ST MARY'S HOSPITAL FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- ST MARY'S HOSPITAL FOUNDATION (EIN 23-7001007)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-03
- IRS object ID
- 202513079349301956
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-03T10:48:13-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237001007 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8018427851 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH STREET | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARMEN SHIPLEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8018427851 | PhoneNum |
| Signature | 2025-11-03 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARMEN SHIPLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH STREET | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,842,644 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE "O" FOR WEBSITE ADDRESS | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ST. MARY'S HOSPITAL FOUNDATION WEBSITE ADDRESS:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/GIVE/ST-MARYS-FOUNDATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,257,463 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,417,846 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $462,353 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,330,569 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$53,852 | PYOtherRevenueAmt |
| CY Other Revenue | -$54,879 | CYOtherRevenueAmt |
| PY Total Revenue | $5,665,964 | PYTotalRevenueAmt |
| CY Total Revenue | $8,693,536 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,137,128 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,843,029 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $589,252 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $533,494 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $321,287 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $555,977 | PYOtherExpensesAmt |
| CY Other Expenses | $477,332 | CYOtherExpensesAmt |
| PY Total Expenses | $5,282,357 | PYTotalExpensesAmt |
| CY Total Expenses | $3,853,855 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $383,607 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,839,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,081,535 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,141,044 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $985,066 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $694,946 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,096,469 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,446,098 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,975,454 | ExpenseAmt |
| Grant | $2,843,029 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE PROMISE OF HEALTHCARE PHILANTHROPY IS THE ABILITY TO CHANGE LIVES AND THE POWER TO SAVE LIVES. THE ST. MARY'S HOSPITAL FOUNDATION DEVELOPS THE RESOURCES THAT HELP KEEP AND EXPAND THIS PROMISE TO THE PEOPLE WHO TRUST ST. MARY'S REGIONAL HOSPITAL TO CARE FOR THEM. IT IS COMMITTED TO ADVANCING THE PROMISE OF LIFE THROUGH PHILANTHROPY. THE FOUNDATION'S FUNDRAISING EFFORTS ENSURE THAT THE HOSPITAL IS ABLE TO MEET THE COMMUNITY'S HEALTHCARE NEEDS NOW AND IN THE FUTURE. ST. MARY'S HOSPITAL FOUNDATION WAS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. THE ORGANIZATION EMPLOYS MORE THAN 68,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH AND IDAHO.AS PART OF INTERMOUNTAIN HEALTHCARE, ST. MARY'S HOSPITAL FOUNDATION HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.MAJOR AREAS OF SUPPORT DURING THE YEAR INCLUDED:ROSE HILL HOSPITALITY HOUSE ROSE HILL HOUSE REFLECTS THE COMPASSION AND GENEROSITY OF OUR COMMUNITY BY PROVIDING A FREE, COMFORTABLE, HOME-LIKE SETTING WHERE FAMILIES CAN HAVE A REST FROM THE OFTEN CRITICAL CONCERNS ASSOCIATED WITH THE HEALTH OF A LOVED ONE. PATIENTS COME TO ST. MARY'S FROM MANY DISTANT PLACES TO RECEIVE MEDICAL ASSISTANCE OFTEN NOT AVAILABLE OUTSIDE OF GRAND JUNCTION. ST. MARY'S HOSPITAL FOUNDATION RECOGNIZES THE IMPORTANCE OF MEETING THE NEEDS OF FAMILY AND FRIENDS SUPPORTING A LOVED ONE IN THE HEALING PROCESS. CANCER ASSISTANCE FUND THE ST. MARY'S HOSPITAL FOUNDATION ALSO FINANCIALLY SUPPORTS ST. MARY'S CANCER PROGRAMS. ST. MARY'S IS PROUD TO OFFER A COMPREHENSIVE CANCER PROGRAM FOR PATIENTS FROM DIAGNOSIS, THROUGH TREATMENT, AND BEYOND. AS HEALTHCARE CHANGES, WE HAVE IDENTIFIED THE NEED FOR NOT ONLY PREVENTATIVE MEDICINE, BUT TO PROVIDE HOLISTIC CARE TO OUR PATIENTS. THE CANCER ASSISTANCE FUND PROVIDES RESOURCES TO EDUCATE, SUPPORT, AND EMPOWER THOSE AFFECTED BY CANCER TO TAKE CHARGE OF THEIR HEALTH SO THEY CAN TRULY THRIVE AND SUPPORTS THE PHYSICAL, EMOTIONAL, SOCIAL, SPIRITUAL, AND ECONOMIC ASPECTS OF THEIR CANCER JOURNEY. MEALS ON WHEELS OF MESA COUNTYST. MARY'S HOSPITAL FOUNDATION IS PROUD TO SPONSOR THE MEALS ON WHEELS PROGRAM OF MESA COUNTY. THE ST. MARY'S FOUNDATION RAISES FUNDS TO SUPPORT MEALS ON WHEELS MESA COUNTY, A HOSPITAL AND GOVERNMENT SPONSORED PROGRAM TO PROVIDE NOURISHING MEALS TO THE HOMEBOUND AND TO OTHERS THAT ARE IN NEED. PROGRAM REVENUE ASSOCIATED WITH THE PROGRAM REPRESENTS A VOLUNTARY CO-PAYMENT FOR THE MEALS AND IS NOT A REQUIREMENT FOR RECEIVING A MEAL.CARING FOR THE CAREGIVERAT ST. MARY'S REGIONAL HOSPITAL, OUR CAREGIVERS ARE OUR MOST VALUABLE ASSET. THE FOUNDATION RAISES FUNDS THROUGH THE CARING FOR THE CAREGIVER FUND THAT SUPPORTS THE WELL-BEING OF OUR CAREGIVERS THROUGH EUDCATION, SOCIAL SUPPORT, SELF-CARE ACTIVITIES, AND MEANINGFUL RECOGNITION AND IS AN IMPORTANT FOCUS OF ST. MARY'S FOUNDATION. TO ENHANCE AND SUSTAIN THE HEALTH AND WELL-BEING OF OUR CLINICAL WORKFORCE, THE FOUNDATION CREATED THIS FUND AS A RESOURCE FOR CLINICAL LEADERS TO DEVELOP CREATIVE SOLUTIONS TO PROMOTE CAREGIVER RELISIENCE AND REPLENISHMENT. K9 SECURITY PROGRAMST. MARY'S REGIONAL HOSPITAL, LIKE MANY OTHER HOSPITALS, HAS EXPERIENCED A SIGNIFICANT INCREASE IN VERBAL AND PHYSICAL WORKPLACE VIOLENCE INCIDENCES DIRECTED AGAINST HEALTH CARE WORKERS. THE ST. MARY'S HOSPITAL FOUNDATION SUPPORTS AN INNOVATIVE K-9 PROGRAM. THE K-9'S ARE TRAINED NOT ONLY TO PROTECT IN THREATENING SITUATIONS, BUT ALSO TO PROVIDE COMFORT AND EMOTIONAL SUPPORT FOR HEALTHCARE WORKERS, PATIENTS, THEIR FAMILIES, AND VISITORS. | Desc |
| Total Program Service Expenses | $2,975,454 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLIN QUINCY | PersonNm |
| Phone | 8014423491 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36 SOUTH STATE STREET SUITE 1600 | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BRYAN JOHNSON | |||||||
| TRUSTEE/SMHMC CEO | 1.00 | 57.00 | Yes (X) | $0 | $789,764 | $295,366 | |
| ASHLEY THUROW | |||||||
| TRUSTEE/SMHMC VP FINANCE (PARTIAL) | 1.00 | 52.00 | Yes (X) | $0 | $262,401 | $29,357 | |
| CARMEN SHIPLEY | |||||||
| EXECUTIVE DIRECTOR | 50.00 | 0.00 | Yes (X) | $0 | $165,870 | $69,606 | Yes (X) |
| VINCENT DONOHUE | |||||||
| TRUSTEE/SMHMC VP FINANCE (PARTIAL) | 1.00 | 50.00 | Yes (X) | $0 | $44,997 | $22,365 | |
| KIM ALEXANDER | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE BLACKBURN | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOE BREMAN | |||||||
| CHAIR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CLARA BROWN SHAFFER | |||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| NANCY CUMMINGS | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TYLER DAHL | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK DESANTIS | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF FUNDERBURK | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAKOTA GRETT | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVE HUERKAMP | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SANDRA LEGG | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARC MCATLIN | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KENDRA MCDANIEL | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JEN PEDERSON | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KERRY PHILLIPS | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ANTHONY RESTIVO | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MONIQUE SERRA | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOSH SMITH | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DUKE WORTMANN | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LEANN ZETMEIR | |||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,263,032 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $416,694 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $11,614 | FederatedCampaignsAmt |
| Fundraising | $143,927 | FundraisingAmt |
| Related Organizations | $1,090,984 | RelatedOrganizationsAmt |
| Government Grants | $1,349,049 | GovernmentGrantsAmt |
| All Other Contributions | $1,822,272 | AllOtherContributionsAmt |
| Noncash Contributions | $84,057 | NoncashContributionsAmt |
| Total Contributions | $4,417,846 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,501 | TotalRevenueColumnAmt |
| Exclusion | $407,501 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,923,068 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,923,068 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,923,068 | TotalRevenueColumnAmt |
| Exclusion | $3,923,068 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $74,571 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $143,927 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $137,471 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$62,900 | TotalRevenueColumnAmt |
| Exclusion | -$62,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $19,658 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $11,637 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,021 | TotalRevenueColumnAmt |
| Exclusion | $8,021 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,693,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,275,690 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,828,868 | TotalAmt |
| Program Services | $2,828,868 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,161 | TotalAmt |
| Program Services | $14,161 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,478 | TotalAmt |
| Program Services | $23,548 | ProgramServicesAmt |
| Management And General | $94,191 | ManagementAndGeneralAmt |
| Fundraising | $117,739 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,772 | TotalAmt |
| Program Services | $24,277 | ProgramServicesAmt |
| Management And General | $97,109 | ManagementAndGeneralAmt |
| Fundraising | $121,386 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,166 | TotalAmt |
| Program Services | $2,517 | ProgramServicesAmt |
| Management And General | $10,066 | ManagementAndGeneralAmt |
| Fundraising | $12,583 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,078 | TotalAmt |
| Program Services | $3,008 | ProgramServicesAmt |
| Management And General | $12,031 | ManagementAndGeneralAmt |
| Fundraising | $15,039 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,258 | TotalAmt |
| Management And General | $2,258 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,690 | TotalAmt |
| Fundraising | $30,690 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,421 | TotalAmt |
| Management And General | $9,965 | ManagementAndGeneralAmt |
| Fundraising | $12,456 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,916 | TotalAmt |
| Management And General | $174,916 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,010 | TotalAmt |
| Management And General | $5,782 | ManagementAndGeneralAmt |
| Fundraising | $7,228 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SHARED SERVICES - OTHER | $88,839 | $88,839 | ||
| BANK CHARGES | $41,659 | $4,166 | $33,327 | $4,166 |
| SHARED SVCS - RISK MGMT | $35,453 | $35,453 | ||
| FOOD - MEALS ON WHEELS | $23,700 | $23,700 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,386 | TotalAmt |
| Program Services | $22,048 | ProgramServicesAmt |
| Management And General | $22,338 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,853,855 | TotalAmt |
| Program Services | $2,975,454 | ProgramServicesAmt |
| Management And General | $557,114 | ManagementAndGeneralAmt |
| Fundraising | $321,287 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,400 | BOYAmt |
| EOY | $948,555 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,385 | BOYAmt |
| EOY | $1,889,987 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,923,750 | BOYAmt |
| EOY | $21,302,502 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,081,535 | BOYAmt |
| EOY | $24,141,044 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,066 | BOYAmt |
| EOY | $694,946 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,066 | BOYAmt |
| EOY | $694,946 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,463,378 | BOYAmt |
| EOY | $4,586,771 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,633,091 | BOYAmt |
| EOY | $18,859,327 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,096,469 | BOYAmt |
| EOY | $23,446,098 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,081,535 | BOYAmt |
| EOY | $24,141,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,839,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,492,080 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $7,142 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$5,114 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSPITAL & MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840425720 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $2,680,400 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $2,680,400 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,633,091 | BeginningYearBalanceAmt |
| Contributions | $3,404,255 | ContributionsAmt |
| Investment Earnings Or Losses | $958,737 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,136,756 | OtherExpendituresAmt |
| End Year Balance | $18,859,327 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,103,536 | BeginningYearBalanceAmt |
| Contributions | $4,419,818 | ContributionsAmt |
| Investment Earnings Or Losses | $1,051,305 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,941,568 | OtherExpendituresAmt |
| End Year Balance | $17,633,091 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,258,279 | BeginningYearBalanceAmt |
| Contributions | $3,651,938 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,788,101 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,018,580 | OtherExpendituresAmt |
| End Year Balance | $16,103,536 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,128,359 | BeginningYearBalanceAmt |
| Contributions | $3,258,508 | ContributionsAmt |
| Investment Earnings Or Losses | $1,437,882 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,566,470 | OtherExpendituresAmt |
| End Year Balance | $18,258,279 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,284,424 | BeginningYearBalanceAmt |
| Contributions | $3,108,968 | ContributionsAmt |
| Investment Earnings Or Losses | $1,375,860 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,640,893 | OtherExpendituresAmt |
| End Year Balance | $17,128,359 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.58400 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.41600 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| GIFT ANNUITIES | $554,566 |
| INTERCOMPANY PAYABLES | $140,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $694,946 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE ST. MARY'S HOSPITAL IN AREAS INCLUDING ASSOCIATE EDUCATION, GREATEST NEED, MOM/BABY & PEDIATRICS, PATIENT EXPERIENCE, RESPIRATORY, AND OTHER SERVICES AND PROGRAMS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HIGHBALLS & HANDBAGS | Event1Nm |
| Gross Receipts Event1 | $26,241 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $8,324 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,917 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $25 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $1,610 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $7,392 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $29 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $16,645 | OtherDirectExpensesEvent1Amt |
| Event2 | ST. MARY'S BALL | Event2Nm |
| Gross Receipts Event2 | $192,257 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $135,603 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $56,654 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,572 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $13,777 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $29,281 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $4,629 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $62,511 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $218,498 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $143,927 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $74,571 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,597 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $15,387 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $36,673 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,658 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $79,156 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $137,471 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$62,900 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $19,658 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $1,175 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $10,239 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $223 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $19,658 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $1,175 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $10,239 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $223 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $11,637 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $8,021 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CO | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.00000 | GamingOwnFacilityPct |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Individual With Books | KITTY DEXTER | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH ST | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | DEANNA COLAIZZI | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | MAKE SURE WE FOLLOW THE RAFFLE PROCEDURES DESIGNATED BY THE STATE | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | Yes (1) | CharitableDistributionRqrInd |
| Distributed | $8,021 | DistributedAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | 501(C)(3) | $2,660,971 | $0 | SUPPORT MISSION |
| SCL HEALTH RESEARCH INSTITUTE INC | ||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 852014794 | 501(C)(3) | $134,636 | $0 | SUPPORT MISSION |
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | ||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | 501(C)(3) | $8,646 | $0 | SUPPORT MISSION |
| CAREFLIGHT OF THE ROCKIES LLC | ||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 473525381 | LIMITED LIABILITY CO | $19,429 | $0 | SUPPORT MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|
| HUMANITARIAN GRANT | 5 | $3,661 | $0 |
| SCHOLARSHIPS | 7 | $10,500 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UPON APPROVAL OF THE TRANSFER OF FUNDS FROM THE ST. MARY'S HOSPITAL FOUNDATION TO ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., THE ST. MARY'S HOSPITAL FINANCE DEPARTMENT RECORDS THE FUNDS TO THE PROPER DEPARTMENT WITHIN THE HOSPITAL FOR USE AS AN OFFSET TO THE EXPENSES THAT HAVE BEEN INCURRED, OR TO CAPITAL. THE TRANSFERS ARE RECONCILED BETWEEN THE HOSPITAL AND THE FOUNDATION QUARTERLY. THE RECONCILIATIONS ARE REVIEWED BY MANAGERS AT THE HOSPITAL AND SYSTEM OFFICE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN JOHNSON | ||||||||||||||
| TRUSTEE/SMHMC CEO | $0 | $554,316 | $0 | $175,097 | $0 | $60,351 | $0 | $265,522 | $0 | $29,844 | $0 | $1,085,130 | $0 | $228,386 |
| ASHLEY THUROW | ||||||||||||||
| TRUSTEE/SMHMC VP FINANCE (PARTIAL) | $0 | $216,179 | $0 | $45,519 | $0 | $703 | $0 | $11,067 | $0 | $18,290 | $0 | $291,758 | $0 | $45,519 |
| CARMEN SHIPLEY | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $147,288 | $0 | $16,668 | $0 | $1,914 | $0 | $37,243 | $0 | $32,363 | $0 | $235,476 | $0 | $16,668 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS. |
| PART I, LINE 4B | PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLAN STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: BRYAN JOHNSON - $56,888. |
| ADDITIONAL OFFICER AND BOARD DISCLOSURES: | THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50,375 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK QUOTE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EVENT ITEMS | Desc |
| Contribution | 163 | ContributionCnt |
| Noncash Contributions Rpt F990 | $33,682 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A | EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
| FORM 990, PART V, LINE 2A | EXPLANATION FOR NUMBER REPORTED ON FORM W-3: THE ORGANIZATION LEASES EMPLOYEES FROM A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED W-3 AND RELATED W-2 TAX FORMS FOR THESE INDIVIDUALS. ACCORDING TO THE FORM 990 INSTRUCTIONS FOR PART IX, WE REFLECT THE LEASED EMPLOYEE'S COMPENSATION ON THE FORM 990, PART IX AS IF THE ORGANIZATION COMPENSATES THESE INDIVIDUALS. |
| FORM 990, PART VI, SECTION A, LINE 2 | ASHELY THUROW / BRYAN JOHNSON / CARMEN SHIPLEY - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC., A RELATED TAX-EXEMPT ORGANIZATION). ANTHONY RESTIVO / CARMEN SHIPLEY - BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., (SMHMC) IS THE SOLE MEMBER OF ST. MARY'S HOSPITAL FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., THE SOLE MEMBER OF ST. MARY'S HOSPITAL FOUNDATION, APPROVES TRUSTEES OF ST. MARY'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF TRUSTEES AND THE PRESIDENT/CEO. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY (A RELATED NONPROFIT ORGANIZATION), IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - CHIEF EXECUTIVE OFFICER - EXECUTIVE DIRECTOR THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH OFFICER LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. THE PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ST. MARY'S HOSPITAL FOUNDATION DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P11734936-P11333642-P11768080.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. |
| FORM 990, PART VII, SECTION B | INDEPENDENT CONTRACTORS: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE SPLIT - INT AGREEMENT 2,127. PV CONTRIBUTION ADJUSTMENT -7,241. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | KS | 501(C)(3) | LINE 12C, III-FI | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| SCL HEALTH FOUNDATION | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823290526 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | SCLHS | Yes (1) | |
| SCL HEALTH RESEARCH INSTITUTE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 852014794 | MEDICAL RESEARCH | CO | 501(C)(3) | LINE 4 | SCLHS | Yes (1) | |
| INTEGRITY HEALTH | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 840482695 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | INTEGRITY HEALTH | Yes (1) | |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | Yes (1) | |
| MOUNT ST VINCENT HOME INC | |||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | LINE 10 | SCLHS | Yes (1) | |
| NJH-SJH INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 471194849 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | CO | 501(C)(3) | LINE 12A, I | SCLHS | Yes (1) | |
| SAINT JOSEPH HOSPITAL INC | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| SAINT JOSEPH HOSPITAL FOUNDATION | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | SAINT JOSEPH HOSPITAL INC | Yes (1) | |
| INTERMOUNTAIN FRONT RANGE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | INTEGRITY HEALTH | Yes (1) | |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | |||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | INTERMOUNTAIN FRONT RANGE INC | Yes (1) | |
| LUTHERAN MEDICAL CENTER FOUNDATION | |||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | INTERMOUNTAIN FRONT RANGE INC | Yes (1) | |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| CARITAS CLINICS INC | |||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| HOLY ROSARY HEALTHCARE | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 810231792 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | HOLY ROSARY HEALTHCARE | Yes (1) | |
| ST JAMES HEALTHCARE | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| ST JAMES HEALTHCARE FOUNDATION INC | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | ST JAMES HEALTHCARE | Yes (1) | |
| SCL HEALTH - MONTANA | |||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) | |
| ST VINCENT HEALTHCARE FOUNDATION INC | |||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | LINE 7 | SCL HEALTH - MONTANA | Yes (1) | |
| INTERMOUNTAIN HEALTH CARE INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 870269232 | HOLDING COMPANY | UT | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 942853320 | COMMUNITY HEALTH | UT | 501(C)(3) | LINE 12B, II | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| SELECTHEALTH INC | |||||||||||
| 5381 GREEN STREET | MURRAY | UT | 84123 | 870409820 | DELIVERY OF HEALTH BENEFITS | UT | 501(C)(4) | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | ||
| INTERMOUNTAIN HEALTH CARE RETIREE VEBA | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 742675605 | RETIREE BENEFIT | UT | 501(C)(9) | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | ||
| INTERMOUNTAIN HEALTHCARE FOUNDATION INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 800225150 | COMMUNITY HEALTH | UT | 501(C)(3) | LINE 7 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC | |||||||||||
| 6355 SOUTH BUFFALO | LAS VEGAS | NV | 89113 | 200160881 | HOLDING COMPANY | DE | 501(C)(3) | LINE 3 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| IHC HEALTH SERVICES INC | |||||||||||
| 36 S STATE STREET SUITE 2200 | SALT LAKE CITY | UT | 84111 | 942854057 | HEALTHCARE | UT | 501(C)(3) | LINE 3 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCLH-GI ENDOSCOPY HOLDINGS LLC | ||||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OUTPATIENT ENDOSCOPY | CO | N/A | 0 | 0 | |
| SCLTDI JV LLC | ||||||||||
| 4200 SIX FORKS ROAD SUITE 1000 | RALEIGH | NC | 27609 | 472294770 | RADIOLOGY | DE | N/A | 0 | 0 | |
| ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) | ||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | N/A | 0 | 0 | |
| SUMMIT SURGERY CENTER LLC | ||||||||||
| 434 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810536068 | OUTPATIENT SURGERY | MT | N/A | 0 | 0 | |
| GRAND VALLEY SURGICAL CENTER LLC | ||||||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OUTPATIENT SURGERY | CO | N/A | 0 | 0 | |
| HEALTHCARE MANAGEMENT LLC | ||||||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | N/A | 0 | 0 | |
| MONUMENT HEALTH LLC | ||||||||||
| 744 HORIZON CT STE 260 | GRAND JUNCTION | CO | 81506 | 474424617 | HEALTH CARE NETWORK | CO | N/A | 0 | 0 | |
| PAVILION IMAGING LLC | ||||||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | N/A | 0 | 0 | |
| SAN JUAN CANCER CENTER LLC | ||||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OUTPATIENT CANCER | CO | N/A | 0 | 0 | |
| CAREFLIGHT OF THE ROCKIES LLC | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | N/A | 0 | 0 | |
| MED-MAP LLC | ||||||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | N/A | 0 | 0 | |
| YELLOWSTONE SURGERY CENTER LLC | ||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OUTPATIENT SURGERY | MT | N/A | 0 | 0 | |
| GALLATIN VALLEY SURGERY CENTER LLC | ||||||||||
| 2825 WEST MAIN STREET SUITE C | BOZEMAN | MT | 59718 | 882505265 | OUTPATIENT SURGERY | MT | N/A | 0 | 0 | |
| FIRST FLIGHT OF WYOMING LLC | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 921785143 | MEDICAL AIR TRANSPORT | CO | N/A | 0 | 0 | |
| MCKAY DEE SURGICAL CENTER LLC | ||||||||||
| 3895 HARRISON BLVD STE 200 | OGDEN | UT | 84403 | 260286308 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| GRANDEUR PEAK INTERNATIONAL STALWARTS LP | ||||||||||
| 136 S MAIN STREET STE 720 | SALT LAKE CITY | UT | 84101 | 475468723 | INVESTMENTS | DE | N/A | 0 | 0 | |
| INNOVATION FUND HOLDINGS COMPANY LLC | ||||||||||
| 1000 WEST FULTON STREET STE 213 | CHICAGO | IL | 60607 | 471525723 | INNOVATION | DE | N/A | 0 | 0 | |
| HEALTHBOX SALT LAKE CITY I LLC | ||||||||||
| 33 WEST MONROE STREET STE 1700 | CHICAGO | IL | 60603 | 465338772 | INNOVATION | DE | N/A | 0 | 0 | |
| INTERMOUNTAIN VENTURES FUND LLC | ||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 844037085 | INVESTMENTS | DE | N/A | 0 | 0 | |
| PELION OPPORTUNITY FUND III LLC | ||||||||||
| 2750 E COTTONWOOD PARKWAY STE 600 | SALT LAKE CITY | UT | 84121 | 842757193 | INVESTMENTS | DE | N/A | 0 | 0 | |
| AACP KOREA BUYOUT INVESTORS II LP | ||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 824971663 | INVESTMENTS | N/A | 0 | 0 | CJ | |
| AACP SPECIAL SITUATIONS II LP | ||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 832883726 | INVESTMENTS | N/A | 0 | 0 | CJ | |
| AACP KOREA BUYOUT INVESTORS IV LP | ||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 981549044 | INVESTMENTS | N/A | 0 | 0 | CJ | |
| LOGAN SURGERY CENTER LLC | ||||||||||
| 1300 NORTH 500 EAST | LOGAN | UT | 84341 | 861965725 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| ST GEORGE SURGERY CENTER LLC | ||||||||||
| 652 SOUTH MEDICAL CENTER DRIVE | ST GEORGE | UT | 84790 | 853880188 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| SALTZER ASC TEN MILE LLC | ||||||||||
| 875 S VANGUARD WAY SUITE 120 | MERIDIAN | ID | 83642 | 845119941 | OUTPATIENT SURGERY | ID | N/A | 0 | 0 | |
| NORTHPOINTE SURGICAL CENTER LLC | ||||||||||
| 2326 NORTH 400 EAST STE 100 | TOOELE | UT | 84074 | 461487986 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP | ||||||||||
| 5 GREENWICH OFFICE PARK THIRD FLOOR | GREENWICH | CT | 06831 | 853942801 | INVESTMENTS | DE | N/A | 0 | 0 | |
| MURRAY SURGERY CENTER LLC | ||||||||||
| 5848 SOUTH FASHION BOULEVARD | MURRAY | UT | 84107 | 873940183 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| PROVO SURGERY CENTER LLC | ||||||||||
| 1157 NORTH 300 WEST | PROVO | UT | 84604 | 873623664 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| SARATOGA SPRINGS SURGERY CENTER LLC | ||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 873875864 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| PARK CITY SURGERY CENTER LLC | ||||||||||
| 900 ROUND VALLEY DRIVE | PARK CITY | UT | 84060 | 844898736 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| PARK CITY SURGICAL CENTER REAL ESTATE LLC | ||||||||||
| 900 ROUND VALLEY DRIVE | PARK CITY | UT | 84060 | 862568233 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| CDHC 3 LLC | ||||||||||
| 265 N COUNTRY MANOR LANE | ALPINE | UT | 84004 | 873215157 | INVESTMENTS | UT | N/A | 0 | 0 | |
| ARK GLOBAL EMERGING COMPANIES LP | ||||||||||
| 22 EAST 100 SOUTH 3RD FLOOR | SALT LAKE CITY | UT | 84111 | 823044843 | INVESTMENTS | UT | N/A | 0 | 0 | |
| PELION OPPORTUNITY FUND IV LLC | ||||||||||
| 14761 S FUTURE WAY SUITE 500 | SALT LAKE CITY | UT | 84020 | 853909188 | INVESTMENTS | UT | N/A | 0 | 0 | |
| LAYTON SURGERY CENTER LLC | ||||||||||
| 265 EAST LAYTON PARKWAY | LAYTON | UT | 84041 | 923229013 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| RIVERTON SURGERY CENTER LLC | ||||||||||
| 3773 WEST 12600 SOUTH SUITE 301 | RIVERTON | UT | 84065 | 991058501 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| EAR NOSE & THROAT SURGERY CENTER OF UTAH LLC | ||||||||||
| 9450 SOUTH 1300 EAST SUITE 100 | SANDY | UT | 84094 | 201547733 | OUTPATIENT SURGERY | UT | N/A | 0 | 0 | |
| AE CO-INVESTMENT PARTNERS FUND III-F LP | ||||||||||
| 6700 BROKEN SOUND PKWY NW | BOCA RATON | FL | 33487 | 331693433 | INVESTMENTS | FL | N/A | 0 | 0 | |
| TELLICA IMAGING - MASSACHUSETTS LLC | ||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 934833500 | IMAGING | DE | N/A | 0 | 0 | |
| GRANDEUR PEAK GLOBAL OPPORTUNITIES LP | ||||||||||
| 136 SOUTH MAIN STREET SUITE 720 | SALT LAKE CITY | UT | 84101 | 455225518 | INVESTMENTS | UT | N/A | 0 | 0 | |
| AACP AUSTRALIA BUYOUT INVESTORS III LP | ||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 981743664 | INVESTMENTS | UT | N/A | 0 | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARENT LABORATORY SOLUTIONS LLC | |||||||||||||
| 22240 COUNTRY ROAD 39 | LASALLE | CO | 80645 | 320557616 | MEDICAL LABORATORY | CO | N/A | C | Yes (1) | ||||
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | N/A | C | Yes (1) | ||||
| WEST END ASSOCIATION INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 854261243 | REAL ESTATE MANAGEMENT | MT | N/A | C | Yes (1) | ||||
| MOUNTAIN WEST HEALTH CAPTIVE | |||||||||||||
| 980370522 | INSURANCE | N/A | C | Yes (1) | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN KY | CJ | CJ | |||||
| ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 463632053 | HEALTHCARE | MT | N/A | C | Yes (1) | ||||
| SELECTHEALTH BENEFIT ASSURANCE COMPANY | |||||||||||||
| 5381 GREEN STREET | MURRAY | UT | 84123 | 870497549 | DELIVERY OF HEALTH BENEFITS | UT | N/A | C | Yes (1) | ||||
| HEALTHCARE CAPTIVE INSURANCE COMPANY | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 201937561 | INSURANCE | AZ | N/A | C | Yes (1) | ||||
| ALLUCEO INC | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 824614934 | MENTAL HEALTH INTEGRATION SERVICES | DE | N/A | C | Yes (1) | ||||
| SALTZER MEDICAL GROUP INC | |||||||||||||
| 215 EAST HAWAII AVENUE | NAMPA | ID | 83686 | 820299231 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| CLASSIC MEDICAL INC | |||||||||||||
| 1021 SOUTH DOUGLAS STREET | SALT LAKE CITY | UT | 84105 | 461141912 | AIRCRAFT HOLDING COMPANY | UT | N/A | C | Yes (1) | ||||
| CLASSIC HELICOPTERS INC | |||||||||||||
| 1021 SOUTH DOUGLAS STREET | SALT LAKE CITY | UT | 84105 | 461153642 | AIRCRAFT HOLDING COMPANY | UT | N/A | C | Yes (1) | ||||
| CULMINATION BIO INC | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 365016511 | BIOREPOSITORY | DE | N/A | C | Yes (1) | ||||
| CAN YOU PLAY INC | |||||||||||||
| 1541 SOUTH 120 EAST | FARMINGTON | UT | 84025 | 880846977 | SOFTWARE DEVELOPMENT | UT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| B | $2,660,971 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| C | $1,090,984 | FMV |
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | ||
| M | $333,806 | FMV |
| SCL HEALTH RESEARCH INSTITUTE INC | ||
| B | $134,636 | FMV |