THE PHYSICIAN NETWORK: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- THE PHYSICIAN NETWORK (EIN 47-0780857)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349306590
- Schema version
- 2011v1.2
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T17:00:09-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470617373 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470780857 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PHYSICIAN NETWORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PHYS | NameControl |
| Phone | 4024210896 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Q STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 685033610 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENT RECKEWEY | Name |
| Title | VICE CHAIR/PRESIDENT | Title |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAMELA KROHN | Name |
| PTIN | P01210500 | PTIN |
| Phone | 3032989100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENT RECKEWEY | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Q STREET SUITE 500 | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 685033610 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 145828072 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.THEPHYSICIANNETWORKONLINE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ACCESS TO QUALITY, SERVICE-ORIENTED, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY THROUGH PHYSICIAN SERVICES - CLINICS(FAMILY HEALTH, INTERNALIST, OB, ENT), CARDIOLOGY, EMERGENCY, URGENT, HOSPITALIST, & NEONATOLOGIST. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 774 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 36163 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -2552 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8413593 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 45300040 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62264515 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 97363427 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18388 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1435 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1785719 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3110503 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 72482215 | TotalRevenuePriorYear |
| Total Revenue Current Year | 145775405 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 401 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 25497 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 57909059 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 98728508 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14909825 | OtherExpensePriorYear |
| Other Expenses Current Year | 29267683 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 72819285 | TotalExpensesPriorYear |
| Total Expenses Current Year | 128021688 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -337070 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17753717 | RevenuesLessExpensesCY |
| Total Assets BOY | 14602548 | TotalAssetsBOY |
| Total Assets EOY | 41948309 | TotalAssetsEOY |
| Total Liabilities BOY | 12496545 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22223902 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2106003 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19724407 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE PHYSICIAN NETWORK WILL PROVIDE CONVENIENT, PATIENT ACCESS TO QUALITY, SERVICE-ORIENTED, COST EFFECTIVE CARE. THROUGH THE EFFORTS OF OUR PHYSICIANS AND STAFF, THE PHYSICIAN NETWORK WILL INCREASE REGIONAL MARKET SHARE AND MAINTAIN OUR LEADERSHIP POSITION IN AN INCREASINGLY COMPLEX AND COMPETITIVE HEALTHCARE ENVIRONMENT. WE WILL WORK TO CREATE A HEALTHIER COMMUNITY, RESPOND APPROPRIATELY TO PATIENT NEEDS, BECOME A WORK COMMUNITY OF CHOICE, AND WILL MAKE THE HEALING POWER AND PRESENCE OF CHRIST VISIBLE AND TANGIBLE IN THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 113467139 | Expense |
| Grants | 25497 | Grants |
| Revenue | 97363427 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 113467139 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 125 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 774 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAN UDEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4023282005 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Q STREET SUITE 500 | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 685033610 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KENT RECKEWEY | |||||||
| BOARD VICE CHAIR/PRESIDENT | 60.00 | X | X | 600104 | 0 | 36362 | |
| KIM BROWN | |||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| BARRY SANDSTROM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JANICE SHERIDAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KAY MARESH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KENT THOMPSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAMELA WESTERLING | |||||||
| BOARD MEMBER/EMERGENCY MEDICINE | 60.00 | X | 226307 | 0 | 31367 | ||
| ROBERT LANIK | |||||||
| PRESIDENT/CEO-CHI NEBRASKA | 1.00 | X | 0 | 882209 | 46446 | ||
| ROBERT R SHAFFER MD | |||||||
| Board Member/Anesthesiologist | 60.00 | X | 540775 | 25125 | 39064 | ||
| THOMAS TYE II | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TIMOTHY STIVRINS | |||||||
| BOARD MEMBER/INTERNAL MEDICINE-GENERAL | 60.00 | X | 233972 | 0 | 40071 | ||
| TRACI RAUCH | |||||||
| BOARD MEMBER/ANESTHESIOLOGIST | 60.00 | X | 468354 | 0 | 38594 | ||
| ALAN UDEN | |||||||
| CHIEF FINANCIAL OFFICER | 60.00 | X | 199488 | 0 | 46575 | ||
| BARRY HOOVER | |||||||
| CHIEF MEDICAL OFFICER | 60.00 | X | 335960 | 0 | 49114 | ||
| MICHAEL RONNING | |||||||
| BOARD SECRETARY/CHIEF ADMINISTRATIVE OFFICER | 60.00 | X | 162077 | 0 | 36385 | ||
| TERRY ROGERS | |||||||
| CHIEF OPERATING OFFICER | 60.00 | X | 209496 | 3500 | 32305 | ||
| KEVIN YIEE | |||||||
| PHYSICIAN | 60.00 | 744255 | 0 | 30839 | X | ||
| MARK W SCHANBACHER MD | |||||||
