COMMONSPIRIT OREGON: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMONSPIRIT OREGON (EIN 93-0386868)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202211369349316141
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T18:48:50-05:00 | 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 | 930386868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 5416772457 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 STEWART PARKWAY | AddressLine1Txt |
| City | ROSEBURG | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97471 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY JACKSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5416772457 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GREGORY | PersonFirstNm |
| Person Last | JACKSON | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA NOEL | PreparerPersonNm |
| PTIN | P01051055 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KELLY MORGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 STEWART PARKWAY | AddressLine1Txt |
| City | ROSEBURG | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $279,468,067 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHIMERCYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1909 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF MERCY MEDICAL CENTER IS TO PROVIDE EXCELLENT, COMPASSIONATE CARE FOR THE PEOPLE OF OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1425 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $7,638,794 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $6,715,524 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,632,159 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,496,284 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $232,529,393 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $252,357,600 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,287,124 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,958,340 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,012,885 | PYOtherRevenueAmt |
| CY Other Revenue | $2,525,286 | CYOtherRevenueAmt |
| PY Total Revenue | $254,461,561 | PYTotalRevenueAmt |
| CY Total Revenue | $278,337,510 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $886,970 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $766,429 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $94,873,384 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $99,375,119 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $106,955,952 | PYOtherExpensesAmt |
| CY Other Expenses | $126,439,493 | CYOtherExpensesAmt |
| PY Total Expenses | $202,716,306 | PYTotalExpensesAmt |
| CY Total Expenses | $226,581,041 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,745,255 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $51,756,469 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $508,307,090 | TotalAssetsBOYAmt |
| Total Assets EOY | $588,539,365 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $102,957,323 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $94,881,461 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $405,349,767 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $493,657,904 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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.COMMONSPIRIT HEALTH, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS TO OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION AND CATHOLIC HEALTH INITIATIVES, AS VALUE-BASED ORGANIZATIONS AND IN PARTNERSHIP WITH LAITY AND OTHERS, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $212,279,309 | ExpenseAmt |
| Grant | $766,429 | GrantAmt |
| Revenue | $246,188,830 | RevenueAmt |
| Desc | SEE SCHEDULE H. | Desc |
| Total Program Service Expenses | $212,279,309 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| 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 | 1425 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID NOSACKA CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2536804000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 J S STREET | AddressLine1Txt |
| City | TACOMA | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KETUL PATEL | ||||||||
| EX OFFICIO/CHI SR. VICE PRESIDENT | 1.00 | 59.00 | Yes (X) | $0 | $2,315,223 | $221,035 | ||
| KELLY MORGAN | ||||||||
| PRESIDENT/CEO | 59.00 | 1.00 | Yes (X) | $775,296 | $0 | $40,852 | Yes (X) | |
| BRAD SEELY MD | ||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $453,255 | $38,389 | ||
| JASON GRAY | ||||||||
| CHIEF MEDICAL OFFICER/PRESIDENT CMG | 40.00 | 10.00 | $438,862 | $0 | $47,402 | Yes (X) | ||
| DEBRA BOSWELL | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | $350,518 | $0 | $30,994 | Yes (X) | ||
| JERRY SMEAD | ||||||||
| PHARMACY DIRECTOR | 40.00 | 0.00 | $246,008 | $0 | $25,244 | Yes (X) | ||
| THOMAS SAFLEY | ||||||||
| VP OPERATIONAL FINANCE | 40.00 | 11.00 | $0 | $205,428 | $33,484 | Yes (X) | ||
| LAWRENCE COX | ||||||||
| DIRECTOR IMAGING | 40.00 | 0.00 | $191,993 | $0 | $23,108 | Yes (X) | ||
| MARK JOHNSON | ||||||||
| PHARMACIST | 40.00 | 0.00 | $186,718 | $0 | $20,770 | Yes (X) | ||
| AARON BALLENSKY | ||||||||
| PHARMACY MANAGER | 40.00 | 0.00 | $184,589 | $0 | $12,021 | Yes (X) | ||
| BRADFORD LAVANWAY | ||||||||
| PHARMACIST | 40.00 | 0.00 | $180,164 | $0 | $9,760 | Yes (X) | ||
| NEAL BROWN | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GABRIELLE JONES RSM | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LAYNE JORGENSEN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TOBY LUTHER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ADEN BLISS | ||||||||
| TREASURER & SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANA RAMIREZ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY POWELL MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MELONY MARSH | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,554,148 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,973,906 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $503,059 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 245 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROFESSIONAL MGMT OF OREGON LL | |||||
| 2801 NW MERCY DRIVE SUITE 200 | ROSEBURG | OR | 97470 | MANAGEMENT SERVICE BUSINESS | $8,202,725 |
| GALEN INPATIENT PHYSICIANS INC | |||||
| 225 N JACKSON AVE | SAN JOSE | CA | 95116 | MEDICAL SERVICES | $2,630,270 |
| GE PRECISION HEALTHCARE LLC | |||||
| PO BOX 74008831 | CHICAGO | IL | 606748831 | IT SERVICES | $1,580,263 |
| LABORATORY CORPORATION OF AMER | |||||
| 531 SOUTH SPRING STREET | BURLINGTON | NC | 27215 | LAB AND DIAGNOSTIC SERVICES | $963,015 |
| HARVARD MEDICAL PARK LTD | |||||
