SAINT ELIZABETH FOUNDATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ELIZABETH FOUNDATION (EIN 47-0625523)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-03-21
- IRS object ID
- 201110809349300106
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-03-21T12:19:37-04:00 | 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 | 470625523 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Elizabeth Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 4022198000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEANETTE WOJTALEWICZ | Name |
| Title | VP Finance/CFO | Title |
| Date Signed | 2011-03-18 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Lanik | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2229087 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.SAINTELIZABETHONLINE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | saint elizabeth foundation raises funds to promote excellent, compassion and spiritual care in the communities serviced through Saint Elizabeth Regional Medical Center and its related organizations. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 63 | TotalNbrVolunteers |
| Total Gross UBI | 22 | TotalGrossUBI |
| Contributions Grants Prior Year | 1303107 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1481719 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -474783 | InvestmentIncomePriorYear |
| Investment Income Current Year | 356069 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 146459 | OtherRevenuePriorYear |
| Other Revenue Current Year | 147022 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 974783 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1984810 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1411564 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1268413 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 364079 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 658612 | OtherExpensePriorYear |
| Other Expenses Current Year | 775268 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2070176 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2043681 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1095393 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -58871 | RevenuesLessExpensesCY |
| Total Assets BOY | 7306014 | TotalAssetsBOY |
| Total Assets EOY | 7257591 | TotalAssetsEOY |
| Total Liabilities BOY | 1012524 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 402248 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6293490 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6855343 | 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 | 1422370 | Expense |
| Grants | 1268413 | Grants |
| Description | SEE SCHEDULE "O" | Description |
| Total Program Service Expense | 1422370 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | 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 | false | Hospital |
| Grants To Organizations | true | 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 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | 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 | NE | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jeanette Wojtalewicz | NamePerson |
| Telephone Number | 4022197721 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| Stephen Burt | |||||
| Board Member | 1.0 | X | |||
| Deonne Bruning | |||||
| Board Member | 1.0 | X | |||
| Charlie Calhoun | |||||
| Board Vice Chair | 1.0 | X | X | ||
| Gregory Heidrick | |||||
| Board Member | 1.0 | X | |||
| Sr ELAINE HEROLD | |||||
| Board Member | 5.0 | X | |||
| Amy Harris | |||||
| Board Member | 1.0 | X | |||
| Donna Hammack | |||||
| CHIEF DEVELOPMENT OFFICER | 50.0 | X | X | 156041 | 29324 |
| Connie Jensen | |||||
| Board Member | 1.0 | X | |||
| Patrick Kenney | |||||
| Board Chair | 1.0 | X | X | ||
| ROBERT LANIK | |||||
| PRESIDENT CEO | 1.0 | X | X | 685176 | 76471 |
| Ed Perry | |||||
| Board Member | 1.0 | X | |||
| Charles Pallesen | |||||
| Board Member | 1.0 | X | |||
| Scott Stewart | |||||
| Board Member | 1.0 | X | |||
| Louise Schleich | |||||
| Board Member | 1.0 | X | |||
| Alan Slattery | |||||
| Board Secretary | 1.0 | X | X | ||
| Jeanette Wojtalewicz | |||||
| CFO | 2.0 | X | X | 324886 | 43551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 1166103 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 149346 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 17338 | FundraisingEvents |
| Related Organizations | 130148 | RelatedOrganizations |
| Government Grants | 34186 | GovernmentGrants |
| All Other Contributions | 1300047 | AllOtherContributions |
| Noncash Contributions | 8095 | NoncashContributions |
| Total Contributions | 1481719 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 164097 | TotalRevenueColumn |
| Unrelated Business Revenue | 22 | UnrelatedBusinessRevenue |
| Exclusion | $164,075 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 191972 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 191972 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 191972 | TotalRevenueColumn |
| Exclusion | $191,972 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 24836 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 17338 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 17338 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7498 | TotalRevenueColumn |
| Exclusion | $7,498 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 361788 | GrossSalesOfInventory |
| Cost Of Goods Sold | 226939 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 134849 | TotalRevenueColumn |
| Exclusion | $134,849 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4675 | TotalRevenueColumn |
| Exclusion | $4,675 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4675 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1984810 | TotalRevenueColumn |
| Unrelated Business Revenue | 22 | UnrelatedBusinessRevenue |
| Exclusion | $503,069 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1268413 | Total |
| Program Services | 1268413 | 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 | 0 | Total |
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 | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613613 | Total |
| Program Services | 97132 | ProgramServices |
| Management And General | 187871 | ManagementAndGeneral |
| Fundraising | 328610 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45288 | Total |
| Program Services | 258 | ProgramServices |
| Management And General | 21923 | ManagementAndGeneral |
| Fundraising | 23107 | 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 | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14761 | Total |
| Program Services | 37 | ProgramServices |
| Management And General | 10607 | ManagementAndGeneral |
| Fundraising | 4117 | 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 | 724 | Total |
| Program Services | 40 | ProgramServices |
| Management And General | 584 | ManagementAndGeneral |
| Fundraising | 100 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3746 | Total |
| Management And General | 3746 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Total | 97136 | Total |
| Program Services | 56490 | ProgramServices |
| Management And General | 32501 | ManagementAndGeneral |
| Fundraising | 8145 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2043681 | Total |
| Program Services | 1422370 | ProgramServices |
| Management And General | 257232 | ManagementAndGeneral |
| Fundraising | 364079 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367146 | BOY |
| EOY | 925512 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31216 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85719 | BOY |
| EOY | 29706 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77401 | BOY |
| EOY | 79921 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 96669 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 54575 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45840 | BOY |
| EOY | 42094 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6550119 | BOY |
| EOY | 6021950 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147573 | BOY |
| EOY | 157408 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7306014 | BOY |
| EOY | 7257591 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9867 | BOY |
| EOY | 345599 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1002657 | BOY |
| EOY | 56649 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012524 | BOY |
| EOY | 402248 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4259283 | BOY |
| EOY | 4575385 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1820324 | BOY |
| EOY | 2060166 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213883 | BOY |
| EOY | 219792 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6293490 | BOY |
| EOY | 6855343 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7306014 | BOY |
| EOY | 7257591 | 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) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1414431 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1267220 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1193843 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1303107 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1426010 | CurrentTaxYear |
| Total | 6604611 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1414431 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1267220 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1193843 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1303107 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1426010 | CurrentTaxYear |
| Total | 6604611 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 6604611 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 231925 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 192957 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 197583 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 160664 | CurrentTaxYearMinus1Year |
| Current Tax Year | 164097 | CurrentTaxYear |
| Total | 947226 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21194 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18022 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17845 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 24836 | CurrentTaxYear |
| Total | 101775 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7653612 | TotalSupport |
| Public Support Pertcentage170 | 0.86294 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.87899 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 213883 | BeginningOfYearBalance |
| Contributions | 5909 | Contributions |
| Investment Earnings Or Losses | 12914 | InvestmentEarningsOrLosses |
| Other Expenditures | 12914 | OtherExpenditures |
| End Of Year Balance | 219792 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 182091 | BeginningOfYearBalance |
| Contributions | 31792 | Contributions |
| Investment Earnings Or Losses | 11504 | InvestmentEarningsOrLosses |
| Other Expenditures | 11504 | OtherExpenditures |
| End Of Year Balance | 213883 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32134 | OtherCostOrOtherBasis |
| Book Value | 32134 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 64535 | OtherCostOrOtherBasis |
| Depreciation | 54575 | Depreciation |
| Book Value | 9960 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 42094 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OPERATING INV PSHP | 5869650 | F |
| OTHER SECURITIES | 152300 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 6021950 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES | $0 |
| OTHER LT LIABILITY | $56,596 |
| UNCLAIMED PROPERTY | $53 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 56649 | TotalOfAmounts |
| Total Revenue | 1984810 | TotalRevenue |
| Total Expenses | 2043681 | TotalExpenses |
| Excess Or Deficit For Year | -58871 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 619960 | NetUnrealizedGLOnInvestments |
| Other | $763 | OtherAmount |
| Total Adjustments | 620723 | TotalAdjustments |
| Excess Or Deficit Per FS | 561852 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 | SCHEDULE D, PART X | SAINT ELIZABETH FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI follows Accounting Standards CODIFICATION (ASC)740 which prescribes criteria for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. ASC 740 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financials statements. |
| RECONCILIATION OF CHANGES IN NET ASSETS | Schedule D Part XI Q8 | RETURNED GRANT IN THE AMOUNT OF -104,477 FROM PRIOR YEAR DONATED SERVICES FROM OTHER ORGANIZATION OF 105,240 |
| THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS | Sch D Pt V Q4 | The Endowment Funds were used for Scholarships, contruction of the Walking Path adjacent to Saint Elizabeth Regional Medical Center and other General purposes. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | NE | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Silent Action | NameOfEvent1 |
| Gross Receipts Event1 | 24378 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 10419 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13959 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 10419 | NonCashPrizesEvent1 |
| Name Of Event2 | On-line Action | NameOfEvent2 |
| Gross Receipts Event2 | 17796 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 6919 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 10877 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 6919 | NonCashPrizesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 42174 | GrossReceiptsTotal |
| Charitable Contributions Total | 17338 | CharitableContributionsTotal |
| Gross Revenue Total Events | 24836 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 17338 | NonCashPrizesTotalEvents |
| Direct Expense Summary Events | 17338 | DirectExpenseSummaryEvents |
| Net Income Summary | 7498 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|---|---|---|---|
| Saint Elizabeth Regional Medical Center | ||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470379836 | IRC Sec.501(C)3 | 838323 |
| Saint Elizabeth Regional Medical Center | ||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470379836 | IRC Sec.501(C)3 | 382958 |
| The Physician Network | ||||||
| 8055 O Street | Lincoln | NE | 68510 | 470780857 | IRC Sec.501(C)3 | 29038 |
| Nebraska Health at Home | ||||||
| 245 South 84th Street STE 300 | Lincoln | NE | 68510 | 264061099 | IRC Sec.501(C)3 | 8614 |
| Catholic Health Initiatives | ||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470617373 | IRC Sec.501(C)3 | 5330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I Part I Q2 | Identifier |
| Return Reference | Procedures for monitoring the use of grants | ReturnReference |
| Explanation | On receipt of an award notice, the Saint Elizabeth Foundation's Chief Development Officer signs the award agreement. A copy of the contract is entered into a database that manages contract deadlines and a new fund number is created to keep the grant funds separate from any others. The Saint Elizabeth Foundation's Resource Development Coordinator (RDC) serves as Project Director or Principal Investigator on all grants so that notifications and other correspondence are handled by one person. Due to the financial accounting structure of Saint Elizabeth Foundation (SEF) and Saint Elizabeth Regional Medical Center (SERMC), funds are spent by departments within the hospital and then reimbursed appropriately from grant funds in the Foundation. Department heads within the hospital submit a Request for Reimbursement form with all the pertinent information and the RDC in the Foundation reviews them for accuracy. The Chief Development Officer then approves the reimbursement. The RDC submits grant applications, reconciles all grant funds, provides required grant reports to funding agencies, and closes out grants when completed. These processes are reviewed and authorized by the Chief Development Officer. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|
| Donna Hammack | ||||||
| 145503 | 5261 | 5277 | 29324 | 185365 | ||
| ROBERT LANIK | ||||||
| 507375 | 121891 | 55909 | 44970 | 761647 | 31501 | 27476 |
| Jeanette Wojtalewicz | ||||||
| 289064 | 25694 | 10128 | 43551 | 368437 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| POST-TERMINATION PAYMENTS | Sch J Pt I Q4A | POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES' ("CHI") MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OvERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2009 CALENDAR YEAR. |
| SUPPLEMENTAL NON-QUALIFIED DEFERRED RETIREMENT PLAN | Sch J Q4B | SAINT ELIZABETH REGIONAL MEDICAL CENTER MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN Prior to 2009. ELIGIBILITY IS LIMITED TO CERTAIN VICE PRESIDENTS. THE PLAN CONTRIBUTED 5% OF SALARY INTO A DEFERRED INCOME ACCOUNT MANAGED BY INTEGRATED HEALTHCARE STRATEGIES. The plan was frozen as of 2009. NO PAYMENTS WERE MADE FROM THE PLAN FOR THE 2009 CALENDAR YEAR. AS A RESULT, NO REPORTABLE COMPENSATION WAS INCLUDED IN SCHEDULE J. DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: Robert Lanik THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR: ROBERT LANIK $31,501 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNTS WERE INCLUDED IN THE INDIVIDUALS' REPORTABLE COMPENSATION FOR SCHEDULE J: ROBERT Lanik $27,476. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICY | Form 990, Part VI, Q. 12c | All board members are required to complete an annual conflict of interest disclosure statement. In addition, any board member with a conflict is required to declare the conflict before the beginning of each board or committee meeting. The entire board or committee determines whether the affected board member should be excluded from the meeting due to the disclosed conflict. |
| Process for Determining Compensation | 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 the 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 positions at the level of Vice President and above to determine and validate appropriate compensation levels. |
| 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 AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. |
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, Q. 6 | THE SOLE MEMBER OF THE ORGANIZATION IS SAINT ELIZABETH Regional Medical Center, A NEBRASKA NONPROFIT CORPORATION. |
| MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD | 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 SAINT ELIZABETH Regional Medical Center. Pursuant to Section 5 of the organization's bylaws, both SAINT ELIZABETH Medical Center and Catholic Health Initiatives ("CHI") (SAINT ELIZABETH Regional Medical Center'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 SAINT ELIZABETH Regional Medical Center's Board: *Approve members of the SAINT ELIZABETH FOUNDATION board *Amendment of the corporate documents of SAINT ELIZABETH FOUNDATION *Approve removal of a member of the governing body of SAINT ELIZABETH FOUNDATION *Adoption of long range and strategic plans for SAINT ELIZABETH FOUNDATION 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 SAINT ELIZABETH FOUNDATION *Removal of a member of the governing body of SAINT ELIZABETH FOUNDATION *Approval of issuance of debt by SAINT ELIZABETH FOUNDATION *Approval of participation of SAINT ELIZABETH FOUNDATION in a joint venture *Approval of formation of a new corporation by SAINT ELIZABETH FOUNDATION *Approval of a merger involving SAINT ELIZABETH FOUNDATION *Approval of the sale of all or substantially all of the assets of SAINT ELIZABETH FOUNDATION *To require the transfer of assets by SAINT ELIZABETH FOUNDATION to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5 of the organization's bylaws, SAINT ELIZABETH Regional Medical Center 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 Used to review Form 990 | Form 990, Part VI, Q. 11 | the returns are reviewed by the CFO and any necessary revisions are included in the final version. THE final version IS THEN PROVIDED TO THE BOARD. SUBSEQUENTLY, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, Q. 15B | During the tax year ended 6/30/10, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by a compensation committee utilizing both an independent consultant and comparability studies to determine compensation. in addition, compensation is subject to board approval. Compensation for the Chief Development Officer is set by the CEO. |
| 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, THE VICE PRESIDENT, THE SECRETARY AND THE TREASURER, AND THE CHIEF DEVELOPMENT OFFICER EACH OF WHOM SERVES AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD. |
| Program Service Accomplishments- Pt I | Form 990, Part III, Q. 4A- I | PRIMARY EXEMPT PURPOSE The Saint Elizabeth Foundation was incorporated as a 501(c)(3), tax exempt charitable foundation to serve as the official gift-receiving and gift administration agency for Saint Elizabeth Regional Medical Center. The Foundations staff and Board of Trustees raise funds through special events, annual giving, major gifts, capital campaigns, planned gifts and grants to help fund programs at Saint Elizabeth Regional Medical Center, providing excellent, compassionate and spiritual care through programs within the medical center and the community it serves. EXEMPT PURPOSE ACHIEVEMENTS Introduction The mission of the Corporation and of Catholic Health Initiatives is to nurture the healing ministry of the Roman Catholic Church by bringing it new life, energy, and viability in the Twenty-First Century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as it moves toward the creation of healthier communities. Catholic Health Initiatives, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, Saint Elizabeth Foundation and Catholic Health Initiatives, as values-based organizations and in partnership with laity and others, will research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization. The purpose of Saint Elizabeth Foundation is to raise funds to promote care giving at Saint Elizabeth Regional Medical Center, providing excellent, compassionate and spiritual care through programs within the Medical Center and the community it serves. To ensure gifts are administered in accordance with donors' intentions, the Saint Elizabeth Foundation establishes restricted accounts that assure funds are dedicated to the purpose for which they are given. During the last fiscal year the Foundation has raised over $1.4 millioin in contributions. At the same time it has disbursed over $1.2 million back into the community through the Saint Elizabeth Regional Medical Center. Capital for Saint Elizabeth Regional Medical Center Saint Elizabeth Foundation, with money from various donors, provided $590,829 for the purchase of equipment for Saint Elizabeth Regional Medical Center which was directly related to patient care. Emergency & Hardship Charity Care Saint Elizabeth Foundation currently maintains a fund that provides assistance to patients after discharge. There were 274 patients and families served this fiscal year for a total of $55,018. Assistance is provided in areas of non-covered prescriptions, lodging, meals and travel needs. Patients must have no other means of support. Employee Emergency Fund The Foundation also maintains a fund designated strictly to emergency assistance for Saint Elizabeth Regional Medical Center associates. Assistance consists of helping with utilities, rent, food, transportation and medical needs for a qualifying associate. This year the fund was able to help 62 associates for a total of $55,732. Community Asthma Education Initiative The Community Asthma Education Initiative (CAEI), comprised of 50+ local agencies and institutions, was formed in 1998, in response to alarming statistics from the Center for Disease Control, showing high rates of asthma morbidity and mortality in the Midwest and Nebraska, in particular. The Foundation has assisted the CAEI in acquiring funding from Environmental Protection Agency, Lincoln/Lancaster County Health Department, Asthma and Allergy Foundation of America Community Pharmacy Foundation, American Academy of Pediatrics-CATCH and the Porter Foundation. The Foundation assists the Director of Pulmonary Services and CAEI coordinator to see to it that objectives and funding guidelines are being met as required from each grantor. Funding of $65,886 helped educate and inform the community about asthma triggers and managing the disease Susan G. Komen for the Cure-Nebraska - Time to Heal The goals and objectives for A Time to Heal at Saint Elizabeth Regional Medical Center are: - Improve the quality of life for post-treatment breast cancer survivors as measured by surveys taken before and after the program. - Heighten the patients' knowledge about health-enhancing activities such as smart nutrition and supplementation, exercise, stress management, relaxation, journaling, and communication. - Encourage self-advocacy by introducing patients to survivorship issues; encouraging patients to listen to their bodies, and to communicate effectively with medical professionals. - Provide information about books, Web sites, and services that provide information and support to survivors. An additional Susan G. Komen for the Cure-Nebraska grant of $16,653 was secured in April 2010 to provide no-cost mammograms for lower-income and/or disadvantaged women in Lincoln/Lancaster County. Since 2008, 24 breast cancer survivors have been assisted with funds needed to continue the rehabilitative program so that they will be able to attend at no charge. |
| Significant Changes to Organizational Documents | Form 990 Pt VI Q4 | THE ORGANIZATIONAL DOCUMENTS WERE AMENDED TO REFLECT SAINT ELIZABETH REGIONAL MEDICAL CENTER, A NEBRASKA NONPROFIT CORPORATION, AS THE SOLE CORPORATE MEMBER. |
| PUBLIC INSPECTION FOR DOCUMENTS | FORM 990 PT VI Q19 | The organization's governing documents are available on the Nebraska Secretary of State website. The Conflict of Interest Policy is available upon request. Saint Elizabeth Foundation'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM |
| Program Service Accomplishment - Pt III | Form 990, Part III, Q. 4A | Walking Path The creation of a walking path around the lake at Saint Elizabeth has greatly contributed to a healing environment for patients, visitors and associates. Throughout history, it has been perceived that nature and the outdoors have enhanced health. Research now indicates that contact with the natural world and the outdoors makes people feel better and heal faster, as well as increasing a person's sense of well being and reducing stress. Patients actually heal faster, workers have lower stress levels and fewer sick days, and visitors have a more positive experience when surrounded by such an environment. The walking path is just under one-half mile in length and connects to the Reflection Overlook and the sidewalk on the south and winds around the lake to connect with an entrance on the east side of the hospital. The six-foot wide path, which is ADA compliant, is constructed of concrete so that the smooth surface can accommodate wheelchairs and those who require a smooth surface for walking. Benches were placed along the path in 2008 for those who need to rest and for individuals to stop and reflect on the beauty of the lake. Twenty-eight flagpoles were also placed along the path to commemorate patriotic and celebratory events throughout the year. The benches and flagpoles were valued at $28,100. Special Foundation Funds Auxiliary The mission of the Saint Elizabeth Auxiliary is to conduct supportive activities, which enhance the quality of care given to patients, their families, associates, and volunteers through fundraising efforts, and positive community relations. One of their special activities is the awarding of annual scholarships. Four Auxiliary scholarships and one Auxiliary Teen Scholarship were awarded this past year. Through its operations the Auxiliary supports the mission of Saint Elizabeth Regional Medical Center. Fundraising efforts include Valentine and May Day sales, Books are Fun, Art sales and the annual Lights of Love event which totaled $21,300 in 2010. Nursing Alumni Graduates of the Saint Elizabeth School of Nursing meet to continue fellowship and promote professionalism in nursing. The Foundation staff supports various activities of the Nursing Alumni such as assisting with annual events and development of their nursing scholarship. Nurses' scholarships of $500 each have been established from an endowed fund, given from interest only. the principle will continue into perpetuity. Four scholarships have been awarded this past year. The Nurses' Alumni joined with the Saint Elizabeth Auxiliary and all scholarships to make the process more efficient for recipients. Gift Shop/Scooters Coffee The Gift Shop and Scooters Coffee at Saint Elizabeth Regional Medical Center are not only retail businesses, but they also provides goods and services which benefit patients, their families and staff. Operating under the umbrella of the Foundation, the Gift Shop and Scooters Coffee proceeds of $37,352 for 2010 provide funds for special projects at the Medical Center. Camps Saint Elizabeth Foundation helps support two camps that are held each year for children - Camp Braveheart and Kamp Kaleo. Camp Braveheart is for children who have a history of heart disease. The camp is highly supervised with nurses, physician assistants and Cardiologists. The camp is in concert with Camp Kitaki just outside of Omaha, Nebraska, not far from hospitals. Kamp Kaleo is for burn survivors and siblings. Nurses from the Saint Elizabeth Burn Unit provide supervision and treatment while at camp. These provide children with similar experiences an opportunity to interact. Both camps help children build self-esteem through physical activities and personal accomplishments. |
| Program Service Accomplishment - Pt II | Form 990, Part III, Q. 4A | Neonatal Family Assistance Program In fiscal year 2010 376 newborns spent time in the Saint Elizabeth Regional Medical Center Neonatal Intensive Care Unit (NICU). An infant usually needs a minimum of 23-weeks for the lungs to be mature enough for survival. Full-term gestation is 40-weeks. Most babies stay in the NICU until their original due date. Saint Elizabeth Regional Medical Center assists these parents who live outside of Lancaster County by allowing them to stay close to their newborn. This allows them to develop that important bond and nurturing relationship with their child rather than traveling back and forth between home and hospital. The Chase Suites located within walking distance from the hospital has offered a special rate to families of patients. In FY 2010 the Foundation helped 14 families maintain a close bonding relationship with their newest family member by providing lodging totaling $7,821. CHI Mission & Ministry Fund - Caring Communities This project is designed to expand and enhance Palliative Care services in six Catholic Health Initiatives hospitals, including Saint Elizabeth Regional Medical Center. Palliative Care programs are developed to improve the quality of life of patients with chronic, serious and/or life-threatening illnesses. Total grant funds awarded were $306,735 over three years (2009-2012). Saint Elizabeth Foundation administers and distributed these funds to ensure the program guidelines are achieved. Saint Elizabeth Regional Medical Center Car Seat Fitting Station Saint Elizabeth Regional Medical Center is a recognized leader in Perinatal Services. The National Highway Traffic Safety Administration (NHTSA) reported that motor vehicle crashes are the leading cause of death among children in the United States. Educating parents/caregivers about proper installation and use are key components to improving correct usage rates, thereby greatly reducing injuries as a result of improper or lack of use of child passenger seats. Saint Elizabeth Car Seat Fitting Station is located at 6900 L Street, on the north side of the building - just north of Saint Elizabeth Regional Medical Center. Individualized educational sessions are by appointment only, though emergency appointments can be made, which are scheduled by Telephone Line to Care at Saint Elizabeth Regional Medical Center. The Foundation has assisted the Car Seat Fitting Station Coordinator in acquiring funding from: Nebraska Office of Highway Safety, McDonalds, Kiwanis, Kohl's, Nebraska State Troopers Association and the Regional Training Project. Almost $17,000 was secured and approximately 720 car seat appointments per year were completed. Emergency Medical Services The Nebraska Department of Health and Human Services Emergency Medical Services Program have grants available to develop and implement continuing education courses for volunteer Emergency Medical Service providers. The Saint Elizabeth Foundation has provided one program per month, using telehealth - an interactive video system - connecting across the State of Nebraska through hospitals and public health departments via the Nebraska Statewide Telehealth Network (NSTN). These two to three hour topics have included Stroke, Treatment vs. Transport, Time is Muscle, Winter Emergencies, Burn and Wound Care, Asthma, and Documentation. The Nebraska Health and Human Services department Of Emergency Medical Services paid $1,200 for twelve programs done this past fiscal year 2010. Lincoln ED Connections ED Connections is a collaborative emergency department case management program, involving both Saint Elizabeth Regional Medical Center & BryanLGH. The program was created through a grant from the Community Health Endowment to assist people who over-utilize emergency departments as their primary source of health care. Patients are enrolled in ED Connections to help them with food, shelter, medication assistance, or other barriers they might have that prevent them from obtaining positive health outcomes. They are connected to other services in the community to help them overcome these barriers and helped along a pathway to a permanent medical home. Saint Elizabeth Foundation has secured additional funding for the program from Region V Mental Health Services, individual donors, and the Community Health Endowment. Career Mentoring Program Saint Elizabeth Regional Medical Center has developed a career mentoring program providing a Health Sciences Summer Internship Program and a Health Occupations Summer Camp for qualifying Lincoln public and parochial high school students interested in healthcare occupations. Students that successfully complete these programs are awarded scholarships through donations designated to Saint Elizabeth Foundation's Career Mentoring Fund. Kids Wish Network Saint Elizabeth Foundation assists the Saint Elizabeth Regional Medical Center with securing items for children who are here for an extended period of time or go through difficult exams. We have established a relationship with a special network for children. Kids Wish Network is different from other giving organizations in its efforts to actively seek out children who have "slipped through the cracks." Children who are patients at Saint Elizabeth Regional Medical Center benefit from the partnership that has been formed between the Foundation and the Kids Wish Network; in fact, Saint Elizabeth is the only hospital in Nebraska that collaborates with Kids Wish Network. Here are some of the ways that children benefit: Hero of the Month Each month a nurse, social worker, or anyone actively working with children ages three to 18 may nominate them to be a Kids Wish Network - Hero of the Month. This fund is for children being treated at Saint Elizabeth Regional Medical Center but do not have life threatening illnesses, but instead are facing some very sad or extraordinary experiences and need some extra help. Gift Cards from $200 to $500 - depending on their age, a t-shirt, a medal much like the Olympic medal, certificate with their name and a card are awarded to the Hero each month. Ten children were nominated to become a Hero of the Month at Saint Elizabeth each receiving a Gift Card for a total of $3,200. Gift Bank An oversized pallet of toys was delivered to the Saint Elizabeth Foundation this past spring. These included dolls, stuffed animals, games, beads, books, puzzles, and video games. These toys were distributed throughout Saint Elizabeth's hospital and given to many deserving children. Radiology in particular, uses the toys to help children get through many difficult exams. The Emergency Department, Pediatrics, Burn and Short Stay use the toys for patients and siblings. Some of the tour cards of America, Sudoku and crossword puzzle books have been placed on the Oncology cart which passes up and down the halls for patients and visitors waiting long hours. Unlike other national organizations they have found that one location - based in Florida - can handle all of the oversight, control and consistency needed to provide services across the United States. Saint Elizabeth Foundation works to coordinate the services-and keep costs low so that funds may be used for children. |
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 | true | 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | 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
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Elizabeth Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | b | TransactionType |
| Amount Involved | 1221281 | AmountInvolved |