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PORT CITY OPERATING COMPANY LLC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PORT CITY OPERATING COMPANY LLC (EIN 46-5322209)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-04
IRS object ID
202111249349301871
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-04T20:12:04-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465322209EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORT CITY OPERATING COMPANY LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone2099432000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 DATA DRIVEAddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNIKKI OCHOAPersonNm
Person TitleCFOPersonTitleTxt
Phone2094676442PhoneNum
Signature2021-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES LANCASTERPreparerPersonNm
PTINP00742579PTIN
Phone4159635100PhoneNum
Preparation2021-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD WILEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 DATA DRIVEAddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$822,123,305GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DIGNITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPORT CITY LLC IS COMMITTED TO FURTHERING THE HEALING MINISTRY OF JESUS THROUGH THE DELIVERY OF AFFORDABLE HEALTH CARE, ADVOCACY FOR THE POOR AND COMMUNITY PARTNERSHIPS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers202TotalVolunteersCnt
Total Gross UBI$292,601TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,963,029PYContributionsGrantsAmt
CY Contributions Grants$16,460,764CYContributionsGrantsAmt
PY Program Service Revenue$647,779,550PYProgramServiceRevenueAmt
CY Program Service Revenue$664,947,163CYProgramServiceRevenueAmt
PY Investment Income$4,762,408PYInvestmentIncomeAmt
CY Investment Income$7,753,740CYInvestmentIncomeAmt
PY Other Revenue$2,580,065PYOtherRevenueAmt
CY Other Revenue$3,601,780CYOtherRevenueAmt
PY Total Revenue$657,085,052PYTotalRevenueAmt
CY Total Revenue$692,763,447CYTotalRevenueAmt
PY Grants And Similar Paid$11,665,745PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,723,036CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$591,542,367PYOtherExpensesAmt
CY Other Expenses$629,343,548CYOtherExpensesAmt
PY Total Expenses$603,208,112PYTotalExpensesAmt
CY Total Expenses$643,066,584CYTotalExpensesAmt
PY Revenues Less Expenses$53,876,940PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,696,863CYRevenuesLessExpensesAmt
Total Assets BOY$592,142,580TotalAssetsBOYAmt
Total Assets EOY$716,107,160TotalAssetsEOYAmt
Total Liabilities BOY$172,415,126TotalLiabilitiesBOYAmt
Total Liabilities EOY$242,245,665TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$419,727,454NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$473,861,495NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPORT CITY LLC IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$530,696,678ExpenseAmt
Grant$13,723,036GrantAmt
Revenue$629,329,151RevenueAmt
DescST. JOSEPH'S MEDICAL CENTER (SJMC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. SJMC IS A 355-BED LICENSED ACUTE CARE FACILITY, PROVIDING GENERAL MEDICAL/ SURGICAL CARE, OBSTETRICS, NEONATAL ICU, EMERGENCY SERVICES, CANCER SERVICES, WITH SPECIALITIES IN CARDIAC SURGERY AND CARDIOVASCULAR CARE, RESPIRATORY, AND ORTHOPEDICS. THERE ARE NUMEROUS ANCILLARY AND OUTPATIENT SUPPORT SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$25,815,038ExpenseAmt
Revenue$24,062,015RevenueAmt
DescST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. BHC IS A 35 BED ACUTE PSYCHIATRIC AND CHEMICAL DEPENDENCY HOSPITAL, PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,725,648ExpenseAmt
Revenue$11,263,396RevenueAmt
DescST. JOSEPH'S MEDICAL CENTER HOME HEALTH (SJHHA) OPERATES AND IS LICENSED AS A HOSPITAL BASED HOME HEALTH AGENCY WITH THE STATE OF CALIFORNIA. SJHHA PROVIDES SKILLED NURSING CARE SERVICES, SOCIAL SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES, AS WELL AS HOME HEALTH AIDES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$564,237,364TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document170IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARA CARTOSCELLI ACCOUNTINGPersonNm
Phone9166313337PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110901 GOLD CENTER DRIVE STE 300AddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JON VANBOENING
BOARD MEMBER2.0050.00Yes (X)$0$1,545,360$220,563
DONALD WILEY
PRESIDENT AND CEO50.000.00$0$1,212,772$139,147Yes (X)
JOHN PETERSDORF
VICE CHAIR2.0050.00Yes (X)$0$1,117,159$168,320Yes (X)
RICHARD CARVOLTH MD
BOARD MEMBER2.0050.00Yes (X)$0$694,664$93,688
KEVIN WALTERS
BOARD MEMBER2.0050.00Yes (X)$0$597,976$101,357
KARL SILBERSTEIN
FORMER OFFICER0.000.00$0$452,107$51,273Yes (X)
ANDREA NIKKI OCHOA
CHIEF FINANCIAL OFFICER50.000.00$0$269,623$46,503Yes (X)
JEFF COLLINS
BOARD MEMBER2.000.00Yes (X)$0$0$0
TOM HANENBURG
BOARD MEMBER (THRU 2/27/20)2.000.00Yes (X)$0$0$0
DEBRA CUNNINGHAM
CHAIR2.000.00Yes (X)$0$0$0Yes (X)
CORWIN HARPER
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,889,661TotReportableCompRltdOrgAmt
Total Other Compensation$820,851TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL SOLUTIONS LLC
1010 N 102ND STOMAHANE68114STAFFING SERVICES$9,700,941
ANESTHESIA SRV OF SAN JOAQUIN
10 C0MMERCE DRNEW ROCHELLENY10801MEDICAL/PHYSICIAN SERVICES$6,234,843
INPATIENT SPECIALISTS OF CALIF
PO BOX 742936LOS ANGELESCA900742936MEDICAL/PHYSICIAN SERVICES$5,831,212
SAN JOAQUIN CRITICAL CARE
1801 E MARCH LANE STE C300STOCKTONCA95210MEDICAL/PHYSICIAN SERVICES$2,127,350
BLOODSOURCE
10536 PETER A MCCUEN BLVDMATHERCA956554128PRODUCT/TESTING SERVICES$2,090,775
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K73CntrctRcvdGreaterThan100KCnt
Related Organizations$3,020,960RelatedOrganizationsAmt
Government Grants$13,103,524GovernmentGrantsAmt
All Other Contributions$336,280AllOtherContributionsAmt
Noncash Contributions$111,057NoncashContributionsAmt
Total Contributions$16,460,764TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT NET OF CHARITY AND PRICE900099$433,401,625$433,401,625
MEDICARE / MEDICAID PAYMENTS900099$229,474,773$229,474,773
MEDICAL OFFICE BUILDING621300$642,244$642,244
PROGRAM RELATED RENTAL INCOME900099$619,678$619,678
LABORATORY621500$292,601$292,601

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$516,242TotalRevenueColumnAmt
Related Or Exempt Func Income$516,242RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$664,947,163TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,332,754TotalRevenueColumnAmt
Exclusion$2,332,754ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$142,351RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$142,351RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,351TotalRevenueColumnAmt
Exclusion$142,351ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$134,780,844SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$129,359,858SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,420,986SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,420,986TotalRevenueColumnAmt
Exclusion$5,420,986ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CHFT CREDIT900099$1,460,136$1,460,136
CAFETERIA722514$1,198,567$1,198,567
LIFE LINE REVENUE900099$225,374$225,374

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$575,352TotalRevenueColumnAmt
Exclusion$575,352ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,459,429OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$692,763,447TotalRevenueColumnAmt
Related Or Exempt Func Income$664,654,562RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$292,601UnrelatedBusinessRevenueAmt
Exclusion$11,355,520ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,684,194TotalAmt
Program Services$13,684,194ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$38,842TotalAmt
Program Services$38,842ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$651,992TotalAmt
Management And General$651,992ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,210TotalAmt
Management And General$117,210ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$53,875TotalAmt
Management And General$53,875ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$307,178TotalAmt
Management And General$307,178ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$438,637,425TotalAmt
Program Services$385,370,592ProgramServicesAmt
Management And General$53,266,833ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,236,699TotalAmt
Program Services$47,394ProgramServicesAmt
Management And General$1,189,305ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,060,781TotalAmt
Program Services$9,428,250ProgramServicesAmt
Management And General$1,632,531ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,323,891TotalAmt
Program Services$404,809ProgramServicesAmt
Management And General$19,919,082ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,075,658TotalAmt
Program Services$5,978,265ProgramServicesAmt
Management And General$97,393ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$412,729TotalAmt
Program Services$274,472ProgramServicesAmt
Management And General$138,257ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$126,549TotalAmt
Program Services$89,936ProgramServicesAmt
Management And General$36,613ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,830,355TotalAmt
Program Services$3,830,355ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,371,098TotalAmt
Program Services$31,371,098ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,203,834TotalAmt
Program Services$4,203,834ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$72,336,521$72,332,791$3,730
MEDI-CAL PROVIDER FEE$32,247,978$32,247,978$0
FOOD COST$2,792,418$2,620,055$172,363
UNRELATED BUSINESS INCO$43,000$43,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,514,357TotalAmt
Program Services$2,314,499ProgramServicesAmt
Management And General$1,199,858ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$643,066,584TotalAmt
Program Services$564,237,364ProgramServicesAmt
Management And General$78,829,220ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,775BOYAmt
EOY$13,524EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,320,531BOYAmt
EOY$149,133,184EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$101,843BOYAmt
EOY$371,565EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,254,354BOYAmt
EOY$80,200,663EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,775,122BOYAmt
EOY$1,661,924EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,741,494BOYAmt
EOY$5,819,245EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$80,717,708BOYAmt
EOY$84,105,814EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$272,685,417LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,951,146LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$257,728,002BOYAmt
EOY$244,734,271EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,346,465BOYAmt
EOY$50,849,993EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$54,982,389BOYAmt
EOY$66,526,969EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,500,617BOYAmt
EOY$1,881,278EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$10,310,000BOYAmt
EOY$10,310,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,350,280BOYAmt
EOY$20,498,730EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$592,142,580BOYAmt
EOY$716,107,160EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$74,929,302BOYAmt
EOY$147,928,633EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,585,660BOYAmt
EOY$2,536,881EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$70,205,539EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,236,510BOYAmt
EOY$4,248,456EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,663,654BOYAmt
EOY$17,326,156EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$172,415,126BOYAmt
EOY$242,245,665EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$419,727,454BOYAmt
EOY$473,861,495EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$419,727,454BOYAmt
EOY$473,861,495EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$592,142,580BOYAmt
EOY$716,107,160EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$49,696,863ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,850,079NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$7,287,257OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$53,875OtherActivitiesAmt
Total Lobbying Expenditures$53,875TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES PAID DIRECTLY BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES: AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES: $ 7 AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS: $ 42 CALIFORNA SOCIETY OF HEALTH SYSTEMS PHARMACISTS: $ 37 GREATER STOCKTON CHAMBER OF COMMERCE: $ 83 CALCPA: $ 21 INTERNATIONAL FACILITY MANAGEMENT ASSOCIATION: $ 10 AMERICAN ACADEMY OF EMERGENCY MEDICINE: $ 26 AMERICAN ACADEMY OF FAMILY PHYSICIANS: $ 157 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS: $ 1,826 AMERICAN COLLEGE OF PHYSICIANS: $ 55 AMERICAN PHYSICAL THERAPY ASSOCIATION: $ 64 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: 340 B HEALTH: $ 200 CATHOLIC HEALTH ASSOCIATION: $ 3,623 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA: $ 30,031 AMERICAN HOSPITAL ASSOCIATION: $ 16,118 ALLIANCE OF CATHOLIC HEALTH: $ 1,411 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES: $ 100 ELEVATING HOME: $ 60 TOTAL EXPENDITURES PAID TO ORGANIZATIONS: $ 53,875ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,660,000OtherCostOrOtherBasisAmt
Book Value$13,660,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,877,542OtherCostOrOtherBasisAmt
Depreciation$11,548,668DepreciationAmt
Book Value$186,328,874BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$267,900OtherCostOrOtherBasisAmt
Depreciation$98,210DepreciationAmt
Book Value$169,690BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,236,081OtherCostOrOtherBasisAmt
Depreciation$16,199,647DepreciationAmt
Book Value$35,036,434BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,643,894OtherCostOrOtherBasisAmt
Depreciation$104,621DepreciationAmt
Book Value$9,539,273BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$244,734,271TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$66,526,969BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$66,526,969TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PENSION PAYABLE$10,758,609
ASSET RETIREMENT OBLIGATION LIABILITY$6,567,547
FieldValueIRS element (for citing)
Total Liability$17,326,156TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER REVIEW ITS TAX QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6278PersonsServedCnt
Total Community Benefit Expns$3,603,838TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,446,347NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served61610PersonsServedCnt
Total Community Benefit Expns$204,434,670TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$196,634,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,800,100NetCommunityBenefitExpnsAmt
Total Expense0.01210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served67888PersonsServedCnt
Total Community Benefit Expns$208,038,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$196,792,061DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,246,447NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Persons Served13711PersonsServedCnt
Total Community Benefit Expns$4,802,802TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$509,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,293,492NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served872PersonsServedCnt
Total Community Benefit Expns$11,633,976TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,127,488DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,506,488NetCommunityBenefitExpnsAmt
Total Expense0.01480TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served223PersonsServedCnt
Total Community Benefit Expns$11,535TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,535NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$578,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$505,233NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served4577PersonsServedCnt
Total Community Benefit Expns$1,017,209TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,460,136DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs61ActivitiesOrProgramsCnt
Persons Served19383PersonsServedCnt
Total Community Benefit Expns$18,044,519TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,170,698DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,316,748NetCommunityBenefitExpnsAmt
Total Expense0.02230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs61ActivitiesOrProgramsCnt
Persons Served87271PersonsServedCnt
Total Community Benefit Expns$226,083,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$200,962,759DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,563,195NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,443,930BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$146,530,211ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$147,503,311CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$973,100MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 ST JOSEPH'S SURGERY CENTER LPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.70180OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.08200PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
ST JOSEPHS MEDICAL CENTER OF STOCKTON
11800 N CALIFORNIA STSTOCKTONCA95204WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN030000284Yes (X)Yes (X)Yes (X)Yes (X)A
ST JOSEPHS BEHAVIORAL HEALTH CENTER
22510 N CALIFORNIA STSTOCKTONCA95204WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN030000367Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY GROUP ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.HEALTHIERSANJOAQUIN.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: ST JOSEPHS MEDICAL CENTER OF STOCKTON, - FACILITY 2: ST JOSEPHS BEHAVIORAL HEALTH CENTER
FACILITY GROUP A PART V, SECTION B, LINE 5:FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. ORGANIZATIONS REPRESENTED IN INTERVIEWS INCLUDED: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, COMMUNITY MEDICAL CENTERS, SAN JOAQUIN GENERAL HOSPITAL, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, SAN JOAQUIN COUNTY HUMAN SERVICES AGENCY, SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES, FAMILY RESOURCE AND REFERRAL CENTER, FIRST 5 SAN JOAQUIN COUNTY, ST MARY'S DINING ROOM, SAN JOAQUIN PRIDE CENTER, AND ASIAN PACIFIC SELF DEVELOPMENT AND RESIDENTIAL ASSOCIATION. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES.
FACILITY GROUP A PART V, SECTION B, LINE 6A:MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: ADVENTIST HEALTH LODI MEMORIAL, DAMERON HOSPITAL, KAISER PERMANENTE HOSPITAL IN MANTECA, SUTTER TRACY COMMUNITY HOSPITAL.
FACILITY GROUP A PART V, SECTION B, LINE 6B:MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: COMMUNITY MEDICAL CENTERS, FIRST 5 SAN JOAQUIN, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES.
FACILITY GROUP A PART V, SECTION B, LINE 11:ST. JOSEPH'S MEDICAL CENTER OF STOCKTONTHE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: MENTAL HEALTH, ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH. MENTAL HEALTH: FRIENDS OF SENIORS & FRIENDS OF SENIORS LINKS PROJECT, COMMUNITY HEALTH SOCIAL WORKER, FAITH COMMUNITY HEALTH PARTNERSHIP, COMMUNITY GRANTS AWARDED FOR MENTAL HEALTH PROJECTS. ECONOMIC SECURITY: CONNECTED COMMUNITY NETWORK, SAN JOAQUIN COUNTY CONTINUUM OF CARE, SAN JOAQUIN COUNTY WHOLE PERSON CARE, GOSPEL CENTER RESCUE MISSION RECUPERATIVE CARE, COMMUNITY GRANTS. OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES: DIABETES EDUCATION AND EMPOWERMENT PROGRAM, DIABETES NAVIGATOR, CERTIFIED DIABETES EDUCATOR CONSULTATIONS,SWEET JOURNEY 101, SUGAR FIX SUPPORT GROUP, MATTER OF BALANCE, SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN. VIOLENCE/INJURY PREVENTION: HUMAN TRAFFICKING EDUCATION AND OUTREACH, COMMUNITY HEALTH SOCIAL WORKER, SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN. ACCESS TO CARE: SAN JOAQUIN COUNTY WHOLE PERSON CARE, GRADUATE MEDICAL EDUCATION TO TRAIN NEW PHYSICIANS, FINANCIAL SUPPORT OF ST. MARY'S DINING ROOM'S HEALTH AND DENTAL CLINICS, PATIENT FINANCIAL ASSISTANCE PROGRAM, COMMUNITY GRANTS. SUBSTANCE ABUSE/TOBACCO: CALIFORNIA BRIDGE PROGRAM OPIOID GRANT. ORAL HEALTH: FINANCIAL SUPPORT FOR ST. MARY'S DINING ROOM DENTAL CLINIC. THE HOSPITAL WILL NOT ADDRESS THE NEED OF ASTHMA, SO THAT RESOURCES CAN BE DIRECTED TOWARDS HIGHER PRIORITY NEEDS. IN ADDITION, THE UNIVERSITY OF THE PACIFIC'S SCHOOL OF PHARMACY OFFERS PERSONALIZED EDUCATION FOR BOTH PEDIATRIC AND ADULT PATIENTS VIA THEIR ASTHMA CLINIC WHICH IS OPEN TO ALL MEMBERS OF THE SAN JOAQUIN COMMUNITY. THE HOSPITAL WILL NOT ADDRESS "CLIMATE AND HEALTH" BECAUSE THE TOPIC IS NOT THE HOSPITAL'S AREA OF EXPERTISE.ST. JOSEPH'S BEHAVIORAL HEALTH CENTERTHE MENTAL HEALTH SIGNIFICANT COMMUNITY HEALTH NEED THE HOSPITAL IS HELPING TO ADDRESS WAS IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND TO DEDICATE RESOURCES TO THESE NEEDS, INCLUDING: BEHAVIORAL EVALUATION SERVICES WHICH PROVIDE FREE EVALUATION TO INDIVIDUALS WITH BEHAVIORAL HEALTH CONCERNS; COMMUNITY SUPPORT GROUPS AND AFTERCARE SERVICES, WHICH PROVIDE FREE SUPPORT PROGRAM TO INDIVIDUALS LIVING WITH LIFE-AFFECTING SUBSTANCE OR CONTINUING BEHAVIOR HEALTH ISSUES; FREE TRANSPORTATION FOR QUALIFIED CLIENTS THAT OTHERWISE WOULD NOT BE ABLE TO ATTEND OUR OUTPATIENT SERVICES GROUPS. OTHER SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S COLLABORATIVE CHNA INCLUDE: ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH, ASTHMA, AND CLIMATE AND HEALTH. AS A HOSPITAL EXCLUSIVELY DELIVERING BEHAVIORAL HEALTH SERVICES, NEEDS IDENTIFIED IN THE BROADER CHNA BEYOND MENTAL HEALTH ARE NOT ONES THAT THE HOSPITAL IS ABLE TO ADDRESS. OTHER HOSPITALS AND COMMUNITY SERVICE ORGANIZATIONS IN THE REGION ARE ADDRESSING THESE NEEDS.
FACILITY GROUP A PART V, SECTION B, LINE 16J:ADDITIONAL MEASURES TAKEN TO PUBLICIZE THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, AND SHARING THE POLICY WITH MEMBERS OF THE HEALTHIER COMMUNITY COALITION THAT INCLUDES ALL AREA HOSPITALS AND CATHOLIC CHARITIES, COMMUNITY MEDICAL CENTERS, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, EL CONCILIO, FATHERS AND FAMILIES OF SAN JOAQUIN, GOSPEL CENTER RESCUE MISSION, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY HEALTH CARE SERVICES, STOCKTON UNIFIED SCHOOL DISTRICT, UNIVERSITY OF THE PACIFIC, YMCA.
PART V, SECTION B, LINE 7AALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED AT WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCHNA REPORT WEB SITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW.ST. JOSEPH'S MEDICAL CENTER OF STOCKTONWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTST. JOSEPH'S BEHAVIORAL HEALTH CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTH
PART V, SECTION B, LINE 10ATHE ORGANIZATION'S IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATWWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSIMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE.
PART V, SECTION B, LINE 16A, 16B AND 16CST JOSEPH'S MEDICAL CENTER OF STOCKTONWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATIONST JOSEPH'S BEHAVIORAL HEALTH CENTERWWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE
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CitySTOCKTONCityNm
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Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:PORT CITY OPERATING COMPANY, LLC, DBA ST. JOSEPH'S MEDICAL CENTER OF STOCKTON (SJMC) AND ST. JOSEPH'S BEHAVORIAL HEALTH CENTER (BHC) FOLLOWS THE METHOD USED BY DIGNITY HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SJMC AND BHC USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO THE PATIENT LEVEL. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL FACILITY WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN ROLLED UP TO THE PATIENT LEVEL BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH THOSE SERVICES PROVIDED TO EACH SPECIFIC PATIENT. THIS IS DONE FOR ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF-PAY.THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF CHARITY CARE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR CHARITY CARE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND DONATIONS.PART I, LINE 7, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. PORT CITY'S HOSPITAL FACILTIES RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $55.9 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $32.2 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET REDUCTION IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE DECREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS.
PART I, LINE 7G:INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $9,968 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.PART I, LINE 7I:INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $443 THOUSAND IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION.
PART II, COMMUNITY BUILDING ACTIVITIES:NO COMMUNITY BUILDING ACTIVITIES WERE REPORTED DURING THE TAX YEAR.
PART III, LINE 2:THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT.PORT CITY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. PORT CITY ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:PORT CITY MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. PORT CITY FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2020, RELATED TO ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.PORT CITY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET.
PART III, LINE 8:PORT CITY PREPARES MEDICARE COST REPORTS IN A MANNER THAT COMPLIES WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT:TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH, INCLUDING DIGNITY HEALTH AND ITS SUBORDINATES, WHICH INCLUDES PORT CITY, BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $2.4 BILLION, AS REPORTED BELOW IN PART VI, LINE 6, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY HOSPITAL FACILITIES IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $973 THOUSAND REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR PORT CITY.
PART III, LINE 9B:PORT CITY ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. PORT CITY ALSO FOLLOWS DIGNITY HEALTH'S BILLING AND COLLECTION POLICY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR CHARITY CARE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE HOSPITAL FACILITIES OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S FINANCIAL ASISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, PORT CITY WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNTS TO A COLLECTION AGENCY, PORT CITY REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2:IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN COLLABORATION WITH OTHER HOSPITALS, LOCAL PUBLIC HEALTH AND COMMUNITY PARTNERS IN THE HEALTHIER COMMUNITIES COALITION, ST. JOSEPH'S ASSESSES LOCAL NEEDS CONTINUOUSLY THROUGH ONGOING ENGAGEMENT IN THE HEALTHIER COMMUNITY COALITION AND A WIDE RANGE OF OTHER COMMUNITY ORGANIZATIONS, WORK GROUPS AND PROJECTS WITH PARTNERS. MANY OF THESE SPECIFIC ENGAGEMENTS ARE DESCRIBED IN SCHEDULE H, PART VI, LINE 5 BELOW. THE HOSPITALS CREATE AND MAKE WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.THE HOSPITALS UTILIZE DIGNITY HEALTH'S COMMUNITY NEED INDEX (CNI), WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. CREATED WITH TRUVEN HEALTH ANALYTICS, THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE INCLUDE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTHCARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-PROGRAMS-AND-REPORTS
PART VI, LINE 3:INFORMATION ABOUT PORT CITY'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE PORT CITY'S FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES PORT CITY'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S WEBSITE AT WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE AND WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEAT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY.IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF PORT CITY REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL CENTER IS THE CITY OF STOCKTON, WITH A SECONDARY SERVICE AREA OF SAN JOAQUIN COUNTY. MANY OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND THE MIGRANT FARM WORKERS SERVED BY THE HOSPITAL ARE DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 387,484WHITE - NON-HISPANIC: 22.9%BLACK/AFRICAN AMERICAN -NON-HISPANIC: 20.7%HISPANIC OR LATINO: 47.3% ASIAN/PACIFIC ISLANDER: 18.7%ALL OTHERS: 4.1%MEDIAN INCOME: $48,498BELOW POVERTY 16.1%UNEMPLOYMENT: 9.2%NO HIGH SCHOOL DIPLOMA: 24.4%MEDICAID: 11.9%UNINSURED: 6.2%OTHER AREA HOSPITALS: 7THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL BEHAVIORAL HEALTH CENTER IS THE CITY OF STOCKTON, WITH A SECONDARY SERVICE AREA OF SAN JOAQUIN COUNTY. MANY OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND THE MIGRANT FARM WORKERS SERVED BY THE HOSPITAL ARE DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 1,281,245WHITE - NON-HISPANIC: 35.3% BLACK/AFRICAN AMERICAN -NON-HISPANIC: 5.2%; HISPANIC OR LATINO 43.6% ASIAN/PACIFIC ISLANDER 11.8%ALL OTHERS 4.0%BELOW POVERTY 11.6%UNEMPLOYMENT: 7.9%NO HIGH SCHOOL DIPLOMA: 19.7%MEDICAID: 9.7%UNINSURED: 5.5%OTHER AREA HOSPITALS: 7
PART VI, LINE 5:PORT CITY OPERATING COMPANY LLC BOARD OF MANAGERS IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESSS. THE BOARD OF MANAGERS IS A GROUP OF BUSINESS HEALTH EXECUTIVES WHO PROVIDE A BROAD SPECTRUM OF PERSPECTIVES ON PLANS PRESENTED FOR THEIR APPROVAL. ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (A DBA OF PORT CITY OPERATING COMPANY LLC) PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP.ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER SERVE AN IMPORTANT ROLE IN IMPROVING THE HEALTH OF THE COMMUNITY THROUGH WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS, PROVIDING LEADERERSHIP AND ADVOCACY, CAREFULLY MANAGING RESOURCES, ASSISTING WITH LOCAL CAPACITY BUILDING AND PARTICIPATING IN COMMUNITY-WIDE HEALTH PLANNING. THE LEADERSHIP ROLE IS ESPECIALLY IMPORTANT IN SAN JOAQUIN COUNTY WHEREINDIVIDUAL AND COMMUNITY RESOURCES ARE VERY LIMITED.THE HEALTHIER COMMUNITY COALITION IS A CONSORTIUM OF ALL THE LOCAL HOSPITALS, THE MEDI-CAL MANAGED CARE PLANS, THE COUNTY PUBLIC HEALTH DEPARTMENT, AND NUMEROUS COMMUNITY BASED ORGANIZATIONS. THE COALITION HAS SHARED GOVERNANCE BY ALL MEMBERS, THE CHAIR POSITION ROTATES ANNUALLY, AND ST. JOSEPH'S MEDICAL CENTER SERVES AS THE FIRST FISCAL SPONSOR. THE HEALTHIER COMMUNITY COALITION PROVIDES CONTINUOUS INPUT ON THE COMMUNITY BENEFIT WORK TO THE MANAGEMENT TEAM OF ST. JOSEPH'S MEDICAL CENTER.LEADERS FROM ST. JOSEPH'S SERVE AS BOARD MEMBERS OF NUMEROUS COMMUNITY ORGANIZATIONS AND COLLABORATIVES, INCLUDING ST. MARY'S DINING ROOM, WOMEN'S CENTER YOUTH AND FAMILY SERVICES, COMMUNITY PARTNERSHIP FOR FAMILIES, SAN JOAQUIN COMPASSIONATE CARE COALLITION, O'CONNOR WOODS, ST. MARY'S HIGH SCHOOL FOUNDATION, BUSINESS COUNCIL OF SAN JOAQUIN COUNTY, THE HOSPITAL COUNCIL, AND THE COMMUNITY HEALTH LEADERSHIP COUNCIL. THE HOSPITALS HAVE DEDICATED LEADERSHIP AND A COMMUNITY HEALTH DEPARTMENT WORKING CLOSELY WITH OTHER HEALTHCARE PROVIDERS, COMMUNITY BASED ORGANIZATIONS, AND INDIVIDUALS TO DEVELOP AND SHARE RESOURCES. THE DIRECTOR OF COMMUNITY HEALTH LEADS THE DEVELOPMENT OF COMMUNITY-WIDE INITIATIVES TO ADDRESS THE PRIORITY HEALTH NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS ARE ALSO A MEMBER OF THE HOMELESS MEDICAL RECUPERATIVE CARE HEALTHCARE ADVISORY GROUP, THE CONTINUUM OF CARE, REINVENT SOUTH STOCKTON COALITION, AND THE SAN JOAQUIN HUMAN TRAFFICKING TASK FORCE. THE HOSPITALS ARE ALSO A LEAD PARTNER IN THE DEVELOPMENT OF THE SAN JOAQUIN COUNTY TRANSFORMING COMMUNITIES FOR HEALTHING, A COLLABORATIVE OF OVER 40 COMMUNITY PARTNERS FOCUSSED ON ADDRESSING TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES.
PART VI, LINE 6:PORT CITY IS 80% OWNED BY DIGNTY HEALTH AND THEREFORE AFFILIATED WITH ALL ENTITIES WITHIN DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, G RASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, AND LAS VEGAS, HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES PORT CITY, FOR THE YEAR ENDED JUNE 30, 2020, IS $2.4 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 50.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVERANCHO CORDOVACA95670680220314501(C)(3)$11,787,397$0N/AN/AMEDICAL FOUNDATION SUPPORT
ST JOSEPH'S FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREETSTOCKTONCA95204510432777501(C)(3)$1,206,811$0N/AN/AFOUNDATION SUPPORT
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800SACRAMENTOCA95814941498697501(C)(3)$442,729$0N/AN/ACOMMUNITY HEALTH
PEER RECOVERY SERVICES
1109 N CALIFORNIA STSTOCKTONCA95202812348607501(C)(3)$85,000$0N/AN/ACOMMUNITY HEALTH
UNITED WAY OF SAN JOAQUIN COUNTY
777 N PERSHING AVE STE BSTOCKTONCA95203941279805501(C)(3)$32,196$0N/AN/ACOMMUNITY HEALTH
WOMENS CENTER YOUTH & FAMILY SERVICES
620 N SAN JOAQUIN STSTOCKTONCA95202942341360501(C)(3)$26,180$0N/AN/ACOMMUNITY HEALTH
HELPING OTHERS PROVIDE ENCOURAGEMENT MINISTRIES
PO BOX 841MANTECACA95336680235846501(C)(3)$20,000$0N/AN/ACOMMUNITY HEALTH
GRAND CANYON UNIVERSITY
3300 W CAMELBACK RDPHOENIXAZ85017472507725501(C)(3)$5,500$0N/AN/AEDUCATION SUPPORT
ROMAN CATHOLIC BISHOP OF STOCKTON
212 N SAN JOAQUIN STSTOCKTONCA95202941532129501(C)(3)$5,100$0N/AN/ACOMMUNITY HEALTH
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PROVISION OF FOOD/MEALS14$0$30,547BOOKFOOD/CLOTHING
MEDICAL SUPPLIES/EQUIPMENT TO PATIENTS/INDIGENTS858$0$8,295BOOKWHEEL CHAIRS, WALKERS, COMMODES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE MEDICAL CENTER AND SUPPORT VARIOUS COMMUNITY PROGRAMS. ST. JOSEPH'S MEDICAL CENTER PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS COMMUNITY HEALTH DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JON VANBOENING
BOARD MEMBER$0$656,567$0$699,420$0$189,373$0$127,931$0$92,632$0$1,765,923$0$121,270
DONALD WILEY
PRESIDENT AND CEO$0$459,708$0$419,975$0$333,089$0$86,587$0$52,560$0$1,351,919$0$284,544
JOHN PETERSDORF
VICE CHAIR$0$509,140$0$600,301$0$7,718$0$106,423$0$61,897$0$1,285,479$0$0
RICHARD CARVOLTH MD
BOARD MEMBER$0$479,809$0$208,256$0$6,599$0$69,154$0$24,535$0$788,353$0$0
KEVIN WALTERS
BOARD MEMBER$0$401,065$0$192,009$0$4,902$0$61,242$0$40,115$0$699,333$0$0
KARL SILBERSTEIN
FORMER OFFICER$0$47,538$0$385,556$0$19,013$0$46,552$0$4,722$0$503,381$0$0
ANDREA NIKKI OCHOA
CHIEF FINANCIAL OFFICER$0$214,097$0$53,964$0$1,562$0$31,741$0$14,761$0$316,125$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BSCHEDULE J, PART I, LINE 4A CERTAIN OFFICERS PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 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 PLAN. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2019. SCHEDULE J, PART I, LINE 4B CERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2019. DIGNITY HEALTH'S KEY EMPLOYEES AND CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR TWO LISTED PERSONS DURING 2019 INCLUDE J. VANBOENING; $121,270 AND K. SILBERSTEIN; $284,544. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
SCHEDULE J, PART I, LINE 3ALTHOUGH THE ORGANIZATION DOES NOT EMPLOY PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
SCHEDULE J, PART III SUPPLEMENTAL DISCLOSURESTHE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES DIGNITY HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND DIGNITY HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2019.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$600NoncashContributionsRptF990Amt
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$600NoncashContributionsRptF990Amt
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)COVID - FOOD/MEDICAL SUPPLIES165$88,671COMPARABLE SALE
Yes (X)FLOWERS4$11,600COMPARABLE SALE
Yes (X)TOYS10$9,300COMPARABLE SALE
Yes (X)PRAYER POCKETS4$216COMPARABLE SALE
Yes (X)GOODIE BAGS1$30COMPARABLE SALE
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. COVID FOOD AND MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. FLOWERS/GOODIE BAGS/PRAYER POCKETS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2ATHE ORGANIZATION DOES NOT HAVE EMPLOYEES. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY HEALTH PER THE EMPLOYEE LEASE AGREEMENT. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY HEALTH'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS.
FORM 990, PART VI, SECTION A, LINE 2CERTAIN REPORTABLE INDIVIDUALS HAVE A BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF PORT CITY OPERATING COMPANY LLC (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. DONALD WILEY, ANDREA NIKKI OCHOA - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND 20% BY KFH, BOTH 501(C)(3) EXEMPT ORGANIZATIONS. DIGNITY HEALTH IS THE MANAGING MEMBER OF PORT CITY, LLC. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF").
FORM 990, PART VI, SECTION A, LINE 7ADIGNITY HEALTH AND KFH, KNOWN AS THE COMPANY MEMBERS, APPOINT A BOARD OF MANAGERS.
FORM 990, PART VI, SECTION A, LINE 7BRESERVED RIGHTS OF THE COMPANY MEMBERS INCLUDE: SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S PROPERTY, WITH OR WITHOUT THE GOODWILL, OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, APPROVE A MERGER OR CONVERSION, UNDERTAKE ANY OTHER ACT OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, AND AMEND THE ORGANIZATION'S AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11BTHE PORT CITY OPERATING COMPANY LLC CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT HEALTH'S TAX DEPARTMENT WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF MANAGERS AND/OR SUBCOMMITTEE OF THE BOARD OF MANAGERS SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. COPIES OF FORM 990, EXCLUDING COMPENSATION INFORMATION WERE PROVIDED VIA EMAIL TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CDIGNITY HEALTH EMPLOYEES HAVE ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. DURING THE PERIOD JULY 1, 2019 THROUGH JUNE 30, 2020, DIGNITY HEALTH WAS SUBJECT TO WRITTEN CONFLICT OF INTEREST POLICIES (THE "COI POLICIES."). THESE POLICIES, PROVIDE FOR THE DISCLOSURE AND SUBSEQUENT REVIEW AND MANAGEMENT OF CONFLICTS OF INTEREST THAT MAY EXIST FOR MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES, INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER DESIGNATED PERSONNEL ("COVERED PERSONS"). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS OR RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. 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 UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY IS USED TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES REQUIRE THAT THE BOARD SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH EITHER APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH DIGNITY HEALTH OR A DIGNITY HEALTH ENTITY IS A PARTY AND IN WHICH THE DIRECTOR EITHER: HAS A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A DIGNITY HEALTH-AFFILIATED ORGANIZATION). THE BOARD MUST APPROVE THE TRANSACTION BY MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY INDIVIDUAL WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN DIGNITY HEALTH OR DIGNITY HEALTH ENTITIES AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO DIGNITY HEALTH OR THE DIGNITY HEALTH ENTITY.
FORM 990, PART VI, SECTION C, LINE 19FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT HEALTHS' CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON BOTH COMMONSPIRIT HEALTH'S AND DIGNITY HEALTH'S WEBSITES AND UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY HEALTH. FOR 2019 COMPENSATION, THE RELATED ORGANIZATION, COMMONSPIRIT HEALTH'S BOARD OF STEWARDSHIP TRUSTEES, APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE TOP MANAGEMENT OFFICIALS. 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 EMPLOYEES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED.
FORM 990, PART VII, SECTION AR CARVOLTH, MD, J PETERSDORF, J VANBOENING, K SILBERSTEIN AND KEVIN WALTERS RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. ANDREA N OCHOA AND D WILEY ARE EMPLOYEES OF DIGNITY HEALTH BUT PROVIDE SERVICES AS OFFICERS TO PORT CITY.
FORM 990, PART IX, LINE 11GREVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 16,210,005. MANAGEMENT AND GENERAL EXPENSES 281,489. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,491,494. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 324,781,942. MANAGEMENT AND GENERAL EXPENSES 50,691,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,473,783. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 29,684,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,684,196. MAINTENANCE/REPAIRS: PROGRAM SERVICE EXPENSES 8,134,932. MANAGEMENT AND GENERAL EXPENSES 1,269,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,404,629. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 2,368,363. MANAGEMENT AND GENERAL EXPENSES 369,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,738,016. LAUNDRY /LINEN: PROGRAM SERVICE EXPENSES 1,070,200. MANAGEMENT AND GENERAL EXPENSES 167,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,237,236. JANITORIAL/LANDSCAPE/STORAGE: PROGRAM SERVICE EXPENSES 574,106. MANAGEMENT AND GENERAL EXPENSES 89,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,712. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,546,848. MANAGEMENT AND GENERAL EXPENSES 397,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,944,359.
FORM 990, PART XI, LINE 9:CAPITAL FUNDING - SAN JOAQUIN QUALITY CARE NETWORK -510,000. PRIOR YEAR DONATION REFUND 10,000. CURRENT YEAR CHANGE IN ACCOUNTING - ASC 842 ADJUSTMENT -163,911. GAIN ON ADOPTION OF ASU 2017-17 6,925,778. TRUE UP OF FY19 PENSION ENTRIES 1,275,268. CHANGE OF OWNERSHIP INTEREST-JV -203,741. TRUE UP OF FY19 ADJUSTMENT DUE TO ACQUISITION ACCOUNTING -46,137.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XII, LINE 3BTHE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2019, TO JUNE 30, 2020.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (221 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HOSPITALNE501(C)(3)LINE 3ACH0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH-COMMUNITY MEMORIAL HOSP OF MISSOURI VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LONG-TERM CAREMN501(C)(3)LINE 10CSH0
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(C)(3)LINE 10SFH0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RDARROYO GRANDECA93420203256066FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREETBAKERSFIELDCA93301951802779HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
BARROW FOUNDATION UK
311724184FUNDRAISING FOUNDATION501(C)(3)LINE 12D, III-O013 CHURCH STREETNUNNEYENGLANDUKBA11 4LWUKN/A
BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROADPHOENIXAZ85013860174371FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 7DIGNITY HEALTH0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(C)(3)LINE 12A, ISLCHS0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(C)(3)LINE 3SLHS0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242HEALTHCAREPA501(C)(3)LINE 12A, ICSH0
BRAZOSPORT HEALTH FOUNDATION INC
1 WEST WAY CTLAKE JACKSONTX77566760080110FUNDRAISING FOUNDATIONTX501(C)(3)LINE 12A, IBRHS0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261PHYSICIANSTX501(C)(3)LINE 3BRHS0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HOSPITALTX501(C)(3)LINE 3SJSC0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(C)(3)LINE 10SJSC0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUELOS ANGELESCA90015954000909FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HOSPITALND501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLECENTENNIALCO80112840405257HOSPITALCO501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HOSPITALIA501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 KELLY JOHNSON BLVD 204COLORADO SPRINGSCO80920840902211FUNDRAISING FOUNDATIONCO501(C)(3)LINE 7CHIC0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204COLORADO SPRINGSCO80920270930004HEALTHCARECO501(C)(3)LINE 12A, ICSH0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796PHYSICIANSCO501(C)(3)LINE 12A, ICHINS0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191SURGERY CENTEROR501(C)(3)LINE 10MMC0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200BAKERSFIELDCA93311844171789CLINICCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724HOSPITALKS501(C)(3)LINE 3CSH0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847HOME HEALTHMN501(C)(3)LINE 10CSH0
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7ACH0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651INVESTMENTSKY501(C)(3)LINE 12A, ICSH0
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096SENIOR LIVINGOH501(C)(3)LINE 12A, ISFH0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HOSPITALGA501(C)(3)LINE 3MHCS0
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(C)(3)LINE 10CHI NS0
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(C)(3)LINE 12A, ICSH0
CHI NEBRASKA
12809 WEST DODGE ROADOMAHANE68510363233121HEALTHCARENE501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(C)(3)LINE 12A, ICSH0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HOSPITALAR501(C)(3)LINE 3CHISVHS0
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(C)(3)LINE 12B, IISVIMC0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131PHYSICIANSAR501(C)(3)LINE 3CHISVHS0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(C)(3)LINE 12A, I0N/A
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200SAN FRANCISCOCA94107850919176INVESTMENTSCA501(C)(3)LINE 12A, ICSH0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(C)(3)LINE 12A, ICSH0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVESAN BERNARDINOCA92411951643373HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237419853HOLDING COOH501(C)(4)N/AGSH0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAH-CMHMV0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611400619HOSPITALKY501(C)(3)LINE 3SJHS0
DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200SAN FRANCISCOCA94107815009488HOSPITALCO501(C)(3)LINE 3CSH0
DIGNITY HEALTH
185 BERRY STREET STE 200SAN FRANCISCOCA94107941196203HOSPITALCA501(C)(3)LINE 3CSH0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVEREDDINGCA96003237115371SENIOR CENTER SERVICESCA501(C)(3)LINE 7DIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200SAN FRANCISCOCA94107462037641FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUESAN BERNARDINOCA92404237440086FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROADCHANDLERAZ85224742418514FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH HPL SELF-INSURANCE TRUST
185 BERRY STREET STE 200SAN FRANCISCOCA94107943006034SELF INSURANCECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH INSURANCE NEVADA LTD
185 BERRY STREET STE 200SAN FRANCISCONV94107813800752SELF INSURANCENV501(C)(3)LINE 12A, IDIGNITY HEALTH0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVERANCHO CORDOVACA95670680220314MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST
185 BERRY STREET STE 200SAN FRANCISCOCA94107946612446SELF INSURANCECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVESANTA CRUZCA95065770056778COMMUNITY HEALTH SYSTEMCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVESANTA CRUZCA95065942450442FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVESANTA CRUZCA95065770127719OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONSCA501(C)(3)LINE 10DHS0
EAST TEXAS CLINICAL SERVICES
2801 VIA FORTUNA SUITE 500AUSTINTX78746454736213HEALTHCARETX501(C)(3)LINE 12A, ISLHS0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HOSPITALWA501(C)(3)LINE 3FHS0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HOSPITALKY501(C)(3)LINE 3KOH0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, IFH0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(C)(3)LINE 10CHILC0
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISING FOUNDATIONWA501(C)(3)LINE 10FHS0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HOSPITALWA501(C)(3)LINE 3CSH0
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(C)(3)LINE 10CSH0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(C)(3)LINE 10FHS0
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(C)(3)LINE 10CSH0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUESAN LUIS OBISPOCA93401203256125FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HOSPITALND501(C)(3)LINE 3SAMC0
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUEGLENDALECA91204953625651FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(C)(3)LINE 12A, ICSH0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311778403EDUCATIONOH501(C)(3)LINE 2GSH0
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311206047FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, IGSH0
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7GSH0
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HOSPITALWA501(C)(3)LINE 3FHS0
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISING FOUNDATIONWA501(C)(3)LINE 7HMC0
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12B, IIKOH0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISING FOUNDATIONMN501(C)(3)LINE 12A, ISFMC0
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HOSPITALWA501(C)(3)LINE 3FHS0
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(C)(3)LINE 7CHI-IA CORP0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E LIBERTY ST STE 500LOUISVILLEKY40202611029768HOSPITALKY501(C)(3)LINE 3KOH0
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(C)(3)LINE 12B, IICSH0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800LOUISVILLEKY40202611352729HEALTHCAREKY501(C)(3)LINE 10JHSMH0
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HOSPITALMN501(C)(3)LINE 3CSH0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISING FOUNDATIONND501(C)(3)LINE 7LHC0
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HOSPITALND501(C)(3)LINE 3CSH0
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HOSPITALTX501(C)(3)LINE 3SJSC0
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(C)(3)LINE 10CHILC0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREETSANTA MARIACA93454953818027FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROADSAN ANDREASCA95249680127677HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISING FOUNDATIONTN501(C)(3)LINE 7MHCS0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HOSPITALTN501(C)(3)LINE 3CSH0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(C)(3)LINE 10MHCS0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HOSPITALTX501(C)(3)LINE 3SLHS0
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HOSPITALTX501(C)(3)LINE 3MHSET0
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HOSPITALTX501(C)(3)LINE 3MHSET0
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(C)(3)LINE 12A, IMHSET0
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HOSPITALTX501(C)(3)LINE 3MHSET0
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(C)(3)LINE 12A, IMF-DM IA0
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(C)(3)LINE 10CHI-IA CORP0
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(C)(3)LINE 2CHI-IA CORP0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119BAKERSFIELDCA93302770201321FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISING FOUNDATIONOR501(C)(3)LINE 7MMC0
MERCY FOUNDATION NORTH
2625 EDITH AVENUE SUITE EREDDINGCA96001943136799FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, I0N/A
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISING FOUNDATIONIA501(C)(3)LINE 7CHI-IA CORP0
MERCY FOUNDATION SACRAMENTO
3400 DATA DRIVE 3RD FLRRANCHO CORDOVACA95670237072762FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, I0N/A
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHMH-CORNING0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMHVC0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHBMHS0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HOSPITALND501(C)(3)LINE 3CSH0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISING FOUNDATIONND501(C)(3)LINE 7MHDL0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HOSPITALND501(C)(3)LINE 3CSH0
MERCY MCMAHON TERRACE
3865 J STREETSACRAMENTOCA95816680117340SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIESCA501(C)(3)LINE 10DIGNITY HEALTH0
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HOSPITALND501(C)(3)LINE 3CSH0
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HOSPITALIA501(C)(3)LINE 3CHI-IA CORP0
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE ENEWTONIA50314421470935HOSPITALIA501(C)(3)LINE 3CHI-IA CORP0
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HOSPITALOR501(C)(3)LINE 3CSH0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREETMERCEDCA95340770035928FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMMC0
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUEBISMARCKND58501911845296MANAGEMENTND501(C)(3)LINE 7NCHA0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVDNORTHRIDGECA91328237444901FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY COMMUNITY CARE0
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HOSPITALND501(C)(3)LINE 3CSH0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IOCH0
PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREETSANTA MARIACA93454770447575CLINICCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(C)(3)LINE 10CHILC0
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(C)(3)LINE 12B, IICHILC0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(C)(3)LINE 10CHILC0
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(C)(3)LINE 7CHIC0
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 SYLVESTER ROAD SWBURIENWA98166911170040HOSPITALWA501(C)(3)LINE 3FHS0
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(C)(3)LINE 10SCHS0
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(C)(3)LINE 10CSH0
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(C)(3)LINE 3SCHS0
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SERMC0
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HOSPITALNE501(C)(3)LINE 3SERMC0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SFMC0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREETSAN FRANCISCOCA94109941156295HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HOSPITALKY501(C)(3)LINE 3KOH0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200LEXINGTONKY40504611159649FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, ISJHS0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREETDICKINSONND58601363418207FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, ISJHHC0
SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVESAN GABRIELCA91776953430341INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISING FOUNDATIONNE501(C)(3)LINE 12A, IAHMHS0
SEQUOIA HOSPITAL FOUNDATION
170 ALAMEDA DE LAS PULGASREDWOOD CITYCA94062942909990FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12D, III-O0N/A
SET OF COLORADO SPRINGS INC
9100 E MINERAL CIRCLECENTENNIALCO80112841183335SENIOR CENTER SERVICESCO501(C)(3)LINE 7CHIC0
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAYGRASS VALLEYCA95945941439787HOSPITALCA501(C)(3)LINE 3DIGNITY COMMUNITY CARE0
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HOSPITALMO501(C)(3)LINE 3CSH0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HOSPITALND501(C)(3)LINE 3CSH0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAYPENDLETONOR97801930391614HOSPITALOR501(C)(3)LINE 3CSH0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAYPENDLETONOR97801930992727FUNDRAISING FOUNDATIONOR501(C)(3)LINE 12A, ISAH0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HOSPITALAR501(C)(3)LINE 3SVIMC0
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HOSPITALKS501(C)(3)LINE 3CSH0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISING FOUNDATIONKS501(C)(3)LINE 12A, ISCH0
ST CLARE COMMONS
12469 FIVE POINT ROADTOLEDOOH43551270163752LIVING COMMOH501(C)(3)LINE 10CHILC0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(C)(4)N/ACSH0
ST FRANCIS FOUNDATION OF SANTA BARBARA
2323 DE LA VINA ST SUITE 104SANTA BARBARACA93105237137119FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LONG-TERM CAREMN501(C)(3)LINE 10CSH0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREETSANTA BARBARACA93103770022302INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(C)(3)LINE 8SCHS0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HOSPITALMN501(C)(3)LINE 3CSH0
ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUEOXNARDCA93030202865781FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISING FOUNDATIONTX501(C)(3)LINE 12B, IISJSC0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(C)(3)LINE 10SJSC0
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HOSPITALMD501(C)(3)LINE 3CSH0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIANSTX501(C)(3)LINE 3SJSC0
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(C)(3)LINE 12A, ISJMC0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HOSPITALTX501(C)(3)LINE 3SJSC0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HOSPITALTX501(C)(3)LINE 3SJSC0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(C)(3)LINE 10SJSC0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(C)(3)LINE 12A, ISLHS0
ST JOSEPHS FOUNDATION
350 WEST THOMAS ROADPHOENIXAZ85013942941245FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREETSTOCKTONCA95204510432777FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HOSPITALMN501(C)(3)LINE 3CSH0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STDICKINSONND58601450226429HOSPITALND501(C)(3)LINE 3CSH0
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(C)(3)LINE 10CHILC0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISING FOUNDATIONTX501(C)(3)LINE 7SLHS0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269HOUSTONTX77225760536232MANAGEMENTTX501(C)(3)LINE 12A, ICSH0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004760531716PROPERTY MGMTTX501(C)(3)LINE 12A, ISLHS0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(C)(3)LINE 12A, ISLCDC-SL0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUELONG BEACHCA90813237153876FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUELONG BEACHCA90813237373088INACTIVECA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREETSAN FRANCISCOCA94117943336143FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARDNEBRASKA CITYNE68410470443636HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SMCH0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAYHENDERSONNV89052880349432FUNDRAISING FOUNDATIONNV501(C)(3)LINE 12A, IDIGNITY HEALTH0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISING FOUNDATIONAR501(C)(3)LINE 12A, ISVIMC0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HOSPITALAR501(C)(3)LINE 3CSH0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(C)(3)LINE 10SVIMC0
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(C)(3)LINE 12A, ICSH0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, ISFH0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(C)(3)LINE 10CHILC0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HOSPITALTX501(C)(3)LINE 3SLHS0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537486HOSPITALOH501(C)(3)LINE 3CSH0
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(C)(3)LINE 12A, ICHI NEBRASKA0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLECENTENNIALCO80112840927232HOSPITALCO501(C)(3)LINE 3CHIC0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, ITHS0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(C)(3)LINE 12A, I0N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HOSPITALOH501(C)(3)LINE 3THS0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(C)(3)LINE 7THS0
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HOSPITALMN501(C)(3)LINE 3CSH0
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LONG-TERM CAREND501(C)(3)LINE 10CSH0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(C)(3)LINE 10SCHS0
WOODLAND MEMORIAL HOSPITAL FOUNDATION
1321 COTTONWOOD STREET 305WOODLANDCA95695946167964FUNDRAISING FOUNDATIONCA501(C)(3)LINE 70N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (81 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
AMERICAN MERCY HOME CARE LLC
1700 EDISON DRMILFORDOH45150830486150HOME HEALTHOHN/AN/A00
ARIZONA CARE NETWORK - NEXT LLC
350 W THOMAS RDPHOENIXAZ85018474696671CARE NETWORKAZN/AN/A00
ARIZONA CARE NETWORK LLC
350 W THOMAS RDPHOENIXAZ85013454494682CARE NETWORKAZN/AN/A00
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906841513085REAL ESTATECON/AN/A00
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E MINERAL CIRCLECENTENNIALCO80112811727282HEALTHCARE SRVCCON/AN/A00
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 FANNIN ST STE 1100HOUSTONTX77030472079184HEALTHCARE SRVCTXN/AN/A00
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD STE 200OMAHANE68124208671994AMBUL SURG CTRNEN/AN/A00
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUECHATTANOGATN37404621875199PHYS OFFICETNN/AN/A00
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
HEALTH SERVICESN/AN/A00709 WING ON PLAZA 62 MODY ROAD TSTHONG KONGCHCH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINGKYN/AN/A00
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUEBAKERSFIELDCA93309461602286RADIATION / ONCOLOGYCAN/AN/A00
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461PHYSICAL THERAPYNEN/AN/A00
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CENTERALN/AN/A00
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCON/AN/A00
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVDNASHVILLETN37215465683027SURGERY CENTERCON/AN/A00
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906262982714REAL ESTATECON/AN/A00
COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC
1700 EDISON DRMILFORDOH45150311746556HOME HEALTHOHN/AN/A00
DE JV LLC
8686 NEW TRAILS DRIVETHE WOODLANDSTX77381320496548EMERGENCY CARENVN/AN/A00
DHHP SURGERY CENTERS LLC
1513 S GRAND AVENUE STE 350LOS ANGELESCA90015831847466SURGERYCAN/AN/A00
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107352484591HOLDING COMPANYDEN/AN/A00
DIGNITY- GOHEALTH URGENT CARE MANAGEMENT LLC
5555 GLENRIDGE CONNECTOR SUITE 700ATLANTAGA30342352548698MANAGEMENT SERVICESDEN/AN/A00
DIGNITY HEALTH AT HOME LLC
1700 EDISON DRMILFORDOH45150824674115HEALTHCARE SRVCDEN/AN/A00
DIGNITY HEALTH SPECIALTY PHARMACY LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107320589462SPECIALTY PHARMACY SERVICESDEN/AN/A00
DIGNITY HOME RECOVERY CARE LLC
49 MUSIC SQUARE WEST SUITE 401NASHVILLETN37203832832522HOME RECOVERY PROGRAMDEN/AN/A00
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001202999237SURGERYTXN/AN/A00
DIGNITYUSP NORCAL SURGERY CENTERS LLC
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001202468509SURGERYTXN/AN/A00
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001134248908SURGERYTXN/AN/A00
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001352584991SURGERYTXN/AN/A00
DIGNITY-ABRAZO HEALTH NETWORK LLC
3030 N CENTRAL AVENUE SUITE 1402PHOENIXAZ85012465477985MANAGEMENT SERVICESAZN/AN/A00
DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
1545 SOQUEL DRIVESANTA CRUZCA94065770095477IMAGING CENTERCAN/AN/A00
ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVECOLORADO SPRINGSCO80909352656413AMBUL SURG CTRCON/AN/A00
FOLSOM SIERRA ENDOSCOPY CENTER LP
1650 CREEKSIDE DRIVE 1600FOLSOMCA95630680482416ENDOSCOPYCAN/AN/A00
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NWGIG HARBORWA98335463494108REAL ESTATEWAN/AN/A00
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202813725123HEALTHCARE SRVCWAN/AN/A00
GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC
1700 EDISON DRMILFORDOH45150201792869HOME HEALTHOHN/AN/A00
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWIN/AN/A00
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEN/AN/A00
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD STSALINAKS67401464265403ONCOLOGYKSN/AN/A00
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEN/AN/A00
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEN/AN/A00
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLINCOLNNE68510262496856REAL ESTATENEN/AN/A00
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201BAKERSFIELDCA93301364510880REAL ESTATECAN/AN/A00
MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC
2740 M STREETMERCEDCA95340943358445MANAGEMENT OF CANCER CENTERCAN/AN/A00
MERCY REHABILITATION HOSPITAL LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202814437201HEALTHCARE SRVCTXN/AN/A00
MILITARY ROAD PROPERTIES LLC
181 S 333RD STREET STE 250FEDERAL WAYWA98003912067879REAL ESTATEWAN/AN/A00
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNEN/AN/A00
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVESANTA CRUZCA95065460502935NEONATAL HEALTHCARECAN/AN/A00
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARN/AN/A00
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREETBISMARKND58501841641341DIAGNOSTIC SERVICESNDN/AN/A00
NSC CHANNEL ISLANDS LLC
3000 RIVERCHASE GALLERIA SUITE 500BIRMINGHAMAL35244770418197AMBULATORY SURGICAL CENTERCAN/AN/A00
OMG ARIZONA LLC
130 SUTTER STREET 2ND FLRSAN FRANCISCOCA94104471708588MEDICAL OFFICEAZN/AN/A00
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCON/AN/A00
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE SPARK RAPIDSMN56470204926259HEALTHCARE SRVCMNN/AN/A00
PASADENA URGENCY CENTER LLC
4600 E SAM HOUSTON PKWY SOUTHPASADENATX77505812482854URGENT CARETXN/AN/A00
PATIENT TRANSPORT SERVICES OF COLUMBUS INC
1700 EDISON DRMILFORDOH45150264601285AMBULANCEOHN/AN/A00
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HEALTHCARE SRVCWAN/AN/A00
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCON/AN/A00
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC
19625 62ND AVENUE SOUTH STE 101KENTWA98032452901632HOLDING COMPANYWAN/AN/A00
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100SANTA MARIACA93454770573567SURGERYCAN/AN/A00
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXN/AN/A00
PRECISION MEDICINE ALLIANCE LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159DIAGNOSTIC SERVICESCON/AN/A00
PUEBLO AMBULATORY SURGERY CENTER LLC
25 MONTEBELLO RDPUEBLOCO81003621488737SURGERY CENTERCON/AN/A00
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCAN/AN/A00
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120HENDERSONNV89074271466450AMBULANCENVN/AN/A00
REID-ANC HOME CARE SERVICES LLC
1700 EDISON DRMILFORDOH45150371454747HOME HEALTHINN/AN/A00
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RDLEXINGTONKY40503453801157OP SURGERYDEN/AN/A00
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYN/AN/A00
SANTA CRUZ COMPREHENSIVE IMAGING LLC
1661 SOQUEL DRIVE SUITE GSANTA CRUZCA95065010550623IMAGINGCAN/AN/A00
SANTA CRUZ LAND & BUILDING LP
1555 SOQUEL DRIVESANTA CRUZCA95065770285236REAL ESTATECAN/AN/A00
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCAN/AN/A00
SOUTHEASTERN HOME CARE LLC
1700 EDISON DRMILFORDOH45150271219638HOME HEALTHOHN/AN/A00
ST JOSEPH'S SURGERY CENTER LP
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001201019390SURGERYTXRELATED0Yes (1)PORT CITY$1,512,847$4,298,9270.70180
ST ELIZABETH HOME CARE SERVICES LLC
1700 EDISON DRMILFORDOH45150261236191HOME HEALTHKYN/AN/A00
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECON/AN/A00
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXN/AN/A00
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXN/AN/A00
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXN/AN/A00
TEMPLETON SURGERY CENTER LLC
1310 LAS TABLAS ROAD SUITE 104TEMPLETONCA94365202246616SURGERYCAN/AN/A00
THE MEDICAL PAVILION AT ST JOHN'S
1700 ROSE AVENUEOXNARDCA93030770332349REAL ESTATECAN/AN/A00
THREE SPRING IMAGING LLC
1 MERCADO ST STE 200ADURANGOCO81301813571570HEALTHCARE SRVCCON/AN/A00
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
18330 ROSCOE BLVDNORTHRIDGECA91328800864336SURGERYCAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (64 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RDOMAHANE68154470802396MANAGED CARENEN/AC0
ALL SAINTS INSURANCE COMPANY SPC LTD
980556913INSURANCEN/AC0PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJCJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVEBRYANTX77802742466914HEALTHCARETXN/AC0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018841112049MANAGEMENT SERVICESCON/AC0
AMERICAN NURSING CARE INC
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHN/AC0
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHN/AC0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851FITNESS CLUBKYN/AC0
BRAZOSPORT HEALTH ALLIANCE
1 WEST WAY COURTLAKE JACKSONTX77566760518376HEALTH CARETXN/AC0
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD STE 500CHATTANOOGATN37411621570736HEALTHCARETNN/AC0
CAPTIVE MANAGEMENT INITIATIVES LTD
980663022CAPTIVE MANAGEMENTN/AC0PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJCJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511RESEARCHCON/AC0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVELUFKINTX75904834184717CONDO ASSOCTXN/AC0
CLEARRIVER HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464495960INSURANCETNN/AC0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101PISMO BEACHCA93449743000596HEALTHCARECAN/AS0
COMCARE SERVICES INC
5570 DTC PARKWAYENGLEWOODCO80111840904813INACTIVECON/AC0
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHN/AC0
DES MOINES MEDICAL CENTER INC
1111 6TH AVEDES MOINESIA50314420837382REAL ESTATEIAN/AC0
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107460675371HOLDING CONVN/AC0
DIGNITY HEALTH INSURANCE LTD
981065338INSURANCEN/AC0PO BOX 1051 KY1-1102GRAND CAYMAN ISLANDSGRAND CAYMANCJCJ
DIGNITY HEALTH PROVIDER RESOURCES INC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107473366764HEALTH PLANCAN/AC0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVELAKE JACKSONTX77566760222679HEALTH CARETXN/AC0
FIRST INITIATIVES INSURANCE LTD
980203038INSURANCEN/AC0PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJCJ
FRANCISCAN CITY URGENT CARE SVCS PS DBA CITY MD-FRANCISCAN UC
1345 AVE OF THE AMERICASNEW YORKNY10105812174959HEALTHCARENYN/AC0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HEALTHCARECON/AC0
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNEN/AC0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473451750INSURANCEWAN/AC0
HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
1400 E CHURCH STREETSANTA MARIACA93454770074057HEALTHCARECAN/AC0
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MGMTNEN/AC0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET STTACOMAWA98402911865474HEALTH ORG.WAN/AC0
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464368223INSURANCENEN/AC0
HIGHLINE MEDICAL GROUP
1717 S J STREETTACOMAWA98405911407026MEDICAL SERVICESWAN/AC0
INTEGRATED MEDICAL SERVICES
9250 N 3RD STREET SUITE 4010PHOENIXAZ85020860783428MULTI-SPECIALTY PHYSICIANS GROUPAZN/AC0
KOMG-LOUISVILLE REGION INC
201 ABRAHAM FLEXNER WAYLOUISVILLEKY40202832481198HEALTHCAREKYN/AC0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER STHOT SPRINGSAR71913710720429REAL ESTATEARN/AC0
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDN/AC0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVELUFKINTX75904463622849HEATH CARETXN/AC0
MERCY PARK APARTMENTS LTD
1111 6TH AVEDES MOINESIA50314421202422HOUSINGIAN/AC0
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97471930824308RETAIL SALESORN/AC0
MHI CLINICAL SERVICES
1201 W FRANK AVELUFKINTX75904461967952HEALTHCARETXN/AC0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200BAKERSFIELDCA93311770513445HEALTHCARECAN/AS0
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RDCHATTANOOGATN37421621570739MGMT SVC ORGTNN/AC0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538BISMARKND58506450439894HEALTHCARENDN/AC0
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHN/AC0
QUALCHOICE ADVANTAGE
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912INSURANCEWAN/AC0
QUALCHOICE HEALTH PLAN SVS INC (FKA COLLABHEALTH PLAN SVS INC)
198 INVERNESS DRIVE WESTENGLEWOODCO80112461224037ADMIN SERVICESCON/AC0
QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC)
198 INVERNESS DRIVE WESTENGLEWOODCO80112461222808HOLDING COCON/AC0
QUALCHOICE HOLDINGS INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112274075520HOLDING COARN/AC0
QUALCHOICE OF NEBRASKA
2401 S 73RD STOMAHANE68124810738827INACTIVENEN/AC0
RIVERLINK HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464380824INSURANCEOHN/AC0
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112464828332INSURANCEKYN/AC0
ROSS PARK PHARMACY INC
380 SUMMIT AVESTEUBENVILLEOH43952341832654PHARMACYOHN/AC0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112222441202BILLING SERVICESNJN/AC0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408HEALTHCARECON/AC0
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LEXINGTONKY40503270164198MGMTKYN/AC0
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001421720801INSURANCEWAN/AC0
ST MARY HEALTH VENTURES INC
1050 LINDEN AVENUELONG BEACHCA90813951912528RETAIL PHARMACYCAN/AC0
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORN/AC0
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STTACOMAWA98405911480569RENTALWAN/AC0
ST LUKE'S HEALTH SYSTEM HOLDINGS INC
6624 FANNIN STE 800HOUSTONTX77030760637138HOLDING COTXN/AC0
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARN/AC0
STE HOLDINGS
12809 WEST DODGE RDOMAHANE68154822383629HOLDING CONEN/AC0
SUGAR LAND DOCTOR GROUP
1317 LAKE POINT PARKWAYSUGAR LANDTX77478454270163MEDICAL CLINICTXN/AC0
TOWSON MANAGEMENT INC
7601 OSLER DRTOWSONMD21204521710750MGMT SERVICESMDN/AC0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026MGMT SERVICESOHN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH'S SURGERY CENTER LPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$799,829InvolvedAmt
Method Of Amount DeterminationSEE PART VIIMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 2 COLUMN (C)FormAndLineReferenceDesc
ExplanationPART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS.ExplanationTxt