| 1813 W HARVARD AVE STE 431 | ROSEBURG | OR | 974708705 | MEDICAL SERVICES | $653,182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,026,364 | GovernmentGrantsAmt |
| All Other Contributions | $469,920 | AllOtherContributionsAmt |
| Total Contributions | $2,496,284 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICES | 900099 | $245,191,425 | $245,191,425 | |
| EQUITY CHANGES OF UNCO | 900099 | $7,166,175 | $7,166,175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $252,357,600 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,308,428 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $45,152 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,263,276 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $485,067 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,130,557 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$645,490 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$645,490 | TotalRevenueColumnAmt |
| Exclusion | -$645,490 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,098,110 | SecuritiesAmt |
| Other | $551,802 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,098,110 | SecuritiesAmt |
| Other | $551,802 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,649,912 | TotalRevenueColumnAmt |
| Exclusion | $17,649,912 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| LABORATORY SERVICES | 621500 | $1,424,872 | $997,405 | $427,467 | |
| CAFETERIA | 722100 | $850,171 | $850,171 | ||
| SERVICES SOLD | 900099 | $99,213 | $99,213 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $796,520 | TotalRevenueColumnAmt |
| Exclusion | $796,520 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,170,776 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278,337,510 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $246,188,830 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,638,794 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,013,602 | 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 | $766,429 | TotalAmt |
| Program Services | $766,429 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,655,184 | TotalAmt |
| Program Services | $48,026 | ProgramServicesAmt |
| Management And General | $1,607,158 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,365,420 | TotalAmt |
| Program Services | $72,065,138 | ProgramServicesAmt |
| Management And General | $2,300,282 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,674,330 | TotalAmt |
| Program Services | $3,537,414 | ProgramServicesAmt |
| Management And General | $136,916 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,716,612 | TotalAmt |
| Program Services | $13,090,391 | ProgramServicesAmt |
| Management And General | $626,221 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,963,573 | TotalAmt |
| Program Services | $5,665,394 | ProgramServicesAmt |
| Management And General | $298,179 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,950 | TotalAmt |
| Management And General | $469,950 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,681 | TotalAmt |
| Management And General | $19,681 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,026,863 | TotalAmt |
| Program Services | $45,549,828 | ProgramServicesAmt |
| Management And General | $2,477,035 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,982 | TotalAmt |
| Program Services | $141,531 | ProgramServicesAmt |
| Management And General | $7,451 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,190,170 | TotalAmt |
| Program Services | $3,980,661 | ProgramServicesAmt |
| Management And General | $209,509 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,833,607 | TotalAmt |
| Management And General | $2,833,607 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,332,106 | TotalAmt |
| Program Services | $4,115,500 | ProgramServicesAmt |
| Management And General | $216,606 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,003 | TotalAmt |
| Program Services | $327,753 | ProgramServicesAmt |
| Management And General | $17,250 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,220 | TotalAmt |
| Program Services | $19,209 | ProgramServicesAmt |
| Management And General | $1,011 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $847,380 | TotalAmt |
| Program Services | $847,380 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,776,218 | TotalAmt |
| Program Services | $5,487,405 | ProgramServicesAmt |
| Management And General | $288,813 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,049,027 | TotalAmt |
| Program Services | $7,646,576 | ProgramServicesAmt |
| Management And General | $402,451 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,504,526 | TotalAmt |
| Program Services | $1,504,526 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $28,794,076 | $28,794,076 | |
| STATE PROVIDER TAX | $14,627,345 | $13,895,978 | $731,367 |
| REPAIRS AND MAINTENANCE | $2,553,244 | $2,425,582 | $127,662 |
| UNRELATED BUSINESS TAXE | $759,809 | $759,809 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,141,286 | TotalAmt |
| Program Services | $2,370,512 | ProgramServicesAmt |
| Management And General | $770,774 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,581,041 | TotalAmt |
| Program Services | $212,279,309 | ProgramServicesAmt |
| Management And General | $14,301,732 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $265,561 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,287,797 | BOYAmt |
| EOY | $31,222,595 | 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 | $35,757,579 | BOYAmt |
| EOY | $36,926,435 | 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) |
|---|---|---|
| BOY | $1,483,823 | BOYAmt |
| EOY | $1,234,560 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,641,806 | BOYAmt |
| EOY | $6,873,843 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,295,658 | BOYAmt |
| EOY | $782,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $176,203,796 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $120,854,146 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,558,898 | BOYAmt |
| EOY | $55,349,650 | 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) |
|---|---|---|
| BOY | $198,901,121 | BOYAmt |
| EOY | $295,601,803 | 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 | $134,380,408 | BOYAmt |
| EOY | $160,282,901 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,307,090 | BOYAmt |
| EOY | $588,539,365 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,887,614 | BOYAmt |
| EOY | $56,304,881 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,983,866 | BOYAmt |
| EOY | $417,547 | 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 | $38,085,843 | BOYAmt |
| EOY | $38,159,033 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,957,323 | BOYAmt |
| EOY | $94,881,461 | 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 | $405,349,767 | BOYAmt |
| EOY | $493,657,904 | 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 | $405,349,767 | BOYAmt |
| EOY | $493,657,904 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,307,090 | BOYAmt |
| EOY | $588,539,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $51,756,469 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $36,392,781 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $481,700 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$322,813 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $19,681 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,681 | 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 - $2,218 CATHOLIC HEALTH ASSOCIATION - $1,180 OREGON ASSOCIATION OF HOSPITALS - $16,283 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $915,514 | OtherCostOrOtherBasisAmt |
| Book Value | $915,514 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,014,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,222,647 | DepreciationAmt |
| Book Value | $29,792,033 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,169,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,085,945 | DepreciationAmt |
| Book Value | $2,083,793 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,206,667 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,488,435 | DepreciationAmt |
| Book Value | $18,718,232 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,897,197 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,057,119 | DepreciationAmt |
| Book Value | $3,840,078 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $55,349,650 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CSH OPERATING INVESTMENT POOL | Desc |
| Book Value | $295,601,803 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $295,601,803 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $113,054,400 |
| INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST | $30,428,685 |
| DEPOSITS | $19,793 |
| ROU FINANCE - NET | $1,737,530 |
| ROU OPERATING | $15,042,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $160,282,901 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $1,128,679 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $4,260,125 |
| CHI DEBT PROGRAM | $14,687,206 |
| CURRENT PORTION OF OPERATING LEASE LIABILITY | $2,787,834 |
| CURRENT PORTION OF FINANCE LEASE LIABILITY | $561,260 |
| LONG-TERM PORTION OF OPERATING LEASE LIABILITY | $13,770,768 |
| LONG-TERM PORTION OF FINANCE LEASE LIABILITY | $961,478 |
| UNCLAIMED PROPERTY | $1,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,159,033 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MERCY MEDICAL CENTER, INC'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4439 | PersonsServedCnt |
| Total Community Benefit Expns | $2,315,112 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,315,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 67107 | PersonsServedCnt |
| Total Community Benefit Expns | $57,638,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,800,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,837,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 71546 | PersonsServedCnt |
| Total Community Benefit Expns | $59,953,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,800,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,152,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07570 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 5308 | PersonsServedCnt |
| Total Community Benefit Expns | $674,540 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $674,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 221 | PersonsServedCnt |
| Total Community Benefit Expns | $1,673,693 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $462,372 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,211,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $71,073 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $71,073 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 855 | PersonsServedCnt |
| Total Community Benefit Expns | $270,145 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $270,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 6384 | PersonsServedCnt |
| Total Community Benefit Expns | $2,689,451 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $462,372 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,227,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 77930 | PersonsServedCnt |
| Total Community Benefit Expns | $62,643,117 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,263,199 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,379,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08550 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,958 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,049,229 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,049,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,052,887 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,052,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,324,694 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,595,774 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,927,372 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,331,598 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 STEWART PARKWAY | AddressLine1Txt |
| City | ROSEBURG | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.CHIMERCYHEALTH.COM/ | WebsiteAddressTxt |
| State License | 14-1133 | 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 | MERCY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 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 SCHEDULE H SUPPLEMENTAL INFO | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H SUPPLEMENTAL INFO | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| 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 | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://CHIMERCYHEALTH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, 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. |
| SCHEDULE H, PART V, SECTION B, LINE 5: | TO ENSURE WE GAINED A BROAD UNDERSTANDING OF THE COMMUNITY NEEDS AND OPPORTUNITIES, MERCY'S LEADERSHIP SOUGHT INPUT FROM LOCAL RESIDENTS AND COMMUNITY PARTNERS INCLUDING CHOW CREEK UMPQUA TRIBE OF INDIANS, DOUGLAS PUBLIC HEALTH NETWORK, EVERGREEN FAMILY MEDICINE, AND UMPQUA COMMUNITY HEALTH CENTER. CHI MERCY HEALTH COMMISSIONED CONDUENT HEALTH COMMUNITIES INSTITUTE (HCI) TO ASSIST WITH ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COMMUNITY INPUT WAS COLLECTED VIA A 22-QUESTION ONLINE AND PAPER SURVEY. SURVEY MONKEY WAS THE TOOL USED TO DISTRIBUTE AND COLLECT RESPONSES FOR THE COMMUNITY SURVEY. COMPLETED PAPER SURVEYS WERE ENTERED INTO THE SURVEY MONKEY TOOL. THE COMMUNITY HEALTH PERCEPTION SURVEY WAS DISSEMINATED THROUGH SOCIAL MEDIA CHANNELS, OUR INTERNAL EMAIL DIRECTORY, THROUGH DIGITAL CORRESPONDENCE TO KEY SELECTED STAKEHOLDERS, AND IN PAPER COPY FORM VIA OUR HOSPITAL BASED MEDICAL ELIGIBILITY COUNSELING SERVICE GROUP. A TOTAL OF 408 RESPONSES WERE COLLECTED ACROSS DOUGLAS COUNTY, WITH A SURVEY COMPLETION RATE OF 94.4%, RESULTING IN 385 COMPLETE RESPONSES ACROSS THE ENTIRE SURVEY AREA.FURTHER INPUT WAS SOUGHT THROUGH BRIEF COMMUNITY INTERVIEWS. NINE PARTICIPANTS RECEIVING SERVICES AT CHI MERCY HEALTH PARTICIPATED, AND WERE ASKED SPECIFIC QUESTIONS ABOUT THEIR PERSPECTIVE OF TOP HEALTH NEEDS AND ISSUES. THE INTERVIEWS TOOK PLACE IN LATE 2018. |
| SCHEDULE H, PART V, SECTION B, LINE 6B: | CHI MERCY HEALTH, CHI MERCY FOUNDATION, EVERGREEN FAMILY MEDICINE, UMPQUA COMMUNITY HEALTH CENTER, DOUGLAS PUBLIC HEALTH NETWORK AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. |
| SCHEDULE H, PART V, SECTION B, LINE 7: | HTTPS://CHIMERCYHEALTH.COM/ABOUT-US/HEALTH-NEEDS-REPORTS/ |
| SCHEDULE H, PART V, SECTION B, LINE 11: | COMMUNITY HEALTH IMPROVEMENT PLANFROM THE LIST OF SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE DATA ANALYSIS PROCESS, FIVE FOCUS AREAS HAVE BEEN PRIORITIZED: (1) MENTAL HEALTH & MENTAL DISORDERS (2) CHILDREN'S HEALTH (3) ACCESS TO HEALTH SERVICES (4) EDUCATION AND (5) SUBSTANCE ABUSE. WITHIN THE CATEGORIES ARE SECONDARY SUB-GROUPS: VIOLENCE PREVENTION, HUMAN TRAFFICKING, PARENTING WISELY, HEALTHY KIDS OUTREACH PROGRAM (HKOP), YOUTH DIABETES, OPIOID, SMOKING CESSATION AND WORKFORCE VIOLENCE PREVENTION.MENTAL HEALTHKEY INDICATORS* THE HIGH NUMBER OF REPORTED POOR MENTAL HEALTH DAYS IN DOUGLAS COUNTY (4.5) COMPARED TO THE U.S. (3.8).* AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IS HIGHER IN DOUGLAS COUNTY (24.7) THAN IN OREGON (18.1) AND THE U.S. (13.2)* 12.1% OF COMMUNITY LEADERS IDENTIFIED SUICIDE AS A TOP HEALTH ISSUE.CHALLENGESMENTAL HEALTH & MENTAL DISORDERS WAS SELECTED AS PRIORITY BECAUSE OF CONCERNS ABOUT DEPRESSION AND SUICIDE RATES IN THE COMMUNITY. AMONG THE FACTORS CONTRIBUTING TO INCREASED SUICIDES AND POOR MENTAL HEALTH ARE GAPS IN YOUTH MENTAL HEALTH SERVICES AND INSTITUTIONAL SILOS AMONGST COMMUNITY RESOURCES. FURTHER, DOUGLAS COUNTY IS RECOGNIZED AS A MEDICALLY UNDERSERVED AREA AND THIS IS ESPECIALLY TRUE OF MENTAL HEALTH PROVIDERS. RECOMMENDATIONS INCLUDED FOCUSING ON INCREASING ACCESS TO TREATMENT, DEVELOPING PREVENTION SERVICES AND INVOLVING THE WHOLE COMMUNITY IN IMPROVEMENT EFFORTS.STRATEGIESADDRESSING THE NEEDS OF PATIENTS WITH MENTAL HEALTH AND/OR BEHAVIORAL ISSUES IS A PRIORITY FOR MERCY. A FOCUS ON INCREASING ACCESS TO TREATMENT, DEVELOPING PREVENTION SERVICES AND BROAD COMMUNITY ENGAGEMENT ARE AMONG THE STRATEGIES WE WILL INCORPORATE. WITH A SHORTAGE OF MENTAL HEALTH PROVIDERS, MERCY WILL EXPLORE HOW TO UTILIZE EXISTING RESOURCES IN ORDER TO MAXIMIZE SERVICES FOR PATIENTS EXPERIENCING MENTAL HEALTH ISSUES.* PROVIDING AN INPATIENT UNIT WITH 12 BEDS TO OFFER A SAFE ENVIRONMENT FOR BEHAVIORAL HEALTH PSYCHIATRIC PATIENTS.* UTILIZING A TELE-PSYCHIATRY PROGRAM TO PROVIDE 24/7 ACCESS FOR PATIENTS TO HAVE A PRIVATE CONSULTATION WITH A PSYCHIATRIST.* ONGOING PARTNERSHIPS WITH COMPASS BEHAVIORAL HEALTH.* UTILIZING RURAL TEAMS TO SHARE INFORMATION ABOUT AVAILABLE RESOURCES TO ASSIST RESIDENTS LIVING IN ISOLATED COMMUNITIES GAIN A GREATER UNDERSTANDING OF SERVICESCOMMUNITY HEALTH IMPROVEMENT PLAN | 8CHILDREN'S HEALTHKEY INDICATORS* 25.3% OF DOUGLAS COUNTY CHILDREN ARE FOOD INSECURE COMPARED TO 20% STATEWIDE AND 17.9% NATIONALLY. ALMOST SIXTY-ONE PERCENT OF CHILDREN IN DOUGLAS COUNTY ALSO QUALIFY FOR FREE AND/OR REDUCED LUNCH.* THE SUBSTANTIATED CHILD ABUSE RATE IS HIGHER IN DOUGLAS COUNTY (28.1 CASES/1,000 CHILDREN) THAN IN OREGON (12.8 CASES/1,000 CHILDREN).* WHILE 94.7% OF CHILDREN HAVE HEALTH INSURANCE, DOUGLAS COUNTY IS STILL BELOW THE RATES OF 97.2% ACROSS OREGON AND 95.9% IN THE U.S.* THREE PERCENT OF CHILDREN ARE IN FOSTER CARE, AND ANOTHER TEN PERCENT ARE AGING OUT RANKING DOUGLAS COUNTY 31 OUT OF 36.* 10.7% OF COMMUNITY SURVEY RESPONDENTS SELECTED CHILDREN AS THE GROUP IN THE COMMUNITY THAT IS MOST EFFECTED BY POOR HEALTH OUTCOMES.CHALLENGESCHILDREN WHO LIVE BELOW THE POVERTY LEVEL OFTEN SUFFER FROM FOOD INSECURITY AND MALNOURISHMENT. THEY MAY BE VULNERABLE TO UNTREATED HEALTH ISSUES SUCH AS TOOTH DECAY OR FORGO BASIC WELLNESS CHECKS FROM A PHYSICIAN.COMMUNITY LEADERS WERE ALSO CONCERNED ABOUT A SUB-GROUP AT PARTICULAR RISK; CHILDREN IN THE FOSTER CARE SYSTEM OR WHO LIVE IN UNSTABLE HOMES. THE LACK OF AN INTEGRATED COMMUNITY STRATEGY WITH MANY ORGANIZATIONS WORKING ON THE ISSUE OFTEN MEANS DUPLICATION OF SERVICES OR TOO FEW SERVICES DILUTES IMPACT.STRATEGIESFOCUSING ON CHILDREN'S HEALTH, ESPECIALLY THROUGH PREVENTION, IS THE BEST OPPORTUNITY FOR THE COMMUNITY TO ADDRESS LONG-TERM CHANGE FOR HEALTH ISSUES SUCH AS REDUCING OBESITY, IMPROVING ORAL HEALTH AND FOSTERING HEALTHY LIFE CHOICES.* HEALTHY KIDS OUTREACH PROGRAM (HKOP) WILL PROVIDE SCHOOL-BASED PREVENTATIVE DENTAL CLINICS TO APPROXIMATELY 10,000 YOUTH IN GRADES K-12 IN 38 DOUGLAS COUNTY SCHOOLS. SERVICES WILL INCLUDE AN ASSESSMENT, FLUORIDE VARNISH AND SEALANTS ON UNTREATED, ERUPTED MOLARS.* CHILDREN IDENTIFIED WITH URGENT DENTAL NEEDS WILL BE REFERRED TO A DENTAL SPECIALIST WHO WILL WORK WITH THE FAMILY FOR TREATMENT.* PROVIDE ORAL HEALTH EDUCATION AND A TAKE-HOME ORAL HYGIENE KIT TO STUDENTS IN GRADES K-12.* HKOP WILL PROVIDE RESOURCE RNS IN TWELVE SCHOOLS TO TEACH PERSONAL HEALTH AND HYGIENE EDUCATION. NURSES WILL ASSIST WITH REFERRALS TO OTHER HEALTH SERVICES AND/OR COMMUNITY RESOURCES AS APPROPRIATE.* THROUGH A PARTNERSHIP WITH OSU EXTENSION SERVICES, YOUTH IN TWELVE SCHOOLS WILL HAVE ACCESS TO NUTRITION AND ACTIVITY EDUCATION; KIDS IN THE KITCHEN COOKING CLASSES, PARTICIPATE IN A FOOD WASTE STUDY AND INCREASE PHYSICAL ACTIVITY USING THE BEPA TOOLKIT.* UTILIZE THE MOBILE FOOD MARKET TO INCREASE ACCESS TO FOOD, AND TO PROMOTE HEALTHY EATING AND FOOD PREPARATION.* WORK WITH BLUE ZONE UMPQUA PARTNERS TO IDENTIFY FOOD DESERTS AND THE GAPS TO ACCESSING HEALTHY FOOD.COMMUNITY HEALTH IMPROVEMENT PLAN | 9ACCESS TO HEALTH SERVICESKEY INDICATORS* FEWER ADULTS HAVE HEALTH INSURANCE AND A USUAL SOURCE OF HEALTH CARE IN DOUGLAS COUNTY (83.9%) THAN IN OREGON (87.5%) AND U.S. (84.3%).* THERE IS A NEED FOR PRIMARY CARE PROVIDERS IN DOUGLAS COUNTY. THERE ARE 64.1 PRIMARY CARE PROVIDERS IN DOUGLAS COUNTY PER 100,000 PEOPLE, FAR LOWER THAN IN OREGON (93.5 PROVIDER/100,000 POPULATION) AND IN THE U.S. (75.5 PROVIDERS/100,000 POPULATION).* ONLY 72% OF ADULTS IN DOUGLAS COUNTY HAVE A USUAL SOURCE OF HEALTH CARE COMPARED TO 75.5% OF ADULTS IN OREGON.* DOUGLAS COUNTY HAS BOTH A HIGH TURNOVER RATE FOR PRIMARY CARE PROVIDERS WITH MANY CURRENT PHYSICIANS AT OR NEARING RETIREMENT. BOTH OF THESE FACTORS IMPACT A PATIENTS' ABILITY TO FIND AND RE-ESTABLISH CARE WITH A NEW PROVIDER. |
| SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED): | STRATEGIESFOCUSING ON CHILDREN'S HEALTH, ESPECIALLY THROUGH PREVENTION, IS THE BEST OPPORTUNITY FOR THE COMMUNITY TO ADDRESS LONG-TERM CHANGE FOR HEALTH ISSUES SUCH AS REDUCING OBESITY, IMPROVING ORAL HEALTH AND FOSTERING HEALTHY LIFE CHOICES.* HEALTHY KIDS OUTREACH PROGRAM (HKOP) WILL PROVIDE SCHOOL-BASED PREVENTATIVE DENTAL CLINICS TO APPROXIMATELY 10,000 YOUTH IN GRADES K-12 IN 38 DOUGLAS COUNTY SCHOOLS. SERVICES WILL INCLUDE AN ASSESSMENT, FLUORIDE VARNISH AND SEALANTS ON UNTREATED, ERUPTED MOLARS.* CHILDREN IDENTIFIED WITH URGENT DENTAL NEEDS WILL BE REFERRED TO A DENTAL SPECIALIST WHO WILL WORK WITH THE FAMILY FOR TREATMENT.* PROVIDE ORAL HEALTH EDUCATION AND A TAKE-HOME ORAL HYGIENE KIT TO STUDENTS IN GRADES K-12.* HKOP WILL PROVIDE RESOURCE RNS IN TWELVE SCHOOLS TO TEACH PERSONAL HEALTH AND HYGIENE EDUCATION. NURSES WILL ASSIST WITH REFERRALS TO OTHER HEALTH SERVICES AND/OR COMMUNITY RESOURCES AS APPROPRIATE.* THROUGH A PARTNERSHIP WITH OSU EXTENSION SERVICES, YOUTH IN TWELVE SCHOOLS WILL HAVE ACCESS TO NUTRITION AND ACTIVITY EDUCATION; KIDS IN THE KITCHEN COOKING CLASSES, PARTICIPATE IN A FOOD AND INCREASE WASTE STUDY PHYSICAL ACTIVITY USING THE BEPA TOOLKIT.* UTILIZE THE MOBILE FOOD MARKET TO INCREASE ACCESS TO FOOD, AND TO PROMOTE HEALTHY EATING AND FOOD PREPARATION.* WORK WITH BLUE ZONE UMPQUA PARTNERS TO IDENTIFY FOOD DESERTS AND THE GAPS TO ACCESSING HEALTHY FOOD.COMMUNITY HEALTH IMPROVEMENT PLAN | 10EDUCATIONKEY INDICATORS* BACHELOR'S DEGREE ATTAINMENT IS MUCH LOWER IN DOUGLAS COUNTY (16.3%) THAN IN OREGON (31.4%) AND THE U.S. (30.3%)* EIGHT PERCENT OF DOUGLAS COUNTY STUDENTS DROP OUT OF HIGH SCHOOL TWICE THE RATE OF OTHER OREGON STUDENTS.* READING AND MATH PROFICIENCY IN 3RD AND 8TH GRADE ARE LOWER IN DOUGLAS COUNTY THAN IN THE STATE.* OREGON RANKED 12TH IN THE NATION OF DISADVANTAGED YOUTH AND 10TH IN THE PERCENTAGE OF FOSTER CARE PLACEMENTS, AN INDICATOR THESE ARE YOUTH WHO ARE EITHER NOT IN SCHOOL OR NOT THRIVING IN SCHOOL BECAUSE OF THE STRESSORS IN THEIR LIFE.* COMMUNITY LEADERS PERCEIVE IMPROVING EDUCATION AS A PREVENTATIVE INTERVENTION OPPORTUNITY TO IMPACT HEALTH AND QUALITY OF LIFE.STRATEGIES* WORK IN CONJUNCTION WITH COMMUNITY PARTNERS TO SUPPORT AND EXPAND THE CURRENT CURRICULUM OF THE PARENTING HUB TO SUPPORT EFFECTIVE PARENTING.* WORK WITH RURAL TEAMS TO ADDRESS WHY YOUTH ARE DROPPING OUT OF SCHOOL.* IDENTIFY BARRIERS TO YOUTH ATTENDING SCHOOL, FOR EXAMPLE SUBSTANCE ABUSE, BULLYING, FEAR OF SEXUAL EXPLOITATION, ETC.SUBSTANCE ABUSEKEY INDICATORS* 20.5% OF WOMEN REPORT SMOKING DURING PREGNANCY IN DOUGLAS COUNTY OVER TWICE THAT OF 9.6% IN OREGON AND 7.2% IN THE U.S.* THE AGE-ADJUSTED DEATH RATE DUE TO ALCOHOL CONSUMPTION IS HIGHER IN DOUGLAS COUNTY THAN IN OREGON OVERALL.* COMMUNITY MEMBERS AND LEADERS IDENTIFIED SUBSTANCE USE A PRIMARY CONTRIBUTOR TO POOR HEALTH OUTCOMES IN DOUGLAS COUNTY* THE DEATH RATE DUE TO DRUG POISONING IN DOUGLAS COUNTY (13.9 DATES/100,000 POPULATION) IS HIGHER THAN IN OREGON BUT LOWER THAN IN THE U.S. OVERALL* 25.6% OF ADULTS REPORT SMOKING IN DOUGLAS COUNTY COMPARED TO 19% IN THE OVERALL POPULATION OF OREGON* 9% OF EIGHTH GRADERS AND 12% OF ELEVENTH GRADERS REPORTED USING E-CIGARETTES, ALSO KNOWN AS VAPING. AMONG ELEVENTH GRADERS, THIS PERCENTAGE WAS HIGHER THAN THE RATE OF TRADITIONAL TOBACCO CIGARETTES.COMMUNITY HEALTH IMPROVEMENT PLAN | 11STRATEGIESSUBSTANCE ABUSE OFTEN OVERLAPS WITH OTHER ISSUES SUCH AS MENTAL HEALTH, EDUCATION, HOMELESSNESS AND HEALTH OVERALL.ONE PARTICIPANT IDENTIFIED THE OPPORTUNITY TO BUILD PARTNERSHIPS AND COLLABORATION WITH THE MANY COMMUNITY AGENCIES ALREADY WORKING ON THE SUBSTANCE ABUSE ISSUE.* MERCY FOUNDATION HEALTHY KIDS OUTREACH PROGRAM WILL PROVIDE AGE APPROPRIATE EDUCATION ON THE EFFECTS TOBACCO USE HAS ON TEETH, MOUTH, THROAT AND APPEARANCE IN THE COUNTY SCHOOL SYSTEMS.* COLLABORATE WITH THE BLUE ZONES TOBACCO SECTOR COMMITTEE AND ROSEBURG DOWNTOWN ASSOCIATION TO CREATE A SMOKE-FREE, BUTT-FREE AREA.* WORK WITH BLUE ZONES AND THE DOUGLAS COUNTY PUBLIC HEALTH NETWORK TO PARTNER WITH THE TRUTH INITIATIVE TO BRING "THIS IS QUITTING", A FREE MOBILE APP AIMED AT 13 TO 19 YEAR OLDS TO HELP THEM SUCCESSFULLY QUIT E-CIGARETTES, OR VAPING* BUILD ON THE DIGITAL PLATFORM BECOMING AN EX* PROMOTE NICOTINE REPLACEMENT THERAPY (NRT)* TRAIN FIRST RESPONDERS IN THE USE OF NALOXONE AND PROVIDE THEM WITH THE KITS TO REDUCE THE INCIDENTS OF OVERDOSE DEATHS.* PROVIDE EDUCATION ABOUT SUBSTANCE ABUSE AND SMOKING CESSATION AT RURAL TEAM EVENTS.* TRAIN LAW ENFORCEMENT AND FIRST RESPONDERS ABOUT THE CONNECTION BETWEEN HUMAN TRAFFICKING IN THE "SEX FOR DRUGS" TRADE. |
| SCHEDULE H, PART V, SECTION B, LINE 13(H): | 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, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE | HTTPS://CHIMERCYHEALTH.COM/ABOUT-US/HEALTH-NEEDS-REPORTS/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY INSTITUTE OF REHABILITATION | ||||
| 2400 NW STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT THERAPY SERVICES |
| 2 - MMC - CCC LAB DRAW SITE | ||||
| 2880 NW STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT LABORATORY DRAWING CENTER |
| 3 - MMC - MYRTLE CREEK DRAW SITE | ||||
| 861 OLD HWY | MYRTLE CREEK | OR | 97457 | OUTPATIENT LABORATORY DRAWING CENTER |
| 4 - MERCY OUTPATIENT LABORATORY | ||||
| 2480 STEWART PARKWAY | ROSEBURG | OR | 97471 | OUTPATIENT LABORATORY DRAWING CENTER |
| 5 - HOME HEALTH & HOSPICE | ||||
| 2400 NW STEWART PARKWAY 200 | ROSEBURG | OR | 97471 | HOME CARE |
| 6 - MERCY OUTPATIENT IMAGING | ||||
| 1813 W HARVARD AVE SUITE 411 | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES |
| 7 - MERCY UMPQUA ORTHOPEDIC RADIOLOGY | ||||
| 277 MEDICAL LOOP | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES |
| 8 - MERCY SLEEP LAB | ||||
| 2400 STEWART PARKWAY SUITE 300 | ROSEBURG | OR | 97471 | SLEEP TESTING SERVICES |
| 9 - MMC OUTPATIENT IMAGING & LAB DRAW SITE | ||||
| 2570 NW EDENBOWER | ROSEBURG | OR | 97471 | OUTPATIENT IMAGING SERVICES AND OUTPATIENT LAB DRAW SITE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF 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. * ANY PATIENT WHOSE FAMILY INCOME IS BETWEEN 301% OF THE FPG AND AT OR BELOW 400 PERCENT OF THE FPG SHALL RECEIVE DISCOUNTED CARE UP TO 50% FROM HIS OR HER ACCOUNT BALANCE FOR EMCARE PROVIDED TO THE PATIENT AFTER PAYMENT, IF ANY, BY ANY THIRD PARTY(IES).* 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 6A: | MERCY MEDICAL CENTER, INC PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. |
| PART I, LINE 7: | A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO CHARGE RATIO COVERS ALL PATIENT SEGMENTS.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, WHICH RESULTS IN A 24.65% COST-TO-CHARGE RATIO.WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. |
| PART III, LINE 2: | COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 24.65%. 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, INC 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, INC. 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. MERCY MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $3,331,598 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: | MERCY MEDICAL CENTER, INC. LED A COMMUNITY WIDE NEEDS ASSESSMENT, GATHERING INPUT ON HEALTHCARE NEEDS AND PRIORITIES FROM COMMUNITY RESIDENTS AND PARTNERS. OUTREACH WAS CONDUCTED VIA A COMMUNITY PERCEPTION PHONE SURVEY, A COMMUNITY ENGAGEMENT FORUM AND ONE-ON-ONE INTERVIEWS WITH KEY COMMUNITY LEADERS AND RESIDENTS, AS WELL AS A SURVEY MONKEY WAS PROVIDED ELECTRONICALLY TO APPROXIMATELY 200 NOT-FOR-PROFIT AND HUMAN SERVICES ORGANIZATIONS. IN ADDITION, MERCY MEDICAL CENTER, INC. CONDUCTED A PATIENT SURVEY REGARDING ACCESS AND USAGE OF HEALTHCARE SERVICES. THE COMMUNITY ENGAGEMENT FORUM WAS FACILITATED TO REVIEW THE RESULTS OF THE SURVEYS ABOVE, AND PRIORITIZE THE NEEDS. |
| 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: | MERCY MEDICAL CENTER, INC. IS A SOLE COMMUNITY PROVIDER IN DOUGLAS COUNTY, OREGON. DOUGLAS COUNTY COVERS AN EXPANSIVE 5,036 SQUARE MILES FROM THE PACIFIC OCEAN TO WELL INTO THE CASCADE MOUNTAINS. DOUGLAS COUNTY INCLUDES THE ENTIRE UMPQUA RIVER WATERSHED AND A LARGE PORTION OF THE UMPQUA NATIONAL FOREST. IT IS PRIMARILY A RURAL AND FORESTED AREA, AND THE FEDERAL GOVERNMENT OWNS APPROXIMATELY HALF OF THE LAND IN THE COUNTY. THE LATEST CENSUS PLACES THE POPULATION OF DOUGLAS COUNTY AT 110,283, MOST OF THE RESIDENTS LIVE NEAR THE I-5 CORRIDOR THAT RUNS THROUGH THE COUNTY. THE LARGEST CITY IS THE COUNTY SEAT OF ROSEBURG WHERE MOST OF THE HEALTH SERVICES ARE PROVIDED. DOUGLAS COUNTY FACES CHALLENGES FROM AN AGING POPULATION AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. BECAUSE ONLY 16.3% OF LOCAL ADULTS HAVE A BACHELOR'S DEGREE COMPARED TO OREGON'S 31.4%, MANY WORKERS HAVE RELIED ON MANUAL LABOR JOBS. MANY OF THESE RESIDENTS WERE PREVIOUSLY EMPLOYED IN RELATIVELY GOOD-PAYING JOBS IN NATURAL RESOURCES SUCH AS TIMBER AND MINING BUT AUTOMATION HAS HAD AN IMPACT ON EMPLOYMENT IN THESE FIELDS. THE MEDIAN HOUSEHOLD INCOME IN DOUGLAS COUNTY IS $40,468 COMPARED TO THE STATEWIDE AVERAGE OF $56,119. THE RESULT IS WE HAVE ONE OF THE HIGHEST CHILDHOOD POVERTY RATES IN OREGON AT 23.2% COMPARED TO THE STATE AVERAGE OF 17.2%VI AND 60.6% OF CHILDREN QUALIFY FOR FREE AND REDUCED LUNCH. THE OVERALL POVERTY RATE FOR ADULTS IS 14.9%. DOUGLAS COUNTY HAS BEEN DESIGNATED AS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. |
| PART VI, LINE 5: | SINCE IT WAS FOUNDED MORE THAN 100 YEARS AGO, MERCY MEDICAL CENTER HAS ALWAYS BEEN COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTH AND WELLNESS TO OUR COMMUNITY. OUR COMMITMENT URGES US TOWARDS COMPASSIONATE SUPPORT, GREATLY ENHANCING THE HEALTH CARE EXPERIENCE OF OUR PATIENTS AND THEIR FAMILIES. FROM COMMUNITY HEALTH AND HEALTH CARE EDUCATION TO PROVIDING ESSENTIAL HEALTH SERVICES, GIVING BACK TO OUR COMMUNITY IS AN ESSENTIAL PART OF WHAT WE DO. MERCY MEDICAL CENTER, FOUNDED IN 1909, IS A NOT-FOR-PROFIT HOSPITAL LOCATED IN ROSEBURG, OR. MERCY MEDICAL CENTER ("MMC") IS A 174-BED FACILITY WITH A LEVEL III TRAUMA DESIGNATION, INCLUDING TWO SPECIALTY UNITS AND AN ADULT AND ADOLESCENT INTENSIVE CARE. AS A NOT-FOR-PROFIT ORGANIZATION, MMC SERVES ALL PERSONS IN THE COMMUNITY ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILITY TO PAY, SERVING ALL OF DOUGLAS COUNTY. FROM INCEPTION, MERCY MEDICAL CENTER EMBRACED THE MISSION OF THE FOUNDING CATHOLIC CONGREGATION, AND HAS JOINED WITH OTHER CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF MERCY MEDICAL CENTER IS TO PROVIDE EXCELLENT, COMPASSIONATE CARE FOR THE PEOPLE OF OUR COMMUNITY. IT ALSO HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. IN ADDITION TO PROVIDING MEDICAL SERVICES, MERCY MEDICAL CENTER PROVIDES MANY COMMUNITY-BASED SERVICES, DESIGNED TO PROMOTE HEALTHIER COMMUNITIES. TO ENHANCE THE HEALTH STATUS OF THE POPULATION, WE FOCUS ON HOLISTIC CARE INCLUDING SPIRITUAL, EMOTIONAL AND PHYSICAL WELL-BEING. MERCY MEDICAL CENTER OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MERCY MEDICAL CENTER PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM.MERCY MEDICAL CENTER HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IT ALSO ENGAGES IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS.MERCY MEDICAL CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. II. COMMUNITY BENEFIT APPROACH:SINCE 1909, MERCY MEDICAL CENTER HAS BEEN SERVING THE MEDICAL NEEDS OF DOUGLAS COUNTY. IN FACT, 2020 MARKS 111 YEARS OF SERVICE TO OUR COMMUNITY. OVER THE YEARS, OUR FOCUS HAS REMAINED ON MEETING THE DIVERSE HEALTH CARE NEEDS OF OUR COUNTY'S RESIDENTS. WITH A POPULATION OF GREATER THAN 100,000; DOUGLAS COUNTY HAS HIGHER THAN AVERAGE UNEMPLOYMENT, LOWER THAN AVERAGE HOUSEHOLD INCOME AND POVERTY. THROUGH COLLABORATION WITH COMMUNITY AGENCIES, MERCY AND MERCY FOUNDATION HAVE BEEN INSTRUMENTAL IN INCREASING HEALTHCARE SERVICES FOR FAMILIES WITH ILL CHILDREN. IN 2007, THE FOUNDATION LAUNCHED THE HEALTHY KIDS OUTREACH PROGRAM, WHICH BRINGS DENTAL SERVICES AND WELLNESS RESOURCES TO ALL SCHOOLS IN DOUGLAS COUNTY. IN AN EFFORT TO BRING NEW AND NEEDED SERVICES TO TOWN, MERCY ADDED A CORONARY INTERVENTION PROGRAM IN 2007 TO OUR SHAW HEART AND VASCULAR CENTER. BY HAVING THIS SERVICE LOCALLY FOR THE FIRST TIME, PATIENTS HAD ACCESS TO STATE-OF-THE-ART ANGIOPLASTY SERVICES WITHOUT HAVING TO TRAVEL. REALIZING THE STRONG CONNECTION THAT PHYSICIAN ACCESS HAS TO BUILDING OVERALL COMMUNITY HEALTH, MERCY HAS BEEN ACTIVE IN HELPING TO RECRUIT AN IMPRESSIVE NUMBER OF NEW PHYSICIANS. THESE NEW PHYSICIANS INCLUDE INTERNISTS AND SPECIALISTS, WHO CONTINUE TO ENHANCE DOUGLAS COUNTY RESIDENTS' ACCESS TO CARE. II. UNCOMPENSATED CARE:MERCY MEDICAL CENTER PROVIDES A SIGNIFICANT LEVEL OF FREE CARE EACH YEAR. IN FY 2021, THE COST OF CHARITY CARE PROVIDED BY THE ORGANIZATION WAS $2,315,112. MERCY MEDICAL CENTER ALSO INCURRED $14,837,727 IN UN-REIMBURSED COSTS FOR SERVICES PROVIDED TO MEDICAID PATIENTS, WHICH REPRESENT ALMOST 30% OF THE PATIENTS SERVED BY MERCY MEDICAL CENTER. FREQUENTLY, THE COST OF PROVIDING SERVICES TO MEDICARE AND MEDICAID PATIENTS IS GREATER THAN THE PAYMENTS MERCY MEDICAL CENTER RECEIVES FROM THE GOVERNMENT/STATE.QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT:I. COMMUNITY OUTREACH FOR THE POOR:FOOD DONATIONS TO MISSION:MERCY MEDICAL CENTER HELPS TO ALLEVIATE HUNGER IN THE COMMUNITY BY DONATING EXCESS FOOD PREPARED BY THE HOSPITAL KITCHEN TO THE ROSEBURG RESCUE MISSION AND UMPQUA COMMUNITY ACTION NETWORK (UCAN) (FOODBANK). ADDITIONALLY MERCY MEDICAL CENTER, INC. PARTICIPATES IN UCAN'S "MARCH AGAINST HUNGER" ANNUAL EVENT, ENCOURAGING STAFF TO ASSIST IN THE PLANNING AND IMPLEMENTATION. CHILDBIRTH EDUCATION:MERCY MEDICAL CENTER'S FAMILY BIRTHPLACE PROVIDES CLASSES THAT MEET EVERY WEEK THROUGHOUT THE YEAR, AND INCLUDE PRENATAL EDUCATION, BREASTFEEDING, GIFT OF MOTHERHOOD AND CHILDBIRTH CLASSES. THESE CLASSES COVER ALL KINDS OF ISSUES SURROUNDING CHILDBIRTH AND PARENTING.UNITED WAY DAY OF CARING: EACH YEAR, THE UNITED WAY HOSTS A "DAY OF CARING" EVENT. UNITED WAY AGENCIES SUBMIT REQUESTS FOR VOLUNTEERS TO PAINT, PLANT, OR CLEAN AT THEIR FACILITY. EACH AGENCY IS ASSIGNED VOLUNTEERS WHO HELP MEET THE NEEDS OF THE DIFFERENT AGENCIES. EXAMPLES OF PAST DAY OF CARING PROJECTS INCLUDE SPRUCING UP A UNITED WAY FUNDED DAY CARE CENTER, HELPING WITH THE KIDS ON THE BLOCK FESTIVAL, PAINTING INTERIOR AND EXTERIOR FACILITIES, CLEANING, AND GARDENING. MERCY MEDICAL CENTER'S EMPLOYEES HAVE PARTICIPATED IN SEVERAL DAY OF CARING PROJECTS. DISEASE PREVENTION AND AWARENESS:MERCY MEDICAL CENTER COLLABORATES WITH LOCAL PARTNERS TO RAISE AWARENESS AND HELP FUND PREVENTION OF DISEASES SUCH AS CANCER, DIABETES, CYSTIC FIBROSIS, MUSCULAR DYSTROPHY AND AIDS. MERCY MEDICAL CENTER DONATED TO LOCAL ORGANIZATIONS SPONSORING PROMOTIONS IN PRESENTATION FORMATS, COVERING TOPICS SUCH AS HEART DISEASE, DIABETES, STROKE, AND BREAST CANCER AWARENESS. STRATEGIC PLANNING AND RECRUITING COSTS:DOUGLAS COUNTY HAS BEEN DESIGNATED AS A PHYSICIAN UNDERSERVED AREA. THERE IS A NEED FOR SIGNIFICANT PHYSICIAN RECRUITMENT TO THE AREA, TO MEET THE CURRENT NEEDS FOR CARE FOR THE COUNTY RESIDENTS AS WELL AS AN INCREASED NEED FOR FUTURE DEMAND FOR PATIENT MEDICAL CARE. MERCY HAS SUPPORTED RESEARCH INTO COUNTY NEEDS BY TYPE OF PHYSICIAN, AND ALSO HAS SUPPORTED RECRUITMENT OF NEW PHYSICIANS IN THE AREA IN CONJUNCTION WITH OTHER COMMUNITY MEDICAL PROVIDERS.HEALTH FAIRS AND SCREENINGS:MERCY MEDICAL CENTER PROVIDES BLOOD PRESSURE CHECKS AND FREE LAB DRAWS FOR THE LOCAL TOTAL HEALTH IMPROVEMENT PROGRAM. SUPPORT GROUPS:MERCY MEDICAL CENTER PROVIDES A LOCATION FOR THE LARGEST AA MEETING IN THE COUNTY EACH MONDAY.BOARD ACTIVITIES:MERCY MEDICAL CENTER EMPLOYEES ARE ENCOURAGED TO BE INVOLVED IN COMMUNITY LEADERSHIP. EMPLOYEES SERVE IN A VARIETY OF LEADERSHIP CAPACITIES IN THE COMMUNITY INCLUDING SERVING ON BOARDS SUCH AS BATTERED PERSONS ADVOCACY, NEIGHBORWORKS UMPQUA, COUNCIL ON AGING, ECONOMIC DEVELOPMENT COMMITTEE, UCC FOUNDATION AND THE UNITED WAY.AGENCIES SUPPORTED:MERCY MEDICAL CENTER PROVIDED CASH DONATIONS TO NUMEROUS AGENCIES SUCH AS THE BOYS AND GIRLS CLUB, CAMP MILLENNIUM, ROSEBURG CHAMBER OF COMMERCE, ROTARY FOUNDATION, UNITED WAY, WISH, COBB ST, DCCAPS, UMPQUA COMMUNITY HEALTH CLINIC, FAMILY DEVELOPMENT CENTER, YMCA OF DOUGLAS COUNTY, UMPQUA VALLEY ARTS ASSOCIATION AND VARIOUS HIGH SCHOOLS IN DOUGLAS COUNTY.IN ALL, MERCY MEDICAL CENTER HAD EXPENSES THAT EXCEEDED $1,461,729 IN COMMUNITY BUILDING ACTIVITIES.CONTRIBUTIONS:MERCY MEDICAL CENTER RECEIVES SOME COMMUNITY SUPPORT FROM DONATIONS THAT HELPS FUND RESEARCH AND EDUCATION, CAPITAL EXPANSION AND RENOVATION, INDIGENT CARE, NEW EQUIPMENT AND OPERATING COSTS. THE VALUE OF THIS COMMUNITY SUPPORT IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT PROGRAMS AND COMMUNITY SERVICES DESCRIBED THROUGHOUT THIS DOCUMENT. |
| 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OR |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MERCY FOUNDATION | |||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 936088946 | 501(C)3 | $643,385 | GENERAL SUPPORT |
| UMPQUA ECONOMIC DEVELOPMENT PARTNERSHIP | |||||||
| 522 SE WASHINGTON AVE NO 107 | ROSEBURG | OR | 97470 | 452963767 | 501(C)6 | $8,000 | GENERAL SUPPORT |
| ST JOSEPH CHURCH | |||||||
| 721 CHEMEKETA ST NE | SALEM | OR | 97301 | 930399053 | 501(C)3 | $13,000 | GENERAL SUPPORT |
| DOUGLAS COUNTY CANCER SERVICES | |||||||
| 2880 NW STEWART PARKWAY | ROSEBURG | OR | 97471 | 943113835 | 501(C)3 | $5,650 | GENERAL SUPPORT |
| SLEEP IN HEAVENLY PEACE INC | |||||||
| 1560 ELDRIDGE AVE | TWIN FALLS | ID | 83301 | 464346568 | 501(C)3 | $7,200 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL DONATIONS ARE GIVEN TO NON-PROFIT ORGANIZATIONS TO BE USED IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE; AND AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THEIR DISTRIBUTION. THE ORGANIZATION MAKES A RECORD OF ALL DONATIONS IN THE GENERAL LEDGER. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KETUL PATEL | ||||||||||||||
| EX OFFICIO/CHI SR. VICE PRESIDENT | $0 | $1,121,755 | $0 | $968,531 | $0 | $224,937 | $0 | $208,971 | $0 | $12,064 | $0 | $2,536,258 | $0 | $175,550 |
| KELLY MORGAN | ||||||||||||||
| PRESIDENT/CEO | $541,393 | $0 | $197,435 | $0 | $36,468 | $0 | $16,975 | $0 | $23,877 | $0 | $816,148 | $0 | $0 | $0 |
| BRAD SEELY MD | ||||||||||||||
| BOARD MEMBER | $0 | $400,913 | $0 | $46,585 | $0 | $5,757 | $0 | $16,533 | $0 | $21,856 | $0 | $491,644 | $0 | $0 |
| JASON GRAY | ||||||||||||||
| CHIEF MEDICAL OFFICER/PRESIDENT CMG | $355,224 | $0 | $80,995 | $0 | $2,643 | $0 | $16,621 | $0 | $30,781 | $0 | $486,264 | $0 | $0 | $0 |
| DEBRA BOSWELL | ||||||||||||||
| CHIEF OPERATING OFFICER | $278,769 | $0 | $63,250 | $0 | $8,499 | $0 | $17,150 | $0 | $13,844 | $0 | $381,512 | $0 | $0 | $0 |
| JERRY SMEAD | ||||||||||||||
| PHARMACY DIRECTOR | $218,206 | $0 | $26,949 | $0 | $853 | $0 | $13,867 | $0 | $11,377 | $0 | $271,252 | $0 | $0 | $0 |
| THOMAS SAFLEY | ||||||||||||||
| VP OPERATIONAL FINANCE | $0 | $177,349 | $0 | $23,351 | $0 | $4,728 | $0 | $12,666 | $0 | $20,818 | $0 | $238,912 | $0 | $0 |
| LAWRENCE COX | ||||||||||||||
| DIRECTOR IMAGING | $168,914 | $0 | $21,261 | $0 | $1,818 | $0 | $10,950 | $0 | $12,158 | $0 | $215,101 | $0 | $0 | $0 |
| MARK JOHNSON | ||||||||||||||
| PHARMACIST | $176,905 | $0 | $625 | $0 | $9,188 | $0 | $10,654 | $0 | $10,116 | $0 | $207,488 | $0 | $0 | $0 |
| AARON BALLENSKY | ||||||||||||||
| PHARMACY MANAGER | $173,601 | $0 | $10,839 | $0 | $149 | $0 | $9,845 | $0 | $2,176 | $0 | $196,610 | $0 | $0 | $0 |
| BRADFORD LAVANWAY | ||||||||||||||
| PHARMACIST | $174,033 | $0 | $1,454 | $0 | $4,677 | $0 | $5,460 | $0 | $4,300 | $0 | $189,924 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY CHI FRANCISCAN HEALTH, A RELATED OGANIZATION AND PAID BY MERCY MEDICAL CENTER. FHS USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE; (5) WRITTEN EMPLOYMENT CONTRACT. |
| PART I, 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. |
| PART I, LINE 4B: | DURING THE 2020 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2020 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: KETUL J. PATEL - $211,791. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2020 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2020, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: KELLY C. MORGAN - $27,823. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DCIPA LLC | |||
| LAYNE JORGENSEN IS A BOARD MEMBER OF BOTH DCIPA AND MMC | $10,542,558 | MEDICAL SERVICES AND MANAGEMENT SERVICES | 0 |
| TODD LUTHER | |||
| FAMILY MEMBER OF BOARD MEMBER | $164,484 | COMPENSATION & BENEFITS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 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, 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 3 | MERCY MEDICAL CENTER, INC. HAS DELEGATED LIMITED CONTROL OVER MANAGEMENT DUTIES FOR CERTAIN HOSPITAL DEPARTMENTS TO THE FOLLOWING MANAGEMENT COMPANIES: PROFESSIONAL MANAGEMENT OF OREGON, LLC, CALIFORNIA EMERGENCY PHYSICIANS, DOUGLAS MEDICAL GROUP, UMPQUA MEDICAL GROUP AND EVERGREEN FAMILY MEDICINE. THE SURGICAL AND EMERGENCY AREAS ARE MANAGED BY THESE MANAGEMENT ORGANIZATIONS. THE MANAGEMENT COMPANIES HAVE THEIR OWN EMPLOYEES THAT THEY HIRE, FIRE AND SUPERVISE. NONE OF MERCY MEDICAL CENTER'S CURRENT OR FORMER OFFICERS, DIRECTORS, ETC. HAVE RECEIVED COMPENSATION FROM THE MANAGEMENT COMPANIES DURING THE 2020 CALENDAR YEAR. |
| FORM 990, PART VI, SECTION A, LINE 6 | ACCORDING TO THE BYLAWS OF MERCY MEDICAL CENTER THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION. |
| 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 COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX 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 - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE MERCY MEDICA CENTER - APPROVE MEMBERS OF THE MERCY MEDICAL CENTER BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE MERCY MEDICAL CENTER - APPROVAL OF ISSUANCE OF DEBT BY MERCY MEDICAL CENTER - APPROVAL OF PARTICIPATION OF MERCY MEDICAL CENTER IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY MERCY MEDICAL CENTER - APPROVAL OF A MERGER INVOLVING THE MERCY MEDICAL CENTER - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE MERCY MEDICAL CENTER - TO REQUIRE THE TRANSFER OF ASSETS BY THE MERCY MEDICAL CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MERCY MEDICAL CENTER PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND 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 RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CONTROLLER. A COPY OF THE DRAFT RETURN IS MADE AVAILABLE TO BOARD MEMBERS THAT WOULD LIKE TO REVIEW IT. SUBSEQUENT TO THE REVIEW BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. 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 - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION IS ESTABLISHED BY CHI FRANCISCAN HEALTH, A RELATED ORGANIZATION, AND PAID BY MERCY MEDICAL CENTER. ALL EXECUTIVE COMPENSATION ARRANGEMENTS WITH ANY PERSON OF SUBSTANTIAL INFLUENCE ARE SUBJECT TO REVIEW AND APPROVAL BY THE CHI FRANCISCAN HEALTH BOARD OF DIRECTORS, OR AN AUTHORIZED COMMITTEE OF THE BOARD, IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION REVIEW POLICY. EXECUTIVE COMPENSATION ARRANGEMENTS WITH ANY PHYSICIAN WHO IS A PERSON OF SUBSTANTIAL INFLUENCE ARE NOT SUBJECT TO THIS POLICY, BUT SHALL BE REVIEWED AND APPROVED IN ACCORDANCE WITH THE SYSTEM'S PHYSICIAN TRANSACTION REVIEW POLICY. |
| 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. |
| 990, PART VI, SECTION B, LINE 16B - JOINT VENTURE POLICY | MERCY MEDICAL CENTER 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 7,272,061. MANAGEMENT AND GENERAL EXPENSES 382,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,654,801. CONSULTING: PROGRAM SERVICE EXPENSES 157,548. MANAGEMENT AND GENERAL EXPENSES 8,292. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,840. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,193,957. MANAGEMENT AND GENERAL EXPENSES 354,884. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,548,841. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 18,412,374. MANAGEMENT AND GENERAL EXPENSES 969,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,381,446. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,513,888. MANAGEMENT AND GENERAL EXPENSES 762,047. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,275,935. |
| FORM 990, PART XI, LINE 9: | AFFILIATE TRANSFERS -322,813. |
| 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 (218 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 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 | Share Of Total IncomeShareOfTotalIncomeAmt | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | EXCLUDED | 0 | 0 | $6,685,876 | $45,152 | ||||
| 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 MBO PARTNERS LTD | ||||||||||||||||
| 5050 SOUTH SYRACUSE ST STE 800 | DENVER | CO | 80237 | 651132855 | REAL ESTATE | CO | N/A | N/A | 0 | 0 | ||||||
| LINCOLN CK LEASING LLC | ||||||||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 262496856 | REAL ESTATE | NE | N/A | N/A | 0 | 0 | ||||||
| MEMORIAL MEDICAL PLAZA | ||||||||||||||||
| 3838 SAN DIMAS SUITE B 201 | BAKERSFIELD | CA | 93301 | 364510880 | REAL ESTATE | CA | N/A | N/A | 0 | 0 | ||||||
| MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC | ||||||||||||||||
| 2740 M STREET | MERCED | CA | 95340 | 943358445 | MANAGEMENT OF CANCER CENTER | CA | N/A | N/A | 0 | 0 | ||||||
| MERCY REHABILITATION HOSPITAL LLC | ||||||||||||||||
| 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | C | Yes (1) | MMC | $29,294 | $17,485 | 1.00000 | ||||||
| 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTENNIAL MEDICAL GROUP INC | ||
| P | $19,166,351 | FMV |
| MERCY FOUNDATION INC | ||
| B | $643,385 | FMV |