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CHI HEALTH CONNECT AT HOME - FARGO: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CHI HEALTH CONNECT AT HOME - FARGO (EIN 27-1966847)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202041969349303744
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-14T15:31:03-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470617373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CommonSpirit HealthBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1198 Inverness Drive WestAddressLine1Txt
CityEnglewoodCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271966847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHI HEALTH CONNECT AT HOME - FARGOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHIHBusinessNameControlTxt
Phone7012378139PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14816 AMBER VALLEY PARKWAY SOUTHAddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUE A HEITKAMPPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK STOCKIPreparerPersonNm
PTINP00642127PTIN
Phone3032989100PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHI Health at HomeBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SUE A HEITKAMPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14816 AMBER VALLEY PARKWAY SOUTHAddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,236,550GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chihealthconnectathome.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionThe organization PROVIDES HOME HEALTH AND HOSPICE SERVICES TO PATIENTS LOCATED IN VARIOUS COMMUNITIES IN NORTH DAKOTA and Minnesota.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee153TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$615,866PYContributionsGrantsAmt
CY Contributions Grants$255,075CYContributionsGrantsAmt
PY Program Service Revenue$9,591,606PYProgramServiceRevenueAmt
CY Program Service Revenue$9,581,540CYProgramServiceRevenueAmt
PY Investment Income$2,203PYInvestmentIncomeAmt
CY Investment Income$19,673CYInvestmentIncomeAmt
PY Other Revenue$383,497PYOtherRevenueAmt
CY Other Revenue$318,599CYOtherRevenueAmt
PY Total Revenue$10,593,172PYTotalRevenueAmt
CY Total Revenue$10,174,887CYTotalRevenueAmt
PY Grants And Similar Paid$8,152PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,655,615PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,909,928CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,272,063PYOtherExpensesAmt
CY Other Expenses$2,229,213CYOtherExpensesAmt
PY Total Expenses$9,935,830PYTotalExpensesAmt
CY Total Expenses$10,141,141CYTotalExpensesAmt
PY Revenues Less Expenses$657,342PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,746CYRevenuesLessExpensesAmt
Total Assets BOY$5,644,415TotalAssetsBOYAmt
Total Assets EOY$5,179,947TotalAssetsEOYAmt
Total Liabilities BOY$9,090,079TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,591,865TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,445,664NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,411,918NetAssetsOrFundBalancesEOYAmt
MissionSee Schedule OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,507,674ExpenseAmt
Grant$2,000GrantAmt
Revenue$9,581,540RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$7,507,674TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee153EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEANNA KAINZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7012378139PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14816 AMBER VALLEY PARKWAY SOUTHAddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SR MARY PAT BURGER
SECRETARY/TREASURER1.02.0Yes (X)Yes (X)$0$0$0
DOUGLAS HARILDSTAD
VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
CHAD PETERSON
CHAIR1.00Yes (X)Yes (X)$0$0$0
GLORIA DOHMAN
BOARD MEMBER1.04.0Yes (X)$0$0$0
JEFFREY DROP
Board Member/CHI SVP OPERATIONS1.050.0Yes (X)$0$1,388,860$40,427
MICHAEL LEFOR
BOARD MEMBER1.06.0Yes (X)$0$0$0
WES WELL
BOARD MEMBER1.01.0Yes (X)$0$0$0
Gretchen Dobervich
Board Member1.00Yes (X)$0$0$0
Lance Gulleson
Board Member1.01.0Yes (X)$0$0$0
Glenda Reemts
Board Member1.01.0Yes (X)$0$0$0
SUE A HEITKAMP
President1.040.0Yes (X)$0$174,930$34,523
DEANNA KAINZ
Director of Finance45.00Yes (X)$95,922$0$3,478
TAMMY THEURER
DIRECTOR-HOME HEALTH-HOSPICE40.00$124,948$0$18,803Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$220,870TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,563,790TotReportableCompRltdOrgAmt
Total Other Compensation$97,231TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTERSTAFF INC
PO Box 4652Dept 980HoustonTX772104652Contract traveling nursing labor$182,609
Baptist Health Care Center
3400 Nebraska DriveBismarckND58503Skilled Nursing$118,976
MEDEFIS INC
2121 N 117th Ave Suite 200OmahaNE68164Vendor Management/ Staffing$111,535
Lutheran Home of Good Shepherd
1226 1st Ave NNew RockfordND58356Skilled Nursing$107,972
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$48,596FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$206,479AllOtherContributionsAmt
Noncash Contributions$24,788NoncashContributionsAmt
Total Contributions$255,075TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services900099$9,175,920$9,175,920$0$0
Intercompany Transactions900099$405,620$405,620$0$0
$0$0$0$0
$0$0$0$0
$0$0$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,581,540TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$976TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$976ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$18,697OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$18,697OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,697TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$18,697ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$261,564FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$48,596ContriRptFundraisingEventAmt
Fundraising Direct Expenses$59,894FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,670TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$201,670ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$10,260GamingGrossIncomeAmt
Gaming Direct Expenses$1,769GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,491TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,491ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Services Sold900099$108,438$0$0$108,438
$0$0$0$0
$0$0$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$108,438OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,174,887TotalRevenueColumnAmt
Related Or Exempt Func Income$9,581,540RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$338,272ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$101,776TotalAmt
Management And General$101,776ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,228,637TotalAmt
Program Services$4,867,856ProgramServicesAmt
Management And General$1,360,781ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$180,895TotalAmt
Program Services$149,771ProgramServicesAmt
Management And General$31,124ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$925,383TotalAmt
Program Services$742,069ProgramServicesAmt
Management And General$183,314ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$473,237TotalAmt
Program Services$383,322ProgramServicesAmt
Management And General$89,915ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,300TotalAmt
Management And General$12,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$591,916TotalAmt
Program Services$562,320ProgramServicesAmt
Management And General$29,596ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,088TotalAmt
Program Services$56,088ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$208,043TotalAmt
Program Services$14,563ProgramServicesAmt
Management And General$193,480ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,929TotalAmt
Management And General$282,929ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$281,755TotalAmt
Program Services$247,945ProgramServicesAmt
Management And General$33,810ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,876TotalAmt
Management And General$10,876ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$117,548TotalAmt
Program Services$117,548ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$281,472TotalAmt
Management And General$281,472ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,662TotalAmt
Program Services$8,056ProgramServicesAmt
Management And General$606ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,932TotalAmt
Management And General$14,932ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$247,039$247,039
Education$29,463$27,990$1,473
Recruitment and relocation$27,001$27,001
Dues & subscriptions$23,307$22,142$1,165

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$35,882TotalAmt
Program Services$31,964ProgramServicesAmt
Management And General$3,918ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,141,141TotalAmt
Program Services$7,507,674ProgramServicesAmt
Management And General$2,633,467ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$273,577BOYAmt
EOY$432,322EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,326,534BOYAmt
EOY$1,315,820EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,792BOYAmt
EOY$12,360EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,280BOYAmt
EOY$7,942EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$929,112LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$890,982LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,524BOYAmt
EOY$38,130EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,977,708BOYAmt
EOY$3,373,373EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,644,415BOYAmt
EOY$5,179,947EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,140,626BOYAmt
EOY$1,213,499EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$306,904BOYAmt
EOY$294,314EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,642,549BOYAmt
EOY$7,084,052EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,090,079BOYAmt
EOY$8,591,865EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,683,107BOYAmt
EOY-$3,790,835EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$237,443BOYAmt
EOY$378,917EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,445,664BOYAmt
EOY-$3,411,918EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,644,415BOYAmt
EOY$5,179,947EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$33,746ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$186,464CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$234,476CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$663,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$615,866CurrentTaxYearMinus1YearAmt
Current Tax Year$251,271CurrentTaxYearAmt
Total$1,951,324TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,393,948CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,857,834CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,913,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,591,605CurrentTaxYearMinus1YearAmt
Current Tax Year$9,581,540CurrentTaxYearAmt
Total$42,338,507TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,065CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$326,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$363,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$382,926CurrentTaxYearMinus1YearAmt
Current Tax Year$108,438CurrentTaxYearAmt
Total$1,362,591TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,761,477CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,418,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,940,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,590,397CurrentTaxYearMinus1YearAmt
Current Tax Year$9,941,249CurrentTaxYearAmt
Total$45,652,422TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$45,652,422PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,503CurrentTaxYearMinus1YearAmt
Current Tax Year$976CurrentTaxYearAmt
Total$3,489TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,503CurrentTaxYearMinus1YearAmt
Current Tax Year$976CurrentTaxYearAmt
Total$3,489TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$571CurrentTaxYearMinus1YearAmt
Total$571TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$271,824CurrentTaxYearAmt
Total$271,824TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,761,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,419,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,941,194CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,592,471CurrentTaxYearMinus1YearAmt
Current Tax Year$10,214,049CurrentTaxYearAmt
Total$45,928,306TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9940PublicSupportCY509Pct
Public Support PY5090.9999PublicSupportPY509Pct
Investment Income CY0.0001InvestmentIncomeCYPct
Investment Income PY0.0001InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - GROSS INCOME FROM FUNDRAISING AND GAMING, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 271824.0, COLUMN F - 271824.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,830OtherCostOrOtherBasisAmt
Depreciation$47,830DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$881,282OtherCostOrOtherBasisAmt
Depreciation$843,152DepreciationAmt
Book Value$38,130BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,130TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Intercompany Receivables$3,371,073
Deposits$2,300
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,373,373TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Intercompany Payable$3,370,897
CHI Cash Management$1,472,246
Payable to CHI$2,240,909
FieldValueIRS element (for citing)
Total Liability$7,084,052TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationCHI HEALTH CONNECT AT HOME - FARGO'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2019, READS AS FOLLOWS: "COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX BENEFITS AS OF JUNE 30, 2019 AND 2018. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS".ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Hearts for HospiceEvent1Nm
Gross Receipts Event1$251,279GrossReceiptsEvent1Amt
Charitable Contri Event1$26,464CharitableContriEvent1Amt
Gross Revenue Event1$224,815GrossRevenueEvent1Amt
Non Cash Prizes Event1$23,928NonCashPrizesEvent1Amt
Food And Beverage Event1$610FoodAndBeverageEvent1Amt
Entertainment Event1$3,159EntertainmentEvent1Amt
Other Direct Expenses Event1$8,383OtherDirectExpensesEvent1Amt
Event2Mardi GrasEvent2Nm
Gross Receipts Event2$28,375GrossReceiptsEvent2Amt
Charitable Contri Event2$2,405CharitableContriEvent2Amt
Gross Revenue Event2$25,970GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,290NonCashPrizesEvent2Amt
Food And Beverage Event2$4,800FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,251OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$30,506GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$19,727CharitableContriOtherEventsAmt
Gross Revenue Other Events$10,779GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,320NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$6,604RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,016FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$1,533OthDirectExpnssOtherEventsAmt
Gross Receipts Total$310,160GrossReceiptsTotalAmt
Charitable Contributions Tot$48,596CharitableContributionsTotAmt
Gross Revenue Total Events$261,564GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$27,538NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,604RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$10,426FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,159EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$12,167OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$59,894DirectExpenseSummaryEventsAmt
Net Income Summary$201,670NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY DROP
Board Member/CHI SVP OPERATIONS$0$716,564$0$535,360$0$136,936$0$22,411$0$18,016$0$1,429,287$0$0
SUE A HEITKAMP
President$0$141,066$0$11,957$0$21,907$0$18,078$0$16,445$0$209,453$0$6,454

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance PaymentsDuring the calendar year 2018, post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package.
Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH CEO COMPENSATIONDuring the calendar year 2018, compensation for the top management official was established and paid by Catholic Health Initiatives ("CHI"), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planDuring the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Sue Heitkamp - $6,463 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Jeffrey Drop - $110,067

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Community Benefit NarrativeIn fiscal year 2019, CHI Health Connect at Home-Fargo's total community benefit was $329,578 serving 6,374 people, of which $165,074 of unpaid costs serving 77 patients participating in ND and MN state Medicaid programs. During FY19 we discontinued operational and revenue cycle management for the home health/hospice in Pendleton and due to constant NPSR and significantly less non patient revenues, with a slight increase in overall expenses, EBIDA for the year ended at only a positive $18K, down from plan, yet expect EBIDA to be higher in FY20 and achieve budget. CHI Health Connect at Home-Fargo has been in operations as a stand-alone home health & hospice business for 8 and half years, originally starting with 10 separate agency locations across ND, MN and SD. Of those 10, 4 were consolidated into 1, 1 was sold along with their hospital, 1 returned to operate with their hospital and in FY16, we added the Bismarck home health and hospice that was previously part of the St. Alexius Medical Center. We currently have a total of 6 agencies, 2 in MN (Albany and Breckenridge) and 4 in ND (Dickinson, Williston, Valley City & Bismarck). With the addition of Bismarck, we now serve more than 1/2 of the entire state of North Dakota. For FY19, we reported community benefit and served under the state Medicaid programs in all 6 locations. Most of the remaining community benefit offered from all locations was for bereavement and grief support groups for hospice, education to nursing students as well as varied types of community education such as participating in health fair events, speaking engagements, etc. We donated $2K to the Indigenous Peoples Hospital in the Philippines for the 2nd year in a row and hope to be able to continue to do this annually. We also expanded our business offerings in FY19 to include community based palliative care services in Williston in October 2019, as well as in Valley City and Dickinson during Q4. Palliative care is treatment aimed at relieving symptoms associated with serious illnesses to help improve the patient's quality of life. We offer these services with no current reimbursement and will begin offering at our other locations in FY20. Our business offerings are home health, hospice and now palliative care and we continue to operate almost entirely in rural ND and MN, serving patients who live in small communities and reside perhaps dozens of miles from the closest healthcare facility. Our responsibility to these small communities and its citizens to make sure they are aware of our services and how they can help improve their health is fundamental in how we carry out the Mission, Vision and Values of Catholic Health Initiatives with our work. CHI Health Connect at Home -Fargo is a nonprofit, tax exempt facility that takes all necessary measures to be compliant with all legislation in healthcare in determining what to report, how to report, as well as focusing on what each individual community may need. As we are spread across several communities with differing needs, we continue to explore what support we are offering to be sure we're best serving the patients where we live. We will continue our efforts toward financial stability, positive margins and increased cash flow to insure we can keep increasing community support.
Form 990, Part III, Line 1 ORGANIZATION'S MISSIONAs an affiliate of CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
Form 990, Part VI, Line 14 DOCUMENT RETENTION AND DESTRUCTION POLICYThe document retention and destruction policy is more of an operational policy. These types of policies usually do not go to the board of directors. This has not been adopted by the board of directors.
Form 990, Part VI, Line 12c Conflict of Interest Policyb) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. Notwithstanding the foregoing, at its sole discretion, an entity may reject a person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALThe organization's top management official's compensation was paid by Catholic Health Initiatives ("CHI"), a related organization. CHI had a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges were reviewed annually in comparison to market data. Catholic Health Initiatives used Korn Ferry as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Korn Ferry reviewed both cash and total compensation for overall reasonableness, for adherence to Catholic Health Initiatives' compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review was delivered by Korn Ferry to the CHI HR committee of the Board of Stewardship Trustees annually at their September meeting and minutes shared with the full board at the December meeting. The last review was September 25, 2018. In addition, Korn Ferry completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels were reviewed annually and revised based on market data, where applicable.
Form 990, Part VI, Line 1a Delegate broad authority to a committeePURSUANT TO SECTION 8.4 OF THE BYLAWS OF CHI CONNECT AT HOME - FARGO, THE STANDING COMMITTEES OF THE BOARD OF DIRECTORS INCLUDES AN EXECUTIVE COMMITTEE AND SUCH OTHER STANDING COMMITTEES AS MAY BE ESTABLISHED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. PURSUANT TO SECTION 8.2 OF THE BYLAWS OF CHI CONNECT AT HOME - FARGO, EACH COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION TO THE EXTENT PROVIDED IN RESOLUTION ESTABLISHING SUCH COMMITTEE. COMMITTEES ARE SUBJECT AT ALL TIMES TO THE DIRECTION AND CONTROL OF THE BOARD OF DIRECTORS. ANY COMMITTEE COMPOSED OF PERSONS, ONE OR MORE OF WHOM ARE NOT DIRECTORS, SHALL ACT SOLELY IN AN ADVISORY CAPACITY TO THE BOARD. NO COMMITTEE OF THE BOARD SHALL HAVE AUTHORITY TO EXERCISE POWERS RESERVED TO THE CORPORATE MEMBER OR TO EXERCISE POWERS THAT CANNOT BE DELEGATED TO A COMMITTEE UNDER THE LAWS OF THE STATE OF MINNESOTA.
Form 990, Part VI, Line 6 Classes of members or stockholdersAccording to the bylaws of CHI HEALTH CONNECT AT HOME-FARGO, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAccording to THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE EXECUTIVE VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF Reserved Rights) Except as otherwise provided in the Corporation's Articles of Incorporation or the laws of the State of organization, Catholic Health Care Federation ("CHCF") shall have such rights as are reserved to the Corporate Member, acting in its capacity as the membership body of CHCF, under the Governance Matrix.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CHI HEALTH CONNECT AT HOME - FARGO; AMENDMENT OF THE CORPORATE DOCUMENTS OF CHI HEALTH CONNECT AT HOME - FARGO; APPROVE MEMBERS OF THE CHI HEALTH CONNECT AT HOME - FARGO BOARD; REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHI HEALTH CONNECT AT HOME - FARGO; APPROVAL OF ISSUANCE OF DEBT BY CHI HEALTH CONNECT AT HOME - FARGO; APPROVAL OF PARTICIPATION OF CHI HEALTH CONNECT AT HOME - FARGO IN A JOINT VENTURE; APPROVAL OF FORMATION OF A NEW CORPORATION BY CHI HEALTH CONNECT AT HOME - FARGO; APPROVAL OF A MERGER INVOLVING CHI HEALTH CONNECT AT HOME - FARGO; APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHI HEALTH CONNECT AT HOME - FARGO; TO REQUIRE THE TRANSFER OF ASSETS BY CHI HEALTH CONNECT AT HOME - FARGO TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH'S DEBTS. ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHI HEALTH CONNECT AT HOME - FARGO. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE EXECUTIVE DIRECTOR OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF Reserved Rights) Except as otherwise provided in the Corporation's Articles of Incorporation or the laws of the State of organization, Catholic Health Care Federation ("CHCF") shall have such rights as are reserved to the Corporate Member, acting in its capacity as the membership body of CHCF, under the Governance Matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyNo review was or will be conducted.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization has a conflicts of interest ("COI") policy (the "policy") in place to maintain the integrity of its activities. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesMARKET DATA FOR KEY POSITIONS FOR THE ENTITY WAS GATHERED FROM MULTIPLE SALARY SURVEY SOURCES. A REVIEW OF THE DATA AND A RECOMMENDATION WAS MADE BY THE DIRECTOR, HR BUSINESS PRACTICES TO THE DIVISION VICE PRESIDENT OF HUMAN RESOURCES. FINAL APPROVAL OF COMPENSATION WAS OBTAINED BY THE SENIOR VP OF THE FARGO OPERATING DIVISION. THESE DETERMINATIONS ARE REVIEWED BY HUMAN RESOURCES AND BROUGHT TO THE BOARD OF DIRECTORS, WHEREIN THEY HAVE AN OPPORTUNITY FOR QUESTIONS AND/OR TO EXPRESS ANY CONCERNS.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in CommonSpirit Health's consolidated audited financial statements that are available at www.commonspirit.org or www.catholichealthinitiatives.org.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HOSPITALNE501(c)(3)3ACHfalse
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HOSPITALIA501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HOSPITALIA501(c)(3)3CHI NEBRASKAfalse
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(3)10CSHfalse
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(3)10SFHfalse
Arroyo Grande Community Hospital Foundation
345 S Halcyon RdArroyo GrandeCA93420203256066FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
Bakersfield Memorial Hospital
420 34TH StreetBakersfieldCA93301951802779HOSPITALCA501(c)(3)3DCCfalse
Barrow Neurological Foundation
350 West Thomas RoadPhoenixAZ85013860174371FUNDRAISINGAZ501(c)(3)7DHfalse
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(3)Type ISLCHSfalse
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(c)(3)3SLHSfalse
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242HEALTHCAREPA501(c)(3)Type ICSHfalse
BRAZOSPORT HEALTH FOUNDATION INC
1 West Way CtLAKE JACKSONTX77566760080110FUNDRAISING FOUNDATIONTX501(c)(3)Type IBRHSfalse
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261PHYSICIANSTX501(c)(3)3BRHSfalse
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HOSPITALTX501(c)(3)3SJSCfalse
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(c)(3)10SJSCfalse
California Hospital Medical Center Foundation
1401 South Grand AvenueLos AngelesCA90015954000909FUNDRAISING FOUNDATIONCA501(c)(3)Type IDCCfalse
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HOSPITALND501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral CircleCentennialCO80112840405257HOSPITALCO501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HOSPITALIA501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920840902211FUNDRAISING FOUNDATIONCO501(c)(3)7CHICfalse
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920270930004HEALTHCARECO501(c)(3)Type ICSHfalse
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796PHYSICIANSCO501(c)(3)Type ICHINSfalse
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191SURGERY CENTEROR501(c)(3)10MMCfalse
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724HOSPITALKS501(c)(3)3CSHfalse
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISING FOUNDATIONNE501(c)(3)7ACHfalse
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3)Type ICSHfalse
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3)Type ICSHfalse
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3)Type IISFHfalse
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HOSPITALGA501(c)(3)3MHCSfalse
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(3)10CHI NSfalse
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3)Type ICSHfalse
CHI NEBRASKA
12809 West Dodge RoadOmahaNE68510363233121HEALTHCARENE501(c)(3)Type ICSHfalse
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3)Type ICSHfalse
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3)Type ICSHfalse
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HOSPITALAR501(c)(3)3CHISVHSfalse
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3)Type IISVIMCfalse
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131PHYSICIANSAR501(c)(3)3CHISVHSfalse
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3)Type INAfalse
Community Hospital of San Bernardino
1805 Medical Center DriveSan BernardinoCA92411951643373HOSPITALCA501(c)(3)3DCCfalse
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(4)GSHfalse
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISING FOUNDATIONIA501(c)(3)Type IAH-CMHMVfalse
CONTINUING CARE HOSPITAL
One Saint Joseph DriveLEXINGTONKY40504611400619HOSPITALKY501(c)(3)3SJHSfalse
Dignity Community Care
185 Berry Street Suite 300San FranciscoCA94107815009488HOSPITALCO501(c)(3)3NAfalse
DIGNITY HEALTH
185 BERRY STREET STE 300SAN FRANCISCOCA94107941196203HOSPITALCA501(c)(3)3CSHfalse
Dignity Health Connected Living
200 Mercy Oaks DriveReddingCA96003237115371Senior Center ServicesCA501(c)(3)7DHfalse
Dignity Health Foundation
185 Berry StreetSan FranciscoCA94107462037641FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
Dignity Health Foundation - Inland Empire
2101 N Waterman AvenueSan BernardinoCA92404237440086FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
Dignity Health Foundation East Valley
475 South Dobson RoadChandlerAZ85224742418514FUNDRAISING FOUNDATIONAZ501(c)(3)Type IDHfalse
Dignity Health HPL Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107943006034Self InsuranceCA501(c)(3)Type IDHfalse
Dignity Health Insurance Nevada Ltd
185 Berry StreetSan FranciscoNV94107813800752Self InsuranceNV501(c)(3)Type IDHfalse
Dignity Health Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICCA501(c)(3)Type IDCCfalse
Dignity Health Workers Comp Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107946612446Self InsuranceCA501(c)(3)Type IDHfalse
Dominican Health Services
1555 Soquel DriveSanta CruzCA95065770056778Community Health SystemCA501(c)(3)Type IDHfalse
Dominican Hospital Foundation
1555 Soquel DriveSanta CruzCA95065942450442FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
Dominican Oaks Corporation
1555 Soquel DriveSanta CruzCA95065770127719Operation and management of housing complex to elderly personsCA501(c)(3)10DHSfalse
East Texas Clinical Services
2801 VIA FORTUNA SUITE 500AUSTINTX78746454736213HEALTHCARETX501(c)(3)Type ISLHSfalse
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HOSPITALWA501(c)(3)3FHSfalse
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HOSPITALKY501(c)(3)3KOHfalse
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISING FOUNDATIONKY501(c)(3)Type IFHfalse
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(3)10FLCfalse
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISING FOUNDATIONWA501(c)(3)10FHSfalse
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HOSPITALWA501(c)(3)3CSHfalse
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(3)10CSHfalse
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(3)10FHSfalse
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(3)10CSHfalse
French Hospital Medical Center Foundation
1911 Johnson AvenueSan Luis ObispoCA93401203256125FUNDRAISING FOUNDATIONCA501(c)(3)Type IDCCfalse
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HOSPITALND501(c)(3)3SAMCfalse
Glendale Memorial Health Foundation
1420 South Central AvenueGlendaleCA91204953625651FUNDRAISING FOUNDATIONCA501(c)(3)Type IDCCfalse
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3)Type ICSHfalse
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(3)2GSHfalse
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISING FOUNDATIONOH501(c)(3)Type IGSHfalse
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISING FOUNDATIONNE501(c)(3)7GSHfalse
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HOSPITALWA501(c)(3)3FHSfalse
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISING FOUNDATIONWA501(c)(3)7HMCfalse
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISING FOUNDATIONKY501(c)(3)Type IIKOHfalse
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISING FOUNDATIONMN501(c)(3)Type ISFMCfalse
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HOSPITALWA501(c)(3)3FHSfalse
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(3)7CHI-IA CORPfalse
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500LOUISVILLEKY40202611029768HOSPITALKY501(c)(3)3KOHfalse
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800LOUISVILLEKY40202611352729HEALTHCAREKY501(c)(3)10JHSMHfalse
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(3)Type IICSHfalse
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HOSPITALMN501(c)(3)3CSHfalse
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISING FOUNDATIONND501(c)(3)7LHCfalse
LINUS OAKES INC
2700 STEWART PKWYROSEBURGOR97471930821381SENIOR LIVINGOR501(c)(3)10MMCfalse
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HOSPITALND501(c)(3)3CSHfalse
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3)Type IMHSETfalse
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HOSPITALTX501(c)(3)3SJSCfalse
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(c)(3)10FLCfalse
Marian Regional Medical Center Foundation
1400 E Church StreetSanta MariaCA93454953818027FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
Mark Twain Medical Center
768 Mountain Ranch RoadSan AndreasCA95249680127677HOSPITALCA501(c)(3)3NAfalse
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISING FOUNDATIONTN501(c)(3)7MHCSfalse
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HOSPITALTN501(c)(3)3CSHfalse
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(c)(3)10MHCSfalse
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HOSPITALTX501(c)(3)3SLHSfalse
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HOSPITALTX501(c)(3)3MHSETfalse
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HOSPITALTX501(c)(3)3MHSETfalse
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3)Type IMHSETfalse
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HOSPITALTX501(c)(3)3MHSETfalse
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3)Type IMF-DM IAfalse
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(3)10CHI-IA CORPfalse
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(3)2CHI-IA CORPfalse
Mercy Foundation Bakersfield
PO Box 119BakersfieldCA93302770201321FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISING FOUNDATIONIA501(c)(3)7CHI-IA CORPfalse
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISING FOUNDATIONOR501(c)(3)7MMCfalse
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISING FOUNDATIONIA501(c)(3)Type IAHMH-Corningfalse
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISING FOUNDATIONND501(c)(3)Type IMHVCfalse
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISING FOUNDATIONIA501(c)(3)Type IAHBMHSfalse
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HOSPITALND501(c)(3)3CSHfalse
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISING FOUNDATIONND501(c)(3)7MHDLfalse
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HOSPITALND501(c)(3)3CSHfalse
Mercy McMahon Terrace
3865 J StreetSacramentoCA95816680117340Senior Citizen's Housing/Retirement CommunitiesCA501(c)(3)10DCCfalse
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HOSPITALND501(c)(3)3CSHfalse
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HOSPITALIA501(c)(3)3CHI-IA CORPfalse
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4th Ave ENewtonIA50314421470935HOSPITALIA501(c)(3)3CHI-IA CORPfalse
Mercy Medical Center Merced Foundation
301 E 13th StreetMercedCA95340770035928FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HOSPITALOR501(c)(3)3CSHfalse
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISING FOUNDATIONND501(c)(3)Type IMMCfalse
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
Northland Healthcare Alliance
2223 East Rosser AvenueBismarckND58501911845296MANAGEMENTND501(c)(3)7NCHAfalse
Northridge Hospital Foundation
18300 Roscoe BlvdNorthridgeCA91328237444901FUNDRAISING FOUNDATIONCA501(c)(3)Type IDCCfalse
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HOSPITALND501(c)(3)3CSHfalse
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISING FOUNDATIONND501(c)(3)Type IOCHfalse
Pacific Central Coast Health Centers
1400 E Church StreetSanta MariaCA93454770447575ClinicCA501(c)(3)3DHfalse
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3)Type IMHSETfalse
Port City Operating Company LLC
3400 Data DriveRancho CordovaCA95670465322209HOSPITALCA501(c)(3)3DHfalse
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(c)(3)10FLCfalse
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(c)(3)Type IIFLCfalse
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(c)(3)10FLCfalse
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(3)7CHICfalse
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 Sylvester Road SWBurienWA98166911170040HOSPITALWA501(c)(3)3FHSfalse
SET OF COLORADO SPRINGS INC
9100 E Mineral CircleCentennialCO80112841183335Senior Center ServicesCO501(c)(3)7CHICfalse
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3)10SCHSfalse
SAINT CLARE'S FOUNDATION INC
25 POCONO RDDENVILLENJ07834222502997FUNDRAISING FOUNDATIONNJ501(c)(3)7SCHSfalse
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3)10CSHfalse
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(3)3SCHSfalse
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISING FOUNDATIONNE501(c)(3)7SERMCfalse
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HOSPITALNE501(c)(3)3SERMCfalse
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISING FOUNDATIONNE501(c)(3)7SFMCfalse
Saint Francis Memorial Hospital
900 Hyde StreetSan FranciscoCA94109941156295HOSPITALCA501(c)(3)3DCCfalse
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISING FOUNDATIONKY501(c)(3)7SJHSfalse
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HOSPITALKY501(c)(3)3KOHfalse
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200LEXINGTONKY40504611159649FUNDRAISING FOUNDATIONKY501(c)(3)Type ISJHSfalse
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISING FOUNDATIONKY501(c)(3)7SJHSfalse
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISING FOUNDATIONKY501(c)(3)7SJHSfalse
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway StreetDICKINSONND58601363418207FUNDRAISING FOUNDATIONND501(c)(3)Type ISJHHCfalse
San Gabriel Valley Medical Center Foundation
438 West Las Tunas DriveSan GabrielCA91776953430341INACTIVECA501(c)(3)Type IDHfalse
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISING FOUNDATIONNE501(c)(3)Type IAHMHSfalse
Sierra Nevada Memorial-Miners Hospital
155 Glasson WayGrass ValleyCA95945941439787HOSPITALCA501(c)(3)3DCCfalse
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HOSPITALMO501(c)(3)3CSHfalse
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104Santa BarbaraCA93105237137119FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
St Francis Hospital Support Corporation
601 E Micheltorena StreetSanta BarbaraCA93103770022302INACTIVECA501(c)(3)Type IDHfalse
St Johns Healthcare Foundation
1600 North Rose AvenueOxnardCA93030202865781FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
St Josephs Foundation (Phoenix)
350 West Thomas RoadPhoenixAZ85013942941245FUNDRAISING FOUNDATIONAZ501(c)(3)Type IDHfalse
St Josephs Foundation of San Joaquin
1800 N California StreetStocktonCA95204510432777FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
St Mary Medical Center Foundation
1050 Linden AvenueLong BeachCA90813237153876FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
St Mary Professional Building Inc
1050 Linden AvenueLong BeachCA90813237373088INACTIVECA501(c)(3)Type IDHfalse
St Marys Medical Center Foundation
450 Stanyan StreetSan FranciscoCA94117943336143FUNDRAISING FOUNDATIONCA501(c)(3)Type IDHfalse
St Rose Dominican Health Foundation
3001 St Rose ParkwayHendersonNV89052880349432FUNDRAISING FOUNDATIONNV501(c)(3)Type IDHfalse
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HOSPITALND501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL
2801 St Anthony WayPENDLETONOR97801930391614HOSPITALOR501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony WayPENDLETONOR97801930992727FUNDRAISING FOUNDATIONOR501(c)(3)Type ISAHfalse
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HOSPITALAR501(c)(3)3SVIMCfalse
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HOSPITALKS501(c)(3)3CSHfalse
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISING FOUNDATIONKS501(c)(3)Type ISCHfalse
ST CLARE COMMONS
12469 Five Point RoadTOLEDOOH43551270163752LIVING COMMOH501(c)(3)10FLCfalse
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4)CSHfalse
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(3)10CSHfalse
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(3)10SCHSfalse
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HOSPITALMN501(c)(3)3CSHfalse
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISING FOUNDATIONTX501(c)(3)Type IISJSCfalse
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HOSPITALMD501(c)(3)3CSHfalse
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIANSTX501(c)(3)3SJSCfalse
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3)Type ISJMCfalse
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HOSPITALTX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HOSPITALTX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(c)(3)Type ISLHSfalse
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HOSPITALMN501(c)(3)3CSHfalse
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway StDICKINSONND58601450226429HOSPITALND501(c)(3)3CSHfalse
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(c)(3)10FLCfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISING FOUNDATIONTX501(c)(3)7SLHSfalse
ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269HOUSTONTX77225760536232MANAGEMENTTX501(c)(3)Type ICSHfalse
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HOSPITALTX501(c)(3)3SLHSfalse
ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855HOUSTONTX77004760531716PROPERTY MGMTTX501(c)(3)Type ISLHSfalse
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3)Type ISLCDC-SLfalse
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman BoulevardNEBRASKA CITYNE68410470443636HOSPITALNE501(c)(3)3CHI NEBRASKAfalse
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISING FOUNDATIONNE501(c)(3)7SMCHfalse
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISING FOUNDATIONAR501(c)(3)Type ISVIMCfalse
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HOSPITALAR501(c)(3)3CSHfalse
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(3)10SVIMCfalse
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3)Type ICSHfalse
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISING FOUNDATIONOH501(c)(3)Type IFLCfalse
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(3)10FLCfalse
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HOSPITALTX501(c)(3)3SLHSfalse
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HOSPITALOH501(c)(3)3CSHfalse
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3)Type ICHI NEBRASKAfalse
TOTAL HEALTHCARE
9100 E Mineral CircleCentennialCO80112840927232HOSPITALCO501(c)(3)3CHICfalse
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISING FOUNDATIONOH501(c)(3)Type ITHSfalse
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(c)(3)Type INAfalse
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HOSPITALOH501(c)(3)3SFHfalse
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(c)(3)7THSfalse
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HOSPITALMN501(c)(3)3CSHfalse
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(3)10CSHfalse
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(3)10SCHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (80 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line2USAddress/AddressLine2Txt
AGH Phoenix LLC
220 E Las Colinas Blvd Suite 1000IrvingTX75039471584330Holding CompanyAZNAN/Afalsefalse
American Mercy Home Care LLC
1700 EDISON DRMILFORDOH45150830486150HOME HEALTHOHNAN/Afalsefalse
Arizona Care Network LLC (ACN LLC)
350 W Thomas RdPhoenixAZ85013454494682Care NetworkAZNAN/Afalsefalse
Audubon Land Company LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906841513085Real EstateCONAN/Afalsefalse
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E Mineral CircleCentennialCO80112811727282HEALTHCARE SRVCCONAN/Afalsefalse
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100HOUSTONTX77030472079184HEALTHCARE SRVCTXNAN/Afalsefalse
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNENAN/Afalsefalse
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico AvenueCHATTANOGATN37404621875199PHYS OFFICETNNAN/Afalsefalse
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINGKYNAN/Afalsefalse
CBCC Outsmarting Cancer LLC
6501 Truxtun AvenueBakersfieldCA93309461602286Radiation / Oncology including CyberknifeCANAN/Afalsefalse
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461Physical TherapyNENAN/Afalsefalse
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CENTERALNAN/Afalsefalse
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCONAN/Afalsefalse
CHICAMSURG Surgery Centers LLC
1A Burton Hills BlvdNashvilleTN37215465683027SURGERY CENTERCONAN/Afalsefalse
CHICLARKIN VENTURES LLC
9100 E Mineral CircleCentennialCO80112474210888URGENT CARECONAN/Afalsefalse
Colorado Springs CK Leasing LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906262982714REAL ESTATECONAN/Afalsefalse
Community Mercy Home Care Services of Springfield LLC
1700 EDISON DRMILFORDOH45150311746556HOME HEALTHOHNAN/Afalsefalse
DE JV LLC
8686 New Trails DriveThe WoodlandsTX77381320496548Emergency CareNVNAN/Afalsefalse
DHHP Surgery Centers LLC
1513 S Grand Avenue Ste 350Los AngelesCA90015831847466SURGERYCANAN/Afalsefalse
DHRT Holdings LLC
185 Berry Street Suite 300San FranciscoCA94107352484591Holding CompanyDENAN/Afalsefalse
Dignity- GoHealthUrgent Care Management LLC
5555 Glenridge Connector Suite 700AtlantaGA30342352548698Management ServicesDENAN/Afalsefalse
Dignity Health at Home LLC
1700 EDISON DRMILFORDOH45150824674115HEALTHCARE SRVCDENAN/Afalsefalse
Dignity Health Specialty Pharmacy LLC
185 Berry Street Suite 300San FranciscoCA94107320589462Specialty Pharmacy ServicesDENAN/Afalsefalse
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
15305 Dallas ParkwayAddisonTX75001202999237SurgeryTXNAN/AfalsefalseSuite 1600 LB 28
DignityUSP NorCal Surgery Centers LLC
15306 Dallas ParkwayAddisonTX75001202468509SURGERYTXNAN/AfalsefalseSuite 1600 LB 28
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15307 Dallas ParkwayAddisonTX75001134248908SurgeryTXNAN/AfalsefalseSuite 1600 LB 28
DignityUSPJohn Muir East Bay Surg Ctrs LLC
15308 Dallas ParkwayAddisonTX75001352584991SURGERYTXNAN/AfalsefalseSuite 1600 LB 28
Dignity-Abrazo Health Network LLC
3030 N Central Avenue Suite 1402PhoenixAZ85012465477985Management ServicesAZNAN/Afalsefalse
Dominican Magnetic Resonance Imaging Center
1545 Soquel DriveSanta CruzCA94065770095477Imaging CenterCANAN/Afalsefalse
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600FolsomCA95630680482416EndoscopyCANAN/Afalsefalse
Franciscan Medical Pavilion Bonney Lake LLC
6622 Wollochet Dr NWGig HarborWA98335463494108Real EstateWANAN/Afalsefalse
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202813725123HEALTHCARE SRVCWANAN/Afalsefalse
Good Samaritan Home Care Services of Vincenne IN LLC
1700 EDISON DRMILFORDOH45150201792869HOME HEALTHOHNAN/Afalsefalse
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWINAN/Afalsefalse
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENAN/Afalsefalse
Heartland Oncology LLC
2337 E Crawford StSalinaKS67401464265403ONCOLOGYKSNAN/Afalsefalse
Highline Physical Therapy Group
181 S 333rd Street STE 250Federal WayWA98003911431904Physical TherapyWANAN/Afalsefalse
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNENAN/Afalsefalse
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNENAN/Afalsefalse
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLincolnNE68510262496856Real EstateNENAN/Afalsefalse
Mercy Davis Cancer Center Management Co LLC
2740 M StreetMercedCA95340943358445Management of Cancer CenterCANAN/Afalsefalse
Mercy Rehabilitation Hospital LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202814437201HEALTHCARE SRVCTXNAN/Afalsefalse
Military Road Properties LLC
181 S 333rd Street STE 250Federal WayWA98003912067879Real EstateWANAN/Afalsefalse
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNENAN/Afalsefalse
NICU Operating CO of Santa Cruz LLC
1555 Soquel DriveSanta CruzCA95065460502935Neonatal HealthcareCANAN/Afalsefalse
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARNAN/Afalsefalse
NSC Channel Islands LLC
3000 Riverchase Galleria Suite 500BirminghamAL35244770418197Ambulatory surgical centerCANAN/Afalsefalse
OMG Arizona LLC
130 Sutter Street 2nd FlrSan FranciscoCA94104471708588Medical OfficeAZNAN/Afalsefalse
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCONAN/Afalsefalse
Park Rapids Area Health Care
600 Pleasant Avenue SPark RapidsMN56470204926259HEALTHCARE SRVCMNNAN/Afalsefalse
Pasadena Urgency Center LLC
4600 E SAM HOUSTON PKWY SOUTHPASADENATX77505812482854URGENT CARETXNAN/Afalsefalse
Patient Transport Services of Columbus Inc
1700 EDISON DRMILFORDOH45150264601285AmbulanceOHNAN/Afalsefalse
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HEALTHCARE SRVCWANAN/Afalsefalse
Penrad Imaging LLC
1390 Kelly Johnson BlvdCOLORADO SPRINGSCO80920841072619Medical ImagingCONAN/Afalsefalse
Performance Medical Equipment & Respiratory Svsc LLC
19625 62nd Avenue South STE 101KentWA98032452901632Holding CompanyWANAN/Afalsefalse
Plaza Surgery Center LP
525 E Plaza Drive Suite 100Santa MariaCA93454770573567SurgeryCANAN/Afalsefalse
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXNAN/Afalsefalse
Precision Medicine Alliance LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159Diagnostic ServicesCONAN/Afalsefalse
Pueblo Ambulatory Surgery Center LLC
25 Montebello RdPuebloCO81003621488737SURGERY CENTERCONAN/Afalsefalse
Radiation Oncology Centers of Ventura County
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCANAN/Afalsefalse
RBR Management LLC
91 Corporate Park Drive Suite 120HendersonNV89074271466450AmbulanceNVNAN/Afalsefalse
Reid-ANC Home Care Services LLC
1700 EDISON DRMILFORDOH45150371454747HOME HEALTHINNAN/Afalsefalse
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RDLEXINGTONKY40503453801157OP SURGERYDENAN/Afalsefalse
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYNAN/Afalsefalse
Santa Cruz Comprehensive Imaging LLC
1661 Soquel Drive Suite GSanta CruzCA95065010550623ImagingCANAN/Afalsefalse
Santa Cruz Land & Building LP
1555 Soquel DriveSanta CruzCA95065770285236REAL ESTATECANAN/Afalsefalse
Santa Cruz Surgery Center LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCANAN/Afalsefalse
SMI Imaging LLC
6740 E Camelback Road Suite 101ScottsdaleAZ85251264000683Imaging CenterCANAN/Afalsefalse
Southeastern Home Care LLC
1700 EDISON DRMILFORDOH45150271219638HOME HEALTHOHNAN/Afalsefalse
St Joseph's Surgery Center LP
15305 Dallas ParkwayAddisonTX75001201019390SurgeryTXNAN/AfalsefalseSuite 1600 LB 28
St Elizabeth Home Care Services LLC
1700 EDISON DRMILFORDOH45150261236191HOME HEALTHKYNAN/Afalsefalse
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECONAN/Afalsefalse
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXNAN/Afalsefalse
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXNAN/Afalsefalse
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXNAN/Afalsefalse
Templeton Surgery Center LLC
1310 Las Tablas Road Suite 104TempletonCA94365202246616SurgeryCANAN/Afalsefalse
The Medical Pavilion at St John's
1700 Rose AvenueOxnardCA93030770332349Real EstateCANAN/Afalsefalse
THREE SPRING IMAGING LLC
1 Mercado St STE 200ADURANGOCO81301813571570HEALTHCARE SRVCCONAN/Afalsefalse
Valley Physicians Surgery Center At Northridge LLC
18330 Roscoe BlvdNorthridgeCA91328800864336SurgeryCANAN/Afalsefalse
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE STE 100CLIVEIA50325205345295HEALTHCARE SRVCIANAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (92 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line2RelatedOrganizationName/BusinessNameLine2Txt
Alegent HealthCreighton St Joseph Managed Care Services Inc
12809 West Dodge RdOmahaNE68154470802396Managed CareNENAC Corporationfalse
All Saints Insurance Company SPC Ltd
980556913InsuranceNAC CorporationfalsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc
2801 FRANCISCAN DRIVEBRYANTX77802742466914HealthcareTXNAC Corporationfalse
Alternative Insurance Management Service Inc
3900 OLYMPIC BLVD STE 400ErlangerKY41018841112049Management ServicesCONAC Corporationfalse
AMERICAN NURSING CARE Inc
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHNAC Corporationfalse
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHNAC Corporationfalse
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851Fitness ClubKYNAC Corporationfalse
BrazoSport Health Alliance
1 WEST WAY COURTLAKE JACKSONTX77566760518376Health CareTXNAC Corporationfalse
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500ChattanoogaTN37411621570736HealthcareTNNAC Corporationfalse
Captive Management Initiatives Ltd
980663022Captive ManagementNAC CorporationfalsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCONAC Corporationfalse
CHI St Luke's Health - Memorial Condominium Association Inc
1201 W Frank AveLufkinTX75904834184717Condo AssocTXNAC Corporationfalse
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNNAC Corporationfalse
Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101Pismo BeachCA93449743000596HealthcareCANAS Corporationfalse
Comcare Services Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCONAC Corporationfalse
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHNAC Corporationfalse
Des Moines Medical Center Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIANAC Corporationfalse
Dignity Health Holding Corporation
185 Berry Street Suite 300San FranciscoCA94107460675371Holding CoNVNAC Corporationfalse
Dignity Health Insurance Ltd (Cayman Island corporation)
981065338InsuranceNAC CorporationfalsePO Box 1051 KY1-1102Grand Cayman IslandsGRAND CAYMANCJKY11001CJ
Dignity Health Provider Resources Inc
185 Berry Street Suite 300San FranciscoCA94107473366764Health PlanCANAC Corporationfalse
Diversified Health Resources Inc
100 MEDICAL DRIVELAKE JACKSONTX77566760222679Health CareTXNAC Corporationfalse
First Initiatives Insurance LTD
980203038InsuranceNAC CorporationfalsePO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car
C/O CPGUSA 1345 AVE OF THE AMERICASNEW YORKNY10105812174959HealthcareNYNAC Corporationfalsee
Franciscan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCONAC Corporationfalse
Good Samaritan Outreach Services
PO Box 1990KearneyNE68848470659440Medical ClinicNENAC Corporationfalse
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201FEDERAL WAYWA98001473451750InsuranceWANAC Corporationfalse
Health Services of the Pacific Central Coast Inc
1400 E Church StreetSanta MariaCA93454770074057HealthcareCANAC Corporationfalse
Health Systems Enterprises Inc
PO BOX 1990KearneyNE68848470664558MGMTNENAC Corporationfalse
Healthcare MGMT Services Organization INC
1149 MARKET STTacomaWA98402911865474Health Org.WANAC Corporationfalse
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNENAC Corporationfalse
Highline Medical Group
1717 S J StreetTacomaWA98405911407026Medical ServicesWANAC Corporationfalse
Integrated Medical Services
9250 N 3rd Street Suite 4010PhoenixAZ85020860783428Multi-specialty physicians groupAZNAC Corporationfalse
KOMG-Louisville Region Inc
201 Abraham Flexner WayLouisvilleKY40202832481198HealthcareKYNAC Corporationfalse
Management Services Organization of Santa Maria Inc
1400 E Church StreetSanta MariaCA93454770318135Health Care MgmtCANAC Corporationfalse
Medical Office Building Horizontal Property Regime Inc
300 Werner StHot SpringsAR71913710720429Real EstateARNAC Corporationfalse
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDNAC Corporationfalse
Memorial CV Service Line Management Company LLC
1201 W Frank AveLufkinTX75904463622849Heath CareTXNAC Corporationfalse
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIANAC Corporationfalse
Mercy Services Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORNAC Corporationfalse
MHI Clinical Services
1201 W Frank AveLufkinTX75904461967952HealthcareTXNAC Corporationfalse
Millenium Surgery Center Inc
9300 Stockdale Hwy 200BakersfieldCA93311770513445HealthcareCANAS Corporationfalse
Mountain Management Services Inc
6028 Shallowford RdChattanoogaTN37421621570739MGMT SVC ORGTNNAC Corporationfalse
North Central Health Care Alliance
PO Box 5538BismarkND58506450439894HealthcareNDNAC Corporationfalse
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHNAC Corporationfalse
QCA Health Plan Inc
12615 Chenal Parkway STE 300Little RockAR72211710794605InsuranceARNAC Corporationfalse
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912InsuranceWANAC Corporationfalse
QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin ServicesCONAC Corporationfalse
QualChoice Health Inc (fka CollabHealth Managed Solutions Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCONAC Corporationfalse
QualChoice Holdings Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112274075520Holding CoARNAC Corporationfalse
QualChoice Life and Health Insurance Company Inc
12615 Chenal Parkway STE 300Little RockAR72211710386640InsuranceARNAC Corporationfalse
QualChoice of Nebraska
2401 S 73rd StOmahaNE68124810738827InactiveNENAC Corporationfalse
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHNAC Corporationfalse
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYNAC Corporationfalse
Ross Park Pharmacy Inc
380 SUMMIT AVESTEUBENVILLEOH43952341832654PharmacyOHNAC Corporationfalse
RUSHWINC Properties Inc
25124 Springfield Court Suite 200ValenciaCA91355753160650Lease negotiationsGANAC Corporationfalse
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112222441202Billing ServicesNJNAC Corporationfalse
SJH Services Corporation
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCONAC Corporationfalse
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LexingtonKY40503270164198MgmtKYNAC Corporationfalse
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWANAC Corporationfalse
St Mary Health Ventures Inc
1050 Linden AvenueLong BeachCA90813951912528Retail PharmacyCANAC Corporationfalse
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORNAC Corporationfalse
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWANAC Corporationfalse
St Luke's Health System Holdings Inc
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXNAC Corporationfalse
St Mary's Multi Specialty Clinic
1625 Prater Way Suite 102SparksNV89434113763590HealthcareNVNAC Corporationfalse
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARNAC Corporationfalse
StableView Health Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464373713InsuranceKYNAC Corporationfalse
STE Holdings
12809 West Dodge RdOmahaNE68154822383629Holding CoNENAC Corporationfalse
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXNAC Corporationfalse
Towson Management Inc
7601 OSLER DRTowsonMD21204521710750Mgmt ServicesMDNAC Corporationfalse
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026Mgmt ServicesOHNAC Corporationfalse
US HealthWorks Inc
25124 Springfield Court Suite 200ValenciaCA91355582420844Occupational Medical ServicesCANAC Corporationfalse
US HealthWorks Medical Group of Alaska LLC
25124 Springfield Court Suite 200ValenciaCA91355631219117Occupational Medical ServicesAKNAC Corporationfalse
US HealthWorks Medical Group of Arizona Inc
25124 Springfield Court Suite 200ValenciaCA91355582625710Occupational Medical ServicesAZNAC Corporationfalse
US HealthWorks Medical Group of Florida Inc
25124 Springfield Court Suite 200ValenciaCA91355582654983Occupational Medical ServicesFLNAC Corporationfalse
US HealthWorks Medical Group of Georgia Inc
25124 Springfield Court Suite 200ValenciaCA91355582625714Occupational Medical ServicesGANAC Corporationfalse
US HealthWorks Medical Group of Kentucky Inc
25124 Springfield Court Suite 200ValenciaCA91355473277440Occupational Medical ServicesKYNAC Corporationfalse
US HealthWorks Medical Group of Maine Inc
25124 Springfield Court Suite 200ValenciaCA91355582654976Occupational Medical ServicesMENAC Corporationfalse
US HealthWorks Medical Group of Ohio Inc
25124 Springfield Court Suite 200ValenciaCA91355311540841Occupational Medical ServicesOHNAC Corporationfalse
US HealthWorks of Colorado Inc
25124 Springfield Court Suite 200ValenciaCA91355811053593Occupational Medical ServicesCONAC Corporationfalse
US HealthWorks of Illinois Inc
25124 Springfield Court Suite 200ValenciaCA91355461384805Occupational Medical ServicesILNAC Corporationfalse
US HealthWorks of Indiana Inc
25124 Springfield Court Suite 200ValenciaCA91355351991196Occupational Medical ServicesINNAC Corporationfalse
US HealthWorks of Kansas City Inc
25124 Springfield Court Suite 200ValenciaCA91355462754415Occupational Medical ServicesKSNAC Corporationfalse
US HealthWorks of Minnesota Inc
25124 Springfield Court Suite 200ValenciaCA91355452494357Occupational Medical ServicesMNNAC Corporationfalse
US HealthWorks of New Jersey Inc
25124 Springfield Court Suite 200ValenciaCA91355043323869Occupational Medical ServicesNJNAC Corporationfalse
US HealthWorks of North Carolina Inc
25124 Springfield Court Suite 200ValenciaCA91355562029468Occupational Medical ServicesNCNAC Corporationfalse
US HealthWorks of Pennsylvania Inc
25124 Springfield Court Suite 200ValenciaCA91355582660955Occupational Medical ServicesPANAC Corporationfalse
US HealthWorks of Tennessee Inc
25124 Springfield Court Suite 200ValenciaCA91355452697510Occupational Medical ServicesTNNAC Corporationfalse
US HealthWorks of Washington Inc
25124 Springfield Court Suite 200ValenciaCA91355911173613Occupational Medical ServicesWANAC Corporationfalse
US HealthWorks of Wisconsin Inc
25124 Springfield Court Suite 200ValenciaCA91355461384564Occupational Medical ServicesWINAC Corporationfalse
USHW Holding Corporation
25124 Springfield Court Suite 200ValenciaCA91355208050895Occupational Medical ServicesDENAC Corporationfalse
USHW of California Inc
25124 Springfield Court Suite 200ValenciaCA91355954585828Occupational Medical ServicesCANAC Corporationfalse
USHW of Texas Inc
25124 Springfield Court Suite 200ValenciaCA91355742785392Occupational Medical ServicesTXNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd