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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T11:00:43-05:00 | 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 | 421470935 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 5156437302 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 6th Avenue | AddressLine1 |
| City | Des Moines | City |
| State | IA | State |
| ZIP Code | 50314 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVE KUKLA | Name |
| Title | DIRECTOR/SVP, CFO MMC | Title |
| Date Signed | 2013-05-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Pamela Krohn | Name |
| PTIN | P01210500 | PTIN |
| Phone | 7208741500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACKIE FROST-KUNNEN | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 6th Avenue | AddressLine1 |
| City | Des Moines | City |
| State | IA | State |
| ZIP Code | 50314 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50276148 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | TO 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 Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 124 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 13814458 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18527509 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 29483596 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31627687 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 136968 | OtherRevenuePriorYear |
| Other Revenue Current Year | 85752 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43435022 | TotalRevenuePriorYear |
| Total Revenue Current Year | 50240948 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34065989 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36116375 | 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 | 10880982 | OtherExpensePriorYear |
| Other Expenses Current Year | 13459171 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44948971 | TotalExpensesPriorYear |
| Total Expenses Current Year | 49577046 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1513949 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 663902 | RevenuesLessExpensesCY |
| Total Assets BOY | 7525422 | TotalAssetsBOY |
| Total Assets EOY | 7796622 | TotalAssetsEOY |
| Total Liabilities BOY | 2636403 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2236184 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4889019 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5560438 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 46133682 | Expense |
| Grants | 1500 | Grants |
| Revenue | 31681039 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 46133682 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | false | 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 | false | 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 | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 124 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | false | 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 | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | 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 | Randall L Rubin | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5156437860 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 6th Avenue | AddressLine1 |
| City | Des Moines | City |
| State | IA | State |
| ZIP Code | 50314 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (11 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 |
|---|---|---|---|---|---|---|---|
| CHRIS CHRISTENSEN | |||||||
| Vice Chair | 1.00 | X | X | 0 | 206294 | 41655 | |
| JACQUELINE FROST-KUNNEN | |||||||
| PRESIDENT/CEO/BOARD CHAIR | 1.00 | X | X | 0 | 432532 | 48592 | |
| STEVE KUKLA | |||||||
| DIRECTOR/SVP, CFO MMC, Secretary/Treasurer | 1.00 | X | X | 0 | 430178 | 43676 | |
| CHAD TORSTENSON | |||||||
| DIRECTOR/PHYSICIAN | 40.00 | X | 379676 | 0 | 42352 | ||
| DANIEL DIMEO | |||||||
| DIRECTOR/PHYSICIAN | 40.00 | X | 321122 | 0 | 36837 | ||
| WAEL HAIDAR | |||||||
| DIRECTOR/PHYSICIAN | 40.00 | X | 424854 | 0 | 28195 | ||
| CASS FRANKLIN | |||||||
| PHYSICIAN | 40.00 | 451415 | 0 | 28572 | X | ||
| CHRIS KARAS | |||||||
| PHYSICIAN | 40.00 | 1024691 | 0 | 40578 | X | ||
| HENRY NOBLE | |||||||
| PHYSICIAN | 40.00 | 588133 | 0 | 36514 | X | ||
| MIRZA BAIG | |||||||
| PHYSICIAN | 40.00 | 675677 | 99 | 40686 | X | ||
| ROBERT HIRSCHL | |||||||
| PHYSICIAN | 40.00 | 854246 | 9160 | 43062 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4719814 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1078263 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 430719 | TotalOtherCompensation |
| Number Individuals GT100 K | 83 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | EMERGENCY MEDICAL PROFESSIONAL SERVICES | 1775100 |
| LABCORP | |||||
| PO BOX 8111 | BURLINGTON | NC | 272168111 | LABORATORY SERVICES | 178322 |
| RN NETWORK | |||||
| PO BOX 974088 | DALLAS | TX | 753974088 | MEDICAL PROFESSIONAL SERVICES | 169943 |
| RI TRANSCRIPTION SOLUTIONS | |||||
| 26040 WILD ROSE LANE | EXCELSIOR | MN | 553317935 | TRANSCRIPTION SERVICES | 133790 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 18526512 | RelatedOrganizations |
| All Other Contributions | 997 | AllOtherContributions |
| Total Contributions | 18527509 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 31627687 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31627687 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31627687 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 35200 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 35200 | Real |
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 |
| Exclusion | $0 | ExclusionAmount |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PATIENT EDUCATION | 611600 | 53352 | 53352 | |
| AFFILIATE EXPENSE REIMBURSEMENTS | 900099 | 32400 | $32,400 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 85752 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50240948 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31681039 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $32,400 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500 | Total |
| Program Services | 1500 | 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 | 1157971 | Total |
| Program Services | 1157971 | ProgramServices |
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 | 30541951 | Total |
| Program Services | 28956955 | ProgramServices |
| Management And General | 1584996 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1118092 | Total |
| Program Services | 1062187 | ProgramServices |
| Management And General | 55905 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1877694 | Total |
| Program Services | 1783809 | ProgramServices |
| Management And General | 93885 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1420667 | Total |
| Program Services | 1349634 | ProgramServices |
| Management And General | 71033 | 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 | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 3185698 | Total |
| Program Services | 3026413 | ProgramServices |
| Management And General | 159285 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13733 | Total |
| Program Services | 13733 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239876 | Total |
| Program Services | 227882 | ProgramServices |
| Management And General | 11994 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616306 | Total |
| Program Services | 585491 | ProgramServices |
| Management And General | 30815 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91766 | Total |
| Program Services | 87178 | ProgramServices |
| Management And General | 4588 | 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 | 1711 | Total |
| Program Services | 1625 | ProgramServices |
| Management And General | 86 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305505 | Total |
| Program Services | 305505 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1254480 | Total |
| Program Services | 1254480 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 3617363 | 3617363 | |
| MANAGEMENT OVERHEAD ALLOCATION | 1430777 | 1430777 | |
| PURCHASED SERVICES | 1733421 | 1733421 | |
| MEDICAL SUPPLIES | 502225 | 502225 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466310 | Total |
| Program Services | 466310 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49577046 | Total |
| Program Services | 46133682 | ProgramServices |
| Management And General | 3443364 | 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 | 427 | BOY |
| EOY | 428 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4114662 | BOY |
| EOY | 4655286 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364405 | BOY |
| EOY | 384923 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4085053 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1596150 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2778846 | BOY |
| EOY | 2488903 | 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 |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267082 | BOY |
| EOY | 267082 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7525422 | BOY |
| EOY | 7796622 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2508527 | BOY |
| EOY | 2199087 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127876 | BOY |
| EOY | 37097 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2636403 | BOY |
| EOY | 2236184 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4889019 | BOY |
| EOY | 5560438 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4889019 | BOY |
| EOY | 5560438 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7525422 | BOY |
| EOY | 7796622 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 663902 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 7517 | 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 | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6000000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11000000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18004613 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13814458 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18527509 | CurrentTaxYear |
| Total | 67346580 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18095812 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22544392 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27562197 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29483596 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31627687 | CurrentTaxYear |
| Total | 129313684 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9100 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32400 | CurrentTaxYear |
| Total | 107000 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24095812 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 33553492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45611310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43319054 | CurrentTaxYearMinus1Year |
| Current Tax Year | 50187596 | CurrentTaxYear |
| Total | 196767264 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 196767264 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19810 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35200 | CurrentTaxYear |
| Total | 55010 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19810 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35200 | CurrentTaxYear |
| Total | 55010 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 115968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 53352 | CurrentTaxYear |
| Total | 169320 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24095812 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 33553492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45611310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43454832 | CurrentTaxYearMinus1Year |
| Current Tax Year | 50276148 | CurrentTaxYear |
| Total | 196991594 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99890 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99880 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00030 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00010 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | OTHER 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
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $1,110 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 1110 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: POLK COUNTY MEDICAL SOCIETY - $1,110. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2182173 | OtherCostOrOtherBasis |
| Depreciation | 441955 | Depreciation |
| Book Value | 1740218 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1902880 | OtherCostOrOtherBasis |
| Depreciation | 1154195 | Depreciation |
| Book Value | 748685 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2488903 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLES | Description |
| Amount | $37,097 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 37097 | 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 | MERCY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CASS FRANKLIN | |||||||||||||
| 447803 | 0 | 0 | 0 | 3612 | 0 | 20228 | 0 | 8344 | 0 | 479987 | 0 | 0 | 0 |
| CHAD TORSTENSON | |||||||||||||
| 364942 | 0 | 10337 | 0 | 4397 | 0 | 22678 | 0 | 19674 | 0 | 422028 | 0 | 0 | 0 |
| CHRIS CHRISTENSEN | |||||||||||||
| 0 | 199897 | 0 | 0 | 0 | 6397 | 0 | 22447 | 0 | 19208 | 0 | 247949 | 0 | 0 |
| CHRIS KARAS | |||||||||||||
| 744022 | 0 | 0 | 0 | 280669 | 0 | 20228 | 0 | 20350 | 0 | 1065269 | 0 | 0 | 0 |
| DANIEL DIMEO | |||||||||||||
| 310520 | 0 | 10000 | 0 | 602 | 0 | 22678 | 0 | 14159 | 0 | 357959 | 0 | 0 | 0 |
| HENRY NOBLE | |||||||||||||
| 582589 | 0 | 0 | 0 | 5544 | 0 | 22678 | 0 | 13836 | 0 | 624647 | 0 | 0 | 0 |
| JACQUELINE FROST-KUNNEN | |||||||||||||
| 0 | 399920 | 0 | 0 | 0 | 32612 | 0 | 30028 | 0 | 18564 | 0 | 481124 | 0 | 0 |
| MIRZA BAIG | |||||||||||||
| 673928 | 99 | 0 | 0 | 1749 | 0 | 20228 | 0 | 20458 | 0 | 716363 | 99 | 0 | 0 |
| ROBERT HIRSCHL | |||||||||||||
| 853574 | 9160 | 0 | 0 | 672 | 0 | 20228 | 0 | 22834 | 0 | 897308 | 9160 | 0 | 0 |
| STEVE KUKLA | |||||||||||||
| 0 | 395634 | 0 | 0 | 0 | 34544 | 0 | 30028 | 0 | 13648 | 0 | 473854 | 0 | 0 |
| WAEL HAIDAR | |||||||||||||
| 309590 | 0 | 0 | 0 | 115264 | 0 | 20228 | 0 | 7967 | 0 | 453049 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | COMPENSATION 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 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. |
| SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | 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. DURING 2011, THERE WERE NO CONTRIBUTIONS/DISTRIBUTIONS MADE BY CHI TO/FROM THE DEFERRED COMPENSATION PLAN. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | I. 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 stockholders | Form 990, Part VI, Section A, Line 6 | THE 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 body | Form 990, Part VI, Section A, Line 7a | THE 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 stockholders | Form 990, Part VI, Section A, Line 7b | THE 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 body | Form 990, Part VI, Section B, Line 11b | THE 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 policy | Form 990, Part VI, Section B, Line 12c | ALL 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 OFFICIAL | FORM 990, PART VI, LINE 15A | THE 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 EMPLOYEES | FORM 990, PART VI, LINE 15B | COMPENSATION 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 public | Form 990, Part VI, Section C, Line 19 | THE 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 ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A | THE 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 balances | Form 990, Part XI, Line 5 | CONTRIBUTIONS RELEASED FROM RESTRICTION FOR CAPITAL - 7517; |
Schedule R IRS990ScheduleR
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 | false | 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 | false | OtherTransferFromOtherOrg |