STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MADONNA MANOR INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MADONNA MANOR INC (EIN 61-0654635)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202131379349311368
Schema version
2019v5.1
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)
Return2021-05-17T20:04:12-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11225 17th Street Suite 800AddressLine1Txt
CityDenverCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610654635EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MADONNA MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ALISA IFFLANDInCareOfNm
Business Name ControlMADOBusinessNameControlTxt
Phone8594266400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12344 AMSTERDAM ROADAddressLine1Txt
CityVILLA HILLSCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41017ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALISSA IFFLANDPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Signature2021-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK E SHELTONPreparerPersonNm
PTINP01203482PTIN
Phone3032962323PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICK RYANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15942 RENAISSANCE PLACE SUITE AAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43623ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,139,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MADONNAMANOR.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionMADONNA MANOR IS A LONG-TERM CARE COMMUNITY PROVIDING SERVICES TO MEET OUR SENIOR RESIDENTS' APPROPRIATE LEVEL OF CARE.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee295TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$2,623TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,623NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,971PYContributionsGrantsAmt
CY Contributions Grants$110,372CYContributionsGrantsAmt
PY Program Service Revenue$10,009,073PYProgramServiceRevenueAmt
CY Program Service Revenue$10,505,211CYProgramServiceRevenueAmt
PY Investment Income$1,800,095PYInvestmentIncomeAmt
CY Investment Income$2,389,290CYInvestmentIncomeAmt
PY Other Revenue$75,122PYOtherRevenueAmt
CY Other Revenue$134,318CYOtherRevenueAmt
PY Total Revenue$11,891,261PYTotalRevenueAmt
CY Total Revenue$13,139,191CYTotalRevenueAmt
PY Grants And Similar Paid$34PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,325CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,214,872PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,904,250CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,349,119PYOtherExpensesAmt
CY Other Expenses$6,564,317CYOtherExpensesAmt
PY Total Expenses$10,564,025PYTotalExpensesAmt
CY Total Expenses$11,472,892CYTotalExpensesAmt
PY Revenues Less Expenses$1,327,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,666,299CYRevenuesLessExpensesAmt
Total Assets BOY$46,674,074TotalAssetsBOYAmt
Total Assets EOY$47,355,914TotalAssetsEOYAmt
Total Liabilities BOY$28,675,881TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,331,884TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,998,193NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,024,030NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,486,203ExpenseAmt
Grant$4,325GrantAmt
Revenue$10,505,211RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$8,486,203TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee295EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALISA IFFLANDPersonNm
Phone5674550414PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15942 RENAISSANCE PLACE SUITE AAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43623ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DEAN SWINDLE CPA
DIRECTOR THRU 10/16/191.049.0Yes (X)$0$3,233,008$43,334
PAUL EDGETT
DIRECTOR1.049.0Yes (X)$0$1,631,607$47,118
MITCH MELFI
VICE CHAIRMAN1.049.0Yes (X)$0$1,640,990$37,534Yes (X)
RICK G RYAN
PRESIDENT/CEO THRU 5/1/201.039.0Yes (X)$0$660,491$33,543Yes (X)
WENDY DOLYK
SECRETARY1.039.0$0$346,819$27,748Yes (X)
ALISA IFFLAND
VP OF FINANCE/TREASURER1.039.0$0$232,020$13,275Yes (X)
ALFRED MOLLOZZI
EXEC. DIRECTOR THRU 11/1/1940.00.0Yes (X)$0$80,828$3,090
GRETCHEN AICHELE
EXECUTIVE DIRECTOR40.00.0$0$49,231$0Yes (X)
AARON WEBB
PRESIDENT AND CEO1.039.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,874,994TotReportableCompRltdOrgAmt
Total Other Compensation$205,642TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RYAN COMPANIES
533 South Third St Suite 100MINNEAPOLISMN55415Construction$7,620,495
RIDGE STONE GENERAL CONTRACTORS
7015 Lighthouse Way Suite 500PERRYSBURGOH43551Construction$2,028,168
CONCEPT REHAB
7150 Granite CircleTOLEDOOH43617Therapy$645,863
PLANTE MORAN LIVING FORWARD
26300 Northwestern Hwy Suite 120SOUTHFIELDMI48076Construction$194,681
MA ARCHITECTS
775 Yard Street Suite 325COLUMBUSOH43212Construction$122,362
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$104,820GovernmentGrantsAmt
All Other Contributions$5,552AllOtherContributionsAmt
Total Contributions$110,372TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET RESIDENTIAL FACILITY REVENUEDesc
Business623000BusinessCd
Total Revenue Column$10,505,211TotalRevenueColumnAmt
Related Or Exempt Func Income$10,505,211RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,505,211TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,692,629TotalRevenueColumnAmt
Unrelated Business Revenue$2,623UnrelatedBusinessRevenueAmt
Exclusion$1,690,006ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$696,661SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$696,661SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$696,661TotalRevenueColumnAmt
Exclusion$696,661ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
INSURANCE524298$70,000$70,000
SERVICES SOLD900099$10,303$10,303
APPLICATION FEES900099$14,045$14,045

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,970TotalRevenueColumnAmt
Exclusion$39,970ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$134,318OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,139,191TotalRevenueColumnAmt
Related Or Exempt Func Income$10,505,211RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,623UnrelatedBusinessRevenueAmt
Exclusion$2,520,985ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,325TotalAmt
Program Services$4,325ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,932,539TotalAmt
Program Services$3,439,756ProgramServicesAmt
Management And General$492,783ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$673,938TotalAmt
Program Services$589,487ProgramServicesAmt
Management And General$84,451ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$297,773TotalAmt
Program Services$260,459ProgramServicesAmt
Management And General$37,314ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,943TotalAmt
Management And General$13,943ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,114TotalAmt
Management And General$5,114ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,430,807TotalAmt
Program Services$1,359,267ProgramServicesAmt
Management And General$71,540ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$103,222TotalAmt
Program Services$103,222ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$711,947TotalAmt
Program Services$683,203ProgramServicesAmt
Management And General$28,744ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$153,576TotalAmt
Program Services$25,965ProgramServicesAmt
Management And General$127,611ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$460,316TotalAmt
Program Services$437,300ProgramServicesAmt
Management And General$23,016ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,476TotalAmt
Program Services$5,057ProgramServicesAmt
Management And General$11,419ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,827,033TotalAmt
Management And General$1,827,033ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$155,072TotalAmt
Management And General$155,072ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$921,955TotalAmt
Program Services$875,857ProgramServicesAmt
Management And General$46,098ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,588TotalAmt
Management And General$25,588ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$269,024$255,573$13,451$0
REPAIRS AND MAINTENANCE$239,671$227,687$11,984$0
RECRUITMENT AND RELOCATION$114,338$108,621$5,717$0
DUES & SUBSCRIPTIONS$79,335$75,368$3,967$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$36,900TotalAmt
Program Services$35,056ProgramServicesAmt
Management And General$1,844ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,472,892TotalAmt
Program Services$8,486,203ProgramServicesAmt
Management And General$2,986,689ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$359BOYAmt
EOY$360EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,928,755BOYAmt
EOY$1,669,088EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,641,661BOYAmt
EOY$2,661,923EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$34,765BOYAmt
EOY$34,765EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,027BOYAmt
EOY$60,367EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,357,738LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,697,797LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,005,076BOYAmt
EOY$32,659,941EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$189,914BOYAmt
EOY$192,815EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,022,709BOYAmt
EOY$9,254,451EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$781,808BOYAmt
EOY$781,808EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$40,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,674,074BOYAmt
EOY$47,355,914EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,868,549BOYAmt
EOY$1,864,358EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$74,083BOYAmt
EOY$462,356EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,445,000BOYAmt
EOY$25,855,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$5,843BOYAmt
EOY$3,324EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$282,406BOYAmt
EOY$146,846EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,675,881BOYAmt
EOY$28,331,884EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,179,818BOYAmt
EOY$18,205,655EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$818,375BOYAmt
EOY$818,375EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,998,193BOYAmt
EOY$19,024,030EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,674,074BOYAmt
EOY$47,355,914EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,666,299ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$560,264NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$80,198OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,753CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,488CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,971CurrentTaxYearMinus1YearAmt
Current Tax Year$110,372CurrentTaxYearAmt
Total$186,228TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,192,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,618,466CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,693,870CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,009,073CurrentTaxYearMinus1YearAmt
Current Tax Year$10,505,211CurrentTaxYearAmt
Total$52,019,577TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,212,710CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,624,110CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,737,358CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,016,044CurrentTaxYearMinus1YearAmt
Current Tax Year$10,615,583CurrentTaxYearAmt
Total$52,205,805TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$45,040CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,464CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$123,040TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$45,040CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,464CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$123,040TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$52,082,765PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,041,111CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,916,141CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,826,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,651,284CurrentTaxYearMinus1YearAmt
Current Tax Year$1,690,006CurrentTaxYearAmt
Total$9,125,342TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$635CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,118CurrentTaxYearMinus1YearAmt
Current Tax Year$1,623CurrentTaxYearAmt
Total$5,669TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,041,111CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,916,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,829,093CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,652,402CurrentTaxYearMinus1YearAmt
Current Tax Year$1,691,629CurrentTaxYearAmt
Total$9,131,011TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,238CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,095CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,970CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,122CurrentTaxYearMinus1YearAmt
Current Tax Year$134,318CurrentTaxYearAmt
Total$458,743TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,353,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,598,981CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,658,421CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,743,568CurrentTaxYearMinus1YearAmt
Current Tax Year$12,441,530CurrentTaxYearAmt
Total$61,795,559TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.84282PublicSupportCY509Pct
Public Support PY5090.85300PublicSupportPY509Pct
Investment Income CY0.14776InvestmentIncomeCYPct
Investment Income PY0.13780InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12 - OTHER INCOMEFormAndLineReferenceDesc
ExplanationENTER CHARTExplanationTxt

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$818,375BeginningYearBalanceAmt
Contributions$2,062ContributionsAmt
Administrative Expenses$2,062AdministrativeExpensesAmt
End Year Balance$818,375EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$818,375BeginningYearBalanceAmt
Investment Earnings Or Losses$63,367InvestmentEarningsOrLossesAmt
Other Expenditures$63,367OtherExpendituresAmt
End Year Balance$818,375EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$818,375BeginningYearBalanceAmt
Investment Earnings Or Losses$79,321InvestmentEarningsOrLossesAmt
Other Expenditures$79,321OtherExpendituresAmt
End Year Balance$818,375EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$818,375BeginningYearBalanceAmt
Investment Earnings Or Losses$106,742InvestmentEarningsOrLossesAmt
Other Expenditures$106,742OtherExpendituresAmt
End Year Balance$818,375EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$818,375BeginningYearBalanceAmt
Investment Earnings Or Losses$14,746InvestmentEarningsOrLossesAmt
Other Expenditures$14,746OtherExpendituresAmt
End Year Balance$818,375EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,177,256OtherCostOrOtherBasisAmt
Book Value$4,177,256BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,562,591OtherCostOrOtherBasisAmt
Depreciation$3,348,977DepreciationAmt
Book Value$24,213,614BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,316,703OtherCostOrOtherBasisAmt
Depreciation$1,147,336DepreciationAmt
Book Value$1,169,367BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,301,189OtherCostOrOtherBasisAmt
Depreciation$201,485DepreciationAmt
Book Value$3,099,704BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,659,941TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp
Total Book Value Securities$0TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$12,981
RESIDENT SECURITY DEPOSITS$93,435
OTHER LIABILITIES$34
OPERATING LEASE LIABILITY - CURRENT$12,858
OPERATING LEASE LIABILITY - LT$27,538
FieldValueIRS element (for citing)
Total Liability$146,846TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART IV, LINE 2BMADONNA MANOR INC. IS THE CUSTODIAN TO THE RESIDENT FUNDS (AKA PERSONAL NEEDS ALLOWANCE OR PNA ACCOUNTS). THE FACILITY HAS A SEPARATE BANK ACCOUNT FOR RESIDENT FUNDS AND THOSE FUNDS ARE RECONCILED MONTHLY.
SCHEDULE D, PART V, LINE 4BENEVOLENT CARE FUND USED TO SUPPORT CHARITY CARE WITHIN THE SKILLED NURSING FACILITY AND ASSISTED LIVING FACILITY.
SCHEDULE D, PART X, LINE 2MADONNA MANOR'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: "COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX BENEFITS AS OF JUNE 30, 2020 AND 2019. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS".

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
MITCH MELFI
VICE CHAIRMAN$0$856,473$0$624,970$0$159,547$0$15,625$0$21,909$0$1,678,524$0$0
RICK G RYAN
PRESIDENT/CEO THRU 5/1/20$0$526,876$0$115,781$0$17,834$0$16,675$0$16,868$0$694,034$0$0
DEAN SWINDLE CPA
DIRECTOR THRU 10/16/19$0$1,287,313$0$1,597,821$0$347,874$0$16,397$0$26,937$0$3,276,342$0$0
PAUL EDGETT
DIRECTOR$0$848,293$0$608,753$0$174,561$0$14,455$0$32,663$0$1,678,725$0$0
ALISA IFFLAND
VP OF FINANCE/TREASURER$0$192,331$0$30,979$0$8,710$0$0$0$13,275$0$245,295$0$0
WENDY DOLYK
SECRETARY$0$294,732$0$30,790$0$21,297$0$16,675$0$11,073$0$374,567$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3DURING THE CALENDAR YEAR 2019, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTHUSED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4AFOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY.
SCHEDULE J, PART I, LINE 4BDURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: DEAN SWINDLE, $322,862; PAUL EDGETT, $141,855 AND MITCH MELFI, $141,771.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN610600439BondIssuerEIN
CUSIP49126TAD4CUSIPNum
Bond Issued2010-01-05BondIssuedDt
Issue Price$28,440,000IssuePriceAmt
PurposeCONSTRUCTIONPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,585,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$28,721,507TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$1,902,869CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$561,776IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$26,256,862CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3INCLUDES INVESTMENT PROCEEDS
SCHEDULE K, PART III, LINE 7MADONNA MANOR MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE MADONNA MANOR HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLEY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
SCHEDULE K, PART IV, LINE 2AISSUER NAME: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY. THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 01/05/2020.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ASKILLED NURSING UNIT A SKILLED, 60 BED NURSING UNIT HAD 19,971 RESIDENT DAYS FOR THE YEAR ENDING JUNE 30, 2020. THESE UNITS OFFER SKILLED REHABILITATION SERVICES AND LONG-TERM CARE SERVICES. MEMORY CARE UNIT A 24 BED MEMORY CARE UNIT HAD 7,634 RESIDENT DAYS FOR THE YEAR ENDING JUNE 30, 2020. THESE UNITS ARE SPECIFICALLY DESIGNED FOR RESIDENTS WITH DEMENTIA OR OTHER MIND AFFECTING ILLNESSES AND RESIDENTS WHO NEED MORE SERVICE THAN AVAILABLE IN ASSISTED LIVING, BUT NOT ABLE TO QUALIFY FOR LONG TERM OR SKILLED SERVICES. ASSISTED LIVING A 40 BED ASSISTED LIVING UNIT HAD 13,391 RESIDENT DAYS FOR THE YEAR ENDING JUNE 30, 2020. THESE UNITS PROVIDE PERSONALIZED HELP, SUPPORTIVE SERVICES IN A PROFESSIONALLY MANAGED AND CAREFULLY DESIGNED COMMUNITY SETTING. INDEPENDENT LIVING 32 INDEPENDENT LIVING UNITS HAD 3,618 RESIDENT DAYS FOR THE YEAR ENDING JUNE 30, 2020. THESE UNITS OFFER YOU THE FREEDOM TO ENJOY ALL OF THE PLEASURES OF RETIREMENT LIVING WITHOUT TRADITIONAL HOME OWNERSHIP AND OFFERS AMENITIES SUCH AS A COMMUNITY AND WELLNESS CENTER, FULL SERVICE DINING CHOICES, AND A HOST OF CULTURAL ACTIVITIES AND EVENTS.
FORM 990, PART VI, LINE 1APURSUANT TO SECTION 8.6 OF THE BYLAWS OF MADONNA MANOR, THE EXECUTIVE COMMITTEE IS COMPOSED OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 6ACCORDING TO THE BYLAWS OF MADONNA MANOR, THE ENTITY'S SOLE MEMBER IS CHI LIVING COMMUNITIES, AN OHIO NONPROFIT CORPORATION.
FORM 990, PART VI, LINE 7AACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, LINE 7BTHE ORGANIZATION'S CORPORATE MEMBER IS CHI LIVING COMMUNITIES. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI LIVING COMMUNITIES AND COMMONSPIRIT HEALTH HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ORGANIZATION *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ORGANIZATION *APPROVE MEMBERS OF THE ORGANIZATION'S BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION *APPROVAL OF ISSUANCE OF DEBT BY THE ORGANIZATION *APPROVAL OF PARTICIPATION OF THE ORGANIZATION IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY THE ORGANIZATION *APPROVAL OF A MERGER INVOLVING THE ORGANIZATION *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION *TO REQUIRE THE TRANSFER OF ASSETS BY THE ORGANIZATION TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ORGANIZATION PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, CHI LIVING COMMUNITIES OR CSH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, LINE 11BTHE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATIONS' ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING WITH THE IRS. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD.
FORM 990, PART VI, LINE 12CTHE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY).i SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI, LINE 15ATHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, LINE 15B DURING THE TAX YEAR ENDED 6/30/2020, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A.
FORM 990, PART VI, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG OR WWW.CATHOLICHEALTHINITIATIVES.ORG.
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:738043
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:8659
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:8399
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:675706

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HOSPITALNE501(c)(3)3ACHfalse
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY RDOMAHANE68124470484764HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
Allegent Health -Comm Memorial HSP IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HOSPITALIA501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - IMMANUEL MED CTR
6901 N 72ND STOMAHANE68122470376615HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MEMORIAL HOSP SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MERCY HOSP CORNING IA
PO BOX 368CORNINGIA50841420782518HOSPITALIA501(c)(3)3CHI NEBRASKAfalse
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(3)10CSHfalse
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(3)10SFHfalse
Arroyo Grande Community Hospital FDN
345 S Halcyon RdArroyo GrandeCA93420203256066FUND. FDNCA501(c)(3)12 Type 1DHfalse
Bakersfield Memorial Hospital
420 34TH StreetBakersfieldCA93301951802779HOSPITALCA501(c)(3)3DCCfalse
Barrow Neurological FDN
350 West Thomas RdPhoenixAZ85013860174371FUND. FDNAZ501(c)(3)7DHfalse
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(3)12 Type 1SLCHSfalse
BAYLOR ST LUKE'S MEDGROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(c)(3)3SLHSfalse
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DR WESTENGLEWOODCO80112232187242HEALTHCAREPA501(c)(3)12 Type 1CSHfalse
BRAZOSPORT HEALTH FDN INC
1 West Way CtLAKE JACKSONTX77566760080110FUND. FDNTX501(c)(3)12 Type 1BRHSfalse
BRAZOSPORT REGIONAL PHYSICIAN SRVS
100 MEDICAL DRLAKE JACKSONTX77566800240261PHYSICIANSTX501(c)(3)3BRHSfalse
BURLESON ST JOSEPH HEALTH CTR
2801 FRANCISCAN DRBRYANTX77802742759890HOSPITALTX501(c)(3)3SJSCfalse
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRBRYANTX77802742913931HEALTHCARETX501(c)(3)10SJSCfalse
California Hospital MED CTR FDN
1401 South Grand AVELos AngelesCA90015954000909FUND. FDNCA501(c)(3)12 Type 1DCCfalse
CARRINGTON HEALTH CTR
800 N 4TH STCARRINGTONND58421450227311HOSPITALND501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral CircleCentennialCO80112840405257HOSPITALCO501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HOSPITALIA501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES COLORADO FDN
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920840902211FUND. FDNCO501(c)(3)7CHICfalse
CATHOLIC HEALTH INITIATIVES NATIONAL FDN
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920270930004HEALTHCARECO501(c)(3)12 Type 1CSHfalse
CHI VIRTUAL HEALTH SERVICES
198 INVERNESS DR WESTENGLEWOODCO80112460992796PHYSICIANSCO501(c)(3)12 Type 1CHINSfalse
CENTENNIAL MEDGROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191SURGERY CTROR501(c)(3)10MMCfalse
CENTRAL CALIFORNIA HEALTH CTRS
300 OLD RIVER Rd STE 200BAKERSFIELDCA93311844171789CLINICCA501(c)(3)3DCCfalse
CENTRAL KANSAS MED CTR
3515 BRdWAYGREAT BENDKS67530480543724HOSPITALKS501(c)(3)3CSHfalse
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847FUND. FDNMN501(c)(3)10CSHfalse
CHI HEALTH FDN
12809 W DODGE RDOMAHANE68154470648586FUND. FDNNE501(c)(3)7ACHfalse
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3)12 Type 1CSHfalse
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3)12 Type 1SFHfalse
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HOSPITALGA501(c)(3)3MHCSfalse
CHI NATIONAL HOME CARE
198 INVERNESS DR WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(3)10CHI NSfalse
CHI NATIONAL SERVICES
198 INVERNESS DR WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3)12 Type 1CSHfalse
CHI NEBRASKA
12809 West Dodge RdOmahaNE68510363233121HEALTHCARENE501(c)(3)12 Type 1CSHfalse
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3)12 Type 1CSHfalse
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3)12 Type 1CSHfalse
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HOSPITALAR501(c)(3)3CHISVHSfalse
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3)12 Type 1SVIMCfalse
CHI ST VINCENT MED GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131PHYSICIANSAR501(c)(3)3CHISVHSfalse
COMMONSPIRIT HEALTH
198 INVERNESS DR WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3)12 Type 1NAfalse
COMMONSPIRIT HEALTH OPER INV POOL LLC
185 BERRY STREET STE 300SAN FRANCISCOCA94107850919176INVESTMENTSCA501(c)(3)12 Type 1CSHfalse
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DR WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3)12 Type 1CSHfalse
Community Hospital of San Bernardino
1805 Medical CTR DRSan BernardinoCA92411951643373HOSPITALCA501(c)(3)3DCCfalse
COMMUNITY LIMITED CARE DIALYSIS CTR
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(4)NONEGSHfalse
COMMUNITY MEMORIAL HPL MED SERVICE FDN
631 N 8TH STMISSOURI VALLEYIA51555421294399FUND. FDNIA501(c)(3)12 Type 1AH-CMHMVfalse
CONTINUING CARE HOSPITAL
One Saint Joseph DRLEXINGTONKY40504611400619HOSPITALKY501(c)(3)3SJHSfalse
Dignity Community Care
185 Berry Street Ste 300San FranciscoCA94107815009488HOSPITALCO501(c)(3)3CSHfalse
DIGNITY HEALTH
185 BERRY STREET STE 300SAN FRANCISCOCA94107941196203HOSPITALCA501(c)(3)3CSHfalse
Dignity Health Connected Living
200 Mercy Oaks DRReddingCA96003237115371Senior CTR SRCA501(c)(3)7DHfalse
Dignity Health FDN
185 Berry StreetSan FranciscoCA94107462037641FUND. FDNCA501(c)(3)12 Type 1DHfalse
Dignity Health FDN - Inland Empire
2101 N Waterman AVESan BernardinoCA92404237440086FUND. FDNCA501(c)(3)12 Type 1DHfalse
Dignity Health FDN East Valley
475 South Dobson RdChandlerAZ85224742418514FUND. FDNAZ501(c)(3)12 Type 1DHfalse
Dignity Health HPL Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107943006034Self InsurancCA501(c)(3)12 Type 1DHfalse
Dignity Health Insurance Nevada Ltd
185 Berry StreetSan FranciscoNV94107813800752Self InsurancNV501(c)(3)12 Type 1DHfalse
Dignity Health MEDFDN
3400 Data DRRancho CordovaCA95670680220314M/S OUTP. MEDCA501(c)(3)12 Type 1DCCfalse
DH Workers Comp Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107946612446Self InsurancCA501(c)(3)12 Type 1DHfalse
Dominican Health Services
1555 Soquel DRSanta CruzCA95065770056778Community HeaCA501(c)(3)12 Type 1DHfalse
Dominican Hospital FDN
1555 Soquel DRSanta CruzCA95065942450442FUND. FDNCA501(c)(3)12 Type 1DHfalse
Dominican Oaks Corporation
1555 Soquel DRSanta CruzCA95065770127719Op&M of housiCA501(c)(3)10DHSfalse
East Texas Clinical Services
2801 VIA FORTUNA Ste 500AUSTINTX78746454736213HEALTHCARETX501(c)(3)12 Type 1SLHSfalse
ENUMCLAW REGIONAL HOSPITAL ASSN
1455 BATTERSBY AVEENUMCLAWWA98022910715805HOSPITALWA501(c)(3)3FHSfalse
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HOSPITALKY501(c)(3)3KOHfalse
FLAGET MEMORIAL HOSPITAL FDN INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUND. FDNKY501(c)(3)12 Type 1FHfalse
FRANCISCAN CARE CTR
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(3)10CHILCfalse
FRANCISCAN FDN
1717 SOUTH J STTACOMAWA98405911145592FUND. FDNWA501(c)(3)10FHSfalse
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HOSPITALWA501(c)(3)3CSHfalse
FH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BRdWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(3)10CSHfalse
FRANCISCAN MEDGROUP
1313 BRdWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(3)10FHSfalse
FRANCISCAN VILLA OF S MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(3)10CSHfalse
French Hospital MED CTR FDN
1911 Johnson AVESan Luis ObispoCA93401203256125FUND. FDNCA501(c)(3)12 Type 1DCCfalse
GARRISON MEMORIAL HOSPITAL
407 THIRD AVE SOUTHEASTGARRISONND58540450227752HOSPITALND501(c)(3)3SAMCfalse
Glendale Memorial Health FDN
1420 South Central AVEGlendaleCA91204953625651FUND. FDNCA501(c)(3)12 Type 1DCCfalse
GLOBAL HEALTH INITIATIVES
198 INVERNESS DR WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3)12 Type 1CSHfalse
GSC OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(3)2GSHfalse
GOOD SAMARITAN FDN OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUND. FDNOH501(c)(3)12 Type 1GSHfalse
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
GOOD SAMARITAN HOSP FDN
111 W 31ST STKEARNEYNE68847470659443FUND. FDNNE501(c)(3)7GSHfalse
HARRISON MED CTR
2520 CHERRY AVEBREMERTONWA98310910565546HOSPITALWA501(c)(3)3FHSfalse
HARRISON MED CTR FDN
2520 CHERRY AVEBREMERTONWA98310911197626FUND. FDNWA501(c)(3)7HMCfalse
HEALTH FDN OF KY ONE INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUND. FDNKY501(c)(3)12 Type 1KOHfalse
HEALTHCARE AND WELLNESS FDN
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUND. FDNMN501(c)(3)12 Type 1SFMCfalse
HIGHLINE MED CTR
16251 SYLVESTER RD SWBURIENWA98166910712166HOSPITALWA501(c)(3)3FHSfalse
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(3)7CHI-IA CORPfalse
JEWISH HOSP& ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500LOUISVILLEKY40202611029768HOSPITALKY501(c)(3)3KOHfalse
KENTUCKYONE HEALTH MEDGROUP INC
100 E Liberty St Ste 800LOUISVILLEKY40202611352729HEALTHCAREKY501(c)(3)10JHSMHfalse
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(3)12 Type 1CSHfalse
LAKEWOOD HEALTH CTR
600 MAIN AVE SBAUDETTEMN56623410758434HOSPITALMN501(c)(3)3CSHfalse
LAKEWOOD REGIONAL HEALTHCARE FDN
600 MAIN AVE SBAUDETTEMN56623411893795FUND. FDNND501(c)(3)7LHCfalse
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HOSPITALND501(c)(3)3CSHfalse
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3)12 Type 1MHSETfalse
MADISON ST JOSEPH HEALTH CTR
2801 FRANCISCAN DRBRYANTX77802742761145HOSPITALTX501(c)(3)3SJSCfalse
Marian Regional MED CTR FDN
1400 E Church StreetSanta MariaCA93454953818027FUND. FDNCA501(c)(3)12 Type 1DHfalse
Mark Twain MED CTR
768 Mountain Ranch RdSan AndreasCA95249680127677HOSPITALCA501(c)(3)3DCCfalse
MEMORIAL HEALTH CARE SYSTEM FDN INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUND. FDNTN501(c)(3)7MHCSfalse
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HOSPITALTN501(c)(3)3CSHfalse
MEMORIAL HEALTH PARTNERS FDN INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(c)(3)10MHCSfalse
MEMORIAL HEALTH SYS OF EAST TX
PO BOX 1447LUFKINTX75902750755367HOSPITALTX501(c)(3)3SLHSfalse
MEMORIAL MED CTR - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HOSPITALTX501(c)(3)3MHSETfalse
MEMORIAL MED CTR - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HOSPITALTX501(c)(3)3MHSETfalse
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3)12 Type 1MHSETfalse
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HOSPITALTX501(c)(3)3MHSETfalse
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3)12 Type 1MF-DM IAfalse
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(3)10CHI-IA CORPfalse
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(3)2CHI-IA CORPfalse
Mercy FDN Bakersfield
PO Box 119BakersfieldCA93302770201321FUND. FDNCA501(c)(3)12 Type 1DHfalse
MERCY FDN OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUND. FDNIA501(c)(3)7CHI-IA CORPfalse
MERCY FDN INC
2700 STEWART PKWYROSEBURGOR97471936088946FUND. FDNOR501(c)(3)7MMCfalse
MERCY HEALTH CARE FDN
PO BOX 368CORNINGIA50841421461064FUND. FDNIA501(c)(3)12 Type 1AHMH-Corningfalse
MERCY HEALTHCARE FDN
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUND. FDNND501(c)(3)12 Type 1MHVCfalse
MERCY HOSPITAL FDN COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUND. FDNIA501(c)(3)12 Type 1AHBMHSfalse
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HOSPITALND501(c)(3)3CSHfalse
MERCY HOSPITAL OF DEVILS LAKE FDN
1031 7TH ST NEDEVILS LAKEND58301352367360FUND. FDNND501(c)(3)7MHDLfalse
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HOSPITALND501(c)(3)3CSHfalse
Mercy McMahon Terrace
3865 J StreetSacramentoCA95816680117340Senior Hous/RCA501(c)(3)10DHfalse
MERCY MED CTR
1301 15TH AVE WESTWILLISTONND58801450231183HOSPITALND501(c)(3)3CSHfalse
MERCY MED CTR - CTRVILLE
ONE ST JOSEPHS DRCTRVILLEIA52544420680308HOSPITALIA501(c)(3)3CHI-IA CORPfalse
MERCY MED CTR - NEWTON DBA SKIFF MED CTR
204 N 4th Ave ENewtonIA50314421470935HOSPITALIA501(c)(3)3CHI-IA CORPfalse
Mercy MED CTR Merced FDN
301 E 13th StreetMercedCA95340770035928FUND. FDNCA501(c)(3)12 Type 1DHfalse
MERCY MED CTR INC
2700 STEWART PKWYROSEBURGOR97471930386868HOSPITALOR501(c)(3)3CSHfalse
MERCY MED FDN
1301 15TH AVE WESTWILLISTONND58801450381803FUND. FDNND501(c)(3)12 Type 1MMCfalse
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
Northland Healthcare Alliance
2223 East Rosser AVEBismarckND58501911845296MANAGEMENTND501(c)(3)7NCHAfalse
Northridge Hospital FDN
18300 Roscoe BlvdNorthridgeCA91328237444901FUND. FDNCA501(c)(3)12 Type 1DCCfalse
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HOSPITALND501(c)(3)3CSHfalse
OAKES COMMUNITY HOSPITAL FDN
1200 N 7TH STOAKESND58474710966606FUND. FDNND501(c)(3)12 Type 1OCHfalse
Pacific Central Coast Health CTRs
1400 E Church StreetSanta MariaCA93454770447575ClinicCA501(c)(3)3DCCfalse
PINEYWOODS MEDDEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3)12 Type 1MHSETfalse
Port City Operating Company LLC
3400 Data DRRancho CordovaCA95670465322209HOSPITALCA501(c)(3)3DHfalse
PROVIDENCE CARE CTR
2025 HAYES AVESANDUSKYOH44870341658625HEALTHCAREOH501(c)(3)10CHILCfalse
PROVIDENCE CARE CTRS
2025 HAYES AVESANDUSKYOH44870341826099HOLDING COOH501(c)(3)12 Type 1CHILCfalse
PROVIDENCE RESIDENTIAL COMMUNITY CORP
5055 PROVIDENCE DRSANDUSKYOH44870341896807LIVING COMMOH501(c)(3)10CHILCfalse
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(3)7CHICfalse
REGIONAL HPL FOR RESP & COMPLEX CARE
16251 Sylvester Rd SWBurienWA98166911170040HOSPITALWA501(c)(3)3FHSfalse
SET OF COLORADO SPRINGS INC
9100 E Mineral CircleCentennialCO80112841183335Senior CTR SRCO501(c)(3)7CHICfalse
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3)10SCHSfalse
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3)10CSHfalse
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(3)3SCHSfalse
SAINT ELIZABETH FDN
555 S 70TH STLINCOLNNE68510470625523FUND. FDNNE501(c)(3)7SERMCfalse
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HOSPITALNE501(c)(3)3SERMCfalse
SAINT ELIZABETH REGIONAL MED CTR
555 S 70TH STLINCOLNNE68510470379836HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MED CTR
2620 W FAIDLEYGRAND ISLANDNE68803470376601HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MED CTR FDN
PO BOX 9804GRAND ISLANDNE68802470630267FUND. FDNNE501(c)(3)7SFMCfalse
Saint Francis Memorial Hospital
900 Hyde StreetSan FranciscoCA94109941156295HOSPITALCA501(c)(3)3DCCfalse
SAINT JOSEPH BEREA HOSPITAL FDN INC
305 ESTILL STBEREAKY40403260152877FUND. FDNKY501(c)(3)7SJHSfalse
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HOSPITALKY501(c)(3)3KOHfalse
SAINT JOSEPH HOSPITAL FDN INC
701 Bob Olink Dr 200LEXINGTONKY40504611159649FUND. FDNKY501(c)(3)12 Type 1SJHSfalse
SAINT JOSEPH LONDON FDN INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUND. FDNKY501(c)(3)7SJHSfalse
SAINT JOSEPH MOUNT STERLING FDN INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUND. FDNKY501(c)(3)7SJHSfalse
SAINT JOSEPH'S HOSPITAL FDN
2500 Fairway StreetDICKINSONND58601363418207FUND. FDNND501(c)(3)12 Type 1SJHHCfalse
San Gabriel Valley MED CTR FDN
438 West Las Tunas DRSan GabrielCA91776953430341INACTIVECA501(c)(3)12 Type 1DHfalse
SCHUYLER MEMORIAL HOSPITAL FDN INC
104 W 17TH STSCHUYLERNE68661363630014FUND. FDNNE501(c)(3)12 Type 1AHMHSfalse
Sierra Nevada Memorial-Miners Hosp
155 Glasson WayGrass ValleyCA95945941439787HOSPITALCA501(c)(3)3DCCfalse
SJRMC JOPLIN MISSOURI
198 INVERNESS DR WESTENGLEWOODCO80112440545809HOSPITALMO501(c)(3)3CSHfalse
St Francis FDN of Santa Barbara
2323 De La Vina St Ste 104Santa BarbaraCA93105237137119FUND. FDNCA501(c)(3)12 Type 1DHfalse
St Francis Hospital Support Corp
601 E Micheltorena StreetSanta BarbaraCA93103770022302INACTIVECA501(c)(3)12 Type 1DHfalse
St John's Healthcare FDN
1600 North Rose AVEOxnardCA93030202865781FUND. FDNCA501(c)(3)12 Type 1DHfalse
St Joseph's FDN (Phoenix)
350 West Thomas RdPhoenixAZ85013942941245FUND. FDNAZ501(c)(3)12 Type 1DHfalse
St Joseph's FDN of San Joaquin
1800 N California StreetStocktonCA95204510432777FUND. FDNCA501(c)(3)12 Type 1DHfalse
St Mary MED CTR FDN
1050 Linden AVELong BeachCA90813237153876FUND. FDNCA501(c)(3)12 Type 1DHfalse
St Mary Professional Building Inc
1050 Linden AVELong BeachCA90813237373088INACTIVECA501(c)(3)12 Type 1DHfalse
St Mary's MED CTR FDN
450 Stanyan StreetSan FranciscoCA94117943336143FUND. FDNCA501(c)(3)12 Type 1DHfalse
St Rose Dominican Health FDN
3001 St Rose ParkwayHendersonNV89052880349432FUND. FDNNV501(c)(3)12 Type 1DHfalse
ST ALEXIUS MED CTR
900 EAST BRdWAY AVEBISMARCKND58501450226711HOSPITALND501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL
2801 St Anthony WayPENDLETONOR97801930391614HOSPITALOR501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL FDN
2801 St Anthony WayPENDLETONOR97801930992727FUND. FDNOR501(c)(3)12 Type 1SAHfalse
ST ANTHONY'S HOSPITAL ASSN
FOUR HOSPITAL DRMORRILTONAR72110710245507HOSPITALAR501(c)(3)3SVIMCfalse
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HOSPITALKS501(c)(3)3CSHfalse
ST CATHERINE HOSP DEVELOPMENT FDN
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUND. FDNKS501(c)(3)12 Type 1SCHfalse
ST CLARE COMMONS
12469 Five Point RdTOLEDOOH43551270163752LIVING COMMOH501(c)(3)10CHILCfalse
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DR WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4)NONECSHfalse
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(3)10CSHfalse
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(3)8SCHSfalse
ST FRANCIS MED CTR
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HOSPITALMN501(c)(3)3CSHfalse
ST JOSEPH FDN OF BRYAN TEXAS
2801 FRANCISCAN DRBRYANTX77802742351158FUND. FDNTX501(c)(3)12 Type 1SJSCfalse
ST JOSEPH MANOR
2801 FRANCISCAN DRBRYANTX77802742847594HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH MED CTR INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HOSPITALMD501(c)(3)3CSHfalse
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRBRYANTX77802203159302PHYSICIANSTX501(c)(3)3SJSCfalse
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3)12 Type 1SJMCfalse
ST JOSEPH REGIONAL HEALTH CTR
2801 FRANCISCAN DRBRYANTX77802741282696HOSPITALTX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRBRYANTX77802454088170HOSPITALTX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRBRYANTX77802463265423HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRBRYANTX77802742455161MANAGEMENTTX501(c)(3)12 Type 1SLHSfalse
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HOSPITALMN501(c)(3)3CSHfalse
ST JOSEPH'S HOSPITAL AND HEALTH CTR
2500 Fairway StDICKINSONND58601450226429HOSPITALND501(c)(3)3CSHfalse
ST LEONARD
8100 CLYO RdCTRVILLEOH45458341940863LIVING COMMOH501(c)(3)10CHILCfalse
ST LUKE'S COMM DEVELOPMENT CORP - PMC
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMM DEVELOPM CORP - SUGAR
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMM DEVELOP CORP - THE WOO
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY HEALTH SRVS
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S FDN
1213 HERMANN DR STE 855HOUSTONTX77004453811485FUND. FDNTX501(c)(3)7SLHSfalse
ST LUKE'S HEALTH SYSTEM CORP
PO Box 20269HOUSTONTX77225760536232MANAGEMENTTX501(c)(3)12 Type 1CSHfalse
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S PROPERTIES CORP
1213 Hermann DR Ste 855HOUSTONTX77004760531716PROPERTY MGMTTX501(c)(3)12 Type 1SLHSfalse
ST LUKE'S SUGAR LAND PROPERTIES CORP
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3)12 Type 1SLCDC-SLfalse
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman BoulevardNEBRASKA CITYNE68410470443636HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ST MARY'S HOSPITAL FDN
1314 3RD AVENEBRASKA CITYNE68410470707604FUND. FDNNE501(c)(3)7SMCHfalse
ST VINCENT FDN
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUND. FDNAR501(c)(3)12 Type 1SVIMCfalse
ST VINCENT INFIRMARY MED CTR
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HOSPITALAR501(c)(3)3CSHfalse
ST VINCENT MEDGROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(3)10SVIMCfalse
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3)12 Type 1CSHfalse
SYLVANIA FRANCISCAN HEALTH FDN
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUND. FDNOH501(c)(3)12 Type 1SFHfalse
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRSANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(3)10CHILCfalse
THE COMMUNITY HOSP OF BRAZOSPORT
100 MEDICAL DRLAKE JACKSONTX77566741385192HOSPITALTX501(c)(3)3SLHSfalse
THE GOOD SAMARITAN HPL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HOSPITALOH501(c)(3)3CSHfalse
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3)12 Type 1CHI NEBRASKAfalse
TOTAL HEALTHCARE
9100 E Mineral CircleCentennialCO80112840927232HOSPITALCO501(c)(3)3CHICfalse
TRINITY HEALTH FDN
380 SUMMIT AVESTEUBENVILLEOH43952311329423FUND. FDNOH501(c)(3)12 Type 1THSfalse
TRINITY HEALTH SYSTEM
380 SUMMIT AVESTEUBENVILLEOH43952341818681HEALTHCAREOH501(c)(3)12 Type 1NAfalse
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HOSPITALOH501(c)(3)3THSfalse
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(c)(3)7THSfalse
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HOSPITALMN501(c)(3)3CSHfalse
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(3)10CSHfalse
VISITING NURSE ASSN OF ST CLARE'S INC
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(3)10SCHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (81 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdUBI Code VUBICodeVAmt
American Mercy Home Care LLC
1700 EDISON DRMILFORDOH45150830486150HOME HEALTHOHNAN/A$0$0falsefalse0.00000
ARIZONA CARE NETWORK - NEXT LLC
350 W Thomas RdPhoenixAZ85018474696671Care NetworkAZDCCN/A$0$0falsefalse0.00000
Arizona Care Network LLC (ACN LLC)
350 W Thomas RdPhoenixAZ85013454494682Care NetworkAZDCCN/A$0$0falsefalse0.00000
Audubon Land Company LLC
630 Spointe Court 200COLORADO SPRINGSCO80906841513085Real EstateCOCHICN/A$0$0falsefalse0.00000
AVON EMERGENCY & URGENT CARE CTR LLC
9100 E Mineral CircleCentennialCO80112811727282HC SRVCCOCHICN/A$0$0falsefalse0.00000
BAYLOR CHI ST LUKES HEALTH SrvC LLC
6624 Fannin St Ste 1100HOUSTONTX77030472079184HC SRVCTXSLHSN/A$0$0falsefalse0.00000
BERGAN MERCY SURGERY CTR LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNEACHN/A$0$0falsefalse0.00000
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico aveCHATTANOGATN37404621875199PHYS OFFICETNMHCSN/A$0$0falsefalse0.00000
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
Health SRVCDHI LLCN/A$0$0falsefalse0.00000709 Wing on Plza 62 Mody RD TST EKowloon, Hong KonCHCH
BLUEGRASS REGIONAL IMAGING CTR
1218 S BRoDWAY STE 310LEXINGTONKY40504611386736DIAG IMAGINGKYSJHSN/A$0$0falsefalse0.00000
CBCC Outsmarting Cancer LLC
6501 Truxtun aveBakersfieldCA93309461602286Rad/Onc/CyberknifCADHN/A$0$0falsefalse0.00000
CENTRAL NEBRASKA REHAB SRVC LLC
3004 W FAIDLEY aveGRAND ISLANDNE68803810653461Physical TherapyNESFMCN/A$0$0falsefalse0.00000
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CTRALCHICN/A$0$0falsefalse0.00000
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DR WESTENGLEWOODCO80112470727942INVESTMENTSCOCSHEXCLUDED$2,185,066$15,862,436falsefalse0.00278$2,623
CHICAMSURG Surgery CTRs LLC
1A Burton Hills BlvdNashvilleTN37215465683027SURGERY CTRCOCHICN/A$0$0falsefalse0.00000
Colorado Springs CK Leasing LLC
630 Spointe Court 200COLORADO SPRINGSCO80906262982714REAL ESTATECOCHICN/A$0$0falsefalse0.00000
CM HOME CARE SRVC of Springfield LLC
1700 EDISON DRMILFORDOH45150311746556HOME HEALTHOHNAN/A$0$0falsefalse0.00000
DE JV LLC
8686 New Trails DRThe WoodlandsTX77381320496548Emergency CareNVDHN/A$0$0falsefalse0.00000
DHHP Surgery CTRs LLC
1513 S Grand ave Ste 350Los AngelesCA90015831847466SURGERYCADCCN/A$0$0falsefalse0.00000
DHRT Holdings LLC
185 Berry Street STE 300San FranciscoCA94107352484591Holding CompanyDEDHHCN/A$0$0falsefalse0.00000
Dignity- GoHealthUrgent Care MGT LLC
5555 Glenridge Connector STE 700AtlantaGA30342352548698mgt SRVCDEDCCN/A$0$0falsefalse0.00000
Dignity Health at Home LLC
1700 EDISON DRMILFORDOH45150824674115HC SRVCDENAN/A$0$0falsefalse0.00000
Dignity Health Specialty Pharmacy LLC
185 Berry Street STE 300San FranciscoCA94107320589462Spec. Pharm SRVCDEDCCN/A$0$0falsefalse0.00000
Dignity Home Recovery Care LLC
49 Music SQ West STE 401NashvilleTN37203832832522Home Recov. PrgmDEDCCN/A$0$0falsefalse0.00000
DIGNITYUSP LAS VEGAS SURG CTRS LLC
15305 Dallas PKWY STE 1600 LB 28AddisonTX75001202999237SurgeryTXDCCN/A$0$0falsefalse0.00000
DignityUSP NorCal Surgery CTRs LLC
15305 Dallas PKWY STE 1600 LB 28AddisonTX75001202468509SURGERYTXDHMFN/A$0$0falsefalse0.00000
DIGNITYUSP PHOENIX SURGERY CTRS LLC
15305 Dallas PKWY STE 1600 LB 28AddisonTX75001134248908SurgeryTXDCCN/A$0$0falsefalse0.00000
DignityUSPJohn Muir East Bay Surg Ctrs
15305 Dallas PKWY STE 1600 LB 28AddisonTX75001352584991SURGERYTXDHMFN/A$0$0falsefalse0.00000
Dignity-Abrazo Health Network LLC
3030 N Central ave STE 1402PhoenixAZ85012465477985mgt SRVCAZDCCN/A$0$0falsefalse0.00000
Dominican Magnetic Resonance Imaging CTR
1545 Soquel DRSanta CruzCA94065770095477Imaging CTRCADHN/A$0$0falsefalse0.00000
ECCS ACQUISITION COMPANY LLC
2940 N CIRCLE DRCOLORADO SPRINGSCO80909352656413AMBUL SURG CTRCOCHICN/A$0$0falsefalse0.00000
Folsom Sierra Endoscopy CTR LP
1650 Creekside DR 1600FolsomCA95630680482416EndoscopyCADHN/A$0$0falsefalse0.00000
Franciscan Med Pavilion Bonney Lake LLC
6622 Wollochet Dr NWGig HarborWA98335463494108Real EstateWANAN/A$0$0falsefalse0.00000
FRANCISCAN SPECIALTY CARE LLC
680 S FOURTH STREETLOUISVILLEKY40202813725123HC SRVCWAFHSN/A$0$0falsefalse0.00000
GS HOME CARE Srvc of Vincenne IN LLC
1700 EDISON DRMILFORDOH45150201792869HOME HEALTHOHNAN/A$0$0falsefalse0.00000
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HLDGWISL HOSP-VINTAGEN/A$0$0falsefalse0.00000
HC SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEnaN/A$0$0falsefalse0.00000
Heartland Oncology LLC
2337 E Crawford StSalinaKS67401464265403ONCOLOGYKSSCHN/A$0$0falsefalse0.00000
LAKESIDE AMBULATORY SURG CTR LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEACHN/A$0$0falsefalse0.00000
LAKESIDE ENDOSCOPY CTR LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEACHN/A$0$0falsefalse0.00000
LINCOLN CK LEASING LLC
555 S 70TH STREETLincolnNE68510262496856Real EstateNESERMCN/A$0$0falsefalse0.00000
Memorial Medical Plaza
3838 San Dimas STE B 201BakersfieldCA93301364510880Real estateCABMHN/A$0$0falsefalse0.00000
Mercy Davis Cancer CTR MGT Co LLC
2740 M StreetMercedCA95340943358445mgt of Cancer CTRCADHN/A$0$0falsefalse0.00000
Mercy Rehabilitation Hospital LLC
680 S FOURTH STREETLOUISVILLEKY40202814437201HC SRVCTXCHI IAN/A$0$0falsefalse0.00000
Military Road Properties LLC
181 S 333rd Street STE 250Federal WayWA98003912067879Real EstateWANAN/A$0$0falsefalse0.00000
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNEACHN/A$0$0falsefalse0.00000
NICU Operating CO of Santa Cruz LLC
1555 Soquel DRSanta CruzCA95065460502935Neonatal HCCADHN/A$0$0falsefalse0.00000
NORTH RIVER SURGERY CTR LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCN/A$0$0falsefalse0.00000
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREETBISMARKND58501841641341Diagnostic SRVCNDSAMCN/A$0$0falsefalse0.00000
NSC Channel Islands LLC
3000 Riverchase Galleria STE 500BirminghamAL35244770418197Ambul SURG CTRCADCCN/A$0$0falsefalse0.00000
OMG Arizona LLC
130 Sutter Street 2nd FlrSan FranciscoCA94104471708588Med OfficeAZDCCN/A$0$0falsefalse0.00000
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCOCHICN/A$0$0falsefalse0.00000
Park Rapids Area Health Care
600 Pleasant ave SPark RapidsMN56470204926259HC SRVCMNNAN/A$0$0falsefalse0.00000
Pasadena Urgency CTR LLC
4600 E SAM HOUSTON PKWY SouthPASADENATX77505812482854URGENT CARETXSLHSN/A$0$0falsefalse0.00000
Patient Transport Services of Columbus
1700 EDISON DRMILFORDOH45150264601285AmbulanceOHNAN/A$0$0falsefalse0.00000
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HC SRVCWAFHSN/A$0$0falsefalse0.00000
Penrad Imaging LLC
1390 Kelly Johnson BlvdCOLORADO SPRINGSCO80920841072619Med ImagingCOCHICN/A$0$0falsefalse0.00000
Performance Med Equip & Respir SRVC LL
19625 62nd ave S STE 101KentWA98032452901632Holding CompanyWANAN/A$0$0falsefalse0.00000
Plaza Surgery CTR LP
525 E Plaza DR STE 100Santa MariaCA93454770573567SurgeryCAHSPCC IncN/A$0$0falsefalse0.00000
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXSLHSN/A$0$0falsefalse0.00000
Precision Medicine Alliance LLC
198 INVERNESS DR WESTENGLEWOODCO80112352569159Diag. SRVCCONAN/A$0$0falsefalse0.00000
Pueblo Ambulatory Surgery CTR LLC
25 Montebello RdPuebloCO81003621488737SURGERY CTRCOCHICN/A$0$0falsefalse0.00000
Radiation Oncology CTRs of Ventura Count
1700 N ROSE ave STE 120OXNARDCA93030770191706IMAGINGCADHN/A$0$0falsefalse0.00000
RBR Management LLC
91 Corporate Park DR STE 120HendersonNV89074271466450AmbulanceNVDHN/A$0$0falsefalse0.00000
Reid-ANC Home Care Services LLC
1700 EDISON DRMILFORDOH45150371454747HOME HEALTHINNAN/A$0$0falsefalse0.00000
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RDLEXINGTONKY40503453801157OP SURGERYDESJHSN/A$0$0falsefalse0.00000
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYCHINHCN/A$0$0falsefalse0.00000
Santa Cruz Comprehensive Imaging LLC
1661 Soquel DR STE GSanta CruzCA95065010550623ImagingCADHN/A$0$0falsefalse0.00000
Santa Cruz Land & Building LP
1555 Soquel DRSanta CruzCA95065770285236REAL ESTATECADHSN/A$0$0falsefalse0.00000
Santa Cruz Surgery CTR LLC
3003 PAUL SWEET RDSANTA CRUZCA95065770194916SURGERYCADHN/A$0$0falsefalse0.00000
Southeastern Home Care LLC
1700 EDISON DRMILFORDOH45150271219638HOME HEALTHOHNAN/A$0$0falsefalse0.00000
St Joseph's Surgery CTR LP
15305 Dallas PKWY STE 1600 LB 28AddisonTX75001201019390SurgeryTXPort City OpN/A$0$0falsefalse0.00000
St Elizabeth Home Care Services LLC
1700 EDISON DRMILFORDOH45150261236191HOME HEALTHKYNAN/A$0$0falsefalse0.00000
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOCHICN/A$0$0falsefalse0.00000
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXSLHS HOLDINGSN/A$0$0falsefalse0.00000
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXSL CDC-WN/A$0$0falsefalse0.00000
ST LUKE'S THE WOODLANDS SLEEP CTR LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXSLHSHN/A$0$0falsefalse0.00000
Templeton Surgery CTR LLC
1310 Las Tablas RD STE 104TempletonCA94365202246616SurgeryCADCCN/A$0$0falsefalse0.00000
The Medical Pavilion at St John's
1700 Rose aveOxnardCA93030770332349Real EstateCADHN/A$0$0falsefalse0.00000
THREE SPRING IMAGING LLC
1 Mercado St STE 200ADURANGOCO81301813571570HC SRVCCOCHICN/A$0$0falsefalse0.00000
Valley Phys SURG CTR At Northridge LLC
18330 Roscoe BlvdNorthridgeCA91328800864336SurgeryCADCCN/A$0$0falsefalse0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
AHCreighton St Joseph Mnged Care SRVC
12809 West Dodge RdOmahaNE68154470802396Managed CareNECHI NebraskaC Corp$0$00.00000false
All Saints Insurance Company SPC Ltd
980556913InsuranceCSHC Corp$0$00.00000falsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY1-1001CJ
AH PROVIDERS OF BRAZOS Valley Inc
2801 FRANCISCAN DRIVEBRYANTX77802742466914HealthcareTXSJSCC Corp$0$00.00000false
Alternative Insurance MGT SRVC Inc
3900 OLYMPIC BLVD STE 400ErlangerKY41018841112049MGT ServicesCOCSHC Corp$0$00.00000false
AMERICAN NURSING CARE Inc
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHCHSC Corp$0$00.00000false
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHANCC Corp$0$00.00000false
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851Fitness ClubKYJHSMHC Corp$0$00.00000false
BrazoSport Health Alliance
1 WEST WAY COURTLAKE JACKSONTX77566760518376Health CareTXBRHSC Corp$0$00.00000false
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500ChattanoogaTN37411621570736HealthcareTNMHCSC Corp$0$00.00000false
Captive MGT Initiatives Ltd
980663022Captive MGTCSHC Corp$0$00.00000falsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY1-1001CJ
CHI CTR for Translational Research
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCOCSHRIC Corp$0$00.00000false
CHI SLH - Memor Condominium Assn Inc
1201 W Frank AveLufkinTX75904834184717Condo AssocTXMHSETC Corp$0$00.00000false
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNQCHPSC Corp$0$00.00000false
Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101Pismo BeachCA93449743000596HealthcareCADCCS Corp$0$00.00000false
Comcare SRVC Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCOCHICC Corp$0$00.00000false
Consolidated Health SRVC
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHCSHC Corp$0$00.00000false
Des Moines Medical CTR Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corp$0$00.00000false
Dignity Health Holding Corp
185 Berry Street Suite 300San FranciscoCA94107460675371Holding CoNVDCCC Corp$0$00.00000false
DH Insurance Ltd (Cayman Island Corp)
981065338InsuranceDHC Corp$0$00.00000falsePO Box 1051 KY1-1102Grand Cayman IslandsGRAND CAYMANCJKY1-1001CJ
Dignity Health Provider Resources Inc
185 Berry Street Suite 300San FranciscoCA94107473366764Health PlanCADCCC Corp$0$00.00000false
Diversified Health Resources Inc
100 MEDICAL DRIVELAKE JACKSONTX77566760222679Health CareTXBRHSC Corp$0$00.00000false
First Initiatives Insurance LTD
980203038InsuranceCSHC Corp$0$00.00000falsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY1-1001CJ
Franciscan City Urgent Care SRVS PS
C/O CPGUSA 1345 AVE OF THE AMERICASNEW YORKNY10105812174959HealthcareNYFHSC Corp$0$00.00000false
Franciscan SRVC Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCOCSHC Corp$0$00.00000false
Good Samaritan Outreach SRVC
PO Box 1990KearneyNE68848470659440Medical ClinicNECHI NebraskaC Corp$0$00.00000false
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201FEDERAL WAYWA98001473451750InsuranceWAQCHPSC Corp$0$00.00000false
Health SRVC of the Pacific Cntrl Coast
1400 E Church StreetSanta MariaCA93454770074057HealthcareCADCCC Corp$0$00.00000false
Health Systems Enterprises Inc
PO BOX 1990KearneyNE68848470664558MGMTNEGSHC Corp$0$00.00000false
Healthcare MGMT SRVC Organization INC
1149 MARKET STTacomaWA98402911865474Health Org.WAFHSC Corp$0$00.00000false
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNEQCHPSC Corp$0$00.00000false
Highline Medical Group
1717 S J StreetTacomaWA98405911407026Medical SRVCWAHMCC Corp$0$00.00000false
Integrated Medical SRVC
9250 N 3rd Street Suite 4010PhoenixAZ85020860783428M/S phys. groupAZDCCC Corp$0$00.00000false
KOMG-Louisville Region Inc
201 Abraham Flexner WayLouisvilleKY40202832481198HealthcareKYJHSMHC Corp$0$00.00000false
MGT SRVC Organization of Santa Maria Inc
1400 E Church StreetSanta MariaCA93454770318135Health Care MgtCADHC Corp$0$00.00000false
Med Office Bld Horizontal Prop Regime
300 Werner StHot SpringsAR71913710720429Real EstateARCHI-SVHSC Corp$0$00.00000false
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDMMC WillistonC Corp$0$00.00000false
Memorial CV SRVC Line MGT Company LLC
1201 W Frank AveLufkinTX75904463622849Heath CareTXMHSETC Corp$0$00.00000false
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIACHI-IA CorpC Corp$0$00.00000false
Mercy SRVC Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORMMCC Corp$0$00.00000false
MHI Clinical SRVC
1201 W Frank AveLufkinTX75904461967952HealthcareTXMHSETC Corp$0$00.00000false
Millennium Surgery CTR Inc
9300 Stockdale Hwy 200BakersfieldCA93311770513445HealthcareCABMHS Corp$0$00.00000false
Mountain MGT SRVC Inc
6028 Shallowford RdChattanoogaTN37421621570739MGT SVC ORGTNMHCSC Corp$0$00.00000false
North Central Health Care Alliance
PO Box 5538BismarkND58506450439894HealthcareNDSAMCC Corp$0$00.00000false
PATIENT TRANSPORT SRVC INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHANCC Corp$0$00.00000false
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912InsuranceWAQCHPSC Corp$0$00.00000false
QualChoice Health Plan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin SRVCCOQCHIC Corp$0$00.00000false
QCH Inc (fka CH Managed Solutions Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCOCSHC Corp$0$00.00000false
QualChoice Holdings Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112274075520Holding CoARQCHPSC Corp$0$00.00000false
QualChoice of Nebraska
2401 S 73rd StOmahaNE68124810738827InactiveNEQCHPSC Corp$0$00.00000false
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHQCHPSC Corp$0$00.00000false
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYQCHPSC Corp$0$00.00000false
Ross Park Pharmacy Inc
380 SUMMIT AVESTEUBENVILLEOH43952341832654PharmacyOHTSHSC Corp$0$00.00000false
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112222441202Billing SRVCNJSCCCC Corp$0$00.00000false
SJH SRVC Corp
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCOFSIC Corp$0$00.00000false
SJL PHYSICIAN MGT SRVC INC
424 LEWIS HARGETT CR STE 160LexingtonKY40503270164198ManagementKYSJHSC Corp$0$00.00000false
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWAQCHPSC Corp$0$00.00000false
St Mary Health Ventures Inc
1050 Linden AvenueLong BeachCA90813951912528Retail Pharm.CADHC Corp$0$00.00000false
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSAHC Corp$0$00.00000false
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWAFSIC Corp$0$00.00000false
St Luke's Health System Holdings Inc
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXSLHSC Corp$0$00.00000false
St Vincent Community Health SRVC Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARSVIMCC Corp$0$00.00000false
STE Holdings
12809 West Dodge RdOmahaNE68154822383629Holding CoNESERMCC Corp$0$00.00000false
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXSLCDC-SLC Corp$0$00.00000false
Towson MGT Inc
7601 OSLER DRTowsonMD21204521710750Mgmt SRVCMDFSIC Corp$0$00.00000false
TRINITY MGT SRVC ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026Mgmt SRVCOHTHSC Corp$0$00.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd