MARK TWAIN MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MARK TWAIN MEDICAL CENTER (EIN 68-0127677)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-28
- IRS object ID
- 202021809349300307
- Schema version
- 2018v3.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-28T12:46:38-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 55 SECOND STREET SUITE 1400 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680127677 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Twain Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LARA CARTOSCELLI ACCOUNTING | InCareOfNm |
| Business Name Control | MARK | BusinessNameControlTxt |
| Phone | 2097543521 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 185 BERRY STREET SUITE 300 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN CHIVERS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2097542614 | PhoneNum |
| Signature | 2020-06-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA M MEYER Manager | PreparerPersonNm |
| PTIN | P01490170 | PTIN |
| Phone | 4159635100 | PhoneNum |
| Preparation | 2020-06-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.135.0.60 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 94661320201805000004 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-06-28 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6C6F510C6DBB30CB6B3A10A52E01BBA2D1FA3EEF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A26228B005BD8F0E6AA549909595F1DFF8FE8F13 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN CHIVERS CFO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 768 MOUNTAIN RANCH ROAD | AddressLine1Txt |
| City | SAN ANDREAS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,548,902 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.marktwainmedicalcenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To continuously improve the health status of our community. of our community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 358 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $239,735 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,024,116 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,253,752 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $66,841,927 | CYProgramServiceRevenueAmt |
| PY Investment Income | $587,435 | PYInvestmentIncomeAmt |
| CY Investment Income | $376,546 | CYInvestmentIncomeAmt |
| PY Other Revenue | $288,826 | PYOtherRevenueAmt |
| CY Other Revenue | $308,267 | CYOtherRevenueAmt |
| PY Total Revenue | $67,369,748 | PYTotalRevenueAmt |
| CY Total Revenue | $68,550,856 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $510,380 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $406,300 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,519,535 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,732,373 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,916,576 | PYOtherExpensesAmt |
| CY Other Expenses | $31,508,614 | CYOtherExpensesAmt |
| PY Total Expenses | $68,946,491 | PYTotalExpensesAmt |
| CY Total Expenses | $69,647,287 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,576,743 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,096,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,023,384 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,355,585 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,918,718 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,561,807 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,104,666 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,793,778 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CONTINUOUSLY IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $55,726,151 | ExpenseAmt |
| Grant | $406,300 | GrantAmt |
| Revenue | $66,841,927 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES ROUTINE PATIENT CARE IN PRIVATE AND SEMI-PRIVATE ROOMS AS WELL AS VARIOUS INPATIENT AND OUTPATIENT ANCILLARY SERVICES SUCH AS X-RAY, LAB, EMERGENCY ROOM, ETC. DURING THE FISCAL YEAR 2019, 916 PATIENTS WERE ADMITTED TO THE FACILITY AND 76,803 OUTPATIENT VISITS WERE RECORDED INCLUDING VISITS AT OUR 5 RURAL HEALTH CLINICS. | Desc |
| Total Program Service Expenses | $55,726,151 | 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 | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 73 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 358 | 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARA CARTOSCELLI ACCOUNTING | PersonNm |
| Phone | 9166313337 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10901 GOLD CENTER DRIVE 3RD FLOOR | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Susan Atkinson | ||||||||||
| Ex-off Brd Member thru 5/2019 | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Christopher M Champlin | ||||||||||
| Ex-off Brd Member -STRT 6/2019 | 4.0 | 0.0 | Yes (X) | $0 | $460,755 | $66,848 | ||||
| Andrea N Ochoa | ||||||||||
| Ex-off Brd Member -STRT 6/2019 | 4.0 | 0.0 | Yes (X) | $0 | $255,468 | $41,395 | ||||
| Andrew McCoy MD | ||||||||||
| Ex-off Brd Member thru 5/2019 | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Lin Reed | ||||||||||
| Ex-off Brd Member -STRT 6/2019 | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Charles Kassis | ||||||||||
| Chairman (START 6/2019) | 4.0 | 40.0 | Yes (X) | $0 | $575,614 | $94,898 | Yes (X) | |||
| Randall Ross | ||||||||||
| Vice Chairman (START 6/2019) | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| William Griffin MD | ||||||||||
| Chairman (thru 5/2019) | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| David Woodhams DDS | ||||||||||
| Brd Membr/Treasurer THRU6/2019 | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Douglas P Archer | ||||||||||
| President & CEO started 3/2019 | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| John M Chivers | ||||||||||
| VP & CFO (start 4/2019) | 40.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Robert Diehl | ||||||||||
| President & CEO (thru 8/2018) | 40.0 | 0.0 | $0 | $507,704 | $70,810 | Yes (X) | ||||
| Chris L Roberts | ||||||||||
| VP & CFO (thru 1/2019) | 40.0 | 0.0 | $198,288 | $0 | $50,255 | Yes (X) | ||||
| Katherine McCoy | ||||||||||
| VP & CNE | 40.0 | 0.0 | $203,464 | $0 | $37,636 | Yes (X) | ||||
| Lonnie Smith MD | ||||||||||
| CMO | 40.0 | 0.0 | $314,007 | $0 | $36,896 | Yes (X) | ||||
| Peggy E Seever | ||||||||||
| Registered Nurse | 40.0 | 0.0 | $192,729 | $0 | $31,740 | Yes (X) | ||||
| James F Brennan | ||||||||||
| Physician | 40.0 | 0.0 | $271,483 | $0 | $65,097 | Yes (X) | ||||
| Ermenegildo Eld Frezza | ||||||||||
| Physician | 40.0 | 0.0 | $268,867 | $0 | $34,500 | Yes (X) | ||||
| Jill Ortiz | ||||||||||
| Director of Pharmacy | 40.0 | 0.0 | $212,961 | $0 | $53,787 | Yes (X) | ||||
| Mohamad A Parsa MD | ||||||||||
| Physician | 40.0 | 0.0 | $344,220 | $0 | $69,979 | Yes (X) | ||||
| Robert Allen | ||||||||||
| Former Officer | 0.0 | 40.0 | $426,551 | $0 | $80,590 | Yes (X) | ||||
| Katherine A Medeiros | ||||||||||
| Former Officer | 0.0 | 40.0 | $0 | $615,968 | $102,205 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,432,570 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,415,509 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $836,636 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 92 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | Medical Services | $1,464,245 |
| INPATIENT SVC OF CA INC | |||||
| 7032 COLLECTION CTR DR | CHICAGO | IL | 60693 | Medical Services | $1,364,198 |
| RODGER ORMAN MD INC | |||||
| PO BOX 2189 | MURPHYS | CA | 95247 | Medical Services | $821,674 |
| ELISABETH SIEGLER MD A PC | |||||
| PO BOX 37 | ALTAVILLE | CA | 95221 | Medical Services | $679,338 |
| CRAIG H LOVETT MD INC | |||||
| PO BOX 610 | ALTAVILLE | CA | 95221 | Medical Services | $651,596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,024,116 | AllOtherContributionsAmt |
| Total Contributions | $1,024,116 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT NET OF CHARITY AND BAD DEBT/PRICE CONCESSI | 900099 | $37,391,469 | $37,391,469 | $0 | $0 |
| MEDICARE/MEDICAID PAYMENTS | 900099 | $29,380,136 | $29,380,136 | $0 | $0 |
| CASE MANAGEMENT | 900099 | $87,821 | $87,821 | $0 | $0 |
| MEDICAL OFFICE BUILDING | 900099 | $31,497 | $31,497 | $0 | $0 |
| BLOODWORK FEES | 900099 | $16,840 | $16,840 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$65,836 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$65,836 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $66,841,927 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,793 | TotalRevenueColumnAmt |
| Exclusion | $159,793 | ExclusionAmt |
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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,214,799 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,998,046 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $216,753 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,753 | TotalRevenueColumnAmt |
| Exclusion | $216,753 | 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 | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA | 561000 | $193,980 | $0 | $0 | $193,980 |
| TENANT SERVICES | 561110 | $98,161 | $0 | $0 | $98,161 |
| MEDICAL RECORDS/ABSTRACT SALES | 900099 | $6,165 | $0 | $0 | $6,165 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,961 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,961 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $308,267 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,550,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,841,927 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $684,813 | 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 | $405,800 | TotalAmt |
| Program Services | $405,800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
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 | $1,010,962 | TotalAmt |
| Program Services | $912,269 | ProgramServicesAmt |
| Management And General | $98,693 | 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 | $26,906,912 | TotalAmt |
| Program Services | $24,485,021 | ProgramServicesAmt |
| Management And General | $2,421,891 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,698 | TotalAmt |
| Program Services | $962,042 | ProgramServicesAmt |
| Management And General | $83,656 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,837,811 | TotalAmt |
| Program Services | $5,058,975 | ProgramServicesAmt |
| Management And General | $1,778,836 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,930,990 | TotalAmt |
| Program Services | $1,795,821 | ProgramServicesAmt |
| Management And General | $135,169 | 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 | $2,525 | TotalAmt |
| Management And General | $2,525 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,736 | TotalAmt |
| Management And General | $13,736 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,901 | TotalAmt |
| Management And General | $5,901 | 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 | $25,218 | TotalAmt |
| Management And General | $25,218 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,401,120 | TotalAmt |
| Program Services | $8,437,985 | ProgramServicesAmt |
| Management And General | $4,963,135 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,955 | TotalAmt |
| Program Services | $2,408 | ProgramServicesAmt |
| Management And General | $485,547 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,402,373 | TotalAmt |
| Program Services | $873,905 | ProgramServicesAmt |
| Management And General | $528,468 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,513,149 | TotalAmt |
| Program Services | $165,606 | ProgramServicesAmt |
| Management And General | $2,347,543 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,817,703 | TotalAmt |
| Program Services | $1,394,518 | ProgramServicesAmt |
| Management And General | $423,185 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,286 | TotalAmt |
| Program Services | $39,501 | ProgramServicesAmt |
| Management And General | $30,785 | 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 | $52,806 | TotalAmt |
| Program Services | $50,684 | ProgramServicesAmt |
| Management And General | $2,122 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,136,654 | TotalAmt |
| Program Services | $3,036,454 | ProgramServicesAmt |
| Management And General | $100,200 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,177 | TotalAmt |
| Program Services | $388,177 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $7,416,065 | $7,416,065 | $0 | $0 |
| BAD DEBT | $184,747 | $0 | $184,747 | $0 |
| LICENSES & TAXES | $116,086 | $39,433 | $76,653 | $0 |
| UNRELATED BUSINESS INC TAXES | $10,958 | $0 | $10,958 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,155 | TotalAmt |
| Program Services | $260,987 | ProgramServicesAmt |
| Management And General | $202,168 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,647,287 | TotalAmt |
| Program Services | $55,726,151 | ProgramServicesAmt |
| Management And General | $13,921,136 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,800 | BOYAmt |
| EOY | $3,215 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,446,878 | BOYAmt |
| EOY | $2,646,560 | 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 | $8,250,248 | BOYAmt |
| EOY | $11,379,713 | 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 | $99,384 | BOYAmt |
| EOY | $3,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,747 | BOYAmt |
| EOY | $1,163,188 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,792,118 | BOYAmt |
| EOY | $3,248,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,086,593 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $816,243 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,759,165 | BOYAmt |
| EOY | $27,270,350 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,430,144 | BOYAmt |
| EOY | $1,038,549 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,275,810 | BOYAmt |
| EOY | $1,451,259 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,423,799 | BOYAmt |
| EOY | $1,961,082 | 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 | $442,291 | BOYAmt |
| EOY | $7,189,777 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,023,384 | BOYAmt |
| EOY | $57,355,585 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,984,424 | BOYAmt |
| EOY | $7,218,478 | 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 | $0 | BOYAmt |
| EOY | $89,804 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $7,016,182 | 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 | $934,294 | BOYAmt |
| EOY | $237,343 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,918,718 | BOYAmt |
| EOY | $14,561,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,680,867 | BOYAmt |
| EOY | $40,832,696 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,423,799 | BOYAmt |
| EOY | $1,961,082 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| 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 | $32,104,666 | BOYAmt |
| EOY | $42,793,778 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,023,384 | BOYAmt |
| EOY | $57,355,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,096,431 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$93,677 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $355,594 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $11,523,626 | OtherChangesInNetAssetsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,901 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,901 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II - B, Line 1i | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES AND OTHER LOBBYING ACTIVITIES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION $ 1,057 HOSPITAL ASSOCIATION OF SO CALIFORNIA $ 4,375 CATHOLIC HEALTH ASSOCIATION $ 412 340B HEALTH $ 57 -------- TOTAL $ 5,901 ======= | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,290,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,290,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,422,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $279,534 | DepreciationAmt |
| Book Value | $13,142,723 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,431,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,267 | DepreciationAmt |
| Book Value | $1,385,477 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,268,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $479,464 | DepreciationAmt |
| Book Value | $5,788,765 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,674,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,978 | DepreciationAmt |
| Book Value | $5,663,385 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,270,350 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER LONG TERM ASSETS | $4,887,541 |
| PREPAID PENSION EXPENSE | $1,369,635 |
| DUE FROM RELATED PARTIES | $932,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,189,777 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $141,581 |
| PENSION PAYABLE | $56,868 |
| OTHER NON-CURRENT LIABILITIES | $38,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $237,343 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART VI LAND, BUILDING, AND EQUIPMENT | DUE TO THE ACQUISITION ACCOUNTING TREATMENT APPLIED TO THE AFFILIATION BETWEEN DIGNITY HEALTH AND CHI, THE ASSETS AND LIABILITIES OF DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS WERE MEASURED AND RECORDED AT FAIR VALUE UPON THE EFFECTIVE DATE OF FEBRUARY 1, 2019. |
| Schedule D, Part X, Line 2 - FIN 48 (ASC 740) FOOTNOTE | COMMONSPIRIT HEALTH 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 | 250. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Persons Served | 231 | PersonsServedCnt |
| Total Community Benefit Expns | $179,442 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $179,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25206 | PersonsServedCnt |
| Total Community Benefit Expns | $18,720,632 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,457,386 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,263,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $5,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $454 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25451 | PersonsServedCnt |
| Total Community Benefit Expns | $18,905,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,457,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,447,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 247 | PersonsServedCnt |
| Total Community Benefit Expns | $113,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $113,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 499 | PersonsServedCnt |
| Total Community Benefit Expns | $115,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $110,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 811 | PersonsServedCnt |
| Total Community Benefit Expns | $182,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 1557 | PersonsServedCnt |
| Total Community Benefit Expns | $411,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $407,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 27008 | PersonsServedCnt |
| Total Community Benefit Expns | $19,316,415 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,462,118 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,854,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $752,956 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,138,649 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,683,142 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,544,493 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (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 | Mark Twain Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 768 Mountain Ranch Road | AddressLine1Txt |
| City | San Andreas | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | dignityhealth.org/marktwainmedical/ | WebsiteAddressTxt |
| State License | 030000058 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Twain Medical Center | 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 | 16 | 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 SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| 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 | 250. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| 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 |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE H, PART V, SECTION B, LINE 5 | FormAndLineReferenceDesc |
| Explanation | CHNA INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN FISCAL YEAR 2017 (TAX YEAR 2016). IT WAS A COLLABORATIVE EFFORT WITH INPUT FROM THE MARK TWAIN MEDICAL CENTER COMMUNITY BOARD OF DIRECTORS, THE CALAVERAS COUNTY DEPARTMENT OF PUBLIC HEALTH, PRACTICING PHYSICIANS, THE CALAVERAS COUNTY UNIFIED SCHOOL DISTRICT, RESOURCE CONNECTION FOOD BANK, AND FIRST 5 CALAVERAS. MTMC WORKED TO COLLECT THE PRIMARY AND SECONDARY DATA REQUIREMENTS OF THE CHNA WITH APPLIED SURVEY RESEARCH (ASR), A NONPROFIT SOCIAL RESEARCH FIRM. THE CHNA DATA COLLECTION PROCESS TOOK PLACE OVER TWO MONTHS AND CULMINATED IN A REPORT WRITTEN FOR THE HOSPITAL IN JUNE OF 2017. THE CHNA USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, A COMMUNITY SUMMIT WITH A SELECTION OF COMMUNITY PARTNERS AND LOCAL EXPERTS, AND A SURVEY OF MARK TWAIN MEDICAL CENTER STAFF. ASR CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH FOUR CALAVERAS COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS, INCLUDING THE COUNTY HEALTH OFFICER AND THE DIRECTOR OF PUBLIC HEALTH NURSING. INFORMANTS WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES FOR HEALTH-RELATED ACTIVITIES. IN APRIL 2017, MTMC SURVEYED STAFF AND STAKEHOLDERS (35 HOSPITAL EMPLOYEES AND 12 COMMUNITY STAKEHOLDERS) REGARDING THE PRIORITIZED HEALTH NEEDS. FOR THE FOUR IDENTIFIED NEEDS, THE SURVEY ASKED HOW THEIR WORK WAS IMPACTED, WHAT CURRENT EFFORTS THEY WERE INVOLVED IN TO ADDRESS THOSE NEEDS, AND IF THEY HAD SUGGESTIONS FOR STRATEGIES THAT THE HOSPITAL COULD IMPLEMENT, EITHER ALONE OR IN COLLABORATION WITH OTHER STAKEHOLDERS. THE SURVEY ALSO ASKED RESPONDENTS TO IDENTIFY ANY OTHER HIGH-PRIORITY NEEDS THAT HAD NOT YET BEEN DISCUSSED. SCHEDULE H, PART V, SECTION B, LINE 7A HTTP://WWW.DIGNITYHEALTH.ORG/MARKTWAINMEDICAL/COMMUNITY-BENEFITS SCHEDULE H, PART V, SECTION B, LINE 10A DIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT https://www.dignityhealth.org/about-us/community-health/community-health-p rograms-and-reports/community-health-needs-assessments IMPLEMENTATION STRATEGIES ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SECTION B, LINE 11 MARK TWAIN MEDICAL CENTER TOOK SEVERAL ACTIONS TO HELP ADDRESS IDENTIFIED 2017 CHNA NEEDS. SIGNIFICANT HEALTH NEEDS INCLUDE: MENTAL HEALTH, ACCESS TO PRIMARY AND SPECIALTY CARE, CHRONIC DISEASE MANAGEMENT, AND MATERNAL AND CHILD HEALTH. MENTAL HEALTH: THE HOSPITAL DELIVERED TELEHEALTH PSYCHIATRIC CARE TO AID IN STABILITZATION, PRESCRIPTIONS, AND TREATMENT RECOMMENDATIONS. MTMC CONTINUED ITS ACTIVE PARTICIPATION IN THE PROFESSIONAL MENTAL HEALTH COUNTY-WIDE TASK FORCE TO DEVELOP BEST PRACTICES WITH LOCAL RESOURCES. THE HOSPITAL GRANTED FUNDS TO THE FAMILY WELLNESS PROGRAM OF CATHOLIC CHARITIES MOTHER LODE OFFICE, TO A PROGRAM THAT AIMS TO PROVIDE INTERVENTION COUNSELING SERVICES TO RESIDENTS OF TUOLUMNE AND CALAVERAS COUNTIES. SERVICES WERE PROVIDED TO INDIVIDUALS OVER 55 YEARS OF AGE REFERRED BY OTHER AGENCIES, LOCAL PARISHES AND CHURCHES, AND WHO SELF-REFER DUE TO OUTREACH IN THE AREA. ELIGIBLE CLIENTS RECEIVED 8-16 COUNSELING SESSIONS PROVIDED IN AN ACCESSIBLE LOCATION. REFERRALS ARE MADE TO COMMUNITY PARTNERS FOR OTHER SERVICES AS NEEDED. ACCESS TO PRIMARY AND SPECIALTY CARE: MTMC EMPLOYED A GRANT-FUNDED PATIENT NAVIGATOR IN THE EMERGENCY DEPARTMENT TO WORK WITH PATIENTS COVERED BY CALIFORNIA HEALTH AND WELLNESS, AS WELL AS WITH OTHER PATIENTS TO HELP ARRANGE PRIMARY CARE PROVIDERS AND OTHER LINKAGES TO POST-ACUTE SERVICES. THE HOSPITAL OPERATES SPECIALTY CARE CENTERS: IN ANGELS CAMP FOR ORTHOPEDICS AND IN SAN ANDREAS FOR CANCER AND INFUSION THERAPY, AND SURGICAL SPECIALTY CARE. MTMC OPERATES FIVE PRIMARY CARE CLINICS IN ARNOLD, ANGELS CAMP, COPPEROPOLIS, SAN ANDREAS, AND VALLEY SPRINGS. THESE OFFER IMMEDIATE CARE, PRIMARY CARE, BEHAVIORAL HEALTH, OCCUPATIONAL HEALTH, PEDIATRICS, GENERAL X-RAY, LABORATORY DRAWS AND HEALTH EDUCATION. THE HOSPITAL RUNS AND PARTICIPATES IN COMMUNITY HEALTH FAIRS DELIVERING CHOLESTEROL SCREENING, BLOOD PRESSURE CHECKS, BONE DENSITY STUDIES, AND HEALTH EDUCATION. THE HOSPITAL MAINTAINS AN ACTIVE PROVIDER RECRUITMENT EFFORT, WHICH IS CRITICAL IN MTMC'S LOW-POPULATION RURAL COMMUNITY. AS A PART OF THE DIGNITY HEALTH SYSTEM, SPECIALISTS CAN AT TIMES BE SECURED FROM MORE URBAN AREAS IN THE REGION. CHRONIC DISEASE MANAGEMENT: TO ADDRESS TWO OF THE MORE PREVALENT CHRONIC HEALTH NEEDS OF THE COMMUNITY, MTMC CONTINUED TO FOCUS ON PROVIDING EDUCATION AND INSTRUCTION IN SECONDARY PREVENTION AND SELF-MANAGEMENT FOR CONGESTIVE HEART FAILURE/CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND FOR DIABETES. THESE PROGRAMS ARE DELIVERED AT NO OR NOMINAL COST TO COMMUNITY RESIDENTS WHO HAVE COMPLETED AN ACUTE CARE EPISODE AND WISH TO MAINTAIN AND IMPROVE THEIR HEALTH GAINS. PROGRAMS ARE LED BY TRAINED CLINICIANS AND HEALTH EDUCATORS. THE GOAL OF THESE PROGRAMS IS TO IMPROVE QUALITY OF LIFE FOR PARTICIPANTS BY INCREASING THEIR SELF-EFFICACY AND AVOIDING UNNECESSARY ACUTE CARE. IN ADDITION, THE HOSPITAL DELIVERS THE "A PLAN FOR ME" SERIES OF HEALTH EDUCATION SESSIONS FREE OF CHARGE TO THE COMMUNITY ON A VARIETY OF TOPICS, INCLUDING CHRONIC DISEASE INCLUDING CARDIOVASCULAR HEALTH. MATERNAL AND CHILD HEALTH: THE HOSPITAL IS UNABLE TO DIRECTLY ADDRESS THIS CHNA NEED, DUE IN PART TO THE PHYSICIAN AND HEALTH PROFESSIONALS SHORTAGE IN THE SERVICE AREA. AT THIS TIME, PATIENTS ARE REFERRED OUTSIDE THE COUNTY TO ACCESS OBSTETRICAL AND GYNECOLOGICAL SERVICES. CHILD HEALTH WAS ADDRESSED IN PART THROUGH GRANT SUPPORT FOR THE CALAVERAS YOUTH HEALTH INITIATIVE TARGETED AT MENTAL, EMOTIONAL AND PHYSICIAL HEALTH OF THE COMMUNITY'S YOUNG PEOPLE. OTHER ORGANIZATONS IN THE COMMUNITY, INCLUDING THE SCHOOL DISTRICT, OFFER PROGRAMS AND SERVICES TO ADDRESS CHILDHOOD HEALTH MORE DIRECTLY. SCHEDULE H, PART V, SECTION B, LINES 16A THROUGH 16C HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-cALIFORNIA/LOCATIONS/MARKTWAINMEDICA L/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J ADDITIONAL MEASURES TAKEN TO PUBLICIZE DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON EACH FACILITY'S WEB PAGE. THE POLICY'S PLAIN LANGUAGE SUMMARY IS INCLUDED IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH IS WIDELY AVAILABLE TO THE PUBLIC ONLINE. THE HOSPITAL SHARED THE PLAIN LANGUAGE SUMMARY WITH ITS PATIENT ADVISORY COMMITTEE, CURRENT AND PAST GRANT RECIPIENTS, THE CALAVERAS COUNTY PUBLIC HEALTH DEPARTMENT AND HUMAN SERVICES DEPARTMENT, TWO LOCAL SCHOOL DISTRICTS, AND THE MARK TWAIN HEALTH CARE DISTRICT. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Valley Springs Family Medical Center | ||||
| 1919 VISTA DEL LAGO DRIVE | VALLEY SPRINGS | CA | 95252 | OUTPATIENT CLINIC |
| Angels Camp Familly Medical Center | ||||
| 222 SOUTH MAIN STREET | ANGELS CAMP | CA | 95222 | OUTPATIENT CLINIC |
| Arnold Family Medical Center | ||||
| 2182 Highway 4 | Arnold | CA | 95223 | Outpatient Clinic |
| San Andreas Clinic | ||||
| 704 Mt Ranch Road Suite 103 | San Andreas | CA | 95249 | Outpatient Clinic |
| Copperopolis Family Medical Center | ||||
| 3505 Spangler Lane Suite 400 | Copperopolis | CA | 95228 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | MARK TWAIN MEDICAL CENTER (MTMC) FOLLOWS THE METHOD USED BY DIGNITY HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, MTMC USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO THE PATIENT LEVEL. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL FACILITY WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN ROLLED UP TO THE PATIENT LEVEL BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH THOSE SERVICES PROVIDED TO EACH SPECIFIC PATIENT. THIS IS DONE FOR ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF-PAY. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF CHARITY CARE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR CHARITY CARE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND DONATIONS. SCHEDULE H, PART I, LINE 7, COLUMN (F) BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. MTMC RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $4.06 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). SCHEDULE H, PART I, LINE 7I INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $137,769 TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION. |
| Schedule H, Part II - Community Building Activities | THE HOSPITAL DID NOT REPORT EXPENSES ASSOCIATED WITH COMMUNITY BUILDING PROGRAM ACTIVITIES DURING FY19. |
| SCHEDULE H, PART III, LINE 2 | THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT. MTMC PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. MTMC ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 MTMC MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. MTMC FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART III, LINE 4 THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR DOUBTFUL ACCOUNTS AND PATIENT REVENUE: PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. MTMC MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET. SCHEDULE H, PART III, LINE 8 MTMC PREPARES MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH, INCLUDING DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS, WHICH INCLUDES MARK TWAIN, BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $2.2 BILLION, AS REPORTED BELOW IN PART VI, LINE 6, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY MTMC IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $9.5 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR MTMC. SCHEDULE H, PART III, LINE 9B MTMC ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. MTMC ALSO FOLLOWS DIGNITY HEALTH'S COLLECTION POLICY. DIGNITY HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR CHARITY CARE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF MTMC OR BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S FINANCIAL ASISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, MTMC WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY MTMC. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, MTMC REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. |
| Schedule H, Part VI, Line 2 - Needs Assessment | HOSPITAL LEADERSHIP OVERSEES COMMUNITY BENEFIT ACTIVITIES FOR THE HOSPITAL AS IT STRIVES TO MEET THE HEALTH AND WELLNESS NEEDS OF THE LOCAL COMMUNITY. MEMBERS OF MARK TWAIN'S SENIOR AND MIDDLE MANAGEMENT TEAM SERVE THE COMMUNITY ON A VARIETY OF COMMUNITY-BASED NOT-FOR-PROFIT BOARDS, OTHER SERVICE CLUBS, LOCAL CHURCHES AND CHAMBER OF COMMERCE, AND PROVIDE INSIGHT INTO THE UNIQUE NEEDS OF THE COMMUNITY THAT MAY NOT BE APPARENT IN SECONDARY DATA. MTMC BOARD OF DIRECTORS, MANY OF WHOM ARE RECOGNIZED COMMUNITY LEADERS, ALSO REPRESENTED THE MEDICAL COMMUNITY. AS REPRESENTATIVES OF THE COMMUNITY, THESE LEADERS AND BOARD MEMBERS PROVIDED INSIGHT INTO NEEDS THROUGH DISCUSSION AT MEETINGS. THE HOSPITAL HAS CLOSE WORKING RELATIONSHIPS WITH THE MARK TWAIN HEALTH CARE DISTRICT, THE COUNTY HEALTH AND HUMAN SERVICES AGENCY, THE PUBLIC SCHOOLS AND OTHERS THROUGHOUT THE YEAR. THESE RELATIONSHIPS ENSURE FREQUENT DIALOGUE ABOUT A WIDE RANGE OF COMMUNITY HEALTH NEEDS. |
| Schedule H, Part VI, Line 3 - Patient Education of Eligibility for | ASSISTANCE COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE IS AVAILABLE AT MTMC AND ALL OF ITS COMMUNITY LOCATIONS AND WEBSITES, INCLUDING A CONTACT NUMBER FOR PATIENTS TO CALL FOR INFORMATION AND ASSISTANCE. THE INFORMATION IS DISSEMINATED BY MTMC BY VARIOUS MEANS TO INCLUDE NOTICES ON PATIENT BILLS, BROCHURES AT ALL REGISTRATION DESKS AND IN ALL WAITING ROOMS, AND NOTICES POSTED IN THE EMERGENCY DEPARTMENT. SUCH INFORMATION IS PROVIDED IN ENGLISH AND SPANISH. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. UNINSURED PATIENTS RECEIVE COPIES OF THE FINANCIAL ASSISTANCE AND MEDICAID APPLICATIONS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR CHARITY CARE AND THE PROVISION OF SUCH APPLICATIONS. ANY MEMBER OF MTMC STAFF OR MEDICAL STAFF MAY REFER A PATIENT FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE. |
| Schedule H, Part VI, Line 4 - Community Information | MTMC SERVES CALAVERAS COUNTY, APPROXIMATELY 130 MILES EAST OF SAN FRANCISCO, 60 MILES SOUTHEAST OF SACRAMENTO, AND 50 MILES EAST OF STOCKTON. THE RURAL COUNTY'S GEOGRAPHY BEGINS NEAR SEA-LEVEL IN THE WEST AND CULMINATES NEAR 8,200 FEET IN THE EASTERN PART OF THE COUNTY, IN THE SIERRA NEVADA RANGE. CALAVERAS COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA AND PORTIONS OF THE COUNTY ARE MEDICALLY UNDERSERVED AREAS. BESIDES MARK TWAIN MEDICAL CENTER, ITS FIVE AMBULATORY CARE CENTERS AND FOUR SPECIALTY CARE CENTERS, THE FOLLOWING FACILITIES AND RESOURCES ARE AVAILABLE: CONVALESCENT HOSPITAL, ASSISTED LIVING, COMMUNITY CLINICS, CHILDREN SERVICES, HOME HEALTH CARE, HOSPICE, MENTAL HEALTH, DRUG & ALCOHOL ABUSE SERVICES, SUPPORT GROUPS & SERVICES, AND TRANSPORTATION. THE COUNTY HAS A RELATIVELY MATURE POPULATION WITH A HIGHER PROPORTION OF PERSONS AGED 65 YEARS AND OVER (26.9%) COMPARED TO CALIFORNIA (13.9%), AND A HIGHER PROPORTION OF MILITARY VETERANS (10%) COMPARED TO CALIFORNIA (4%). TOTAL POPULATION: 44,987 RACE/ETHNICITY: WHITE - NON-HISPANIC 80.6%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 0.9%; HISPANIC OR LATINO 12.2%; ASIAN/PACIFIC ISLANDER 1.7%; ALL OTHERS 4.6% MEDIAN INCOME: $58,605 UNEMPLOYMENT: 5.9% NO HIGH SCHOOL DIPLOMA: 8.3% MEDICAID: 23.3% UNINSURED: 7.6% OTHER AREA HOSPITALS: 0 |
| Schedule H, Part VI, Line 5 - Promotion of Community Health | HOSPITAL LEADERSHIP OVERSEES COMMUNITY BENEFIT ACTIVITIES FOR THE HOSPITAL AS IT MEETS THE HEALTH AND WELLNESS NEEDS OF THE LOCAL COMMUNITY. SEVERAL MEMBERS OF MARK TWAIN MEDICAL CENTER'S MANAGEMENT TEAM SERVE THE COMMUNITY ON A VARIETY OF COMMUNITY BASED NOT FOR PROFIT BOARDS. THE HOSPITAL IS GOVERNED BY A BOARD OF TRUSTEES, THE MAJORITY OF WHOM RESIDE WITHIN ITS PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS OR FAMILY MEMBERS THEREOF. IN THE RURAL ENVIRONMENT OF OUR COMMUNITY, SMALL BUSINESS, AGENCIES AND THE HOSPITAL PARTNER TO PROVIDE VARIOUS EVENTS THROUGHOUT THE YEAR THAT ARE FOCUSED ON PROMOTING THE HEALTH OF THE COMMUNITY, ENHANCING QUALITY OF LIFE FOR THE RESIDENTS AND SHOWCASING THE UNIQUE HISTORY AND NATURAL WONDERS OF OUR ENVIRONMENT. BASED ON THE PRIORITIZED HEALTH NEED OF THE COMMUNITY, A SPECIFIC FOCUS HAS BEEN ON WOMEN'S HEALTH ISSUES AND PRIMARY CARE AND PREVENTION. MARK TWAIN MEDICAL CENTER PUBLISHED A COMMUNITY RESOURCES BROCHURE FOR RESIDENTS. THE ORGANIZATIONS IN THIS BROCHURE WORK WITH US TO PROVIDE COMMUNITY RESOURCES THAT CAN MAKE A DIFFERENCE. IN ADDITION, MANY EMPLOYEES HAVE LINKAGES TO VARIOUS SERVICE ORGANIZATIONS THROUGHOUT THE COMMUNITIES. COMMUNITY INVOLVEMENT IS EVIDENCED BY PARTICIPATION OF LOCAL BUSINESS AND COMMUNITY LEADERS IN THE HOSPITAL'S GOVERNING BOARDS, FINANCE COMMITTEE, ETHICS COMMITTEE AND OUR PATIENT ADVISORY COMMITTEE. MTMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN AND OUTSIDE ITS COMMUNITY WHO REQUEST SAID PRIVILEGES. ALL SURPLUS FUNDS GENERATED BY MTMC ARE REINVESTED BACK INTO THE ORGANIZATION TO IMPROVE PATIENT CARE AND PROVIDE HEALTH CARE SERVICES TO ITS COMMUNITY. |
| Schedule H, Part VI, Line 6 - Affiliated Health Care System | AFFILIATES OF MARK TWAIN MEDICAL CENTER ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, AND LAS VEGAS AND HENDERSON, NEVADA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES MARK TWAIN MEDICAL CENTER, FOR THE YEAR ENDED JUNE 30, 2019, IS AS FOLLOWS (IN MILLIONS): Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 317 289 1.4% Unpaid Costs of Medicaid/Medi-Cal 4,550 1,441 6.8% Other Means-tested Programs 23 13 0.1% Community Services: Community Health Services 58 31 0.1% Subsidized Health Services 33 32 0.2% Donations 52 50 0.2% Total Community Services for the poor 143 113 0.5% Total Benefits for the Poor 5,033 1,856 8.8% Benefits for the Broader Community: Community Services: Community Health Services 103 99 0.5% Health Professions Education 128 113 0.5% Subsidized Health Services 23 17 0.1% Research 131 95 0.4% Donations 7 6 0.0% Total Benefits for the Broader Community 392 330 1.5% Total Community Benefits 5,425 2,186 10.3% Unpaid Costs of Medicare 5,957 2,249 10.6% Total Community Benefits including Unpaid Cost of Medicare 11,382 4,435 20.9% |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Mark Twain Medical Center Foundation | ||||||||||
| 768 Mountain Ranch Road | San Andreas | CA | 95249 | 680023507 | 501(c)(3) | $244,201 | $0 | N/A | N/A | Foundation Support |
| California Health Foundation and Trust | ||||||||||
| 1215 K Street Suite 800 | Sacramento | CA | 95814 | 941498697 | 501(c)(3) | $137,769 | $0 | N/A | N/A | Community Health |
| The Resource Connection of Amador and Calaveras Co | ||||||||||
| PO Box 919 | San Andreas | CA | 95249 | 942705790 | 501(C)(3) | $0 | $5,662 | book | food | COMMUNITY health |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1 | FormAndLineReferenceDesc |
| Explanation | AS A 501(C)(3) ORGANIZATION, WE PROVIDE ASSISTANCE TO VARIOUS CHARITABLE ORGANIZATIONS TO PROMOTE MTMC'S MISSION. A DESIGNATED COMMITTEE CONSISTING PRIMARILY OF THE EXECUTIVE TEAM ESTABLISHES AND EVALUATES PRIORITIES AND ALLOCATION OF FUNDS WITH EMPHASIS ON PROMOTION OF HEALTHY COMMUNITIES AND COMMUNITY COLLABORATION. WE DO NOT MONITOR AND REPORT PROGRAM OUTCOMES. SPENDING IS TRACKED ON AN ONGOING BASIS TO ENSURE THAT IT IS GENERALLY WITHIN THE BUDGETED AMOUNT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christopher M Champlin | ||||||||||||||
| Ex-off Brd Member -STRT 6/2019 | $0 | $303,214 | $0 | $149,535 | $0 | $8,006 | $0 | $35,577 | $0 | $31,271 | $0 | $527,603 | $0 | $0 |
| Andrea N Ochoa | ||||||||||||||
| Ex-off Brd Member -STRT 6/2019 | $0 | $207,024 | $0 | $47,337 | $0 | $1,107 | $0 | $27,315 | $0 | $14,080 | $0 | $296,863 | $0 | $0 |
| Charles Kassis | ||||||||||||||
| Chairman (START 6/2019) | $0 | $347,154 | $0 | $213,497 | $0 | $14,963 | $0 | $52,221 | $0 | $42,677 | $0 | $670,512 | $0 | $0 |
| Robert Diehl | ||||||||||||||
| President & CEO (thru 8/2018) | $0 | $162,533 | $0 | $0 | $0 | $345,171 | $0 | $21,318 | $0 | $49,492 | $0 | $578,514 | $0 | $0 |
| Chris L Roberts | ||||||||||||||
| VP & CFO (thru 1/2019) | $195,569 | $0 | $0 | $0 | $2,719 | $0 | $21,468 | $0 | $28,787 | $0 | $248,543 | $0 | $0 | $0 |
| Katherine McCoy | ||||||||||||||
| VP & CNE | $197,937 | $0 | $0 | $0 | $5,527 | $0 | $21,302 | $0 | $16,334 | $0 | $241,100 | $0 | $0 | $0 |
| Lonnie Smith MD | ||||||||||||||
| CMO | $309,096 | $0 | $0 | $0 | $4,911 | $0 | $32,359 | $0 | $4,537 | $0 | $350,903 | $0 | $0 | $0 |
| Peggy E Seever | ||||||||||||||
| Registered Nurse | $190,629 | $0 | $500 | $0 | $1,600 | $0 | $17,775 | $0 | $13,965 | $0 | $224,469 | $0 | $0 | $0 |
| James F Brennan | ||||||||||||||
| Physician | $268,517 | $0 | $0 | $0 | $2,966 | $0 | $28,918 | $0 | $36,179 | $0 | $336,580 | $0 | $0 | $0 |
| Ermenegildo Eld Frezza | ||||||||||||||
| Physician | $234,762 | $0 | $25,000 | $0 | $9,105 | $0 | $20,316 | $0 | $14,184 | $0 | $303,367 | $0 | $0 | $0 |
| Jill Ortiz | ||||||||||||||
| Director of Pharmacy | $197,793 | $0 | $2,020 | $0 | $13,148 | $0 | $22,541 | $0 | $31,246 | $0 | $266,748 | $0 | $0 | $0 |
| Mohamad A Parsa MD | ||||||||||||||
| Physician | $318,731 | $0 | $25,000 | $0 | $489 | $0 | $35,190 | $0 | $34,789 | $0 | $414,199 | $0 | $0 | $0 |
| Robert Allen | ||||||||||||||
| Former Officer | $323,933 | $0 | $101,158 | $0 | $1,460 | $0 | $42,786 | $0 | $37,804 | $0 | $507,141 | $0 | $0 | $0 |
| Katherine A Medeiros | ||||||||||||||
| Former Officer | $0 | $309,796 | $0 | $278,935 | $0 | $27,237 | $0 | $54,503 | $0 | $47,702 | $0 | $718,173 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION. |
| PART I, LINE 4a | THE ORGANIZATION'S KEY EMPLOYEES AND ITS HIGHEST COMPENSATED EMPLOYEES PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 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 PLAN. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE OFFICER OCCURRED DURING 2018 INCLUDE R. DIEHL $308,916. |
| PART I, LINE 4b | CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. NO PAYMENTS WERE MADE UNDER THIS PLAN DURING 2018. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). |
| PART II - SUPPLEMENTAL DISCLOSURES | THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE DIGNITY HEALTH TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND THE ORGANIZATION'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, PART I, LINE 22 | AFFILIATION OF CHI AND DIGNITY HEALTH ON FEBRUARY 1, 2019 CATHOLIC HEALTH INITIATIVES ("CHI") AND DIGNITY HEALTH EFFECTED A BUSINESS COMBINATION AS DISCUSSED IN NOTE 1 OF COMMONSPIRIT HEALTH'S ("COMMONSPIRIT") AUDITED FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED JUNE 30, 2019. DUE TO THE CIRCUMSTANCES OF THE BUSINESS COMBINATION BETWEEN CHI AND DIGNITY HEALTH, THROUGH THE ALIGNMENT UNDER CATHOLIC HEALTH CARE FEDERATION ("CHCF"), THE TRANSACTION QUALIFIED FOR ACQUISITION ACCOUNTING WITH COMMONSPIRIT (FORMERLY KNOWN AS CHI) AS THE ACCOUNTING ACQUIRER OF DIGNITY HEALTH. NO CASH CONSIDERATION WAS INVOLVED IN THE AFFILIATION. AS PART OF THE AFFILIATION, DIGNITY HEALTH CAUSED TO TRANSFER EIGHT NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS (INCLUDING THE FILING ORGANIZATION), AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE. THE TRANSFER OF THESE NET ASSETS, STEPPED UP TO FAIR VALUE PURSUANT TO THE APPLICATION OF ACQUISITON ACCOUNTING, IS RECORDED IN NET ASSETS (SEE PART XI, LINE 9). FORM 990, PART VI, SECTION A, LINE 4 ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT HEALTH IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF"). AS PART OF THE ALIGNMENT, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE, A COLORADO NONPROFIT CORPORATION. EFFECTIVE JUNE 1, 2019, UPON DISSOLUTION OR WINDING UP OF THE ORGANIZATION, NINETY-NINE PERCENT (99%) OF ITS ASSETS REMAINING AFTER PAYMENT OR PROVISION FOR PAYMENT, OF ALL DEBTS AND LIABILITIES OF THE ORGANIZATION SHALL BE DISTRIBUTED TO DIGNITY COMMUNITY CARE. DIGNITY COMMUNITY CARE, THE PARENT CORPORATION, AND COMMONSPIRIT HEALTH, THE SYSTEM CORPORATION SHALL EACH HAVE SPECIFIC RESERVED RIGHTS AND POWERS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 6 PRIOR TO JUNE 1, 2019, MARK TWAIN MEDICAL CENTER WAS JOINTLY OWNED BY DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION AND MARK TWAIN HEALTHCARE DISTRICT (THE DISTRICT). EFFECTIVE JUNE 1, 2019, UNDER A COMPREHENSIVE MANAGEMENT AGREEMENT, MARK TWAIN MEDICAL CENTER IS JOINTLY OWNED BY DIGNITY COMMUNITY CARE, A 501(C)(3) EXEMPT ORGANIZATION AND MARK TWAIN HEALTHCARE DISTRICT (THE DISTRICT) AT 99% AND 1%, RESPECTIVELY. THE ORGANIZATION HAS NO MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY COMMUNITY CARE RATIFIES THE SELECTION OF MEMBERS AND APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. THE ORGANIZATION SHALL HAVE FIVE VOTING MEMBERS. THE BOARD OF DIRECTORS WILL SELECT AND RECOMMEND FOUR DIRECTORS AND THE DISTRICT SHALL NOMINATE ONE OF ITS INCUMBENT BOARD MEMBERS FOR THE ORGANIZATION TO RECOMMEND TO DIGNITY COMMUNITY CARE FOR APPROVAL AS THE FIFTH DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B PRIOR TO JUNE 1, 2019, RESERVED RIGHTS OF THE CORPORATE MEMBERS (DIGNITY HEALTH AND THE DISTRICT) INCLUDE ADOPTION OF MISSION AND PHILOSOPHY STATEMENTS, AMENDMENT OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS, DISSOLUTION OF THE CORPORATION, ACQUISITION OF ANOTHER CORPORATION, CREATION OF A NEW SUBSIDIARY, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, PARTICIPATION AS A GENERAL OR LIMITED PARTNER IN ANY VENTURE, INCURRING LONG-TERM INDEBTEDNESS IN EXCESS OF NORMAL OPERATING REQUIREMENTS, RATIFICATION OF BOARD MEMBER APPOINTMENTS AND DISMISSALS, SELECTION AND REMOVAL OF INDEPENDENT AUDITORS, AND TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS. EFFECTIVE JUNE 1, 2019, DIGNITY COMMUNITY CARE, THE PARENT CORPORATION, AND COMMONSPIRIT HEALTH, THE SYSTEM CORPORATION SHALL EACH HAVE SPECIFIC RESERVED RIGHTS AND POWERS SET FORTH IN THE SYSTEM GOVERNANCE MATRIX. THE ORGANIZATION IS SUBJECT TO THE GOVERNANCE REQUIREMENTS OF THE SYSTEM GOVERNANCE MATRIX. THUS, MANY KEY DECISIONS ADDRESSED IN THE BYLAWS REQUIRE THE ORGANIZATION TO ACT BY MAKING A "RECOMMENDATION," WHICH IS THEN FORMALLY ACTED ON BY THE DIGNITY COMMUNITY CARE BOARD. EXAMPLES INCLUDE AMENDING CORPORATE DOCUMENTS, APPROVING MEMBERS OF GOVERNING BOARD, APPROVING REMOVAL OF MEMBERS OF GOVERNING BOARD, APPROVAL OF DISSOLUTION AND SELLING OR DISPOSING OF ASSETS AND ADOPTING LONG RANGE AND STRATEGIC PLANS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PRESENTED THE DRAFT OF THE FORM 990 TO THE BOARD BEFORE FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. THE BOARD'S REVIEW INCLUDED ALL INFORMATION REPORTED ON THE FORM 990 WITH THE EXCEPTION OF INDIVIDUALS' COMPENSATION AMOUNTS REPORTED WHICH WERE DIRECTLY REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES. IN THE PROCESS OF ITS PREPARATION, THE FORM 990 WAS REVIEWED AT VARIOUS LEVELS OF FINANCE AND ACCOUNTING (REGIONAL DIGNITY HEALTH MANAGEMENT AND CORPORATE TAX DEPARTMENT), AS WELL AS REVIEWED BY MARK TWAIN'S FINANCE MANAGER AND CFO (WHO SIGNS THE FORM) AND BY AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. THE ORGANIZATION'S BOARD IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THESE POLICIES, THE GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE AND ANY OTHER PERSONNEL DESIGNATED BY THE FILING OFFICER (COVERED PERSONS). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE EVP/CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE B |
| FORM 990, PART VI, SECTION B, LINE 15A | ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY DIGNITY HEALTH. FOR 2018 COMPENSATION, DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION 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, SECTION B, LINE 15B THE HOSPITAL RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE CHIEF FINANCIAL OFFICER'S COMPENSATION. COMPENSATION OF OTHER HIGHLY PAID KEY EMPLOYEES IS BASED ON A COMPREHENSIVE EVALUATION FOCUSING ON ALL ASPECTS OF THE INCUMBENT'S ASSIGNED DUTIES AND ASSESSED PERFORMANCE IN CARRYING OUT THE PHILOSOPHY AND MISSION OF MTMC. ADDITIONALLY, COMPARATIVE DATA AND MARKET SURVEYS REGARDING COMPENSATION IN THE SURROUNDING MARKETPLACE ARE CONSIDERED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A THE ORGANIZATION DOES NOT COMPENSATE CURRENT AND FORMER BOARD MEMBERS OR OFFICERS, C. CHAMPLIN, A. N. OCHOA, C. KASSIS, D. ARCHER, R. DIEHL AND K. MEDEIROS. THE COMPENSATION REPORTED REPRESENTS COMPENSATION FOR EMPLOYMENT SERVICES PROVIDED TO A RELATED ORGANIZATION. FORM 990, PART XI, LINE 9 INTEREST IN NET ASSETS OF UNCONSOLIDATED FOUNDATION; $(462,717) ADJUSTMENT OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO ACQUISITION ACCOUNTING; $11,986,343 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:148492 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN/MEDICAL SERVICES TOTAL FEES:6812404 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMINISTRATION SERVICES TOTAL FEES:4083591 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BUILDING SERVICES TOTAL FEES:1859740 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:253931 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:242962 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (221 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 | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bakersfield Memorial Hospital | ||||||||||||||||
| 420 34TH Street | Bakersfield | CA | 93301 | 951802779 | Hospital | CA | 501(c)(3) | 3 | DHDCC | false | ||||||
| Community Hospital of San Bernardino | ||||||||||||||||
| 1805 Medical Center Drive | San Bernardino | CA | 92411 | 951643373 | Hospital | CA | 501(c)(3) | 3 | DHDCC | false | ||||||
| Dignity Community Care | ||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 815009488 | Hospital | CO | 501(c)(3) | 3 | CSH | false | ||||||
| Dignity Health | ||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 941196203 | Hospital | CA | 501(c)(3) | 3 | CSH | false | ||||||
| Dignity Health Connected Living | ||||||||||||||||
| 200 Mercy Oaks Drive | Redding | CA | 96003 | 237115371 | Senior Center | CA | 501(c)(3) | 7 | Dignity Hlth | false | ||||||
| Dignity Health HPL Self-Insurance Trust | ||||||||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 943006034 | Administratio | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dignity Health Insurance Nevada Ltd | ||||||||||||||||
| 185 Berry Street | San Francisco | NV | 94107 | 813800752 | Self Ins Fund | NV | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dignity Health Medical Foundation | ||||||||||||||||
