GARRISON MEMORIAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- GARRISON MEMORIAL HOSPITAL (EIN 45-0227752)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-18
- IRS object ID
- 202131389349301238
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-18T13:34:16-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1225 17th Street Suite 800 | AddressLine1Txt |
| City | Denver | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450227752 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Garrison Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THOMAS SPAIN | InCareOfNm |
| Business Name Control | GARR | BusinessNameControlTxt |
| Phone | 7014632275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 THIRD AVENUE SOUTHEAST | AddressLine1Txt |
| City | GARRISON | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58540 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOD GRAEBER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mark E Shelton | PreparerPersonNm |
| PTIN | P01203482 | PTIN |
| Phone | 3032962323 | PhoneNum |
| Preparation | 2021-05-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOD GRAEBER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 THIRD AVENUE SOUTHEAST | AddressLine1Txt |
| City | GARRISON | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,930,724 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.CHISTALEXIUSHEALTH>ORG/LOCATIONS | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF HEAL HEALTHCARE TO GARRISON AND THE SURROUNDING AREA | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 153 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,361 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,293 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,467,331 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,114,421 | CYProgramServiceRevenueAmt |
| PY Investment Income | $328 | PYInvestmentIncomeAmt |
| CY Investment Income | $75 | CYInvestmentIncomeAmt |
| PY Other Revenue | $729,444 | PYOtherRevenueAmt |
| CY Other Revenue | $798,935 | CYOtherRevenueAmt |
| PY Total Revenue | $11,227,464 | PYTotalRevenueAmt |
| CY Total Revenue | $10,930,724 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,569,830 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,014,459 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,081,950 | PYOtherExpensesAmt |
| CY Other Expenses | $3,286,783 | CYOtherExpensesAmt |
| PY Total Expenses | $10,652,280 | PYTotalExpensesAmt |
| CY Total Expenses | $11,302,042 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $575,184 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$371,318 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,565,552 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,929,831 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,502,121 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,239,885 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,063,431 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,689,946 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,394,295 | ExpenseAmt |
| Grant | $800 | GrantAmt |
| Revenue | $10,906,986 | RevenueAmt |
| Desc | Garrison Memorial Hospital delivers primary health care to a population of approximately 6,000 in McLean, Ward, McHenrey, and Mountrail Counties. We operate a 22-bed Critical Access Hospital and a 26-bed skilled nursing facility. Two beds were put on layaway in FY 20. We also operate a rural health clinic in Garrison, North Dakota. Our facility employs approximately 100 people with another 30 third party vendor employees. SEE SCHEDULE O. | Desc |
| Total Program Service Expenses | $10,394,295 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 153 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS SPAIN | PersonNm |
| Phone | 7014632275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 THIRD AVENUE SOUTHEAST | AddressLine1Txt |
| City | GARRISON | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58540 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLIFF ROBERTSON MD | ||||||||
| DIRECTOR | 1.0 | 59.0 | Yes (X) | $0 | $2,271,574 | $46,283 | ||
| KURT SCHLEY | ||||||||
| DIRECTOR | 5.0 | 40.0 | Yes (X) | $0 | $585,573 | $83,318 | ||
| KEVIN DAHMEN md | ||||||||
| SECRETARY/TREASURER | 1.0 | 44.0 | Yes (X) | $0 | $609,968 | $47,782 | Yes (X) | |
| TODD PRESZLER MD | ||||||||
| DIRECTOR | 1.0 | 44.0 | Yes (X) | $0 | $601,917 | $34,490 | ||
| MICHAEL L CASSIDY MD | ||||||||
| DIRECTOR (END: 10/30/2019) | 1.0 | 7.0 | Yes (X) | $0 | $465,951 | $33,734 | ||
| JON DORNACKER | ||||||||
| DOCTOR OF MEDICINE | 40.0 | 0.0 | $468,051 | $0 | $23,534 | Yes (X) | ||
| SHIRAZ HYDER | ||||||||
| DIRECTOR | 1.0 | 44.0 | Yes (X) | $0 | $392,975 | $53,489 | ||
| TESSA MARBURGER MD | ||||||||
| DIRECTOR (END: 10/30/2019) | 1.0 | 44.0 | Yes (X) | $0 | $394,767 | $25,950 | ||
| ART RENNER | ||||||||
| PHYSICIAN'S ASSISTANT | 40.0 | 0.0 | $160,609 | $0 | $22,283 | Yes (X) | ||
| TOD GRAEBER | ||||||||
| PRESIDENT | 40.0 | 0.0 | $148,065 | $0 | $12,951 | Yes (X) | ||
| CASSANDRA HAIDER | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $151,779 | $0 | $8,275 | Yes (X) | ||
| FORREST HIRSCH | ||||||||
| OPEN | 40.0 | 0.0 | $117,608 | $0 | $14,620 | Yes (X) | ||
| BETH HETLETVED | ||||||||
| VP OF NURSING | 40.0 | 0.0 | $95,853 | $0 | $10,148 | Yes (X) | ||
| THOMAS SPAIN | ||||||||
| CFO | 40.0 | 0.0 | $81,801 | $0 | $9,522 | Yes (X) | ||
| TIMOTHY BOPP MD | ||||||||
| DIRECTOR | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN GIESE | ||||||||
| CHAIR | 2.0 | 7.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MICHAEL LEFOR | ||||||||
| DIRECTOR | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| SR NANCY MILLER OSB | ||||||||
| VICE CHAIR | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN MONGEON | ||||||||
| DIRECTOR | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK SOGARD | ||||||||
| DIRECTOR (END: 10/30/2019) | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||
| JULIE TRAYNOR | ||||||||
| DIRECTOR (END: 10/30/2019) | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||
| SR THOMAS WELDER | ||||||||
| DIRECTOR (END: 06/06/2020) | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | ||
| MIKE WEISBECK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,223,766 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,322,725 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $426,379 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ROLINC | |||||
| 333 W HAMPDEN STE 545 | ENGLEWOOD | CO | 80110 | LOCUM PROVIDER | $268,099 |
| GUARDIAN HEALTHCARE PROVIDERS | |||||
| PO BOX 306098 | NASHVILLE | TN | 372306098 | LOCUM PROVIDER | $221,553 |
| NORTHERN PLAINS LAB | |||||
| PO BOX 2036 | BISMARCK | ND | 585020000 | CLINICAL LAB | $175,782 |
| NORTHLAND IMAGING SERVICES | |||||
| 2223 EAST ROSSER AVE | BISMARCK | ND | 58501 | MRI IMAGING SERVICES | $109,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,000 | GovernmentGrantsAmt |
| All Other Contributions | $10,293 | AllOtherContributionsAmt |
| Total Contributions | $17,293 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $10,114,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,114,421 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,114,421 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,100 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,100 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,100 | TotalRevenueColumnAmt |
| Exclusion | $2,100 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $75 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $75 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75 | TotalRevenueColumnAmt |
| Exclusion | $75 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722100 | $4,270 | $4,270 | |
| PHARMACY SERVICES | 446110 | $652,962 | $652,962 | |
| OTHER MISCELLANEOUS REVENUE | 900099 | $139,603 | $139,603 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $796,835 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,930,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,906,986 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,445 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $800 | TotalAmt |
| Program Services | $800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,810 | TotalAmt |
| Management And General | $302,810 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,463,984 | TotalAmt |
| Program Services | $6,201,871 | ProgramServicesAmt |
| Management And General | $262,113 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $897,376 | TotalAmt |
| Program Services | $850,935 | ProgramServicesAmt |
| Management And General | $46,441 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,289 | TotalAmt |
| Program Services | $332,774 | ProgramServicesAmt |
| Management And General | $17,515 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,292 | TotalAmt |
| Management And General | $1,292 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,267 | TotalAmt |
| Program Services | $1,069,373 | ProgramServicesAmt |
| Management And General | $96,894 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,062 | TotalAmt |
| Program Services | $4,809 | ProgramServicesAmt |
| Management And General | $253 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,552 | TotalAmt |
| Program Services | $563,874 | ProgramServicesAmt |
| Management And General | $29,678 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,374 | TotalAmt |
| Program Services | $128,605 | ProgramServicesAmt |
| Management And General | $6,769 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,760 | TotalAmt |
| Program Services | $19,722 | ProgramServicesAmt |
| Management And General | $1,038 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,211 | TotalAmt |
| Program Services | $2,100 | ProgramServicesAmt |
| Management And General | $111 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,184 | TotalAmt |
| Program Services | $209,175 | ProgramServicesAmt |
| Management And General | $11,009 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,483 | TotalAmt |
| Program Services | $1,409 | ProgramServicesAmt |
| Management And General | $74 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RECRUITMENT | $864,674 | $821,440 | $43,234 |
| REPAIRS AND MAINTENANCE | $164,094 | $155,889 | $8,205 |
| DUES & SUBSCRIPTIONS | $19,043 | $18,091 | $952 |
| RECRUITMENT AND RELOCATION | $14,135 | $13,428 | $707 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,652 | TotalAmt |
| Management And General | $78,652 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,302,042 | TotalAmt |
| Program Services | $10,394,295 | ProgramServicesAmt |
| Management And General | $907,747 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,377,033 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,437,695 | BOYAmt |
| EOY | $2,975,168 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,737 | BOYAmt |
| EOY | $301,052 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,657 | BOYAmt |
| EOY | $7,367 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,270,900 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,069,644 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,414,028 | BOYAmt |
| EOY | $2,201,256 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,398,435 | BOYAmt |
| EOY | $67,955 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,565,552 | BOYAmt |
| EOY | $13,929,831 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,002,158 | BOYAmt |
| EOY | $1,579,781 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,000 | BOYAmt |
| EOY | $3,776,249 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,225 | BOYAmt |
| EOY | $17,507 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,143 | BOYAmt |
| EOY | $306,464 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,595 | BOYAmt |
| EOY | $1,559,884 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,502,121 | BOYAmt |
| EOY | $7,239,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,063,431 | BOYAmt |
| EOY | $6,689,946 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,063,431 | BOYAmt |
| EOY | $6,689,946 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,565,552 | BOYAmt |
| EOY | $13,929,831 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$371,318 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,167 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,292 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,292 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 - DETAILED DESCRIPTION OF THE LOBBYING | FormAndLineReferenceDesc |
| Explanation | THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: NORTH DAKOTA LONG TERM CARE ASSOCIATION - $469 NORTH DAKOTA HEALTHCARE ASSOCIATION - $823 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Beginning Balance | $5,225 | BeginningBalanceAmt |
| Additions During Year | $44,268 | AdditionsDuringYearAmt |
| Distributions During Year | $31,986 | DistributionsDuringYearAmt |
| Ending Balance | $17,507 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,269,493 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,241,378 | DepreciationAmt |
| Book Value | $2,028,115 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,001,406 | OtherCostOrOtherBasisAmt |
| Depreciation | $828,265 | DepreciationAmt |
| Book Value | $173,141 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,201,256 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RELATED PARTY PAYABLES | $1,490,532 |
| OPERATING LEASE LIABILITY | $69,352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,559,884 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART IV, LINE 1B | AGENT, TRUSTEE, CUSTODIAN, OR OTHER THIS IS A TRUST FUND FOR RESIDENTS OF OUR SKILLED NURSING FACILITY. SOME PATIENTS REQUEST THAT WE PLACE THEIR INCOME IN A TRUST FUND TO PAY THEIR BILLS. THIS MONEY IS HELD IN A SEPARATE CHECKING ACCOUNT IN THE RESIDENT'S NAME, AND NOT COMINGLED WITH HOSPITAL FUNDS. THE TRUST ACCOUNT IS BONDED. |
| SCHEDULE D, PART IV, LINE 2B | EXPLANATION OF ESCROW AGREEMENT THE EMPLOYEE FUND IS LISTED AS A LIABILITY ON THE BALANCE SHEET. THE MONEY COMES FROM TWO SOURCES; MONEY THAT IS RAISED BY EMPLOYEES, AND RESTRICTED DONATIONS FOR CERTAIN DEPARTMENTS WITHIN THE HOSPITAL. ALL THE MONEY IS USED FOR THE BENEFIT OF OUR PATIENTS AND RESIDENTS. A SMALL AMOUNT IS USED FOR EMPLOYEE RECOGNITION. RESIDENTS. A SMALL AMOUNT IS USED FOR EMPLOYEE RECOGNITION. |
| SCHEDULE D, PART X, LINE 2 | FASB ASC 740 FOOTNOTE: UNCERTAIN TAX POSITIONS GARRISON MEMORIAL HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S 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 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 JUDGMENT 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 EXPENSE AS OF JUNE 30, 2020 AND 2019. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,917,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,839,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,954,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,839,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $115,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,238 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,358 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,667,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,483,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $183,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,716,923 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,483,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $233,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,671,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,322,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $348,837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 2057 | PersonsServedCnt |
| Total Community Benefit Expns | $11,860 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,860 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 2057 | PersonsServedCnt |
| Total Community Benefit Expns | $11,860 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,860 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $703,916 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $71,096 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,049,292 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,087,198 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$37,906 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARRISON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 THIRD AVE SE | AddressLine1Txt |
| City | GARRISON | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.CHISTALEXIUSHEALTH.ORG | WebsiteAddressTxt |
| State License | 5019 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PROVIDER BASED MEDICARE CERTIFIED RHC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARRISON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE STATEMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE STATEMENT | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE STATEMENT | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE STATEMENT | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA AND INCLUDED IN A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 5 GARRISON MEMORIAL HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND BY COLLECTING DATA FROM 1. A SURVEY SOLICITED FEEDBACK FROM AREA RESIDENTS 2. COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TOOK PART IN ONE-ON-ONE KEY INFORMANT INTERVIEWS 3. THE COMMUNITY GROUP, COMPRISED OF COMMUNITY LEADERS AND AREA RESIDENTS, WAS CONVENED TO DISCUSS AREA HEALTH NEEDS AND INFORM THE ASSESSMENT PROCESS 4. A RANGE OF SECONDARY SOURCES OF DATA WERE EXAMINED, PROVIDING INFORMATION ON A MULTITUDE OF MEASURES INCLUDING DEMOGRAPHICS; HEALTH CONDITIONS, INDICATORS, AND OUTCOMES; RATES OF PREVENTIVE MEASURES; RATES OF DISEASE; AND AT-RISK BEHAVIOR. ONE-ON-ONE INTERVIEWS, WITH SIX KEY INFORMANTS, WERE CONDUCTED IN PERSON IN GARRISON ON AUGUST 21, 2018 AND NOVEMBER 5, 2018. A REPRESENTATIVE FROM THE CENTER FOR RURAL HEALTH CONDUCTED THE INTERVIEWS. INTERVIEWS WERE HELD WITH SELECTED MEMBERS OF THE COMMUNITY GROUP AS WELL AS OTHER KEY INFORMANTS WHO COULD PROVIDE INSIGHTS INTO THE COMMUNITY'S HEALTH NEEDS. INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH ACQUIRED THROUGH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES. SCHEDULE H, PART V, SECTION B, LINE 7 HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTS |
| SCHEDULE H, PART V, SECTION B, LINE 11 | HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS, YOUTH DRUG USE AND ABUSE, ADULT DRUG USE AND ABUSE, AND ADULT OBESETY AND OVERWEIGHT. TO ADDRESS THE ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDER, CHI ST. ALEXIUS HEALTH GARRISON IS WORKING TO FULLY STAFF THE CLINIC, HOSPITAL, AND ER WITH A FULL COMPLEMENT OF PROVIDERS TO MEET THE NEEDS OF THE GROWING COMMUNITY BY THE FOLLOWING STRATEGIES: A. MAINTAIN CHI ST. ALEXIUS HEALTH GARRISON HOSPITAL AND CLINIC DESTINATIONS AS A NATIONAL HEALTH SERVICE CORE SITE. B. UPDATE THE RECRUITMENT FOLDERS TO DISTRIBUTE TO POTENTIAL PROFESSIONAL CANDIDATES. C. CONTINUE TO PROMOTE HEALTH CAREER SCHOLARSHIPS TO STUDENTS IN OUR COMMUNITY. D. ENGAGE THE COMMUNITY AND COMMUNITY LEADERS IN THE RECRUITMENT AND RETENTION OF PROVIDERS. E. DEVELOP NEW AND MORE FLEXIBLE PRACTICE MODELS WITHIN THE HOSPITAL AND CLINIC SETTING. F. OFFER CONTINUING EDUCATION OPPORTUNITIES TO CURRENT STAFF. G. CONTINUE AS A RURAL ROTATION SITE FOR UND CENTER FOR FAMILY MEDICINE. H. OFFER OPPORTUNITIES FOR ADVANCED PRACTICE CLINICIANS (APC) AND APC STUDENTS TO FOLLOW OUR PROVIDERS IN HOPES OF GAINING INTEREST IN WORKING IN A RURAL FACILITY. G. PARTNERED WITH BISMARCK STATE COLLEGE TO START AN LPN AND RN DEGREE PROGRAM IN GARRISON MEMORIAL HOSPITAL. TO ADDRESS YOUTH DRUG AND ABUSE, CHI ST. ALEXIUS HEALTH GARRISON IS EDUCATING THE YOUTH OF OUR COMMUNITY OF THE DANGERS OF DRUG USE AND ABUSE THROUGH THE FOLLOWING STRATEGIES: A. PARTNER WITH THE PUBLIC SCHOOL DISTRICT ON IMPLEMENTING A DRUG AWARENESS DAY OR LYCEUM. B. PARTNER WITH THE MCLEAN COUNTY SHERIFF'S DEPARTMENT AND PUBLIC HEALTH OFFICE ON EDUCATION FOR STUDENTS, PARENTS, AND COMMUNITY MEMBERS. C. DEVELOP A LIST OF MENTAL HEALTH DRUG AND ALCOHOL ADDICTION COUNSELORS FOR REFERRAL OF PATIENTS AND COMMUNITY MEMBERS IN NEED OF ASSISTANCE. D. PROVIDE EDUCATION AT PUBLIC HEALTH FAIRS. TO ADDRESS ADULT OBESITY AND OVERWEIGHT, CHI ST. ALEXIUS HEALTH GARRISON IS EDUCATING THE PUBLIC ON THE HEALTH RISKS OF OBESITY AND CREATING OPPORTUNITIES FOR WEIGHT LOSS AND HEALTHIER LIFESTYLES WITH THE FOLLOWING STRATEGIES: A. PROVIDE EDUCATION ON HEALTH RISKS OF OBESITY B. CREATE AND DESIGN OPPORTUNITIES FOR CHOOSING A HEALTHIER LIFESTYLE AND DIETARY OPTIONS. C. IMPLEMENTATION STRATEGIES D. EDUCATE PUBLIC AT HEALTH FAIRS AND OTHER COMMUNITY EVENTS, AS AVAILABLE. E. USE WEBSITE AND FACEBOOK TO POST HEALTH LIVING OPTIONS AND EDUCATION. F. PLAN A 5K RUN/WALK EVENT. G. SPONSOR A HEALTH COOKING CLASS. H. PROMOTE WEIGHT LOSS CHALLENGES IN THE COMMUNITY. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS PLAN THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEED IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN DUE TO FACTORS OUT OF OUR CONTROL AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. CHILD DAYCARE SERVICE: ENOUGH CHILD DAYCARE SERVICES: ALTHOUGH WE ARE UNABLE TO DIRECTLY CONTROL THE AVAILABILITY OF CHILD DAYCARE OPTIONS AND IT WOULD BE FINANCIALLY UNFEASIBLE TO START A DAYCARE SERVICE OF OUR OWN, WE CAN MAKE KNOWN THAT WE ARE ABLE TO OFFER FREE OR LOW-COST CPR AND BABYSITTING CLASSES TO THOSE INTERESTED. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/ FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION FORM WEBSITE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/ FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP SUMMARY WEBSITE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/ FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| GMH SKILLED NURSING FACILITY | ||||
| 407 3RD AVE SE | GARRISON | ND | 58540 | LICENSED NURSING HOME |
| GARRISON FAMILY CLINIC | ||||
| 437 3RD AVENUE | GARRISON | ND | 58540 | PROVIDER BASED RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3 | FINANCIAL ASSISTANCE ELIGIBILITY UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. * THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. * THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: * RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; * HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; * PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); * FOOD STAMP ELIGIBILITY; * SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; * ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); * LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR * PATIENT IS DECEASED WITH NO KNOWN ESTATE. SCHEDULE H, PART I, LINE 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE THE CHARITY CARE INCLUDED IN PART I, LINE 7A IS BASED ON THE AVERAGE COST TO GROSS CHARGES CALCULATED FROM INTERNAL COST SYSTEM. THE UNREIMBURSED MEDICAID IN PART I, LINE 7B IS BASED ON GROSS CHARGES AND CLAIMS FROM THE COST REPORT. THE COMMUNITY HEALTH SERVICES, EDUCATION AND CONTRIBUTIONS IN PART I, LINES 7E, F AND I ARE BASED ON ACTUAL EXPENSES. THE SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G ARE BASED ON ESTIMATED COSTS FROM THE COST REPORT. SCHEDULE H, PART II Garrison Memorial Hospital no longer employs an LPN as a full-time community resource coordinator. These duties are split up between clinic staff with an estimated with a wage and benefits of $11,813 dedicated to these duties. whose responsibilities include helping the uninsured and underinsured access healthcare through Medicaid, Women's Way, Caring Program, Healthy Steps and charity care. In 2019/2020 clinic staff helped 17 individuals. Staff is also responsible for our adult preventative programs (diabetes, women's and men's health) by tracking these program services and sending reminders to patients to schedule follow-up visits with approximately 1,000 clients served in the county . The staff also tracks and monitors patients through our impaired glucose/pre-diabetes program. The Rx Assist Program also falls under clinic staff duties where they work with our physicians on specialty medication management. The helped 12 client in 2019/2020. They assists with free screenings that are done at our annual health fairs. They also coordinates the clinic's diabetes education program via telemedicine, in conjunction with a diabetic educator at St. Alexius in Bismarck. Other committees that the Community Resource Coordinator serves on are a diabetes task force sponsored by the North Dakota Department of Health. The task force works to improve access and quality care to diabetic patients. The nursing staff also serves on the Mclean County Interagency Committee. This committee works collaboratively with the Mclean County Sheriff's department, county school districts, healthcare entities, and the Mclean County Resource Center on providing access to social services and healthcare. The clinic staff also has established access for dental care for uninsured and under insured patients. This is done collaboratively with the dental program at Northland Community Health Center in Turtle Lake, ND. SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT THE AMOUNT REPORTED AS BAD DEBT EXPENSE REPRESENTS TOTAL CHARGES WRITTEN OFF TO BAD DEBT. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 3 | FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY GARRISON MEMORIAL HOSPITAL DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. SCHEDULE H, PART III, LINE 4 FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT GARRISON MEMORIAL HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2019 WAS NOT SIGNIFICANT. SCHEDULE H, PART III, LINE 8 DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. GARRISON MEMORIAL HOSPITAL 'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. GARRISON MEMORIAL HOSPITAL BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. |
| SCHEDULE H, PART III, LINE 9B | DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE. HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY. SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT GARRISON MEMORIAL HOSPITAL HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FY19. THE ORGANIZATION HAS PREPARED AN IMPLEMENTATION STRATEGY FOR ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. IN ADDITION, THE ORGANIZATION ASSESSES THE NEEDS OF THE COMMUNITY ON AN ONGOING BASIS AND STRIVES TO CONTINUALLY ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE, WWW.CATHOLICHEALTH.NET, AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES. HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION GARRISON MEMORIAL HOSPITAL IS ONE OF TWO CRITICAL ACCESS HOSPITALS THAT SERVE THE NINETEEN COMMUNITIES IN MCLEAN COUNTY. GARRISON IS LOCATED IN THE NW SECTION OF THE COUNTY. GARRISON MEMORIAL HOSPITAL SERVES NORTHERN AND CENTRAL MCLEAN COUNTY AS WELL AS PARTS OF SOUTHERN WARD COUNTY AND PARTS OF SOUTHEASTERN MOUNTRAIL COUNTY. THE OTHER HOSPITAL IS LOCATED IN TURTLE LAKE, ON THE EAST EDGE OF THE COUNTY. MCLEAN COUNTY HAS AN AREA OF 2,110.88 SQUARE MILES AND IS CLASSIFIED AS A FRONTIER COUNTY. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $65,648 WITH 9.2% OF THE POPULATION BELOW THE FEDERAL POVERTY GUIDELINES; 10-20% OF THE POPULATION IN NOT INSURED. MCLEAN COUNTY IS ALSO CLASSIFIED AS A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. |
| SCHEDULE H, PART VI, LINE 6 | DESCRIPTION OF AFFILIATED GROUP THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH AS A SINGLE MINISTRY IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN - BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND COMPRISES 142 HOSPITALS, INCLUDING THREE ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS AS WELL AS 31 CRITICAL-ACCESS FACILITIES; COMMUNITY HEALTH SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; LIVING COMMUNITIES; A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS; AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2019, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.1 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.4 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $20.96 BILLION IN FISCAL YEAR 2019, HAS TOTAL ASSETS OF APPROXIMATELY $40.6 BILLION. COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARE SERVICES" FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL L CASSIDY MD | |||||||||||||
| DIRECTOR (END: 10/30/2019) | $454,407 | $11,544 | $16,066 | $17,668 | $499,685 | ||||||||
| KEVIN DAHMEN md | |||||||||||||
| SECRETARY/TREASURER | $538,026 | $2,622 | $26,600 | $23,234 | $659,802 | $69,320 | |||||||
| JON DORNACKER | |||||||||||||
| DOCTOR OF MEDICINE | $448,324 | $17,974 | $1,753 | $8,400 | $15,868 | $492,319 | |||||||
| TOD GRAEBER | |||||||||||||
| PRESIDENT | $141,754 | $5,000 | $1,311 | $7,192 | $6,326 | $161,583 | |||||||
| CASSANDRA HAIDER | |||||||||||||
| NURSE PRACTITIONER | $149,864 | $1,792 | $123 | $8,275 | $176 | $160,230 | |||||||
| SHIRAZ HYDER | |||||||||||||
| DIRECTOR | $368,041 | $7,524 | $30,200 | $24,324 | $447,499 | $17,410 | |||||||
| TESSA MARBURGER MD | |||||||||||||
| DIRECTOR (END: 10/30/2019) | $382,945 | $11,822 | $16,072 | $9,878 | $420,717 | ||||||||
| TODD PRESZLER MD | |||||||||||||
| DIRECTOR | $534,680 | $4,902 | $11,200 | $25,546 | $638,663 | $62,335 | |||||||
| ART RENNER | |||||||||||||
| PHYSICIAN'S ASSISTANT | $160,294 | $315 | $6,493 | $15,967 | $183,069 | ||||||||
| CLIFF ROBERTSON MD | |||||||||||||
| DIRECTOR | $1,062,248 | $360,407 | $16,675 | $29,608 | $2,317,857 | $848,919 | $136,676 | ||||||
| KURT SCHLEY | |||||||||||||
| DIRECTOR | $441,481 | $20,932 | $57,065 | $26,253 | $668,891 | $123,160 | |||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4A - POST-TERMINATION PAYMENTS | FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. |
| SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $139,927 DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: CLIFF ROBERTSON - $182,082 |
| SCHEDULE J, PART I, LINE 7 - NON-FIXED PAYMENTS | EMPLOYEES ARE ELIGIBLE FOR A BONUS BASED ON A BALANCED SCORECARD WHICH MEASURES FINANCIAL PERFORMANCE, QUALITY, AND PERSONAL GOALS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE DESCRIPTION (continued) Garrison Memorial Hospital makes medical care accessible to the entire community it serves. It operates a 24-hour, Level 5 state certified emergency room. In 2019/2020 we had 1,696 emergency room visits. We also had 353 acute days of care, 4,092 swing bed days, 8,506 days of skilled nursing care, and 5,800 clinic visits. Garrison Memorial Hospital's charity care policy provides discounted and free services to patients who lack the resources to be fully responsible for the healthcare they receive. The Charity Care policy is designed to ensure the population served by Garrison Memorial Hospital has access to needed healthcare services. In fiscal year 2019/2020, Garrison Memorial Hospital and its clinic had $38,561 in charity care and Indian Health Services and $703,916 in bad debt write offs. Our rural health clinic offers a sliding fee schedule to uninsured and underinsured patients, which is mandated by the National Health Service Corps Program. One hundred percent of qualified uninsured or underinsured sliding fee schedule patients are written off as charity care. In 2019/2020, Garrison Memorial Hospital's payer mix was approximately 34% Medicare, 32% Medicaid, 1% Indian Health Services, 14% self-pay and 19% commercial insurance. All payers are charged the same regardless of insurance. FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE PURSUANT TO SECTION 8.6 OF THE BYLAWS OF GARRISON MEMORIAL HOSPITAL, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS ACCORDING TO THE BYLAWS OF GARRISON MEMORIAL HOSPITAL, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, LINE 7B | DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE 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, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, LINE 11B | REVIEW OF FORM 990 BY GOVERNING BODY ONCE THE RETURN IS PREPARED, THE FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO THE IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES' REVIEW BEFORE THE FINAL FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO THE IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR EXTERNAL TAX RETURN PREPARERS IF REQUESTED BY THE TRUSTEES. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX RETURN PREPARER FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| FORM 990, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC")) WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST. |
| FORM 990, PART VI, LINE 15A | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. |
| FORM 990, PART VI, LINE 19 | REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG OR WWW.CATHOLICHEALTHINITIATIVES.ORG. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:289705 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:771619 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:20776 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:84167 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HOSPITAL | NE | 501(c)(3) | 3 | ACH | false |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| Allegent Health -Comm Memorial HSP IA | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HOSPITAL | IA | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - IMMANUEL MED CTR | ||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - MEMORIAL HOSP SCHUYLER | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - MERCY HOSP CORNING IA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HOSPITAL | IA | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(c)(3) | 10 | CSH | false |
| APPLETREE COURT | ||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(c)(3) | 10 | SFH | false |
| Arroyo Grande Community Hospital FDN | ||||||||||
| 345 S Halcyon Rd | Arroyo Grande | CA | 93420 | 203256066 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Bakersfield Memorial Hospital | ||||||||||
| 420 34TH Street | Bakersfield | CA | 93301 | 951802779 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| Barrow Neurological FDN | ||||||||||
| 350 West Thomas Rd | Phoenix | AZ | 85013 | 860174371 | FUND. FDN | AZ | 501(c)(3) | 7 | DH | false |
| BAYLOR ST LUKE'S HEALTH VENTURES | ||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(c)(3) | 12 Type 1 | SLCHS | false |
| BAYLOR ST LUKE'S MEDGROUP | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(c)(3) | 3 | SLHS | false |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 232187242 | HEALTHCARE | PA | 501(c)(3) | 12 Type 1 | CSH | false |
| BRAZOSPORT HEALTH FDN INC | ||||||||||
| 1 West Way Ct | LAKE JACKSON | TX | 77566 | 760080110 | FUND. FDN | TX | 501(c)(3) | 12 Type 1 | BRHS | false |
| BRAZOSPORT REGIONAL PHYSICIAN SRVS | ||||||||||
| 100 MEDICAL DR | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(c)(3) | 3 | BRHS | false |
| BURLESON ST JOSEPH HEALTH CTR | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| BURLESON ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742913931 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| California Hospital MED CTR FDN | ||||||||||
| 1401 South Grand AVE | Los Angeles | CA | 90015 | 954000909 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DCC | false |
| CARRINGTON HEALTH CTR | ||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| CATHOLIC HEALTH INITIATIVES - COLORADO | ||||||||||
| 9100 East Mineral Circle | Centennial | CO | 80112 | 840405257 | HOSPITAL | CO | 501(c)(3) | 3 | CSH | false |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HOSPITAL | IA | 501(c)(3) | 3 | CSH | false |
| CATHOLIC HEALTH INITIATIVES COLORADO FDN | ||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 840902211 | FUND. FDN | CO | 501(c)(3) | 7 | CHIC | false |
| CATHOLIC HEALTH INITIATIVES NATIONAL FDN | ||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | HEALTHCARE | CO | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI VIRTUAL HEALTH SERVICES | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 460992796 | PHYSICIANS | CO | 501(c)(3) | 12 Type 1 | CHINS | false |
| CENTENNIAL MEDGROUP INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | SURGERY CTR | OR | 501(c)(3) | 10 | MMC | false |
| CENTRAL CALIFORNIA HEALTH CTRS | ||||||||||
| 300 OLD RIVER Rd STE 200 | BAKERSFIELD | CA | 93311 | 844171789 | CLINIC | CA | 501(c)(3) | 3 | DCC | false |
| CENTRAL KANSAS MED CTR | ||||||||||
| 3515 BRdWAY | GREAT BEND | KS | 67530 | 480543724 | HOSPITAL | KS | 501(c)(3) | 3 | CSH | false |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | FUND. FDN | MN | 501(c)(3) | 10 | CSH | false |
| CHI HEALTH FDN | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUND. FDN | NE | 501(c)(3) | 7 | ACH | false |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI LIVING COMMUNITIES | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | HEALTHCARE | OH | 501(c)(3) | 12 Type 1 | SFH | false |
| CHI Memorial Hospital - Georgia | ||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HOSPITAL | GA | 501(c)(3) | 3 | MHCS | false |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(c)(3) | 10 | CHI NS | false |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI NEBRASKA | ||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI ST JOSEPH CHILDREN'S HEALTH | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI ST JOSEPH'S CHILDREN | ||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(c)(3) | 12 Type 1 | CSH | false |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501(c)(3) | 3 | CHISVHS | false |
| CHI ST VINCENT HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(c)(3) | 12 Type 1 | SVIMC | false |
| CHI ST VINCENT MED GROUP HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIANS | AR | 501(c)(3) | 3 | CHISVHS | false |
| COMMONSPIRIT HEALTH | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(c)(3) | 12 Type 1 | NA | false |
| COMMONSPIRIT HEALTH OPER INV POOL LLC | ||||||||||
| 185 BERRY STREET STE 300 | SAN FRANCISCO | CA | 94107 | 850919176 | INVESTMENTS | CA | 501(c)(3) | 12 Type 1 | CSH | false |
| COMMONSPIRIT HEALTH RESEARCH INSTITUTE | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(c)(3) | 12 Type 1 | CSH | false |
| Community Hospital of San Bernardino | ||||||||||
| 1805 Medical CTR DR | San Bernardino | CA | 92411 | 951643373 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| COMMUNITY LIMITED CARE DIALYSIS CTR | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(c)(4) | NONE | GSH | false |
| COMMUNITY MEMORIAL HPL MED SERVICE FDN | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUND. FDN | IA | 501(c)(3) | 12 Type 1 | AH-CMHMV | false |
| CONTINUING CARE HOSPITAL | ||||||||||
| One Saint Joseph DR | LEXINGTON | KY | 40504 | 611400619 | HOSPITAL | KY | 501(c)(3) | 3 | SJHS | false |
| Dignity Community Care | ||||||||||
| 185 Berry Street Ste 300 | San Francisco | CA | 94107 | 815009488 | HOSPITAL | CO | 501(c)(3) | 3 | CSH | false |
| DIGNITY HEALTH | ||||||||||
| 185 BERRY STREET STE 300 | SAN FRANCISCO | CA | 94107 | 941196203 | HOSPITAL | CA | 501(c)(3) | 3 | CSH | false |
| Dignity Health Connected Living | ||||||||||
| 200 Mercy Oaks DR | Redding | CA | 96003 | 237115371 | Senior CTR SR | CA | 501(c)(3) | 7 | DH | false |
| Dignity Health FDN | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 462037641 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dignity Health FDN - Inland Empire | ||||||||||
| 2101 N Waterman AVE | San Bernardino | CA | 92404 | 237440086 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dignity Health FDN East Valley | ||||||||||
| 475 South Dobson Rd | Chandler | AZ | 85224 | 742418514 | FUND. FDN | AZ | 501(c)(3) | 12 Type 1 | DH | false |
| Dignity Health HPL Self-Insurance Trust | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 943006034 | Self Insuranc | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dignity Health Insurance Nevada Ltd | ||||||||||
| 185 Berry Street | San Francisco | NV | 94107 | 813800752 | Self Insuranc | NV | 501(c)(3) | 12 Type 1 | DH | false |
| Dignity Health MEDFDN | ||||||||||
| 3400 Data DR | Rancho Cordova | CA | 95670 | 680220314 | M/S OUTP. MED | CA | 501(c)(3) | 12 Type 1 | DCC | false |
| DH Workers' Comp Self-Insurance Trust | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 946612446 | Self Insuranc | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dominican Health Services | ||||||||||
| 1555 Soquel DR | Santa Cruz | CA | 95065 | 770056778 | Community Hea | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dominican Hospital FDN | ||||||||||
| 1555 Soquel DR | Santa Cruz | CA | 95065 | 942450442 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Dominican Oaks Corporation | ||||||||||
| 1555 Soquel DR | Santa Cruz | CA | 95065 | 770127719 | Op&M of housi | CA | 501(c)(3) | 10 | DHS | false |
| East Texas Clinical Services | ||||||||||
| 2801 VIA FORTUNA Ste 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | 501(c)(3) | 12 Type 1 | SLHS | false |
| ENUMCLAW REGIONAL HOSPITAL ASSN | ||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| FLAGET MEMORIAL HOSPITAL FDN INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUND. FDN | KY | 501(c)(3) | 12 Type 1 | FH | false |
| FRANCISCAN CARE CTR | ||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(c)(3) | 10 | CHILC | false |
| FRANCISCAN FDN | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUND. FDN | WA | 501(c)(3) | 10 | FHS | false |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HOSPITAL | WA | 501(c)(3) | 3 | CSH | false |
| FH VENTURES FKA SJMGROUP | ||||||||||
| TACOMA FNC CTR BLDG 1145 BRdWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(c)(3) | 10 | CSH | false |
| FRANCISCAN MEDGROUP | ||||||||||
| 1313 BRdWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(c)(3) | 10 | FHS | false |
| FRANCISCAN VILLA OF S MILWAUKEE INC | ||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(c)(3) | 10 | CSH | false |
| French Hospital MED CTR FDN | ||||||||||
| 1911 Johnson AVE | San Luis Obispo | CA | 93401 | 203256125 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DCC | false |
| Glendale Memorial Health FDN | ||||||||||
| 1420 South Central AVE | Glendale | CA | 91204 | 953625651 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DCC | false |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(c)(3) | 12 Type 1 | CSH | false |
| GSC OF NURSING & HEALTH SCIENCE | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311778403 | EDUCATION | OH | 501(c)(3) | 2 | GSH | false |
| GOOD SAMARITAN FDN OF CINCINNATI INC | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUND. FDN | OH | 501(c)(3) | 12 Type 1 | GSH | false |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| GOOD SAMARITAN HOSP FDN | ||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUND. FDN | NE | 501(c)(3) | 7 | GSH | false |
| HARRISON MED CTR | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| HARRISON MED CTR FDN | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUND. FDN | WA | 501(c)(3) | 7 | HMC | false |
| HEALTH FDN OF KY ONE INC | ||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUND. FDN | KY | 501(c)(3) | 12 Type 1 | KOH | false |
| HEALTHCARE AND WELLNESS FDN | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUND. FDN | MN | 501(c)(3) | 12 Type 1 | SFMC | false |
| HIGHLINE MED CTR | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(c)(3) | 7 | CHI-IA CORP | false |
| JEWISH HOSP& ST MARY'S HEALTHCARE INC | ||||||||||
| 250 E Liberty St Ste 500 | LOUISVILLE | KY | 40202 | 611029768 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| KENTUCKYONE HEALTH MEDGROUP INC | ||||||||||
| 100 E Liberty St Ste 800 | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(c)(3) | 10 | JHSMH | false |
| KENTUCKYONE HEALTH INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(c)(3) | 12 Type 1 | CSH | false |
| LAKEWOOD HEALTH CTR | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| LAKEWOOD REGIONAL HEALTHCARE FDN | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUND. FDN | ND | 501(c)(3) | 7 | LHC | false |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(c)(3) | 12 Type 1 | MHSET | false |
| MADISON ST JOSEPH HEALTH CTR | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| MADONNA MANOR INC | ||||||||||
| 2344 AMSTERDAM Rd | VILLA HILLS | KY | 51017 | 610654635 | LIVING ASSIST | KY | 501(c)(3) | 10 | CHILC | false |
| Marian Regional MED CTR FDN | ||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 953818027 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| Mark Twain MED CTR | ||||||||||
| 768 Mountain Ranch Rd | San Andreas | CA | 95249 | 680127677 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| MEMORIAL HEALTH CARE SYSTEM FDN INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUND. FDN | TN | 501(c)(3) | 7 | MHCS | false |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HOSPITAL | TN | 501(c)(3) | 3 | CSH | false |
| MEMORIAL HEALTH PARTNERS FDN INC | ||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(c)(3) | 10 | MHCS | false |
| MEMORIAL HEALTH SYS OF EAST TX | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| MEMORIAL MED CTR - LIVINGSTON | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(c)(3) | 3 | MHSET | false |
| MEMORIAL MED CTR - SAN AUGUSTINE | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HOSPITAL | TX | 501(c)(3) | 3 | MHSET | false |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(c)(3) | 12 Type 1 | MHSET | false |
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HOSPITAL | TX | 501(c)(3) | 3 | MHSET | false |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(c)(3) | 12 Type 1 | MF-DM IA | false |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(c)(3) | 10 | CHI-IA CORP | false |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(c)(3) | 2 | CHI-IA CORP | false |
| Mercy FDN Bakersfield | ||||||||||
| PO Box 119 | Bakersfield | CA | 93302 | 770201321 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| MERCY FDN OF DES MOINES IA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUND. FDN | IA | 501(c)(3) | 7 | CHI-IA CORP | false |
| MERCY FDN INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUND. FDN | OR | 501(c)(3) | 7 | MMC | false |
| MERCY HEALTH CARE FDN | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUND. FDN | IA | 501(c)(3) | 12 Type 1 | AHMH-Corning | false |
| MERCY HEALTHCARE FDN | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUND. FDN | ND | 501(c)(3) | 12 Type 1 | MHVC | false |
| MERCY HOSPITAL FDN COUNCIL BLUFFS | ||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUND. FDN | IA | 501(c)(3) | 12 Type 1 | AHBMHS | false |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| MERCY HOSPITAL OF DEVILS LAKE FDN | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUND. FDN | ND | 501(c)(3) | 7 | MHDL | false |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| Mercy McMahon Terrace | ||||||||||
| 3865 J Street | Sacramento | CA | 95816 | 680117340 | Senior Hous/R | CA | 501(c)(3) | 10 | DH | false |
| MERCY MED CTR | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| MERCY MED CTR - CTRVILLE | ||||||||||
| ONE ST JOSEPHS DR | CTRVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(c)(3) | 3 | CHI-IA CORP | false |
| MERCY MED CTR - NEWTON DBA SKIFF MED CTR | ||||||||||
| 204 N 4th Ave E | Newton | IA | 50314 | 421470935 | HOSPITAL | IA | 501(c)(3) | 3 | CHI-IA CORP | false |
| Mercy MED CTR Merced FDN | ||||||||||
| 301 E 13th Street | Merced | CA | 95340 | 770035928 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| MERCY MED CTR INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(c)(3) | 3 | CSH | false |
| MERCY MED FDN | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUND. FDN | ND | 501(c)(3) | 12 Type 1 | MMC | false |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| Northland Healthcare Alliance | ||||||||||
| 2223 East Rosser AVE | Bismarck | ND | 58501 | 911845296 | MANAGEMENT | ND | 501(c)(3) | 7 | NCHA | false |
| Northridge Hospital FDN | ||||||||||
| 18300 Roscoe Blvd | Northridge | CA | 91328 | 237444901 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DCC | false |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| OAKES COMMUNITY HOSPITAL FDN | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUND. FDN | ND | 501(c)(3) | 12 Type 1 | OCH | false |
| Pacific Central Coast Health CTRs | ||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770447575 | Clinic | CA | 501(c)(3) | 3 | DCC | false |
| PINEYWOODS MEDDEVELOPMENT CORP | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(c)(3) | 12 Type 1 | MHSET | false |
| Port City Operating Company LLC | ||||||||||
| 3400 Data DR | Rancho Cordova | CA | 95670 | 465322209 | HOSPITAL | CA | 501(c)(3) | 3 | DH | false |
| PROVIDENCE CARE CTR | ||||||||||
| 2025 HAYES AVE | SANDUSKY | OH | 44870 | 341658625 | HEALTHCARE | OH | 501(c)(3) | 10 | CHILC | false |
| PROVIDENCE CARE CTRS | ||||||||||
| 2025 HAYES AVE | SANDUSKY | OH | 44870 | 341826099 | HOLDING CO | OH | 501(c)(3) | 12 Type 1 | CHILC | false |
| PROVIDENCE RESIDENTIAL COMMUNITY CORP | ||||||||||
| 5055 PROVIDENCE DR | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(c)(3) | 10 | CHILC | false |
| PUEBLO STEPUP | ||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(c)(3) | 7 | CHIC | false |
| REGIONAL HPL FOR RESP & COMPLEX CARE | ||||||||||
| 16251 Sylvester Rd SW | Burien | WA | 98166 | 911170040 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 841183335 | Senior CTR SR | CO | 501(c)(3) | 7 | CHIC | false |
| SAINT CLARE'S COMMUNITY CARE INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(c)(3) | 10 | SCHS | false |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(c)(3) | 10 | CSH | false |
| SAINT CLARE'S HOSPITAL INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(c)(3) | 3 | SCHS | false |
| SAINT ELIZABETH FDN | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUND. FDN | NE | 501(c)(3) | 7 | SERMC | false |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HOSPITAL | NE | 501(c)(3) | 3 | SERMC | false |
| SAINT ELIZABETH REGIONAL MED CTR | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| SAINT FRANCIS MED CTR | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| SAINT FRANCIS MED CTR FDN | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUND. FDN | NE | 501(c)(3) | 7 | SFMC | false |
| Saint Francis Memorial Hospital | ||||||||||
| 900 Hyde Street | San Francisco | CA | 94109 | 941156295 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| SAINT JOSEPH BEREA HOSPITAL FDN INC | ||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUND. FDN | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611334601 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| SAINT JOSEPH HOSPITAL FDN INC | ||||||||||
| 701 Bob Olink Dr 200 | LEXINGTON | KY | 40504 | 611159649 | FUND. FDN | KY | 501(c)(3) | 12 Type 1 | SJHS | false |
| SAINT JOSEPH LONDON FDN INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUND. FDN | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH MOUNT STERLING FDN INC | ||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUND. FDN | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH'S HOSPITAL FDN | ||||||||||
| 2500 Fairway Street | DICKINSON | ND | 58601 | 363418207 | FUND. FDN | ND | 501(c)(3) | 12 Type 1 | SJHHC | false |
| San Gabriel Valley MED CTR FDN | ||||||||||
| 438 West Las Tunas DR | San Gabriel | CA | 91776 | 953430341 | INACTIVE | CA | 501(c)(3) | 12 Type 1 | DH | false |
| SCHUYLER MEMORIAL HOSPITAL FDN INC | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUND. FDN | NE | 501(c)(3) | 12 Type 1 | AHMHS | false |
| Sierra Nevada Memorial-Miners Hosp | ||||||||||
| 155 Glasson Way | Grass Valley | CA | 95945 | 941439787 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 440545809 | HOSPITAL | MO | 501(c)(3) | 3 | CSH | false |
| St Francis FDN of Santa Barbara | ||||||||||
| 2323 De La Vina St Ste 104 | Santa Barbara | CA | 93105 | 237137119 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Francis Hospital Support Corp | ||||||||||
| 601 E Micheltorena Street | Santa Barbara | CA | 93103 | 770022302 | INACTIVE | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St John's Healthcare FDN | ||||||||||
| 1600 North Rose AVE | Oxnard | CA | 93030 | 202865781 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Joseph's FDN (Phoenix) | ||||||||||
| 350 West Thomas Rd | Phoenix | AZ | 85013 | 942941245 | FUND. FDN | AZ | 501(c)(3) | 12 Type 1 | DH | false |
| St Joseph's FDN of San Joaquin | ||||||||||
| 1800 N California Street | Stockton | CA | 95204 | 510432777 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Mary MED CTR FDN | ||||||||||
| 1050 Linden AVE | Long Beach | CA | 90813 | 237153876 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Mary Professional Building Inc | ||||||||||
| 1050 Linden AVE | Long Beach | CA | 90813 | 237373088 | INACTIVE | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Mary's MED CTR FDN | ||||||||||
| 450 Stanyan Street | San Francisco | CA | 94117 | 943336143 | FUND. FDN | CA | 501(c)(3) | 12 Type 1 | DH | false |
| St Rose Dominican Health FDN | ||||||||||
| 3001 St Rose Parkway | Henderson | NV | 89052 | 880349432 | FUND. FDN | NV | 501(c)(3) | 12 Type 1 | DH | false |
| ST ALEXIUS MED CTR | ||||||||||
| 900 EAST BRdWAY AVE | BISMARCK | ND | 58501 | 450226711 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| ST ANTHONY HOSPITAL | ||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930391614 | HOSPITAL | OR | 501(c)(3) | 3 | CSH | false |
| ST ANTHONY HOSPITAL FDN | ||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930992727 | FUND. FDN | OR | 501(c)(3) | 12 Type 1 | SAH | false |
| ST ANTHONY'S HOSPITAL ASSN | ||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HOSPITAL | AR | 501(c)(3) | 3 | SVIMC | false |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HOSPITAL | KS | 501(c)(3) | 3 | CSH | false |
| ST CATHERINE HOSP DEVELOPMENT FDN | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUND. FDN | KS | 501(c)(3) | 12 Type 1 | SCH | false |
| ST CLARE COMMONS | ||||||||||
| 12469 Five Point Rd | TOLEDO | OH | 43551 | 270163752 | LIVING COMM | OH | 501(c)(3) | 10 | CHILC | false |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(c)(4) | NONE | CSH | false |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(c)(3) | 10 | CSH | false |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO RD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(c)(3) | 8 | SCHS | false |
| ST FRANCIS MED CTR | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH FDN OF BRYAN TEXAS | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742351158 | FUND. FDN | TX | 501(c)(3) | 12 Type 1 | SJSC | false |
| ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742847594 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| ST JOSEPH MED CTR INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HOSPITAL | MD | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH PHYSICIAN ASSOCIATES | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 203159302 | PHYSICIANS | TX | 501(c)(3) | 3 | SJSC | false |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 521311775 | PHYSICIANS | MD | 501(c)(3) | 12 Type 1 | SJMC | false |
| ST JOSEPH REGIONAL HEALTH CTR | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| ST JOSEPH REGIONAL HEALTH PARTNERS | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| ST JOSEPH SERVICES CORPORATION | ||||||||||
| 2801 FRANCISCAN DR | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(c)(3) | 12 Type 1 | SLHS | false |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH'S HOSPITAL AND HEALTH CTR | ||||||||||
| 2500 Fairway St | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| ST LEONARD | ||||||||||
| 8100 CLYO Rd | CTRVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(c)(3) | 10 | CHILC | false |
| ST LUKE'S COMM DEVELOPMENT CORP - PMC | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMM Dvpt CORP - SUGAR land | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMM Dvpt CORP THE WOOdlands | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMMUNITY HEALTH SRVS | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S FDN | ||||||||||
| 1213 HERMANN DR STE 855 | HOUSTON | TX | 77004 | 453811485 | FUND. FDN | TX | 501(c)(3) | 7 | SLHS | false |
| ST LUKE'S HEALTH SYSTEM CORP | ||||||||||
| PO Box 20269 | HOUSTON | TX | 77225 | 760536232 | MANAGEMENT | TX | 501(c)(3) | 12 Type 1 | CSH | false |
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S PROPERTIES CORP | ||||||||||
| 1213 Hermann DR Ste 855 | HOUSTON | TX | 77004 | 760531716 | PROPERTY MGMT | TX | 501(c)(3) | 12 Type 1 | SLHS | false |
| ST LUKE'S SUGAR LAND PROPERTIES CORP | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(c)(3) | 12 Type 1 | SLCDC-SL | false |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1301 Grundman Boulevard | NEBRASKA CITY | NE | 68410 | 470443636 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ST MARY'S HOSPITAL FDN | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUND. FDN | NE | 501(c)(3) | 7 | SMCH | false |
| ST VINCENT FDN | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUND. FDN | AR | 501(c)(3) | 12 Type 1 | SVIMC | false |
| ST VINCENT INFIRMARY MED CTR | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HOSPITAL | AR | 501(c)(3) | 3 | CSH | false |
| ST VINCENT MEDGROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(c)(3) | 10 | SVIMC | false |
| SYLVANIA FRANCISCAN HEALTH | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 341412964 | HEALTHCARE | OH | 501(c)(3) | 12 Type 1 | CSH | false |
| SYLVANIA FRANCISCAN HEALTH FDN | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 455357161 | FUND. FDN | OH | 501(c)(3) | 12 Type 1 | SFH | false |
| THE COMMONS OF PROVIDENCE | ||||||||||
| 5000 PROVIDENCE DR | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(c)(3) | 10 | CHILC | false |
| THE COMMUNITY HOSP OF BRAZOSPORT | ||||||||||
| 100 MEDICAL DR | LAKE JACKSON | TX | 77566 | 741385192 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| THE GOOD SAMARITAN HPL OF CINCINNATI OH | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HOSPITAL | OH | 501(c)(3) | 3 | CSH | false |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(c)(3) | 12 Type 1 | CHI NEBRASKA | false |
| TOTAL HEALTHCARE | ||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 840927232 | HOSPITAL | CO | 501(c)(3) | 3 | CHIC | false |
| TRINITY HEALTH FDN | ||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 311329423 | FUND. FDN | OH | 501(c)(3) | 12 Type 1 | THS | false |
| TRINITY HEALTH SYSTEM | ||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(c)(3) | 12 Type 1 | NA | false |
| TRINITY HOSPITAL TWIN CITY | ||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HOSPITAL | OH | 501(c)(3) | 3 | THS | false |
| TRI-STATE HEALTH SERVICES INC | ||||||||||
| ONE ROSS PARK BLVD | STEUBENVILLE | OH | 43952 | 341522484 | ASSIST LIVING | OH | 501(c)(3) | 7 | THS | false |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(c)(3) | 10 | CSH | false |
| VISITING NURSE ASSN OF ST CLARE'S INC | ||||||||||
| 191 WOODPORT RD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(c)(3) | 10 | SCHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (81 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Mercy Home Care LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 830486150 | HOME HEALTH | OH | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ARIZONA CARE NETWORK - NEXT LLC | |||||||||||||||||
| 350 W Thomas Rd | Phoenix | AZ | 85018 | 474696671 | Care Network | AZ | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Arizona Care Network LLC (ACN LLC) | |||||||||||||||||
| 350 W Thomas Rd | Phoenix | AZ | 85013 | 454494682 | Care Network | AZ | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Audubon Land Company LLC | |||||||||||||||||
| 630 Spointe Court 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | Real Estate | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| AVON EMERGENCY & URGENT CARE CTR LLC | |||||||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 811727282 | HC SRVC | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| BAYLOR CHI ST LUKES HEALTH SrvC LLC | |||||||||||||||||
| 6624 Fannin St Ste 1100 | HOUSTON | TX | 77030 | 472079184 | HC SRVC | TX | SLHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| BERGAN MERCY SURGERY CTR LLC | |||||||||||||||||
| 7710 Mercy Rd Ste 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| BERYWOOD OFFICE PROPERTIES LLC | |||||||||||||||||
| 2501 Citico ave | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | MHCS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD | |||||||||||||||||
| Health SRVC | DHI LLC | N/A | $0 | $0 | false | false | 0.00000 | 709 Wing on Plza 62 Mody RD TST E | Kowloon Hong Kong | CH | CH | ||||||
| BLUEGRASS REGIONAL IMAGING CTR | |||||||||||||||||
| 1218 S BRoDWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAG IMAGING | KY | SJHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CBCC Outsmarting Cancer LLC | |||||||||||||||||
| 6501 Truxtun ave | Bakersfield | CA | 93309 | 461602286 | Rad/Onc/Cyberknif | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CENTRAL NEBRASKA REHAB SRVC LLC | |||||||||||||||||
| 3004 W FAIDLEY ave | GRAND ISLAND | NE | 68803 | 810653461 | Physical Therapy | NE | SFMC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CENTURA-SCA HOLDINGS LLC | |||||||||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CTR | AL | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CHI OPERATING INVESTMENT PROGRAM LP | |||||||||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CSH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CHICAMSURG Surgery CTRs LLC | |||||||||||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 465683027 | SURGERY CTR | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Colorado Springs CK Leasing LLC | |||||||||||||||||
| 630 Spointe Court 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| CM HOME CARE SRVC of Springfield LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311746556 | HOME HEALTH | OH | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DE JV LLC | |||||||||||||||||
| 8686 New Trails DR | The Woodlands | TX | 77381 | 320496548 | Emergency Care | NV | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DHHP Surgery CTRs LLC | |||||||||||||||||
| 1513 S Grand ave Ste 350 | Los Angeles | CA | 90015 | 831847466 | SURGERY | CA | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DHRT Holdings LLC | |||||||||||||||||
| 185 Berry Street STE 300 | San Francisco | CA | 94107 | 352484591 | Holding Company | DE | DHHC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dignity- GoHealthUrgent Care MGT LLC | |||||||||||||||||
| 5555 Glenridge Connector STE 700 | Atlanta | GA | 30342 | 352548698 | mgt SRVC | DE | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dignity Health at Home LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 824674115 | HC SRVC | DE | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dignity Health Specialty Pharmacy LLC | |||||||||||||||||
| 185 Berry Street STE 300 | San Francisco | CA | 94107 | 320589462 | Spec. Pharm SRVC | DE | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dignity Home Recovery Care LLC | |||||||||||||||||
| 49 Music SQ West STE 401 | Nashville | TN | 37203 | 832832522 | Home Recov. Prgm | DE | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DIGNITYUSP LAS VEGAS SURG CTRS LLC | |||||||||||||||||
| 15305 Dallas PKWY STE 1600 LB 28 | Addison | TX | 75001 | 202999237 | Surgery | TX | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DignityUSP NorCal Surgery CTRs LLC | |||||||||||||||||
| 15305 Dallas PKWY STE 1600 LB 28 | Addison | TX | 75001 | 202468509 | SURGERY | TX | DHMF | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DIGNITYUSP PHOENIX SURGERY CTRS LLC | |||||||||||||||||
| 15305 Dallas PKWY STE 1600 LB 28 | Addison | TX | 75001 | 134248908 | Surgery | TX | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| DignityUSPJohn Muir East Bay Surg Ctrs | |||||||||||||||||
| 15305 Dallas PKWY STE 1600 LB 28 | Addison | TX | 75001 | 352584991 | SURGERY | TX | DHMF | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dignity-Abrazo Health Network LLC | |||||||||||||||||
| 3030 N Central ave STE 1402 | Phoenix | AZ | 85012 | 465477985 | mgt SRVC | AZ | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Dominican Magnetic Resonance Imaging CTR | |||||||||||||||||
| 1545 Soquel DR | Santa Cruz | CA | 94065 | 770095477 | Imaging CTR | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ECCS ACQUISITION COMPANY LLC | |||||||||||||||||
| 2940 N CIRCLE DR | COLORADO SPRINGS | CO | 80909 | 352656413 | AMBUL SURG CTR | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Folsom Sierra Endoscopy CTR LP | |||||||||||||||||
| 1650 Creekside DR 1600 | Folsom | CA | 95630 | 680482416 | Endoscopy | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Franciscan Med Pavilion Bonney Lake LLC | |||||||||||||||||
| 6622 Wollochet Dr NW | Gig Harbor | WA | 98335 | 463494108 | Real Estate | WA | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| FRANCISCAN SPECIALTY CARE LLC | |||||||||||||||||
| 680 S FOURTH STREET | LOUISVILLE | KY | 40202 | 813725123 | HC SRVC | WA | FHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| GS HOME CARE Srvc of Vincenne IN LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 201792869 | HOME HEALTH | OH | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| HC SL VINTAGE I LLC | |||||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HLDG | WI | SL HOSP-VINTAGE | N/A | $0 | $0 | false | false | 0.00000 | ||||
| HC SUPPORT SERVICES LLC | |||||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | na | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Heartland Oncology LLC | |||||||||||||||||
| 2337 E Crawford St | Salina | KS | 67401 | 464265403 | ONCOLOGY | KS | SCH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| LAKESIDE AMBULATORY SURG CTR LLC | |||||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| LAKESIDE ENDOSCOPY CTR LLC | |||||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| LINCOLN CK LEASING LLC | |||||||||||||||||
| 555 S 70TH STREET | Lincoln | NE | 68510 | 262496856 | Real Estate | NE | SERMC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Memorial Medical Plaza | |||||||||||||||||
| 3838 San Dimas STE B 201 | Bakersfield | CA | 93301 | 364510880 | Real estate | CA | BMH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Mercy Davis Cancer CTR MGT Co LLC | |||||||||||||||||
| 2740 M Street | Merced | CA | 95340 | 943358445 | mgt of Cancer CTR | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Mercy Rehabilitation Hospital LLC | |||||||||||||||||
| 680 S FOURTH STREET | LOUISVILLE | KY | 40202 | 814437201 | HC SRVC | TX | CHI IA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Military Road Properties LLC | |||||||||||||||||
| 181 S 333rd Street STE 250 | Federal Way | WA | 98003 | 912067879 | Real Estate | WA | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| NEBRASKA SPINE HOSPITAL LLC | |||||||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| NICU Operating CO of Santa Cruz LLC | |||||||||||||||||
| 1555 Soquel DR | Santa Cruz | CA | 95065 | 460502935 | Neonatal HC | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| NORTH RIVER SURGERY CTR LLC | |||||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| NORTHERN PLAINS LABORATORY LLC | |||||||||||||||||
| 401 N 9 STREET | BISMARK | ND | 58501 | 841641341 | Diagnostic SRVC | ND | SAMC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| NSC Channel Islands LLC | |||||||||||||||||
| 3000 Riverchase Galleria STE 500 | Birmingham | AL | 35244 | 770418197 | Ambul SURG CTR | CA | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| OMG Arizona LLC | |||||||||||||||||
| 130 Sutter Street 2nd Flr | San Francisco | CA | 94104 | 471708588 | Med Office | AZ | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ORTHOCOLORADO LLC | |||||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Park Rapids Area Health Care | |||||||||||||||||
| 600 Pleasant ave S | Park Rapids | MN | 56470 | 204926259 | HC SRVC | MN | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Pasadena Urgency CTR LLC | |||||||||||||||||
| 4600 E SAM HOUSTON PKWY South | PASADENA | TX | 77505 | 812482854 | URGENT CARE | TX | SLHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Patient Transport Services of Columbus | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 264601285 | Ambulance | OH | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| PENINSULA RADIATION ONCOLOGY LLC | |||||||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HC SRVC | WA | FHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Penrad Imaging LLC | |||||||||||||||||
| 1390 Kelly Johnson Blvd | COLORADO SPRINGS | CO | 80920 | 841072619 | Med Imaging | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Performance Med Equip & Respir SRVC LL | |||||||||||||||||
| 19625 62nd ave S STE 101 | Kent | WA | 98032 | 452901632 | Holding Company | WA | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Plaza Surgery CTR LP | |||||||||||||||||
| 525 E Plaza DR STE 100 | Santa Maria | CA | 93454 | 770573567 | Surgery | CA | HSPCC Inc | N/A | $0 | $0 | false | false | 0.00000 | ||||
| PMC HOSPITAL LLC | |||||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | SLHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Precision Medicine Alliance LLC | |||||||||||||||||
| 198 INVERNESS DR WEST | ENGLEWOOD | CO | 80112 | 352569159 | Diag. SRVC | CO | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Pueblo Ambulatory Surgery CTR LLC | |||||||||||||||||
| 25 Montebello Rd | Pueblo | CO | 81003 | 621488737 | SURGERY CTR | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Radiation Oncology CTRs of Ventura Count | |||||||||||||||||
| 1700 N ROSE ave STE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| RBR Management LLC | |||||||||||||||||
| 91 Corporate Park DR STE 120 | Henderson | NV | 89074 | 271466450 | Ambulance | NV | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Reid-ANC Home Care Services LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 371454747 | HOME HEALTH | IN | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| SAINT JOSEPH - SCA HOLDINGS LLC | |||||||||||||||||
| 1451 Harrodsburg RD | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| SAINT JOSEPH-ANC HOME CARE SERVICES | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | CHINHC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Santa Cruz Comprehensive Imaging LLC | |||||||||||||||||
| 1661 Soquel DR STE G | Santa Cruz | CA | 95065 | 010550623 | Imaging | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Santa Cruz Land & Building LP | |||||||||||||||||
| 1555 Soquel DR | Santa Cruz | CA | 95065 | 770285236 | REAL ESTATE | CA | DHS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Santa Cruz Surgery CTR LLC | |||||||||||||||||
| 3003 PAUL SWEET RD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Southeastern Home Care LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 271219638 | HOME HEALTH | OH | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| St Joseph's Surgery CTR LP | |||||||||||||||||
| 15305 Dallas PKWY STE 1600 LB 28 | Addison | TX | 75001 | 201019390 | Surgery | TX | Port City Op | N/A | $0 | $0 | false | false | 0.00000 | ||||
| St Elizabeth Home Care Services LLC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 261236191 | HOME HEALTH | KY | NA | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ST FRANCIS LAND COMPANY | |||||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | |||||||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTICS | TX | SLHS HOLDINGS | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ST LUKE'S LAKESIDE HOSPITAL LLC | |||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | SL CDC-W | N/A | $0 | $0 | false | false | 0.00000 | ||||
| ST LUKE'S THE WOODLANDS SLEEP CTR LLC | |||||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | SLHSH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Templeton Surgery CTR LLC | |||||||||||||||||
| 1310 Las Tablas RD STE 104 | Templeton | CA | 94365 | 202246616 | Surgery | CA | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| The Medical Pavilion at St John's | |||||||||||||||||
| 1700 Rose ave | Oxnard | CA | 93030 | 770332349 | Real Estate | CA | DH | N/A | $0 | $0 | false | false | 0.00000 | ||||
| THREE SPRING IMAGING LLC | |||||||||||||||||
| 1 Mercado St STE 200A | DURANGO | CO | 81301 | 813571570 | HC SRVC | CO | CHIC | N/A | $0 | $0 | false | false | 0.00000 | ||||
| Valley Phys SURG CTR At Northridge LLC | |||||||||||||||||
| 18330 Roscoe Blvd | Northridge | CA | 91328 | 800864336 | Surgery | CA | DCC | N/A | $0 | $0 | false | false | 0.00000 | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AHCreighton St Joseph Mnged Care SRVC | ||||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 470802396 | Managed Care | NE | CHI Nebraska | C Corp | $0 | $0 | 0.00000 | false | ||||||
| All Saints Insurance Company SPC Ltd | ||||||||||||||||||
| 980556913 | Insurance | CSH | C Corp | $0 | $0 | 0.00000 | false | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| AH PROVIDERS OF BRAZOS Valley Inc | ||||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | Healthcare | TX | SJSC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Alternative Insurance MGT SRVC Inc | ||||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | Erlanger | KY | 41018 | 841112049 | MGT Services | CO | CSH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| AMERICAN NURSING CARE Inc | ||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| AMERIMED INC | ||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| BC HOLDING COMPANY INC | ||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | Fitness Club | KY | JHSMH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| BrazoSport Health Alliance | ||||||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | Health Care | TX | BRHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Caduceus Medical Associates INC | ||||||||||||||||||
| 5600 Brainerd Road Ste 500 | Chattanooga | TN | 37411 | 621570736 | Healthcare | TN | MHCS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Captive MGT Initiatives Ltd | ||||||||||||||||||
| 980663022 | Captive MGT | CSH | C Corp | $0 | $0 | 0.00000 | false | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| CHI CTR for Translational Research | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 272269511 | Research | CO | CSHRI | C Corp | $0 | $0 | 0.00000 | false | ||||||
| CHI SLH - Memor Condominium Assn Inc | ||||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 834184717 | Condo Assoc | TX | MHSET | C Corp | $0 | $0 | 0.00000 | false | ||||||
| ClearRiver Health | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464495960 | Insurance | TN | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Coastal Surgical Specialists Inc | ||||||||||||||||||
| 921 Oak Park Blvd Suite 101 | Pismo Beach | CA | 93449 | 743000596 | Healthcare | CA | DCC | S Corp | $0 | $0 | 0.00000 | false | ||||||
| Comcare SRVC Inc | ||||||||||||||||||
| 5570 DTC Parkway | Englewood | CO | 80111 | 840904813 | Inactive | CO | CHIC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Consolidated Health SRVC | ||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CSH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Des Moines Medical CTR Inc | ||||||||||||||||||
| 1111 6TH AVE | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Dignity Health Holding Corp | ||||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 460675371 | Holding Co | NV | DCC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| DH Insurance Ltd (Cayman Island Corp) | ||||||||||||||||||
| 981065338 | Insurance | DH | C Corp | $0 | $0 | 0.00000 | false | PO Box 1051 KY1-1102 | Grand Cayman Islands | Grand Cayman | CJ | KY1-1001 | CJ | |||||
| Dignity Health Provider Resources Inc | ||||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 473366764 | Health Plan | CA | DCC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Diversified Health Resources Inc | ||||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | Health Care | TX | BRHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| First Initiatives Insurance LTD | ||||||||||||||||||
| 980203038 | Insurance | CSH | C Corp | $0 | $0 | 0.00000 | false | PO BOX 10073 APO | Grand Cayman Islands | Grand Cayman | CJ | KY1-1001 | CJ | |||||
| Franciscan City Urgent Care SRVS PS | ||||||||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | Healthcare | NY | FHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Franciscan SRVC Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CSH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Good Samaritan Outreach SRVC | ||||||||||||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470659440 | Medical Clinic | NE | CHI Nebraska | C Corp | $0 | $0 | 0.00000 | false | ||||||
| HarvestPlains Health of Iowa | ||||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | Insurance | WA | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Health SRVC of the Pacific Cntrl Coast | ||||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770074057 | Healthcare | CA | DCC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Health Systems Enterprises Inc | ||||||||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470664558 | MGMT | NE | GSH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Healthcare MGMT SRVC Organization INC | ||||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| HeartlandPlains Health | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464368223 | Insurance | NE | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Highline Medical Group | ||||||||||||||||||
| 1717 S J Street | Tacoma | WA | 98405 | 911407026 | Medical SRVC | WA | HMC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Integrated Medical SRVC | ||||||||||||||||||
| 9250 N 3rd Street Suite 4010 | Phoenix | AZ | 85020 | 860783428 | M/S phys. group | AZ | DCC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| KOMG-Louisville Region Inc | ||||||||||||||||||
| 201 Abraham Flexner Way | Louisville | KY | 40202 | 832481198 | Healthcare | KY | JHSMH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| MGT SRVC Organization of Santa Maria Inc | ||||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770318135 | Health Care Mgt | CA | DH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Med Office Bld Horizontal Prop Regime | ||||||||||||||||||
| 300 Werner St | Hot Springs | AR | 71913 | 710720429 | Real Estate | AR | CHI-SVHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Medquest | ||||||||||||||||||
| 1301 15TH AVENUE WEST | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MMC Williston | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Memorial CV SRVC Line MGT Company LLC | ||||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 463622849 | Heath Care | TX | MHSET | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Mercy Park Apartments LTD | ||||||||||||||||||
| 1111 6th AVE | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Mercy SRVC Corp | ||||||||||||||||||
| 2700 STEWART PARKWAY | Roseburg | OR | 97471 | 930824308 | Retail Sales | OR | MMC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| MHI Clinical SRVC | ||||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 461967952 | Healthcare | TX | MHSET | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Millennium Surgery CTR Inc | ||||||||||||||||||
| 9300 Stockdale Hwy 200 | Bakersfield | CA | 93311 | 770513445 | Healthcare | CA | BMH | S Corp | $0 | $0 | 0.00000 | false | ||||||
| Mountain MGT SRVC Inc | ||||||||||||||||||
| 6028 Shallowford Rd | Chattanooga | TN | 37421 | 621570739 | MGT SVC ORG | TN | MHCS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| North Central Health Care Alliance | ||||||||||||||||||
| PO Box 5538 | Bismark | ND | 58506 | 450439894 | Healthcare | ND | SAMC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| PATIENT TRANSPORT SRVC INC | ||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| QualChoice Advantage | ||||||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | Insurance | WA | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| QualChoice Health Plan Services Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461224037 | Admin SRVC | CO | QCHI | C Corp | $0 | $0 | 0.00000 | false | ||||||
| QCH Inc (fka CH Managed Solutions Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461222808 | Holding Co | CO | CSH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| QualChoice Holdings Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 274075520 | Holding Co | AR | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| QualChoice of Nebraska | ||||||||||||||||||
| 2401 S 73rd St | Omaha | NE | 68124 | 810738827 | Inactive | NE | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| RiverLink Health | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464380824 | Insurance | OH | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| RiverLink Health of Kentucky Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464828332 | Insurance | KY | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Ross Park Pharmacy Inc | ||||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | Pharmacy | OH | TSHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Saint Clare's Primary Care Inc | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 222441202 | Billing SRVC | NJ | SCCC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| SJH SRVC Corp | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corp | $0 | $0 | 0.00000 | false | ||||||
| SJL PHYSICIAN MGT SRVC INC | ||||||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | Lexington | KY | 40503 | 270164198 | Management | KY | SJHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| SoundPath Health Inc | ||||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | Federal Way | WA | 98001 | 421720801 | Insurance | WA | QCHPS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| St Mary Health Ventures Inc | ||||||||||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 951912528 | Retail Pharm. | CA | DH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| St Anthony Development Company | ||||||||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | SAH | C Corp | $0 | $0 | 0.00000 | false | ||||||
| St Joseph Development Company Inc | ||||||||||||||||||
| 1717 SOUTH J ST | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corp | $0 | $0 | 0.00000 | false | ||||||
| St Luke's Health System Holdings Inc | ||||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637138 | Holding Co | TX | SLHS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| St Vincent Community Health SRVC Inc | ||||||||||||||||||
| TWO ST VINCENT CIRCLE | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| STE Holdings | ||||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 822383629 | Holding Co | NE | SERMC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Sugar Land Doctor Group | ||||||||||||||||||
| 1317 Lake Point Parkway | Sugar Land | TX | 77478 | 454270163 | Medical Clinic | TX | SLCDC-SL | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Towson MGT Inc | ||||||||||||||||||
| 7601 OSLER DR | Towson | MD | 21204 | 521710750 | Mgmt SRVC | MD | FSI | C Corp | $0 | $0 | 0.00000 | false | ||||||
| TRINITY MGT SRVC ORGANIZATION | ||||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | Mgmt SRVC | OH | THS | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |