOSPITAL. JASPER COUNTY IS LOCATED 35 MILES EAST OF DES MOINES, IT IS THE 18TH MOST POPULOUS COUNTY OF IOWA'S 99 TOTAL COUNTIES, IN THE 2010 CENSUS. THE COUNTY SEAT IS NEWTON. IN TOTAL, JASPER COUNTY HAS A LAND AREA OF 729.99 SQ. MILES.ACCORDING TO THE 2018 ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, JASPER COUNTY IA WAS RANKED 68TH IN HEALTH OUTCOMES, 40TH IN HEALTH FACTORS, AND 75TH IN PHYSICAL ENVIRONMENTAL QUALITY OUT OF THE 99 COUNTIES.JASPER COUNTY'S POPULATION IS 36,966 (BASED ON 2017), WITH A POPULATION PER SQUARE MILE (BASED ON 2010) OF 50.4 PERSONS. SIX PERCENT (5.8%) OF THE POPULATION IS UNDER THE AGE OF 5 AND 19% IS OVER 65 YEARS OLD. FORTY-NINE PERCENT (48.8%) OF JASPER COUNTY IS FEMALE. HISPANIC OR LATINOS MAKE UP 2.2% OF THE POPULATION AND THERE ARE 2.2% OF JASPER COUNTY CITIZENS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. IN JASPER COUNTY, CHILDREN IN SINGLE PARENT HOUSEHOLDS MAKE UP 29%. THERE ARE 2,693 VETERANS LIVING IN JASPER COUNTY.THE PER CAPITA INCOME IN JASPER COUNTY IS $27,214, AND 9% OF THE POPULATION IN POVERTY. THERE IS A SEVERE HOUSING PROBLEM OF 12%. THERE ARE 2,857 TOTAL FIRMS (BASED ON 2012) IN JASPER COUNTY AND AN UNEMPLOYMENT RATE OF 3.6%. FOOD INSECURITY IS AT 12%, AND LIMITED ACCESS TO A STORE (HEALTHY FOODS) AT 4%. THIRTY-FOUR PERCENT OF INDIVIDUALS HAVE A LONG COMMUTE TO WORK.CHILDREN ELIGIBLE FOR A FREE OR REDUCED-PRICE LUNCH IS AT 40% AND 93.1% OF STUDENTS GRADUATE HIGH SCHOOL WHILE 18.1% OF STUDENTS GET THEIR BACHELOR'S DEGREE OR HIGHER IN JASPER COUNTY. THERE IS ONE FULL-TIME SCHOOL NURSE IN EACH SCHOOL DISTRICT: NEWTON, LYNNVILLE-SULLY AND COLFAX-MINGO.THE PERCENT OF BIRTHS WHERE PRENATAL CARE STARTED IN THE FIRST TRIMESTER IS 84% AND 8.3% OF BIRTHS ARE PREMATURE. THIRTY-THREE PERCENT OF BIRTHS IN JASPER COUNTY OCCUR TO UNMARRIED WOMEN. BIRTHS WHERE MOTHERS HAVE SMOKED DURING THE PREGNANCY IS AT HIGH AT 25.6% AND THE PERCENT OF BABIES UP TO 2 YEARS OLD THAT RECEIVE VACCINES IS 64%.THERE IS ONE PRIMARY CARE PHYSICIAN PER 2,460 PEOPLE IN JASPER COUNTY. PATIENTS WHO GAVE THEIR HOSPITAL A RATING OF 9 OR 10 OUT 10 ARE 76% AND THE AVERAGE TIME SPENT IN THE ER IS 48 MINUTES.MEDICARE POPULATION GETTING TREATED FOR DEPRESSION IN JASPER COUNTY IS 14%. THERE ARE 3.2 DAYS OUT OF THE YEAR THAT ARE POOR MENTAL HEALTH DAYS. THE AGE-ADJUSTED SUICIDE MORTALITY RATE (PER 100K) IS 15.6. JASPER COUNTY HAS A 60.2 OPIOID PRESCRIPTION RATE OUT OF 100 PRESCRIPTIONS WRITTEN IN 2017.THIRTY-TWO PERCENT OF ADULTS IN JASPER COUNTY ARE OBESE (BASED ON 2014), WITH 27% OF THE POPULATION PHYSICALLY INACTIVE. 20% OF ADULTS DRINK EXCESSIVELY AND 15% SMOKE. HYPERTENSION RISK IS AT 46.7%, WHILE HYPERLIPIDEMIA IS AT 39.9%. OSTEOPOROSIS IS 5.1% WHILE HEART FAILURE (9.8%) AND CHRONIC KIDNEY DISEASE (12.4%) ARE LOWER THAN THE COMPARATIVE NORM. THE ADULT UNINSURED RATE FOR JASPER COUNTY IS 5%.THE LIFE EXPECTANCY RATE IN JASPER COUNTY IS 77.7 FOR MALES AND 81.9 FOR FEMALES. HEART DISEASE MORTALITY RATE (PER 100K) IS 156.6 AND THE CANCER MORTALITY RATE IS AT 175.8. THE AGE ADJUSTED CHRONIC LOWER RESPIRATORY MORTALITY RATE IS AT 43.8, AND ALCOHOL-IMPAIRED DRIVING DEATHS ARE LOWER THAN THE NORM, AT 12% IN JASPER COUNTY. EIGHTY-ONE PERCENT OF JASPER COUNTY HAS ACCESS TO EXERCISE OPPORTUNITIES AND AS HIGH AS 91% MONITOR DIABETES. 66% OF WOMEN IN JASPER COUNTY GET ANNUAL MAMMOGRAPHY SCREENINGS (BASED ON 2014). |
| PART VI, LINE 5: | MERCYONE NEWTON PARTNERS WITH NUMEROUS ORGANIZATIONS WITHIN THE COMMUNITY TO PROMOTE THE HEALTH AND WELLBEING OF THE ORGANIZATION'S EMPLOYEES AND THE COMMUNITY IN GENERAL. THIS IS DONE THROUGH PARTICIPATION ON LOCAL ORGANIZATION BOARDS AND IN PARTNERING TO HOST AND SUPPORT COMMUNITY EVENTS WHICH RAISE AWARENESS TO COMMUNITY HEALTH NEEDS. |
| 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 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF MORE THAN 1,500 CARE SITES, CONSISTING OF 140 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. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED 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. IN FISCAL YEAR 2021, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.5 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 $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.25 BILLION IN FISCAL YEAR 2021, HAS TOTAL ASSETS OF APPROXIMATELY $54.87 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL WEGNER | ||||||||||||||
| FORMER DIRECTOR / MARKET SVP COO | $0 | $777,755 | $0 | $212,860 | $0 | $23,032 | $0 | $16,975 | $0 | $20,281 | $0 | $1,050,903 | $0 | $0 |
| KARL KEELER | ||||||||||||||
| PRESIDENT CHI IOWA CORP | $0 | $571,658 | $0 | $122,644 | $0 | $20,654 | $0 | $16,659 | $0 | $26,895 | $0 | $758,510 | $0 | $0 |
| RANDALL RUBIN | ||||||||||||||
| SVP, CFO CHI IOWA CORP | $0 | $462,379 | $0 | $0 | $0 | $23,032 | $0 | $17,092 | $0 | $24,003 | $0 | $526,506 | $0 | $0 |
| LAURIE CONNER | ||||||||||||||
| PRESIDENT | $264,593 | $0 | $0 | $0 | $18,389 | $0 | $15,713 | $0 | $1,320 | $0 | $300,015 | $0 | $0 | $0 |
| SUSAN PAIR | ||||||||||||||
| CRNA | $165,054 | $58,453 | $600 | $0 | $2,472 | $204 | $0 | $13,875 | $23,829 | $2,753 | $191,955 | $75,285 | $0 | $0 |
| MEGAN DEPOORTER | ||||||||||||||
| CRNA | $150,563 | $48,682 | $600 | $0 | $10,223 | $2,978 | $0 | $12,686 | $25,374 | $2,934 | $186,760 | $67,280 | $0 | $0 |
| DIXIE BAKKEN | ||||||||||||||
| CRNA | $151,886 | $50,904 | $0 | $600 | $11,243 | $177 | $0 | $7,563 | $27,479 | $3,449 | $190,608 | $62,693 | $0 | $0 |
| COLLEEN JACOBSEN | ||||||||||||||
| MANAGER PHARMACY | $144,837 | $0 | $600 | $0 | $4,634 | $0 | $8,702 | $0 | $9,896 | $0 | $168,669 | $0 | $0 | $0 |
| RANINA ROBINSON | ||||||||||||||
| PHARMACY MANAGER | $152,377 | $0 | $1,500 | $0 | $452 | $0 | $3,341 | $0 | $5,659 | $0 | $163,329 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | LINE 4A FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY THE COMMONSPIRIT HEALTH EXECUTIVE SEVERANCE POLICY. THIS POLICY PROVIDES FOR SEVERANCE PAY WHICH VARIES BASED UPON THE EXECUTIVE'S POSITION LEVEL, IN THE EVENT OF A POSITION ELIMINATION OR OTHER QUALIFYING EVENT, IN ACCORDANCE WITH THE GUIDELINES OF THE EXECUTIVE SEVERANCE POLICY. AN EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT SHALL CONTROL WHERE THE SEVERANCE PAY AMOUNTS IN THE POLICY CONFLICT WITH THE EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT. IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT OF CLAIMS. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MERCY MEDICAL CENTER - NEWTON, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. 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. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (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 A, LINE 7B | THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH CATHOLIC HEALTH INITIATIVES - IOWA, CORP AND COMMONSPIRIT HEALTH (CATHOLIC HEALTH INITIATIVES - IOWA, CORP'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 CATHOLIC HEALTH INITIATIVES - IOWA, CORP BOARD: * APPROVE MEMBERS OF THE MERCY MEDICAL CENTER - NEWTON BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE MERCY MEDICAL CENTER - NEWTON * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE MERCY MEDICAL CENTER - NEWTON * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE MERCY MEDICAL CENTER - NEWTON 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 MERCY MEDICAL CENTER - NEWTON * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE MERCY MEDICAL CENTER - NEWTON * APPROVAL OF ISSUANCE OF DEBT BY MERCY MEDICAL CENTER - NEWTON * APPROVAL OF PARTICIPATION OF MERCY MEDICAL CENTER - NEWTON IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MERCY MEDICAL CENTER - NEWTON * APPROVAL OF A MERGER INVOLVING THE MERCY MEDICAL CENTER - NEWTON * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE MERCY MEDICAL CENTER - NEWTON * TO REQUIRE THE TRANSFER OF ASSETS BY THE MERCY MEDICAL CENTER - NEWTON TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, CATHOLIC HEALTH INITIATIVES - IOWA, CORP 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 | ONCE THE RETURN IS PREPARED, THE CFO REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE CHIEF FINANCIAL OFFICER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. SUBSEQUENT TO E-FILING, THE FINAL E-FILED FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED BOARD MEETING. |
| 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. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. 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 * 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 (WHICH INCLUDES 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). 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 15A | THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND TO RECOMMEND COMPENSATION RANGES FOR THE CEO. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2020 FOR CALENDAR 2021. |
| 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 VI, LINE 16B | MERCY MEDICAL CENTER - NEWTON HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,939,485. MANAGEMENT AND GENERAL EXPENSES 102,078. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,041,563. CONSULTING: PROGRAM SERVICE EXPENSES 3,272. MANAGEMENT AND GENERAL EXPENSES 172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,444. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,558,514. MANAGEMENT AND GENERAL EXPENSES 173,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,731,682. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,263,906. MANAGEMENT AND GENERAL EXPENSES 171,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,435,691. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,491,173. MANAGEMENT AND GENERAL EXPENSES 131,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,622,287. |
| FORM 990, PART XI, LINE 9: | REALLOCATION OF THE CARES ACT FUNDS 1,913,168. |
| FORM 990, PART XI, LINE 8 | PRIOR PERIOD ADJUSTMENT: CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (219 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 HOSP OF MO VALLEYIA | |||||||||||
| 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 | |
| BARROW NEUROLOGICAL FOUNDATION | |||||||||||
| 350 WEST THOMAS ROAD | PHOENIX | AZ | 85013 | 860174371 | FUNDRAISING FOUNDATION | AZ | 501(C)(3) | LINE 7 | DH | 0 | |
| BAYLOR ST LUKE'S HEALTH VENTURES | |||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| BAYLOR ST LUKE'S MEDICAL GROUP | |||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | BSLHV | 0 | |
| BORNEMANN HEALTHCARE CORPORATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | INACTIVE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| BRAZOSPORT HEALTH FOUNDATION INC | |||||||||||
| 1 WEST WAY CT | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | TCHB | 0 | |
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | |||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | TCHB | 0 | |
| BURLESON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 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 - IOWA CORP | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CSH | 0 | |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||
| 9100 EAST MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840902211 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | |||||||||||
| 1150 KELLY JOHNSON BLVD 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | TELEHEALTH | CO | 501(C)(3) | LINE 12A, I | CHI NS | 0 | |
| CENTENNIAL MEDICAL GROUP INC | |||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | SURGERY CENTER | OR | 501(C)(3) | LINE 10 | MMC - ROSEBURG | 0 | |
| CENTRAL CALIFORNIA HEALTH CENTERS | |||||||||||
| 300 OLD RIVER ROAD STE 200 | BAKERSFIELD | CA | 93311 | 844171789 | CLINIC | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| CENTRAL KANSAS MEDICAL CENTER | |||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | INACTIVE | KS | 501(C)(3) | LINE 3 | CSH | 0 | |
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | SENIOR LIVING | MN | 501(C)(3) | LINE 10 | CSH | 0 | |
| CHI HEALTH FOUNDATION | |||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING FOUNDATION | NE | 501(C)(3) | LINE 7 | ACH | 0 | |
| CHI KENTUCKY INC | |||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | INVESTMENTS | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI LIVING COMMUNITIES | |||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | SENIOR LIVING | OH | 501(C)(3) | LINE 12A, I | SFH-OH | 0 | |
| CHI MEMORIAL HOSPITAL - GEORGIA | |||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HOSPITAL | GA | 501(C)(3) | LINE 3 | MHCS | 0 | |
| CHI NATIONAL HOME CARE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HOME HEALTH | CO | 501(C)(3) | LINE 10 | CHI NS | 0 | |
| CHI NATIONAL SERVICES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HOLDING CO | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI NEBRASKA | |||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68510 | 363233121 | HOLDING CO | NE | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST JOSEPH CHILDREN'S HEALTH | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST JOSEPH'S CHILDREN | |||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | |||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501(C)(3) | LINE 3 | CHISVHS | 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 | CHISVHS | 0 | |
| COMMONSPIRIT HEALTH | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| COMMONSPIRIT HEALTH FOUNDATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 853374038 | FUNDRAISING FOUNDATION | CO | 501(C)(3) | LINE 7 | CSH | 0 | |
| COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC | |||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 850919176 | OPERATING INVESTMENTS | DE | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| COMMONSPIRIT HEALTH RESEARCH INSTITUTE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | RESEARCH | CO | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| COMMUNITY HOSPITAL OF SAN BERNARDINO | |||||||||||
| 1805 MEDICAL CENTER DRIVE | SAN BERNARDINO | CA | 92411 | 951643373 | HOSPITAL | CA | 501(C)(3) | LINE 3 | DCC | 0 | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 625 EDEN PARK DRIVE 7TH FLOOR | CINCINNATI | OH | 45202 | 237419853 | HOLDING CO | OH | 501(C)(4) | 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 HPL SELF-INSURANCE TRUST | |||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 943006034 | SELF INSURANCE | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| DIGNITY HEALTH INSURANCE NEVADA LTD | |||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 813800752 | SELF INSURANCE | NV | 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 | |
| DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST | |||||||||||
| 185 BERRY STREET STE 200 | SAN FRANCISCO | CA | 94107 | 946612446 | SELF INSURANCE | CA | 501(C)(3) | LINE 12A, I | DH | 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 | |
| EAST TEXAS CLINICAL SERVICES | |||||||||||
| 2801 VIA FORTUNA SUITE 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | |||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |
| FLAGET HEALTHCARE INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | FH | 0 | |
| FRANCISCAN CARE CENTER | |||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| FRANCISCAN FOUNDATION | |||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING FOUNDATION | WA | 501(C)(3) | LINE 10 | FHS | 0 | |
| FRANCISCAN HEALTH SYSTEM | |||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HOSPITAL | WA | 501(C)(3) | LINE 3 | CSH | 0 | |
| FRANCISCAN HEALTH VENTURES | |||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | INACTIVE | MO | 501(C)(3) | LINE 10 | CSH | 0 | |
| FRANCISCAN MEDICAL GROUP | |||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | PHYSICIANS | WA | 501(C)(3) | LINE 10 | FHS | 0 | |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | |||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | INACTIVE | WI | 501(C)(3) | LINE 10 | CSH | 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 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 | |
| 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 | |
| HARRISON MEDICAL CENTER | |||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |
| HARRISON MEDICAL CENTER FOUNDATION | |||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING FOUNDATION | WA | 501(C)(3) | LINE 7 | HMC | 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 | |
| HIGHLINE MEDICAL CENTER | |||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HOSPITAL | WA | 501(C)(3) | LINE 3 | FHS | 0 | |
| HOUSE OF MERCY | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | ASSIST LIVING | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | |||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029768 | HOSPITAL | KY | 501(C)(3) | LINE 3 | KOH | 0 | |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | |||||||||||
| 100 E LIBERTY ST STE 800 | LOUISVILLE | KY | 40202 | 611352729 | PHYSICIANS | KY | 501(C)(3) | LINE 10 | JHSMH | 0 | |
| KENTUCKYONE HEALTH INC | |||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611029769 | HEALTHCARE | KY | 501(C)(3) | LINE 12A, I | CSH | 0 | |
| LAKEWOOD HEALTH CENTER | |||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING FOUNDATION | ND | 501(C)(3) | LINE 7 | LHC | 0 | |
| LEGACY FOUNDATION OF KENTUCKIANA INC | |||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING FOUNDATION | KY | 501(C)(3) | LINE 12A, I | KOH | 0 | |
| LISBON AREA HEALTH SERVICES | |||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| LUFKIN VISION ACQUISITIONS | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |
| MADISON ST JOSEPH HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| MADONNA MANOR INC | |||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | ASSIST 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 | SLHS | 0 | |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HOSPITAL | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |
| MEMORIAL MULTISPECIALTY ASSOCIATES | |||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(C)(3) | LINE 12A, I | MHSET | 0 | |
| MEMORIAL SPECIALTY HOSPITAL | |||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | INACTIVE | TX | 501(C)(3) | LINE 3 | MHSET | 0 | |
| MERCY AUXILIARY OF CENTRAL IOWA | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MF-DM IA | 0 | |
| MERCY CLINICS INC | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(C)(3) | LINE 10 | CHI-IA CORP | 0 | |
| MERCY COLLEGE OF HEALTH SCIENCES | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | LINE 2 | CHI-IA CORP | 0 | |
| MERCY FOUNDATION BAKERSFIELD | |||||||||||
| PO BOX 119 | BAKERSFIELD | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 0 | |
| MERCY FOUNDATION OF DES MOINES IA | |||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING FOUNDATION | IA | 501(C)(3) | LINE 7 | CHI-IA CORP | 0 | |
| MERCY FOUNDATION INC | |||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(C)(3) | LINE 7 | MMC - ROSEBURG | 0 | |
| MERCY 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 - CENTERVILLE | |||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | |||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50314 | 421470935 | HOSPITAL | IA | 501(C)(3) | LINE 3 | CHI-IA CORP | 0 | |
| MERCY MEDICAL CENTER MERCED FOUNDATION | |||||||||||
| 301 E 13TH STREET | MERCED | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | 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 | |
| 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 | |||||||||||
| 1400 E CHURCH STREET | 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 | |
| PUEBLO STEPUP | |||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |
| SET OF COLORADO SPRINGS INC | |||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 841183335 | SENIOR CENTER SERVICES | CO | 501(C)(3) | LINE 7 | CHIC | 0 | |
| SAINT CLARE'S COMMUNITY CARE INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222876836 | INACTIVE | NJ | 501(C)(3) | LINE 10 | 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 | |
| SJRMC JOPLIN MISSOURI | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HOSPITAL | MO | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST FRANCIS FOUNDATION OF SANTA BARBARA | |||||||||||
| 2323 DE LA VINA ST SUITE 104 | SANTA BARBARA | CA | 93105 | 237137119 | FUNDRAISING FOUNDATION | CA | 501(C)(3) | LINE 12A, I | DH | 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 FOUNDATION OF BRYAN TEXAS | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING FOUNDATION | TX | 501(C)(3) | LINE 12A, I | SJSC | 0 | |
| ST JOSEPH MANOR | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | LTERM CARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |
| ST JOSEPH MEDICAL CENTER INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 520591461 | INACTIVE | MD | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST JOSEPH PHYSICIAN ASSOCIATES | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | PHYSICIANS | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521311775 | INACTIVE | MD | 501(C)(3) | LINE 12A, I | SJMC | 0 | |
| ST JOSEPH REGIONAL HEALTH CENTER | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH REGIONAL HEALTH PARTNERS | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SJSC | 0 | |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(C)(3) | LINE 10 | SJSC | 0 | |
| ST JOSEPH SERVICES CORPORATION | |||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(C)(3) | LINE 12A, I | SLHS | 0 | |
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||
| 2500 FAIRWAY ST | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(C)(3) | LINE 3 | CSH | 0 | |
| ST LEONARD | |||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(C)(3) | LINE 10 | CHILC | 0 | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | |||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(C)(3) | LINE 3 | SLHS | 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 | SLHS | 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 | SLHS | 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 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 | SLHS | 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 | |||||||||||
| 1314 3RD AVE | 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 | ASSIST 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 | SLHS | 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 | ASSIST 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 ASSOC | |||||||||||
| 1003 WILLO CREEK ROAD | PRESCOTT | AZ | 86301 | 860098923 | HOSPITAL | AZ | 501(C)(3) | LINE 3 | DCC | 0 | |
| YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1003 WILLO 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 | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 830486150 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK - NEXT LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 474696671 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA CARE NETWORK LLC (ACN LLC) | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85013 | 454494682 | CARE NETWORK | AZ | N/A | N/A | 0 | 0 | ||||
| ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC | ||||||||||||||
| 1510 COTNER AVENUE | LOS ANGELES | CA | 90025 | 851067265 | DIAGNOSTIC SERVICES | CA | N/A | N/A | 0 | 0 | ||||
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 630 SOUTHPOINTE COURT 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | ||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 472079184 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 MERCY RD STE 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 2501 CITICO AVENUE | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | N/A | N/A | 0 | 0 | ||||
| BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD | ||||||||||||||
| HEALTH SERVICES | N/A | N/A | 0 | 0 | 709 WING ON PLAZA 62 MODY ROAD TS | HONG KONG | CH | CH | ||||||
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | N/A | N/A | 0 | 0 | ||||
| CBCC OUTSMARTING CANCER LLC | ||||||||||||||
| 6501 TRUXTUN AVENUE | BAKERSFIELD | CA | 93309 | 461602286 | RADIATION / ONCOLOGY | CA | N/A | N/A | 0 | 0 | ||||
| CENTRAL NEBRASKA REHAB SVCS LLC | ||||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | N/A | N/A | 0 | 0 | ||||
| CENTURA-SCA HOLDINGS LLC | ||||||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CENTER | AL | N/A | N/A | 0 | 0 | ||||
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | 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 SERVICES OF SPRINGFIELD LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311746556 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| DE JV LLC | ||||||||||||||
| 8686 NEW TRAILS DRIVE | THE WOODLANDS | TX | 77381 | 320496548 | EMERGENCY CARE | NV | N/A | N/A | 0 | 0 | ||||
| DHHP SURGERY CENTERS LLC | ||||||||||||||
| 1513 S GRAND AVENUE STE 350 | LOS ANGELES | CA | 90015 | 831847466 | SURGERY | DE | N/A | N/A | 0 | 0 | ||||
| DHRT HOLDINGS LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 352484591 | HOLDING COMPANY | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY- GOHEALTHURGENT CARE MGMT LLC | ||||||||||||||
| 5555 GLENRIDGE CONNECTOR STE 700 | ATLANTA | GA | 30342 | 352548698 | MANAGEMENT SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH AT HOME LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HEALTH SPECIALTY PHARMACY LLC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 320589462 | SPECIALTY PHARMACY SERVICES | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITY HOME RECOVERY CARE LLC | ||||||||||||||
| 49 MUSIC SQUARE WEST SUITE 401 | NASHVILLE | TN | 37203 | 832832522 | HOME RECOVERY PROGRAM | DE | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202999237 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP NORCAL SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 202468509 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 134248908 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 352584991 | SURGERY | TX | N/A | N/A | 0 | 0 | ||||
| DIGNITY-ABRAZO HEALTH NETWORK LLC | ||||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 465477985 | MANAGEMENT SERVICES | AZ | N/A | N/A | 0 | 0 | ||||
| DOMINICAN MAGNETIC RESONANCE IMAGING CENTER | ||||||||||||||
| 1545 SOQUEL DRIVE | SANTA CRUZ | CA | 94065 | 770095477 | IMAGING CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ECCS ACQUISITION COMPANY LLC | ||||||||||||||
| 2940 NORTH CIRCLE DRIVE | COLORADO SPRINGS | CO | 80909 | 352656413 | AMBUL SURG CTR | CO | N/A | N/A | 0 | 0 | ||||
| ENDOSCOPY CENTER OF ARKANSAS | ||||||||||||||
| 1024 NORTH UNIVERSITY AVE | LITTLE ROCK | AR | 72207 | 201337002 | DIAGNOSTIC SERVICES | AR | N/A | N/A | 0 | 0 | ||||
| FOLSOM SIERRA ENDOSCOPY CENTER LP | ||||||||||||||
| 1671 CREEKSIDE DRIVE SUITE 100 | FOLSOM | CA | 95630 | 680482416 | ENDOSCOPY | CA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC | ||||||||||||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | 463494108 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| FRANCISCAN SPECIALTY CARE LLC | ||||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 813725123 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 201792869 | HOME HEALTH | OH | N/A | N/A | 0 | 0 | ||||
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | N/A | N/A | 0 | 0 | ||||
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | N/A | N/A | 0 | 0 | ||||
| HEARTLAND ONCOLOGY LLC | ||||||||||||||
| 2337 E CRAWFORD ST | SALINA | KS | 67401 | 464265403 | ONCOLOGY | KS | N/A | N/A | 0 | 0 | ||||
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | N/A | N/A | 0 | 0 | ||||
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | N/A | N/A | 0 | 0 | ||||
| LEXINGTON MOB PARTNERS LTD | ||||||||||||||
| 5050 SOUTH SYRACUSE ST STE 800 | DENVER | CO | 80237 | 651132855 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| LINCOLN CK LEASING LLC | ||||||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 262496856 | REAL ESTATE | NE | N/A | N/A | 0 | 0 | ||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC | ||||||||||||||
| 2740 M STREET | MERCED | CA | 95340 | 943358445 | MANAGEMENT OF CANCER CENTER | CA | N/A | N/A | 0 | 0 | ||||
| MERCY REHABILITATION HOSPITAL LLC | ||||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 814437201 | HEALTHCARE SRVC | TX | N/A | N/A | 0 | 0 | ||||
| MILITARY ROAD PROPERTIES LLC | ||||||||||||||
| 181 S 333RD STREET STE 250 | FEDERAL WAY | WA | 98003 | 912067879 | REAL ESTATE | WA | N/A | N/A | 0 | 0 | ||||
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | N/A | N/A | 0 | 0 | ||||
| NICU OPERATING CO OF SANTA CRUZ LLC | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 460502935 | NEONATAL HEALTHCARE | CA | N/A | N/A | 0 | 0 | ||||
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | N/A | N/A | 0 | 0 | ||||
| NORTHERN PLAINS LABORATORY LLC | ||||||||||||||
| 401 N 9 STREET | BISMARK | ND | 58501 | 841641341 | DIAGNOSTIC SERVICES | ND | N/A | N/A | 0 | 0 | ||||
| NSC CHANNEL ISLANDS LLC | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 770409291 | AMBULATORY SURGICAL CENTER | CA | N/A | N/A | 0 | 0 | ||||
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | N/A | N/A | 0 | 0 | ||||
| PARK RAPIDS AREA HEALTH CARE | ||||||||||||||
| 600 PLEASANT AVENUE S | PARK RAPIDS | MN | 56470 | 204926259 | HEALTHCARE SRVC | MN | N/A | N/A | 0 | 0 | ||||
| PATIENT TRANSPORT SERVICES OF COLUMBUS INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 264601285 | AMBULANCE | OH | N/A | N/A | 0 | 0 | ||||
| PENINSULA RADIATION ONCOLOGY CENTER LLC | ||||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | N/A | N/A | 0 | 0 | ||||
| PENRAD IMAGING LLC | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | N/A | N/A | 0 | 0 | ||||
| PERFORMANCE MED EQUIP & RESPIR SVSC LLC | ||||||||||||||
| 19625 62ND AVE S STE 101 | KENT | WA | 98032 | 452901632 | HOLDING COMPANY | WA | N/A | N/A | 0 | 0 | ||||
| PLAZA SURGERY CENTER LP | ||||||||||||||
| 525 E PLAZA DRIVE SUITE 100 | SANTA MARIA | CA | 93454 | 770573567 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| PMC HOSPITAL LLC | ||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| PRECISION MEDICINE ALLIANCE LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 352569159 | DIAGNOSTIC SERVICES | CO | N/A | N/A | 0 | 0 | ||||
| RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY | ||||||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| RBR MANAGEMENT LLC | ||||||||||||||
| 91 CORPORATE PARK DRIVE SUITE 120 | HENDERSON | NV | 89074 | 271466450 | AMBULANCE | NV | N/A | N/A | 0 | 0 | ||||
| REID-ANC HOME CARE SERVICES LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | 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 | ||||||||||||||
| 1 SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 852155230 | SURGERY | KY | N/A | N/A | 0 | 0 | ||||
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ COMPREHENSIVE IMAGING LLC | ||||||||||||||
| 1661 SOQUEL DRIVE SUITE G | SANTA CRUZ | CA | 95065 | 010550623 | IMAGING | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ LAND & BUILDING LP | ||||||||||||||
| 1555 SOQUEL DRIVE | SANTA CRUZ | CA | 95065 | 770285236 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| SANTA CRUZ SURGERY CENTER LLC | ||||||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SEVEN OAKS SURGERY CENTER LLC | ||||||||||||||
| 1801 ORANGE TREE LANE SUITE 200 | REDLANDS | CA | 92374 | 851559544 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| SOUTHEASTERN HOME CARE LLC | ||||||||||||||
| 1700 EDISON DR | MILFORD | 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 | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 261236191 | HOME HEALTH | KY | N/A | N/A | 0 | 0 | ||||
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | N/A | N/A | 0 | 0 | ||||
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTIC SERVICES | TX | N/A | N/A | 0 | 0 | ||||
| TEMPLETON SURGERY CENTER LLC | ||||||||||||||
| 1310 LAS TABLAS ROAD SUITE 104 | TEMPLETON | CA | 94365 | 202246616 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
| THE MEDICAL PAVILION AT ST JOHN'S | ||||||||||||||
| 1600 ROSE AVENUE | OXNARD | CA | 93030 | 770332349 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||
| THREE SPRING IMAGING LLC | ||||||||||||||
| 1 MERCADO ST STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | N/A | N/A | 0 | 0 | ||||
| TIA ARIZONA LLC | ||||||||||||||
| 3030 N CENTRAL AVENUE SUITE 1402 | PHOENIX | AZ | 85012 | 863158670 | CLINIC | AZ | N/A | N/A | 0 | 0 | ||||
| VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | ||||||||||||||
| 18330 ROSCOE BLVD | NORTHRIDGE | CA | 91328 | 800864336 | SURGERY | CA | N/A | N/A | 0 | 0 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 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 | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC | ||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | N/A | C | 0 | |||||
| ALL SAINTS INSURANCE COMPANY SPC LTD | ||||||||||||||
| 980556913 | INSURANCE | N/A | C | 0 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | CJ | |||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC | ||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | HEALTHCARE | TX | N/A | C | 0 | |||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 841112049 | MANAGEMENT SERVICES | CO | N/A | C | 0 | |||||
| AMERICAN NURSING CARE INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | N/A | C | 0 | |||||
| AMERIMED INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | N/A | C | 0 | |||||
| BC HOLDING COMPANY INC | ||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | INACTIVE | KY | N/A | C | 0 | |||||
| BRAZOSPORT HEALTH ALLIANCE | ||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | HEALTHCARE | TX | N/A | C | 0 | |||||
| CADUCEUS MEDICAL ASSOCIATES INC | ||||||||||||||
| 5600 BRAINERD ROAD STE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | N/A | C | 0 | |||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | 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 | |||||
| CLEARRIVER HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464495960 | INSURANCE | TN | N/A | C | 0 | |||||
| COASTAL SURGICAL SPECIALISTS INC | ||||||||||||||
| 921 OAK PARK BLVD SUITE 101 | PISMO BEACH | CA | 93449 | 743000596 | AMBULATORY SURGERY CENTER | CA | N/A | S | 0 | |||||
| COMCARE SERVICES INC | ||||||||||||||
| 9100 E MINERAL CIRCLE | CENTENNIAL | CO | 80112 | 840904813 | INACTIVE | CO | N/A | C | 0 | |||||
| CONSOLIDATED HEALTH SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | N/A | C | 0 | |||||
| DES MOINES MEDICAL CENTER INC | ||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | 0 | |||||
| DIGNITY HEALTH HOLDING CORPORATION | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 460675371 | HOLDING CO | NV | N/A | C | 0 | |||||
| DIGNITY HEALTH INSURANCE LTD | ||||||||||||||
| 981065338 | CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 1051 | GRAND CAYMAN ISLANDS | GRAND CAYMAN | CJ | CJ | |||||
| DIGNITY HEALTH PROVIDER RESOURCES INC | ||||||||||||||
| 185 BERRY STREET SUITE 200 | SAN FRANCISCO | CA | 94107 | 473366764 | HEALTH PLAN | CA | N/A | C | 0 | |||||
| DIVERSIFIED HEALTH RESOURCES INC | ||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | HEALTHCARE | TX | N/A | C | 0 | |||||
| FRANCISCAN CITY URGENT CARE SRVS PS | ||||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | INACTIVE | NY | N/A | C | 0 | |||||
| FRANCISCAN SERVICES INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HOLDING CO | CO | N/A | C | 0 | |||||
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | N/A | C | 0 | |||||
| HARVESTPLAINS HEALTH OF IOWA | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | INSURANCE | WA | N/A | C | 0 | |||||
| HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC | ||||||||||||||
| 1400 E CHURCH STREET | SANTA MARIA | CA | 93454 | 770074057 | HEALTHCARE | CA | N/A | C | 0 | |||||
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MGMT | NE | N/A | C | 0 | |||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | ||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | INACTIVE | WA | N/A | C | 0 | |||||
| HEARTLANDPLAINS HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464368223 | INSURANCE | NE | N/A | C | 0 | |||||
| HIGHLINE MEDICAL GROUP | ||||||||||||||
| 1717 S J STREET | TACOMA | WA | 98405 | 911407026 | MEDICAL SERVICES | WA | N/A | C | 0 | |||||
| INTEGRATED MEDICAL SERVICES | ||||||||||||||
| 9250 N 3RD STREET SUITE 4010 | PHOENIX | AZ | 85020 | 860783428 | MULTI-SPECIALTY PHYSICIANS GROUP | AZ | N/A | C | 0 | |||||
| KOMG-LOUISVILLE REGION INC | ||||||||||||||
| 201 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 832481198 | HEALTHCARE | KY | N/A | C | 0 | |||||
| MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC | ||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710720429 | REAL ESTATE | AR | N/A | C | 0 | |||||
| MEDQUEST | ||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | N/A | C | 0 | |||||
| MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC | ||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 463622849 | INACTIVE | TX | N/A | C | 0 | |||||
| MERCY PARK APARTMENTS LTD | ||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421202422 | INACTIVE | IA | N/A | C | 0 | |||||
| MERCY SERVICES CORP | ||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 930824308 | RETAIL SALES | OR | N/A | C | 0 | |||||
| MHI CLINICAL SERVICES | ||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 461967952 | HEALTHCARE | TX | N/A | C | 0 | |||||
| MILLENNIUM SURGERY CENTER INC | ||||||||||||||
| 9300 STOCKDALE HWY 200 | BAKERSFIELD | CA | 93311 | 770513445 | HEALTHCARE | CA | N/A | S | 0 | |||||
| MOUNTAIN MANAGEMENT SERVICES INC | ||||||||||||||
| 6028 SHALLOWFORD RD | CHATTANOOGA | TN | 37421 | 621570739 | MGMT SVC ORG | TN | N/A | C | 0 | |||||
| NORTH CENTRAL HEALTH CARE ALLIANCE | ||||||||||||||
| PO BOX 5538 | BISMARK | ND | 58506 | 450439894 | HEALTHCARE | ND | N/A | C | 0 | |||||
| PATIENT TRANSPORT SERVICES INC | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | N/A | C | 0 | |||||
| QUALCHOICE ADVANTAGE | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | INSURANCE | WA | N/A | C | 0 | |||||
| QUALCHOICE HEALTH PLAN SERVICES INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | N/A | C | 0 | |||||
| QUALCHOICE HEALTH INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | N/A | C | 0 | |||||
| QUALCHOICE HOLDINGS INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 274075520 | HOLDING CO | AR | N/A | C | 0 | |||||
| QUALCHOICE OF NEBRASKA | ||||||||||||||
| 2401 S 73RD ST | OMAHA | NE | 68124 | 810738827 | INACTIVE | NE | N/A | C | 0 | |||||
| RIVERLINK HEALTH | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | N/A | C | 0 | |||||
| RIVERLINK HEALTH OF KENTUCKY INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464828332 | INSURANCE | KY | N/A | C | 0 | |||||
| ROSS PARK PHARMACY INC | ||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | PHARMACY | OH | N/A | C | 0 | |||||
| SAINT CLARE'S PRIMARY CARE INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 222441202 | INACTIVE | NJ | N/A | C | 0 | |||||
| SJH SERVICES CORPORATION | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | INACTIVE | CO | N/A | C | 0 | |||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | ||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | LEXINGTON | KY | 40503 | 270164198 | INACTIVE | KY | N/A | C | 0 | |||||
| SOUNDPATH HEALTH INC | ||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | N/A | C | 0 | |||||
| ST MARY HEALTH VENTURES INC | ||||||||||||||
| 1050 LINDEN AVENUE | LONG BEACH | CA | 90813 | 951912528 | RETAIL PHARMACY | CA | N/A | C | 0 | |||||
| ST ANTHONY DEVELOPMENT COMPANY | ||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | N/A | C | 0 | |||||
| ST JOSEPH DEVELOPMENT COMPANY INC | ||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | N/A | C | 0 | |||||
| ST LUKE'S HEALTH SYSTEM HOLDINGS INC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | N/A | C | 0 | |||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | ||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | N/A | C | 0 | |||||
| STE HOLDINGS | ||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 822383629 | HOLDING CO | NE | N/A | C | 0 | |||||
| SUGAR LAND DOCTOR GROUP | ||||||||||||||
| 1317 LAKE POINT PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | INACTIVE | TX | N/A | C | 0 | |||||
| TOWSON MANAGEMENT INC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 521710750 | INACTIVE | MD | N/A | C | 0 | |||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | ||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | MGMT SERVICES | OH | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |