CARRINGTON HEALTH CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CARRINGTON HEALTH CENTER (EIN 45-0227311)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-12
IRS object ID: 202101329349305625
Schema version: 2019v5.2
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	2021-05-12T21:51:27-05:00	ReturnTs
Tax Period End	2020-06-30	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	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450227311	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CARR	BusinessNameControlTxt
Phone	7016523141	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NORTH 4TH STREET	AddressLine1Txt
City	CARRINGTON	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58421	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KURT SARGENT	PersonNm
Person Title	VP OF OPERATIONAL FINANCE	PersonTitleTxt
Phone	7016523141	PhoneNum
Signature	2021-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHI ST ALEXIUS HEALTH CARRINGTON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MARIANN DOELING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NORTH 4TH STREET	AddressLine1Txt
City	CARRINGTON	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58421	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$16,716,837	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1916	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or 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.	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	112	TotalEmployeeCnt
Total Volunteers	197	TotalVolunteersCnt
Total Gross UBI	$3,891	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,891	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$734,617	PYContributionsGrantsAmt
CY Contributions Grants	$1,182,662	CYContributionsGrantsAmt
PY Program Service Revenue	$13,324,798	PYProgramServiceRevenueAmt
CY Program Service Revenue	$12,889,915	CYProgramServiceRevenueAmt
PY Investment Income	$374,259	PYInvestmentIncomeAmt
CY Investment Income	$780,498	CYInvestmentIncomeAmt
PY Other Revenue	$1,336,092	PYOtherRevenueAmt
CY Other Revenue	$1,837,597	CYOtherRevenueAmt
PY Total Revenue	$15,769,766	PYTotalRevenueAmt
CY Total Revenue	$16,690,672	CYTotalRevenueAmt
PY Grants And Similar Paid	$27,486	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$82,507	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,371,003	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,181,946	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$175,114	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,149,724	PYOtherExpensesAmt
CY Other Expenses	$8,322,345	CYOtherExpensesAmt
PY Total Expenses	$14,548,213	PYTotalExpensesAmt
CY Total Expenses	$14,586,798	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,221,553	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,103,874	CYRevenuesLessExpensesAmt
Total Assets BOY	$25,728,450	TotalAssetsBOYAmt
Total Assets EOY	$33,098,342	TotalAssetsEOYAmt
Total Liabilities BOY	$1,125,156	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,758,723	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$24,603,294	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$26,339,619	NetAssetsOrFundBalancesEOYAmt
Mission	AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,615,390	ExpenseAmt
Grant	$82,507	GrantAmt
Revenue	$12,889,915	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$10,615,390	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	112	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	22	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	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	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KURT SARGENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7016527178	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NORTH 4TH STREET	AddressLine1Txt
City	CARRINGTON	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58421	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
JEFFREY DROP
DIRECTOR/CHI SVP DIVISION OFFICER	1.00	50.00	Yes (X)	$0	$1,632,531	$28,135
KURT SCHLEY
PRESIDENT/MARKET CEO	1.00	50.00	Yes (X)	$0	$585,573	$83,318
KEVIN DAHMEN MD
SECRETARY/TREASURER (7/19-10/19)	1.00	40.00	Yes (X)	$0	$609,968	$49,834	Yes (X)
TODD PRESZLER MD
DIRECTOR	1.00	40.00	Yes (X)	$0	$601,917	$36,746
MICHAEL PAGE
PHYSICIAN	40.00	0.00		$470,792	$0	$42,367		Yes (X)
MICHAEL CASSIDY MD
DIRECTOR	1.00	40.00	Yes (X)	$0	$465,951	$33,734
SHIRAZ HYDER
DIRECTOR	1.00	40.00	Yes (X)	$0	$392,975	$54,524
TESSA MARBURGER MD
DIRECTOR	1.00	40.00	Yes (X)	$0	$394,767	$25,950
MARIANN DOELING
PRESIDENT / CEO	1.00	40.00		$0	$265,418	$22,390	Yes (X)
JACQUELINE NELSON
PHYSICIAN ASSISTANT	40.00	0.00		$216,494	$0	$13,584		Yes (X)
CHELSEY ZELTINGER
NURSE PRACT-FAMILY MEDICINE	40.00	0.00		$165,122	$0	$27,968		Yes (X)
KURT SARGENT
VP OPERATIONAL FINANCE	1.00	40.00		$0	$151,180	$22,775	Yes (X)
MARY HOFF
PHYSICIAN ASSISTANT	40.00	0.00		$154,189	$0	$17,347		Yes (X)
BRADLEY HOFF
PHYSICIAN ASSISTANT	40.00	0.00		$154,808	$0	$10,742		Yes (X)
JOHN GIESE
CHAIR (7/19-10/19)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL LEFOR
CHAIR (11/19-6/20)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
SR NANCY MILLER OSB
VICE CHAIR (7/19-10/19)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
PATRICK SOGARD
VICE CHAIR (11/19-6/20)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
JULIE TRAYNOR
SECRETARY / TREASURER (11/19-6/20)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY BOPP MD
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
KATIE FLORHAUG
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
KATHY HENDRICKSON
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
SR MARY RUTH HUHN
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
CORRY KENNER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
CURTIS KLEIN
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
MINDY MEIER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
JOHN MONGEON
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
MIKE MURPHY
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
SARA RICHTER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
KIRK SCHOEPP
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
KRISTI SCHWARTZ
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
SARAH SHANKS
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
ROBIN SIMONSON
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
BROOKE SOLBERG
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
DESI WEDE
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
CURTIS WEISZ
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
SR THOMAS WELDER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,161,405	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,100,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$469,414	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	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
CENTRAL DAKOTA PHYSICAL THERAPY PC
800 N 4TH ST	CARRINGTON	ND	58421	PHYSICAL THERAPY	$412,428
DMS HEALTH TECHNOLOGIES
PO BOX 86	MINNEAPOLIS	MN	554862208	NUCLEAR MED, MRI	$142,696
AMN HEALTHCARE
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	HEALTHCARE CONSULTING	$142,150
SIEMENS MEDICAL SOLUTIONS USA
40 LIBERTY BOULEVARD	MALVERN	PA	19355	HEALTHCARE SERVICES	$135,291
MIKE SWANSON CONSTRUCTION
6250 24TH AVENUE NE	RUGBY	ND	58368	CONSTRUCTION	$114,501

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$80,944	RelatedOrganizationsAmt
Government Grants	$1,034,113	GovernmentGrantsAmt
All Other Contributions	$67,605	AllOtherContributionsAmt
Total Contributions	$1,182,662	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES	Desc
Business	900099	BusinessCd
Total Revenue Column	$12,889,915	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,889,915	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$12,889,915	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$341,338	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,891	UnrelatedBusinessRevenueAmt
Exclusion	$337,447	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,047	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,047	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,047	TotalRevenueColumnAmt
Exclusion	$12,047	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$438,969	SecuritiesAmt
Other	$191	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	$438,969	SecuritiesAmt
Other	$191	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$439,160	TotalRevenueColumnAmt
Exclusion	$439,160	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$44,222	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$26,165	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,057	TotalRevenueColumnAmt
Exclusion	$18,057	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PHARMACY SERVICES	446110	$1,259,066	$1,259,066
PRODUCT SALES	446199	$453,902	$453,902
INSURANCE	900099	$70,000	$70,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,525	TotalRevenueColumnAmt
Exclusion	$24,525	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,807,493	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,690,672	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,889,915	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,891	UnrelatedBusinessRevenueAmt
Exclusion	$2,614,204	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	$82,507	TotalAmt
Program Services	$82,507	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,714,893	TotalAmt
Program Services	$4,243,404	ProgramServicesAmt
Management And General	$424,340	ManagementAndGeneralAmt
Fundraising	$47,149	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$251,398	TotalAmt
Program Services	$226,258	ProgramServicesAmt
Management And General	$22,626	ManagementAndGeneralAmt
Fundraising	$2,514	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$891,153	TotalAmt
Program Services	$802,037	ProgramServicesAmt
Management And General	$80,204	ManagementAndGeneralAmt
Fundraising	$8,912	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$324,502	TotalAmt
Program Services	$292,052	ProgramServicesAmt
Management And General	$29,205	ManagementAndGeneralAmt
Fundraising	$3,245	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$19,264	TotalAmt
Management And General	$19,264	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,794	TotalAmt
Management And General	$1,794	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,621,985	TotalAmt
Program Services	$3,145,331	ProgramServicesAmt
Management And General	$462,890	ManagementAndGeneralAmt
Fundraising	$13,764	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,986	TotalAmt
Program Services	$9,654	ProgramServicesAmt
Management And General	$9,863	ManagementAndGeneralAmt
Fundraising	$1,469	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$213,794	TotalAmt
Program Services	$134,608	ProgramServicesAmt
Management And General	$57,590	ManagementAndGeneralAmt
Fundraising	$21,596	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,291,455	TotalAmt
Program Services	$12,915	ProgramServicesAmt
Management And General	$1,278,540	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$204,422	TotalAmt
Program Services	$128,786	ProgramServicesAmt
Management And General	$73,592	ManagementAndGeneralAmt
Fundraising	$2,044	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$33,337	TotalAmt
Program Services	$29,003	ProgramServicesAmt
Management And General	$3,667	ManagementAndGeneralAmt
Fundraising	$667	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$303	TotalAmt
Program Services	$76	ProgramServicesAmt
Fundraising	$227	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,010	TotalAmt
Program Services	$959	ProgramServicesAmt
Management And General	$51	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$677,760	TotalAmt
Management And General	$677,760	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$790,290	TotalAmt
Program Services	$624,329	ProgramServicesAmt
Management And General	$165,961	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$38,262	TotalAmt
Management And General	$38,262	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$1,100,319	$682,198	$352,102	$66,019
REPAIRS AND MAINTENANCE	$158,008	$115,346	$41,082	$1,580
DUES & SUBSCRIPTIONS	$66,470	$44,535	$21,935	$0
RECRUITMENT AND RELOCAT	$41,374	$21,101	$17,377	$2,896

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$41,512	TotalAmt
Program Services	$20,291	ProgramServicesAmt
Management And General	$18,189	ManagementAndGeneralAmt
Fundraising	$3,032	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,586,798	TotalAmt
Program Services	$10,615,390	ProgramServicesAmt
Management And General	$3,796,294	ManagementAndGeneralAmt
Fundraising	$175,114	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,139	BOYAmt
EOY	$16,652	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,463,649	BOYAmt
EOY	$9,684,974	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,976,677	BOYAmt
EOY	$1,574,798	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,183	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$246,703	BOYAmt
EOY	$179,381	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,415	BOYAmt
EOY	$8,142	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$16,502,363	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,964,945	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,589,014	BOYAmt
EOY	$4,537,418	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,421,670	BOYAmt
EOY	$17,012,527	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$84,450	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,728,450	BOYAmt
EOY	$33,098,342	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$628,284	BOYAmt
EOY	$3,205,995	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,843	BOYAmt
EOY	$3,085,778	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$494,029	BOYAmt
EOY	$466,950	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,125,156	BOYAmt
EOY	$6,758,723	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	$24,052,539	BOYAmt
EOY	$25,965,002	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$550,755	BOYAmt
EOY	$374,617	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,603,294	BOYAmt
EOY	$26,339,619	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,728,450	BOYAmt
EOY	$33,098,342	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,103,874	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$189,418	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$7,259	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$170,872	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,794	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$1,794	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 IS AS FOLLOWS: - AMERICAN HOSPITAL ASSOCIATION - $467 - CATHOLIC HEALTH ASSOCIATION - $326 - NORTH DAKOTA HEALTHCARE ASSOCIATION - $834 - AMERICAN MEDICAL GROUP ASSOCIATION - $167	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,207	BeginningYearBalanceAmt
Investment Earnings Or Losses	$830	InvestmentEarningsOrLossesAmt
Administrative Expenses	$78	AdministrativeExpensesAmt
End Year Balance	$28,959	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,636	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,571	InvestmentEarningsOrLossesAmt
End Year Balance	$28,207	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,669	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,967	InvestmentEarningsOrLossesAmt
End Year Balance	$26,636	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,006	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,741	InvestmentEarningsOrLossesAmt
Administrative Expenses	$78	AdministrativeExpensesAmt
End Year Balance	$24,669	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,174	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$168	InvestmentEarningsOrLossesAmt
End Year Balance	$22,006	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.30000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,958	OtherCostOrOtherBasisAmt
Book Value	$346,958	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,300,095	OtherCostOrOtherBasisAmt
Depreciation	$5,657,956	DepreciationAmt
Book Value	$642,139	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,106,718	OtherCostOrOtherBasisAmt
Depreciation	$6,058,923	DepreciationAmt
Book Value	$3,047,795	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$748,592	OtherCostOrOtherBasisAmt
Depreciation	$248,066	DepreciationAmt
Book Value	$500,526	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,537,418	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	CHI OPERATING INVESTMENT PROGRAM, LP	Desc
Book Value	$17,012,527	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$17,012,527	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE	$377,155
LEASE LIABILITY	$84,722
ONPLAN SERVICE FEE LIABILITY	$5,073

Field	Value	IRS element (for citing)
Total Liability	$466,950	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

A CONTRIBUTION WAS MADE TO THE FOUNDATION FOR A PERMANENT ENDOWMENT. THE INVESTMENT EARNINGS OF $20,260 GENERATED FROM IT ARE UNRESTRICTED FOR THE FOUNDATION TO BE USED TO SUPPORT CARRINGTON HEALTH CENTER'S GREATEST NEEDS.

PART X, LINE 2:

CARRINGTON MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX BENEFITS AS OF JUNE 30, 2020 AND 2019. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	224	PersonsServedCnt
Total Community Benefit Expns	$210,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$210,704	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

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

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	224	PersonsServedCnt
Total Community Benefit Expns	$210,704	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$210,704	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	20999	PersonsServedCnt
Total Community Benefit Expns	$174,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,158	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	42	PersonsServedCnt
Total Community Benefit Expns	$27,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	19	PersonsServedCnt
Total Community Benefit Expns	$2,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$21,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	21060	PersonsServedCnt
Total Community Benefit Expns	$225,902	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$225,902	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	21284	PersonsServedCnt
Total Community Benefit Expns	$436,606	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$436,606	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$3,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$3,637	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,637	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$39	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	410	PersonsServedCnt
Total Community Benefit Expns	$31,941	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	485	PersonsServedCnt
Total Community Benefit Expns	$39,140	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,140	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$405,763	BadDebtExpenseAmt
Reimbursed By Medicare	$6,304,316	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,386,214	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$81,898	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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	CARRINGTON HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 NORTH FOURTH STREET	AddressLine1Txt
City	CARRINGTON	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	584210461	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG	WebsiteAddressTxt
State License	5008	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARRINGTON HEALTH CENTER	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 PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
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
CARRINGTON HEALTH CENTER	PART V, SECTION B, LINE 5: THE HOSPITAL COLLECTED INPUT FROM RESIDENTS, COMMUNITY LEADERS, EMPLOYEES OF CARRINGTON HEALTH CENTER, FOSTER COUNTY PUBLIC HEALTH, AND COMMUNITY FOCUS GROUPS. A STEERING COMMITTEE COMPRISED OF THE HOSPITAL PRESIDENT, ADMINISTRATOR OF FOSTER COUNTY PUBLIC HEALTH, NURSE WITH FOSTER COUNTY PUBLIC HEALTH, AND TWO HOSPITAL EMPLOYEES LEADING THE CHNA DATA COLLECTION EFFORTS.
CARRINGTON HEALTH CENTER	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH FOSTER COUNTY PUBLIC HEALTH.
CARRINGTON HEALTH CENTER	PART V, SECTION B, LINE 11: CARRINGTON MEDICAL CENTER ("CMC") HAS CONTINUED TO WORK ON ITS IMPLEMENTATION PLAN AS PART OF THE CHNA, WHICH INCLUDED ACCESS TO PROVIDERS, AVAILABILITY OF RESOURCES FOR ELDERLY TO STAY IN THEIR HOMES. CMC HAS CONTINUED TO TRY TO RECRUIT A PHYSICIAN TO THE AREA, BUT IT IS CHALLENGING GIVEN THE PANDEMIC AND THE DRAW OF PROVIDERS TO OTHER COMMUNITIES. THE FACILITY CONTINUES TO WORK WITH PHYSICIAN RECRUITMENT TO IDENTIFY CANDIDATES FOR EMPLOYMENT. CMC HAS EVALUATED PRICES FOR CERTAIN SERVICES, PRIMARILY RADIOLOGY, AND REDUCED OR MAINTAINED PRICES FOR CT, RADIOLOGY, AND MRI SERVICES TO MAKE THEM MORE AFFORDABLE FOR THESE SERVICES. THE HOSPITAL DOES CONTINUE TO CONTRACT FOR TWO DAYS A A MONTH FOR A GENERAL SURGEON TO PROVIDE SERVICES TO PATIENT'S REFERRED TO HIM. FINALLY, THE 2020 CORONAVIRUS ("COVID-19") PANDEMIC DICTATED MUCH OF THE YEAR AND CONTINUES. THE HOSPITAL HAS HAD TO IMPLEMENT STRATEGIES TO CONTINUE TO DELIVER CARE, PROVIDE A SAFE ENVIRONMENT FOR EMPLOYEES, AND CARE FOR BOTH INFECTED AND NON-INFECTED PATIENTS GETTING CARE FOR OTHER AILMENTS. COVID-19 REQUIRED THE HOSPITAL TO FOCUS ON PROVIDING BASIC CARE AND NOT REALLY ABLE EXPAND ON OTHER IMPLEMENTATION PLAN ITEMS, AS COVID PLACED A SIGNIFICANT BURDEN ON STAFF AND THE COMMUNITY IN ORDER TO TRY TO CONTAIN THE VIRUS TO PREVENT SPREAD, SICKNESS, AND EVEN DEATH. THIS ALSO IMPACTED THE HOSPITAL FINANCIALLY, DUE TO THE DROPS IN VOLUMES THAT WITHOUT THE FEDERAL GOVERNMENT'S ASSISTANCE WOULD HAVE REQUIRED DRACONIAN MEASURES FOR THE HOSPITAL TO CONTINUE TO PROVIDE CARE TO THE COMMUNITY. WE HOPE THAT WITH THE ROLLOUT OF THE VACCINE AND OTHER CARE, WE CAN SEE A RETURN TO WHATEVER THE NEW NORMAL IS WITH A NOVEL VIRUS IN THE PUBLIC.
CARRINGTON HEALTH CENTER	PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
SCHEDULE H, PART V, SECTION B, LINE 7A	WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, LINE 16A	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - COMMUNITY HEALTH CENTER
118 1ST STREET	NEW ROCKFORD	ND	58356	PROVIDER BASED RURAL HEALTH CLINIC
2 - NEW ROCKFORD FAMILY CLINIC
118 1ST STREET	NEW ROCKFORD	ND	58356	PROVIDER BASED RURAL HEALTH CLINIC
3 - CARRINGTON MEDICAL CLINIC & URGENT CARE
820 5TH ST N	CARRINGTON	ND	58421	PROVIDER BASED RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: -THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. -THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. -THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. -THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: -RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; -HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; -PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); -FOOD STAMP ELIGIBILITY; -SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; -ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); -LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR -PATIENT IS DECEASED WITH NO KNOWN ESTATE.
PART I, LINE 7:	THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO REPORT FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS IN PART I, LINE 7. THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSES ALL OF THE PATIENTS SERVED BY CARRINGTON HEALTH CENTER.
PART III, LINE 2:	THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.
PART III, LINE 3:	CARRINGTON HEALTH CENTER 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:	CARRINGTON HEALTH CENTER 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 IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEENMONTH 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 CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRDPARTYPAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2019 WAS NOT SIGNIFICANT.
PART III, LINE 8:	CARRINGTON HEALTH CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL (CAH). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP).SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, CARRINGTON HEALTH CENTER , DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES.ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEESCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY:TOTAL MEDICARE REVENUE: $6,304,316TOTAL MEDICARE COSTS: $6,386,214SURPLUS OR SHORTFALL: ($81,898)CARRINGTON HEALTH CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFITMAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS:UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY.THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES."MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
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 THIRDPARTY 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:	THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY BY PROVIDING CARE TO PATIENTS 24 HOURS A DAY REGARDLESS OF THEIR ABILITY TO PAY. THE WORK DONE BY THE EMPLOYEES OF THE ORGANIZATION PROVIDE INSIGHT INTO THE NEEDS OF THE COMMUNITY. FOR EXAMPLE, THE PROVIDERS ARE MEASURED BASED ON OUTCOMES RELATED TO HYPERTENSION AND DIABETES, SO VARIANCES IN THE PROVIDERS ABILITY TO CARE FOR INDIVIDUALS AND MEET TARGETS PROVIDES A QUANTITATIVE INSIGHT INTO THE COMMUNITY HEALTH. ADDITIONALLY, WITH A RELATIVELY RECENT CHNA, WE USE THAT DOCUMENT AND THE IMPLEMENTATION PLAN TO DETERMINE THE COMMUNITY HEALTH. LASTLY, WITH COVID-19, CARRINGTON MEDICAL CENTER HAS TAKEN A LEADERSHIP ROLE IN PROVIDING SERVICES TO THE COMMUNITY, SO THE HOSPITAL HAS ENGAGED IN BROAD TESTING OF THE COMMUNITY, ALONG WITH FOSTER COUNTY PUBLIC HEALTH, AS WELL AS, VACCINATION ROLLOUT.
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:	CARRINGTON MEDICAL CENTER IS LOCATED IN THE FRONTIER AREA OF NORTH DAKOTA AND IS THE ONLY HOSPITAL WITHIN 45 MINUTES OF CARRINGTON, NORTH DAKOTA. CMC HAS SERVICE POPULATION OF APPROXIMATELY 5,000 GIVEN THE SPREAD THROUGH VARIOUS COMMUNITIES AND COUNTIES. THE HOSPITAL PAYER MIX FOR FY20 WAS 52% AND MEDICAID WAS 7.3%, WHICH IS AN INCREASE FROM PRIOR YEARS. THE ORGANIZATION PROVIDED OVER $334,000 IN CHARITY CARE IN FY20 AND WROTE-OFF MORE THAN 3.1% OF ITS NET PATIENT SERVICE REVENUE TO BAD DEBT, WHICH IN A WAY IS ANOTHER MEASURE OF CHARITY CARE GIVEN THE UNLIKELIHOOD THAT THE MONEY WILL ULTIMATELY MIGHT NOT BE RECEIVED.
PART VI, LINE 5:	THE HOSPITAL PROMOTES HEALTH WITHIN THE COMMUNITY BY USING FUNDS TO PROVIDE CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, EDUCATING THE PUBLIC ABOUT COVID-19 THROUGH SOCIAL MEDIA, RADIO ANNOUNCEMENTS, INTERVIEWS AND CONTENT GENERATION WITH THE MEDIA, AND MAINTAINING OPERATIONS GIVEN THE PANDEMIC. THE HOSPITAL HAS A PATIENT CARE ADVISORY COUNCIL, QUALITY AND VALUES COMMITTEE OF THE BOARD OF DIRECTORS, BOARD OF DIRECTORS, WHICH INCLUDES LOCAL REPRESENTATION. PRIOR TO COVID, THE HOSPITAL WOULD CONDUCT EDUCATION RELATED TO CPR CLASSES, ATTENDING COMMUNITY EVENTS, SUCH AS, COUNTY FAIR, 4TH OF JULY CELEBRATIONS, AND WORKING WITH LOCAL SCHOOLS TO SUPPORT HEALTHY LIVING.
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 AS A SINGLE MINISTRY 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 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 2020, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.2 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $29.57 BILLION IN FISCAL YEAR 2020, HAS TOTAL ASSETS OF APPROXIMATELY $46.77 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	ND

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CARRINGTON DAILY BREAD
875 MAIN ST	CARRINGTON	ND	58421	450307309	501(C)(3)	$50,635	FOOD FOR BACKPACK PROGRAM
FOSTER COUNTY
1000 5TH ST NE	CARRINGTON	ND	58421	456002212	GOVERNMENT	$22,529	COUNTY PARK EQUIPMENT

Field	Value	IRS element (for citing)
Total501c3 Org	1	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	GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATIONS CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS.	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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
JEFFREY DROP
DIRECTOR/CHI SVP DIVISION OFFICER	$0	$738,287	$0	$762,437	$0	$131,807	$0	$10,333	$0	$17,802	$0	$1,660,666	$0	$0
KURT SCHLEY
PRESIDENT/MARKET CEO	$0	$441,481	$0	$123,160	$0	$20,932	$0	$57,065	$0	$26,253	$0	$668,891	$0	$0
KEVIN DAHMEN MD
SECRETARY/TREASURER (7/19-10/19)	$0	$538,026	$0	$69,320	$0	$2,622	$0	$26,600	$0	$23,234	$0	$659,802	$0	$0
TODD PRESZLER MD
DIRECTOR	$0	$534,680	$0	$62,335	$0	$4,902	$0	$11,200	$0	$25,546	$0	$638,663	$0	$0
MICHAEL PAGE
PHYSICIAN	$287,718	$0	$181,814	$0	$1,260	$0	$16,150	$0	$26,217	$0	$513,159	$0	$0	$0
MICHAEL CASSIDY MD
DIRECTOR	$0	$454,407	$0	$0	$0	$11,544	$0	$16,066	$0	$17,668	$0	$499,685	$0	$0
SHIRAZ HYDER
DIRECTOR	$0	$368,041	$0	$17,410	$0	$7,524	$0	$30,200	$0	$24,324	$0	$447,499	$0	$0
TESSA MARBURGER MD
DIRECTOR	$0	$382,945	$0	$0	$0	$11,822	$0	$16,072	$0	$9,878	$0	$420,717	$0	$0
MARIANN DOELING
PRESIDENT / CEO	$0	$173,059	$0	$43,345	$0	$49,014	$0	$13,774	$0	$8,616	$0	$287,808	$0	$14,322
JACQUELINE NELSON
PHYSICIAN ASSISTANT	$213,572	$0	$2,164	$0	$758	$0	$13,066	$0	$518	$0	$230,078	$0	$0	$0
CHELSEY ZELTINGER
NURSE PRACT-FAMILY MEDICINE	$152,947	$0	$7,727	$0	$4,448	$0	$10,161	$0	$17,807	$0	$193,090	$0	$0	$0
KURT SARGENT
VP OPERATIONAL FINANCE	$0	$126,677	$0	$21,296	$0	$3,207	$0	$7,641	$0	$15,134	$0	$173,955	$0	$0
MARY HOFF
PHYSICIAN ASSISTANT	$150,995	$0	$1,789	$0	$1,405	$0	$9,547	$0	$7,800	$0	$171,536	$0	$0	$0
BRADLEY HOFF
PHYSICIAN ASSISTANT	$152,234	$0	$1,977	$0	$597	$0	$8,939	$0	$1,803	$0	$165,550	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	DURING THE CALENDAR YEAR 2019, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B	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 A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. LINE 4B DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: MARIANN K. DOELING - $14,369 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 2019 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 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: JEFFREY DROP - $112,353 MARIANN K. DOELING - $9,480
PART I, LINE 7	CHC MAINTAINS A VARIABLE PAY PLAN FOR MIDDLE MANAGEMENT AND SENIOR EXECUTIVE MANAGEMENT THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PERFORMANCE IN RELATION TO BUDGET, AND ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FMV. PHYSICIAN AND ADVANCED CLINICAL PRACTITIONER INCENTIVE COMPENSATION IS BASED ON THE CMS RBRVS METHODOLOGY (CENTER FOR MEDICARE AND MEDICAID SERVICES RESOURCE-BASED RELATIVE VALUE SCALE METHOD) FOR DETERMINING PHYSICIAN WRVU (RELATIVE VALUE UNIT) FOR PERSONALLY PERFORMED PHYSICIAN SERVICES. THE VALUE OF A WRVU IS DETERMINED WITH REFERENCE TO THE MOST CURRENT NATIONAL PHYSICIAN FEE SCHEDULE RELATIVE VALUE FILE. PHYSICIAN AND ADVANCED CLINICAL PRACTITIONER QUALITY INCENTIVE COMPENSATION IS BASED ON PERFORMANCE MEASURES ESTABLISHED TO ACHIEVE QUALITY, SATISFACTION, AND OPERATING TARGETS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CASEY ZINK	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SISTER OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$35,744	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF CARRINGTON HEALTH 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 6	ACCORDING TO THE BYLAWS OF CARRINGTON HEALTH 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 5.1 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 CARRINGTON HEALTH CENTER AMENDMENT OF THE CORPORATE DOCUMENTS OF CARRINGTON HEALTH CENTER APPROVE MEMBERS OF THE CARRINGTON HEALTH CENTER BOARD REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CARRINGTON HEALTH CENTER APPROVAL OF ISSUANCE OF DEBT BY CARRINGTON HEALTH CENTER APPROVAL OF PARTICIPATION OF CARRINGTON HEALTH CENTER IN A JOINT VENTURE APPROVAL OF FORMATION OF A NEW CORPORATION BY CARRINGTON HEALTH CENTER APPROVAL OF A MERGER INVOLVING CARRINGTON HEALTH CENTER APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CARRINGTON HEALTH CENTER TO REQUIRE THE TRANSFER OF ASSETS BY CARRINGTON HEALTH 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 CARRINGTON HEALTH 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 VP OF OPERATIONAL FINANCE. THE VP OF OPERATIONAL FINANCE PROVIDES THE RETURN TO THE EXECUTIVE ASSISTANT WHO HANDLES BOARD CORRESPONDENCE. THE EXECUTIVE ASSISTANT FORWARDS TO THE BOARD PRIOR TO FILING WITH THE IRS. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. LINE 15B DURING THE TAX YEAR ENDED 6/30/2020, NO OTHER OFFICERS RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,768,513. MANAGEMENT AND GENERAL EXPENSES 260,268. FUNDRAISING EXPENSES 7,739. TOTAL EXPENSES 2,036,520. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 829,140. MANAGEMENT AND GENERAL EXPENSES 122,022. FUNDRAISING EXPENSES 3,628. TOTAL EXPENSES 954,790. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 485,906. MANAGEMENT AND GENERAL EXPENSES 71,509. FUNDRAISING EXPENSES 2,126. TOTAL EXPENSES 559,541. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 41,279. MANAGEMENT AND GENERAL EXPENSES 6,075. FUNDRAISING EXPENSES 181. TOTAL EXPENSES 47,535. CONSULTING: PROGRAM SERVICE EXPENSES 20,493. MANAGEMENT AND GENERAL EXPENSES 3,016. FUNDRAISING EXPENSES 90. TOTAL EXPENSES 23,599.
FORM 990, PART XI, LINE 9:	CAPITAL RESOURCE POOL CONTRIBUTION -170,872.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (217 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 - COMMUNITY MEMORIAL HOSPITAL MO VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH	0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD	ARROYO GRANDE	CA	93420	203256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET	BAKERSFIELD	CA	93301	951802779	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	860174371	FUNDRAISING	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	SLCHS	0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	LINE 3	SLHS	0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	HEALTHCARE	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	BRHS	0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	800240261	PHYSICIANS	TX	501(C)(3)	LINE 3	BRHS	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	HEALTHCARE	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
1150 KELLY JOHNSON BLVD 204	COLORADO SPRINGS	CO	80920	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	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	PHYSICIANS	CO	501(C)(3)	LINE 12A, I	CHINS	0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC	0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200	BAKERSFIELD	CA	93311	844171789	CLINIC	CA	501(C)(3)	LINE 3	DCC	0
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	FUNDRAISING FOUNDATION	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
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	0
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	SFH	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	HEALTHCARE	CO	501(C)(3)	LINE 10	CHI NS	0
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	LINE 12A, I	CSH	0
CHI NEBRASKA
12809 WEST DODGE ROAD	OMAHA	NE	68510	363233121	HEALTHCARE	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 OPERATING INVESTMENT POOL LLC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	850919176	INVESTMENTS	CA	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
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	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 SUITE 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 SUITE 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 SUITE 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 SUITE 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 SUITE 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 FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(C)(3)	LINE 10	CSH	0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(C)(3)	LINE 10	FHS	0
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	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	MINISTRIES	CO	501(C)(3)	LINE 12A, I	CSH	0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	0
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	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	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
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC	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	SHELTER	IA	501(C)(3)	LINE 7	CHI-IA CORP	0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E LIBERTY ST STE 500	LOUISVILLE	KY	40202	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	HEALTHCARE	KY	501(C)(3)	LINE 10	JHSMH	0
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	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
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	LIVING ASSIST	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	HOSPITAL	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	0
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS	0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL	0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MCMAHON TERRACE
3865 J STREET	SACRAMENTO	CA	95816	680117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DH	0
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	0
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE E	NEWTON	IA	50314	421470935	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET	MERCED	CA	95340	770035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC	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	NCHA	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	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	0
PROVIDENCE CARE CENTERS
2025 HAYES AVENUE	SANDUSKY	OH	44870	341826099	HOLDING CO	OH	501(C)(3)	LINE 12A, I	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
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 SYLVESTER ROAD SW	BURIEN	WA	98166	911170040	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	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
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	LINE 10	SCHS	0
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	LINE 10	CSH	0
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	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	HOSPITAL	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	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
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	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 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	HEALTHCARE	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
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	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	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HOSPITAL	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
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	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	HEALTHCARE	AR	501(C)(3)	LINE 10	SVIMC	0
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	341412964	HEALTHCARE	OH	501(C)(3)	LINE 12A, I	CSH	0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	455357161	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	SFH	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
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	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	HOSPITAL	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
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	LINE 10	SCHS	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (81 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	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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
350 W THOMAS RD	PHOENIX	AZ	85018	474696671	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA CARE NETWORK LLC (ACN LLC)
350 W THOMAS RD	PHOENIX	AZ	85013	454494682	CARE NETWORK	AZ	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
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	811727282	HEALTHCARE SRVC	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 INCLUDING CYBERKNIFE	CA	N/A	N/A	0	0
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	N/A	N/A	0	0
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CENTER	AL	N/A	N/A	0	0
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	N/A	N/A	0	0					$572,385	$17,012,524	0.00320
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	CA	N/A	N/A	0	0
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 300	SAN FRANCISCO	CA	94107	352484591	HOLDING COMPANY	DE	N/A	N/A	0	0
DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC
5555 GLENRIDGE CONNECTOR SUITE 700	ATLANTA	GA	30342	352548698	MANAGEMENT SERVICES	DE	N/A	N/A	0	0
DIGNITY HEALTH AT HOME LLC
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 300	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
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	202999237	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP NORCAL SURGERY CENTERS LLC
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	202468509	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	134248908	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	352584991	SURGERY	TX	N/A	N/A	0	0
DIGNITY-ABRAZO HEALTH NETWORK LLC
3030 N CENTRAL AVENUE SUITE 1402	PHOENIX	AZ	85012	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
FOLSOM SIERRA ENDOSCOPY CENTER LP
1650 CREEKSIDE DRIVE 1600	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
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
3000 RIVERCHASE GALLERIA SUITE 500	BIRMINGHAM	AL	35244	770418197	AMBULATORY SURGICAL CENTER	CA	N/A	N/A	0	0
OMG ARIZONA LLC
130 SUTTER STREET 2ND FLR	SAN FRANCISCO	CA	94104	471708588	MEDICAL OFFICE	AZ	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
PASADENA URGENCY CENTER LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	812482854	URGENT CARE	TX	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 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 MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC
19625 62ND AVENUE SOUTH 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
PUEBLO AMBULATORY SURGERY CENTER LLC
25 MONTEBELLO RD	PUEBLO	CO	81003	621488737	SURGERY CENTER	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	OP SURGERY	DE	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
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	DIAGNOSTICS	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	DIAGNOSTICS	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
1700 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
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 (64 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	0
ALL SAINTS INSURANCE COMPANY SPC LTD
				980556913	INSURANCE		N/A	C	0	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	HEALTHCARE	TX	N/A	C	0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	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	FITNESS CLUB	KY	N/A	C	0
BRAZOSPORT HEALTH ALLIANCE
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	HEALTH CARE	TX	N/A	C	0
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD STE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	N/A	C	0
CAPTIVE MANAGEMENT INITIATIVES LTD
				980663022	CAPTIVE MANAGEMENT		N/A	C	0	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	CJ
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	HEALTHCARE	CA	N/A	S	0
COMCARE SERVICES INC
5570 DTC PARKWAY	ENGLEWOOD	CO	80111	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 (CAYMAN ISLAND CORPORATION)
				981065338	INSURANCE		N/A	C	0	PO BOX 1051 KY1-1102	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	HEALTH CARE	TX	N/A	C	0
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		N/A	C	0	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	CJ
FRANCISCAN CITY URGENT CARE SERVICES PS
C/O CPGUSA 1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	812174959	HEALTHCARE	NY	N/A	C	0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	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	HEALTH ORG.	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	HEATH CARE	TX	N/A	C	0
MERCY PARK APARTMENTS LTD
1111 6TH AVE	DES MOINES	IA	50314	421202422	HOUSING	IA	N/A	C	0
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	N/A	C	0
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	N/A	C	0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200	BAKERSFIELD	CA	93311	770513445	HEALTHCARE	CA	N/A	S	0
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RD	CHATTANOOGA	TN	37421	621570739	MGMT SVC ORG	TN	N/A	C	0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538	BISMARK	ND	58506	450439894	HEALTHCARE	ND	N/A	C	0
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	N/A	C	0
QUALCHOICE ADVANTAGE
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	INSURANCE	WA	N/A	C	0
QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	N/A	C	0
QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS 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	BILLING SERVICES	NJ	N/A	C	0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	N/A	C	0
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	LEXINGTON	KY	40503	270164198	MGMT	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	MEDICAL CLINIC	TX	N/A	C	0
TOWSON MANAGEMENT INC
7601 OSLER DR	TOWSON	MD	21204	521710750	MGMT SERVICES	MD	N/A	C	0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	MGMT SERVICES	OH	N/A	C	0

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