CARRINGTON HEALTH CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CARRINGTON HEALTH CENTER (EIN 45-0227311)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349302209
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T10:28:45-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450227311 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carrington Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARR | NameControl |
| Phone | 7016523141 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 North 4th Street | AddressLine1 |
| City | Carrington | City |
| State | ND | State |
| ZIP Code | 58421 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jennifer Hoornaert | Name |
| Title | Controller | Title |
| Date Signed | 2012-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK STOCKI | Name |
| Phone | 7208741500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARIANN DOELING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 N 4TH ST | AddressLine1 |
| City | Carrington | City |
| State | ND | State |
| ZIP Code | 58421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15386277 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | carringtonhealthcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1916 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | TO STRIVE TO BE THE BEST HOSPITAL IN NORTH DAKOTA BY PROVIDING THE HIGHEST QUALITY OF CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 195 | TotalNbrEmployees |
| Total Nbr Volunteers | 155 | TotalNbrVolunteers |
| Total Gross UBI | 257 | TotalGrossUBI |
| Contributions Grants Prior Year | 143871 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 347857 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13626506 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14390684 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 247093 | InvestmentIncomePriorYear |
| Investment Income Current Year | 279414 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 46411 | OtherRevenuePriorYear |
| Other Revenue Current Year | 332815 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14063881 | TotalRevenuePriorYear |
| Total Revenue Current Year | 15350770 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5312 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7293 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7230027 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7750554 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 118507 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5651876 | OtherExpensePriorYear |
| Other Expenses Current Year | 6417322 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12887215 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14175169 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1176666 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1175601 | RevenuesLessExpensesCY |
| Total Assets BOY | 8173370 | TotalAssetsBOY |
| Total Assets EOY | 10000949 | TotalAssetsEOY |
| Total Liabilities BOY | 1704023 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2010545 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6469347 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7990404 | 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 | true | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 11465857 | Expense |
| Grants | 7293 | Grants |
| Revenue | 14390684 | Revenue |
| Description | SEE Sch H | Description |
| Total Program Service Expense | 11465857 | 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 | true | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | 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 | true | 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 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 195 | 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ND | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jennifer Hoornaert | NamePerson |
| Telephone Number | 7016527178 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 North 4th Street | AddressLine1 |
| City | Carrington | City |
| State | ND | State |
| ZIP Code | 58421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES BELQUIST | |||||||
| BOARD MEMBER | 1.0 | X | |||||
| SCOTT BUCHHOLTZ | |||||||
| BOARD MEMBER | 1.0 | X | |||||
| JEFFREY DROP | |||||||
| SVP DIVISION OFFICER | 1.0 | X | X | 684808 | 74336 | ||
| MARIANN DOELING | |||||||
| CEO | 40.0 | X | X | 216235 | 38846 | ||
| Ella Gutzke | |||||||
| Vice Chair | 1.0 | X | X | ||||
| Sr Maureen Walker | |||||||
| Board Member | 1.0 | X | |||||
| Michael Murphy | |||||||
| Board Member | 1.0 | X | |||||
| Rueben Weigelt | |||||||
| Board Chair | 1.0 | X | X | ||||
| Sharon Altendorf | |||||||
| Board Member | 1.0 | X | |||||
| Jennifer Hoornaert | |||||||
| Controller | 40.0 | X | 5618 | 80645 | |||
| Rick Geier | |||||||
| MD | 40.0 | 32668 | 446983 | X | |||
| Jacqueline Nelson | |||||||
| PA | 40.0 | 12087 | 142026 | X | |||
| Michael Page | |||||||
| MD | 40.0 | 38188 | 411299 | X | |||
| Todd Schaffer | |||||||
| MD | 40.0 | 15766 | 240346 | X | |||
| Inder Khokha | |||||||
| MD | 40.0 | 2427 | 104969 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1426268 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 901043 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 219936 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CENTRAL DAKOTA PHYSICAL THERAPY PC | |||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | PHYSICAL THERAPY | 418793 |
| MCKESSON INFORMATION SOLUTIONS | |||||
| PO BOX 98347 | CHICAGO | IL | 606930001 | BILLING SERVICES | 194145 |
| DMS HEALTH TECHNOLOGIES | |||||
| 2101 N UNIVERSITY DR PO BOX 8070 | FARGO | ND | 581098070 | NUCLEAR MED, MRI | 178060 |
| AUREUS NURSING LLC | |||||
| PO BOX 3037 | OMAHA | NE | 68103 | nursing labor | 123648 |
| NATIONAL MEDICAL RESOURCES INC | |||||
| PO BOX 2235 | BISMARCK | ND | 58503 | ER LOCUMS | 234484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Fundraising Events | 11448 | FundraisingEvents |
| Government Grants | 43314 | GovernmentGrants |
| All Other Contributions | 293095 | AllOtherContributions |
| Total Contributions | 347857 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Services | 900099 | 14320181 | 14320181 |
| Rental Income | 900099 | 65082 | 65082 |
| Emergency Medical Services | 621910 | 4229 | 4229 |
| Medical Services | 900099 | 904 | 904 |
| INTERCOMPANY REVENUES | 900099 | 288 | 288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14390684 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90628 | TotalRevenueColumn |
| Unrelated Business Revenue | 257 | UnrelatedBusinessRevenue |
| Exclusion | $90,371 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 188786 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 188786 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 188786 | TotalRevenueColumn |
| Exclusion | $188,786 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 3835 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 11448 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 3171 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 664 | TotalRevenueColumn |
| Exclusion | $664 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 41023 | GrossSalesOfInventory |
| Cost Of Goods Sold | 32336 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8687 | TotalRevenueColumn |
| Exclusion | $8,687 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SERVICES SOLD | 900099 | 284433 | $284,433 |
| CAFETERIA | 722100 | 14400 | $14,400 |
| REIMBURSEMENT OF EXPENSES | 900099 | 13435 | $13,435 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11196 | TotalRevenueColumn |
| Exclusion | $11,196 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 323464 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15350770 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14390684 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 257 | UnrelatedBusinessRevenue |
| Exclusion | $611,972 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2228 | Total |
| Program Services | 2228 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5065 | Total |
| Program Services | 5065 | ProgramServices |
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 | 88409 | Total |
| Management And General | 88409 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6241315 | Total |
| Program Services | 5745119 | ProgramServices |
| Management And General | 451739 | ManagementAndGeneral |
| Fundraising | 44457 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295151 | Total |
| Program Services | 267891 | ProgramServices |
| Management And General | 25187 | ManagementAndGeneral |
| Fundraising | 2073 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 728239 | Total |
| Program Services | 660980 | ProgramServices |
| Management And General | 62144 | ManagementAndGeneral |
| Fundraising | 5115 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 397440 | Total |
| Program Services | 360733 | ProgramServices |
| Management And General | 33916 | ManagementAndGeneral |
| Fundraising | 2791 | Fundraising |
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 | 2746003 | Total |
| Program Services | 1586941 | ProgramServices |
| Management And General | 1158057 | ManagementAndGeneral |
| Fundraising | 1005 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1526925 | Total |
| Program Services | 1408022 | ProgramServices |
| Management And General | 64544 | ManagementAndGeneral |
| Fundraising | 54359 | Fundraising |
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 | 203954 | Total |
| Program Services | 147277 | ProgramServices |
| Management And General | 56677 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170286 | Total |
| Program Services | 148564 | ProgramServices |
| Management And General | 18068 | ManagementAndGeneral |
| Fundraising | 3653 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470 | Total |
| Management And General | 470 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35823 | Total |
| Program Services | 35823 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487584 | Total |
| Management And General | 487584 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 484722 | Total |
| Program Services | 414809 | ProgramServices |
| Management And General | 69913 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77379 | Total |
| Program Services | 29659 | ProgramServices |
| Management And General | 47721 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad debts | 477787 | 477787 | ||
| Repairs and maintenance | 69198 | 61609 | 7589 | |
| Recruitment and relocation | 44415 | 44415 | ||
| Dues & subscriptions | 33796 | 22995 | 10802 | |
| Education | 33244 | 25944 | 3300 | 4000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25737 | Total |
| Program Services | 19996 | ProgramServices |
| Management And General | 4685 | ManagementAndGeneral |
| Fundraising | 1054 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14175169 | Total |
| Program Services | 11465857 | ProgramServices |
| Management And General | 2590805 | ManagementAndGeneral |
| Fundraising | 118507 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21367 | BOY |
| EOY | 26960 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 862406 | BOY |
| EOY | 818180 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1402979 | BOY |
| EOY | 1858277 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102174 | BOY |
| EOY | 91613 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18560 | BOY |
| EOY | 13599 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202973 | BOY |
| EOY | 228615 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15727 | BOY |
| EOY | 16098 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10173385 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7794757 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2555753 | BOY |
| EOY | 2378628 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2991431 | BOY |
| EOY | 4568979 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8173370 | BOY |
| EOY | 10000949 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 777734 | BOY |
| EOY | 1440986 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 926289 | BOY |
| EOY | 569559 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1704023 | BOY |
| EOY | 2010545 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6455810 | BOY |
| EOY | 7751383 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13537 | BOY |
| EOY | 239021 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6469347 | BOY |
| EOY | 7990404 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8173370 | BOY |
| EOY | 10000949 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1175601 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 345456 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | true | MediaAdvertisements |
| Media Advertisements | $46 | MediaAdvertisementsAmount |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $1,837 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $1,661 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Total Lobbying Expenditures IIB | 3544 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 990 Sch C Supplemental | Identifier |
| Return Reference | Lobbying Activities Explanation | ReturnReference |
| Explanation | 1c. Media Advertisements - $46 1f. The portion of organizational dues that are related to lobbying is as follows: - American Hospital Association $70 - Catholic Health Association $209 - North Dakota Long Term Care Association $285 - North Dakota Healthcare Association $1,273 1g. Direct contract with legislators - $1,661 Carrington Health Center's Administrator, Controller and Ambulance Coordinator met once a month for four months with Carrington's Mayor, a Foster County Commissioner and the Carrington Economic Development Coordinator to discuss the process and plan for getting a measure on the November ballot. The Administrator and an employed physician also met with a couple state legislators, as well as a CMS representative, to explain the impact the CMS physician supervision requirement would have on a small critical access hospital and to express opposition to this requirement. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 346959 | OtherCostOrOtherBasis |
| Book Value | 346959 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5774844 | OtherCostOrOtherBasis |
| Depreciation | 4861609 | Depreciation |
| Book Value | 913235 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3806554 | OtherCostOrOtherBasis |
| Depreciation | 2716707 | Depreciation |
| Book Value | 1089847 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 245028 | OtherCostOrOtherBasis |
| Depreciation | 216441 | Depreciation |
| Book Value | 28587 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2378628 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OIP - Fixed Income | 2164427 | F |
| CHI OIP - Equity Securities | 2404552 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4568979 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLE | Description |
| Amount | $569,559 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 569559 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) Footnote RE: Uncertain Tax Positions | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | Carrington Health Center'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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | See disclosure | NameOfEvent1 |
| Name Of Event2 | See disclosure | NameOfEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Fundraising Events | Identifier |
| Return Reference | Schedule G, Part II | ReturnReference |
| Explanation | The organization hosted fundraising events in FY11; however, these events are not being listed on Schedule G since no single fundraising event had gross receipts in excess of $5,000. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 277 | PersonsServed |
| Total Community Benefit Expense | 238871 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 238871 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 277 | PersonsServed |
| Total Community Benefit Expense | 238871 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 238871 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01740 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 20392 | PersonsServed |
| Total Community Benefit Expense | 82203 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 82203 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 24 | PersonsServed |
| Total Community Benefit Expense | 19656 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19656 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 306 | PersonsServed |
| Total Community Benefit Expense | 229418 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 229418 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01670 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 245 | PersonsServed |
| Total Community Benefit Expense | 32549 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 32549 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 51 | NumberOfActivitiesOrPrograms |
| Persons Served | 20967 | PersonsServed |
| Total Community Benefit Expense | 363826 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 363826 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 51 | NumberOfActivitiesOrPrograms |
| Persons Served | 21244 | PersonsServed |
| Total Community Benefit Expense | 602697 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 602697 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04390 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Building Expense | 84 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 84 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 12 | PersonsServed |
| Total Community Building Expense | 5293 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5293 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 2 | PersonsServed |
| Total Community Building Expense | 4413 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4413 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 568 | PersonsServed |
| Total Community Building Expense | 4990 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4990 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 158 | PersonsServed |
| Total Community Building Expense | 1950 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1950 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 77 | PersonsServed |
| Total Community Building Expense | 9022 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9022 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 837 | PersonsServed |
| Total Community Building Expense | 25752 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25752 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $266,792 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 6230986 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6166729 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 64257 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRINGTON HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NORTH FOURTH STREET | AddressLine1 |
| City | CARRINGTON | City |
| State | ND | State |
| ZIP Code | 58421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRINGTON HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| FOSTER COUNTY MEDICAL CENTER | ||||
| 820 5TH STREET NORTH | CARRINGTON | ND | 58421 | PROVIDER BASED RHC |
| COMMUNITY HEALTH CENTER | ||||
| 118 1ST STREET | NEW ROCKFORD | ND | 58356 | PROVIDER BASED RHC |
| HOLY FAMILY VILLA | ||||
| 878 5TH STREET NORTH | CARRINGTON | ND | 58421 | BASIC CARE |
| PRESENTATION HOSPICE | ||||
| 331 3RD STREET NORTH | CARRINGTON | ND | 58421 | HOSPICE OWNED BY CHC THROUGH 12/26/2010 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Financial Assistance Eligibility Criteria | Part I, Line 3c | Question A: If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's financial assistance policy. When Catholic Health Initiatives (the ultimate parent organization to Carrington Health Center) established its financial assistance policy, it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in the 19 states served by CHI hospitals and health care facilities. Carrington Health Center bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. Question B: Also describe whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care. An individual's income under the HUD guidelines is a significant factor in determining eligibility for financial assistance. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets, such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. |
| Community Benefit Report | Part I, Line 6a | Question: If the organization's community benefit report is contained in a report prepared by a related organization, rather than in a separate report prepared by the organization, identify the related organization. Carrington Health Center prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization. |
| Subsidized Health Services | Part I, Line 7g | Question: To the extent that the organization included any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1. There are no physician clinics included in subsidized health services. |
| Percent of Total Expense | Part I, Line 7, Column (f) | Question: If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $477,787. |
| Costing Methodology | Part I, Line 7 | Question A: Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/11 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, a 55.84% cost-to-charge ratio was calculated. |
| Bad Debt Expense - Financial Statement Footnote | Part III, Section A, Line 4 | Question A: Provide the rationale and the costing methodology used to determine the amount reported in Part III, lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 55.84%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Question B: Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy, if sufficient information has been available to make a determination of their eligibility. Describe the rationale, if any, for including any portion of bad debt as community benefit. Also provide, if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. Carrington Health Center does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Carrington Health Center does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility." |
| Medicare Allowable Costs | Part III, Section B, Line 8 | Question A: Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Carrington Health Center is designated as a Critical Access Hospital ("CAH"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfalls are based on costs, not charges, Carrington Health Center, due to their designation as a CAH, received cost-based reimbursement for Medicare purposes, and therefore Carrington Health Center will not experience Medicare related shortfalls. Question B: Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. Carrington Health Center believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count some programs that specifically serve the Medicare population as community benefit. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. |
| Debt Collection Policy | Part III, Section C, Line 9b | Question: If the organization has a written debt collection policy and answered "Yes," to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. Carrington Health Center's debt collection policy provides that Carrington Health Center will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through Carrington Health Center's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Carrington Health Center community assistance policy is required to be returned immediately by the third-party collection agent to Carrington Health Center for appropriate follow-up. Carrington Health Center requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: * Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. |
| Community Building Activities & Community Needs Assessment | Part VI, Line 1 (part II), and Lines 2, 4, and 5 | Question Line 2: Describe whether, and if so, how, the organization assesses the health care needs of the communities it serves. Question Line 4: Describe the community, or communities, the organization serves, taking into account the geographic area and demographic constituents it serves (for example, urban, suburban, rural, etc.), the demographics of the community or communities (for example, population, average income, percentages of community residents with incomes below the federal poverty guidelines, percentage of the hospital's and community's patients who are uninsured or Medicaid recipients, etc.) the number of other hospitals serving the community or communities, and whether one or more federally-designated medically underserved areas or populations are present in the community. Question Line 5: Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). INTRODUCTION: I. ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE The mission of Carrington Health Center (CHC) and Catholic Health Initiatives (CHI) 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." Carrington Health Center's goal is to be known as one of the best Critical Access Hospitals in North Dakota that gives the highest quality of patient care. Carrington Health Center provides a wide array of inpatient and outpatient health services for our area and under its auspice includes a 24-hour emergency room, ambulance service, a Basic Care Facility, and two provider-based rural health clinics. The medical staff consists of three family practice doctors, one general surgeon, and three physician assistants as well as many outreach specialists that provide needed local services for which our patients would otherwise have the inconvenience of traveling long distance to receive. The programs and services described throughout this report promote a healthy community and each year those services seem to expand in some form. The primary exempt purpose of Carrington Health Center is to provide healthcare services to residents in the community and surrounding area regardless of their ability to pay. Carrington Health Center is included in the Official Catholic Directory as a tax-exempt hospital. Carrington Health Center has a governing Board of Directors comprised primarily of independent community representatives, religious women from our founding order, and the Sisters of the Presentation of the Blessed Virgin Mary. Sub committees also exist for Quality, Patient Family Advisory, and the newly formed Foundation. II. COMMUNITY BENEFIT APPROACH Carrington Health Center assists in addressing the spiritual and emotional needs of Carrington and portions of five surrounding counties. The Missions department, spiritual care and the social services department provide assistance for those needing guidance and help. A clinical psychologist is one of the specialists based at Carrington Health Center's campus. Carrington Health Center is located in Carrington, ND (Foster County). Surrounding counties served by CHC include Eddy County, a portion of Wells County and Nelson County. Both Wells County and Nelson County have medical centers. According to the U.S. Census Bureau 2010 census, these three counties have a total area of 2,536 square miles and approximately 9,935 people with a decrease of 1,665 from the 2000 census of 11,600 people. The racial makeup of the counties was 97.5% white in the 2010 census compared to 98% white in the 2000 census. In the 2010 census, persons of Hispanic or Latino origin (1.2%) has increased more than American Indian and Alaska Native persons at 1.1% in each of the three counties. German and Norwegian ancestry remains high in all counties. Even though there was a decrease in population, households increased from 4,100 to 4,806. According to the 2010 census, 20% had children under the age of 18 as compared to 28% in 2000. The 2010 census recorded that 18.25% of the population was 65 years of age and older; this was close to 18.33% recorded in the 2000 census. The median age was 43 years. The median household income in the three counties increased from $30,852 to $42,532. There was also an increase from 2000 to 2010 in the population that lives below the poverty line, 10.83% in 2000 to 11.26% in 2010. According to HRSA (Health Resources and Service Administration), Department of Health & Human Services, and the Center for Rural Health - UND, CHC is in a Primary Care Health Professional Shortage Area, Mental Health Professional Shortage Area, and in a Medically Underserved Area/Population. Health Professional Shortage Areas (HPSAs) are designated by HRSA as having shortages of primary medical care, dental, or mental health providers and may be geographic (a county or service area), demographic (low income population), or institutional (comprehensive health center, federally qualified health center or other public facility). In North Dakota, 23 counties have been classified as persistent whole county primary care HPSAs that have retained the HPSA designation for at least seven years. Medically Underserved Areas/Populations are areas or populations designated by HRSA as having: too few primary care providers, high infant mortality, and high poverty and/or high elderly population. Nationally, counties with this designation have the lowest primary care physician supply, the lowest percentage of rural adults with a regular primary care provider, and are the most likely to forego needed health care due to cost. Foster County and surrounding service areas are also designated as "frontier" in North Dakota. According to the 2000 census, 35 of 53 North Dakota counties are designated as frontier (less than six persons per square mile). Access to an adequate supply of health care providers is a concern in both North Dakota and nationally. By 2012, seven of the top ten fastest growing occupations across the nation are projected to be in health care. Center for Rural Health projections indicate that by 2020, about one-third of the state's physicians will likely be at retirement age, with the percentage being slightly lower for primary care in comparison to non-primary care. About 90% of North Dakota physicians are located in the ten largest cities; over 83% of the primary care physicians are located in those cities. However, according to the USDA Economic Research Service, the 2009 population estimate for North Dakota recorded 51% of the state's population as rural; thus, about nine out of ten physicians are practicing in essentially urban areas of the state, and about five out of ten North Dakotans live in rural areas. Regarding other health care disciplines, Job Service of North Dakota expects significant growth (over ten percent) in demand for pharmacists, occupational therapists, physical therapists, medical and clinical laboratory technologists and technicians, physician assistants, and registered nurses. COMMUNITY ASSESSMENT On April 28, 2009, a Planning Committee met to identify and discuss the top issues facing older adults and person with disabilities residing in Foster County. A plan with strategies to address these issues was developed. The group identified five of the most critical issues that the elderly and disabled adults of Foster County face. The vision of the steering committee is to provide services that will allow this targeted group to maintain their independence as long as possible, supported by a spirit of community collaboration and engagement. Another assessor of the Carrington Health Center service area is the Healthy Community Initiatives Committee which meets once a month under the direction of CHC's Spiritual Care Coordinator, who collaborates with the school, public health, county social services, churches, community members, and other health care professionals. The committee coordinates the collaboration of community residents and organizations on projects such as supplemental food for individuals or families in need, educational opportunities for residents, as well as other activities. It also focuses on healthy behaviors that will bring awareness to children and young adults regarding alternatives to binge and underage drinking. The Committee works with parents and local law enforcement agencies on the dangers of hosting or allowing underage drinking parties. In North Dakota, 97% of community members surveyed agree that preventing alcohol and other drug use among youth is important (ND Community Readiness Survey, 2008). In 2008, a Community Needs Assessment indicated persons in Carrington would benefit significantly from a Faith in Action program |
| Patient education of eligibility for assistance | Part VI, Item 3 | Question: Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy. Carrington Health Center includes information concerning its financial assistance policy on its website. In addition, Carrington Health Center prominently displays its financial assistance policy in obvious locations throughout the hospital, including the emergency room and other patient intake areas, as well as in Carrington Health Center's provider based rural health clinics. In addition, Carrington Health Center registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance; this consultation addresses financial options including applying for Medicaid and applying for financial assistance under Carrington Health Center's financial assistance policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. Carrington Health Center registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. Carrington Health Center's staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Patient Financial Services Staff assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. |
| Affiliated Entities | Part VI, Item 6 | Question: If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. Carrington Health Center and its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted-living and residential-living facilities; two community health-services organizations; two accredited nursing colleges; and home health agencies. Together, these facilities provided $612 million in charity care and community benefit in the 2011 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services, including areas such as accounting, human resources, payroll and supply chain, provides economies of scale and purchasing power to the MBOs. The cost savings achieved through CHI's centralization enables the MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. Carrington Health Center operates with its wholly owned affiliates and community partners, along with its fundraising arm, the Carrington Health Center Foundation, to serve the health care needs of Carrington, ND and surrounding communities. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| Education Scholarship | 5 | 3750 |
| Special Needs | 15 | 1315 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grant Funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | Once a grant has been received, all necessary department heads are informed of the receipt: Administrator, applicable department head, Materials Management, and Finance with the Foundation Director (assigned to coordinate the grant terms and ensure the grants are used for the proper purposes). Finance serves as an additional control to ensure expenses earmarked as grant by the department head and materials management meet the terms of the grant. Any periodic or final reports necessary to fulfill the grant are prepared jointly by the Foundation Director and Finance. Carrington Health Center has at its disposal the CHI Foundation Grant Services team to help effectively direct planning and coordination. The Team assists the Foundation Director with full grant management service that provide a clear picture of progress and accountability to the funder by helping coordinate programmatic outcome objectives, assisting with financial expense tracking, and ensuring unique requirement established by each funder are met. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 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 | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY DROP | |||||||||||
| 349509 | 146330 | 188969 | 53996 | 20340 | 759144 | ||||||
| MARIANN DOELING | |||||||||||
| 130121 | 63863 | 22251 | 27416 | 11430 | 255081 | ||||||
| Rick Geier | |||||||||||
| 159238 | 286345 | 1400 | 22678 | 9990 | 479651 | ||||||
| Jacqueline Nelson | |||||||||||
| 132383 | 9643 | 11775 | 312 | 154113 | |||||||
| Michael Page | |||||||||||
| 199835 | 211171 | 293 | 25128 | 13060 | 449487 | ||||||
| Todd Schaffer | |||||||||||
| 201851 | 20571 | 17924 | 15143 | 623 | 256112 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXECUTIVE COMPENSATION | Sch J, Part I, Q3 | Compensation 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 PAYMENTS | SCH J, PART I, Q 4A | Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. No eligible individuals received severance payments during calendar year 2010. |
| supplemental non-qualified retirement plan | Sch J, Part I, Q4B | During 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: Jeffrey Drop and Mariann Doeling. During 2010 the following contributions were made by CHI to the deferred compensation plan: Jeffrey Drop: $28,868 Mariann Doeling: $12,177 |
| non fixed payments | Sch J, Part I, Q7 | CHC maintains a variable pay plan for senior executive management that puts a certain amount of compensation at risk. Awards of incentive compensation under the variable pay plan are made based upon achievement of organizational objectives including performance in relation to budget, and achievement of individual goals. All compensation, including any incentive compensation, is capped to ensure that compensation remains at FMV. Physician incentive compensation is based on the Medicare methodology (CMS RBRVS Method) for determining physician wRVUs for personally performed physician services. The value of a wRVU is determined with reference to the most current national physician fee schedule relative value file. Physicians shall be compensated based on a 2-tiered conversion factor: $44 per wRVU in excess of 3636 and $52.85 per wRVU in excess of 5600. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Todd Schaffer MD | ||||||
| Education | X | $105,000 | 56416 | false | true | true |
| Jacqueline Nelson PA | ||||||
| Education | X | $40,000 | 20041 | false | true | true |
| Inder Khokha MD | ||||||
| Recruitment | X | $20,000 | 15156 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 91613 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, Q2 | IN FISCAL YEAR 2011, CARRINGTON HEALTH CENTER CREATED THE BEHAVIORAL HEALTH AND WELLNESS PROGRAM WHICH FOCUSES ON WELLNESS AND PREVENTITIVE MAINTENANCE. THE CARRINGTON HEALTH CENTER FOUNDATION WAS ALSO CREATED IN FISCAL YEAR 2011. |
| Significant Changes to Program Services | Form 990, Part III, Q3 | During the fiscal year ending June 30, 2011, Catholic Health Initiatives ("CHI"), a related organization, created CHI Health Connect at Home - Fargo ("CHCH"), a Minnesota nonprofit corporation. CHCH was created to nurture the healing ministry of the Roman Catholic Church by bringing together 10 existing home care businesses into one legal entity. These existing home care businesses, located in various communities in North Dakota, Minnesota & South Dakota, were departments of hospitals owned by CHI. Carrington Health Center transferred their hospice service division to CHCH during the fiscal year ending June, 30 2011. Centralizing the home care and hospice services into CHCH will reduce duplication of services among individual agencies and provide an infrastructure for streamlined administrative processes and also allows for hiring of more specialized staff in the areas of case management, process improvement and financial analysis. Through consolidation, CHCH expects to increase productivity and provide the ability to share resources, create clinical best practices, better manage outcomes and gain efficiencies from standardization. |
| Executive Committee composition and authority | Form 990, Part VI, Line 1a | Pursuant to Section 8.6 of the Bylaws of Carrington Health Center, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO of the Corporation. Each of whom shall serve as an ex officio voting member of the Executive Committee. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors. |
| Family or Business Relationship | Form 990, Part VI, Line 2 | Todd Schaffer and Michael Page have a family relationship and a business relationship. |
| The Organization's Corporate Members/Stockholders | Form 990, Part VI, Line 6 | The organization's corporate member is Catholic Health Initiatives, a Colorado non-profit corporation pursuant to Section 5.1 of the organization's bylaws. |
| Members/Stockholders Electing Governing Body Members | Form 990, Part VI, Line 7a | THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. |
| APPROVAL OF GOVERNING BODY DECISIONS BY MEMBERS/STOCKHOLDERS | Form 990, Part VI, Line 7b | The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.1 of the organization's bylaws, CHI has the specific rights set forth in the governance matrix. Pursuant to the governance matrix 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 Carrington Health Center * Amendment of the corporate documents of Carrington Health Center * Approve members of Carrington Health Center's board * Removal of a member of the governing body of Carrington Health Center * Approval of issuance of debt by Carrington Health Center * Approval of participation of Carrington Health Center in a joint venture * Approval of formation of a new corporation by Carrington Health Center * Approval of a merger involving Carrington Health Center * Approval of the sale of all or substantially all of the assets of Carrington Health Center * To require the transfer of assets by the Carrington Health Center to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for Carrington Health Center. Pursuant to Section 5.4.1 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. |
| Process of Reviewing Form 990 | Form 990, Part VI, Line 11 | The controller is responsible for reviewing the form 990. A copy of the return will be provided to both the finance and audit compliance committee and the board prior to filing with the IRS. Subsequently, the CHI tax department files the return with the appropriate Federal agency, 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 policy | Form 990, Part VI, Line 12c | The organization has a conflict of interest policy; however, it was not formally approved by the board of directors as of June 30, 2011. DISCLOSURE, REVIEW AND INITIAL DETERMINATION Each director must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. In the case of an officer, disclosure must be made to the Corporation's President and Chief Executive Officer who will report such disclosure to the Board Chair. In any situation where a director or officer is in doubt, full disclosure should be made so as to permit an impartial and objective determination. A written record of the disclosure will be made. Annual Disclosure Statement In addition to the ongoing disclosure obligation, the Corporation's President and Chief Executive Officer shall annually send to all directors and officers a copy of this Policy statement and the Conflict of Interest Disclosure Statement. The directors and officers must promptly complete, sign, and return the statement to the Corporation's President and Chief Executive Officer. The completed statements will be reviewed by the President and Chief Executive Officer and the Board Chair. Review, Evaluation and Initial Determination The Board Chair or designee shall make such further investigation of conflicts of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role outlined in this Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to this Policy statement, review and approval or other action by the Board of Stewardship Directors is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If there is a difference of opinion between the Board Chair and another director or officer as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board of Directors review and approval or other action is required within this Policy statement, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Committee minutes and will be reported to the Board of Directors. BOARD REVIEW Transactional Conflicts of Interest The Board of Directors shall carefully scrutinize and must in good faith approve or disapprove any transaction in which the Corporation and/or any of its Affiliates is a party and in which one or more of the Corporation's directors or officers either: has a material financial interest or is a director or officer of the other party (other than the Corporation's own Affiliates). The Board of Directors must approve the transaction by a majority of the directors on the Board, without counting the vote of any director who has an interest in the transaction. In reviewing such transactions between the Corporation and vendors or other contractors who are, or are affiliated with, directors or officers, the Board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to the Corporation. Other Conflicts of Interest The Board shall carefully review and scrutinize non-transactional conflicts of interests (e.g., disclosure of nonpublic information, competition with the Corporation, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested directors, the Board shall take whatever action is deemed appropriate under the circumstances with respect to the director or officer in order to best protect the interests of the Corporation including possible disciplinary or corrective action. The Board should consult with the General Counsel of the Corporation when considering disciplinary or corrective action. Disclosure by Interested Director When conflicts of interest are considered by the Board, the director or officer must disclose all of the material facts to the Board. The director or officer shall not vote or use his or her personal influence on the matter. However, if requested, such director or officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from Board members, as his or her knowledge may be of significant importance. The director or officer shall be excused from the meeting during discussion and vote on the conflict of interest. Record of Proceedings Minutes of the Board of Directors shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the Board, and that the interested director abstained from voting. Questions regarding the implementation and interpretation of this Policy shall be referred to the General Counsel of the Corporation. POLICY VIOLATIONS If the Board reasonably believes that a director or officer has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict as required by this Policy, the director or officer will be given an opportunity to explain such alleged failure to disclose. After hearing the response of the director or officer, the Board will conduct such additional investigation as may be appropriate. If the Board determines that the director or officer has in fact failed to disclose as required by this Policy, the Board shall take appropriate disciplinary or corrective action. |
| Process for Determining CEO's Compensation | Form 990, Part VI, Line 15a | The 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 officer's compensation | Form 990, Part VI, Line 15b | Carrington Health Center HAS A COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS PROPOSED WAGE INCREASES FOR OFFICERS. THE SUBCOMMITTEE UTILIZES a written employment contract, compensation survey, comparability studies and board approval to determine compensation. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. |
| Public availability of Governing documents/COI Policy/Financial Statements | Form 990, Part VI, Line 19 | The organization's governing documents and the Conflict of Interest Policy are available to the public upon request. Carrington Health Center's FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM |
| Estimate of Hours Devoted to Related Organizations | Form 990, Part VII | Compensation reported on the Form 990, Part VII was paid to these individuals by related organizations in exchange for the fulfillment of their duties as full-time, 60 hours per week employees. |
| Other Changes in Net Assets | Form 990, Part XI, Line 5 | Unrealized Gain $333,791 CHI Connect Depreciation $50,425 Capital Resources Pool Contribution -$38,760 Total $345,456 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (125 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 |
|---|---|---|---|---|---|---|---|---|---|
| Catholic Health Initiatives | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470617373 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| Bornemann Healthcare Corporation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232187242 | Healthcare | PA | 501(c)(3) | 11a | CHI |
| CHI Institute For Research and Innovatio | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 271050565 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| CHI National Foundation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 270930004 | Fundraising | CO | 501(c)(3) | 11a | CHI |
| CHI National Services | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 452532084 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| CHI National Home Care | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 451261716 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| Global Health Initiatives | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 201536108 | Ministries | CO | 501(c)(3) | 11a | CHI |
| St Joseph Physician Enterprises | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521311775 | Physicians | MD | 501(c)(3) | 11a | CHI |
| St Vincent Infirmary Medical Center | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710236917 | Healthcare | AR | 501(c)(3) | 3 | CHI |
| St Anthony's Hospital Association | |||||||||
| 4 Hospital Drive | Morrilton | AR | 72110 | 710245507 | Healthcare | AR | 501(c)(3) | 3 | SVIMC |
| St Vincent Foundation | |||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 510169537 | Fundraising | AR | 501(c)(3) | 11a | SVIMC |
| St Vincent Medical Group | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710830696 | Healthcare | AR | 501(c)(3) | 9 | SVIMC |
| CHI Colorado | |||||||||
| 188 Inverness Drive West | Englewood | CO | 80112 | 840405257 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Mercy Regional Medical Center of Durango | |||||||||
| 1010 Three Springs Blvd | Durango | CO | 81301 | 840405515 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Catholic Health Initiatives Colorado Fou | |||||||||
| 961 East Colorado Avenue | Colorado Springs | CO | 80903 | 840902211 | Fundraising | CO | 501(c)(3) | 7 | CHI Colorado |
| Health SET | |||||||||
| 4200 West Conejos Place 436 | Denver | CO | 80204 | 841102943 | Low Inc.Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Pueblo Stepup | |||||||||
| 1925 East Orman Avenue Suite G52 | Pueblo | CO | 81004 | 841234295 | Community | CO | 501(c)(3) | 7 | CHI |
| SET of Colorado Springs Inc | |||||||||
| 825 E Pikes Peak Avenue Bldg 29 | Colorado Springs | CO | 80903 | 841183335 | LTerm Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Total Healthcare | |||||||||
| PO Box 7021 | Colorado Springs | CO | 80933 | 840927232 | Healthcare | CO | 501(c)(3) | 3 | CHI Colorado |
| CHI-Iowa Corp | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420680448 | Healthcare | IA | 501(c)(3) | 3 | MHN |
| Bishop Drumm Retirement Center | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420725196 | LTerm Care | IA | 501(c)(3) | 9 | CHI-IA Corp |
| House of Mercy | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421323808 | Shelter | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Clinics Inc | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421193699 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy College of Health Sciences | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421511682 | Education | IA | 501(c)(3) | 2 | CHI-IA Corp |
| Mercy Foundation of Des Moines IA | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 237358794 | Fundraising | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Auxiliary of Central Iowa | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 426076069 | Auxiliary | IA | 501(c)(3) | 11a | CHI-IA Corp |
| Mercy Professional Practice Associates | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421470935 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy Medical Center - Centerville FKA | |||||||||
| 1 St Josephs Drive | Centerville | IA | 52544 | 420680308 | Healthcare | IA | 501(c)(3) | 3 | CHI-IA Corp |
| St Rose Ambulatory and Surgery Center F | |||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 480543724 | Surgery Cntr | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 480543721 | Healthcare | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital Development Found | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 200598702 | Fundraising | KS | 501(c)(3) | 11a | SCH |
| CHI Kentucky Inc | |||||||||
| 3900 Olympic Blvd Suite 400 | Erlanger | KY | 41018 | 202741651 | Healthcare | KY | 501(c)(3) | 11a | CHI |
| Saint Joseph Health System Inc | |||||||||
| 150 N Eagle Creek Dr | Lexington | KY | 40509 | 611334601 | Healthcare | KY | 501(c)(3) | 3 | CHI |
| Continuing Care Hospital | |||||||||
| 150 North Eagle Creek Drive | Lexington | KY | 40509 | 611400619 | LTACH | KY | 501(c)(3) | 3 | SJHS |
| Flaget Healthcare DBA Flaget Memorial | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 611345363 | Healthcare | KY | 501(c)(3) | 3 | CHI |
| Flaget Memorial Hospital Foundation Inc | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 562351341 | Fundraising | KY | 501(c)(3) | 11a | FH |
| Saint Joseph London Foundation Inc | |||||||||
| 310 East Ninth Street | London | KY | 40741 | 260438748 | Fundraising | KY | 501(c)(3) | 11a | SJHS |
| Saint Joseph Berea Hospital Foundation | |||||||||
| 305 Estill Street | Berea | KY | 40403 | 260152877 | Fundraising | KY | 501(c)(3) | 7 | SJHS |
| St Joseph Hospital Foundation Inc | |||||||||
| 305 Estill Street | Lexington | KY | 40504 | 611159649 | Fundraising | KY | 501(c)(3) | 11a | SJHS |
| Saint Joseph Medical Foundation Inc | |||||||||
| One St Joseph Drive | Lexington | KY | 40504 | 311539059 | Phy Practices | KY | 501(c)(3) | 3 | SJHS |
| Saint Joseph Mount Sterling Foundation | |||||||||
| 50 Sterling Avenue | Mount Sterling | KY | 40353 | 272884584 | Fundraising | KY | 501(c)(3) | 7 | SJHS |
| St Joseph Medical Center Inc | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 520591461 | Healthcare | MD | 501(c)(3) | 3 | CHI |
| St Joseph Medical Center Foundation In | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521681044 | Fundraising | MD | 501(c)(3) | 7 | SJMC |
| Alverna Apartments | |||||||||
| 300 SE 8th Avenue | Little Falls | MN | 56345 | 411351177 | Lterm Care | MN | 501(c)(3) | 9 | CHI |
| Lakewood Health Center | |||||||||
| 600 Main Avenue South | Baudette | MN | 56623 | 410758434 | LTerm Care | MN | 501(c)(3) | 3 | CHI |
| St Francis Home | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410729978 | LTerm Care | MN | 501(c)(3) | 9 | CHI |
| Appletree Court | |||||||||
| 601 Oak Street | Breckenridge | MN | 56520 | 411850500 | Senior Homes | MN | 501(c)(3) | 9 | SFH |
| St Francis Medical Center | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410695598 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Healthcare and Wellness Foundation | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 760761782 | Fundraising | MN | 501(c)(3) | 11a | SFMC |
| St Joseph's Area Health Services | |||||||||
| 600 Pleasant Avenue | Park Rapids | MN | 56470 | 410695603 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Unity Family Healthcare | |||||||||
| 815 2nd Street SE | Little Falls | MN | 56345 | 410721642 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| St John's Regional Medical Center | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 440545809 | Healthcare | MO | 501(c)(3) | 3 | CHI |
| Mercy Lifecare Systems | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431305163 | Property Mgmt | MO | 501(c)(3) | 11a | SJRMC |
| MNMCH Inc | |||||||||
| 220 North Pennsylvania | Columbus | KS | 66725 | 481216238 | Healthcare | KS | 501(c)(3) | 3 | SJRMC |
| St John's Medical Group | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431882377 | Phys Practice | MO | 501(c)(3) | 9 | SJRMC |
| St John's Mercy Regional Foundation | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431308084 | Fundraising | MO | 501(c)(3) | 7 | SJRMC |
| Alegent Health - Bergan Mercy Health Sys | |||||||||
| 7500 Mercy Road | Omaha | NE | 68124 | 470484764 | Healthcare | NE | 501(c)(3) | 3 | CHI |
| Alegent Health - Mercy Hospital Corning | |||||||||
| PO Box 368 | Corning | IA | 50841 | 420782518 | Healthcare | IA | 501(c)(3) | 3 | AHBMHS |
| Mercy Health Care Foundation | |||||||||
| PO Box 368 | Corning | IA | 50841 | 421461064 | Fundraising | NE | 501(c)(3) | 11a | AHMH |
| Mercy Hospital Foundation Council Bluff | |||||||||
| 800 Mercy Drive | Council Bluffs | IA | 51503 | 421178204 | Fundraising | IA | 501(c)(3) | 11a | AHBMHS |
| CHI Nebraska | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233121 | Healthcare | NE | 501(c)(3) | 11a | CHI |
| The Physician Network | |||||||||
| 8055 O Street Suite 300 | Lincoln | NE | 68510 | 470780857 | Phys Practice | NE | 501(c)(3) | 11a | CHI Nebraska |
| Good Samaritan Hospital | |||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470379755 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Good Samaritan Hospital Foundation | |||||||||
| PO Box 1810 | Kearney | NE | 68848 | 470659443 | Fundraising | NE | 501(c)(3) | 7 | GSH |
| Catholic Health Care Federation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 208473567 | Jurdic Person | CO | 501(c)(3) | 11a | CHI |
| Saint Elizabeth Regional Medical Center | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470379836 | Healthcare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Saint Elizabeth Foundation | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470625523 | Fundraising | NE | 501(c)(3) | 7 | SERMC |
| Saint Elizabeth Health Services | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233120 | Healthcare | NE | 501(c)(3) | 3 | SERMC |
| Saint Francis Medical Center | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470376601 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Saint Francis Medical Center Foundation | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470630267 | Fundraising | NE | 501(c)(3) | 7 | SFMC |
| St Mary's Hospital | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470443636 | Healthcare | NE | 501(c)(3) | 3 | CHI Nebraska |
| St Mary's Hospital Foundation | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470707604 | Fundraising | NE | 501(c)(3) | 7 | SMH |
| Saint Clare's Health Services Inc | |||||||||
| 25 Pocono Road | Denville | NJ | 07834 | 223639733 | Management | NJ | 501(c)(3) | 7 | CHI |
| Saint Clare's Community Care | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222876836 | Healthcare | NJ | 501(c)(3) | 11b | SCHS |
| Saint Clare's Foundation Inc | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222502997 | Fundraising | NJ | 501(c)(3) | 7 | SCHS |
| Saint Clare's Hospital | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 223319886 | Healthcare | NJ | 501(c)(3) | 3 | CHI |
| St Francis Life Care Corporation | |||||||||
| 19 Pocono Road | Denville | NJ | 07834 | 222536017 | Elderly Care | NJ | 501(c)(3) | 9 | SCHS |
| Visiting Nurse Association of Saint Clar | |||||||||
| 191 Woodport Road | Sparta | NJ | 07871 | 221768334 | Home Health | NJ | 501(c)(3) | 9 | SCHS |
| St Joseph Community Health Services | |||||||||
| 300 Central Ave SW Suite 3000W | Albuquerque | NM | 87102 | 710897107 | Community | NM | 501(c)(3) | 11a | CHI |
| CHI Health Connect at Home - Fargo | |||||||||
| 4816 Amber Valley Parkway | Fargo | ND | 58104 | 271966847 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Carrington Health Center | |||||||||
| 800 North 4th Street | Carrington | ND | 58421 | 450227311 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Lisbon Area Health Services | |||||||||
| 905 Main Street | Lisbon | ND | 58054 | 820558836 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Hospital of Devils Lake | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 450227012 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| The Mercy Hospital of Devils Lake Fdn | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 352367360 | Fundraising | ND | 501(c)(3) | 11a | MHDL |
| Mercy Hospital of Valley City | |||||||||
| 570 Chautauqua Boulevard | Valley City | ND | 58072 | 450226553 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Center | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450231183 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Foundation | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450381803 | Fundraising | ND | 501(c)(3) | 11a | MMC |
| Oakes Community Hospital | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 450231675 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Oakes Community Hospital Foundation | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 710966606 | Fundraising | ND | 501(c)(3) | 11a | OCH |
| St Joseph's Hospital and Health Center | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 450226429 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Saint Joseph's Hospital Foundation | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 363418207 | Fundraising | ND | 501(c)(3) | 11a | SJHHC |
| Villa Nazareth Inc | |||||||||
| 801 Page Drive | Fargo | ND | 58103 | 450226714 | LT Care | ND | 501(c)(3) | 9 | CHI |
| Samaritan Health Partners | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 311107411 | Healthcare | OH | 501(c)(3) | 11a | CHI |
| Samaritan Behavioral Health | |||||||||
| 601 S Edwin C Moses Blvd | Dayton | OH | 45408 | 020633634 | Healthcare | OH | 501(c)(3) | 3 | SHP |
| Samaritan Health Foundation | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 237296923 | Fundraising | OH | 501(c)(3) | 7 | SHP |
| The Good Samaritan Hospital of Cincinnat | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 310537486 | Healthcare | OH | 501(c)(3) | 3 | TRI-HEALTH |
| The Community Limited Care Dialysis Cent | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 237419853 | Dialysis | OH | 501(c)(2) | none | GSH |
| Good Samaritan College of Nursing & Heal | |||||||||
| 375 Dixmyth Ave | Cincinnati | OH | 45220 | 311778403 | Education | KY | 501(c)(3) | 2 | GHS |
| Good Samaritan Foundation of Cincinnati | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311206047 | Fundraising | OH | 501(c)(3) | 11a | GSH |
| Hospital Association for St Joseph Hosp | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 526050777 | Healthcare | MD | 501(c)(3) | 9 | SJMC |
| Mercy Medical Center | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930386868 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| Centennial Medical Group Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 900433062 | Physicians | OR | 501(c)(3) | 9 | MMC |
| Linus Oakes Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930821381 | Senior Living | OR | 501(c)(3) | 9 | MMC |
| Mercy Foundation Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 936088946 | Fundraising | OR | 501(c)(3) | 7 | MMC |
| Mt St Joseph Inc | |||||||||
| 3060 SE Stark Street | Portland | OR | 97214 | 930386870 | Nursing Care | OR | 501(c)(3) | 9 | CHI |
| St Anthony Hospital | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930391614 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Anthony Hospital Foundation | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930992727 | Fundraising | OR | 501(c)(3) | 11a | SA Hospital |
| St Dominic at Ontario | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 930433692 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Francis of Baker City | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 930412495 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Joseph Health Ministries | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 232342997 | Health | PA | 501(c)(3) | 11a | CHI |
| St Joseph Health Ministries Foundation | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 232605579 | Fundraising | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Services Inc | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 201425375 | Dental care | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Regional Health Network | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 231352211 | Healthcare | PA | 501(c)(3) | 3 | CHI |
| St Joseph Medical Group | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 208544021 | Healthcare | PA | 501(c)(3) | 9 | BHC |
| St Joseph Medical Center Foundation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232649362 | Fundraising | PA | 501(c)(3) | 11a | SJRHN |
| St Mary's Healthcare Center | |||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare | SD | 501(c)(3) | 3 | CHI |
| Gettysburg Medical Center | |||||||||
| 606 East Garfield Avenue | Gettysburg | SD | 57442 | 460234354 | Healthcare | SD | 501(c)(3) | 3 | SMHC |
| Memorial Health Care System Inc | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 620532345 | Healthcare | TN | 501(c)(3) | 3 | CHI |
| Memorial Health Care System Foundation | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 621839548 | Fundraising | TN | 501(c)(3) | 7 | MHCS |
| Memorial Health Partners Foundation Inc | |||||||||
| 6028 Shallowford Road | Chattanooga | TN | 37421 | 030417049 | Healthcare | TN | 501(c)(3) | 9 | MHCS |
| Franciscan Health System FKA Franciscan | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 910564491 | Healthcare | WA | 501(c)(3) | 3 | CHI |
| Enumclaw Regional Hospital Association | |||||||||
| 1450 Battersby Avenue | Enumclaw | WA | 98022 | 910715805 | Healthcare | WA | 501(c)(3) | 3 | FHS |
| Franciscan Foundation | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911145592 | Fundraising | WA | 501(c)(3) | 9 | FHS |
| Franciscan Medical Group | |||||||||
| 1708 South Yakima Avenue | Tacoma | WA | 98405 | 911939739 | Healthcare | WA | 501(c)(3) | 9 | FHS |
| Franciscan Villa of South Milwaukee Inc | |||||||||
| 3601 South Chicago Avenue | South Milwaukee | WI | 53172 | 391093829 | Healthcare | WI | 501(c)(3) | 9 | CHI |
Form990 Schedule R Part III Form990ScheduleRPartIII (20 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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHI Operating Investment Program LP | ||||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470727942 | Investments | CO | CHI | Investment | 139679805 | 2069974790 | false | $371,292 | true | 1.00000 |
| North River Surgery Center LLC | ||||||||||||||
| 2209 Wildwood Avenue | Sherwood | AR | 72120 | 710799771 | Ambul Surg Ctr | AR | SVIMC | Related | 198313 | 1758688 | false | false | 0.57450 | |
| Audubon Land Company LLC | ||||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 841513085 | Real Estate | CO | THC | Related | -157673 | 14390550 | false | false | 0.50100 | |
| OrthoColorado LLC | ||||||||||||||
| 11650 West 2nd Place | Lakewood | CO | 80255 | 371577105 | Ortho Hospital | CO | THC | Related | -3249314 | 10905384 | false | false | 0.60000 | |
| Penrad Imaging | ||||||||||||||
| 1390 Kelly Johnson Blvd | Colorado Springs | CO | 80920 | 841072619 | Medical Imaging | CO | THC | Related | 1857228 | 5457224 | false | false | 0.70000 | |
| St Anthony Regional Mtn Cancer Center | ||||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80112 | 371568013 | Cancer Center | CO | THC | Related | -290552 | false | false | 0.51000 | ||
| St Francis Land Company | ||||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 263134100 | Real Estate | CO | THC | Related | -180979 | 14886022 | false | false | 0.51000 | |
| Bluegrass Regional Imaging Center | ||||||||||||||
| 1218 South Broadway Suite 310 | Lexington | KY | 40504 | 611386736 | Diagnostic | KY | SJ HospitalLex | Related | false | false | 0.65000 | |||
| St Joseph-PAML LLC | ||||||||||||||
| 424 Lewis Hargett Circle Ste 160 | Lexington | KY | 40503 | 452116736 | Mgmt Svcs | KY | SJHS | Related | false | true | 0.62500 | |||
| Saint Joseph SCA Holdings LLC | ||||||||||||||
| 424 Lewis Hargett Circle Ste 160 | Lexington | KY | 40503 | 453801157 | OP Surgery | DE | SJHS | Related | false | true | 0.51000 | |||
| Surgery Center of Lexington LLC | ||||||||||||||
| 1451 Harrodsburg Road | Lexington | KY | 40504 | 621179539 | Surgery Center | DE | SJHS | Related | 808840 | 4236901 | false | true | 0.51000 | |
| Ruxton Surgicenter LLC | ||||||||||||||
| 8322 Bellona Avenue Suite 201 | Baltimore | MD | 21204 | 522095835 | Surgery Center | MD | SJMC | Related | false | true | 0.51000 | |||
| Avantas LLC | ||||||||||||||
| 1207 South 13 Street | Omaha | NE | 68108 | 392045003 | Healthcare | NE | AHMH | Unrelated | false | false | 0.95000 | |||
| Healthcare Support Services LLC | ||||||||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 721546196 | Laundry | NE | CHI | Related | 196124 | 3913481 | false | -$58,436 | false | 1.00000 |
| Central Nebraska Home Care Services | ||||||||||||||
| PO Box 1146-4510 Second Avenue | Kearney | NE | 68848 | 470692112 | Healthcare Srvc | NE | HSEINC | Related | -99941 | 1021498 | false | -$48,712 | true | 1.00000 |
| Superior Medical Imaging LLC | ||||||||||||||
| 5000 North 26th Street | Lincoln | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | false | false | 0.51000 | |||
| Central Nebraska Rehab Services | ||||||||||||||
| 3004 W Faidley Ave | Grand Island | NE | 68802 | 810653461 | Physical Therapy | NE | CHI | Related | 1857991 | 2262775 | false | false | 0.51000 | |
| St Francis Medical Center Associates | ||||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911352698 | Med. Office | WA | FHS | Related | 116948 | 1652280 | false | false | 0.54210 | |
| Peninsula Radiation Oncology | ||||||||||||||
| 314 Martin Luther King Jr Way 11 | Tacoma | WA | 98405 | 870808610 | Healthcare Srvc | WA | FHS | Related | 131195 | 3052504 | false | false | 0.60000 | |
| Berywood Office Properties LLC | ||||||||||||||
| 400 Berywood Trail | Cleveland | TN | 37312 | 621875199 | Phys Office | TN | MHCS | Related | false | true | 0.63000 | |||
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 EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Share Of Total IncomeShareOfTotalIncome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alternative Insurance Management Service | ||||||||||||
| 3900 Olympic Boulevard Suite 400 | Erlanger | KY | 41018 | 841112049 | Management Servic | CO | CHI | C Corp | 3267441 | 1.00000 | ||
| Captive Management Initiatives | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 980663022 | Captive Managemen | CHI | C Corp | 1.00000 | CJ | |||
| Center for Translational Research | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 272269511 | Healthcare | CO | CHI | C Corp | 1668589 | 1.00000 | -2247962 | |
| First Initiatives Insurance Ltd | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 980203038 | Insurance | CHI | C Corp | 1.00000 | CJ | |||
| Franciscan Services Inc | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corp | 11914284 | 1.00000 | -507578 | |
| SJH Services Corporation | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corp | 3180100 | 1.00000 | -518360 | |
| St Joseph Development Company Inc | ||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corp | 12168022 | 1.00000 | -36395 | |
| Towson Management Inc | ||||||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521710750 | Management Servic | MD | FSI | C Corp | 498393 | 1.00000 | -469016 | |
| Nazareth Assurance Company | ||||||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030304831 | Insurance | VT | CHI | C Corp | 123535 | 1.00000 | -379 | |
| St Vincent Community Health Services In | ||||||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corp | 14049375 | 1.00000 | 2309129 | |
| Comcare Services | ||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80204 | 840904813 | Inactive | CO | CHIC | C Corp | 1.00000 | |||
| Des Moines Medical Center Inc | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corp | 1253452 | 0.92980 | ||
| Mercy Park Apartments Ltd | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corp | 1796053 | 1.00000 | 264489 | |
| Central Kansas Health Services Associati | ||||||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 481042853 | MEDICAL EQUIPMENT | KS | CKMC | C Corp | 1.00000 | |||
| SJL Physician Management Services Inc | ||||||||||||
| 424 Lewis Hargett Cr 160 | Lexington | KY | 40503 | 270164198 | Management | KY | SJHS | C Corp | 1.00000 | |||
| St Joseph Office Park Association | ||||||||||||
| 1401 HarrodsBurg Road Bldg B70 | Lexington | KY | 40504 | 611079899 | Management | KY | SJHS | C Corp | 882139 | 0.85000 | 16644 | |
| Mercy Health Services Corporation | ||||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431457881 | DME | MO | St John's RMC | C Corp | 1369083 | 1.00000 | -1533371 | |
| Good Samaritan Outreach Services | ||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI Nebraska | C Corp | 355110 | 1.00000 | -2921063 | |
| Health Systems Enterprises Inc | ||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C Corp | 1443049 | 1.00000 | 25289 | |
| Saint Clare's Primary Care Inc | ||||||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corp | 2177166 | 1.00000 | -342970 | |
| MedQuest | ||||||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MHof Williston | C Corp | 962554 | 1.00000 | 9852 | |
| Consolidated Health Services | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311378212 | Home Health | OH | CHI | C Corp | 11595125 | 1.00000 | ||
| American Nursing Care | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311085414 | Home Health | OH | CHS | C Corp | 44470358 | 1.00000 | 1778617 | |
| Amerimed Inc | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311158699 | Home Health | OH | ANC | C Corp | 11869657 | 1.00000 | 2395230 | |
| Patient Transport Services Inc | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311100798 | Home Health | OH | ANC | C Corp | 5325941 | 1.00000 | 662425 | |
| Samaritan Family Care Inc | ||||||||||||
| 40 W Fourth St 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | C Corp | 1.00000 | |||
| Mercy Services Corp | ||||||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930824308 | Retail Sales | OR | MMC | C Corp | 954798 | 1.00000 | -690267 | |
| St Anthony Development Company | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | St Anthony H | C Corp | 3007554 | 1.00000 | 53891 | |
| CGH Realty Company Inc | ||||||||||||
| 215 N 12th St | Reading | PA | 19603 | 232326801 | Real Estate | PA | SJHM | C Corp | 42415 | 1.00000 | 1007 | |
| Caduceus Medical Associates Inc | ||||||||||||
| 6028 Shallowford Road Suite D | Chattanooga | TN | 37422 | 621570736 | Healthcare | TN | MHCS | C Corp | 1008 | 1.00000 | ||
| Mountain Management Services Inc | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 621570739 | mgmt svc org | TN | MHCS | C Corp | 4667998 | 1.00000 | -386020 | |
| Physician Health System Network | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Healthcare Mgmt Services Org Inc | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Harold W Rase 1995 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 456090420 | Investments | ND | SJHHC | Trust | 21533 | 1.00000 | 1240 | |
| Harold W Rase 1996 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037112 | Investments | ND | SJHHC | Trust | 15495 | 1.00000 | 900 | |
| Harold W Rase 1997 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037104 | Investments | ND | SJHHC | Trust | 20261 | 1.00000 | 1025 | |
| Harold W Rase 1999 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037099 | Investments | ND | SJHHC | Trust | 25027 | 1.00000 | 1313 | |
| James & Henrietta Nistler Unitrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206021899 | Investments | ND | SJHHC | Trust | 41455 | 1.00000 | -16708 | |
| Joseph A Schuster Annuity Trust #1 | ||||||||||||
| 400 Univerity Avenue | Des Moines | IA | 50314 | 421195122 | Investments | IA | MFDM | Trust | 441488 | 1.00000 | 18924 | |
| Ray & Shirley David 1999 Unitrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037077 | Investments | ND | SJHHC | Trust | 24194 | 1.00000 | 1250 | |
| Tom Deyle Charitable Remainder Unitrust | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192393 | Investments | NE | GSHF | Trust | 166321 | 1.00000 | 4884 | |
| David Deyle Charitable Remainder Unitrus | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192395 | Investments | NE | GSHF | Trust | 166425 | 1.00000 | 4880 | |
| Jeanne Deyle Charitable Remainder Unitru | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192398 | Investments | NE | GSHF | Trust | 166320 | 1.00000 | 4880 | |
| Lodesca Miller Charitable Remainder Unit | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476186933 | Investments | NE | GSHF | Trust | 86367 | 1.00000 | 3387 | |
| Robert & Wanda Charitable Remainder Unit | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 266191916 | Investments | NE | GSHF | Trust | 537775 | 1.00000 | 13030 | |
| 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 | false | 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Catholic Health Initiatives | |
| l | 2470267 |
| Catholic Health Initiatives | |
| o | 133660 |
| Catholic Health Initiatives | |
| q | 392553 |