| Physician | 60.00 | 512050 | 21421 | 32969 | X | ||
| MEHMET COPUR | |||||||
| Physician | 60.00 | 498089 | 253356 | 34859 | X | ||
| NAGIB TOUBIA | |||||||
| Physician | 60.00 | 505666 | 155610 | 29312 | X | ||
| THOMAS TEGT | |||||||
| PHYSICIAN-ENT TEGT | 60.00 | 669873 | 0 | 35722 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5906466 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1341221 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 559984 | TotalOtherCompensation |
| Number Individuals GT100 K | 136 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | CONTRACT PHYSICIAN SERVICES | 928351 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | CONTRACT PHYSICIAN SERVICES | 660961 |
| VISTA STAFFING SOLUTIONS | |||||
| 275 E 200 S | SALT LAKE CITY | UT | 841112002 | CONTRACT PHYSICIAN SERVICES | 378498 |
| SOUTHEAST NEBRASKA MOBILE DIAGNOSTIC SERVICES | |||||
| 245 S 84TH ST STE 111 | LINCOLN | NE | 685102601 | MOBILE DIAGNOSTIC SERVICES | 173495 |
| EMDEON BUSINESS SERVICES | |||||
| 12016 COLLECTION CENTER DR | CHICAGO | IL | 606930120 | BILLING SERVICES | 139427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 45299788 | RelatedOrganizations |
| All Other Contributions | 252 | AllOtherContributions |
| Total Contributions | 45300040 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 84726911 | 84726911 |
| INCOME GUARANTEES | 900099 | 7237000 | 7237000 |
| PHYSICAL/OCCUPATIONAL THERAPY | 900099 | 1775563 | 1775563 |
| EMERGENCY MEDICAL SERVICES | 621910 | 1137442 | 1137442 |
| MEDICAL SERVICES | 621300 | 1978513 | 1978513 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 507998 | TotalRevenueColumn |
| Related Or Exempt Function Income | 507998 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 97363427 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33332 | TotalRevenueColumn |
| Exclusion | $33,332 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 20770 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 52667 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -31897 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -31897 | TotalRevenueColumn |
| Exclusion | -$31,897 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| DIRECTOR FEES | 541610 | 1561977 | $1,561,977 |
| REIMBURSEMENT OF EXPENSES | 900099 | 674288 | $674,288 |
| SERVICES SOLD | 900099 | 288557 | $288,557 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 585681 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 36163 | UnrelatedBusinessRevenue |
| Exclusion | $549,518 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3110503 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145775405 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97363427 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 36163 | UnrelatedBusinessRevenue |
| Exclusion | $3,075,775 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25497 | Total |
| Program Services | 25497 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2858425 | Total |
| Program Services | 1279502 | ProgramServices |
| Management And General | 1578923 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80766737 | Total |
| Program Services | 75370640 | ProgramServices |
| Management And General | 5396097 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3597303 | Total |
| Program Services | 3346336 | ProgramServices |
| Management And General | 250967 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7360487 | Total |
| Program Services | 6812546 | ProgramServices |
| Management And General | 547941 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4145556 | Total |
| Program Services | 3772091 | ProgramServices |
| Management And General | 373465 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13721 | Total |
| Management And General | 13721 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37832 | Total |
| Management And General | 37832 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8061112 | Total |
| Program Services | 5893777 | ProgramServices |
| Management And General | 2167335 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358683 | Total |
| Program Services | 202741 | ProgramServices |
| Management And General | 155942 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2563541 | Total |
| Program Services | 1693085 | ProgramServices |
| Management And General | 870456 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96697 | Total |
| Management And General | 96697 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4699418 | Total |
| Program Services | 3937116 | ProgramServices |
| Management And General | 762302 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1122470 | Total |
| Program Services | 929636 | ProgramServices |
| Management And General | 192834 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226792 | Total |
| Program Services | 177399 | ProgramServices |
| Management And General | 49393 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1677 | Total |
| Program Services | 1677 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1047948 | Total |
| Management And General | 1047948 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2241658 | Total |
| Program Services | 1696915 | ProgramServices |
| Management And General | 544743 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1383928 | Total |
| Program Services | 1364293 | ProgramServices |
| Management And General | 19635 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 2143901 | 2143901 | |
| DUES & SUBSCRIPTIONS | 282053 | 252452 | 29601 |
| MEDICAL SUPPLIES | 3594763 | 3594763 | |
| REPAIRS AND MAINTENANCE | 750837 | 746317 | 4520 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 640652 | Total |
| Program Services | 226455 | ProgramServices |
| Management And General | 414197 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128021688 | Total |
| Program Services | 113467139 | ProgramServices |
| Management And General | 14554549 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2075 | BOY |
| EOY | 5599 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1229101 | BOY |
| EOY | 1624699 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5039864 | BOY |
| EOY | 11391580 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26510 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42749 | BOY |
| EOY | 38839 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1334913 | BOY |
| EOY | 1401818 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 26828938 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5960188 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1815386 | BOY |
| EOY | 20868750 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 685535 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5111950 | BOY |
| EOY | 5931489 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14602548 | BOY |
| EOY | 41948309 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6150514 | BOY |
| EOY | 12342856 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6346031 | BOY |
| EOY | 9881046 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12496545 | BOY |
| EOY | 22223902 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2106003 | BOY |
| EOY | 19724407 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2106003 | BOY |
| EOY | 19724407 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14602548 | BOY |
| EOY | 41948309 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17753717 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -135313 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (5 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| NEBRASKA HEART HOSPITAL | |||||
| 392031968 | 3 | true | true | true | $0 |
| GOOD SAMARITAN HOSPITAL | |||||
| 470379755 | 3 | true | true | true | $0 |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | |||||
| 470379836 | 3 | true | true | true | $0 |
| SAINT FRANCIS MEDICAL CENTER | |||||
| 470376601 | 3 | true | true | true | $0 |
| ST MARY'S COMMUNITY HOSPITAL | |||||
| 470443636 | 3 | true | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 5 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12418615 | OtherCostOrOtherBasis |
| Depreciation | 344962 | Depreciation |
| Book Value | 12073653 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1724415 | OtherCostOrOtherBasis |
| Depreciation | 1289012 | Depreciation |
| Book Value | 435403 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10790553 | OtherCostOrOtherBasis |
| Depreciation | 4252230 | Depreciation |
| Book Value | 6538323 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1895355 | OtherCostOrOtherBasis |
| Depreciation | 73984 | Depreciation |
| Book Value | 1821371 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20868750 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CASH SURRENDER VALUE - PRINCIPAL 457(B) PLAN | 5624052 |
| ALLIANCE | 219687 |
| INTERCOMPANY RECEIVABLES | 82995 |
| OTHER ASSETS | 4755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5931489 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ALLIANCE & PRINCIPAL 457(B) PLAN LIABILITIES | $5,887,704 |
| UNCLAIMED PROPERTY | $47,844 |
| RURAL MEDICAID SETTLEMENT | $1,015,454 |
| INTERCOMPANY PAYABLES | $2,930,044 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9881046 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | THE PHYSICIAN NETWORK'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | THE ORGANIZATION MAKES GRANTS TO SUPPORT THE GENERAL PROGRAMS OF VARIOUS CHARITABLE ORGANIZATIONS. THEREFORE NO PROCEDURES ARE IN PLACE TO MONITOR THE USE OF GRANT FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN UDEN | |||||||||||||
| 167900 | 0 | 30279 | 0 | 1309 | 0 | 26437 | 0 | 20138 | 0 | 246063 | 0 | 0 | 0 |
| BARRY HOOVER | |||||||||||||
| 261005 | 0 | 48365 | 0 | 26590 | 0 | 30028 | 0 | 19086 | 0 | 385074 | 0 | 0 | 0 |
| KENT RECKEWEY | |||||||||||||
| 467717 | 0 | 121911 | 0 | 10476 | 0 | 30028 | 0 | 6334 | 0 | 636466 | 0 | 0 | 0 |
| KEVIN YIEE | |||||||||||||
| 655046 | 0 | 87536 | 0 | 1673 | 0 | 20228 | 0 | 10611 | 0 | 775094 | 0 | 0 | 0 |
| MARK W SCHANBACHER MD | |||||||||||||
| 476222 | 0 | 29590 | 0 | 6238 | 21421 | 20228 | 0 | 12741 | 0 | 545019 | 21421 | 0 | 0 |
| MEHMET COPUR | |||||||||||||
| 495223 | 166365 | 0 | 0 | 2866 | 86991 | 27578 | 0 | 0 | 7281 | 525667 | 260637 | 0 | 0 |
| MICHAEL RONNING | |||||||||||||
| 136747 | 0 | 24702 | 0 | 628 | 0 | 14464 | 0 | 21921 | 0 | 198462 | 0 | 0 | 0 |
| NAGIB TOUBIA | |||||||||||||
| 494478 | 155463 | 10000 | 0 | 1188 | 147 | 0 | 20228 | 6253 | 2831 | 511919 | 178669 | 0 | 0 |
| PAMELA WESTERLING | |||||||||||||
| 224091 | 0 | 0 | 0 | 2216 | 0 | 18463 | 0 | 12904 | 0 | 257674 | 0 | 0 | 0 |
| ROBERT LANIK | |||||||||||||
| 0 | 532784 | 0 | 194611 | 0 | 154814 | 0 | 32478 | 0 | 13968 | 0 | 928655 | 0 | 81987 |
| ROBERT R SHAFFER MD | |||||||||||||
| 491442 | 0 | 47732 | 0 | 1601 | 25125 | 20228 | 0 | 18836 | 0 | 579839 | 25125 | 0 | 0 |
| TERRY ROGERS | |||||||||||||
| 175984 | 0 | 31356 | 0 | 2156 | 3500 | 23070 | 0 | 9235 | 0 | 241801 | 3500 | 0 | 0 |
| THOMAS TEGT | |||||||||||||
| 463226 | 0 | 201308 | 0 | 5339 | 0 | 22678 | 0 | 13044 | 0 | 705595 | 0 | 0 | 0 |
| TIMOTHY STIVRINS | |||||||||||||
| 162422 | 0 | 66903 | 0 | 4647 | 0 | 26405 | 0 | 13666 | 0 | 274043 | 0 | 0 | 0 |
| TRACI RAUCH | |||||||||||||
| 422654 | 0 | 43333 | 0 | 2367 | 0 | 22678 | 0 | 15916 | 0 | 506948 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | COMPENSATION FOR THE PRESIDENT AND EXECUTIVES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE CEO OF CHI NEBRASKA (TPN'S SOLE CORPORATE MEMBER) AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. |
| SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS | SCHEDULE J, PART I, LINE 4A | 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2011 CALENDAR YEAR. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | PRIOR TO THE 2009 CALENDAR YEAR, SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. ELIGIBILITY WAS LIMITED TO CERTAIN VICE PRESIDENTS. THE PLAN CONTRIBUTED 5% OF SALARY INTO A DEFERRED INCOME ACCOUNT MANAGED BY ALLIANCE BENEFIT GROUP. THE PLAN WAS FROZEN AT THE BEGINNING OF 2009. IN ADDITION, THE PHYSICIAN NETWORK ("TPN") HAS MAINTAINED A SPLIT DOLLAR LIFE INSURANCE POLICY FOR CERTAIN PHYSICIANS SINCE CALENDAR YEAR 2009. NO BENEFITS OR ALLOWANCES EXIST OTHER THAN THE MINIMUM PREMIUMS PAID TO MAINTAIN THE POLICIES. DURING 2011 PREMIUMS WERE PAID ON BEHALF OF THE FOLLOWING REPORTABLE INDIVIDUALS: TIMOTHY STIVRINS - $2,102 DURING THE 2011 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: ROBERT LANIK DURING 2011 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: ROBERT LANIK - $81,987 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2011 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN PART VII AND SCHEDULE H, PART II, COLUMN (III) OTHER REPORTABLE COMPENSATION. DURING 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $45,883 |
| Compensation contingent on revenues of the organization | Schedule J, Part I, Line 5a | TPN PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET COLLECTED REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET COLLECTED REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET COLLECTED REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN IN EXCESS OF A THRESHOLD. ADDITIONALLY, PHYSICIANS SUPERVISING MID-LEVEL PROVIDERS RECEIVE COMPENSATION IN AN AMOUNT EQUAL TO 50% OF THE NET COLLECTED PROFESSIONAL REVENUE OF THE MIDLEVEL PROVIDERS SUPERVISED REDUCED BY THE COST OF THE COMPENSATION AND BENEFITS FOR THOSE MIDLEVEL PROVIDERS. TOTAL PHYSICIAN COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF TPN FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. |
| Compensation contingent on net earnings of the organization | Schedule J, Part I, Line 6a | TPN PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED ON "NET INCOME." "NET INCOME" WAS NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET REVENUE OR ORGANIZATIONAL "NET INCOME." RATHER, AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S INDIVIDUAL CONTRIBUTION COMPUTED AS: PHYSICIAN "NET COLLECTED REVENUE" (FOR SERVICES RENDERED BY THE PHYSICIAN TO PATIENTS PERSONALLY) LESS "PHYSICIAN PRACTICE EXPENSES" (WHICH INCLUDE COSTS ASSOCIATED WITH THAT PHYSICIAN'S PROFESSIONAL PRACTICE). PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF TPN FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. PHYSICIAN INCENTIVE COMPENSATION IS SUBJECT TO A CAP THAT SHALL NOT EXCEED 5% OF THE PHYSICIAN'S TOTAL COMPENSATION TO ENSURE COMPENSATION IS AT FAIR MARKET VALUE. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMPSON REALTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | K. THOMPSON - BOARD MEMBER | Relationship |
| Amount Of Transaction | 660847 | AmountOfTransaction |
| Description Of Transaction | RENTAL OF PROPERTY | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New program services | Form 990, Part III, Line 2 | ON AUGUST 1, 2011, THE PHYSICIAN NETWORK (TPN) PURCHASED THE ASSETS OF NEBRASKA HEART INSTITUTE AND HIRED THE PROVIDERS UNDER THE NEBRASKA SPECIALITY NETWORK, LLC. ON DECEMBER 1, 2011, TPN PURCHASED THE ASSETS OF AND HIRED THE PROVIDERS OF ASSOCIATED EAR, NOSE, AND THROAT, WHICH EXPANDED TPN'S ENT SERVICES. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: THE MISSION OF THE PHYSICIAN NETWORK IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE THE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. THE PHYSICIAN NETWORK WAS FOUNDED TO PROVIDE PHYSICIAN SERVICES FOR THE COMMUNITY. AS A MEMBER OF CATHOLIC HEALTH INITIATIVES, WE EMBRACE THE MISSION OF A HEALTHY COMMUNITY AND PROVIDE QUALITY CARE FOR THOSE IN NEED. THE PHYSICIAN NETWORK OPERATES, STAFFS, AND MAINTAINS 13 PRIMARY CARE CLINICS, 29 DIFFERENT SPECIALTIES, WHICH HAS 46 CLINICS, AND 4 PHYSICAL THERAPY CLINICS THAT INCREASE THE AVAILABILITY AND ENHANCE THE QUALITY OF MEDICAL SERVICES PROVIDED TO THE LINCOLN, GRAND ISLAND AND KEARNEY COMMUNITIES. DURING FISCAL YEAR 2012, THESE CLINICS HAD 527,322 PROVIDER ENCOUNTERS. IT ALSO PROVIDES AND MAINTAINS THE AVAILABILITY OF QUALIFIED PHYSICIANS AND PHYSICIAN EXTENDERS NECESSARY TO PROVIDE URGENT AND EMERGENCY CARE SERVICES AT HOSPITALS AND EMERGENT CARE FACILITIES. THE 24 HOUR EMERGENCY ROOMS (LOCATED IN LINCOLN, GRAND ISLAND, AND KEARNEY) ARE OPEN 365 DAYS PER YEAR. THEY PARTICIPATE IN MEDICARE AND MEDICAID, AND HAVE AN ACTIVE CHARITY CARE PROGRAM. DURING FISCAL YEAR 2012, THE LINCOLN, GRAND ISLAND, AND KEARNEY, SITES HAD 70,882 PROVIDER ENCOUNTERS. THE THREE URGENT CARE CENTERS ARE LOCATED IN LINCOLN, NE. THEY PROVIDE QUALITY CARE FOR EXTENDED HOURS TO PATIENTS, WITH OR WITHOUT A PRIMARY CARE PHYSICIAN. THEY PARTICIPATE IN MEDICARE AND HAVE AN ACTIVE CHARITY CARE PROGRAM. DURING FISCAL YEAR 2012, THESE CENTERS HAD 39,516 ENCOUNTERS. THE PHYSICIAN NETWORK WAS FOUNDED AND GRANTED TAX EXEMPT STATUS IN 1994. THE BOARD OF DIRECTORS IS COMPRISED OF OFFICERS OF CHI NEBRASKA, A RELATED ORGANIZATION, AND INDEPENDENT COMMUNITY REPRESENTATIVES FROM THE SERVED COMMUNITIES. COMMUNITY BENEFIT APPROACH: THE PHYSICIAN NETWORK CENTRAL OFFICE AND PRIMARY CARE CLINICS ARE LOCATED IN LINCOLN, NE, A CITY WITH A POPULATION OF 258,000. WE SERVE LANCASTER COUNTY, NEBRASKA AND THE SURROUNDING STATES OF IOWA, KANSAS, AND MISSOURI. WE ALSO PROVIDE SPECIALTY SERVICES IN GRAND ISLAND AND KEARNEY, NEBRASKA. THE PHYSICIAN NETWORK PARTICIPATES IN GOVERNMENTAL PROGRAMS (SUCH AS MEDICARE AND MEDICAID), AND HAS AN ACTIVE CHARITY CARE PROGRAM. WE PROVIDE NATURAL FAMILY PLANNING FOR WOMEN OF CHILD BEARING AGE IN A COUPLE CLINIC SITES. THIS SERVICE IS PROVIDED FREE OF CHARGE TO ALL PATIENTS OF THE PRACTICE. THE PHYSICIAN NETWORK PROVIDES SUPPORT TO PEOPLE'S HEALTH CENTER, WHICH SERVES A COMMUNITY THAT IS COMPOSED OF POOR & UNEMPLOYED HOUSEHOLDS. THE PHYSICIAN NETWORK PROVIDES PHYSICIANS FOR THE HOSPITALIST, NEONATOLOGY, PEDIATRIC CARDIOLOGY, RADIATION THERAPY, ANESTHESIA, AND PALLIATIVE CARE PROGRAMS AT CHI NEBRASKA-AFFILIATED HOSPITALS. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY BENEFIT SUMMARY FISCAL YEAR 2012: COMMUNITY BENEFIT FOR THE POOR: COST OF CHARITY CARE PROVIDED - $1,103,548 UNPAID COSTS OF PUBLIC PROGRAMS, MEDICAID & OTHER INDIGENT CARE PROGRAMS - $3,640,079 SUBSIDIZED HEALTH SERVICES - $246,437 OTHER COMMUNITY BENEFIT PROVIDED TO THE POOR - $30,000 UNPAID COSTS OF MEDICARE - $11,584,007 TOTAL COMMUNITY BENEFIT INCLUDING THE UNPAID COSTS OF MEDICARE - $16,604,071 THE PHYSICIAN NETWORK ENCOURAGES OUR ASSOCIATES TO LIVE OUT OUR VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE. THE ASSOCIATES PARTICIPATE IN COMMUNITY BLOOD DRIVES, "ADOPT" FAMILIES IN NEED FOR THE HOLIDAYS, AND COLLECT TOILETRIES AND OTHER NECESSITIES FOR CITY MISSION AND COMMUNITY FOOD DRIVES. |
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | PURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF THE ORGANIZATION IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: - APPROVE MEMBERS OF THE PHYSICIAN NETWORK BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE PHYSICIAN NETWORK - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE PHYSICIAN NETWORK - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE PHYSICIAN NETWORK THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE PHYSICIAN NETWORK - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE PHYSICIAN NETWORK - APPROVAL OF ISSUANCE OF DEBT BY THE PHYSICIAN NETWORK - APPROVAL OF PARTICIPATION OF THE PHYSICIAN NETWORK IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY THE PHYSICIAN NETWORK - APPROVAL OF A MERGER INVOLVING THE PHYSICIAN NETWORK - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE PHYSICIAN NETWORK - TO REQUIRE THE TRANSFER OF ASSETS BY THE PHYSICIAN NETWORK TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE CFO RECEIVES THE FORM 990 FROM THE CHI TAX DEPARTMENT AND REVIEWS THE RETURN WITH THE CEO. THE REVIEWED RETURN IS E-MAILED TO THE FULL BOARD. THE BOARD THEN REVIEWS AND SUBMITS QUESTIONS TO THE BOARD APPOINTED COMMITTEE FOR REVIEW WITH THE CFO. SUBSEQUENT TO THE BOARD APPOINTED COMMITTEE REVIEW THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | THE PHYSICIAN NETWORK ("TPN") HAD IN EFFECT FOR FY 2012 A CONFLICT OF INTEREST POLICY COVERING ALL DIRECTORS AND OFFICERS HOLDING THE TITLE OF VICE PRESIDENT OR ABOVE. THE POLICY PLACES ON EACH DIRECTOR A GENERAL OBLIGATION TO DISCLOSE TO THE CHAIR OF THE BOARD OF DIRECTORS ANY SITUATION THAT MAY CREATE A CONFLICT AS SOON AS THEY BECOME AWARE OF SUCH SITUATION. COVERED OFFICERS MUST MAKE SUCH DISCLOSURES TO THE PRESIDENT AND CEO OF TPN WHO HAS A DUTY TO REPORT SUCH SITUATIONS TO THE BOARD CHAIR. IF ANY DOUBT EXISTS, DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO MAKE A FULL DISCLOSURE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. THE POLICY REQUIRES WRITTEN RECORD OF ALL DISCLOSURES. ADDITIONALLY, ALL DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO, AT LEAST ANNUALLY, COMPLETE, SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE PRESIDENT AND CEO REVIEW THESE STATEMENTS WITH THE BOARD CHAIR. THE BOARD CHAIR OR A DESIGNEE CONDUCTS FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AT THEIR DISCRETION. BASED UPON THE REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHETHER REVIEW, AN APPROVAL, OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION IS KEPT. THE BOARD CHAIR THEN MAKES A REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD. DIFFERENCES OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER OFFICER OR DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED ARE SUBMITTED TO THE EXECUTIVE COMMITTEE TO MAKE A FINAL DETERMINATION AS TO THE MATTER. THE COMMITTEE MINUTES ARE MAINTAINED TO REFLECT THE DETERMINATION INCLUDING ALL RELEVANT FACTS AND CIRCUMSTANCES AND THEN THE MATTER IS REPORTED TO THE BOARD OF DIRECTORS. A DIRECTOR OR OFFICER IS PROHIBITED FROM VOTING OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER UNDER CONSIDERATION. FURTHER, THEY ARE TO BE EXCUSED FROM THE MEETING DURING THE DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. |
| DOCUMENT RETENTION & DESTRUCTION POLICY | FORM 990, PART VI, LINE 14 | THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IT FOLLOWS; HOWEVER, THE POLICY HAD NOT BEEN FORMALLY ADOPTED BY THE BOARD OF DIRECTORS AS OF JUNE 30, 2012. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | COMPENSATION FOR THE PRESIDENT AND EXECUTIVES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE NEBRASKA SYSTEM CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE NEBRASKA SYSTEM CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE PHYSICIAN NETWORK'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINITIATIVES.ORG OR AT WWW.DACBOND.COM. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A | COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -135313; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NEBRASKA SPECIALTY NETWORK LLC | |||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 452094991 | PHYSICIAN SERVICES | NE | -9112891 | 0 | THE PHYSICIAN NETWORK |
| KEARNEY PHYSICIAN NETWORK LLC | |||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 273099496 | PHYSICIAN SERVICES | NE | 0 | 0 | THE PHYSCIAN NETWORK |
| LINCOLN PHYSICIAN NETWORK LLC | |||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 273099451 | URGENT CARE | NE | 80838 | 0 | THE PHYSICIAN NETWORK |
Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||
| 7500 MERCY ROAD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI | true |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | 3 | AHBMHS | true |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| APPLETREE COURT | ||||||||||
| 601 OAK STREET | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR HOMES | MN | 501(C)(3) | 9 | SFH | true |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | true |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | 9 | NA | true |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(C)(3) | 7 | CHIC | true |
| CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | true |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(C)(3) | 9 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | true |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 263946191 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | true |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CNTR | KS | 501(C)(3) | 3 | CHI | true |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PARKWAY | FARGO | ND | 58104 | 271966847 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | 11 - Type I | CHI | true |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI NHC | true |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI | true |
| CHI NEBRASKA | ||||||||||
| 6940 O STREET SUITE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | 11 - Type I | CHI | true |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | 611400619 | LTACH | KY | 501(C)(3) | 3 | SJHS | true |
| COVENANT HOME CARE | ||||||||||
| 1223 POTTSVILLE PIKE | SHOEMAKERSVILLE | PA | 19555 | 232018429 | HOME HEALTH | PA | 501(C)(3) | 11 - Type II | NA | true |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | true |
| FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | FH | true |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(C)(3) | 3 | CHI | true |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1708 SOUTH YAKIMA AVENUE | TACOMA | WA | 98405 | 911939739 | HEALTHCARE | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 SOUTH CHICAGO AVENUE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(C)(3) | 9 | CHI | true |
| GETTYSBURG MEDICAL CENTER | ||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE | SD | 501(C)(3) | 3 | SMHC | true |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | 11 - Type I | CHI | true |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 311778403 | EDUCATION | OH | 501(C)(3) | 2 | GSH | true |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(C)(3) | 11 - Type I | GSH | true |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST STREET | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(C)(3) | 7 | GSH | true |
| HEALTH SET | ||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | 841102943 | LOW INC.CARE | CO | 501(C)(3) | 7 | CHIC | true |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | 11 - Type I | SFMC | true |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 526050777 | HEALTHCARE | MD | 501(C)(3) | 9 | SJMC | true |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| JEWISH PHYSICIAN GROUP INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40215 | 611352729 | HEALTHCARE | KY | 501(C)(3) | 9 | JHSMH | true |
| KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(C)(3) | 9 | CHI | true |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVENUE SOUTH | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | true |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(C)(3) | 7 | MHCS | true |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 6028 SHALLOWFORD ROAD | CHATTANOOGA | TN | 37421 | 030417049 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | true |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | 11 - Type I | CHI-IA CORP | true |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | 2 | CHI-IA CORP | true |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 936088946 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | true |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMH | true |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MHVC | true |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHBMHS | true |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930386868 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MMC | true |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421470935 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MLIFECARES | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431305163 | PROPERTY MGMT | MO | 501(C)(3) | 11 - Type I | SJRMC | true |
| MNMCH INC | ||||||||||
| 220 NORTH PENNSYLVANIA | COLUMBUS | KS | 66725 | 481216238 | HEALTHCARE | KS | 501(C)(3) | 3 | SJRMC | true |
| MT ST JOSEPH INC | ||||||||||
| 3060 SE STARK STREET | PORTLAND | OR | 97214 | 930386870 | NURSING CARE | OR | 501(C)(3) | 9 | CHI | true |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 SOUTH 91ST STREET | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 314 SOUTH 8TH STREET | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH STREET | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | OCH | true |
| PUEBLO STEPUP | ||||||||||
| 1925 EAST ORMAN AVE SUITE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | 7 | CHIC | true |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 825 E PIKES PEAK AVENUE BLDG 29 | COLORADO SPRINGS | CO | 80903 | 841183335 | LTERM CARE | CO | 501(C)(3) | 7 | CHIC | true |
| SAINT CLARE'S COMMUNITY CARE | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(C)(3) | 11 - Type II | SCHS | true |
| SAINT CLARE''S FOUNDATION INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(C)(3) | 7 | SCHS | true |
| SAINT CLARE''S HEALTH SERVICES INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(C)(3) | 7 | CHI | true |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | 3 | SCHS | true |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(C)(3) | 7 | SERMC | true |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(C)(3) | 3 | SERMC | true |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 WEST FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(C)(3) | 7 | SFMC | true |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 424 LEWIS HARGETT CIRCLE 160 | LEXINGTON | KY | 40509 | 611334601 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | true |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 310 EAST NINTH STREET | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| SAINT JOSEPH MEDICAL FOUNDATION INC | ||||||||||
| ONE ST JOSEPH DRIVE | LEXINGTON | KY | 40504 | 311539059 | PHY PRACTICES | KY | 501(C)(3) | 3 | SJHS | true |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 50 STERLING AVENUE | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | SJHHC | true |
| SAMARITAN BEHAVIORAL HEALTH | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45408 | 020633634 | HEALTHCARE | OH | 501(C)(3) | 3 | SHP | true |
| SAMARITAN HEALTH FOUNDATION | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 237296923 | FUNDRAISING | OH | 501(C)(3) | 7 | SHP | true |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 311107411 | HEALTHCARE | OH | 501(C)(3) | 11 - Type I | CHI | true |
| SJMGROUP | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431882377 | PHYS PRACTICE | MO | 501(C)(3) | 9 | SJRMC | true |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 440545809 | HEALTHCARE | MO | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTH | PA | 501(C)(3) | 11 - Type I | CHI | true |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(C)(3) | 11 - Type I | SA HOSPITAL | true |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DRIVE | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | true |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(C)(3) | 3 | CHI | true |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(C)(3) | 11 - Type I | SCH | true |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 930433692 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | true |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 930412495 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST JOHN'S MERCY REGIONAL FOUNDATION | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431308084 | FUNDRAISING | MO | 501(C)(3) | 7 | SJRMC | true |
| ST JOSEPH COMMUNITY HEALTH | ||||||||||
| 300 CENTRAL AVE SW SUITE 3000 | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | 11 - Type I | CHI | true |
| ST JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(C)(3) | 11 - Type I | SJRHN | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521681044 | FUNDRAISING | MD | 501(C)(3) | 7 | SJMC | true |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 520591461 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | true |
| ST JOSEPH PHYSICIAN ENTERPRISES | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521311775 | PHYSICIANS | MD | 501(C)(3) | 11 - Type I | SJMC | true |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | true |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| ST MARY'S HEALTHCARE CENTER | ||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE | SD | 501(C)(3) | 3 | CHI | true |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | 7 | SMH | true |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | 11 - Type I | SVIMC | true |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | true |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | true |
| THE COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | DIALYSIS | OH | 501(C)(2) | N/A | GSH | true |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(C)(3) | 3 | CHI | true |
| THE MERCY HOSPITAL OF DEVILS LAKE FDN | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(C)(3) | 7 | MHDL | true |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 470780857 | PHYS PRACTICE | NE | 501(C)(3) | 11 - Type I | CHI NEBRASKA | true |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(C)(3) | 3 | CHIC | true |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 2ND STREET SE | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | 450226714 | LT CARE | ND | 501(C)(3) | 9 | CHI | true |
| VISITING NURSE ASSOCIATION OF SAINT CLARE'S | ||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Code VCodeVAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | 34991 | -694032 | false | false | 0.501 | |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD SUITE 400 | OMAHA | NE | 68137 | 392045003 | HEALTHCARE | NE | AHBMHS | RELATED | -2862040 | -2537888 | false | false | 0.95 | |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | 57545 | 1013237 | false | true | 0.63 | |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | SJHS | RELATED | false | false | 0.65 | |||
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | NA | RELATED | -92336 | 745068 | false | true | 1 | |
| CENTRAL NEBRASKA REHAB SERVICE | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | 1835812 | 2199571 | false | false | 0.51 | |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | 397241271 | 6272650880 | false | true | 1 | |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | RELATED | -11179 | 3069835 | false | false | 1 | |
| MRI AT ST JOESPH MEDICAL DENTER LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521958002 | MEDICAL IMAGING | MD | SJMC | RELATED | 423167 | 2174155 | false | true | 0.51 | |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | 81071 | 1077536 | false | false | 0.5744 | |
| O'DEA MEDICAL ARTS LIMITED PARTNERSHIP | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521682964 | REAL ESTATE | MD | TOWSON MANAGEMENT INC | RELATED | 111933 | 5418117 | false | false | 0.65122 | |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | CHIC | RELATED | -3249434 | -2760206 | false | false | 0.6 | |
| PENINSULA RADIATION ONCOLOGY | ||||||||||||||
| 315 MARTIN LUTHER KING JR WAY 111 | TACOMA | WA | 98405 | 710799771 | HEALTHCARE SRVC | WA | FHS | RELATED | 135014 | 85985 | false | false | 0.6 | |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | 715094 | 2397488 | false | false | 0.7 | |
| RUXTON SURGICENTER LLC | ||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | SJMC | RELATED | -69345 | 2802932 | false | true | 0.51 | |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | RELATED | false | true | 0.51 | |||
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | 68676 | 446063 | false | true | 0.51 | |
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -130967 | 408090 | false | false | 0.51 | |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | FHS | RELATED | 110986 | 1672098 | false | false | 0.5421 | |
| ST JOSEPH-PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | false | true | 0.625 | |||
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -254775 | 796941 | false | false | 0.51 | $0 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | 393519 | 2214599 | false | true | 0.51 | |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -3676 | 395845 | false | true | 0.51 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | |||||||||||||||||
| 3900 OLYMPIC BOULEVARD SUITE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | CHI | C CORPORATION | 0 | 3267441 | 1 | ||||||
| AMERICAN NURSING CARE | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C CORPORATION | 4648726 | 44654199 | 1 | ||||||
| AMERIMED INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C CORPORATION | 662062 | 11666874 | 1 | ||||||
| BC HOLDING COMPANY INC | |||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | JH | C CORPORATION | 0 | 0 | 1 | ||||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | MHCS | C CORPORATION | 0 | 1008 | 1 | ||||||
| CAPTIVE MANAGEMENT INITIATIVES | |||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | CIRI | TRUST | -2864605 | 2809707 | 1 | ||||||
| CGH REALTY COMPANY INC | |||||||||||||||||
| 215 N 12TH ST | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | SJHM | C CORPORATION | 1 | ||||||||
| COMCARE SERVICES | |||||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | CHIC | C CORPORATION | 0 | 0 | 1 | ||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C CORPORATION | -1525246 | 65844862 | 1 | ||||||
| DAVID DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192395 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | CHI-IA CORP | C CORPORATION | 71497 | 1221667 | 0.9298 | ||||||
| FIRST INITIATIVES INSURANCE LTD | |||||||||||||||||
| 980203038 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| FRANCISCAN SERVICES INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | CHI | C CORPORATION | -5719 | 5837142 | 1 | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI NEBRASKA | C CORPORATION | -165666 | 355110 | 1 | ||||||
| HAROLD W RASE 1995 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 456090420 | INVESTMENTS | ND | SJHHC | TRUST | 1240 | 22148 | 1 | ||||||
| HAROLD W RASE 1996 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037112 | INVESTMENTS | ND | SJHHC | TRUST | 1057 | 15462 | 1 | ||||||
| HAROLD W RASE 1997 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037104 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 20520 | 1 | ||||||
| HAROLD W RASE 1999 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037099 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 25036 | 1 | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C CORPORATION | 102136 | 1443049 | 1 | ||||||
| HEALTHCARE MGMT SERVICES ORG INC | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| JAMES & HENRIETTA NISTLER UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206021899 | INVESTMENTS | ND | SJHHC | TRUST | 692 | 39075 | 1 | ||||||
| JEANNE DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192398 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| JOSEPH A SCHUSTER ANNUITY TRUST #1 | |||||||||||||||||
| 400 UNIVERSITY AVENUE | DES MOINES | IA | 50314 | 421195122 | INVESTMENTS | IA | MFDM | TRUST | 7834 | 416349 | 1 | ||||||
| LODESCA MILLER CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476186933 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| MEDQUEST | |||||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | MMC WILLISTON | C CORPORATION | 151498 | 962554 | 1 | ||||||
| MERCY PARK APARTMENTS LTD | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | CHI-IA CORP | C CORPORATION | 369905 | 1937220 | 1 | ||||||
| MERCY SERVICES CORP | |||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | MMC | C CORPORATION | 0 | 956003 | 1 | ||||||
| MHSERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431457881 | DME | MO | SJRMC | C CORPORATION | -4061 | 0 | 1 | ||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | MHCS | C CORPORATION | -33152 | 4679435 | 1 | ||||||
| NAZARETH ASSURANCE COMPANY | |||||||||||||||||
| 030304831 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C CORPORATION | 479940 | 1 | |||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| RAY & SHIRLEY DAVID 1999 UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037077 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 26110 | 1 | ||||||
| ROBERT & WANDA CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 266191916 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| SAINT CLARE''S PRIMARY CARE INC | |||||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | SCCC | C CORPORATION | -469962 | 1772016 | 1 | ||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | SHP | C CORPORATION | 1 | ||||||||
| SJH SERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | FSI | C CORPORATION | -192777 | 2973858 | 1 | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | SJHS | C CORPORATION | 0 | 0 | 1 | ||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | SAH | C CORPORATION | 92139 | 3007550 | 1 | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | SVIMC | C CORPORATION | 2804485 | 14049374 | 1 | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | FSI | C CORPORATION | 63164 | 11845439 | 1 | ||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | SJHS | C CORPORATION | 882139 | 0.85 | |||||||
| TOM DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192393 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| TOWSON MANAGEMENT INC | |||||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | FSI | C CORPORATION | 266960 | 1 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |