ST ANTHONYS HOSPITAL ASSOCIATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ST ANTHONYS HOSPITAL ASSOCIATION (EIN 71-0245507)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-28
- IRS object ID
- 201101189349300625
- Schema version
- 2009v1.7
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-28T16:32:18-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710245507 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Anthony's Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STAN | NameControl |
| Phone | 5019772300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 HOSPITAL DRIVE | AddressLine1 |
| City | MORRILTON | City |
| State | AR | State |
| ZIP Code | 72110 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark McGinnis | Name |
| Title | CFO | Title |
| Date Signed | 2011-04-28 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK STOCKI | Name |
| Phone | 7208741500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent Morrilton | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Peter Banko | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 ST VINCENT CIRCLE | AddressLine1 |
| City | Little Rock | City |
| State | AR | State |
| ZIP Code | 72205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18975434 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.stanthonysmorrilton.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1925 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | Providing holistic care addressing the physical, spiritual & psycho- social needs of patients. These activities take place in a variety of settings, but all spring from the same mission & fundamental purpose. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 260 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 28620 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 12566 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 973886 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1001231 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16158128 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17825681 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 49560 | InvestmentIncomePriorYear |
| Investment Income Current Year | -17126 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 173106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 140512 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17354680 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18950298 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4794 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2271 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9179973 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8835555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 33925 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8215125 | OtherExpensePriorYear |
| Other Expenses Current Year | 9177512 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17399892 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18015338 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -45212 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 934960 | RevenuesLessExpensesCY |
| Total Assets BOY | 8148867 | TotalAssetsBOY |
| Total Assets EOY | 9283254 | TotalAssetsEOY |
| Total Liabilities BOY | 1571808 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1771235 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6577059 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7512019 | NetAssetsOrFundBalancesEOY |
| Mission Description | The organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15697239 | Expense |
| Grants | 2271 | Grants |
| Revenue | 17825681 | Revenue |
| Description | SEE SCHEDULE H | Description |
| Total Program Service Expense | 15697239 | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 260 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mark McGinnis | NamePerson |
| Telephone Number | 5015523912 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 St Vincent Circle | AddressLine1 |
| City | Little Rock | City |
| State | AR | State |
| ZIP Code | 72205 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Peter Banko | |||||||||
| PRESIDENT & CEO | 4.0 | X | X | 468246 | 74759 | ||||
| MARY ELIZABETH O'Brien | |||||||||
| Board Member/SVP Ops | 1.0 | X | 721669 | 78185 | |||||
| Jim Argue | |||||||||
| Board Member | 1.0 | X | |||||||
| Angela Brenton | |||||||||
| Board Member | 1.0 | X | |||||||
| John Brizzolara MD | |||||||||
| Board Member | 1.0 | X | |||||||
| Ellon Cockrill | |||||||||
| Board Member | 1.0 | X | |||||||
| Gus Blass III | |||||||||
| Board Member | 1.0 | X | |||||||
| Mark Doramus | |||||||||
| Board Member | 1.0 | X | |||||||
| Mary Good | |||||||||
| Board Member | 1.0 | X | |||||||
| Donald Jack Jr | |||||||||
| Board Member | 1.0 | X | |||||||
| John Jones MD | |||||||||
| Board Member | 1.0 | X | |||||||
| Drew Kumpuris MD | |||||||||
| Board Member | 1.0 | X | |||||||
| Clarice Miller | |||||||||
| Board Member | 1.0 | X | |||||||
| Bruce Moore | |||||||||
| Board Member | 1.0 | X | |||||||
| Emily Nabholz SCN | |||||||||
| Secretary | 1.0 | X | X | ||||||
| Dave Parker | |||||||||
| Chairman | 1.0 | X | X | ||||||
| Charles Penick | |||||||||
| Board member | 1.0 | X | |||||||
| Judith Raley SCN | |||||||||
| Board member | 1.0 | X | |||||||
| Kurtis Vinsant MD | |||||||||
| Board Member | 1.0 | X | 273442 | 36253 | |||||
| Robert Vogel | |||||||||
| Board Member | 1.0 | X | |||||||
| Gus Vratsinas | |||||||||
| Chair Elect | 1.0 | X | X | ||||||
| James Metrailer | |||||||||
| Board Member | 1.0 | X | |||||||
| Claude Ballard | |||||||||
| Board Member | 1.0 | X | |||||||
| MATTHEW COX | |||||||||
| CFO - SVIMC | 4.0 | X | 299540 | 36190 | |||||
| Christina Hockaday | |||||||||
| HOSPITAL ADMINISTRATOR | 40.0 | 85707 | 21415 | X | 67842 | ||||
| ROBERT WESTERFIELD | |||||||||
| PHYSICIAN | 40.0 | 31108 | 161326 | X | |||||
| LYDIA TEAGUE | |||||||||
| CRNA | 40.0 | 26922 | 180038 | X | |||||
| David Hall MD | |||||||||
| Former Officer | 362501 | 35080 | X | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 409206 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2211105 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 339912 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Emcare Inc | |||||
| 1717 Main Street Ste 5200 | Dallas | TX | 75201 | ER Physicians | 339180 |
| CPP Wound Care 6 LLC | |||||
| 3017 N Causeway Blvd | Metairie | LA | 70002 | Wound Care | 254321 |
| Imaging Resources Group LLC | |||||
| 136 Arkota Shrs | Hot Springs | AR | 719138181 | Imaging Services | 200900 |
| Sleep Management Services Inc | |||||
| 9305 Treasure Hill Rd | Little Rock | AR | 722276217 | Sleep Studies | 186375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Fundraising Events | 13581 | FundraisingEvents |
| Government Grants | 928459 | GovernmentGrants |
| All Other Contributions | 59191 | AllOtherContributions |
| Total Contributions | 1001231 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Services | 900099 | 17795998 | 17795998 |
| RENTAL INCOME | 900099 | 29683 | 29683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17825681 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1119 | TotalRevenueColumn |
| Exclusion | $1,119 | 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 |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 18245 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -18245 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18245 | TotalRevenueColumn |
| Exclusion | -$18,245 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 26560 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 13581 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 6891 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19669 | TotalRevenueColumn |
| Exclusion | $19,669 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Cafeteria | 722100 | 91002 | $91,002 | |
| Laboratory Services | 621500 | 28620 | 28620 | |
| MISCELLANEOUS REVENUE | 900099 | 1221 | $1,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 120843 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18950298 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17825681 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 28620 | UnrelatedBusinessRevenue |
| Exclusion | $94,766 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2271 | Total |
| Program Services | 2271 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180584 | Total |
| Management And General | 180584 | 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 | 6566405 | Total |
| Program Services | 6092431 | ProgramServices |
| Management And General | 453978 | ManagementAndGeneral |
| Fundraising | 19996 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353518 | Total |
| Program Services | 319222 | ProgramServices |
| Management And General | 33249 | ManagementAndGeneral |
| Fundraising | 1047 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1145430 | Total |
| Program Services | 1034306 | ProgramServices |
| Management And General | 107729 | ManagementAndGeneral |
| Fundraising | 3395 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 589618 | Total |
| Program Services | 532417 | ProgramServices |
| Management And General | 55454 | ManagementAndGeneral |
| Fundraising | 1747 | 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 | 260 | Total |
| Management And General | 260 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6293 | Total |
| Management And General | 6293 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1971299 | Total |
| Program Services | 1743918 | ProgramServices |
| Management And General | 224980 | ManagementAndGeneral |
| Fundraising | 2401 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2166511 | Total |
| Program Services | 2041551 | ProgramServices |
| Management And General | 120651 | ManagementAndGeneral |
| Fundraising | 4309 | 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 | 372691 | Total |
| Program Services | 372691 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110809 | Total |
| Program Services | 103772 | ProgramServices |
| Management And General | 6418 | ManagementAndGeneral |
| Fundraising | 619 | 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 | 1258 | Total |
| Program Services | 191 | ProgramServices |
| Management And General | 1067 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25161 | Total |
| Program Services | 25161 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461351 | Total |
| Program Services | 438481 | ProgramServices |
| Management And General | 22870 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101786 | Total |
| Program Services | 101786 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Unrelated Business Taxes | 12760 | 12760 | ||
| Bad debts | 2547729 | 2547729 | ||
| CORPORATE OVERHEAD ALLOC | 1047300 | 1047300 | ||
| REPAIRS & MAINTENANCE | 310031 | 310031 | ||
| Dues & subscriptions | 26835 | 9054 | 17481 | 300 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15438 | Total |
| Program Services | 9467 | ProgramServices |
| Management And General | 5860 | ManagementAndGeneral |
| Fundraising | 111 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18015338 | Total |
| Program Services | 15697239 | ProgramServices |
| Management And General | 2284174 | ManagementAndGeneral |
| Fundraising | 33925 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1140 | BOY |
| EOY | 1441 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347473 | BOY |
| EOY | 406109 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4848658 | BOY |
| EOY | 6100010 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355272 | BOY |
| EOY | 370861 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23241 | BOY |
| EOY | 4861 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9858115 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7458143 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2573083 | BOY |
| EOY | 2399972 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8148867 | BOY |
| EOY | 9283254 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122277 | BOY |
| EOY | 576285 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74586 | BOY |
| EOY | 34749 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1374945 | BOY |
| EOY | 1160201 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1571808 | BOY |
| EOY | 1771235 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6573704 | BOY |
| EOY | 7460383 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3355 | BOY |
| EOY | 51636 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6577059 | BOY |
| EOY | 7512019 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8148867 | BOY |
| EOY | 9283254 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $1,593 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 1593 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule C, Supplemental | Identifier |
| Return Reference | Lobbying Activities Explanation | ReturnReference |
| Explanation | St. Anthony's Hospital Association paid dues to the Arkansas Hospital Association and the amount on Line 1f represents the portion of these dues that were allocated to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3664130 | OtherCostOrOtherBasis |
| Depreciation | 2347254 | Depreciation |
| Book Value | 1316876 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 491790 | OtherCostOrOtherBasis |
| Depreciation | 449402 | Depreciation |
| Book Value | 42388 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5152703 | OtherCostOrOtherBasis |
| Depreciation | 4292149 | Depreciation |
| Book Value | 860554 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 549492 | OtherCostOrOtherBasis |
| Depreciation | 369338 | Depreciation |
| Book Value | 180154 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2399972 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Liabilities | $819,228 |
| Intercompany Payable | $340,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1160201 | TotalOfAmounts |
| Total Revenue | 18950298 | TotalRevenue |
| Total Expenses | 18015338 | TotalExpenses |
| Excess Or Deficit For Year | 934960 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 934960 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 FOOTNOTE | Identifier |
| Return Reference | Schedule D, Part X | ReturnReference |
| Explanation | St. Anthony Hospital Association's FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2010 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATEIAL 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 | Melodies & Medi | NameOfEvent1 |
| Gross Receipts Event1 | 40141 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 13581 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 26560 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 3018 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 1200 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 2673 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 40141 | GrossReceiptsTotal |
| Charitable Contributions Total | 13581 | CharitableContributionsTotal |
| Gross Revenue Total Events | 26560 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 3018 | RentFacilityCostsTotalEvents |
| Entertainment Total Events | 1200 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 2673 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 6891 | DirectExpenseSummaryEvents |
| Net Income Summary | 19669 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| 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 | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 669267 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 669267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04330 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 669267 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 669267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04330 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14209 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14209 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14209 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 683476 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 683476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04420 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5718 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5718 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5718 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5718 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,243,424 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6893000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6833004 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 59996 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Anthony's Hospital Association | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 Hospital Drive | AddressLine1 |
| City | Morrilton | City |
| State | AR | State |
| ZIP Code | 72110 | 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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the ultimate parent organization to St. Anthony Hospital Association) established its charity care 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 19 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines ("FPG"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. St. Anthony Hospital Association bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. 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. | IncomeBasedCriteria |
| Annual Community Benefit Expln | If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. St. Anthony Hospital Association prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. 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 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment, and other losses) divided by gross patient revenue. Based on that formula, $18,022,230/$37,262,891 results in a 48.37% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio. | CostingMethodUsed |
| Percent Of Total Expense Expln | 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 $2,547,729. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | (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. (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 charity care policy, if sufficient information has been available to make a determination as to their eligibility. 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. (A) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 48.37%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. (B) St. Anthony Hospital Association 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. St. Anthony Hospital Association 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 considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically 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." | BadDebtFootnote |
| Shortfall As Community Benefit | 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. 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. (A)St. Anthony Hospital Association 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, and St. Anthony Hospital Association, due to their designation as a CAH, received cost-based reimbursement for Medicare purposes, St. Anthony Hospital Association will not experience Medicare related shortfalls. (B)However, St. Anthony Hospital Association and its affiliates, believe 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 as community benefit some programs that specifically serve the Medicare population. 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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 charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. St. Anthony Hospital Association's ("SAHA") debt collection policy provides that SAHA will perform a reasonable review of each inpatient account prior to turning an account 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 SAHA'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 SAHA community assistance policy is required to be returned immediately by the third-party collection agent to SAHA for appropriate follow-up. SAHA 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. | DebtCollectionPolicy |
| Needs Assessment | Line 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: 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). St. Anthony's Mission, Vision, and Tax-Exempt Purpose St. Anthony Hospital Association ("St. Anthony's") celebrates 85 years of ministry this year. In 1925, the Benedictine Sisters of St. Scholastica joined by a Sister from the Sisters of Charity of Nazareth at St. Vincent Infirmary along with the Sacred Heart Catholic church and concerned citizens joined together to form the original ministry. Sixty nine years later, in 1994, St. Anthony's joined St. Vincent Health System, and in 1996 became a member of Catholic Health Initiatives. St. Anthony's, a 25-bed critical access facility, is the primary source of healthcare for the residents of Conway and Perry Counties. St. Anthony's is led by a 15-member advisory board comprised of professionals who are active in the local community, and two members of the St. Vincent Executive team. Services available at St. Anthony's include outpatient/same-day surgery, an intensive care unit, medical/surgical unit, maternity/nursery services, 24-hour emergency room, orthopedic services, cardiology services, adult day senior care, rehabilitation services, imaging services, sleep medicine, wound care and laboratory services. An outpatient specialty clinic offers cardiology, orthopedics, oncology, neurology, gastroenterology, ear, nose, and throat, podiatry and nephrology specialties. St. Anthony's Petit Jean Home Health program provides home health care for residents of the service area. St. Anthony's Health Clinic provides for the need for patient access to healthcare by serving as a rural health clinic reaching more than 4,000 patients this year. All services are provided to all people regardless of ability to pay. Community Benefit Approach St. Anthony's primary and secondary service areas cover a population of 34,000. This denotes population centered around Morrilton, Arkansas, including Conway, Perry and a portion of Pope County. St. Anthony's serves a significant indigent population: 15.8% of the population in the service area (Conway, Perry, Pope and Van Buren Counties) live below the poverty level-higher than the state average of 15.6% (2004 Small Area Income and Poverty Estimates, U.S. Census Bureau). St. Anthony's is the only full-service hospital in a 20-mile radius, and is therefore the primary source of healthcare in the area. Qualitative Description of Community Benefit Community Outreach for the Poor Donation of Supplies: St. Anthony's Medical Center donated $1,791.36 in supplies to the Conway County Christian Clinic. The Conway County Christian Clinic provides free healthcare to many residents of Conway County and partners with St. Anthony's to provide services through grant funding obtained by the clinic. Community Outreach for the Broader Community M.A.S.H. Program: St. Anthony's Medical Center, in conjunction with Farm Bureau, St. Vincent, and the University of Arkansas for Medical Sciences (UAMS) hosted eleven students from Conway County and the surrounding counties for a two week Medical Applications of Science for Health Program (M.A.S.H.). This program allows high school sophomores and juniors the opportunity to explore health-related careers. Students participating in M.A.S.H. learned basic life support techniques, including achievement of CPR certification. The program also provides hands-on experiences, such as casting and suturing, as well as a complete overview of health-related careers and job shadowing with area medical professionals. Collaborative Efforts to Improve Community Health Body, Mind & Soul: St. Anthony's Medical Center, in conjunction with the Winthrop Rockefeller Institute, an affiliated outreach campus of the University of Arkansas system, hosts an annual "ladies night out" that features health and wellness topics that impact a woman's body, mind, and soul. Conceived by a group of women from our local community, this event consists of various vendors in the local community providing information on diabetic education, cancer, exercise techniques, weight management, osteoporosis, heart health/stroke, stress management, mental health/depression, menopause, sleep disorders, and spirituality/rejuvenation. The event also hosts a special guest speaker who focuses on topics relevant to a woman's body, mind, and soul. This annual event was created to offer educational programs that will help shape healthier lifestyle choices for individuals and families across Arkansas. Heart Fair: St. Anthony's Medical Center, in conjunction with the University of Arkansas Community College of Morrilton (UACCM) hosts an annual Heart Fair to promote heart-health awareness in our community by offering information, screenings and seminars. The Heart Fair features full-panel cholesterol screenings, blood pressure checks, body mass index analysis, nutrition seminars and various other screenings and information provided by a range of vendors all catering to a healthy heart. The event also included a cardiology seminar that allowed participants the opportunity to ask area cardiologist questions concerning heart health. Community Building Activities Conway County Economic Development Corporation: The Conway County Economic Development Corporation (CCEDC) is organized to assist and promote the achievement of economic growth in Morrilton and Conway County, in cooperation with public and private entities. The goals of this organization are to increase the family income in Conway County, the retention and growth of existing businesses and industries, the recruitment of additional businesses and industries compatible with accepted goals and objectives of the CCEDC, investment in properties to further economic development in Conway County, and other activities to further desired employment and economic opportunities for Conway County citizens. St. Anthony Medical Center's CEO/Administrator, Christy Hockaday, sits on the executive board as the chairman. | NeedsAssessment |
| Patient Education Assistance | 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 charity care policy. St. Anthony Hospital Association ("SAHA") includes information concerning its financial assistance policy on its website. In addition, SAHA prominently displays its charity care policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in SAHA outpatient facilities. In addition, SAHA registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under SAHA's charity care 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. SAHA 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. SAHA's staff will also assist the patient / guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. | PatientEducationAssistance |
| Community Information | Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | CommunityInformation |
| Community Building Activities | Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | CommunityBuildingActivities |
| Other Information | 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). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | OtherInformation |
| Affiliated Health Care System | 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. St. Anthony Hospital Association, along with 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- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 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. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $10 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. St. Anthony Hospital Association operates with its wholly owned affiliates and community partners, along with its fundraising arm, the St. Anthony Hospital Association Foundation, to serve the health care needs of the Morrilton, Arkansas communities. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Peter Banko | ||||||||||
| 397483 | 47848 | 22914 | 34027 | 40732 | 543005 | |||||
| MARY ELIZABETH O'Brien | ||||||||||
| 553502 | 105340 | 62827 | 47250 | 30935 | 799854 | |||||
| Kurtis Vinsant MD | ||||||||||
| 272283 | 1159 | 36253 | 309695 | |||||||
| David Hall MD | ||||||||||
| 129286 | 233214 | 35080 | 397581 | 17097 | ||||||
| MATTHEW COX | ||||||||||
| 231133 | 68407 | 36190 | 335730 | |||||||
| Christina Hockaday | ||||||||||
| 85656 | 51 | 11000 | 96707 | 67790 | 51 | 10415 | 78257 | |||
| ROBERT WESTERFIELD | ||||||||||
| 159787 | 1539 | 31108 | 192434 | |||||||
| LYDIA TEAGUE | ||||||||||
| 179455 | 583 | 26922 | 206960 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHODS USED TO ESTABLISH CEO COMPENSATION | Schedule J, Part I, Q. 3 | Compensation for the top management official of St. Anthony Hospital Association was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract. |
| POST-TERMINATION PAYMENTS | Schedule J, Part I, Q. 4A | During the 2009 Calendar Year, CHI (A related 501(c)(3)organization) participated in post termination payment arrangements and maintained supplemental non qualified deferred compensation arrangements for its employees. Post termination payments are addressed in executive employment agreements for CHI employees at the level of Vice President and above including the MBO CEOs. These employment agreements require that in order for the executive to receive post termination payments, these individuals must execute a general release and settlement agreement. Post termination payment agreements are periodically reviewed for overall reasonableness in light of the executives overall compensation package. St. Vincent Infirmary Medical Center (SVIMC) uses the same methodology regarding severance payments for Vice President's and above. For the Calendar year 2009, David Hall, MD received $188,333 in severance pay from SVIMC. The Severance payment was included in the individuals' reportable compensation for Sch. J. |
| SUPPLEMENTAL NON-QUALIFIED DEFERRED RETIREMENT PLAN | Schedule J, Part I, Q. 4B | DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: PETER BANKO AND MARY ELIZABETH O'BRIEN. THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS ON THEIR BEHALF TO THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR: PETER BANKO $34,027; MARY ELIZABETH O'BRIEN $47,250. DAVID HALL, MD WAS FORMERLY ELIGIBLE TO PARTICIPATE AND HE RECEIVED A DISTRIBUTION FROM THE PLAN OF $17,097 WHICH WAS INCLUDED IN HIS REPORTABLE COMPENSATION FOR THE CALENDAR YEAR 2009. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXECUTIVE COMMITTEE | FORM 990, PART VI, Q. 1A | THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE SECRETARY, EACH OF WHOM SERVES AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD. |
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, Q. 6 | THE SOLE MEMBER OF ST. ANTHONY'S HOSPITAL ASSOCIATION IS ST. VINCENT HEALTH SYSTEM, AN ARKANSAS NONPROFIT CORPORATION. |
| ELECTION OF MEMBERS OF GOVERNING BODY BY MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, Q. 7A | THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. |
| GOVERNING POWERS | FORM 990, PART VI, Q. 7B | THE ORGANIZATION'S CORPORATE MEMBER IS ST. VINCENT HEALTH SYSTEM ("SVHS"). PURSUANT TO ARTICLE V, SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH SVHS AND CATHOLIC HEALTH INITIATIVES ("CHI") (SVHS'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE HELD BY THE SVHS BOARD: - APPROVE MEMBERS OF THE ST. ANTHONY'S HOSPITAL ASSOCIATION BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. ANTHONY'S HOSPITAL ASSOCIATION - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. ANTHONY'S HOSPITAL ASSOCIATION - ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR ST. ANTHONY'S HOSPITAL ASSOCIATION. 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 ST. ANTHONY'S HOSPITAL ASSOCATION - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. ANTHONY'S HOSPITAL ASSOCIATION - APPROVAL OF ISSUANCE OF DEBT BY ST. ANTHONY'S HOSPITAL ASSOCIATION - APPROVAL OF PARTICIPATION OF ST. ANTHONY'S HOSPITAL ASSOCIATION IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. ANTHONY'S HOSPITAL ASSOCIATION - APPROVAL OF A MERGER INVOLVING ST. ANTHONY'S HOSPITAL ASSOCIATION - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. ANTHONY'S HOSPITAL ASSOCIATION - TO REQUIRE THE TRANSFER OF ASSETS BY ST. ANTHONY'S HOSPITAL ASSOCIATION TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SVHS OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 | FORM 990, PART VI, Q. 11A | The Chief Financial Officer is responsible for reviewing the final tax return prepared by the CHI Tax Department. After the return has been reviewed, a copy is presented and reviewed at the finance committee meeting and board meeting. Any questions or discrepancies are resolved prior to filing the return. THE TAX DEPARTMENT THEN FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. |
| PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICY | FORM 990, PART VI, Q. 12C | ST. ANTHONY'S HOSPITAL ASSOCIATION, doing business as St. Vincent Morrilton, follows these guidelines to monitor and enforce its COI policy: Each of the Corporation's officers and directors shall act at all times in a manner that furthers the Corporation's charitable purpose of service to the community and shall exercise care that he or she does not act in a manner that furthers his or her private interests to the detriment of the Corporation's community benefit purposes. A conflict of interest can be considered to exist in any instance where the actions or activities of an individual, on behalf of the Corporation, also involve the obtaining of a direct or indirect personal gain or advantage, or an adverse or potentially adverse effect on the interests of the Corporation. The Corporation's officers and directors shall avoid conflicts of interest and otherwise fully disclose to the Corporation any potential or actual conflicts of interest of the Corporation. The Corporation and all its officers and directors shall comply with any policies of the Corporation and any policies of the Corporate Member regarding conflicts of interest, as well as all requirements of state law regarding such conflicts, and shall complete any and all such disclosure forms as may be deemed necessary or useful by the Corporation for identifying potential conflicts of interest. |
| PROCESS FOR DETERMINING COMPENSATION - CEO | FORM 990, PART VI, Q. 15A | The organization's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels. |
| PROCESS FOR DETERMINING COMPENSATION - OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, Q. 15B | ANY EXECUTIVE COMPENSATION PAID BY THE REPORTING AND RELATED ORGANIZATIONS WAS SET BY A COMPENSATION COMMITTEE UTILIZING COMPARABILITY STUDYS/SURVEYS TO DETERMINE THE REASONABLENESS OF EXECUTIVE COMPENSATION IN COMPARISON TO SIMILARLY SITUATED TAX-EXEMPT ORGANIZATIONS. |
| GOVERNING DOCUMENTS - COI POLICY - FINANCIAL STATEMENTS AVAILABLE | FORM 990, PART VI, Q. 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INTIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. |
| ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII | COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES; PETER BANKO - NONE (PAID BY CHI, BUT 100% of TIME DEVOTED TO SVHS), MARY ELIZABETH O'BRIEN - 34 HOURS (TIME IS DIVIDED AMONG 7 MBOs), KURTIS VINSANT - 36 HOURS, MATTHEW COX - 36 HOURS, CHRISTINA HOCKADAY - NONE (100% OF TIME DEVOTED TO SAHA). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (132 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 |
|---|---|---|---|---|---|---|---|---|---|
| St Joseph Community Health Services | |||||||||
| 300 Central SW Suite 300 | Albuquerque | NM | 87102 | 710897107 | Community | NM | 501(c)(3) | 11a | CHI |
| St Joseph Community Health Foundation | |||||||||
| 300 Central SW Suite 300 | Albuquerque | NM | 87102 | 850253087 | Foundation | NM | 501(c)(3) | 7 | SJCHS |
| St Francis of Baker City | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 930412495 | Hospital | OR | 501(c)(3) | 3 | CHI |
| St Elizabeth Health Care Foundation | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 943164869 | Foundation | OR | 501(c)(3) | 7 | SEHS |
| Flaget Memorial Hospital Foundation Inc | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 562351341 | Fundraising | KY | 501(c)(3) | 11a | FH |
| Flaget Healthcare DBA Flaget Memorial | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 611345363 | Hospital | KY | 501(c)(3) | 3 | CHI |
| Lakewood Health Center | |||||||||
| 600 Main Avenue South | Baudette | MN | 56623 | 410758434 | LTerm Care | MN | 501(c)(3) | 3 | CHI |
| Appletree Court | |||||||||
| 601 Oak Street | Breckenridge | MN | 56520 | 411850500 | Senior Homes | MN | 501(c)(3) | 9 | SFH |
| Healthcare and Wellness Foundation | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 760761782 | Foundation | MN | 501(c)(3) | 11a | SFMC |
| St Francis Home | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410729978 | LTerm Care | MN | 501(c)(3) | 9 | CHI |
| St Francis Medical Center | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410695598 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Carrington Health Center | |||||||||
| 800 North 4th Street | Carrington | ND | 58421 | 450227311 | Healthcare | ND | 501(c)(3) | 3 | 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 |
| Good Samaritan College of Nursing & Heal | |||||||||
| 375 Dixmyth Ave | Cincinnati | OH | 45220 | 311778403 | Education | KY | 501(c)(3) | 2 | GHS |
| Total Healthcare | |||||||||
| PO Box 7021 | Colorado Springs | CO | 80933 | 840927232 | Healthcare | CO | 501(c)(3) | 3 | CHI Colorado |
| Memorial Health Care System Inc | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 620532345 | Hospital | TN | 501(c)(3) | 3 | CHI |
| Memorial Health Care System Foundation | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 621839548 | Foundation | 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 |
| 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 Foundation of Cincinnati | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311206047 | Foundation | OH | 501(c)(3) | 11a | GSH |
| The Good Samaritan Hospital of Cincinnat | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 310537486 | Hospital | OH | 501(c)(3) | 3 | TRI-HEALTH |
| Saint Clare's Hospital | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 223319886 | Hospital | 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 |
| TriHealth Physician Institute | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311074519 | Physicians | OH | 501(c)(3) | 11a | GSH |
| Catholic Health Initiatives Colorado Fou | |||||||||
| 961 East Colorado Avenue | Colorado Springs | CO | 80903 | 840902211 | Foundation | CO | 501(c)(3) | 7 | CHI Colorado |
| 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 |
| Catholic Health Initiatives | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 470617373 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| Catholic Health Care Federation | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 208473567 | Jurdic Person | CO | 501(c)(3) | 11a | CHI |
| Global Health Initiatives | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 201536108 | Ministries | CO | 501(c)(3) | 11a | CHI |
| Health SET | |||||||||
| 4200 West Conejos Place 436 | Denver | CO | 80204 | 841102943 | Low Inc.Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Bishop Drumm Retirement Center | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420725196 | LTerm Care | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy Medical Center - Des Moines AKA | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420680448 | Hospital | IA | 501(c)(3) | 3 | CHI-IA Corp |
| House of Mercy | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421323808 | Shelter | 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 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 | Foundation | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Medical Center - Centerville FKA | |||||||||
| 1 St Josephs Drive | Centerville | IA | 52544 | 420680308 | Hospital | IA | 501(c)(3) | 3 | 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 Hospital of Devils Lake | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 450227012 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Saint Joseph's Hospital Foundation | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 363418207 | Foundation | ND | 501(c)(3) | 11a | SJHHC |
| St Joseph's Hospital and Health Center | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 450226429 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Regional Medical Center of Durango | |||||||||
| 1010 Three Springs Blvd | Durango | CO | 81301 | 840405515 | Hospital | CO | 501(c)(3) | 3 | CHI |
| CHI Kentucky Inc | |||||||||
| 3900 Olympic Blvd Suite 400 | Erlanger | KY | 41018 | 202741651 | Healthcare | KY | 501(c)(3) | 11a | CHI |
| Villa Nazareth Inc | |||||||||
| 801 Page Drive | Fargo | ND | 58103 | 450226714 | LT Care | ND | 501(c)(3) | 9 | CHI |
| St Catherine Hospital | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 480543721 | Hospital | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital Development Found | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 200598702 | Foundation | KS | 501(c)(3) | 11a | SCH |
| Saint Francis Medical Center Foundation | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470630267 | Foundation | NE | 501(c)(3) | 7 | SFMC |
| Saint Francis Medical Center | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470376601 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Central Kansas Medical Center | |||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 480543724 | Hospital | KS | 501(c)(3) | 3 | CHI |
| St Joseph Memorial Hospital | |||||||||
| 923 Carroll Ave | Larned | KS | 67550 | 481253246 | Hospital | KS | 501(c)(3) | 3 | CKMC |
| MNMCH Inc | |||||||||
| 220 North Pennsylvania | Columbus | KS | 66725 | 481216238 | Hospital | KS | 501(c)(3) | 3 | SJRMC |
| Mercy Lifecare Systems | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431305163 | Property Mgmt | MO | 501(c)(3) | 11a | 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 | Foundation | MO | 501(c)(3) | 7 | SJRMC |
| St John's Regional Medical Center | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 440545809 | Hospital | MO | 501(c)(3) | 3 | CHI |
| 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 | Foundation | NE | 501(c)(3) | 7 | GSH |
| St Joseph Health Ministries | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 232342997 | Health | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Ministries Foundation | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 232605579 | Fundraising | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Services Inc | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 201425375 | Dental care | PA | 501(c)(3) | 11a | SJHM |
| Continuing Care Hospital | |||||||||
| 150 North Eagle Creek Drive | Lexington | KY | 40509 | 611400619 | LTACH | KY | 501(c)(3) | 3 | SJHS |
| Saint Joseph Berea Hospital Foundation | |||||||||
| 305 Estill Street | Berea | KY | 40403 | 260152877 | Foundation | KY | 501(c)(3) | 7 | SJHS |
| Saint Joseph Health System Inc | |||||||||
| 150 N Eagle Creek Dr | Lexington | KY | 40509 | 611334601 | Hospital | KY | 501(c)(3) | 3 | CHI |
| St Joseph Hospital Foundation Inc | |||||||||
| One St Joseph Drive | Lexington | KY | 40504 | 611159649 | Foundation | 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 |
| Visiting Nurse Association of Saint Clar | |||||||||
| 191 Woodport Road | Sparta | NJ | 07871 | 221768334 | Home Health | NJ | 501(c)(3) | 9 | SCHS |
| Saint Elizabeth Foundation | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470625523 | Foundation | 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 |
| CHI Nebraska | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233121 | Healthcare | NE | 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 |
| The Physician Network | |||||||||
| 8055 O Street Suite 300 | Lincoln | NE | 68510 | 470780857 | Healthcare | NE | 501(c)(3) | 11a | CHI Nebraska |
| Lisbon Area Health Services | |||||||||
| 905 Main Street | Lisbon | ND | 58054 | 820558836 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Alverna Apartments | |||||||||
| 300 SE 8th Avenue | Little Falls | MN | 56345 | 411351177 | Lterm Care | MN | 501(c)(3) | 9 | CHI |
| Unity Family Healthcare | |||||||||
| 815 2nd Street SE | Little Falls | MN | 56345 | 410721642 | Healthcare | MN | 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 Infirmary Medical Center | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710236917 | Healthcare | AR | 501(c)(3) | 3 | CHI |
| St Vincent Medical Group | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710830696 | Healthcare | AR | 501(c)(3) | 9 | SVIMC |
| Maria-Joseph Center | |||||||||
| 4830 Salem Avenue | Dayton | OH | 45416 | 310935118 | Healthcare | OH | 501(c)(3) | 9 | SHP |
| Saint Joseph London Foundation Inc | |||||||||
| 310 East Ninth Street | London | KY | 40741 | 260438748 | Foundation | KY | 501(c)(3) | 11a | SJHS |
| Samaritan Behavioral Health | |||||||||
| 601 S Edwin C Moses Blvd | Dayton | OH | 45408 | 020633634 | Hospital | OH | 501(c)(3) | 3 | SHP |
| Mercy Medical Center | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820200896 | Hospital | ID | 501(c)(3) | 3 | CHI |
| Mercy Medical Center Foundation | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 261737256 | Foundation | ID | 501(c)(3) | 11a | Mercy Med Ct |
| Mercy Physician Group Inc | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 208192593 | Phys Group | ID | 501(c)(3) | 9 | Mercy Med Ct |
| St Mary's Hospital | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470443636 | Hospital | NE | 501(c)(3) | 3 | CHI Nebraska |
| St Mary's Hospital Foundation | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470707604 | Foundation | NE | 501(c)(3) | 7 | SMH |
| Oakes Community Hospital | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 450231675 | Hospital | ND | 501(c)(3) | 3 | CHI |
| Oakes Community Hospital Foundation | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 710966606 | Foundation | ND | 501(c)(3) | 11a | OCH |
| St Dominic at Ontario | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 930433692 | Hospital | OR | 501(c)(3) | 3 | CHI |
| Holy Rosary Medical Center Foundation | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 202683560 | Foundation | OR | 501(c)(3) | 11a | HRMC |
| St Joseph's Area Health Services | |||||||||
| 600 Pleasant Avenue | Park Rapids | MN | 56470 | 410695603 | Hospital | MN | 501(c)(3) | 3 | CHI |
| St Anthony Hospital | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930391614 | Hospital | OR | 501(c)(3) | 3 | CHI |
| St Anthony Hospital Foundation | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930992727 | Foundation | OR | 501(c)(3) | 11a | SA Hospital |
| Gettysburg Medical Center | |||||||||
| 606 East Garfield Avenue | Gettysburg | SD | 57442 | 460234354 | Hospital | SD | 501(c)(3) | 3 | SMHC |
| St Mary's Healthcare Center | |||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare | SD | 501(c)(3) | 3 | CHI |
| Mt St Joseph Inc | |||||||||
| 3060 SE Stark Street | Portland | OR | 97214 | 930386870 | Nursing Care | OR | 501(c)(3) | 9 | CHI |
| Pueblo Stepup | |||||||||
| 1925 East Orman Avenue Suite G52 | Pueblo | CO | 81004 | 841234295 | Community | CO | 501(c)(3) | 7 | CHI |
| Bornemann Healthcare Corporation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232187242 | Healthcare | PA | 501(c)(3) | 11a | CHI |
| St Joseph Medical Center Foundation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232649362 | Foundation | PA | 501(c)(3) | 11a | SJRHN |
| St Joseph Medical Group | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 208544021 | Healthcare | PA | 501(c)(3) | 9 | BHC |
| St Joseph Regional Health Network | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 231352211 | Healthcare | PA | 501(c)(3) | 3 | CHI |
| 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 | Foundation | OR | 501(c)(3) | 7 | MMC |
| Mercy Medical Center | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930386868 | Hospital | OR | 501(c)(3) | 3 | CHI |
| Franciscan Villa of South Milwaukee Inc | |||||||||
| 3601 South Chicago Avenue | South Milwaukee | WI | 53172 | 391093829 | Healthcare | WI | 501(c)(3) | 9 | CHI |
| Enumclaw Community Hospital | |||||||||
| 1450 Battersby Avenue | Enumclaw | WA | 98022 | 910715805 | Hospital | WA | 501(c)(3) | 3 | FHS |
| Franciscan Foundation | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911145592 | Fundraising | WA | 501(c)(3) | 9 | FHS |
| Franciscan Health System FKA Franciscan | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 910564491 | Healthcare | WA | 501(c)(3) | 3 | CHI |
| Franciscan Medical Group | |||||||||
| 1708 South Yakima Avenue | Tacoma | WA | 98405 | 911939739 | Healthcare | WA | 501(c)(3) | 9 | FHS |
| St Joseph Medical Center Foundation In | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521681044 | Fundraising | MD | 501(c)(3) | 7 | SJMC |
| St Joseph Medical Center Inc | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 520591461 | Hospital | MD | 501(c)(3) | 3 | CHI |
| St Joseph Physician Enterprises | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521311775 | Physicians | MD | 501(c)(3) | 11a | CHI |
| Samaritan Health Foundation | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 237296923 | Foundation | OH | 501(c)(3) | 7 | SHP |
| Mercy Hospital of Valley City | |||||||||
| 570 Chautauqua Boulevard | Valley City | ND | 58072 | 450226553 | Hospital | 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 | Foundation | ND | 501(c)(3) | 11a | MMC |
| Samaritan Health Partners | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 311107411 | Healthcare | OH | 501(c)(3) | 11a | CHI |
| St Vincent Foundation | |||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 510169537 | Fundraising | AR | 501(c)(3) | 11a | SVIMC |
| Auxiliary of Holy Rosary Hospital Inc | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 943059469 | Hospital | OR | 501(c)(3) | 9 | HRMC |
| The Mercy Hospital of Devils Lake Fdn | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 352367360 | Foundation | ND | 501(c)(3) | 11a | MHDL |
| Alegent Health - Bergan Mercy Health Sys | |||||||||
| 7500 Mercy Road | Omaha | NE | 68124 | 470484764 | Hospital | NE | 501(c)(3) | 3 | CHI |
| Alegent Health - Mercy Hospital Corning | |||||||||
| PO Box 368 | Corning | IA | 50841 | 420782518 | Hospital | IA | 501(c)(3) | 3 | AHBMHS |
| Mercy Health Care Foundation | |||||||||
| PO Box 368 | Corning | IA | 50841 | 421461064 | Foundation | NE | 501(c)(3) | 11a | AHMH |
| Mercy Hospital Foundation Council Bluff | |||||||||
| 800 Mercy Drive | Council Bluffs | IA | 51503 | 421178204 | Foundation | IA | 501(c)(3) | 11a | AHBMHS |
| CHI Institute For Research and Innovatio | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 271050565 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| CHI Colorado | |||||||||
| 188 Inverness Drive West | Englewood | CO | 80112 | 840405257 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Saint Joseph Mount Sterling Foundation | |||||||||
| 50 Sterling Avenue | Mount Sterling | KY | 40353 | 272884584 | Foundation | KY | 501(c)(3) | 7 | SJHS |
| Centennial Medical Group Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 900433062 | Physicians | OR | 501(c)(3) | 9 | MMC |
| CHI National Foundation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 270930004 | Foundation | CO | 501(c)(3) | 11a | CHI |
| Saint Clare's Health Services Inc | |||||||||
| 25 Pocono Road | Denville | NJ | 07834 | 223639733 | Management | NJ | 501(c)(3) | 7 | CHI |
| Good Samaritan Hospital | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 310536981 | Hospital | OH | 501(c)(3) | 3 | SHP |
Form990 Schedule R Part III Form990ScheduleRPartIII (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Superior Medical Imaging LLC | |||||||||||||
| 5000 North 26th Street | Lincoln | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | -155495 | 993429 | false | $272 | false |
| Central Nebraska Rehab Services | |||||||||||||
| 3004 W Faidley Ave | Grand Island | NE | 68802 | 810653461 | Physical Therapy | NE | CHI | Related | 1816979 | 2933623 | false | $5,050 | false |
| Mercy West Endoscopy LLC | |||||||||||||
| 1601 NW 114th St Suite 244 | Clive | IA | 50325 | 900129077 | Ambulatory Surg | IA | CHI-IA Corp | Related | 1917716 | 1695121 | false | false | |
| Audubon Land Company LLC | |||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 841513085 | Real Estate | CO | THC | Related | 67577 | 9001605 | false | false | |
| Breckenridge Medical Clinic LLC | |||||||||||||
| 555 South Park Avenue Plaza 11 | Breckenridge | CO | 80424 | 651295958 | Medical Clinic | CO | THC | Related | false | false | |||
| Penrad Imaging | |||||||||||||
| 1390 Kelly Johnson Blvd | Colorado Springs | CO | 80920 | 841072619 | Medical Imaging | CO | THC | Related | 1922441 | 8248492 | false | false | |
| St Anthony Regional Mtn Cancer Center | |||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80112 | 371568013 | Cancer Center | CO | THC | Related | 60513 | 318803 | false | false | |
| St Francis Land Company | |||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 263134100 | Real Estate | CO | THC | Related | -180979 | 14886022 | false | false | |
| OrthoColorado LLC | |||||||||||||
| 11650 West 2nd Place | Lakewood | CO | 80255 | 371577105 | Ortho Hospital | CO | THC | Related | -5375165 | 15265510 | false | false | |
| Mercy Outpatient Surgery Center LLC | |||||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 841380439 | Surgery Center | ID | MMC | Related | -812036 | 949357 | false | $4,620 | true |
| Peninsula Radiation Oncology | |||||||||||||
| 314 Martin Luther King Jr Way 11 | Tacoma | WA | 98405 | 870808610 | Healthcare Srvc | WA | FHS | Related | -516076 | 3860362 | false | false | |
| Healthcare Support Services LLC | |||||||||||||
| PO Box 9804 | Grand Island | NE | 688029804 | 721546196 | Laundry | NE | CHI | Related | 199968 | 3913481 | false | $58,436 | false |
| Bluegrass Regional Imaging Center | |||||||||||||
| 1218 South Broadway Suite 310 | Lexington | KY | 40504 | 611386736 | Diagnostic | KY | SJ HospitalLex | Related | 242456 | 3773725 | false | false | |
| North River Surgery Center LLC | |||||||||||||
| 2209 Wildwood Avenue | Sherwood | AR | 72120 | 710799771 | Ambul Surg Ctr | AR | SVIMC | Related | 213989 | 1696001 | false | false | |
| CHI Operating Investment Program LP | |||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470727942 | Investments | CO | CHI | Investment | 58022 | 4069968 | false | $14,031 | true |
| Ruxton Surgicenter LLC | |||||||||||||
| 8322 Bellona Avenue Suite 201 | Baltimore | MD | 21204 | 522095835 | Surgery Center | MD | SJMC | Related | -75716 | 3421084 | false | true | |
| Central Nebraska Home Care Services | |||||||||||||
| PO Box 1146-4510 Second Avenue | Kearney | NE | 68848 | 470692112 | Healthcare Srvc | NE | HSEINC | Related | -102982 | 1021500 | false | true | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mercy Health Services Corporation | ||||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431457881 | DME | MO | St John's RMC | C Corp | -1033832 | 2093683 | 1.00000 | |
| Mountain Management Services Inc | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 621570739 | mgmt svc org | TN | MHCS | C Corp | 348642 | 4530845 | 1.00000 | |
| MedQuest | ||||||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MHof Williston | C Corp | -16794 | 911494 | 1.00000 | |
| St Anthony Development Company | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | St Anthony H | C Corp | 41861 | 3047938 | 1.00000 | |
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI Nebraska | C Corp | -2491623 | 840232 | 1.00000 | |
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C Corp | 10957 | 1559747 | 1.00000 | |
| Mercy Park Apartments Ltd | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corp | 227244 | 1806199 | 1.00000 | |
| Des Moines Medical Center Inc | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corp | 1123173 | 0.92980 | ||
| Comcare Services | ||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80204 | 840904813 | Inactive | CO | CHIC | C Corp | 1.00000 | |||
| Mednow Inc | ||||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820389927 | Outpat Pharmacy | ID | Mercy Med Ctr | C Corp | -672954 | 5348476 | 1.00000 | |
| Saint Clare's Primary Care Inc | ||||||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corp | -350630 | 2590487 | 1.00000 | |
| Healthcare Mgmt Services Org Inc | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Physician Health System Network | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Mercy Services Corp | ||||||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930824308 | Retail Sales | OR | Mercy Medical | C Corp | -499409 | 1403001 | 1.00000 | |
| Caduceus Medical Associates Inc | ||||||||||||
| 6028 Shallowford Road Suite D | Chattanooga | TN | 37422 | 621570736 | Healthcare | TN | MHCS | C Corp | 1008 | 1.00000 | ||
| CENTRAL KANSAS HEALTH SERVICES ASSOCIATI | ||||||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 481042853 | MEDICAL EQUIPMENT | KS | CKMC | C Corp | 110125 | 1.00000 | ||
| St Vincent Community Health Services In | ||||||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corp | 2404944 | 10195000 | 1.00000 | |
| Alternative Insurance Management Service | ||||||||||||
| 3900 Olympic Boulevard Suite 400 | Erlanger | KY | 41018 | 841112049 | Management Servic | CO | CHI | C Corp | 3272176 | 1.00000 | ||
| Nazareth Assurance Company | ||||||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030304831 | Insurance | VT | CHI | C Corp | 1.00000 | |||
| Franciscan Services Inc | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corp | 194756 | 12598258 | 1.00000 | |
| SJH Services Corporation | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corp | 314346 | 3423012 | 1.00000 | |
| St Joseph Development Company Inc | ||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corp | 1677122 | 11984725 | 1.00000 | |
| Towson Management Inc | ||||||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521710750 | Management Servic | MD | FSI | C Corp | 99315 | 498383 | 1.00000 | |
| Captive Management Initiatives | ||||||||||||
| 980663022 | Captive Managemen | CHI | C Corp | 1.00000 | CJ | |||||||
| First Initiatives Insurance Ltd | ||||||||||||
| 980203038 | Insurance | CHI | C Corp | 1.00000 | CJ | |||||||
| Center for Translational Research | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 272269511 | Healthcare | CO | CHI | C Corp | -840949 | 1746201 | 1.00000 | |
| Samaritan Family Care Inc | ||||||||||||
| 40 W Fourth St 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | LLC | -1199836 | 4894397 | 1.00000 | |
| SJL Physician Management Services Inc | ||||||||||||
| 424 Lewis Hargett Cr 160 | Lexington | KY | 40503 | 999999999 | Management | KY | SJHS | C Corp | 1.00000 | |||
| CGH Realty Company Inc | ||||||||||||
| 215 N 12th St | Reading | PA | 19603 | 232326801 | Real Estate | PA | SJHM | C Corp | 1007 | 42415 | 1.00000 | |
| St Joseph Office Park Association | ||||||||||||
| 1401 HarrodsBurg Road Bldg B70 | Lexington | KY | 40504 | 611079899 | Management | KY | SJHS | C Corp | 10217 | 572843 | 0.85000 | |
| 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 | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Catholic Health Initiatives | |
| L | 117709 |
| Catholic Health Initiatives | |
| O | 201522 |