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MERCY MEDICAL CENTER-NEWTON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY MEDICAL CENTER-NEWTON (EIN 42-1470935)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201311339349302061
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T11:00:43-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470617373EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421470935EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY PROFESSIONAL PRACTICE ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone5156437302Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 6th AvenueAddressLine1
CityDes MoinesCity
StateIAState
ZIP Code50314ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVE KUKLAName
TitleDIRECTOR/SVP, CFO MMCTitle
Date Signed2013-05-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePamela KrohnName
PTINP01210500PTIN
Phone7208741500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JACKIE FROST-KUNNENBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11111 6th AvenueAddressLine1
CityDes MoinesCity
StateIAState
ZIP Code50314ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50276148GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A CATHOLIC-SPONSORED NOT-FOR-PROFIT MULTI-SPECIALTY PHYSICIAN PRACTICE WHOSE MISSION IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees124TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13814458ContributionsGrantsPriorYear
Contributions Grants Current Year18527509ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29483596ProgramServiceRevenuePriorYear
Program Service Revenue CY31627687ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year136968OtherRevenuePriorYear
Other Revenue Current Year85752OtherRevenueCurrentYear
Total Revenue Prior Year43435022TotalRevenuePriorYear
Total Revenue Current Year50240948TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34065989SalariesEtcPriorYear
Salaries Etc Current Year36116375SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10880982OtherExpensePriorYear
Other Expenses Current Year13459171OtherExpensesCurrentYear
Total Expenses Prior Year44948971TotalExpensesPriorYear
Total Expenses Current Year49577046TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1513949RevenuesLessExpensesPriorYear
Revenues Less Expenses CY663902RevenuesLessExpensesCY
Total Assets BOY7525422TotalAssetsBOY
Total Assets EOY7796622TotalAssetsEOY
Total Liabilities BOY2636403TotalLiabilitiesBOY
Total Liabilities EOY2236184TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4889019NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5560438NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S MISSION 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 HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense46133682Expense
Grants1500Grants
Revenue31681039Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense46133682TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees124NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Randall L RubinBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5156437860TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11111 6th AvenueAddressLine1
CityDes MoinesCity
StateIAState
ZIP Code50314ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHRIS CHRISTENSEN
Vice Chair1.00XX020629441655
JACQUELINE FROST-KUNNEN
PRESIDENT/CEO/BOARD CHAIR1.00XX043253248592
STEVE KUKLA
DIRECTOR/SVP, CFO MMC, Secretary/Treasurer1.00XX043017843676
CHAD TORSTENSON
DIRECTOR/PHYSICIAN40.00X379676042352
DANIEL DIMEO
DIRECTOR/PHYSICIAN40.00X321122036837
WAEL HAIDAR
DIRECTOR/PHYSICIAN40.00X424854028195
CASS FRANKLIN
PHYSICIAN40.00451415028572X
CHRIS KARAS
PHYSICIAN40.001024691040578X
HENRY NOBLE
PHYSICIAN40.00588133036514X
MIRZA BAIG
PHYSICIAN40.006756779940686X
ROBERT HIRSCHL
PHYSICIAN40.00854246916043062X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4719814TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1078263TotalReportableCompFrmRltdOrgs
Total Other Compensation430719TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633EMERGENCY MEDICAL PROFESSIONAL SERVICES1775100
LABCORP
PO BOX 8111BURLINGTONNC272168111LABORATORY SERVICES178322
RN NETWORK
PO BOX 974088DALLASTX753974088MEDICAL PROFESSIONAL SERVICES169943
RI TRANSCRIPTION SOLUTIONS
26040 WILD ROSE LANEEXCELSIORMN553317935TRANSCRIPTION SERVICES133790
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations18526512RelatedOrganizations
All Other Contributions997AllOtherContributions
Total Contributions18527509TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code900099BusinessCode
Total Revenue Column31627687TotalRevenueColumn
Related Or Exempt Function Income31627687RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue31627687TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real35200Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real35200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT EDUCATION6116005335253352
AFFILIATE EXPENSE REIMBURSEMENTS90009932400$32,400

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue85752TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50240948TotalRevenueColumn
Related Or Exempt Function Income31681039RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$32,400ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1500Total
Program Services1500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1157971Total
Program Services1157971ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30541951Total
Program Services28956955ProgramServices
Management And General1584996ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1118092Total
Program Services1062187ProgramServices
Management And General55905ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1877694Total
Program Services1783809ProgramServices
Management And General93885ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1420667Total
Program Services1349634ProgramServices
Management And General71033ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3185698Total
Program Services3026413ProgramServices
Management And General159285ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13733Total
Program Services13733ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total239876Total
Program Services227882ProgramServices
Management And General11994ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total616306Total
Program Services585491ProgramServices
Management And General30815ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total91766Total
Program Services87178ProgramServices
Management And General4588ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1711Total
Program Services1625ProgramServices
Management And General86ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total305505Total
Program Services305505ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1254480Total
Program Services1254480ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS36173633617363
MANAGEMENT OVERHEAD ALLOCATION14307771430777
PURCHASED SERVICES17334211733421
MEDICAL SUPPLIES502225502225

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total466310Total
Program Services466310ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total49577046Total
Program Services46133682ProgramServices
Management And General3443364ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY427BOY
EOY428EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4114662BOY
EOY4655286EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY364405BOY
EOY384923EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4085053LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1596150LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2778846BOY
EOY2488903EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY267082BOY
EOY267082EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7525422BOY
EOY7796622EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2508527BOY
EOY2199087EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY127876BOY
EOY37097EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2636403BOY
EOY2236184EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4889019BOY
EOY5560438EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4889019BOY
EOY5560438EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7525422BOY
EOY7796622EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses663902ReconcilationRevenueExpenses
Reconcilation Other Changes7517ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6000000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11000000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18004613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13814458CurrentTaxYearMinus1Year
Current Tax Year18527509CurrentTaxYear
Total67346580Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18095812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22544392CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27562197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29483596CurrentTaxYearMinus1Year
Current Tax Year31627687CurrentTaxYear
Total129313684Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21000CurrentTaxYearMinus1Year
Current Tax Year32400CurrentTaxYear
Total107000Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24095812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33553492CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45611310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43319054CurrentTaxYearMinus1Year
Current Tax Year50187596CurrentTaxYear
Total196767264Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509196767264PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19810CurrentTaxYearMinus1Year
Current Tax Year35200CurrentTaxYear
Total55010Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19810CurrentTaxYearMinus1Year
Current Tax Year35200CurrentTaxYear
Total55010Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year115968CurrentTaxYearMinus1Year
Current Tax Year53352CurrentTaxYear
Total169320Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24095812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33553492CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45611310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43454832CurrentTaxYearMinus1Year
Current Tax Year50276148CurrentTaxYear
Total196991594Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99890PublicSupportPercentage509
Prior Year Support Percentage0.99880PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - PATIENT EDUCATION, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 115968, COLUMN E - 53352, COLUMN F - 169320;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,110GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1110TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: POLK COUNTY MEDICAL SOCIETY - $1,110.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2182173OtherCostOrOtherBasis
Depreciation441955Depreciation
Book Value1740218BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1902880OtherCostOrOtherBasis
Depreciation1154195Depreciation
Book Value748685BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2488903TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$37,097Amount
FieldValueIRS element (for citing)
Total Of Amounts37097TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationMERCY PROFESSIONAL PRACTICE ASSOCIATES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES - IOWA, CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED ORGANIZATION. MMC'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: "THE CORPORATION AND ALL SUBSIDIARIES, EXCEPT MPA, AND DMMC ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE. ASC 740, INCOME TAXES, PRESCRIBES CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT HAVE NOT BEEN REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2009 THROUGH JUNE 30, 2012."Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CASS FRANKLIN
4478030003612020228083440479987000
CHAD TORSTENSON
364942010337043970226780196740422028000
CHRIS CHRISTENSEN
01998970006397022447019208024794900
CHRIS KARAS
74402200028066902022802035001065269000
DANIEL DIMEO
31052001000006020226780141590357959000
HENRY NOBLE
58258900055440226780138360624647000
JACQUELINE FROST-KUNNEN
039992000032612030028018564048112400
MIRZA BAIG
6739289900174902022802045807163639900
ROBERT HIRSCHL
8535749160006720202280228340897308916000
STEVE KUKLA
039563400034544030028013648047385400
WAEL HAIDAR
309590000115264020228079670453049000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. MMC USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SEVERANCE OR CHANGE-OF-CONTROL PAYMENTSSCHEDULE J, PART I, LINE 4APOST-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.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BDURING 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. DURING 2011, THERE WERE NO CONTRIBUTIONS/DISTRIBUTIONS MADE BY CHI TO/FROM THE DEFERRED COMPENSATION PLAN.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AI. ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE MERCY PROFESSIONAL PRACTICE ASSOCIATES IS A MULTI-SPECIALTY PHYSICIAN PRACTICE LOCATED IN DES MOINES, IA. THE MISSION OF THE GROUP IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THESE SERVICES INCLUDE MANAGING THE EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, FOR MERCY MEDICAL CENTER-DES MOINES, A TAX-EXEMPT HOSPITAL. IN ADDITION, THE GROUP PROVIDES SPECIALTY SERVICES IN PEDIATRIC MEDICINE, ENDOCRINOLOGY, PSYCHIATRY, BREAST HEALTH AND SEDATION TO THE COMMUNITY BASED ON NEED. MERCY PROFESSIONAL PRACTICE ASSOCIATES IS GUIDED BY THE VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE AND WE HOLD OURSELVES TO A HIGH STANDARD OF GIVING TO THE POOR AND BROADER COMMUNITY. THE GROUP PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS LIKE MEDICAID AND MEDICARE. II. COMMUNITY BENEFIT APPROACH MERCY PROFESSIONAL PRACTICE ASSOCIATES HAS A TRADITION OF PROVIDING EXCELLENT HEALTH CARE TO ALL PEOPLE. WE ARE EQUALLY COMMITTED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PARTNERING WITH INDIVIDUALS, ORGANIZATIONS AND ELECTED OFFICIALS TO ANTICIPATE, IDENTIFY AND MEET THE CHANGING HEALTH NEEDS OF CENTRAL IOWANS. MERCY PROFESSIONAL PRACTICE ASSOCIATES HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW-INCOME PERSONS LIKE THE UNINSURED/UNDERINSURED PATIENT DISCOUNT POLICY AND THE SELF-PAY AND THIRD-PARTY DISCOUNTS POLICY.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"). PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH MMC AND CATHOLIC HEALTH INITIATIVES ("CHI") (MMC'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 MMC BOARD: - APPROVE MEMBERS OF THE MERCY PROFESSIONAL PRACTICE ASSOCIATES ("MPPA") BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF MPPA - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MPPA - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MPPA 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 MPPA - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MPPA - APPROVAL OF ISSUANCE OF DEBT BY MPPA - APPROVAL OF PARTICIPATION OF MPPA IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY MPPA - APPROVAL OF A MERGER INVOLVING MPPA - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MPPA - TO REQUIRE THE TRANSFER OF ASSETS BY MPPA TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS ALSO PURSUANT TO THE ORGANIZATION'S BYLAWS, MMC 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 bodyForm 990, Part VI, Section B, Line 11bTHE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH THE CHI TAX DEPARTMENT PERSONNEL TO PREPARE THE FORM 990. WHEN AVAILABLE, THE CFO REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. SUBSEQUENT TO E-FILING, THE FINAL E-FILED FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED BOARD MEETING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO DECLARE THE CONFLICT BEFORE THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. THE ENTIRE BOARD OR COMMITTEE DETERMINES WHETHER THE AFFECTED BOARD MEMBER SHOULD BE EXCLUDED FROM THE MEETING DUE TO THE DISCLOSED CONFLICT.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ATHE ORGANIZATION'S PRESIDENT/CEO IS COMPENSATED BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. EXECUTIVE COMPENSATION PAID BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, LINE 15BCOMPENSATION PAID BY RELATED ORGANIZATION: VARIOUS OTHER OFFICERS AND DIRECTORS ARE COMPENSATED BY CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED TAX-EXEMPT ORGANIZATION. EXECUTIVE COMPENSATION PAID BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. COMPENSATION PAID BY FILING ORGANIZATION: OTHER DIRECTORS ARE PAID BY THE FILING ORGANIZATION. THE ORGANIZATION REFERENCES INDUSTRY COMPENSATION COMPARABILITY STUDIES AND SURVEYS WHEN SETTING COMPENSATION AMOUNTS, WHICH WERE REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT, APPROVED BY A COMPENSATION COMMITTEE, AND PAID IN ACCORDANCE WITH A WRITTEN EMPLOYMENT CONTRACT. THE ORGANIZATION'S BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. THE REVIEW PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES AND WAS LAST UNDERTAKEN IN JUNE 2010 FOR CALENDAR YEAR 2011 COMPENSATION.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT, AND THE ARTICLES OF INCORPORATION ARE ALSO AVAILABLE FROM THE IOWA SECRETARY OF STATE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1ATHE INDIVIDUALS LISTED IN PART VII THAT REPORT COMPENSATION PAID BY A RELATED ORGANIZATION DEVOTE APPROXIMATELY 60 HOURS PER WEEK TO THE RELATED ORGANIZATIONS AND RECEIVE COMPENSATION IN EXCHANGE FOR THEIR SERVICES PROVIDED.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5CONTRIBUTIONS RELEASED FROM RESTRICTION FOR CAPITAL - 7517;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROADOMAHANE68124470484764HEALTHCARENE501(C)(3)3CHItrue
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(C)(3)3AHBMHStrue
ALVERNA APARTMENTS
300 SE 8TH AVENUELITTLE FALLSMN56345411351177LTERM CAREMN501(C)(3)9CHItrue
APPLETREE COURT
601 OAK STREETBRECKENRIDGEMN56520411850500SENIOR HOMESMN501(C)(3)9SFHtrue
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUEDES MOINESIA50314420725196LTERM CAREIA501(C)(3)9CHI-IA CORPtrue
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603232187242HEALTHCAREPA501(C)(3)11 - Type ICHItrue
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREETCARRINGTONND58421450227311HEALTHCAREND501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(C)(3)9NAtrue
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919840902211FUNDRAISINGCO501(C)(3)7CHICtrue
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(C)(3)11 - Type ICHItrue
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919270930004FUNDRAISINGCO501(C)(3)9CHItrue
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WESTENGLEWOODCO80112840405257HEALTHCARECO501(C)(3)3CHItrue
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAYROSEBURGOR97470263946191PHYSICIANSOR501(C)(3)9MMCtrue
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CNTRKS501(C)(3)3CHItrue
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAYFARGOND58104271966847HEALTHCAREND501(C)(3)3CHItrue
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400ERLANGERKY41018202741651HEALTHCAREKY501(C)(3)11 - Type ICHItrue
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(C)(3)11 - Type ICHI NHCtrue
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(C)(3)9CHItrue
CHI NEBRASKA
6940 O STREET SUITE 200LINCOLNNE68510363233121HEALTHCARENE501(C)(3)11 - Type ICHItrue
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVELEXINGTONKY40509611400619LTACHKY501(C)(3)3SJHStrue
COVENANT HOME CARE
1223 POTTSVILLE PIKESHOEMAKERSVILLEPA19555232018429HOME HEALTHPA501(C)(3)11 - Type IINAtrue
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUEENUMCLAWWA98022910715805HEALTHCAREWA501(C)(3)3FHStrue
FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004611345363HEALTHCAREKY501(C)(3)3KOHtrue
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004562351341FUNDRAISINGKY501(C)(3)11 - Type IFHtrue
FRANCISCAN FOUNDATION
1717 SOUTH J STREETTACOMAWA98405911145592FUNDRAISINGWA501(C)(3)9FHStrue
FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST
1717 SOUTH J STREETTACOMAWA98405910564491HEALTHCAREWA501(C)(3)3CHItrue
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUETACOMAWA98405911939739HEALTHCAREWA501(C)(3)9FHStrue
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 SOUTH CHICAGO AVENUESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(C)(3)9CHItrue
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUEGETTYSBURGSD57442460234354HEALTHCARESD501(C)(3)3SMHCtrue
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(C)(3)11 - Type ICHItrue
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
375 DIXMYTH AVECINCINNATIOH45220311778403EDUCATIONOH501(C)(3)2GSHtrue
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(C)(3)11 - Type IGSHtrue
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREETKEARNEYNE68847470659443FUNDRAISINGNE501(C)(3)7GSHtrue
HEALTH SET
4200 WEST CONEJOS PLACE 436DENVERCO80204841102943LOW INC.CARECO501(C)(3)7CHICtrue
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(C)(3)11 - Type ISFMCtrue
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVETOWSONMD21204526050777HEALTHCAREMD501(C)(3)9SJMCtrue
HOUSE OF MERCY
1111 6TH AVENUEDES MOINESIA50314421323808SHELTERIA501(C)(3)7CHI-IA CORPtrue
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029768HEALTHCAREKY501(C)(3)3KOHtrue
JEWISH PHYSICIAN GROUP INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40215611352729HEALTHCAREKY501(C)(3)9JHSMHtrue
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(C)(3)9CHItrue
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTHBAUDETTEMN56623410758434HEALTHCAREMN501(C)(3)3CHItrue
LINUS OAKES INC
2700 STEWART PARKWAYROSEBURGOR97470930821381SENIOR LIVINGOR501(C)(3)9MMCtrue
LISBON AREA HEALTH SERVICES
905 MAIN STREETLISBONND58054820558836HEALTHCAREND501(C)(3)3CHItrue
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUECHATTANOOGATN37404621839548FUNDRAISINGTN501(C)(3)7MHCStrue
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUECHATTANOOGATN37404620532345HEALTHCARETN501(C)(3)3CHItrue
MEMORIAL HEALTH PARTNERS FOUNDATION INC
6028 SHALLOWFORD ROADCHATTANOOGATN37421030417049HEALTHCARETN501(C)(3)9MHCStrue
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUEDES MOINESIA50314426076069AUXILIARYIA501(C)(3)11 - Type ICHI-IA CORPtrue
MERCY CLINICS INC
1111 6TH AVENUEDES MOINESIA50314421193699PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUEDES MOINESIA50314421511682EDUCATIONIA501(C)(3)2CHI-IA CORPtrue
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUEDES MOINESIA50314237358794FUNDRAISINGIA501(C)(3)7CHI-IA CORPtrue
MERCY FOUNDATION INC
2700 STEWART PARKWAYROSEBURGOR97470936088946FUNDRAISINGOR501(C)(3)7MMCtrue
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGNE501(C)(3)11 - Type IAHMHtrue
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072450226553FUNDRAISINGND501(C)(3)11 - Type IMHVCtrue
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVECOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(C)(3)11 - Type IAHBMHStrue
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NEDEVILS LAKEND58301450227012HEALTHCAREND501(C)(3)3CHItrue
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072450226553HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER
2700 STEWART PARKWAYROSEBURGOR97470930386868HEALTHCAREOR501(C)(3)3CHItrue
MERCY MEDICAL CENTER
1301 15TH AVENUE WESTWILLISTONND58801450231183HEALTHCAREND501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUEDES MOINESIA50314420680448HEALTHCAREIA501(C)(3)3CHItrue
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WESTWILLISTONND58801450381803FUNDRAISINGND501(C)(3)11 - Type IMMCtrue
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUEDES MOINESIA50314421470935PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MLIFECARES
2727 MCCLELLAND BLVDJOPLINMO64804431305163PROPERTY MGMTMO501(C)(3)11 - Type ISJRMCtrue
MNMCH INC
220 NORTH PENNSYLVANIACOLUMBUSKS66725481216238HEALTHCAREKS501(C)(3)3SJRMCtrue
MT ST JOSEPH INC
3060 SE STARK STREETPORTLANDOR97214930386870NURSING CAREOR501(C)(3)9CHItrue
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREETLINCOLNNE68526392031968HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREETOAKESND58474450231675HEALTHCAREND501(C)(3)3CHItrue
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREETOAKESND58474710966606FUNDRAISINGND501(C)(3)11 - Type IOCHtrue
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52PUEBLOCO81004841234295COMMUNITYCO501(C)(3)7CHICtrue
SET OF COLORADO SPRINGS INC
825 E PIKES PEAK AVENUE BLDG 29COLORADO SPRINGSCO80903841183335LTERM CARECO501(C)(3)7CHICtrue
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROADDENVILLENJ07834222876836HEALTHCARENJ501(C)(3)11 - Type IISCHStrue
SAINT CLARE''S FOUNDATION INC
25 POCONO ROADDENVILLENJ07834222502997FUNDRAISINGNJ501(C)(3)7SCHStrue
SAINT CLARE''S HEALTH SERVICES INC
25 POCONO ROADDENVILLENJ07834223639733MANAGEMENTNJ501(C)(3)7CHItrue
SAINT CLARE'S HOSPITAL
25 POCONO ROADDENVILLENJ07834223319886HEALTHCARENJ501(C)(3)3SCHStrue
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREETLINCOLNNE68510470625523FUNDRAISINGNE501(C)(3)7SERMCtrue
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREETLINCOLNNE68510363233120HEALTHCARENE501(C)(3)3SERMCtrue
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREETLINCOLNNE68510470379836HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEYGRAND ISLANDNE68803470376601HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(C)(3)7SFMCtrue
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREETBEREAKY40403260152877FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160LEXINGTONKY40509611334601HEALTHCAREKY501(C)(3)3CHItrue
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREETLONDONKY40741260438748FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
SAINT JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVELEXINGTONKY40504311539059PHY PRACTICESKY501(C)(3)3SJHStrue
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUEMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREETDICKINSONND58601363418207FUNDRAISINGND501(C)(3)11 - Type ISJHHCtrue
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVDDAYTONOH45408020633634HEALTHCAREOH501(C)(3)3SHPtrue
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVEDAYTONOH45406237296923FUNDRAISINGOH501(C)(3)7SHPtrue
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVEDAYTONOH45406311107411HEALTHCAREOH501(C)(3)11 - Type ICHItrue
SJMGROUP
2727 MCCLELLAND BLVDJOPLINMO64804431882377PHYS PRACTICEMO501(C)(3)9SJRMCtrue
SJRMC JOPLIN MISSOURI
2727 MCCLELLAND BLVDJOPLINMO64804440545809HEALTHCAREMO501(C)(3)3CHItrue
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHPA501(C)(3)11 - Type ICHItrue
ST ANTHONY HOSPITAL
1601 SE COURT AVENUEPENDLETONOR97801930391614HEALTHCAREOR501(C)(3)3CHItrue
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUEPENDLETONOR97801930992727FUNDRAISINGOR501(C)(3)11 - Type ISA HOSPITALtrue
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVEMORRILTONAR72110710245507HEALTHCAREAR501(C)(3)3SVIMCtrue
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREETGARDEN CITYKS67846480543721HEALTHCAREKS501(C)(3)3CHItrue
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREETGARDEN CITYKS67846200598702FUNDRAISINGKS501(C)(3)11 - Type ISCHtrue
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREETONTARIOOR97914930433692HEALTHCAREOR501(C)(3)3CHItrue
ST FRANCIS HOME
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520410729978LTERM CAREMN501(C)(3)9CHItrue
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROADDENVILLENJ07834222536017ELDERLY CARENJ501(C)(3)9SCHStrue
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520410695598HEALTHCAREMN501(C)(3)3CHItrue
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROADBAKER CITYOR97814930412495HEALTHCAREOR501(C)(3)3CHItrue
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVDJOPLINMO64804431308084FUNDRAISINGMO501(C)(3)7SJRMCtrue
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVE SW SUITE 3000ALBUQUERQUENM87102710897107COMMUNITYNM501(C)(3)11 - Type ICHItrue
ST JOSEPH HOSPITAL FOUNDATION INC
305 ESTILL STREETLEXINGTONKY40504611159649FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316READINGPA19603232649362FUNDRAISINGPA501(C)(3)11 - Type ISJRHNtrue
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVETOWSONMD21204521681044FUNDRAISINGMD501(C)(3)7SJMCtrue
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVETOWSONMD21204520591461HEALTHCAREMD501(C)(3)3CHItrue
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316READINGPA19603208544021HEALTHCAREPA501(C)(3)9BHCtrue
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVETOWSONMD21204521311775PHYSICIANSMD501(C)(3)11 - Type ISJMCtrue
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316READINGPA19603231352211HEALTHCAREPA501(C)(3)3CHItrue
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUEPARK RAPIDSMN56470410695603HEALTHCAREMN501(C)(3)3CHItrue
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREETDICKINSONND58601450226429HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(C)(3)3CHI-IA CORPtrue
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUENEBRASKA CITYNE68410470443636HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUEPIERRESD57501460230199HEALTHCARESD501(C)(3)3CHItrue
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(C)(3)7SMHtrue
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(C)(3)11 - Type ISVIMCtrue
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HEALTHCAREAR501(C)(3)3CHItrue
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(C)(3)9SVIMCtrue
THE COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206237419853DIALYSISOH501(C)(2)N/AGSHtrue
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(C)(3)3CHItrue
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 SEVENTH STREET NEDEVILS LAKEND58301352367360FUNDRAISINGND501(C)(3)7MHDLtrue
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500LINCOLNNE68503470780857PHYS PRACTICENE501(C)(3)11 - Type ICHI NEBRASKAtrue
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500ENGLEWOODCO80112840927232HEALTHCARECO501(C)(3)3CHICtrue
UNITY FAMILY HEALTHCARE
815 2ND STREET SELITTLE FALLSMN56345410721642HEALTHCAREMN501(C)(3)3CHItrue
VILLA NAZARETH INC
801 PAGE DRIVEFARGOND58103450226714LT CAREND501(C)(3)9CHItrue
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROADSPARTANJ07871221768334HOME HEALTHNJ501(C)(3)9SCHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipCode VCodeVAmount
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918841513085REAL ESTATECOCHICRELATED34991-694032falsefalse0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400OMAHANE68137392045003HEALTHCARENEAHBMHSRELATED-2862040-2537888falsefalse0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRELATED575451013237falsetrue0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310LEXINGTONKY40504611386736DIAGNOSTICKYSJHSRELATEDfalsefalse0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUEKEARNEYNE68848470692112HEALTHCARE SRVCNENARELATED-92336745068falsetrue1
CENTRAL NEBRASKA REHAB SERVICE
3004 W FAIDLEY AVEGRAND ISLANDNE68802810653461PHYSICAL THERAPYNESFMCRELATED18358122199571falsefalse0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUNRELATED3972412716272650880falsetrue1
HEALTHCARE SUPPORT SERVICES
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENARELATED-111793069835falsefalse1
MRI AT ST JOESPH MEDICAL DENTER LLC
7253 AMBASSADOR ROADBALTIMOREMD21244521958002MEDICAL IMAGINGMDSJMCRELATED4231672174155falsetrue0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRELATED810711077536falsefalse0.5744
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVETOWSONMD21204521682964REAL ESTATEMDTOWSON MANAGEMENT INCRELATED1119335418117falsefalse0.65122
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOCHICRELATED-3249434-2760206falsefalse0.6
PENINSULA RADIATION ONCOLOGY
315 MARTIN LUTHER KING JR WAY 111TACOMAWA98405710799771HEALTHCARE SRVCWAFHSRELATED13501485985falsefalse0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCOCHICRELATED7150942397488falsefalse0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201BALTIMOREMD21204522095835SURGERY CENTERMDSJMCRELATED-693452802932falsetrue0.51
SAINT JOSEPH - SCA HOLDINGS LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503453801157OP SURGERYDESJHSRELATEDfalsetrue0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202721386840SURGERY CENTERKYJHRELATED68676446063falsetrue0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOCHICRELATED-130967408090falsefalse0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREETTACOMAWA98405911352698MED. OFFICEWAFHSRELATED1109861672098falsefalse0.5421
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503452116736MGMT SVCSKYSJHSRELATEDfalsetrue0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREETLINCOLNNE68521262884555OP DIAGNOSTICSNESERMCRELATED-254775796941falsefalse0.51$0
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503621179539SURGERY CENTERDESJHSRELATED3935192214599falsetrue0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202621179537SURGERY CENTERKYJHRELATED-3676395845falsetrue0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400ERLANGERKY41018841112049MANAGEMENT SERVICESCOCHIC CORPORATION032674411
AMERICAN NURSING CARE
1700 EDISON DRIVEMILFORDOH45150311085414HOME HEALTHOHCHSC CORPORATION4648726446541991
AMERIMED INC
1700 EDISON DRIVEMILFORDOH45150311158699HOME HEALTHOHANCC CORPORATION662062116668741
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851FITNESS CLUBKYJHC CORPORATION001
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570736HEALTHCARETNMHCSC CORPORATION010081
CAPTIVE MANAGEMENT INITIATIVES
980663022CAPTIVE MANAGEMENTCHIC CORPORATION001PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511RESEARCHCOCIRITRUST-286460528097071
CGH REALTY COMPANY INC
215 N 12TH STREADINGPA19603232326801REAL ESTATEPASJHMC CORPORATION1
COMCARE SERVICES
4231 W 16TH AVENUEDENVERCO80204840904813INACTIVECOCHICC CORPORATION001
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVEMILFORDOH45150311378212HOME HEALTHOHCHIC CORPORATION-1525246658448621
DAVID DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192395INVESTMENTSNEGSHFTRUST1
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUEDES MOINESIA50314420837382REAL ESTATEIACHI-IA CORPC CORPORATION7149712216670.9298
FIRST INITIATIVES INSURANCE LTD
980203038INSURANCECHIC CORPORATION001PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HEALTHCARECOCHIC CORPORATION-571958371421
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NEBRASKAC CORPORATION-1656663551101
HAROLD W RASE 1995 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601456090420INVESTMENTSNDSJHHCTRUST1240221481
HAROLD W RASE 1996 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037112INVESTMENTSNDSJHHCTRUST1057154621
HAROLD W RASE 1997 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037104INVESTMENTSNDSJHHCTRUST0205201
HAROLD W RASE 1999 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037099INVESTMENTSNDSJHHCTRUST0250361
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC CORPORATION10213614430491
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET STTACOMAWA98402911865474HEALTH ORG.WAFHSC CORPORATION001
JAMES & HENRIETTA NISTLER UNITRUST
30 WEST 7TH STREETDICKINSONND58601206021899INVESTMENTSNDSJHHCTRUST692390751
JEANNE DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192398INVESTMENTSNEGSHFTRUST1
JOSEPH A SCHUSTER ANNUITY TRUST #1
400 UNIVERSITY AVENUEDES MOINESIA50314421195122INVESTMENTSIAMFDMTRUST78344163491
LODESCA MILLER CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476186933INVESTMENTSNEGSHFTRUST1
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDMMC WILLISTONC CORPORATION1514989625541
MERCY PARK APARTMENTS LTD
1111 6TH AVENUEDES MOINESIA50314421202422HOUSINGIACHI-IA CORPC CORPORATION36990519372201
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97470930824308RETAIL SALESORMMCC CORPORATION09560031
MHSERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112431457881DMEMOSJRMCC CORPORATION-406101
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570739MGMT SVC ORGTNMHCSC CORPORATION-3315246794351
NAZARETH ASSURANCE COMPANY
030304831INSURANCECHIC CORPORATION001PO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVEMILFORDOH45150311100798HOME HEALTHOHANCC CORPORATION4799401
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET STTACOMAWA98402911746721HEALTH ORG.WAFHSC CORPORATION001
RAY & SHIRLEY DAVID 1999 UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037077INVESTMENTSNDSJHHCTRUST0261101
ROBERT & WANDA CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848266191916INVESTMENTSNEGSHFTRUST1
SAINT CLARE''S PRIMARY CARE INC
66 FORD ROADDENVILLENJ07834222441202BILLING SERVICESNJSCCCC CORPORATION-46996217720161
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700DAYTONOH45402311299450HEALTHCAREOHSHPC CORPORATION1
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408HEALTHCARECOFSIC CORPORATION-19277729738581
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160LEXINGTONKY40503270164198MANAGEMENTKYSJHSC CORPORATION001
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORSAHC CORPORATION9213930075501
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARSVIMCC CORPORATION2804485140493741
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREETTACOMAWA98405911480569RENTALWAFSIC CORPORATION63164118454391
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70LEXINGTONKY40504611079899MANAGEMENTKYSJHSC CORPORATION8821390.85
TOM DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192393INVESTMENTSNEGSHFTRUST1
TOWSON MANAGEMENT INC
7601 OSLER DRIVETOWSONMD21204521710750MANAGEMENT SERVICESMDFSIC CORPORATION2669601
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg