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ST JOSEPH MEDICAL GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH MEDICAL GROUP (EIN 20-8544021)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201211329349301636
Schema version
2010v3.7
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)
Timestamp2012-05-11T11:46:09-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208544021EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph Medical GroupBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone6103782000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 BERNVILLE ROAD PO BOX 316AddressLine1
CityReadingCity
StatePAState
ZIP Code19603ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID LIMName
TitleCFOTitle
Phone6103782288Phone
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK STOCKIName
Phone7208741500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn MorahanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12500 BERNVILLE RDAddressLine1
CityReadingCity
StatePAState
ZIP Code19605ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12662802GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionOperate several physician clinics to provide healthcare services and promote a healthier community through service and education that emphasize wellness.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4915865ContributionsGrantsPriorYear
Contributions Grants Current Year5681107ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5438055ProgramServiceRevenuePriorYear
Program Service Revenue CY6981544ProgramServiceRevenueCY
Investment Income Prior Year132InvestmentIncomePriorYear
Investment Income Current Year151InvestmentIncomeCurrentYear
Other Revenue Prior Year110OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10354162TotalRevenuePriorYear
Total Revenue Current Year12662802TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6896691SalariesEtcPriorYear
Salaries Etc Current Year8639639SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2704934OtherExpensePriorYear
Other Expenses Current Year3755932OtherExpensesCurrentYear
Total Expenses Prior Year9601625TotalExpensesPriorYear
Total Expenses Current Year12395571TotalExpensesCurrentYear
Revenues Less Expenses Prior Year752537RevenuesLessExpensesPriorYear
Revenues Less Expenses CY267231RevenuesLessExpensesCY
Total Assets BOY1453808TotalAssetsBOY
Total Assets EOY1835706TotalAssetsEOY
Total Liabilities BOY468462TotalLiabilitiesBOY
Total Liabilities EOY583129TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY985346NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1252577NetAssetsOrFundBalancesEOY
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
Expense11447684Expense
Revenue6981544Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense11447684TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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 Employees86NumberOfEmployees
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 Members3NbrVotingGoverningBodyMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid LimNamePerson
Telephone Number6103782288TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 BERNVILLE ROADAddressLine1
CityReadingCity
StatePAState
ZIP Code19605ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganization
JOHN MORAHAN
CHAIR/SJRHN PRESIDENT/ CEO2.0XX55942670060
DAVID LIM
VICE CHAIR/SECRETARY/TREASURER2.0XX28644545931
Kristin Kearney
Vice President/COO30.0XX78863
STEVEN SCHWARTZ
PHYSICIAN40.041340X445132
JAMES BONNER
PHYSICIAN40.034750X314432
JANETTE GHATTAS
PHYSICIAN40.030316X246020
CHRISTIE GANAS
PHYSICIAN40.033784X225951
Joseph Korey
PHYSICIAN40.079524544X224265
FieldValueIRS element (for citing)
Total Reportable Comp From Org1455800TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs925529TotalReportableCompFrmRltdOrgs
Total Other Compensation280725TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Athenahealth Inc
311 Aresenal StWatertownMA02472Billing Service299188
Comphealth
PO Box 972651DallasTX75397Locum Tenens228628
Dymond Quality Builders
320 Township Line RdElversonPA19520Renovations121773
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations5681107RelatedOrganizations
Total Contributions5681107TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Business Code900099BusinessCode
Total Revenue Column6981544TotalRevenueColumn
Related Or Exempt Function Income6981544RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6981544TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column151TotalRevenueColumn
Exclusion$151ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12662802TotalRevenueColumn
Related Or Exempt Function Income6981544RelatedOrExemptFunctionIncome
Exclusion$151ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7270151Total
Program Services7031591ProgramServices
Management And General238560ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total377418Total
Program Services363719ProgramServices
Management And General13699ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total553816Total
Program Services500585ProgramServices
Management And General53231ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total438254Total
Program Services418058ProgramServices
Management And General20196ManagementAndGeneral

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)
Total988543Total
Program Services678825ProgramServices
Management And General309718ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total214936Total
Program Services203120ProgramServices
Management And General11816ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total654843Total
Program Services654843ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total34378Total
Program Services30582ProgramServices
Management And General3796ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total840Total
Program Services355ProgramServices
Management And General485ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total272Total
Program Services272ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total226392Total
Management And General226392ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total122203Total
Program Services120996ProgramServices
Management And General1207ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total704758Total
Program Services704758ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debts675651675651
Dues & subscriptions36922340312891
Education1741617217199
Income/sales/property taxes4601446014
Miscellaneous Expenses327641308119683

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12395571Total
Program Services11447684ProgramServices
Management And General947887ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY550BOY
EOY1093EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY323124BOY
EOY576443EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY340120BOY
EOY516225EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY199292BOY
EOY222107EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis930926LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec411088LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY590722BOY
EOY519838EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1453808BOY
EOY1835706EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY468462BOY
EOY583129EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY468462BOY
EOY583129EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY985346BOY
EOY1252577EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY985346BOY
EOY1252577EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1453808BOY
EOY1835706EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses267231ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1188573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1147540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4776136CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4915865CurrentTaxYearMinus1Year
Current Tax Year5681107CurrentTaxYear
Total17709221Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years369702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3151458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4674830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5438055CurrentTaxYearMinus1Year
Current Tax Year6981544CurrentTaxYear
Total20615589Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1558275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4298998CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9450966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10353920CurrentTaxYearMinus1Year
Current Tax Year12662651CurrentTaxYear
Total38324810Total
FieldValueIRS element (for citing)
Public Support Total50938324810PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132CurrentTaxYearMinus1Year
Current Tax Year151CurrentTaxYear
Total1029Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132CurrentTaxYearMinus1Year
Current Tax Year151CurrentTaxYear
Total1029Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year110CurrentTaxYearMinus1Year
Total110Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1558347CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4299534CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9451104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10354162CurrentTaxYearMinus1Year
Current Tax Year12662802CurrentTaxYear
Total38325949Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis629127OtherCostOrOtherBasis
Depreciation240078Depreciation
Book Value389049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis279256OtherCostOrOtherBasis
Depreciation171010Depreciation
Book Value108246BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22543OtherCostOrOtherBasis
Book Value22543BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings519838TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) FootnoteIdentifier
Return ReferenceSchedule D, Part X, Q. 2ReturnReference
ExplanationSt. Joseph Medical Group's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2011 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. As of June 30, 2011, CHI has current net deferred tax assets of $2.1 Million and a noncurrent net deferred tax liability of $5.4 million related to these taxable activities. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements."Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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 (7 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
JOHN MORAHAN
395765138659250025431015750629486
DAVID LIM
226408597083292481921112332376
STEVEN SCHWARTZ
4446524802022821112486472
JAMES BONNER
295360190722022814522349182
JANETTE GHATTAS
2430332987226787638276336
CHRISTIE GANAS
22209621119989137952597353644
Joseph Korey
79579521364710618172287316248809

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATIONSchedule J, Part I, Q. 3Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee.
Post-Termination PaymentsSchedule J, Part I, Q. 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 PLANSch J, Part I, Q. 4bDuring the 2010 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: John Morahan During 2010 the following contributions were made by CHI to the deferred compensation plan: John Morahan $31,632

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTFORM 990, PART III, Q. 4AST. JOSEPH MEDICAL GROUP (SJMG) PROVIDES QUALITY PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY IN CONJUNCTION WITH, AND IN SUPPORT OF, ST. JOSEPH REGIONAL HEALTH NETWORK, IN READING, PENNSYLVANIA, WHICH IS ALSO A 501(C)(3) CHARITABLE, TAX EXEMPT ORGANIZATION. SJMG PROVIDES THESE SERVICES TO THE CITIZENS OF ITS COMMUNITY WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES AND MEDICAL EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT OF SJMG AND ST. JOSEPH HEALTH NETWORK TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND INDIVIDUAL'S INABILITY TO PAY COEXSIST. SJMG PROVIDES THE FOLLOWING PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY THROUGH ITS DULY-LICENSED PHYSICIANS, EMPLOYEES AND CONTRACTORS: FAMILY MEDICINE, OB/GYN, GENERAL SURGICAL SERVICES, NEUROLOGY, NEUROSURGERY AND CONTINUING COMMUNITY AND MEDICAL EDUCATION SERVICES.
Organization's Corporate Members/ StockholdersFORM 990, PART VI, Q. 6ACCORDING TO THE BYLAWS OF ST. JOSEPH MEDICAL GROUP, THE ENTITY'S SOLE MEMBER IS BORNEMANN HEALTH CORPORATION, A PENNSYLVANIA NONPROFIT CORPORATION.
Members/Stockholders Electing Governing BodyFORM 990, PART VI, Q. 7ATHE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Approval of Governing Body Decisions by Members/StockholdersFORM 990, PART VI, Q. 7BSt.Joseph Medical Group's (SJMG) corporate member is Borneman Health Corporation (BHC). Pursuant to Section 5.4 of SJMG's bylaws the corporate member has the right to approve or disapprove any of the following actions: - Any change in the mission or philosophy of the corporation; - any amendment to the articles of incorporation or the bylaws of the corporation; - the removal, with or without cause, of any member of the board of directors of the corporation; - the incurrence of debt, including without limitation, borrowings, guarantees, loans, encumbrances, operating leases, and capital leases, in excess of thresholds and within the limits established from time to time by the corporate member; - any joint venture to which the corporation is a party; - the creation of a new corporation, partnership or limited liability company of the corporation; - any merger, consolidation, reorganization, dissolution or liquidation of the corporation; - Sale, lease or other disposition of any real or personal property of the corporation with a value in excess of certain dollar limits to be set from time to time by the corporate member, but only where such sale, lease or other disposition has not otherwise been previously approved by the corporate member in the corporation's budgeting process or otherwise; - sale, release, dissolution, transfer, exchange or other disposition of any organization (or of all or substantially all of the assets of such organization) controlled by the corporation; - the adoption of long range and strategic plans; - the adoption of operating and capital budgets and amdendments therto; and - any variations from previously approved operating and/or capital budgets, in excess of thresholds established by the corporate member; - expenditures for (i) non-budgeted items in excess of certain dollar limits set from time to time by the member, and (ii) items which are included in the corporation's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the corporate member. In addition to the rights reserved to the corporate member, the corporate member shall have the power to transfer assets of the corporation or to require the corporation to transfer assets to the corporate member to the extent necessary to accomplish the corporate member's goals and objectives, and to provide for the payment of all indebtedness of the corporate member or an entity controlled by, controlling, or under common control with the corporate member, issued or incurred by or on behalf of the corporate member or a corporate member affiliate in furtherance of the corporate member's goal and objectives.
Process the Organization uses to review form 990FORM 990, PART VI, Q. 11bOnce the return is prepared, the return is reviewed by the Director of Finance and Chief Financial Officer. The Chief Financial Officer provides a copy of the return to the St. Joseph Medical Group's board either at a board meeting or electronically. Subsequent to providing a copy to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.
Procedures for Monitoring and Enforcing the COI PolicyFORM 990, PART VI, Q. 12cThe Board of Directors and Organization leaders annually disclose any potential or actual conflicts of interest. The Compliance Officer reviews each of the disclosure statements and prepares a report detailing any identified conflicts. The conflict disclosure review is presented at the Board Affairs Committee. All employees and Board members receive education on conflicts of interest, with Board meetings and physician transaction review meetings starting with a request to declare potential conflicts with agenda items. Any potential issues are reviewed and individuals with a material conflict are permitted to participate in discussions but do not participate in the vote on any action item. Department leaders disclose any potential employee conflicts to the CRO with the CEO determining the course of action for any potentially significant conflicts.
Process for Determining CEO's CompensationFORM 990, PART VI, Q. 15AThe organization's CEO's compensation is paid by CHI. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2011. In addition, in December 2009, hay group completed a comprehensive review of all positions at the level of vice president and above to determine and validate appropriate compensation levels.
Process for Determining Compensation - Officers/Key EmployeesFORM 990, PART VI, Q. 15BDURING THE TAX YEAR ENDED JUNE 30, 2011, NO OFFICERS, DIRECTORS, OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION WAS PAID BY ST. JOSEPH REGIONAL HEALTH NETWORK, A RELATED ORGANIZATION, AND WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE ST. JOSEPH REGIONAL HEALTH NETWORK BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS OR COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY.
Public Inspection of DocumentsFORM 990, PART VI, Q. 19The Organization's conflict of interest policy and governing documents are available to the public upon request. 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 HoursForm 990, Part VIICOMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 40 HOUR PER WEEK EMPLOYEES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (125 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health Initiatives
198 Inverness Drive WestEnglewoodCO80112470617373HealthcareCO501(c)(3)9CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316ReadingPA19603232187242HealthcarePA501(c)(3)11aCHI
CHI Institute For Research and Innovatio
198 Inverness Drive WestEnglewoodCO80112271050565HealthcareCO501(c)(3)11aCHI
CHI National Foundation
198 Inverness Drive WestEnglewoodCO80112270930004FundraisingCO501(c)(3)11aCHI
CHI National Services
198 Inverness Drive WestEnglewoodCO80112452532084HealthcareCO501(c)(3)9CHI
CHI National Home Care
198 Inverness Drive WestEnglewoodCO80112451261716HealthcareCO501(c)(3)11aCHI
Global Health Initiatives
198 Inverness Drive WestEnglewoodCO80112201536108MinistriesCO501(c)(3)11aCHI
St Joseph Physician Enterprises
7601 Osler DriveTowsonMD21204521311775PhysiciansMD501(c)(3)11aCHI
St Vincent Infirmary Medical Center
2 St Vincent CircleLittle RockAR72205710236917HealthcareAR501(c)(3)3CHI
St Anthony's Hospital Association
4 Hospital DriveMorriltonAR72110710245507HealthcareAR501(c)(3)3SVIMC
St Vincent Foundation
Two St Vincent CircleLittle RockAR72205510169537FundraisingAR501(c)(3)11aSVIMC
St Vincent Medical Group
2 St Vincent CircleLittle RockAR72205710830696HealthcareAR501(c)(3)9SVIMC
CHI Colorado
188 Inverness Drive WestEnglewoodCO80112840405257HealthcareCO501(c)(3)3CHI
Mercy Regional Medical Center of Durango
1010 Three Springs BlvdDurangoCO81301840405515HealthcareCO501(c)(3)3CHI
Catholic Health Initiatives Colorado Fou
961 East Colorado AvenueColorado SpringsCO80903840902211FundraisingCO501(c)(3)7CHI Colorado
Health SET
4200 West Conejos Place 436DenverCO80204841102943Low Inc.CareCO501(c)(3)7CHI Colorado
Pueblo Stepup
1925 East Orman Avenue Suite G52PuebloCO81004841234295CommunityCO501(c)(3)7CHI
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29Colorado SpringsCO80903841183335LTerm CareCO501(c)(3)7CHI Colorado
Total Healthcare
PO Box 7021Colorado SpringsCO80933840927232HealthcareCO501(c)(3)3CHI Colorado
CHI-Iowa Corp
1111 6th AvenueDes MoinesIA50314420680448HealthcareIA501(c)(3)3MHN
Bishop Drumm Retirement Center
1111 6th AvenueDes MoinesIA50314420725196LTerm CareIA501(c)(3)9CHI-IA Corp
House of Mercy
1111 6th AvenueDes MoinesIA50314421323808ShelterIA501(c)(3)7CHI-IA Corp
Mercy Clinics Inc
1111 6th AvenueDes MoinesIA50314421193699PhysicianIA501(c)(3)9CHI-IA Corp
Mercy College of Health Sciences
1111 6th AvenueDes MoinesIA50314421511682EducationIA501(c)(3)2CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th AvenueDes MoinesIA50314237358794FundraisingIA501(c)(3)7CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th AvenueDes MoinesIA50314426076069AuxiliaryIA501(c)(3)11aCHI-IA Corp
Mercy Professional Practice Associates
1111 6th AvenueDes MoinesIA50314421470935PhysicianIA501(c)(3)9CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs DriveCentervilleIA52544420680308HealthcareIA501(c)(3)3CHI-IA Corp
St Rose Ambulatory and Surgery Center F
3515 BroadwayGreat BendKS67530480543724Surgery CntrKS501(c)(3)3CHI
St Catherine Hospital
401 East Spruce StreetGarden CityKS67846480543721HealthcareKS501(c)(3)3CHI
St Catherine Hospital Development Found
401 East Spruce StreetGarden CityKS67846200598702FundraisingKS501(c)(3)11aSCH
CHI Kentucky Inc
3900 Olympic Blvd Suite 400ErlangerKY41018202741651HealthcareKY501(c)(3)11aCHI
Saint Joseph Health System Inc
150 N Eagle Creek DrLexingtonKY40509611334601HealthcareKY501(c)(3)3CHI
Continuing Care Hospital
150 North Eagle Creek DriveLexingtonKY40509611400619LTACHKY501(c)(3)3SJHS
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville RoadBardstownKY40004611345363HealthcareKY501(c)(3)3CHI
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville RoadBardstownKY40004562351341FundraisingKY501(c)(3)11aFH
Saint Joseph London Foundation Inc
310 East Ninth StreetLondonKY40741260438748FundraisingKY501(c)(3)11aSJHS
Saint Joseph Berea Hospital Foundation
305 Estill StreetBereaKY40403260152877FundraisingKY501(c)(3)7SJHS
St Joseph Hospital Foundation Inc
305 Estill StreetLexingtonKY40504611159649FundraisingKY501(c)(3)11aSJHS
Saint Joseph Medical Foundation Inc
One St Joseph DriveLexingtonKY40504311539059Phy PracticesKY501(c)(3)3SJHS
Saint Joseph Mount Sterling Foundation
50 Sterling AvenueMount SterlingKY40353272884584FundraisingKY501(c)(3)7SJHS
St Joseph Medical Center Inc
7601 Osler DriveTowsonMD21204520591461HealthcareMD501(c)(3)3CHI
St Joseph Medical Center Foundation In
7601 Osler DriveTowsonMD21204521681044FundraisingMD501(c)(3)7SJMC
Alverna Apartments
300 SE 8th AvenueLittle FallsMN56345411351177Lterm CareMN501(c)(3)9CHI
Lakewood Health Center
600 Main Avenue SouthBaudetteMN56623410758434LTerm CareMN501(c)(3)3CHI
St Francis Home
2400 St Francis DriveBreckenridgeMN56520410729978LTerm CareMN501(c)(3)9CHI
Appletree Court
601 Oak StreetBreckenridgeMN56520411850500Senior HomesMN501(c)(3)9SFH
St Francis Medical Center
2400 St Francis DriveBreckenridgeMN56520410695598HealthcareMN501(c)(3)3CHI
Healthcare and Wellness Foundation
2400 St Francis DriveBreckenridgeMN56520760761782FundraisingMN501(c)(3)11aSFMC
St Joseph's Area Health Services
600 Pleasant AvenuePark RapidsMN56470410695603HealthcareMN501(c)(3)3CHI
Unity Family Healthcare
815 2nd Street SELittle FallsMN56345410721642HealthcareMN501(c)(3)3CHI
St John's Regional Medical Center
2727 McClelland BlvdJoplinMO64804440545809HealthcareMO501(c)(3)3CHI
Mercy Lifecare Systems
2727 McClelland BlvdJoplinMO64804431305163Property MgmtMO501(c)(3)11aSJRMC
MNMCH Inc
220 North PennsylvaniaColumbusKS66725481216238HealthcareKS501(c)(3)3SJRMC
St John's Medical Group
2727 McClelland BlvdJoplinMO64804431882377Phys PracticeMO501(c)(3)9SJRMC
St John's Mercy Regional Foundation
2727 McClelland BlvdJoplinMO64804431308084FundraisingMO501(c)(3)7SJRMC
Alegent Health - Bergan Mercy Health Sys
7500 Mercy RoadOmahaNE68124470484764HealthcareNE501(c)(3)3CHI
Alegent Health - Mercy Hospital Corning
PO Box 368CorningIA50841420782518HealthcareIA501(c)(3)3AHBMHS
Mercy Health Care Foundation
PO Box 368CorningIA50841421461064FundraisingNE501(c)(3)11aAHMH
Mercy Hospital Foundation Council Bluff
800 Mercy DriveCouncil BluffsIA51503421178204FundraisingIA501(c)(3)11aAHBMHS
CHI Nebraska
555 South 70th StreetLincolnNE68510363233121HealthcareNE501(c)(3)11aCHI
The Physician Network
8055 O Street Suite 300LincolnNE68510470780857Phys PracticeNE501(c)(3)11aCHI Nebraska
Good Samaritan Hospital
PO Box 1990KearneyNE68848470379755HealthCareNE501(c)(3)3CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810KearneyNE68848470659443FundraisingNE501(c)(3)7GSH
Catholic Health Care Federation
198 Inverness Drive WestEnglewoodCO80112208473567Jurdic PersonCO501(c)(3)11aCHI
Saint Elizabeth Regional Medical Center
555 South 70th StreetLincolnNE68510470379836HealthcareNE501(c)(3)3CHI Nebraska
Saint Elizabeth Foundation
555 South 70th StreetLincolnNE68510470625523FundraisingNE501(c)(3)7SERMC
Saint Elizabeth Health Services
555 South 70th StreetLincolnNE68510363233120HealthcareNE501(c)(3)3SERMC
Saint Francis Medical Center
PO Box 9804Grand IslandNE68802470376601HealthCareNE501(c)(3)3CHI Nebraska
Saint Francis Medical Center Foundation
PO Box 9804Grand IslandNE68802470630267FundraisingNE501(c)(3)7SFMC
St Mary's Hospital
1314 3rd AvenueNebraska CityNE68410470443636HealthcareNE501(c)(3)3CHI Nebraska
St Mary's Hospital Foundation
1314 3rd AvenueNebraska CityNE68410470707604FundraisingNE501(c)(3)7SMH
Saint Clare's Health Services Inc
25 Pocono RoadDenvilleNJ07834223639733ManagementNJ501(c)(3)7CHI
Saint Clare's Community Care
66 Ford RoadDenvilleNJ07834222876836HealthcareNJ501(c)(3)11bSCHS
Saint Clare's Foundation Inc
66 Ford RoadDenvilleNJ07834222502997FundraisingNJ501(c)(3)7SCHS
Saint Clare's Hospital
66 Ford RoadDenvilleNJ07834223319886HealthcareNJ501(c)(3)3CHI
St Francis Life Care Corporation
19 Pocono RoadDenvilleNJ07834222536017Elderly CareNJ501(c)(3)9SCHS
Visiting Nurse Association of Saint Clar
191 Woodport RoadSpartaNJ07871221768334Home HealthNJ501(c)(3)9SCHS
St Joseph Community Health Services
300 Central Ave SW Suite 3000WAlbuquerqueNM87102710897107CommunityNM501(c)(3)11aCHI
CHI Health Connect at Home - Fargo
4816 Amber Valley ParkwayFargoND58104271966847HealthcareND501(c)(3)3CHI
Carrington Health Center
800 North 4th StreetCarringtonND58421450227311HealthcareND501(c)(3)3CHI
Lisbon Area Health Services
905 Main StreetLisbonND58054820558836HealthcareND501(c)(3)3CHI
Mercy Hospital of Devils Lake
1031 East Seventh StreetDevils LakeND58301450227012HealthcareND501(c)(3)3CHI
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh StreetDevils LakeND58301352367360FundraisingND501(c)(3)11aMHDL
Mercy Hospital of Valley City
570 Chautauqua BoulevardValley CityND58072450226553HealthcareND501(c)(3)3CHI
Mercy Medical Center
1301 15th Avenue WestWillistonND58801450231183HealthcareND501(c)(3)3CHI
Mercy Medical Foundation
1301 15th Avenue WestWillistonND58801450381803FundraisingND501(c)(3)11aMMC
Oakes Community Hospital
314 South 8th StreetOakesND58474450231675HealthcareND501(c)(3)3CHI
Oakes Community Hospital Foundation
314 South 8th StreetOakesND58474710966606FundraisingND501(c)(3)11aOCH
St Joseph's Hospital and Health Center
30 West 7th StreetDickinsonND58601450226429HealthcareND501(c)(3)3CHI
Saint Joseph's Hospital Foundation
30 West 7th StreetDickinsonND58601363418207FundraisingND501(c)(3)11aSJHHC
Villa Nazareth Inc
801 Page DriveFargoND58103450226714LT CareND501(c)(3)9CHI
Samaritan Health Partners
2222 Philadelphia DriveDaytonOH45406311107411HealthcareOH501(c)(3)11aCHI
Samaritan Behavioral Health
601 S Edwin C Moses BlvdDaytonOH45408020633634HealthcareOH501(c)(3)3SHP
Samaritan Health Foundation
2222 Philadelphia DriveDaytonOH45406237296923FundraisingOH501(c)(3)7SHP
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 WestCincinnatiOH45206310537486HealthcareOH501(c)(3)3TRI-HEALTH
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 WestCincinnatiOH45206237419853DialysisOH501(c)(2)noneGSH
Good Samaritan College of Nursing & Heal
375 Dixmyth AveCincinnatiOH45220311778403EducationKY501(c)(3)2GHS
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 WestCincinnatiOH45206311206047FundraisingOH501(c)(3)11aGSH
Hospital Association for St Joseph Hosp
7601 Osler DriveTowsonMD21204526050777HealthcareMD501(c)(3)9SJMC
Mercy Medical Center
2700 Stewart ParkwayRoseburgOR97470930386868HealthcareOR501(c)(3)3CHI
Centennial Medical Group Inc
2700 Stewart ParkwayRoseburgOR97470900433062PhysiciansOR501(c)(3)9MMC
Linus Oakes Inc
2700 Stewart ParkwayRoseburgOR97470930821381Senior LivingOR501(c)(3)9MMC
Mercy Foundation Inc
2700 Stewart ParkwayRoseburgOR97470936088946FundraisingOR501(c)(3)7MMC
Mt St Joseph Inc
3060 SE Stark StreetPortlandOR97214930386870Nursing CareOR501(c)(3)9CHI
St Anthony Hospital
1601 SE Court AvenuePendletonOR97801930391614HealthcareOR501(c)(3)3CHI
St Anthony Hospital Foundation
1601 SE Court AvenuePendletonOR97801930992727FundraisingOR501(c)(3)11aSA Hospital
St Dominic at Ontario
351 SW 9th StreetOntarioOR97914930433692HealthcareOR501(c)(3)3CHI
St Francis of Baker City
3325 Pocahontas RoadBaker CityOR97814930412495HealthcareOR501(c)(3)3CHI
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150LancasterPA17602232342997HealthPA501(c)(3)11aCHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150LancasterPA17602232605579FundraisingPA501(c)(3)11aSJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150LancasterPA17602201425375Dental carePA501(c)(3)11aSJHM
St Joseph Regional Health Network
2500 Bernville Road PO Box 316ReadingPA19603231352211HealthcarePA501(c)(3)3CHI
St Joseph Medical Group
2500 Bernville Road PO Box 316ReadingPA19603208544021HealthcarePA501(c)(3)9BHC
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316ReadingPA19603232649362FundraisingPA501(c)(3)11aSJRHN
St Mary's Healthcare Center
801 East Sioux AvenuePierreSD57501460230199HealthcareSD501(c)(3)3CHI
Gettysburg Medical Center
606 East Garfield AvenueGettysburgSD57442460234354HealthcareSD501(c)(3)3SMHC
Memorial Health Care System Inc
2525 De Sales AvenueChattanoogaTN37404620532345HealthcareTN501(c)(3)3CHI
Memorial Health Care System Foundation
2525 De Sales AvenueChattanoogaTN37404621839548FundraisingTN501(c)(3)7MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford RoadChattanoogaTN37421030417049HealthcareTN501(c)(3)9MHCS
Franciscan Health System FKA Franciscan
1717 South J StreetTacomaWA98405910564491HealthcareWA501(c)(3)3CHI
Enumclaw Regional Hospital Association
1450 Battersby AvenueEnumclawWA98022910715805HealthcareWA501(c)(3)3FHS
Franciscan Foundation
1717 South J StreetTacomaWA98405911145592FundraisingWA501(c)(3)9FHS
Franciscan Medical Group
1708 South Yakima AvenueTacomaWA98405911939739HealthcareWA501(c)(3)9FHS
Franciscan Villa of South Milwaukee Inc
3601 South Chicago AvenueSouth MilwaukeeWI53172391093829HealthcareWI501(c)(3)9CHI

Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CHI Operating Investment Program LP
198 Inverness Drive WestEnglewoodCO80112470727942InvestmentsCOCHIInvestment1396798052069974790false$371,292true1.00000
North River Surgery Center LLC
2209 Wildwood AvenueSherwoodAR72120710799771Ambul Surg CtrARSVIMCRelated1983131758688falsefalse0.57450
Audubon Land Company LLC
5390 N Academy Blvd Suite 300Colorado SpringsCO80918841513085Real EstateCOTHCRelated-15767314390550falsefalse0.50100
OrthoColorado LLC
11650 West 2nd PlaceLakewoodCO80255371577105Ortho HospitalCOTHCRelated-324931410905384falsefalse0.60000
Penrad Imaging
1390 Kelly Johnson BlvdColorado SpringsCO80920841072619Medical ImagingCOTHCRelated18572285457224falsefalse0.70000
St Anthony Regional Mtn Cancer Center
4231 W 16th AvenueDenverCO80112371568013Cancer CenterCOTHCRelated-290552falsefalse0.51000
St Francis Land Company
5390 N Academy Blvd Suite 300Colorado SpringsCO80918263134100Real EstateCOTHCRelated-18097914886022falsefalse0.51000
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310LexingtonKY40504611386736DiagnosticKYSJ HospitalLexRelatedfalsefalse0.65000
St Joseph-PAML LLC
424 Lewis Hargett Circle Ste 160LexingtonKY40503452116736Mgmt SvcsKYSJHSRelatedfalsetrue0.62500
Saint Joseph SCA Holdings LLC
424 Lewis Hargett Circle Ste 160LexingtonKY40503453801157OP SurgeryDESJHSRelatedfalsetrue0.51000
Surgery Center of Lexington LLC
1451 Harrodsburg RoadLexingtonKY40504621179539Surgery CenterDESJHSRelated8088404236901falsetrue0.51000
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201BaltimoreMD21204522095835Surgery CenterMDSJMCRelatedfalsetrue0.51000
Avantas LLC
1207 South 13 StreetOmahaNE68108392045003HealthcareNEAHMHUnrelatedfalsefalse0.95000
Healthcare Support Services LLC
PO Box 9804Grand IslandNE68802721546196LaundryNECHIRelated1961243913481false-$58,436false1.00000
Central Nebraska Home Care Services
PO Box 1146-4510 Second AvenueKearneyNE68848470692112Healthcare SrvcNEHSEINCRelated-999411021498false-$48,712true1.00000
Superior Medical Imaging LLC
5000 North 26th StreetLincolnNE68521262884555OP DiagnosticsNESERMCRelatedfalsefalse0.51000
Central Nebraska Rehab Services
3004 W Faidley AveGrand IslandNE68802810653461Physical TherapyNECHIRelated18579912262775falsefalse0.51000
St Francis Medical Center Associates
1717 South J StreetTacomaWA98405911352698Med. OfficeWAFHSRelated1169481652280falsefalse0.54210
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11TacomaWA98405870808610Healthcare SrvcWAFHSRelated1311953052504falsefalse0.60000
Berywood Office Properties LLC
400 Berywood TrailClevelandTN37312621875199Phys OfficeTNMHCSRelatedfalsetrue0.63000

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncome
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400ErlangerKY41018841112049Management ServicCOCHIC Corp32674411.00000
Captive Management Initiatives
6028D Shallowford RoadChattanoogaTN37422980663022Captive ManagemenCHIC Corp1.00000CJ
Center for Translational Research
198 Inverness Drive WestEnglewoodCO80112272269511HealthcareCOCHIC Corp16685891.00000-2247962
First Initiatives Insurance Ltd
1415 SouthgatePendletonOR97801980203038InsuranceCHIC Corp1.00000CJ
Franciscan Services Inc
198 Inverness Drive WestEnglewoodCO80112232487967HealthcareCOCHIC Corp119142841.00000-507578
SJH Services Corporation
198 Inverness Drive WestEnglewoodCO80112232307408HealthcareCOFSIC Corp31801001.00000-518360
St Joseph Development Company Inc
1717 South J StreetTacomaWA98405911480569RentalWAFSIC Corp121680221.00000-36395
Towson Management Inc
7601 Osler DriveTowsonMD21204521710750Management ServicMDFSIC Corp4983931.00000-469016
Nazareth Assurance Company
76 St Paul Street Suite 500BurlingtonVT05401030304831InsuranceVTCHIC Corp1235351.00000-379
St Vincent Community Health Services In
Two St Vincent CircleLittle RockAR72205710710785HealthcareARSVIMCC Corp140493751.000002309129
Comcare Services
4231 W 16th AvenueDenverCO80204840904813InactiveCOCHICC Corp1.00000
Des Moines Medical Center Inc
1111 6th AvenueDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corp12534520.92980
Mercy Park Apartments Ltd
1111 6th AvenueDes MoinesIA50314421202422HousingIACHI-IA CorpC Corp17960531.00000264489
Central Kansas Health Services Associati
3515 BroadwayGreat BendKS67530481042853MEDICAL EQUIPMENTKSCKMCC Corp1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160LexingtonKY40503270164198ManagementKYSJHSC Corp1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70LexingtonKY40504611079899ManagementKYSJHSC Corp8821390.8500016644
Mercy Health Services Corporation
2727 McClelland BlvdJoplinMO64804431457881DMEMOSt John's RMCC Corp13690831.00000-1533371
Good Samaritan Outreach Services
PO BOX 1990KearneyNE68848470659440MEDICAL CLINICNECHI NebraskaC Corp3551101.00000-2921063
Health Systems Enterprises Inc
PO BOX 1990KearneyNE68848470664558MANAGEMENTNEGSHC Corp14430491.0000025289
Saint Clare's Primary Care Inc
66 Ford RoadDenvilleNJ07834222441202Billing ServicesNJSCCCC Corp21771661.00000-342970
MedQuest
1301 15th Avenue WestWillistonND58801450392137Sale of DMENDMHof WillistonC Corp9625541.000009852
Consolidated Health Services
1700 Edison DriveMilfordOH45150311378212Home HealthOHCHIC Corp115951251.00000
American Nursing Care
1700 Edison DriveMilfordOH45150311085414Home HealthOHCHSC Corp444703581.000001778617
Amerimed Inc
1700 Edison DriveMilfordOH45150311158699Home HealthOHANCC Corp118696571.000002395230
Patient Transport Services Inc
1700 Edison DriveMilfordOH45150311100798Home HealthOHANCC Corp53259411.00000662425
Samaritan Family Care Inc
40 W Fourth St 1700DaytonOH45402311299450HealthcareOHSHPC Corp1.00000
Mercy Services Corp
2700 Stewart ParkwayRoseburgOR97470930824308Retail SalesORMMCC Corp9547981.00000-690267
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSt Anthony HC Corp30075541.0000053891
CGH Realty Company Inc
215 N 12th StReadingPA19603232326801Real EstatePASJHMC Corp424151.000001007
Caduceus Medical Associates Inc
6028 Shallowford Road Suite DChattanoogaTN37422621570736HealthcareTNMHCSC Corp10081.00000
Mountain Management Services Inc
6028D Shallowford RoadChattanoogaTN37422621570739mgmt svc orgTNMHCSC Corp46679981.00000-386020
Physician Health System Network
1149 Market StTacomaWA98402911746721Health Org.WAFHSC Corp1.00000
Healthcare Mgmt Services Org Inc
1149 Market StTacomaWA98402911865474Health Org.WAFHSC Corp1.00000
Harold W Rase 1995 Charitable Unittrust
30 West 7th StreetDickinsonND58601456090420InvestmentsNDSJHHCTrust215331.000001240
Harold W Rase 1996 Charitable Unittrust
30 West 7th StreetDickinsonND58601206037112InvestmentsNDSJHHCTrust154951.00000900
Harold W Rase 1997 Charitable Unittrust
30 West 7th StreetDickinsonND58601206037104InvestmentsNDSJHHCTrust202611.000001025
Harold W Rase 1999 Charitable Unittrust
30 West 7th StreetDickinsonND58601206037099InvestmentsNDSJHHCTrust250271.000001313
James & Henrietta Nistler Unitrust
30 West 7th StreetDickinsonND58601206021899InvestmentsNDSJHHCTrust414551.00000-16708
Joseph A Schuster Annuity Trust #1
400 Univerity AvenueDes MoinesIA50314421195122InvestmentsIAMFDMTrust4414881.0000018924
Ray & Shirley David 1999 Unitrust
30 West 7th StreetDickinsonND58601206037077InvestmentsNDSJHHCTrust241941.000001250
Tom Deyle Charitable Remainder Unitrust
PO Box 1810KearneyNE68848476192393InvestmentsNEGSHFTrust1663211.000004884
David Deyle Charitable Remainder Unitrus
PO Box 1810KearneyNE68848476192395InvestmentsNEGSHFTrust1664251.000004880
Jeanne Deyle Charitable Remainder Unitru
PO Box 1810KearneyNE68848476192398InvestmentsNEGSHFTrust1663201.000004880
Lodesca Miller Charitable Remainder Unit
PO Box 1810KearneyNE68848476186933InvestmentsNEGSHFTrust863671.000003387
Robert & Wanda Charitable Remainder Unit
PO Box 1810KearneyNE68848266191916InvestmentsNEGSHFTrust5377751.0000013030
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 AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1St Joseph Regional Health NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypecTransactionType
Amount Involved5681107AmountInvolved