| 3400 Data Drive | Rancho Cordova | CA | 95670 | 680220314 | Multi-sp CLIN | CA | 501(c)(3) | 12A-I | DHDCC | false | ||||||
| Dignity Health Workers' Comp Self-Insura | ||||||||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 946612446 | Administratio | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dominican Health Services | ||||||||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770056778 | Community Hlt | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dominican Oaks Corporation | ||||||||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770127719 | SR HOUSING | CA | 501(c)(3) | 10 | DHS | false | ||||||
| Mercy McMahon Terrace | ||||||||||||||||
| 3865 J Street | Sacramento | CA | 95816 | 680117340 | SR HOUSING | CA | 501(c)(3) | 10 | Dignity Hlth | false | ||||||
| Pacific Central Coast Health Centers | ||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770447575 | Clinic | CA | 501(c)(3) | 3 | DHDCC | false | ||||||
| Port City Operating Company LLC | ||||||||||||||||
| 3400 Data Drive | Rancho Cordova | CA | 95670 | 465322209 | Hospital | CA | 501(c)(3) | 3 | Dignity Hlth | false | ||||||
| Saint Francis Memorial Hospital | ||||||||||||||||
| 900 Hyde Street | San Francisco | CA | 94109 | 941156295 | Hospital | CA | 501(c)(3) | 3 | DHDCC | false | ||||||
| Sierra Nevada Memorial-Miners Hospital | ||||||||||||||||
| 155 Glasson Way | Grass Valley | CA | 95945 | 941439787 | Hospital | CA | 501(c)(3) | 3 | DHDCC | false | ||||||
| St Francis Hospital Support Corporation | ||||||||||||||||
| 601 E Micheltorena Street | Santa Barbara | CA | 93103 | 770022302 | INACTIVE | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Mary Professional Building Inc | ||||||||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 237373088 | INACTIVE | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Arroyo Grande Community Hospital Foundat | ||||||||||||||||
| 345 S Halcyon Rd | Arroyo Grande | CA | 93420 | 203256066 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Barrow Foundation UK | ||||||||||||||||
| 311724184 | FNDRSING FND | 501(c)(3) | 12D-III-NFI | NA | false | 13 CHURCH STREET | NUNNEY | ENGLAND | UK | BA11 4LW | UK | |||||
| Barrow Neurological Foundation | ||||||||||||||||
| 350 West Thomas Road | Phoenix | AZ | 85013 | 860174371 | FNDRSING FND | AZ | 501(c)(3) | 7 | Dignity Hlth | false | ||||||
| California Hospital Medical Center Found | ||||||||||||||||
| 1401 South Grand Avenue | Los Angeles | CA | 90015 | 954000909 | FNDRSING FND | CA | 501(c)(3) | 12A-I | DHDCC | false | ||||||
| Dignity Health Foundation | ||||||||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 462037641 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dignity Health Foundation - Inland Empir | ||||||||||||||||
| 2101 N Waterman Avenue | San Bernardino | CA | 92404 | 237440086 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dignity Health Foundation East Valley | ||||||||||||||||
| 475 South Dobson Road | Chandler | AZ | 85224 | 742418514 | FNDRSING FND | AZ | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Dominican Hospital Foundation | ||||||||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 942450442 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| French Hospital Medical Center Foundatio | ||||||||||||||||
| 1911 Johnson Avenue | San Luis Obispo | CA | 93401 | 203256125 | FNDRSING FND | CA | 501(c)(3) | 12A-I | DHDCC | false | ||||||
| Glendale Memorial Health Foundation | ||||||||||||||||
| 1420 South Central Avenue | Glendale | CA | 91204 | 953625651 | FNDRSING FND | CA | 501(c)(3) | 12A-I | DHDCC | false | ||||||
| Marian Regional Medical Center Foundatio | ||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 953818027 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Mercy Foundation Bakersfield | ||||||||||||||||
| PO Box 119 | Bakersfield | CA | 93302 | 770201321 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Mercy Foundation North | ||||||||||||||||
| 2625 Edith Avenue Suite E | Redding | CA | 96001 | 943136799 | FNDRSING FND | CA | 501(c)(3) | 12A-I | NA | false | ||||||
| Mercy Foundation Sacramento | ||||||||||||||||
| 3400 Data Drive 3rd Flr | Rancho Cordova | CA | 95670 | 237072762 | FNDRSING FND | CA | 501(c)(3) | 12A-I | NA | false | ||||||
| Mercy Medical Center Merced Foundation | ||||||||||||||||
| 301 E 13th Street | Merced | CA | 95340 | 770035928 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Northridge Hospital Foundation | ||||||||||||||||
| 18300 Roscoe Blvd | Northridge | CA | 91328 | 237444901 | FNDRSING FND | CA | 501(c)(3) | 12A-I | DHDCC | false | ||||||
| San Gabriel Valley Medical Center Founda | ||||||||||||||||
| 438 West Las Tunas Drive | San Gabriel | CA | 91776 | 953430341 | INACTIVE | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Sequoia Hospital Foundation | ||||||||||||||||
| 170 Alameda de las Pulgas | Redwood City | CA | 94062 | 942909990 | FNDRSING FND | CA | 501(c)(3) | 12D-III-NFI | NA | false | ||||||
| St Francis Foundation of Santa Barbara | ||||||||||||||||
| 2323 De La Vina St Suite 104 | Santa Barbara | CA | 93105 | 237137119 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St John's Healthcare Foundation | ||||||||||||||||
| 1600 North Rose Avenue | Oxnard | CA | 93030 | 202865781 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Joseph's Foundation | ||||||||||||||||
| 350 West Thomas Road | Phoenix | AZ | 85013 | 942941245 | FNDRSING FND | AZ | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Joseph's Foundation of San Joaquin | ||||||||||||||||
| 1800 N California Street | Stockton | CA | 95204 | 510432777 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Mary Medical Center Foundation | ||||||||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 237153876 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Mary's Medical Center Foundation | ||||||||||||||||
| 450 Stanyan Street | San Francisco | CA | 94117 | 943336143 | FNDRSING FND | CA | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| St Rose Dominican Health Foundation | ||||||||||||||||
| 3001 St Rose Parkway | Henderson | NV | 89052 | 880349432 | FNDRSING FND | NV | 501(c)(3) | 12A-I | Dignity Hlth | false | ||||||
| Woodland Memorial Hospital Foundation | ||||||||||||||||
| 1321 Cottonwood Street 305 | Woodland | CA | 95695 | 946167964 | FNDRSING FND | CA | 501(c)(3) | 7 | NA | false | ||||||
| ALEGENT CREIGHTON CLINIC | ||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HEALTHCARE | NE | 501(c)(3) | 3 | ACH | false | ||||||
| ALEGENT CREIGHTON HEALTH | ||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP | ||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HEALTHCARE | IA | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | ||||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY | ||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ALEGENT HEALTH - MERCY HOSPITAL CORNING | ||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | 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 | ||||||
| BAYLOR ST LUKE'S HEALTH VENTURES | ||||||||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(c)(3) | 12A-I | SLCHS | false | ||||||
| BAYLOR ST LUKE'S MEDICAL GROUP | ||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | HEALTHCARE | PA | 501(c)(3) | 12A-I | CSH | false | ||||||
| BRAZOSPORT HEALTH FOUNDATION INC | ||||||||||||||||
| 1 West Way Ct | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING | TX | 501(c)(3) | 12A-I | BRHS | false | ||||||
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | ||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | HEALTHCARE | TX | 501(c)(3) | 3 | BRHS | false | ||||||
| BURLESON ST JOSEPH HEALTH CENTER | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HEALTHCARE | TX | 501(c)(3) | 3 | SJSC | false | ||||||
| BURLESON ST JOSEPH MANOR | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false | ||||||
| CARRINGTON HEALTH CENTER | ||||||||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| CATHOLIC HEALTH INITIATIVES - COLORADO | ||||||||||||||||
| 9100 East Mineral Circle | Centennial | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(c)(3) | 3 | CSH | false | ||||||
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(c)(3) | 3 | CSH | false | ||||||
| CATHOLIC HEALTH INITIATIVES COLORADO FOU | ||||||||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 840902211 | FUNDRAISING | CO | 501(c)(3) | 7 | CHIC | false | ||||||
| CATHOLIC HEALTH INITIATIVES NATIONAL FOU | ||||||||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | FUNDRAISING | CO | 501(c)(3) | 12A-I | CSH | false | ||||||
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | HEALTHCARE | CO | 501(c)(3) | 12A-I | CHINS | false | ||||||
| CENTENNIAL MEDICAL GROUP INC | ||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | PHYSICIANS | OR | 501(c)(3) | 10 | MMC | false | ||||||
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CENTE | KS | 501(c)(3) | 3 | CSH | false | ||||||
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | HEALTHCARE | MN | 501(c)(3) | 10 | CSH | false | ||||||
| CHI HEALTH FOUNDATION | ||||||||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING | NE | 501(c)(3) | 7 | ACH | false | ||||||
| CHI INSTITUTE FOR RESEARCH AND INNOVATIO | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI KENTUCKY INC | ||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI LIVING COMMUNITIES | ||||||||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | HEALTHCARE | OH | 501(c)(3) | 12A-II | SFH | false | ||||||
| CHI Memorial Hospital - Georgia | ||||||||||||||||
| 100 GROSS CRESCENT CIRCLE | FORT OGLETHORPE | GA | 30742 | 822748395 | HEALTHCARE | GA | 501(c)(3) | 3 | MHCS | false | ||||||
| CHI NATIONAL HOME CARE | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(c)(3) | 10 | CHI NS | false | ||||||
| CHI NATIONAL SERVICES | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI NEBRASKA | ||||||||||||||||
| 12809 West Dodge Road | Omaha | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI ST JOSEPH CHILDREN'S HEALTH | ||||||||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI ST JOSEPH'S CHILDREN | ||||||||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(c)(3) | 12A-I | CSH | false | ||||||
| CHI ST VINCENT HOSPITAL HOT SPRINGS | ||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HEALTHCARE | 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) | 12A-II | SVIMC | false | ||||||
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | ||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | HEALTHCARE | AR | 501(c)(3) | 3 | CHISVHS | false | ||||||
| COMMONSPIRIT HEALTH | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(c)(3) | 12A-I | NA | false | ||||||
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(c)(4) | N/A | GSH | false | ||||||
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV | ||||||||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING | IA | 501(c)(3) | 12A-I | AH-CMHMV | false | ||||||
| CONTINUING CARE HOSPITAL | ||||||||||||||||
| One Saint Joseph Drive | LEXINGTON | KY | 40504 | 611400619 | LT ACH | KY | 501(c)(3) | 3 | SJHS | false | ||||||
| East Texas Clinical Services | ||||||||||||||||
| 2801 VIA FORTUNA SUITE 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | 501(c)(3) | 12A-I | SLHS | false | ||||||
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(c)(3) | 3 | FHS | false | ||||||
| FLAGET HEALTHCARE INC | ||||||||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(c)(3) | 3 | KOH | false | ||||||
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(c)(3) | 12A-I | FH | false | ||||||
| FRANCISCAN CARE CENTER | ||||||||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(c)(3) | 10 | FLC | false | ||||||
| FRANCISCAN FOUNDATION | ||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(c)(3) | 10 | FHS | false | ||||||
| FRANCISCAN HEALTH SYSTEM | ||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(c)(3) | 3 | CSH | false | ||||||
| FRANCISCAN HEALTH VENTURES FKA SJMGROUP | ||||||||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(c)(3) | 10 | CSH | false | ||||||
| FRANCISCAN MEDICAL GROUP | ||||||||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(c)(3) | 10 | FHS | false | ||||||
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(c)(3) | 10 | CSH | false | ||||||
| GARRISON MEMORIAL HOSPITAL | ||||||||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HEALTHCARE | ND | 501(c)(3) | 3 | SAMC | false | ||||||
| GLOBAL HEALTH INITIATIVES | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(c)(3) | 12A-I | CSH | false | ||||||
| GOOD SAMARITAN COLLEGE OF NURSING & HEAL | ||||||||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311778403 | EDUCATION | OH | 501(c)(3) | 2 | GSH | false | ||||||
| GOOD SAMARITAN FOUNDATION OF CINCINNATI | ||||||||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(c)(3) | 12A-I | GSH | false | ||||||
| GOOD SAMARITAN HOSPITAL | ||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(c)(3) | 7 | GSH | false | ||||||
| HARRISON MEDICAL CENTER | ||||||||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HEALTHCARE | WA | 501(c)(3) | 3 | FHS | false | ||||||
| HARRISON MEDICAL CENTER FOUNDATION | ||||||||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING | WA | 501(c)(3) | 7 | HMC | false | ||||||
| HEALTH FOUNDATION OF KENTUCKYONE INC | ||||||||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING | KY | 501(c)(3) | 12A-II | KOH | false | ||||||
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(c)(3) | 12A-I | SFMC | false | ||||||
| HIGHLINE MEDICAL CENTER | ||||||||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HEALTHCARE | 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 HOSPITAL AND ST MARY'S HEALTHCARE | ||||||||||||||||
| 250 E Liberty St Ste 500 | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(c)(3) | 3 | KOH | false | ||||||
| KENTUCKYONE HEALTH MEDICAL GROUP 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) | 12A-II | CSH | false | ||||||
| LAKEWOOD HEALTH CENTER | ||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(c)(3) | 3 | CSH | false | ||||||
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | ||||||||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING | ND | 501(c)(3) | 7 | LHC | false | ||||||
| LINUS OAKES INC | ||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930821381 | SENIOR LIVING | OR | 501(c)(3) | 10 | MMC | false | ||||||
| LISBON AREA HEALTH SERVICES | ||||||||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| LUFKIN VISION ACQUISITIONS | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(c)(3) | 12A-I | MHSET | false | ||||||
| MADISON ST JOSEPH HEALTH CENTER | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HEALTHCARE | TX | 501(c)(3) | 3 | SJSC | false | ||||||
| MADONNA MANOR INC | ||||||||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | LIVING ASSIST | KY | 501(c)(3) | 10 | FLC | false | ||||||
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION I | ||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(c)(3) | 7 | MHCS | false | ||||||
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(c)(3) | 3 | CSH | false | ||||||
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 300417049 | HEALTHCARE | TN | 501(c)(3) | 10 | MHCS | false | ||||||
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HEALTHCARE | TX | 501(c)(3) | 3 | MHSET | false | ||||||
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HEALTHCARE | TX | 501(c)(3) | 3 | MHSET | false | ||||||
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(c)(3) | 12A-I | MHSET | false | ||||||
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HEALTHCARE | 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) | 12A-I | 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 FOUNDATION OF DES MOINES IA | ||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(c)(3) | 7 | CHI-IA CORP | false | ||||||
| MERCY FOUNDATION INC | ||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING | OR | 501(c)(3) | 7 | MMC | false | ||||||
| MERCY HEALTH CARE FOUNDATION | ||||||||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | IA | 501(c)(3) | 12A-I | AHMH-Corning | false | ||||||
| MERCY HEALTHCARE FOUNDATION | ||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING | ND | 501(c)(3) | 12A-I | MHVC | false | ||||||
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(c)(3) | 12A-I | AHBMHS | false | ||||||
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(c)(3) | 7 | MHDL | false | ||||||
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| MERCY MEDICAL CENTER | ||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(c)(3) | 3 | CHI-IA CORP | false | ||||||
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF | ||||||||||||||||
| 204 N 4th Ave E | Newton | IA | 50314 | 421470935 | PHYSICIANS | IA | 501(c)(3) | 3 | CHI-IA CORP | false | ||||||
| MERCY MEDICAL CENTER INC | ||||||||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HEALTHCARE | OR | 501(c)(3) | 3 | CSH | false | ||||||
| MERCY MEDICAL FOUNDATION | ||||||||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(c)(3) | 12A-I | MMC | false | ||||||
| NEBRASKA HEART HOSPITAL | ||||||||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| Northland Healthcare Alliance | ||||||||||||||||
| 2223 East Rosser Avenue | Bismarck | ND | 58501 | 911845296 | MANAGEMENT | ND | 501(c)(3) | 7 | NCHA | false | ||||||
| OAKES COMMUNITY HOSPITAL | ||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(c)(3) | 12A-I | OCH | false | ||||||
| PINEYWOODS MEDICAL DEVELOPMENT CORP | ||||||||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(c)(3) | 12A-I | MHSET | false | ||||||
| PROVIDENCE CARE CENTER | ||||||||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | HEALTHCARE | OH | 501(c)(3) | 10 | FLC | false | ||||||
| PROVIDENCE CARE CENTERS | ||||||||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341826099 | HOLDING CO | OH | 501(c)(3) | 12A-II | FLC | false | ||||||
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORA | ||||||||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false | ||||||
| PUEBLO STEPUP | ||||||||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(c)(3) | 7 | CHIC | false | ||||||
| REGIONAL HOSPITAL FOR RESPIRATORY AND CO | ||||||||||||||||
| 16251 Sylvester Road SW | Burien | WA | 98166 | 911170040 | HEALTHCARE | WA | 501(c)(3) | 3 | FHS | false | ||||||
| SET OF COLORADO SPRINGS INC | ||||||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 841183335 | LTERM CARE | 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 FOUNDATION INC | ||||||||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(c)(3) | 6 | 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) | 2 | SCHS | false | ||||||
| SAINT ELIZABETH FOUNDATION | ||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(c)(3) | 7 | SERMC | false | ||||||
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(c)(3) | 3 | SERMC | false | ||||||
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| SAINT FRANCIS MEDICAL CENTER | ||||||||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(c)(3) | 7 | SFMC | false | ||||||
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION I | ||||||||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(c)(3) | 7 | SJHS | false | ||||||
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611334601 | HEALTHCARE | KY | 501(c)(3) | 3 | KOH | false | ||||||
| SAINT JOSEPH HOSPITAL FOUNDATION INC | ||||||||||||||||
| 701 Bob Olink Dr 200 | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(c)(3) | 12A-I | SJHS | false | ||||||
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(c)(3) | 7 | SJHS | false | ||||||
| SAINT JOSEPH MOUNT STERLING FOUNDATION I | ||||||||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(c)(3) | 7 | SJHS | false | ||||||
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||||||||
| 2500 Fairway Street | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(c)(3) | 12A-I | SJHHC | false | ||||||
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION IN | ||||||||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING | NE | 501(c)(3) | 12A-I | AHMHS | false | ||||||
| SJRMC JOPLIN MISSOURI | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HEALTHCARE | MO | 501(c)(3) | 3 | CSH | false | ||||||
| ST ALEXIUS MEDICAL CENTER | ||||||||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| ST ANTHONY HOSPITAL | ||||||||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(c)(3) | 3 | CSH | false | ||||||
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(c)(3) | 12A-I | SAH | false | ||||||
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(c)(3) | 3 | SVIMC | false | ||||||
| ST CATHERINE HOSPITAL | ||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(c)(3) | 3 | CSH | false | ||||||
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDA | ||||||||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(c)(3) | 12A-I | SCH | false | ||||||
| ST CLARE COMMONS | ||||||||||||||||
| 12469 Five Point Road | TOLEDO | OH | 43551 | 270163752 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false | ||||||
| ST DOMINIC OF ONTARIO OREGON | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(c)(4) | N/A | 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 MEDICAL CENTER | ||||||||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(c)(3) | 3 | CSH | false | ||||||
| ST JOSEPH FOUNDATION OF BRYAN TEXAS | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING | TX | 501(c)(3) | 12A-II | SJSC | false | ||||||
| ST JOSEPH MANOR | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false | ||||||
| ST JOSEPH MEDICAL CENTER INC | ||||||||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HEALTHCARE | MD | 501(c)(3) | 3 | CSH | false | ||||||
| ST JOSEPH PHYSICIAN ASSOCIATES | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | HEALTHCARE | 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) | 12A-I | SJMC | false | ||||||
| ST JOSEPH REGIONAL HEALTH CENTER | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HEALTHCARE | TX | 501(c)(3) | 3 | SJSC | false | ||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HEALTHCARE | TX | 501(c)(3) | 3 | SJSC | false | ||||||
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false | ||||||
| ST JOSEPH SERVICES CORPORATION | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(c)(3) | 12A-I | SLHS | false | ||||||
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(c)(3) | 3 | CSH | false | ||||||
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||||||||
| 2500 Fairway St | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(c)(3) | 3 | CSH | false | ||||||
| ST LEONARD | ||||||||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false | ||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT | ||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT | ||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT | ||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| ST LUKE'S COMMUNITY HEALTH SERVICES | ||||||||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| ST LUKE'S FOUNDATION | ||||||||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING | TX | 501(c)(3) | 7 | SLHS | false | ||||||
| ST LUKE'S HEALTH SYSTEM CORPORATION | ||||||||||||||||
| PO Box 20269 | HOUSTON | TX | 77225 | 760536232 | MANAGEMENT | TX | 501(c)(3) | 12A-I | CSH | false | ||||||
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||||||||
| 1213 Hermann Drive Ste 855 | HOUSTON | TX | 77004 | 760531716 | PROPERTY MGMT | TX | 501(c)(3) | 12A-I | SLHS | false | ||||||
| ST LUKE'S SUGAR LAND PROPERTIES CORPORAT | ||||||||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(c)(3) | 12A-I | SLCDC-SL | false | ||||||
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||||||||
| 1301 Grundman Boulevard | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(c)(3) | 3 | CHI NEBRASKA | false | ||||||
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(c)(3) | 7 | SMCH | false | ||||||
| ST VINCENT FOUNDATION | ||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(c)(3) | 12A-I | SVIMC | false | ||||||
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(c)(3) | 3 | CSH | false | ||||||
| ST VINCENT MEDICAL GROUP | ||||||||||||||||
| 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) | 12A-I | CSH | false | ||||||
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | ||||||||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 455357161 | FUNDRAISING | OH | 501(c)(3) | 12A-I | FLC | false | ||||||
| THE COMMONS OF PROVIDENCE | ||||||||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(c)(3) | 10 | FLC | false | ||||||
| THE COMMUNITY HOSPITAL OF BRAZOSPORT | ||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 741385192 | HEALTHCARE | TX | 501(c)(3) | 3 | SLHS | false | ||||||
| THE GOOD SAMARITAN HOSPITAL OF CINCINNAT | ||||||||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(c)(3) | 3 | CSH | false | ||||||
| THE PHYSICIAN NETWORK | ||||||||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(c)(3) | 12A-I | CHI NEBRASKA | false | ||||||
| TOTAL HEALTHCARE | ||||||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(c)(3) | 3 | CHIC | false | ||||||
| TRINITY HEALTH FOUNDATION | ||||||||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 311329423 | FUNDRAISING | OH | 501(c)(3) | 12A-I | THS | false | ||||||
| TRINITY HEALTH SYSTEM | ||||||||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(c)(3) | 12A-I | SFH | false | ||||||
| TRINITY HOSPITAL TWIN CITY | ||||||||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HEALTHCARE | OH | 501(c)(3) | 3 | SFH | 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 | HEALTHCARE | 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 ASSOCIATION OF ST CLARE'S | ||||||||||||||||
| 191 WOODPORT RD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(c)(3) | 10 | SCHS | false | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (80 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 | UBI Code VUBICodeVAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Arizona Care Network LLC (ACN LLC) | ||||||||||||
| 4222 E THOMAS RD STE 400 | PHOENIX | AZ | 85018 | 454494682 | Care Network | AZ | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CBCC Outsmarting Cancer LLC | ||||||||||||
| 6501 Truxtun Avenue | Bakersfield | CA | 93309 | 461602286 | Radiation / Oncol | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DE JV LLC | ||||||||||||
| 8686 New Trails Drive | The Woodlands | TX | 77381 | 320496548 | Emergency Care | NV | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DHHP Surgery Centers LLC | ||||||||||||
| 1513 S Grand Avenue Ste 350 | Los Angeles | CA | 90015 | 831847466 | Surgery | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DHRT Holdings LLC | ||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 352484591 | Holding Company | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dignity- GoHealth Urgent Care Management | ||||||||||||
| 5555 Glenridge Connector Suite 700 | Atlanta | GA | 30342 | 352548698 | Management Servic | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dignity Health Specialty Pharmacy LLC | ||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 320589462 | Specialty Pharmac | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dignity Home Recovery Care LLC | ||||||||||||
| 49 Music Square West Suite 401 | Nashville | TN | 37203 | 832832522 | Home Recovery Pro | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LL | ||||||||||||
| 15305 Dallas Parkway Suite 1600 LB | Addison | TX | 75001 | 202999237 | Surgery | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DignityUSP NorCal Surgery Centers LLC | ||||||||||||
| 15305 Dallas Parkway Suite 1600 LB | Addison | TX | 75001 | 202468509 | Surgery | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | ||||||||||||
| 15305 Dallas Parkway Suite 1600 LB | Addison | TX | 75001 | 134248908 | Surgery | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| DignityUSPJohn Muir East Bay Surg Ctrs | ||||||||||||
| 15305 Dallas Parkway Suite 1600 LB | Addison | TX | 75001 | 352584991 | Surgery | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dignity-Abrazo Health Network LLC | ||||||||||||
| 3030 N Central Avenue Suite 1402 | Phoenix | AZ | 85012 | 465477985 | Management Servic | AZ | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dominican Magnetic Resonance Imaging Cen | ||||||||||||
| 1545 Soquel Drive | Santa Cruz | CA | 94065 | 770095477 | Imaging Center | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Folsom Sierra Endoscopy Center LP | ||||||||||||
| 1650 Creekside Drive 1600 | Folsom | CA | 95630 | 680482416 | Endoscopy | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Memorial Medical Plaza | ||||||||||||
| 3838 San Dimas Suite B 201 | Bakersfield | CA | 93301 | 364510880 | Real estate | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Mercy Davis Cancer Center Management Co | ||||||||||||
| 2740 M Street | Merced | CA | 95340 | 943358445 | Management of Can | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| NICU Operating CO of Santa Cruz LLC | ||||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 460502935 | Neonatal Healthca | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| NSC Channel Islands LLC | ||||||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 770418197 | Ambulatory surgic | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| OMG Arizona LLC | ||||||||||||
| 130 Sutter Street 2nd Flr | San Francisco | CA | 94104 | 471708588 | Medical Office | AZ | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Plaza Surgery Center LP | ||||||||||||
| 525 E Plaza Drive Suite 100 | Santa Maria | CA | 93454 | 770573567 | Surgery | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Radiation Oncology Centers of Ventura Co | ||||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| RBR Management LLC | ||||||||||||
| 91 Corporate Park Drive Suite 120 | Henderson | NV | 89074 | 271466450 | Ambulance | NV | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Santa Cruz Comprehensive Imaging LLC | ||||||||||||
| 1661 Soquel Drive Suite G | Santa Cruz | CA | 95065 | 010550623 | Imaging | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Santa Cruz Land & Building LP | ||||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770285236 | Real estate | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Santa Cruz Surgery Center LLC | ||||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| St Joseph's Surgery Center LP | ||||||||||||
| 15305 Dallas Parkway Suite 1600 LB | Addison | TX | 75001 | 201019390 | Surgery | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Templeton Surgery Center LLC | ||||||||||||
| 1310 Las Tablas Road Suite 104 | Templeton | CA | 94365 | 202246616 | Surgery | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| The Medical Pavilion at St John's | ||||||||||||
| 1700 Rose Avenue | Oxnard | CA | 93030 | 770332349 | Real Estate | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Valley Physicians Surgery Center At Nort | ||||||||||||
| 18330 Roscoe Blvd | Northridge | CA | 91328 | 800864336 | Surgery | CA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Audubon Land Company LLC | ||||||||||||
| 630 Southpointe Court 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | Real Estate | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| AVON EMERGENCY AND URGENT CARE CENTER LL | ||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 811727282 | HEALTHCARE SRVC | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | ||||||||||||
| 6624 Fannin St Ste 1100 | HOUSTON | TX | 77030 | 472079184 | HEALTHCARE SRVC | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||
| 7710 Mercy Rd Ste 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||
| 2501 Citico Avenue | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | NA | N/A | $0 | $0 | $0 | 0.00000 |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGIN | KY | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CENTRAL NEBRASKA REHABILITATION SERVICES | ||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | Physical Therapy | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CENTURA-SCA HOLDINGS LLC | ||||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CENTER | AL | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CHICAMSURG Surgery Centers LLC | ||||||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 465683027 | SURGERY CENTER | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| CHICLARKIN VENTURES LLC | ||||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 474210888 | URGENT CARE | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Colorado Springs CK Leasing LLC | ||||||||||||
| 630 Southpointe Court 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| FRANCISCAN SPECIALTY CARE LLC | ||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 813725123 | HEALTHCARE SRVC | WA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| HC SL VINTAGE I LLC | ||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | NA | N/A | $0 | $0 | $0 | 0.00000 |
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Heartland Oncology LLC | ||||||||||||
| 2337 E Crawford St | Salina | KS | 67401 | 464265403 | ONCOLOGY | KS | NA | N/A | $0 | $0 | $0 | 0.00000 |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| LINCOLN CK LEASING LLC | ||||||||||||
| 555 SOUTH 70TH STREET | Lincoln | NE | 68510 | 262496856 | Real Estate | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Mercy Rehabilitation Hospital LLC | ||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 814437201 | HEALTHCARE SRVC | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||
| 6901 N 72ND ST STE 20300 | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | NA | N/A | $0 | $0 | $0 | 0.00000 |
| ORTHOCOLORADO LLC | ||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Pasadena Urgency Center LLC | ||||||||||||
| 4600 E SAM HOUSTON PKWY SOUTH | PASADENA | TX | 77505 | 812482854 | URGENT CARE | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Penrad Imaging LLC | ||||||||||||
| 1390 Kelly Johnson Blvd | COLORADO SPRINGS | CO | 80920 | 841072619 | Medical Imaging | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| PMC HOSPITAL LLC | ||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Pueblo Ambulatory Surgery Center LLC | ||||||||||||
| 25 Montebello Rd | Pueblo | CO | 81003 | 621488737 | SURGERY CENTER | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||
| 1451 Harrodsburg RD | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | NA | N/A | $0 | $0 | $0 | 0.00000 |
| ST FRANCIS LAND COMPANY | ||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTICS | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | NA | N/A | $0 | $0 | $0 | 0.00000 |
| THREE SPRING IMAGING LLC | ||||||||||||
| 1 Mercado St STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| WEST LAKES SURGERY CENTER LLC | ||||||||||||
| 12499 UNIVERSITY AVENUE STE 100 | CLIVE | IA | 50325 | 205345295 | HEALTHCARE SRVC | IA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Precision Medical Alliance LLC | ||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 352569159 | Diagnostic Servic | CO | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Dignity Health at Home LLC | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | NA | N/A | $0 | $0 | $0 | 0.00000 |
| American Mercy Home Care LLC | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 830486150 | HOME HEALTH | OH | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Community Mercy Home Care Services of Sp | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311746556 | HOME HEALTH | OH | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Good Samaritan Home Care Services of Vin | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 201792869 | HOME HEALTH | OH | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Reid-ANC Home Care Services LLC | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 371454747 | HOME HEALTH | IN | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Southeastern Home Care LLC | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 271219638 | HOME HEALTH | OH | NA | N/A | $0 | $0 | $0 | 0.00000 |
| St Elizabeth Home Care Services LLC | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 261236191 | HOME HEALTH | KY | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Patient Transport Services of Columbus I | ||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 264601285 | Ambulance | OH | NA | N/A | $0 | $0 | $0 | 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 | $0 | 0.00000 |
| Performance Medical Equipment & Respirat | ||||||||||||
| 19625 62nd Avenue South STE 101 | Kent | WA | 98032 | 452901632 | Holding Company | WA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Highline Physical Therapy Group | ||||||||||||
| 181 S 333rd Street STE 250 | Federal Way | WA | 98003 | 911431904 | Physical Therapy | WA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Franciscan Medical Pavilion Bonney Lake | ||||||||||||
| 6622 Wollochet Dr NW | Gig Harbor | WA | 98335 | 463494108 | Real Estate | WA | NA | N/A | $0 | $0 | $0 | 0.00000 |
| Park Rapids Area Health Care | ||||||||||||
| 600 Pleasant Avenue S | Park Rapids | MN | 56470 | 204926259 | HEALTHCARE SRVC | MN | NA | N/A | $0 | $0 | $0 | 0.00000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (68 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 | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | CityForeignAddress/CityNm |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Coastal Surgical Specialists Inc | |||||||||||||||||
| 921 Oak Park Blvd Suite 101 | Pismo Beach | CA | 93449 | 743000596 | Ambulatory Surger | CA | NA | S Corp | $0 | $0 | 0.00000 | ||||||
| Dignity Health Holding Corporation | |||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 460675371 | Holding Company | NV | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Dignity Health Insurance Ltd (Cayman Isl | |||||||||||||||||
| 981065338 | Self Ins Fund | NA | C Corp | $0 | $0 | 0.00000 | PO Box 1051 | GRAND CAYMAN ISLA | CJ | KY1-1102 | CJ | ||||||
| Dignity Health Provider Resources Inc | |||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 473366764 | Health Plan | CA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Health Services of the Pacific Central C | |||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770074057 | Health Services | CA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Integrated Medical Services | |||||||||||||||||
| 9250 N 3rd Street Suite 4010 | Phoenix | AZ | 85020 | 860783428 | Multi-sp phys grp | AZ | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Management Services Organization of Sant | |||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770318135 | INACTIVE | CA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Millennium Surgery Center Inc | |||||||||||||||||
| 9300 Stockdale Hwy 200 | Bakersfield | CA | 93311 | 770513445 | OP SURGERY SVCS | CA | NA | S Corp | $0 | $0 | 0.00000 | ||||||
| St Mary Health Ventures Inc | |||||||||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 951912528 | Retail Pharmacy | CA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Alegent HealthCreighton St Joseph Manag | |||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 470802396 | Managed Care | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| All Saints Insurance Company SPC Ltd | |||||||||||||||||
| 980556913 | Insurance | NA | C Corp | $0 | $0 | 0.00000 | PO BOX 10073 APO | GRAND CAYMAN | CJ | KY1-1001 | CJ | Georgetown | |||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS Vall | |||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | Healthcare | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Alternative Insurance Management Service | |||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | Erlanger | KY | 41018 | 841112049 | Management Servic | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| AMERICAN NURSING CARE Inc | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| AMERIMED INC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| BC HOLDING COMPANY INC | |||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | Fitness Club | KY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| BrazoSport Health Alliance | |||||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | Health Care | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Caduceus Medical Associates INC | |||||||||||||||||
| 5600 Brainerd Road Ste 500 | Chattanooga | TN | 37411 | 621570736 | Healthcare | TN | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Captive Management Initiatives Ltd | |||||||||||||||||
| 980663022 | Captive Managemen | NA | C Corp | $0 | $0 | 0.00000 | PO BOX 10073 APO | GRAND CAYMAN | CJ | KY1-1001 | CJ | Georgetown | |||||
| Catholic Health Initiatives Center for T | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 272269511 | Research | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| CHI St Luke's Health - Memorial Condomin | |||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 834184717 | Condo Assoc | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| ClearRiver Health | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464495960 | Insurance | TN | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Comcare Services Inc | |||||||||||||||||
| 5570 DTC Parkway | Englewood | CO | 80111 | 840904813 | Inactive | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Des Moines Medical Center Inc | |||||||||||||||||
| 1111 6TH AVE | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Diversified Health Resources Inc | |||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | Health Care | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| First Initiatives Insurance LTD | |||||||||||||||||
| 980203038 | Insurance | NA | C Corp | $0 | $0 | 0.00000 | PO BOX 10073 APO | GRAND CAYMAN | CJ | KY1-1001 | CJ | Georgetown | |||||
| Franciscan City Urgent Care Services PS | |||||||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | Healthcare | NY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Franciscan Services Inc | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232487967 | Healthcare | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Good Samaritan Outreach Services | |||||||||||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470659440 | Medical Clinic | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| HarvestPlains Health of Iowa | |||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | Insurance | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Health Systems Enterprises Inc | |||||||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470664558 | MGMT | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Healthcare MGMT Services Organization IN | |||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| HeartlandPlains Health | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464368223 | Insurance | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Highline Medical Group | |||||||||||||||||
| 1717 S J Street | Tacoma | WA | 98405 | 911407026 | Medical Services | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| KOMG-Louisville Region Inc | |||||||||||||||||
| 201 Abraham Flexner Way | Louisville | KY | 40202 | 832481198 | Healthcare | KY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Medical Office Building Horizontal Prope | |||||||||||||||||
| 300 Werner St | Hot Springs | AR | 71913 | 710720429 | Real Estate | AR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Medquest | |||||||||||||||||
| 1301 15TH AVENUE WEST | Williston | ND | 58801 | 450392137 | Sale of DME | ND | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Memorial CV Service Line Management Comp | |||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 463622849 | Heath Care | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Mercy Park Apartments LTD | |||||||||||||||||
| 1111 6th AVE | Des Moines | IA | 50314 | 421202422 | Housing | IA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Mercy Services Corp | |||||||||||||||||
| 2700 STEWART PARKWAY | Roseburg | OR | 97471 | 930824308 | Retail Sales | OR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| MHI Clinical Services | |||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 461967952 | Healthcare | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Mountain Management Services Inc | |||||||||||||||||
| 6028 Shallowford Rd | Chattanooga | TN | 37421 | 621570739 | MGMT SVC ORG | TN | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| North Central Health Care Alliance | |||||||||||||||||
| PO Box 5538 | Bismark | ND | 58506 | 450439894 | Healthcare | ND | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QCA Health Plan Inc | |||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710794605 | Insurance | AR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice Advantage | |||||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | Insurance | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice Health Plan Services Inc (fka | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461224037 | Admin Services | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice Health Inc (fka CollabHealth | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461222808 | Holding Co | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice Holdings Inc | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 274075520 | Holding Co | AR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice Life and Health Insurance Com | |||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710386640 | Insurance | AR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| QualChoice of Nebraska | |||||||||||||||||
| 2401 S 73rd St | Omaha | NE | 68124 | 810738827 | Inactive | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| RiverLink Health | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464380824 | Insurance | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| RiverLink Health of Kentucky Inc | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464828332 | Insurance | KY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Ross Park Pharmacy Inc | |||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | Pharmacy | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Saint Clare's Primary Care Inc | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 222441202 | Billing Services | NJ | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| SJH Services Corporation | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232307408 | Healthcare | CO | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | Lexington | KY | 40503 | 270164198 | Mgmt | KY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| SoundPath Health Inc | |||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | Federal Way | WA | 98001 | 421720801 | Insurance | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| St Anthony Development Company | |||||||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| St Joseph Development Company Inc | |||||||||||||||||
| 1717 SOUTH J ST | Tacoma | WA | 98405 | 911480569 | Rental | WA | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| St Luke's Health System Holdings Inc | |||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637138 | Holding Co | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| St Vincent Community Health Services Inc | |||||||||||||||||
| TWO ST VINCENT CIRCLE | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| StableView Health Inc | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464373713 | Insurance | KY | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| STE Holdings | |||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 822383629 | Holding Co | NE | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Sugar Land Doctor Group | |||||||||||||||||
| 1317 Lake Point Parkway | Sugar Land | TX | 77478 | 454270163 | Medical Clinic | TX | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| Towson Management Inc | |||||||||||||||||
| 7601 OSLER DR | Towson | MD | 21204 | 521710750 | Mgmt Services | MD | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | |||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | Mgmt Services | OH | NA | C Corp | $0 | $0 | 0.00000 | ||||||
| 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 | Yes (true) | 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1Txt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART VII | FormAndLineReferenceDesc |
| Explanation | AS PART OF THE ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS, AS REPORTED IN PART II, TO DIGNITY COMMUNITY CARE. ENTITIES TRANSFERRED DURING THE YEAR LIST DIGNITY HEALTH AND DIGNITY COMMUNITY CARE, "DH/DCC", AS THE DIRECT CONTROLLING ENTITY ON SCHEDULES R, PART II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR. | ExplanationTxt |