ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ST ALEXIUS MEDICAL CENTER (EIN 45-0226711)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202611349349310516
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T15:34:09-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COMMONSPIRIT HEALTH	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1Txt
City	ENGLEWOOD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450226711	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ALEXIUS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STAL	BusinessNameControlTxt
Phone	7015307000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3033 N 3RD AVE	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85013	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE KAUL	PersonNm
Person Title	MARKET CFO	PersonTitleTxt
Phone	7015307000	PhoneNum
Signature	2026-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARK STOCKI	PreparerPersonNm
PTIN	P00642127	PTIN
Phone	3032989100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHI ST ALEXIUS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	REED REYMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 EAST BROADWAY AVENUE	AddressLine1Txt
City	BISMARCK	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$277,804,500	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.CHISTALEXIUSHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	ST. ALEXUS IS PROUD OF ITS STELLAR REPUTATION AS A CARING, HIGH QUALITY MEDICAL CENTER AND OF ITS AWARDS FOR CLINICAL EXCELLENCE, CUSTOMER SATISFACTION AND COMMUNITY SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1680	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$2,855,875	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,886,554	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$666,858	PYContributionsGrantsAmt
CY Contributions Grants	$1,003,310	CYContributionsGrantsAmt
PY Program Service Revenue	$254,388,133	PYProgramServiceRevenueAmt
CY Program Service Revenue	$263,893,129	CYProgramServiceRevenueAmt
PY Investment Income	$1,996,618	PYInvestmentIncomeAmt
CY Investment Income	$1,746,675	CYInvestmentIncomeAmt
PY Other Revenue	$15,691,899	PYOtherRevenueAmt
CY Other Revenue	$11,043,024	CYOtherRevenueAmt
PY Total Revenue	$272,743,508	PYTotalRevenueAmt
CY Total Revenue	$277,686,138	CYTotalRevenueAmt
PY Grants And Similar Paid	$848,253	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$989,740	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$135,315,651	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$144,997,271	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,448,197	CYTotalFundraisingExpenseAmt
PY Other Expenses	$219,855,429	PYOtherExpensesAmt
CY Other Expenses	$218,376,738	CYOtherExpensesAmt
PY Total Expenses	$356,019,333	PYTotalExpensesAmt
CY Total Expenses	$364,363,749	CYTotalExpensesAmt
PY Revenues Less Expenses	-$83,275,825	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$86,677,611	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,769,791	TotalAssetsBOYAmt
Total Assets EOY	$297,683,823	TotalAssetsEOYAmt
Total Liabilities BOY	$517,338,532	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$638,097,901	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$255,568,741	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$340,414,078	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$310,774,550	ExpenseAmt
Grant	$989,740	GrantAmt
Revenue	$263,893,129	RevenueAmt
Desc	CHI ST. ALEXIUS HEALTH BISMARCK IS AN ACUTE CARE MEDICAL CENTER OFFERING A FULL LINE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES, INCLUDING PRIMARY AND SPECIALTY PHYSICIAN CLINICS, HOME HEALTH AND HOSPICE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND A FITNESS AND HUMAN PERFORMANCE CENTER.SINCE OUR FOUNDING IN 1885, CHI ST. ALEXIUS HEALTH BISMARCK HAS BEEN DEDICATED TO SERVING THE RESIDENTS OF CENTRAL AND WESTERN NORTH DAKOTA, NORTHERN SOUTH DAKOTA AND EASTERN MONTANA. WE ARE A ROMAN CATHOLIC ORGANIZATION WHOSE SPONSORS ARE THE SISTERS OF ST. BENEDICT OF THE ANNUNCIATION MONASTERY, BISMARCK, ND AND AS AN ORGANIZATION WE FOLLOW THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS.WE ARE COMPRISED OF AN INTERVENTIONAL RADIOLOGIST, CARDIOLOGISTS, HEART AND VASCULAR SURGEONS AS WELL AS OTHER HIGHLY TRAINED SUPPORT PERSONNEL.SPECIALTY CLINICS: OUR SPECIALTY CLINICS ARE A UNIQUE MULTI-SPECIALTY GROUP PRACTICE LOCATED MAINLY INSIDE ST. ALEXIUS MEDICAL CENTER. PROVIDERS IN DIFFERENT SPECIALTIES WORK TOGETHER TO CARE FOR PATIENTS. SPECIALISTS MUST COMPLETE SEVEN OR MORE YEARS OF MEDICAL SCHOOL AND POST-GRADUATE TRAINING AND THEN COMPLETE FELLOWSHIPS IN THEIR CHOSEN SPECIALTIES. ALL PHYSICIANS ARE BOARD ELIGIBLE OR BOARD CERTIFIED IN ONE OR MORE SPECIALTIES. WE PROVIDE CLINIC SERVICES IN MANY OFF SITE SATELLITE CLINICS AND BRING SPECIALTY SERVICES TO THE REGION. ST. ALEXIUS OPERATES AN OUTPATIENT FAMILY SERVICE PROGRAM CALLED ARCHWAY MENTAL HEALTH SERVICES. THIS PROGRAM OFFERS SENSITIVE AND RESPONSIVE SERVICES FOR INDIVIDUAL, MARITAL AND FAMILY PROBLEMS. THIS PROGRAM IS KEEPING WITH ST. ALEXIUS MEDICAL CENTER'S PHILOSOPHY OF BEING A LEADER IN PROGRESSIVE AND QUALITY SERVICES TO THE PEOPLE OF NORTH DAKOTA. ARCHWAY SERVICES ARE ALSO PROVIDED IN HAZEN, GARRISON, AND LINTON, ND. GREAT PLAINS REHABILITATION SERVICES IS A DIVISION OF ST. ALEXIUS MEDICAL CENTER THAT PROVIDES HOME MEDICAL EQUIPMENT, ORTHOTIC & PROSTHETIC, HOME RESPIRATORY CARE, ADA ENVIRONMENTAL AND REHABILITATION TECHNOLOGY SERVICES.OTHER:ST. ALEXIUS MEDICAL CENTER PROVIDED COMMUNITY ACTIVITIES AND SERVICES AT REDUCED OR NO COST. THOSE INCLUDED:1. EMPLOYEE ASSISTANCE PROGRAM (EAP)- ST. ALEXIUS SERVICES EMPLOYER CONTRACTS THROUGH ITS EAP WITH EMPLOYEES BY PROVIDING PROBLEM ASSESSMENT, SHORT TERM COUNSELING AND REFERRAL TO APPROPRIATE RESOURCES FOR FOLLOW-UP CARE. EAP SERVICES ARE ONLY OPEN TO EMPLOYEES OF A PARTICIPATING COMPANY. THE SERVICE IS FREE IF YOUR EMPLOYER PAYS TO PARTICIPATE.2. EMPLOYEE ACTIVITIES - IN KEEPING WITH THE MEDICAL CENTER COMMITMENT TO ITS EMPLOYEES:A. ACTIVELY PARTICIPATED IN THE UNITED WAY FUND CAMPAIGN.B. JOURNEY BEYOND EXCELLENCE PROGRAM - WE HAVE SEVERAL TEAMS THAT ASSIST WITH OUR JOURNEY-REWARDS AND RECOGNITION, PATIENT SATISFACTION, PHYSICIAN SATISFACTION.THESE TEAMS WORK TOGETHER WITH OUR LEADERSHIP TO RESOLVE CHALLENGES AND ENGAGE ALL IN OUR MISSION.C. THE VACATION DONATION PROGRAM ASSISTED EMPLOYEES WHO HAVE AN ILLNESS OR AN ILLNESS IN THE FAMILY ALLOWING OTHER EMPLOYEES TO DONATE VACATION HOURS TO ALLOW THE AFFECTED EMPLOYEE TIME TO HEAL OR TIME WITH A FAMILY MEMBER DURING THEIR HEALING PROCESS.D. THE EMPLOYEE EMERGENCY FUND IS FOR ANY ST. ALEXIUS EMPLOYEE WHO EXPERIENCES A CRISIS OR IS DIRECTLY AFFECTED BY A CRISIS INVOLVING A FAMILY MEMBER. THE FUNDS ARE AVAILABLE TO EMPLOYEES WHO ARE FACING PERSONAL TRAGEDIES OR HARDSHIPS FOR REASON SUCH AS A LOSS OF A SPOUSE OR CHILD, CATASTROPHIC ILLNESS, LOSS OF HOME BY FIRE OR FLOOD, OR OTHER CALAMITIES.3. ACUTE CARE FACILITY - ST. ALEXIUS IS A PARTNER WITH ANOTHER ACUTE CARE FACILITY IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK CANCER CENTER HELPS TO ENSURE THAT PATIENTS WITH CANCER RECEIVE QUALITY CARE AND MANAGEMENT OF THEIR DISEASE WITHOUT HAVING TO DRIVE A LONG DISTANCE TO RECEIVE NECESSARY CARE.CHI ST. ALEXIUS HEALTH TURTLE LAKE IS A 25 BED CRITICAL ACCESS HOSPITAL (CAH) WITH A LEVEL V EMERGENCY DEPARTMENT THAT IS AVAILABLE 24 HOURS A DAY. THE HOSPITAL HAS BEEN COMMITTED TO PROVIDING PATIENTS QUALITY MEDICAL TREATMENT IN THE TURTLE LAKE AREA AND SURROUNDING COMMUNITIES SINCE 1952. THROUGH THE YEARS, THE HOSPITAL HAS SOUGHT TO CONTINUALLY UPGRADE THE QUALITY AND NUMBERS OF SERVICES IT PROVIDES. THE HOSPITAL'S AFFILIATION WITH MAJOR MEDICAL CENTERS AND HEALTHCARE AGENCIES HAS ALLOWED IT TO EXPAND ITS HEALTHCARE SERVICES THROUGH A NETWORK THAT BEGINS AT THE LOCAL LEVEL. CHI ST. ALEXIUS HEALTH TURTLE LAKE IS EQUIPPED WITH 2 EMERGENCY ROOMS, ON-SITE LAB, RADIOLOGY, CT, AND PHYSICAL THERAPY SERVICES. PATIENTS HAVE ACCESS TO 24/7 EMERGENCY CARE, SWING-BED PROGRAM, AND ACUTE CARE SERVICES.CHI ST ALEXIUS HEALTH-TURTLE LAKE HOSTED A VARIETY OF COVID VACCINE CLINICS THROUGHOUT SURROUNDING COMMUNITIES AND BUSINESSES. OUR DON AND ADDITIONAL RN STAFF HELD THESE SERVICES THROUGHOUT THE YEAR. CLINIC RN STAFF CONTINUE TO HOLD ANNUAL FLU VACCINE CLINICS AS WELL AS BLOOD PRESSURE SCREENINGS. CLINIC STAFF IS ALSO RESPONSIBLE FOR OUR ADULT PREVENTATIVE PROGRAMS (DIABETES, WOMEN'S AND MEN'S HEALTH) BY TRACKING THESE PROGRAM SERVICES AND SENDING REMINDERS TO PATIENTS TO SCHEDULE FOLLOW-UP VISITS. CHI ST ALEXIUS HEALTH-TURTLE LAKE CONTINUES TO PARTICIPATE IN THE DAKOTA NURSING PROGRAM OFFERED THROUGH BISMARCK STATE COLLEGE. A NURSING INSTRUCTOR IS SHARED BETWEEN CHI ST ALEXIUS HEALTH TURTLE LAKE AND GARRISON. THERE IS AN 11-MONTH LPN PROGRAM AND IF STUDENTS WANT THEY CONTINUE INTO THE ASSOCIATE DEGREE RN PROGRAM, WHICH IS 9 MONTHS. THIS PROGRAM ALLOWS INDIVIDUALS IN OUR SMALLER COMMUNITIES TO EARN THEIR NURSING DEGREES THROUGH A NON-TRADITIONAL MEANS WITHOUT TRAVELING. NURSING POSITIONS ARE HARD TO FILL ESPECIALLY IN RURAL AREAS. BY OFFERING THIS PROGRAM IT'S A GREAT WAY TO RECRUIT AND RETAIN THESE INDIVIDUALS.	Desc
Total Program Service Expenses	$310,774,550	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	150	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1680	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STEPHANIE KAUL	PersonNm
Phone	7015308899	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 EAST BROADWAY AVE	AddressLine1Txt
City	BISMARCK	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
JOHN HOYT MD
PHYSICIAN	40.00	0.00	Yes (X)	$1,103,547	$0	$81,413
PATRICK GRACE MD
PHYSICIAN	40.00	0.00	Yes (X)	$1,015,508	$0	$31,343
KEVIN DAHMEN MD
PSYCHIATRIST	40.00	0.00	Yes (X)	$742,779	$0	$68,632
KENNETH MAINA MD
PHYSICIAN	40.00	0.00	Yes (X)	$697,023	$0	$79,018
HSU-HSIEN LWU MD
PHYSICIAN	40.00	0.00	Yes (X)	$719,263	$0	$53,026
CALVIN MOTIKA MD
DIRECTOR/PHYSICIAN	40.00	1.00		$679,028	$0	$67,869	Yes (X)
TODD PRESZLER MD
DIRECTOR/PHYSICIAN	40.00	1.00		$623,790	$0	$74,175	Yes (X)
TIM PLANTE
FORMER OFFICER	0.00	40.00		$0	$542,821	$46,898		Yes (X)
SYED HYDER MD
DIRECTOR/PHYSICIAN	40.00	1.00		$409,556	$0	$62,260	Yes (X)
REED REYMAN
PRESIDENT/CEO	40.00	5.00		$393,110	$0	$38,199	Yes (X)		Yes (X)
J'PATRICK FAHN
CHIEF MEDICAL OFFICER	40.00	0.00		$372,137	$0	$46,843				Yes (X)
LAURA ARCHULETA MD
DIRECTOR/PHYSICIAN	40.00	1.00		$368,310	$0	$42,576	Yes (X)
NICK O'TOOL
FORMER OFFICER	0.00	50.00		$0	$293,806	$52,737		Yes (X)
PARVEEN SUHARA WAHAB MD
DIRECTOR/PHYSICIAN	40.00	1.00		$315,817	$0	$24,898	Yes (X)
KEITH HORNER
FORMER KEY EMPLOYEE	40.00	0.00		$248,671	$0	$47,530		Yes (X)
DEBRA MOHESKY
FORMER OFFICER	0.00	40.00		$0	$203,459	$14,684		Yes (X)
STEPHANIE KAUL
MARKET CFO	40.00	5.00		$190,432	$0	$18,554			Yes (X)
RAUMI KUDRNA
VP PATIENT CARE SERVICES	40.00	0.00		$168,963	$0	$10,866				Yes (X)
JOHN GIESE
CHAIR	1.00	1.00		$0	$0	$0	Yes (X)		Yes (X)
SR NICOLE KUNZE
SECRETARY/TREASURER	1.00	1.00		$0	$0	$0	Yes (X)		Yes (X)
JOHN MONGEON
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)
MIKE WEISBECK
VICE CHAIR (EFFECTIVE 4/23/25)	1.00	1.00		$0	$0	$0	Yes (X)		Yes (X)
SR ROSANNE ZASTOUPIL
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)
LUKE ROLLER MD
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)
ROSANNE SCHMIDT
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)
MATT SCHANANDORE
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)
STACY SCHAFFER
DIRECTOR	1.00	1.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,047,934	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,040,086	TotReportableCompRltdOrgAmt
Total Other Compensation	$861,521	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	219	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	TRAVELING NURSE SERVICE	$10,103,537
NORTHERN PLAINS LAB
PO BOX 2036	BISMARCK	ND	58502	CONTRACTED LAB FEES	$4,380,691
BISMARCK RADIOLOGY ASSOCIATES
1310 EAST MAIN AVE	BISMARCK	ND	58501	RADIOLOGY SERVICES	$3,758,353
CARDIOVASCULAR AND THORACIC INNOV
547 S 7TH STREET 387	BISMARCK	ND	58504	CARDIOVASCULAR SERVICES	$2,591,810
HEALTHSOURCE PARTNERS LLC
8893 SANDY CREEK LN	BOZEMAN	MT	59715	BUSINESS MANAGEMENT CONSULTANT	$2,428,348

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Fundraising	$186,040	FundraisingAmt
Related Organizations	$183,055	RelatedOrganizationsAmt
Government Grants	$536,637	GovernmentGrantsAmt
All Other Contributions	$97,578	AllOtherContributionsAmt
Total Contributions	$1,003,310	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES	900099	$234,804,460	$234,804,460
INTERCOMPANY HOSPITAL SUPPORT SER	900099	$28,390,911	$28,390,911
CAFETERIA	722514	$459,838	$459,838
TUITION	611600	$237,920	$237,920

Field	Value	IRS element (for citing)
Total Program Service Revenue	$263,893,129	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,983	TotalRevenueColumnAmt
Exclusion	$194,983	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$792,890	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$792,890	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$792,890	TotalRevenueColumnAmt
Exclusion	$792,890	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$246,540	SecuritiesAmt
Other	$1,326,152	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$21,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$246,540	SecuritiesAmt
Other	$1,305,152	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,551,692	TotalRevenueColumnAmt
Exclusion	$1,551,692	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$19,450	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$186,040	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$93,514	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74,064	TotalRevenueColumnAmt
Exclusion	-$74,064	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$15,103	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,848	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,255	TotalRevenueColumnAmt
Exclusion	$11,255	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY SERVICES	456110	$4,133,975	$4,133,975
LABORATORY SERVICES	621500	$2,855,875		$2,855,875
SERVICES SOLD	900099	$895,255	$895,255

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,427,838	TotalRevenueColumnAmt
Exclusion	$2,427,838	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,312,943	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$277,686,138	TotalRevenueColumnAmt
Related Or Exempt Func Income	$263,893,129	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,855,875	UnrelatedBusinessRevenueAmt
Exclusion	$9,933,824	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$797,490	TotalAmt
Program Services	$797,490	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$192,250	TotalAmt
Program Services	$192,250	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,971,480	TotalAmt
Program Services	$1,788,074	ProgramServicesAmt
Management And General	$1,183,406	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$334,210	TotalAmt
Program Services	$334,210	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$116,759,086	TotalAmt
Program Services	$109,489,748	ProgramServicesAmt
Management And General	$6,070,383	ManagementAndGeneralAmt
Fundraising	$1,198,955	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,820,687	TotalAmt
Program Services	$4,338,618	ProgramServicesAmt
Management And General	$433,862	ManagementAndGeneralAmt
Fundraising	$48,207	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,944,897	TotalAmt
Program Services	$11,300,113	ProgramServicesAmt
Management And General	$1,513,642	ManagementAndGeneralAmt
Fundraising	$131,142	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,166,911	TotalAmt
Program Services	$6,808,565	ProgramServicesAmt
Management And General	$358,346	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$574,897	TotalAmt
Management And General	$574,897	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$24,465	TotalAmt
Management And General	$24,465	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$101,334,155	TotalAmt
Program Services	$68,923,862	ProgramServicesAmt
Management And General	$32,410,293	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,598	TotalAmt
Program Services	$1,299	ProgramServicesAmt
Management And General	$1,299	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,820,125	TotalAmt
Program Services	$4,074,088	ProgramServicesAmt
Management And General	$1,687,836	ManagementAndGeneralAmt
Fundraising	$58,201	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,597,186	TotalAmt
Program Services	$5,798,593	ProgramServicesAmt
Management And General	$5,798,593	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,633,692	TotalAmt
Program Services	$5,837,649	ProgramServicesAmt
Management And General	$796,043	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,169,170	TotalAmt
Program Services	$1,017,178	ProgramServicesAmt
Management And General	$140,300	ManagementAndGeneralAmt
Fundraising	$11,692	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$419,464	TotalAmt
Management And General	$419,464	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,024,870	TotalAmt
Program Services	$23,024,870	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$7,800,195	TotalAmt
Program Services	$7,800,195	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,683,296	TotalAmt
Program Services	$4,636,463	ProgramServicesAmt
Management And General	$46,833	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,478,659	TotalAmt
Program Services	$1,463,872	ProgramServicesAmt
Management And General	$14,787	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$45,242,397	$45,242,397
REPAIRS & MAINTENANCE	$6,219,317	$6,219,317
RECRUITMENT AND RELOCAT	$1,034,376	$1,034,376
UNRELATED BUSINESS TAXE	$658,553		$658,553

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$659,323	TotalAmt
Program Services	$651,323	ProgramServicesAmt
Management And General	$8,000	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$364,363,749	TotalAmt
Program Services	$310,774,550	ProgramServicesAmt
Management And General	$52,141,002	ManagementAndGeneralAmt
Fundraising	$1,448,197	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,160	BOYAmt
EOY	$55,727	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,660,535	BOYAmt
EOY	$23,327,196	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,409,495	BOYAmt
EOY	$32,587,303	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$9,646	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,684,551	BOYAmt
EOY	$2,098,866	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,055,642	BOYAmt
EOY	$11,496,430	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,146,044	BOYAmt
EOY	$899,771	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$138,353,633	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$105,575,094	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$23,972,486	BOYAmt
EOY	$32,778,539	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,165,851	BOYAmt
EOY	$1,315,401	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,717,875	BOYAmt
EOY	$6,064,318	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$164,952,152	BOYAmt
EOY	$187,050,626	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,769,791	BOYAmt
EOY	$297,683,823	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$421,118,892	BOYAmt
EOY	$526,648,496	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$50,135	BOYAmt
EOY	$4,037,706	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,169,505	BOYAmt
EOY	$107,411,699	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$517,338,532	BOYAmt
EOY	$638,097,901	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$262,452,467	BOYAmt
EOY	-$347,793,797	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,883,726	BOYAmt
EOY	$7,379,719	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$255,568,741	BOYAmt
EOY	-$340,414,078	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,769,791	BOYAmt
EOY	$297,683,823	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$86,677,611	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$198,478	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,633,796	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$24,465	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$24,465	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $8,867 CATHOLIC HEALTH ASSOCIATION - $4,327 340B HEALTH - $70 NORTH DAKOTA HOSPITAL ASSOCIATION - $11,201	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,717,966	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$530,990	InvestmentEarningsOrLossesAmt
Other Expenditures	$188,448	OtherExpendituresAmt
Administrative Expenses	$6,099	AdministrativeExpensesAmt
End Year Balance	$6,064,409	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,166,777	BeginningYearBalanceAmt
Contributions	$20,047	ContributionsAmt
Investment Earnings Or Losses	$524,620	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,021	OtherExpendituresAmt
Administrative Expenses	-$12,543	AdministrativeExpensesAmt
End Year Balance	$5,717,966	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,168,186	BeginningYearBalanceAmt
Contributions	$5,310	ContributionsAmt
Investment Earnings Or Losses	$194,043	InvestmentEarningsOrLossesAmt
Other Expenditures	$191,116	OtherExpendituresAmt
Administrative Expenses	$9,646	AdministrativeExpensesAmt
End Year Balance	$5,166,777	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,502,345	BeginningYearBalanceAmt
Contributions	$15,000	ContributionsAmt
Investment Earnings Or Losses	-$199,233	InvestmentEarningsOrLossesAmt
Other Expenditures	$146,201	OtherExpendituresAmt
Administrative Expenses	$3,725	AdministrativeExpensesAmt
End Year Balance	$5,168,186	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,512,979	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$1,142,302	InvestmentEarningsOrLossesAmt
Other Expenditures	$147,527	OtherExpendituresAmt
Administrative Expenses	$10,409	AdministrativeExpensesAmt
End Year Balance	$5,502,345	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.82000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,349,148	OtherCostOrOtherBasisAmt
Book Value	$7,349,148	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,159,189	OtherCostOrOtherBasisAmt
Depreciation	$11,965,240	DepreciationAmt
Book Value	$2,193,949	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,764,573	OtherCostOrOtherBasisAmt
Depreciation	$92,195,322	DepreciationAmt
Book Value	$9,569,251	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,080,723	OtherCostOrOtherBasisAmt
Depreciation	$1,414,532	DepreciationAmt
Book Value	$13,666,191	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,778,539	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$151,092,659
RENTAL PROPERTY LAND	$823,112
RIGHT OF USE ASSETS	$2,369,905
INVESTMENTS IN UNCONSOLIDATED ORGS	$32,764,950

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$187,050,626	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE	$97,631,752
LEASE LIABILITY	$8,407,657
OTHER LIABILITIES	$1,372,290

Field	Value	IRS element (for citing)
Total Liability	$107,411,699	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ENDOWMENT IS UTILIZED TO PROVIDE FUNDING TO CONTINUE TO ADVANCE MEDICAL SERVICES AND PROGRAMS FOR THE REGION AT ST. ALEXIUS MEDICAL CENTER SET FORTH IN OUR MISSION, "LET ALL BE RECEIVED AS CHRIST".
PART X, LINE 2:	ST. ALEXIUS MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	NIGHT FOR THE STARS	Event1Nm
Gross Receipts Event1	$205,490	GrossReceiptsEvent1Amt
Charitable Contri Event1	$186,040	CharitableContriEvent1Amt
Gross Revenue Event1	$19,450	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$3,499	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,827	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$27,851	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$49,837	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$205,490	GrossReceiptsTotalAmt
Charitable Contributions Tot	$186,040	CharitableContributionsTotAmt
Gross Revenue Total Events	$19,450	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,499	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,827	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$27,851	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$49,837	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$93,514	DirectExpenseSummaryEventsAmt
Net Income Summary	-$74,064	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Bingo	$1,369	GrossRevenueBingoAmt
Non Cash Prizes Bingo	$120	NonCashPrizesBingoAmt
Other Direct Expenses Bingo	$7	OtherDirectExpensesBingoAmt
Volunteer Labor Bingo	0	VolunteerLaborBingoInd
Gross Revenue Other Gaming	$13,734	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$3,499	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$222	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$15,103	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$3,619	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$229	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$3,848	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$11,255	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	ND	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.50000	GamingOwnFacilityPct
Gaming Other Facility	0.50000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	MICHELLE WALKER	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	900 EAST BROADWAY AVENUE	AddressLine1Txt
City	BISMARCK	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58501	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1894	PersonsServedCnt
Total Community Benefit Expns	$2,026,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,026,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	8478	PersonsServedCnt
Total Community Benefit Expns	$26,618,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,063,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,555,109	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	10372	PersonsServedCnt
Total Community Benefit Expns	$28,645,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,063,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,582,036	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	3096	PersonsServedCnt
Total Community Benefit Expns	$231,965	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$231,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$296,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$296,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	103	PersonsServedCnt
Total Community Benefit Expns	$131,947	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$131,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3203	PersonsServedCnt
Total Community Benefit Expns	$659,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$659,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	13575	PersonsServedCnt
Total Community Benefit Expns	$29,305,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,063,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,241,959	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$1,793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,995	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,995	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$3,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,788	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,992,224	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,754,653	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$59,492,745	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,738,092	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHERN PLAINS LAB	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	LABORATORY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
ST ALEXIUS MEDICAL CENTER
1	900 EAST BROADWAY	BISMARCK	ND	58506	WWW.CHISTALEXIUSHEALTH.ORG	5004	Yes (X)	Yes (X)	Yes (X)	Yes (X)
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL
2	220 5TH AVE	TURTLE LAKE	ND	58575	SEE SCH H, PART VI, PAGE 10	5059	Yes (X)	Yes (X)		Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
ST ALEXIUS MEDICAL CENTER
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/CHNA	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	Yes (X)	Yes (1)	21	Yes (1)	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/CHNA	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	SEE SCH H, PART V, PAGE 8	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI ST. ALEXIUS HEALTH- BISMARCK, ND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. ASSESSMENT PROCESS AND METHODS COMMUNITY HEALTH NEEDS WERE ASSESSED IN CLOSE COLLABORATION WITH SANFORD HEALTH USING SECONDARY DATA FROM NATIONAL AND STATE SOURCES AND PRIMARY DATA GATHERED FROM A COMMUNITY SURVEY ADMINISTERED BY SANFORD HEALTH. SANFORD HEALTH SHARED SURVEY FINDINGS WITH CHI ALEXIUS HEALTH BISMARCK FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHI ST. ALEXIUS HEALTH BISMARCK, BISMARCK-BURLEIGH PUBLIC HEALTH, WESTERN PLAINS PUBLIC HEALTH, AND SANFORD HEALTH SOLICITED INPUT FROM COMMUNITY ORGANIZATIONS AT COMMUNITY INPUT MEETINGS HELD JUNE 10, 2024 AND JANUARY 13, 2025. CHI ST. ALEXIUS HEALTH BISMARCK, IN COLLABORATION WITH SANFORD HEALTH, SOLICITED FEEDBACK ON SURVEY FINDINGS AT A COMMUNITY INPUT MEETING HELD ON JUNE 10, 2024. A PRESENTATION THAT SUMMARIZED THE COMMUNITY PROFILE AND HIGHLIGHTED KEY SURVEY FINDINGS WAS USED TO REPORT AND VALIDATE PRIORITY NEEDS IDENTIFIED IN THE SURVEY RESULTS, AS WELL AS GUIDE DISCUSSION OF NEEDS AND PRIORITIES FOR COMMUNITY HEALTH IMPROVEMENT PLANNING. THERE WERE APPROXIMATELY 70 STAKEHOLDERS REPRESENTING VARIOUS ORGANIZATIONS THAT WERE PRESENT FOR THE COMMUNITY HEALTH STAKEHOLDERS MEETING REPRESENTING THE FOLLOWING SECTORS: - HEALTHCARE/HOSPITALS/PUBLIC HEALTH - LAW ENFORCEMENT - GOVERNMENT AGENCIES - ELECTED OFFICIALS - SERVICE ORGANIZATIONS/SERVICE - PROVIDERS IN THE COMMUNITY CHI ST. ALEXIUS HEALTH BISMARCK SOLICITED FEEDBACK ON SURVEY FINDINGS AT A SECOND COMMUNITY INPUT MEETING ON JANUARY 13, 2025. A PRESENTATION THAT SUMMARIZED THE COMMUNITY PROFILE AND HIGHLIGHTED KEY SURVEY FINDINGS WAS USED TO REPORT AND VALIDATE PRIORITY NEEDS IDENTIFIED IN THE SURVEY RESULTS, AS WELL AS GUIDE DISCUSSION OF NEEDS AND PRIORITIES FOR COMMUNITY HEALTH IMPROVEMENT PLANNING. CHI ST. ALEXIUS HEALTH BISMARCK SOLICITED INPUT FROM COMMUNITY ORGANIZATIONS REPRESENTING HEALTH, EDUCATION, LAW ENFORCEMENT, VICTIM ADVOCACY, SOCIAL SERVICES, AND THE MEDICALLY UNDERSERVED TO REVIEW AND VALIDATE COMMUNITY HEALTH NEEDS. THERE WERE 30 ATTENDEES REPRESENTING THE FOLLOWING ORGANIZATIONS: - CHI ST. ALEXIUS HEALTH BISMARCK - MINISTRY ON THE MARGINS - STEPPING STONE MINISTRIES - DREAMCENTER - CONIFER - BISMARCK/BURLEIGH PUBLIC HEALTH - NDSU CENTER FOR SOCIAL RESEARCH
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI ST. ALEXIUS HEALTH TURTLE LAKE, ND TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH.ASSESSMENT PROCESS AND METHODSCOMMUNITY HEALTH NEEDS WERE ASSESSED USING SECONDARY DATA FROM NATIONAL AND STATE SOURCES AND PRIMARY DATA GATHERED FROM COMMUNITY MEMBERS DURING A TWO-MONTH SURVEY PERIOD. CHI ST. ALEXIUS HEALTH TURTLE LAKE REPRESENTATIVES SOLICITED ADDITIONAL INPUT FROM LOCAL COMMUNITY ORGANIZATIONS TO REVIEW, VALIDATE, AND PRIORITIZE IDENTIFIED NEEDS AT A COMMUNITY MEETING HELD JANUARY 8, 2025. MULTIPLE DATA SOURCES WITH VARIOUS INDICATORS THAT INFORM SOCIAL CONSIDERATIONS WERE COMPILED AND ANALYZED. DATA SOURCES INCLUDE BUT ARE NOT LIMITED TO COUNTY HEALTH RANKINGS, THE AMERICAN COMMUNITY SURVEY (ACS), THE BUREAU OF ECONOMIC ANALYSIS (BEA), AND THE CENTERS FOR DISEASE CONTROL AND SURVEILLANCE (CDC). ALL COMMUNITY LEVEL DATA WAS COMPARED TO STATE AND NATIONAL DATA FOR CONTEXT. COMMUNITY MEMBER INPUT WAS SOLICITED VIA AN ONLINE SURVEY AND A COMMUNITY INPUT MEETING. THE SURVEY WAS ADMINISTERED USING A QR CODE FOR PUBLIC DISTRIBUTION USING VARIOUS ONLINE AND PRINT MEDIA, AND A SURVEY LINK THAT WAS DISTRIBUTED BY HOSPITAL PERSONNEL. AT LEAST ONE PUBLIC HEALTH ORGANIZATION WAS INVITED TO PARTICIPATE IN DISTRIBUTION OF THE COMMUNITY SURVEY. UPON CONCLUSION OF THE SURVEY FIELDING PERIOD, DATA WAS COMPILED AND ANALYZED. SURVEY DATA WAS ANALYZED USING WIDELY ACCEPTED STANDARD DESCRIPTIVE STATISTICS, SUCH AS MEASURES OF MEAN, MEDIAN, AND FREQUENCIES. PRIORITY NEEDS WERE IDENTIFIED AS THOSE ISSUES WITH THE GREATEST LEVEL OF CONSENSUS AMONG SURVEY RESPONDENTS.CHI ST. ALEXIUS HEALTH TURTLE LAKE SOLICITED FEEDBACK ON SURVEY FINDINGS AT A COMMUNITY INPUT MEETING ON JANUARY 8, 2025. A PRESENTATION THAT SUMMARIZED THE COMMUNITY PROFILE AND HIGHLIGHTED KEY SURVEY FINDINGS WAS USED TO REPORT AND VALIDATE PRIORITY NEEDS IDENTIFIED IN THE SURVEY RESULTS AND GUIDE DISCUSSION OF NEEDS AND PRIORITIES FOR COMMUNITY HEALTH IMPROVEMENT PLANNING.
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 6A: SANFORD HEALTH
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 6B: BISMARCK-BURLEIGH PUBLIC HEALTHCUSTER HEALTHCENTER FOR SOCIAL RESEARCH - NDSUQUALTRICS
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: CENTER FOR RURAL HEALTH UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE & HEALTH SCIENCESTURTLE LAKE HOSPITAL ASSOCIATIONFIRST DISTRICT HEALTH UNIT- MCLEAN COUNTY
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM.
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2024. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/CHNATHE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY AND SECONDARY DATA FROM KEY INFORMANT INTERVIEWS:TOP HEALTH NEEDS (FROM 2025 CHNA): 1. AFFORDABLE HOUSING2. QUALITY CHILD CARE3. QUALITY LONG-TERM CARE4. AFFORDABLE HEALTHCARE SERVICES5. ACCESS TO TRANSPORTATION6. ACCESS TO HEALTHCARE7. ACCESS TO MENTAL HEALTH SERVICES8. HEALTHY LIVINGFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: BEHAVIORAL HEALTH (INCLUDES ACCESS TO MENTAL HEALTH SERVICES)TO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026- 2028:1. MENTAL HEALTH FIRST AID/COMMUNITY TRAINING 2. EXPAND INPATIENT PSYCHIATRIC CARE 3. EXPAND PARTIAL HOSPITALIZATION (ADOLESCENT AND ADULT) PRIORITY HEALTH NEED #2: SOCIAL DRIVERS OF HEALTH (INCLUDES ACCESS TO TRANSPORTATION AND HEALTHY LIVING)TO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026- 2028:1. SUPPORT MEDICAL RESPITE FOR PEOPLE EXPERIENCING HOMELESSNESS 2. CONNECT COMMUNITY MEMBERS IN NEED TO COMMUNITY-BASED SERVICES FOR UNMET NEEDS 3. DEVELOP A TRANSPORTATION PLAN TO IMPROVE ACCESS TO CARE 4. IMPROVE FOOD ACCESS THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: - AFFORDABLE HOUSING - THE ESSENTIAL NEED FOR AFFORDABLE HOUSING INVOLVES A MORE COMMUNITY WIDE EFFORT. WE WILL COLLABORATE WITH OTHER AGENCIES AS REQUESTED AND ABLE. - QUALITY CHILD CARE - AT THIS TIME THIS COMMUNITY NEED IS BEYOND THE CAPACITY AND SERVICES OF THE HOSPITAL. - QUALITY LONG-TERM CARE - OUR FOCUS WILL BE ON SHORT-TERM CARE, ESPECIALLY FOR OUR HOMELESS POPULATION THAT NEED MINIMUM CARE AND OBSERVATION UNTIL STABLE ENOUGH TO BE ON THEIR OWN. - AFFORDABLE HEALTHCARE SERVICES - THE HOSPITAL DOES NOT HAVE THE RESOURCES TO ADDRESS THIS PARTICULAR NEED. - ACCESS TO HEALTHCARE WILL BE ADDRESSED THROUGH OUR PLAN FOR TRANSPORTATIONTHE FOLLOWING TOP HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED AS PART OF THE CHNA AND IMPLEMENTATION STRATEGY PLAN APPROVED IN 2022. ALTHOUGH A MORE RECENT CHNA WAS COMPLETED IN 2025, THE RELATED IMPLEMENTATION PLAN WAS NOT APPROVED UNTIL OCTOBER, 2025. THEREFORE THE WORK DESCRIBED BELOW IS TIED TO THE 2022 ASSESSMENT AND PLANS AND REPRESENTS WORK CARRIED OUT BY THE HOSPITAL DURING FISCAL YEAR 2025.THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA OBTAINED THROUGH THE COMMUNITY HEALTH SURVEY AND KEY INFORMANT SURVEY, AS WELL AS A REVIEW OF SECONDARY DATA ON A VARIETY OF HEALTH INDICATORS.TOP HEALTH NEEDS (FROM 2022 CHNA): - HEALTHY LIVING - ACCESS TO AFFORDABLE HEALTH CARE - ACCESS TO HEALTH CARE PROVIDERS - MENTAL HEALTH - LONG-TERM CARE - PUBLIC TRANSPORTATION - AFFORDABLE HOUSINGFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: ACCESS TO AFFORDABLE HEALTH CARETO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 1.1 RESEARCH AND DETERMINE FEASIBILITY OF COOPERATING IN THE DEVELOPMENT OF A MEDICAL RESPITE CARE FACILITYSTRATEGY 1.2 DEVELOP A PROGRAM THAT WILL ENABLE A SAFE DISCHARGE FOR THOSE WHO ARE IN PRECARIOUS LIVING CONDITIONS.FY2025 ACTIONS AND IMPACT:1. THE PARTNERSHIP BETWEEN STEPPING STONE MINISTRIES (A MINISTRY THAT SERVES PEOPLE EXPERIENCING HOMELESSNESS AND NEED A STABLE ENVIRONMENT TO CONTINUE HEALING) AND CHI ST. ALEXIUS HEALTH CONTINUES TO BE STRENGTHENED AND THE MISSION LEADER FROM THE HOSPITAL CONTINUES TO SERVE AS CHAIR OF THE BOARD OF DIRECTORS. THE RELATIONSHIP WITH THE NATIONAL INSTITUTE FOR MEDICAL RESPITE CARE CONTINUES TO PROVIDE GUIDANCE. A FIRE DESTROYED THE SITE ON OCTOBER 3, 2024 AND DISCUSSIONS ON STEPPING STONE MINISTRIES FUTURE AND FUNDING WERE HELD.MEASURES: 1. THIS LEASE BETWEEN STEPPING STONE MINISTRIES AND CHI ST. ALEXIUS HEALTH WAS TERMINATED DUE TO THE FIRE OF THE BUILDING.2. A NEW LOCATION WAS IDENTIFIED AND STEPPING STONE MINISTRIES CLOSED THE PURCHASE OF NEW BUILDING ON OCTOBER 10, 2025.3. ADVISORY BOARD MEETINGS AND BOARD OF DIRECTORS MEETING CONTINUED WITH BLESSING OF THE NEW BUILDING ON JANUARY 31, 20254. IN ADDITION TO PREVIOUSLY AWARDED GRANTS TOTALING JUST OVER $200,000, STEPPING STONE MINISTRIES WAS ALSO AWARDED A MISSION AND MINISTRY GRANT THROUGH COMMONSPIRIT FOR JUST UNDER $600,000 FOR THE NEXT THREE YEARS FY25 - FY27.5. PRIVATE MONETARY DONATIONS ($14,824) AND DONATIONS OF MEDICAL SUPPLIES AND HOUSE FURNISHINGS HAVE BEEN RECEIVED. 6. A PROGRAM THAT ENABLES SAFE DISCHARGE IS COMPLETE WITH ANTICIPATION OF OPENING OF OCTOBER 1, 2025.PRIORITY HEALTH NEED #2: ACCESS TO HEALTH CARE PROVIDERSTO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 2.1 PROVIDE SUPPORT GROUPS THAT ARE OPEN TO THE COMMUNITY.STRATEGY 2.2 INCREASE EFFORTS IN PREVENTIVE SCREENINGS.FY2025 ACTIONS AND IMPACT: 1. ASSISTED IN THE MISSION OF MERCY EVENT - OCTOBER 10/12/2024 (FREE DENTAL CARE FOR THE POOR)2. IMMUNIZATION CLINICS AND SCHOOL/SPORT PHYSICALS3. BLOOD PRESSURE CHECKS/RECHECKS AND PROTOCOL FOLLOWED TO FURTHER ADDRESS ISSUES4. FOCUS ON HYPERTENSION CONTROL AND DIABETES MANAGEMENT5. PROVIDE SUPPORT GROUPS FOR STROKE/BARIATRIC SUPPORT/CANCERMEASURES:1. FY25 BISMARCK MARKET (ROLL UP OF ALL CLINICS INCLUDING RHC) HYPERTENSION: 9/2024 86% IN CONTROL 6/2025 85% IN CONTROL (HIGHER % THE BETTER)DIABETES MANAGEMENT: 9/2024 10% IN CONTROL 6/2025 9% IN CONTROL (LOWER % THE BETTER)2. WE CONTINUE TO HAVE STROKE AND BARIATRIC SUPPORT GROUPS MONTHLY. OUR CANCER PROGRAM HAS COMBINED WITH BISMARCK CANCER CENTER TO OFFER MONTHLY SUPPORT GROUPS AND SURVIVORSHIP SESSIONS TO CANCER PATIENTS. 3. JULY 2024 TO JUNE 2025 STROKE SUPPORT GROUP ANNUAL ATTENDANCE: 46 4. JULY 2024 TO JUNE 2025 CANCER SUPPORT GROUP ANNUAL ATTENDANCE: 795. JULY 2024 TO JUNE 2025 BARIATRICS SUPPORT GROUP ANNUAL ATTENDANCE: 41PRIORITY HEALTH NEED #3: HEALTHY LIVING/HEALTH-RELATED SOCIAL NEEDSTO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 3.1 WORK TO DEVELOP AN EFFECTIVE WAY TO PROVIDE FOOD AND PERSONAL CARE ITEMS FOR THE HOMELESS PEOPLE OF THIS AREA.FY2025 ACTIONS AND IMPACT: 1. PROVIDE THE MEAL AND SERVE THE BANQUET AT THE DREAM CENTER AT LEAST 2 TIMES EACH YEAR WHILE PLANNING TO INCREASE FREQUENCY BASED ON AVAILABLE FUNDING.2. COLLECT FOOD AND PERSONAL ITEMS AND STOCK TWO LITTLE FREE PANTRIES. THE HOSPITAL MATCHES FUNDS THAT ARE RAISED.3. CULTIVATED RELATIONSHIPS WITH AGENCIES IN THE COMMUNITY TO PARTNER IN PROVIDING SERVICES TO THE NEEDY.4. PARTICIPATE IN THE TOTAL HEALTH ROADMAP, A FRAMEWORK FOR IDENTIFYING/ADDRESSING HEALTH-RELATED SOCIAL NEEDS AND CATALYZING COLLECTIVE ACTION TO INVEST IN COMMUNITY RESOURCE GAPS. IMPROVE PATIENT HEALTH BY ADDRESSING SOCIAL RISK FACTORS BY SCREENING FOR HEALTH-RELATED SOCIAL NEEDS AND LEVERAGE CHW TO CONNECT PATIENTS WITH UNMET NEEDS TO COMMUNITY RESOURCES.MEASURES:1. PROVIDED AND SERVED THE BANQUET:JULY 18, 2024: SERVED 275 MEALS. COST - $1,200. NUMBER OF VOLUNTEERS: 15.2. PROVIDED AND SERVED THE BANQUET:FEBRUARY 27, 2025: SERVED 200 MEALS. COST - $1,200. NUMBER OF VOLUNTEERS: 23.3. HOSPITAL MATCHING DONATED FUNDS IN STOCKING THE FOOD PANTRY - $1,0004. COMMUNITY HEALTH CARE WORKER P/2024 TO JUNE 30 2025 HAD 158 REFERRALS/137 WERE ASSISTED.PRIORITY HEALTH NEED #4: MENTAL HEALTHTO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 4.1 ADDRESS THE ISSUE OF INFANTS BORN EXPOSED TO SUBSTANCE ABUSE/ADDICTION.STRATEGY 4.2 STRENGTHEN RELATIONSHIPS WITH VIOLENCE PREVENTION EFFORTS IN THE COMMUNITY.FY2025 ACTIONS AND IMPACT:1. THE PROGRAM EAT, SLEEP AND CONSOLE WILL BE IMPLEMENTED IN FY2025 TO ADDRESS THE ISSUE OF INFANTS BORN EXPOSED TO SUBSTANCE ABUSE/ADDICTION. 2. PROVIDE PROGRAMMING THROUGH VIOLENCE PREVENTION COMMUNITY WORKSHOPS THROUGH COMMUNITY OUTREACH PRESENTATIONSMEASURES: 1. EAT SLEEP CONSOLE: 7 INFANTS SERVED2. 3 OUT OF 7 INFANTS STAYED WITH MOTHER; ZERO INFANTS REQUIRED MEDICATION; 3 OUT OF 7 MOTHERS EITHER HAD MINIMAL CONTACT OR DID NOT PARTICIPATE IN THE INFANT'S CARE3. INTIMATE PARTNER VIOLENCE (IPV) AWARENESS WORKSHOPS: 5 SESSIONS WITH 198 PARTICIPANTS - COLLEGE STUDENTS4. WITHIN MY REACH PROGRAMS: 18 SESSIONS WITH 153 PARTICIPANTS - HEART RIVER CORRECTIONAL CENTER INMATES AND WOMEN'S CARE CENTER CLIENTS5. VIOLENCE PREVENTION DOMESTIC ABUSE SUMMIT: 6/10/2025 WITH 27 PARTICIPANTS ACROSS NORTH DAKOTA AND MINNESOTA
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2024. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/CHNATHE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY AND SECONDARY DATA FROM KEY INFORMANT INTERVIEWS:TOP HEALTH NEEDS (FROM 2025 CHNA): 1. COMMUNITY SERVICES2. ACCESS TO CARE3. AFFORDABILITY OF HEALTHCARE SERVICES AND PRESCRIPTIONS4. PSYCHOLOGICAL ABUSE AND CRIMEFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: ACCESS TO HEALTH CARETO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026- 2028:- IMPROVE ACCESS TO MENTAL HEALTH SERVICES - PROVIDE WELLNESS PROGRAMMING - PROVIDE FALL PREVENTION EDUCATION PRIORITY HEALTH NEED #2: SOCIAL DRIVERS OF HEALTHTO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026- 2028:- EXPAND COMMUNITY PARTNERSHIPS THAT ADDRESS PRIORITY COMMUNITY HEALTH NEEDS THROUGH THE COMMUNITY HEALTH IMPROVEMENT GRANT (CHIG) PROGRAM - UTILIZE COMMUNITY HEALTH WORKERS TO ADDRESS FOOD INSECURITY REFERRALSTHE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: - AFFORDABILITY OF HEALTHCARE SERVICES AND PRESCRIPTION DRUGS: THE HOSPITAL DOES NOT HAVE THE CAPACITY TO ADDRESS THIS CONCERN EFFECTIVELY AT THIS TIME. - PSYCHOLOGICAL ABUSE AND CRIME: THE HOSPITAL DOES NOT HAVE THE RESOURCES AVAILABLE TO ADDRESS THIS ISSUE. THE FOLLOWING TOP HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED AS PART OF THE CHNA AND IMPLEMENTATION STRATEGY PLAN APPROVED IN 2022. ALTHOUGH A MORE RECENT CHNA WAS COMPLETED IN 2025, THE RELATED IMPLEMENTATION PLAN WAS NOT APPROVED UNTIL OCTOBER, 2025. THEREFORE THE WORK DESCRIBED BELOW IS TIED TO THE 2022 ASSESSMENT AND PLANS AND REPRESENTS WORK CARRIED OUT BY THE HOSPITAL DURING FISCAL YEAR 2025.THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA OBTAINED THROUGH THE COMMUNITY HEALTH SURVEY AND KEY INFORMANT SURVEY, AS WELL AS A REVIEW OF SECONDARY DATA ON A VARIETY OF HEALTH INDICATORS.TOP HEALTH NEEDS (FROM 2022 CHNA): - ABILITY TO RETAIN PRIMARY CARE PROVIDERS AND NURSES IN THE COMMUNITY- ALCOHOL USE AND ABUSE- ATTRACTING AND RETAINING YOUNG FAMILIES- AVAILABILITY OF RESOURCES TO HELP THE ELDERLY STAY IN THEIR HOMES- DEPRESSION/ANXIETY- HAVING ENOUGH CHILD DAYCARE SERVICESFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: RESOURCES TO HELP ELDERLY STAY IN THEIR HOME.TO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 1.1 INVESTIGATE EXISTING RESOURCES AVAILABLE WITHIN THE COUNTY THAT PROVIDE ASSISTANCE TO THE ELDERLY POPULATION.STRATEGY 1.2 BECOME AN ADVOCATE TO OUR ELDERLY POPULATION BY MAKING INFORMATION ABOUT AVAILABILITY OF RESOURCES EITHER WITHIN THE COUNTY OR OUR OWN HOSPITAL SERVICES. STRATEGY 1.3 INVESTIGATING QSP SERVICES AND COMPILE A LIST OF QSP PROVIDERS WITHIN OUR REGION TO OFFER RESPITE AND ADULT CAREGIVER SERVICES.FY2025 ACTIONS AND IMPACT: 1. COORDINATED A MEETING OF HEALTH AT HOME AND HOSPICE AND THE TURTLE LAKE MEDICAL STAFF.2. HELD AN EXERCISE SESSION AT ONE OF THE LOCAL CHURCHES.3. HIRED A 0.9 FTE CARE MANAGER ASSISTANT (SOCIAL WORKER DESIGNEE) 4. SHARED A COMMUNITY HEALTH WORKER WITH GARRISON TO ASSIST PATIENTS WITH IDENTIFIED SOCIAL NEEDS SUCH AS HOUSING, FOOD ASSISTANCE, ETC.MEASURES:1. ONE MEETING TO DATE WITH HEALTH AT HOME AND HOSPICE AT A MEDICAL STAFF MEETING. INFORMATION WAS EXCHANGED AND QUESTIONS DISCUSSED.2. EXERCISE SESSION HELD TWICE A WEEK FOR 2 MONTH - BALANCE AND STRENGTHENING EXERCISES; 25 PARTICIPANTS3. CARE MANAGER ASSISTANT IS COLLATING INFORMATION REGARDING SERVICES AVAILABLE AT THE TURTLE LAKE HOSPITAL TO MAKE AVAILABLE TO THE COMMUNITY.4. A COMMUNITY HEALTH CARE WORKER HAS WORKED WITH IDENTIFIED CLINIC PATIENTS; FINANCIAL ASSISTANCE - 4 PATIENTS; SOCIAL NEEDS - 5 PATIENTSPRIORITY HEALTH NEED #2: NOT HAVING ENOUGH PLACES FOR EXERCISE AND WELLNESS ACTIVITIES.TO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 2.1 WORK WITH SUPPORTING HOSPITAL BOARDS TO PROVIDE ACTIVITIES THAT ENCOURAGE WELLNESS AND EXERCISE OPPORTUNITIES. STRATEGY 2.2 WORK WITH THE TURTLE LAKE AMBULANCE. THE AMBULANCE IS PUTTING IN AN EXERCISE FACILITY WITHIN THEIR BUILDING. WE WILL DISCUSS THE OPTIONS OF OPENING IT TO THE PUBLIC FOR EXERCISE AND WELLNESS ACTIVITIES.FY2025 ACTIONS AND IMPACT: 1. MADE HEALTH FAIRS AN ANNUAL EVENT IN CONJUNCTION WITH THE DAKOTA FEEDER CALF SHOW. BLOOD PRESSURE CHECKS, BLOOD SUGARS SCEENINGS AND HEMOGLOBINS SCREENINGS TAKE PLACE AT THIS EVENT.2. OFFERED YEARLY WELLNESS CHALLENGES FOR THE GENERAL PUBLIC TO PARTICIPATE IN AND PROVIDE EDUCATIONAL OPPORTUNITIES IN AREAS OF NUTRITION, EXERCISE, ETC., DURING THE CHALLENGE. 3. OFFERED AN ADULT FITNESS PROGRAM AND MAKE AVAILABLE EXERCISE EQUIPMENT TO THE GENERAL PUBLIC FOR USE. ON-GOING WORK IN CONJUNCTION WITH THE COMMUNITY IN OPENING A WELLNESS CENTER AT THE COMMUNITY CENTER THAT WILL BE OPEN TO THE PUBLIC. YOGA CLASSES ARE BEING OFFERED AT THE COMMUNITY CENTER.MEASURES: 1. NUMBER OF COMMUNITY MEMBERS ATTENDED THE HEALTH FAIR: 60 2. NUMBER OF COMMUNITY MEMBERS PARTICIPATED IN THE YEARLY WELLNESS CHALLENGE: 153. CONTINUE TO OFFER ACCESS TO OUR EXERCISE EQUIPMENT FOR A NOMINAL MONTHLY FEE. THE WELLNESS CENTER MANAGED BY A PUBLIC COMMITTEE CONTINUES TO BE SUCCESSFUL.PRIORITY HEALTH NEED #3: NOT HAVING ENOUGH CHILD DAYCARE SERVICES.TO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 3.1 INCREASE AVAILABLE DAYCARE SERVICES FOR WORKING FAMILIES. STRATEGY 3.2 WORK WITH THE PUBLIC HEALTH, CITY BOARD, ECONOMIC DEVELOPMENT, TO LOOK INTO OPTIONS FOR A COMMUNITY DAYCARE.FY2025 ACTIONS AND IMPACT: 1. WORKED WITH SUPPORTING HOSPITAL BOARDS TO SUPPORT ANY LOCAL EFFORT TO OPEN A COMMUNITY DAYCARE CENTER. TURTLE LAKE AREA CHAMBER OF COMMERCE IS LEADING THIS EFFORT. MINIMAL PROGRESS HAS BEEN MADE DUE TO THE CONDITION OF THE PROPERTY IDENTIFIED AS A SITE. 2. WORKED WITH THE PUBLIC HEALTH UNIT TO OFFER SAFE SITTER CLASSES TO STUDENTS IN THE COMMUNITY TO INCREASE AVAILABLE TRAINED BABYSITTERS.MEASURES: 1. PROJECT IS ONGOING WITH PLANNING. THERE ARE NO MEASURES TO REPORT AT THIS TIME.2. SAFE SITTER CLASSES WERE OFFERED IN CONJUNCTION WITH THE SCHOOL, NDSU EXTENSION OFFICE AND NCHC. 30 STUDENTS PARTICIPATED.PRIORITY HEALTH NEED #4: HEALTH-RELATED SOCIAL NEEDS (HRSN) WITH THE GOAL OF IMPROVING PATIENT HEALTHTO ADDRESS THIS NEED THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES IN 2023- 2025:STRATEGY 4.1 IDENTIFY PATIENTS' HRSN THROUGH SCREENING AND REFERRALS TO COMMUNITY-BASED ORGANIZATIONS.FY2025 ACTIONS AND IMPACT: 1. HIRED A COMMUNITY HEALTHCARE WORKER (CHW). 2. CONTINUED SCREENING PATIENTS FOR HRSN IN FY25 AND CONNECTING THEM TO COMMUNITY RESOURCES (E.G. FOOD, TRANSPORTATION, ETC.).MEASURES: 1. A COMMUNITY HEALTH WORKER IS SHARED WITH GARRISON TO ASSIST PATIENTS WITH IDENTIFIED SOCIAL NEEDS SUCH AS HOUSING, FOOD ASSISTANCE ETC.2. THE COMMUNITY HEALTH CARE WORKER HAS WORKED WITH IDENTIFIED CLINIC PATIENTS; FINANCIAL ASSISTANCE - 4 PATIENTS; SOCIAL NEEDS - 5 PATIENTSSIGNIFICANT NEEDS THE HOSPITAL DOES NOT INTEND TO ADDRESS:THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING AS A PART OF THE IMPLEMENTATION PLAN DUE TO FACTORS OUT OF OUR CONTROL AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOUR PRIORITY HEALTH NEEDS IDENTIFIED ABOVE:1. ABILITY TO RETAIN PRIMARY CARE PROVIDERS AND NURSES IN THE COMMUNITY2. ALCOHOL USE AND ABUSE3. ATTRACTING AND RETAINING YOUNG FAMILIES4. DEPRESSION/ANXIETY
ST. ALEXIUS MEDICAL CENTER	PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA REPORTS FOR BOTH FACILITIES CAN BE FOUND HERE:HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/CHNA
ST. ALEXIUS MEDICAL CENTER:	PART V, SECTION B, LINE 11 CONTINUED:SIGNIFICANT NEEDS THE HOSPITAL DID NOT ADDRESS- HEALTHY LIVING - IN ORDER TO MAXIMIZE FINITE RESOURCES AND ADDRESS ROOT CAUSES OF POOR HEALTH/ DISPARITIES, WE HAVE NOT PRIORITIZED THIS NEED FOR ACTION, BUT THE HOSPITAL REMAINS OPEN TO REQUESTS FOR PARTNERSHIP AND SUPPORT ORIGINATING FROM THE COMMUNITY.- AFFORDABLE HOUSING - THE ESSENTIAL NEED FOR AFFORDABLE HOUSING INVOLVES A MORE COMMUNITY WIDE EFFORT. WE WILL COLLABORATE WITH OTHER AGENCIES AS REQUESTED AND ABLE.- PUBLIC TRANSPORTATION - THIS IMPORTANT NEED IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN THE COMMUNITY. - LONG-TERM CARE - OUR FOCUS WILL BE ON SHORT-TERM CARE, ESPECIALLY FOR OUR HOMELESS POPULATION THAT NEED MINIMUM CARE AND OBSERVATION UNTIL STABLE ENOUGH TO BE ON THEIR OWN.
SCHEDULE H, PART V, SECTION B, LINE 16A	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ST ALEXIUS HEART & LUNG CLINIC
310 NORTH 10TH STREET	BISMARCK	ND	58501	HEART, LUNG & PERIPHERAL VASCULAR DISEASE CLINIC
2 - ST ALEXIUS MINOT CLINIC
2111 LANDMARK CIRCLE	MINOT	ND	58703	FAMILY MEDICINE CLINIC
3 - THE PAIN CLINIC AT CHI ST ALEXIUS HEALT
810 E ROSSER AVE	BISMARCK	ND	58501	PAIN MANAGEMENT CLINIC
4 - NEUROSURGERY CLINIC AT CHI ST ALEXIUS
810 E ROSSER AVE	BISMARCK	ND	58501	BRAIN, NERVE, AND SPINAL CORD DISEASE CLINIC
5 - ARCHWAY MENTAL HEALTH SERVICES
310 NORTH 10TH STREET	BISMARCK	ND	58501	MENTAL HEALTH SERVICES
6 - URGENT CARE ON MAIN
807 E MAIN SUITE A	BISMARCK	ND	58501	URGENT CARE
7 - URGENT CARE ON 43RD
4315 OTTAWA STREET	BISMARCK	ND	58503	URGENT CARE
8 - THE NEUROLOGY CLINIC AT CHI ST ALEXIUS
810 E ROSSER AVE	BISMARCK	ND	58501	NERVOUS SYSTEM, NEUROMUSCULAR JUNCTION AND MUSCLE DISORDERS CLINIC
9 - ST ALEXIUS MANDAN CLINIC NORTH
2500 SUNSET DR NW	MANDAN	ND	58554	FAMILY MEDICINE CLINIC
10 - THE NEPHROLOGY CLINIC AT CHI ST ALEXIUS
310 NORTH 10TH STREET	BISMARCK	ND	58501	KIDNEY DISEASE CLINIC
11 - PINEHURST FAMILY MEDICAL CLINIC
921 W INTERSTATE AVE	BISMARCK	ND	58503	FAMILY MEDICINE CLINIC
12 - OCCUPATIONAL MEDICINE CLINIC - BISMARCK
310 NORTH 9TH STREET	BISMARCK	ND	58501	OCCUPATIONAL MEDICINE CLINIC
13 - WASHBURN FAMILY CLINIC
1177 BORDER LANE	WASHBURN	ND	58577	FAMILY MEDICINE CLINIC
14 - SUPPORTIVEPALLIATIVE CARE CLINIC
810 E ROSSER AVE	BISMARCK	ND	58501	PALLIATIVE MEDICINE CLINIC
15 - CHI ST ALEXIUS HEALTH TURTLE LAKE CLINIC
220 5TH AVE WEST PO BOX 280	TURTLE LAKE	ND	58575	RURAL HEALTH CLINIC
16 - UNIVERSITY OF MARY CLINIC
7500 UNIVERSITY DR	BISMARCK	ND	58504	UNIVERSITY OF MARY HEALTH SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.
PART I, LINE 7:	COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	FACILITY: TURTLE LAKE COMMUNITY MEMORIAL HOSPITALCHI ST ALEXIUS HEALTH TURTLE LAKE HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE SUPPORT OF LOCAL HEALTH COALITIONS, INVESTMENTS IN PARTNERSHIPS AND PROGRAMS THAT ADDRESS TOP COMMUNITY HEALTH NEEDS, PARTICIPATION IN LOCAL COMMITTEES AND BOARDS TIED TO TOP HEALTH NEEDS, AND INVESTMENTS IN MANY OTHER WAYS AS DESCRIBED IN OTHER AREAS OF THE SCHEDULE H NARRATIVE.BELOW IS A SPECIFIC EXAMPLE OF WORK THAT FALLS WITHIN THE DEFINITION OF COMMUNITY BUILDING ACTIVITIES. THIS ACTIVITY IS CRITICAL IN HELPING BUILD SOCIAL, HEALTH, AND ECONOMIC OPPORTUNITIES IN OUR COMMUNITY THAT ULTIMATELY DRIVE HEALTH STATUS AND QUALITY OF LIFE FOR OUR RESIDENTS: - TRAINING PROVIDED FOR POTENTIAL HEALTHCARE WORKFORCE STAFF
PART III, LINE 2:	THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	ST. ALEXIUS MEDICAL CENTER MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. ST. ALEXIUS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. ST. ALEXIUS MEDICAL CENTER ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, ST. ALEXIUS MEDICAL CENTER DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	ST. ALEXIUS MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES."
PART III, LINE 8:	COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. ST. ALEXIUS MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF ($6,738,092) REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B:	COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
SCHEDULE H, PART V, SECTION A	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/LOCATIONS/TURTLE-LAKE
PART VI, LINE 2:	FACILITY: ST ALEXIUS MEDICAL CENTERWE WORK IN COLLABORATION WITH SEVERAL COMMUNITY PARTNERS. HOMELESSNESS: CHI ST. ALEXIUS HEALTH BISMARCK WORKS COLLABORATIVELY WITH INSTITUTIONS WHO ARE PROVIDING HOUSING AND FOOD FOR HOMELESS INDIVIDUALS AND FAMILIES AS WELL AS INDIVIDUALS THAT ARE IMPAIRED. VIOLENCE PREVENTION: CHI ST. ALEXIUS HEALTH BISMARCK PARTICIPATES IN THE ND VIOLENCE PREVENTION PROGRAM. WE WORK CLOSELY WITH THIS PROGRAM AS IT IS A PART OF COMMONSPIRIT HEALTH. WE ARE INVOLVED IN SEVERAL CIVIC ORGANIZATIONS.FACILITY: TURTLE LAKE COMMUNITY MEMORIAL HOSPITALWE WORK IN COLLABORATION WITH SEVERAL COMMUNITY PARTNERS. THEY INCLUDE: NATIONAL HEALTH SERVICE CORPS; CHI ST. ALEXIUS HEALTH AT HOME; MEALS ON WHEELS; MEDICALERT SYSTEMS; VETERAN SERVICES; HOSPITAL AUXILIARY; TURTLE LAKE CHAMBER OF PROGRESS; HOSPITAL ASSOCIATION BOARD; AND TURTLE LAKE AMBULANCE SERVICES.
PART VI, LINE 3:	INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4:	FACILITY: ST ALEXIUS MEDICAL CENTERCHI ST. ALEXIUS HEALTH BISMARCK IS LOCATED IN BISMARCK, NORTH DAKOTA. THE HOSPITAL PRIMARILY SERVES BURLEIGH COUNTY, NORTH DAKOTA, AS WELL AS MORTON COUNTY, NORTH DAKOTA. IN ADDITION TO CHI ST. ALEXIUS HEALTH BISMARCK, BURLEIGH COUNTY IS HOME TO SANFORD HEALTH BISMARCK AND MORTON COUNTY IS HOME TO VIBRA HOSPITAL OF THE CENTRAL DAKOTAS. THE PRIMARY SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT IS BURLEIGH AND MORTON COUNTIES IN CENTRAL NORTH DAKOTA. SEVERAL COMMUNITIES IN MORTON COUNTY ARE DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE UNITED STATES HEALTH RESOURCES & SERVICES ADMINISTRATION. BURLEIGH COUNTY IS AN URBAN COUNTY LOCATED IN CENTRAL NORTH DAKOTA AND HAS AN ESTIMATED POPULATION OF 98,443. MORTON COUNTY IS ALSO AN URBAN COUNTY LOCATED IN CENTRAL NORTH DAKOTA, AND HAS AN ESTIMATED POPULATION OF 33,192. A SUMMARY DESCRIPTION OF THE COMMUNITY AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE.FACILITY: TURTLE LAKE COMMUNITY MEMORIAL HOSPITALCHI ST. ALEXIUS HEALTH TURTLE LAKE IS LOCATED IN TURTLE LAKE, NORTH DAKOTA. THE HOSPITAL PRIMARILY SERVES MCLEAN COUNTY WHERE TURTLE LAKE IS LOCATED, THEREFORE IT HAS BEEN DESIGNATED AS THE CHNA PRIMARY SERVICE AREA ADDITIONALLY, CHI ST. ALEXIUS HEALTH TURTLE LAKE SERVES SHERIDAN AND OLIVER COUNTIES (CHNA SECONDARY SERVICE AREA). IN ADDITION TO CHI ST. ALEXIUS HEALTH TURTLE LAKE, MCLEAN COUNTY IS HOME TO CHI ST. ALEXIUS HEALTH GARRISON LOCATED IN GARRISON, ND. MCLEAN COUNTY IS A RURAL COUNTY LOCATED IN WEST CENTRAL NORTH DAKOTA AND HAS AN ESTIMATED POPULATION OF 9,781. THE MEDIAN HOUSEHOLD INCOME IN MCLEAN COUNTY IS HIGHER THAN THE MEDIAN IN NORTH DAKOTA AND THE NATION OVERALL; HOWEVER, HOME VALUES ARE LOWER, AS ARE THE COSTS ASSOCIATED WITH HOME RENTAL AND OWNERSHIP. MCLEAN COUNTY'S POVERTY RATE IS LOWER THAN BOTH THE STATEWIDE AND NATIONAL AVERAGE. MCLEAN COUNTY HAS HIGHER RATES OF ADULT SMOKING AND ADULT OBESITY THAN THE UNITED STATES AND NORTH DAKOTA ON AVERAGE. THE ADULT EXCESSIVE DRINKING RATE IN MCLEAN COUNTY IS LOWER THAN THE STATEWIDE AVERAGE, 19 PERCENT IN MCLEAN COUNTY COMPARED TO 23 PERCENT STATEWIDE; HOWEVER, HALF OF ALL DRIVING DEATHS INVOLVE ALCOHOL. THE COUNTY'S LEADING CAUSES OF DEATH IN 2021 WERE MALIGNANT NEOPLASMS, DISEASES OF THE HEART, AND ACCIDENTS. MCLEAN COUNTY HAS A LOWER ANNUAL FLU SHOT RATE THAN BOTH NORTH DAKOTA AND THE NATION. MCLEAN COUNTY HAS SUBSTANTIALLY MORE PEOPLE PER PRIMARY CARE PHYSICIAN, MENTAL HEALTH CARE PROVIDER, AND DENTIST THAN NORTH DAKOTA AND THE NATION OVERALL. MCLEAN COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE UNITED STATES HEALTH RESOURCES & SERVICES ADMINISTRATION.
PART VI, LINE 5:	FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS.
PART VI, LINE 6:	THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.
PART VI, LINE 7, REPORTS FILED WITH STATES	ND

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
BENEDICTINE SISTERS OF THE ANNUNCIATION
7520 UNIVERSITY DR	BISMARCK	ND	58504	450261530	501(C)(3)	$530,450	$0	PROGRAM SUPPORT
LIGHT OF CHRIST SCHOOLS
1025 NORTH 2ND STREET	BISMARCK	ND	58501	460581758	501(C)(3)	$50,600	$0	PROGRAM SUPPORT
BAREKNUCKLE BASEBALL LLC
201 WEST FRONT AVENUE	BISMARCK	ND	58504	813163412		$7,500	$0	PROGRAM SUPPORT
MISSOURI SLOPE LUTHERAN CARE CENTER FOUNDATION
4916 N WASHINGTON ST	BISMARCK	ND	58503	363589734	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
BIO GIRLS INC
4225 38TH STREET S STE 111	FARGO	ND	58104	810792142	501(C)(3)	$20,500	$0	PROGRAM SUPPORT
COMMUNITY ACTION PROGAM REGION VII
2105 LEE AVE	BISMARCK	ND	58504	450333816	501(C)(3)	$7,000	$0	PROGRAM SUPPORT
GATEWAY TO SCIENCE CENTER INC
1600 CANARY AVE 1	BISMARCK	ND	58501	450443517	501(C)(3)	$7,000	$0	PROGRAM SUPPORT
MINISTRY ON THE MARGINS
201 N 24TH ST	BISMARCK	ND	58501	813452507	501(C)(3)	$50,000	$0	PROGRAM SUPPORT
ROCK THE RED
2510 7TH AVE NW	MANDAN	ND	58554	332977035	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
DREAM CENTER BISMARCK
1805 PARK AVENUE	BISMARCK	ND	58504	850943567	501(C)(3)	$52,250	$0	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
GAY WALLENTINE MEMORIAL SCHOLARSHIP	1	$1,500
BRITA ERIKSEN MEMORIAL SCHOLARSHIP	1	$1,500
ASSOCIATE EMERGENCY FUND	1	$1,500
NATIONAL BOARD OF RESPIRATORY CARE	2	$4,000
UNIVERSITY OF MARY SCHOLARSHIPS	20	$183,750

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ST. ALEXIUS MEDICAL CENTER MAKES DONATIONS TO ENTITIES WITH CHARITABLE MISSIONS TO ENSURE THAT OUR DONATIONS ARE USED FOR THE PURPOSES INTENDED. ASSISTANCE IS REQUESTED VIA AN APPLICATION FORM, IN ALL CASES, THE NEED FOR FUNDS WILL BE VERIFIED. A COMMITTEE MEETS TO REVIEW APPLICATIONS TO DETERMINE THE NEED AND MAKE SURE ALL GUIDELINES ARE FOLLOWED. ST ALEXIUS MEDICAL CENTER PROVIDED 22 SCHOLARSHIPS DURING FY25 TO STUDENTS INTERESTED IN THE HEALTHCARE INDUSTRY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN HOYT MD
PHYSICIAN	$669,909	$0	$432,378	$0	$1,260	$0	$34,500	$0	$46,913	$0	$1,184,960	$0	$0	$0
PATRICK GRACE MD
PHYSICIAN	$562,562	$0	$452,190	$0	$756	$0	$12,075	$0	$19,268	$0	$1,046,851	$0	$0	$0
KEVIN DAHMEN MD
PSYCHIATRIST	$305,377	$0	$433,855	$0	$3,547	$0	$35,075	$0	$33,557	$0	$811,411	$0	$0	$0
KENNETH MAINA MD
PHYSICIAN	$324,410	$0	$353,058	$0	$19,555	$0	$33,063	$0	$45,956	$0	$776,042	$0	$0	$0
HSU-HSIEN LWU MD
PHYSICIAN	$460,199	$0	$246,120	$0	$12,944	$0	$35,075	$0	$17,951	$0	$772,289	$0	$0	$0
CALVIN MOTIKA MD
DIRECTOR/PHYSICIAN	$581,273	$0	$96,999	$0	$756	$0	$35,075	$0	$32,794	$0	$746,897	$0	$0	$0
TODD PRESZLER MD
DIRECTOR/PHYSICIAN	$613,220	$0	$5,100	$0	$5,470	$0	$24,838	$0	$49,337	$0	$697,965	$0	$0	$0
TIM PLANTE
FORMER OFFICER	$0	$388,238	$0	$151,634	$0	$2,949	$0	$8,250	$0	$38,648	$0	$589,719	$0	$0
SYED HYDER MD
DIRECTOR/PHYSICIAN	$361,220	$0	$37,700	$0	$10,636	$0	$32,924	$0	$29,337	$0	$471,817	$0	$0	$0
REED REYMAN
PRESIDENT/CEO	$385,384	$0	$450	$0	$7,276	$0	$13,033	$0	$25,166	$0	$431,309	$0	$0	$0
J'PATRICK FAHN
CHIEF MEDICAL OFFICER	$370,035	$0	$507	$0	$1,595	$0	$11,500	$0	$35,343	$0	$418,980	$0	$0	$0
LAURA ARCHULETA MD
DIRECTOR/PHYSICIAN	$349,968	$0	$17,505	$0	$837	$0	$10,062	$0	$32,514	$0	$410,886	$0	$0	$0
NICK O'TOOL
FORMER OFFICER	$0	$293,064	$0	$0	$0	$742	$0	$17,277	$0	$35,460	$0	$346,543	$0	$0
PARVEEN SUHARA WAHAB MD
DIRECTOR/PHYSICIAN	$279,146	$0	$36,093	$0	$578	$0	$22,970	$0	$1,929	$0	$340,716	$0	$0	$0
KEITH HORNER
FORMER KEY EMPLOYEE	$214,589	$0	$32,775	$0	$1,307	$0	$9,034	$0	$38,495	$0	$296,200	$0	$0	$0
DEBRA MOHESKY
FORMER OFFICER	$0	$151,474	$0	$0	$0	$51,985	$0	$10,510	$0	$4,174	$0	$218,143	$0	$0
STEPHANIE KAUL
MARKET CFO	$146,261	$0	$28,267	$0	$15,904	$0	$6,687	$0	$11,867	$0	$208,986	$0	$0	$0
RAUMI KUDRNA
VP PATIENT CARE SERVICES	$168,329	$0	$244	$0	$390	$0	$5,955	$0	$4,911	$0	$179,829	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.
SCHEDULE J, PART I, LINE 4A	CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2024 CALENDAR YEAR.
SCHEDULE J, PART II	ST ALEXIUS MEDICAL CENTER FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ASHLYN HUKILL	PersonNm
Relationship With Org	FAMILY MEMBER OF AN OFFICER	RelationshipWithOrgTxt
Loan Purpose	EMPLOYMENT INCENTIVE LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$10,000	OriginalPrincipalAmt
Balance Due	$9,646	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	0	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$9,646	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KARI EMERY
FAMILY MEMBER OF A BOARD MEMBER	$334,210	EMPLOYEE PAYROLL WAGES	0
HOLLI SCHOCK
FAMILY MEMBER OF A KEY EMPLOYEE	$30,370	EMPLOYEE PAYROLL WAGES	0
AUSTIN SCHOCK
FAMILY MEMBER OF A KEY EMPLOYEE	$104,374	EMPLOYEE PAYROLL WAGES	0
KRISTEN FAHN
FAMILY MEMBER OF A KEY EMPLOYEE	$58,539	EMPLOYEE PAYROLL WAGES	0
ASHLYN HUKILL
FAMILY MEMBER OF AN OFFICER	$34,481	EMPLOYEE PAYROLL WAGES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	ACCORDING TO THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * APPROVE MEMBERS OF THE ORGANIZATION'S BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ORGANIZATION * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ORGANIZATION * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ORGANIZATION * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION * APPROVAL OF ISSUANCE OF DEBT BY ORGANIZATION * APPROVAL OF PARTICIPATION OF ORGANIZATION IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ORGANIZATION * APPROVAL OF A MERGER INVOLVING THE ORGANIZATION * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION * TO REQUIRE THE TRANSFER OF ASSETS BY THE ORGANIZATION TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH 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. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION B, LINE 11B	ONCE THE RETURN IS PREPARED, THE FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO THE IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES' REVIEW BEFORE THE FINAL FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO THE IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR THE TAX DEPARTMENT IF REQUESTED BY THE TRUSTEES. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15	COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
FORM 990, PART IX, LINE 11G	CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 15,883,799. MANAGEMENT AND GENERAL EXPENSES 7,474,729. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,358,528. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,437,940. MANAGEMENT AND GENERAL EXPENSES 6,323,736. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,761,676. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,322,147. MANAGEMENT AND GENERAL EXPENSES 4,833,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,155,163. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 29,251,209. MANAGEMENT AND GENERAL EXPENSES 13,765,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,016,484. CONSULTING FEES: PROGRAM SERVICE EXPENSES 28,767. MANAGEMENT AND GENERAL EXPENSES 13,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,304.
FORM 990, PART XI, LINE 9:	ANNUAL GIFT ANNUITY -1,500. EQUITY CHANGES IN UNCONSOLIDATED ORGS 1,384,554. AFFILIATE TRANSFERS 250,742.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (196 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HOSPITAL	NE	501(C)(3)	LINE 3	ACH	0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH	0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD	ARROYO GRANDE	CA	93420	203256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET	BAKERSFIELD	CA	93301	951802779	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	SLHS	0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	LINE 3	BSLHV	0
BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON
1201 9TH AVE	SEATTLE	WA	98101	910653422	RESEARCH	WA	501(C)(3)	LINE 4	VMFH	0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	INACTIVE	PA	501(C)(3)	LINE 12A, I	CSH	0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	REHABILITATION	TX	501(C)(3)	LINE 10	SJSC	0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUE	LOS ANGELES	CA	90015	954000909	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	840405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL AVE	CENTENNIAL	CO	80112	840902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC	0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204	COLORADO SPRINGS	CO	80920	270930004	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 12A, I	CSH	0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	TELEHEALTH	CO	501(C)(3)	LINE 12A, I	CSH	0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	CS OR	0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200	BAKERSFIELD	CA	93311	844171789	CLINIC	CA	501(C)(3)	LINE 3	DCC	0
CENTRAL KANSAS MEDICAL CENTER
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	480543724	INACTIVE	KS	501(C)(3)	LINE 3	CSH	0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	SENIOR LIVING	MN	501(C)(3)	LINE 10	CSH	0
CHI HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH	0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH	0
CHI LIVING COMMUNITIES
930 S WYNN ROAD	OREGON	OH	43616	341892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS	0
CHI NEBRASKA
12809 WEST DODGE ROAD	OMAHA	NE	68510	363233121	HOLDING CO	NE	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH	0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHI-SVHS	0
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	SVIMC	0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHI-SVHS	0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	LINE 12A, I		0	N/A
COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	421178204	REHABILITATION	IA	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	853374038	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CSH	0
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
3033 N 3RD AVENUE	PHOENIX	AZ	85013	850919176	OPERATING INVESTMENTS	DE	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	RESEARCH	CO	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT KANSAS INC
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	0
COMMONSPIRIT MOUNTAIN REGION
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	841335382	MANAGEMENT COMPANY	CO	501(C)(3)	LINE 12A, I	CHIC	0
COMMONSPIRIT OREGON
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVE	SAN BERNARDINO	CA	92411	951643373	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	237419853	HOLDING CO	OH	501(C)(2)		GSH	0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AH-CMHMV	0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611400619	HOSPITAL	KY	501(C)(3)	LINE 3	SJHS	0
DIGNITY COMMUNITY CARE
3033 N 3RD AVENUE	PHOENIX	AZ	85013	815009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH
3033 N 3RD AVENUE	PHOENIX	AZ	85013	941196203	HOSPITAL	CA	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE	REDDING	CA	96003	237115371	SENIOR CENTER SERVICES	CA	501(C)(3)	LINE 7	DH	0
DIGNITY HEALTH FOUNDATION
3033 N 3RD AVENUE	PHOENIX	AZ	85013	462037641	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUE	SAN BERNARDINO	CA	92404	237440086	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROAD	CHANDLER	AZ	85224	742418514	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	680220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DCC	0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DH	0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	942450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770127719	OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS	CA	501(C)(3)	LINE 10	DHS	0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH	0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	0
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS	0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH	0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	PHYSICIANS	WA	501(C)(3)	LINE 10	FHS	0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUE	SAN LUIS OBISPO	CA	93401	203256125	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST	GARRISON	ND	58540	450227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC	Yes (1)
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUE	GLENDALE	CA	91204	953625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	INACTIVE	CO	501(C)(3)	LINE 12A, I	CSH	0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	0
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH-KN	0
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311206047	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	GSH	0
HARRISON MEDICAL CENTER
1800 NW MYHRE RD	SILVERDALE	WA	98383	910565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC-MN	0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800	LOUISVILLE	KY	40202	611352729	PHYSICIANS	KY	501(C)(3)	LINE 10	KOH	0
KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	0
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC	0
LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	0
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
LONGMONT UNITED HOSPITAL
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	840460697	HOSPITAL	CO	501(C)(3)	LINE 3	CHIC	0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MADONNA MANOR INC
2344 AMSTERDAM ROAD	VILLA HILLS	KY	51017	610654635	ASSISTED LIVING	KY	501(C)(3)	LINE 10	CHILC	0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET	SANTA MARIA	CA	93454	953818027	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROAD	SAN ANDREAS	CA	95249	680127677	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS	0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH	0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS	0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119	BAKERSFIELD	CA	93302	770201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	CS OR	0
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL	0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MCMAHON TERRACE
3865 J STREET	SACRAMENTO	CA	95816	680117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DH	0
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET	MERCED	CA	95340	770035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC WILLISTON	0
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	911845296	DIAGNOSTIC SERVICES	ND	501(C)(3)	LINE 7	SAMC	Yes (1)
NORTHLAND PACE PROGRAM
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	261689193	HEALTHCARE	ND	501(C)(3)	LINE 10	NHA	0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVD	NORTHRIDGE	CA	91328	237444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DCC	0
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH	0
PACIFIC CENTRAL COAST HEALTH CENTERS
1414 E MAIN STREET SUITE 201	SANTA MARIA	CA	93454	770447575	CLINIC	CA	501(C)(3)	LINE 3	DCC	0
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	465322209	HOSPITAL	CA	501(C)(3)	LINE 3	DH	0
PROVIDENCE CARE CENTER
2025 HAYES AVENUE	SANDUSKY	OH	44870	341658625	LTERM CARE	OH	501(C)(3)	LINE 10	CHILC	0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222876836	INACTIVE	NJ	501(C)(3)	LINE 12B, II	SCHS	0
SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223639733	INACTIVE	NJ	501(C)(3)	LINE 10	CSH	0
SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223319886	INACTIVE	NJ	501(C)(3)	LINE 3	SCHS	0
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC	0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC-NE	0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREET	SAN FRANCISCO	CA	94109	941156295	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVE	LEXINGTON	KY	40504	611334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200	LEXINGTON	KY	40504	611159649	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	SJHS	0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREET	DICKINSON	ND	58601	363418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC	0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS	0
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAY	GRASS VALLEY	CA	95945	941439787	HOSPITAL	CA	501(C)(3)	LINE 3	DCC	0
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	INACTIVE	MO	501(C)(3)	LINE 3	CSH	0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREET	SANTA BARBARA	CA	93103	770022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	0
ST JOHN'S HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE	OXNARD	CA	93030	202865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST JOSEPH'S FOUNDATION (PHOENIX)
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	942941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DH	0
ST JOSEPH'S FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET	STOCKTON	CA	95204	510432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DH	0
ST MARY'S MEDICAL CENTER FOUNDATION
450 STANYAN STREET	SAN FRANCISCO	CA	94117	943336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DH	0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY	HENDERSON	NV	89052	880349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DH	0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE	BISMARCK	ND	58501	450226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST ANNE OC
1145 BROADWAY PLAZA STE 1200	TACOMA	WA	98402	863590968	INACTIVE	WA	501(C)(3)	LINE 10	FHS	0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH	0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC	0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	CS KS	0
ST CLARE COMMONS
12469 FIVE POINT ROAD	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	INVESTMENTS	OR	501(C)(4)		CSH	0
ST ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	INACTIVE	NE	501(C)(3)	LINE 3	SERMC	0
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222536017	INACTIVE	NJ	501(C)(3)	LINE 8	SCHS	0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	520591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH	0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC	0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STREET	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	0
ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL	0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVD	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC	0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	341412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH	0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	455357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSISTED LIVING	OH	501(C)(3)	LINE 10	CHILC	0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLH-CO	0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	310537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH	0
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC	0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I		0	N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSISTED LIVING	OH	501(C)(3)	LINE 7	THS	0
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	0
VIRGINIA MASON FRANCISCAN HEALTH
TACOMA FINANCIAL CENTER BUILDING 11	TACOMA	WA	98402	861332353	HOLDING CO	WA	501(C)(3)	LINE 12A, I	CSH	0
VIRGINIA MASON INSTITUTE
1100 9TH AVE	SEATTLE	WA	98101	263763656	EDUCATION	WA	501(C)(3)	LINE 10	VMMC	0
VIRGINIA MASON MEDICAL CENTER
1100 9TH AVE	SEATTLE	WA	98101	910565539	HOSPITAL	WA	501(C)(3)	LINE 3	VMFH	0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	221768334	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS	0
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	860098923	HOSPITAL	AZ	501(C)(3)	LINE 3	DCC	0
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	861038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YRMC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (90 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
AMERICAN MERCY HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	830486150	HOME HEALTH	OH	N/A	N/A	0	0
ARIZONA CARE NETWORK - NEXT LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	474696671	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA CARE NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	454494682	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUE	LOS ANGELES	CA	90025	851067265	IMAGING CENTER	DE	N/A	N/A	0	0
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	841513085	REAL ESTATE	CO	N/A	N/A	0	0
BAPTIST DEACONESS MADISON HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	933197463	HOME HEALTH	KY	N/A	N/A	0	0
BAYLOR CHI ST LUKE'S HEALTH SERVICES LLC
3100 MAIN STE 566	HOUSTON	TX	77002	472079184	HEALTHCARE SERVICES	TX	N/A	N/A	0	0
BERGAN MERCY SURGERY CENTER LLC
7500 MERCY RD STE 4300	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	N/A	N/A	0	0
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUE	CHATTANOOGA	TN	37404	621875199	HEALTHCARE SERVICES	TN	N/A	N/A	0	0
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
					HEALTH SERVICES		N/A	N/A	0	0	709 WING ON PLAZA 62 MODY ROAD TS	HONG KONG	CH	CH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC SERVICES	KY	N/A	N/A	0	0
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE	BAKERSFIELD	CA	93309	461602286	RADIATION / ONCOLOGY	CA	N/A	N/A	0	0
CENTURA SUMMIT ORTHOPEDICS LLC
68 SCHOOL RD	FRISCO	CO	80443	871308304	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
CHER LLC
8610 EXPLORER DR 302	COLORADO SPRINGS	CO	80902	205633472	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	465683027	SURGERY CENTER	CO	N/A	N/A	0	0
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	N/A	N/A	0	0
COMMUNITY HEALTH AT HOME - INFUSION LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	833517309	HOME HEALTH	IN	N/A	N/A	0	0
COMMUNITY HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	833536760	HOME HEALTH	IN	N/A	N/A	0	0
COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	311746556	HOME HEALTH	OH	N/A	N/A	0	0
DE JV LLC
8686 NEW TRAILS DRIVE	THE WOODLANDS	TX	77381	320496548	EMERGENCY CARE	NV	N/A	N/A	0	0
DEACONESS HOME HEALTH LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	843167946	HOME HEALTH	IN	N/A	N/A	0	0
DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD)
					HEALTH SERVICES		N/A	N/A	0	0	3 MORE LONDON RIVERSIDE 4TH FLOOR	LONDON	UK	UK
DH PACIFICLINKAGE HEALTH INT'L LTD
					HEALTH SERVICES		N/A	N/A	0	0	RMS 1318-20 HOLLYWOOD PLAZA 610 NA	HONG KONG	CH	CH
DHHP SURGERY CENTERS LLC
1401 S GRAND AVENUE	LOS ANGELES	CA	90015	831847466	SURGERY	DE	N/A	N/A	0	0
DHRT HOLDINGS LLC
3033 N 3RD AVENUE	PHOENIX	AZ	85013	352484591	HOLDING COMPANY	DE	N/A	N/A	0	0
DIGITAL MEDICAL IMAGING LLC
1310 LAS TABLAS ROAD SUITE 206	TEMPLETON	CA	93465	874209407	IMAGING	CA	N/A	N/A	0	0
DIGNITY HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	824674115	DIAGNOSTIC SERVICES	DE	N/A	N/A	0	0
DIGNITY HOME RECOVERY CARE LLC
3854 AMERICAN WAY SUITE A	BATON ROUGE	LA	70816	832832522	HOME RECOVERY PROGRAM	DE	N/A	N/A	0	0
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202999237	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP NORCAL SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202468509	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	134248908	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	352584991	SURGERY	TX	N/A	N/A	0	0
DIGNITY-ABRAZO HEALTH NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	465477985	MANAGEMENT SERVICES	AZ	N/A	N/A	0	0
DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
PO BOX 880	APTOS	CA	95001	770095477	IMAGING CENTER	CA	N/A	N/A	0	0
ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVE	COLORADO SPRINGS	CO	80909	352656413	AMBUL SURG CTR	CO	N/A	N/A	0	0
ENDOSCOPY CENTER OF ARKANSAS
1024 NORTH UNIVERSITY AVE	LITTLE ROCK	AR	72207	201337002	DIAGNOSTIC SERVICES	AR	N/A	N/A	0	0
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NW	GIG HARBOR	WA	98335	463494108	REAL ESTATE	WA	N/A	N/A	0	0
FRANCISCAN SPECIALTY CARE LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	813725123	DIAGNOSTIC SERVICES	WA	N/A	N/A	0	0
GO PHYSICAL THERAPY LLC
3004 WEST FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	N/A	N/A	0	0
GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	201792869	HOME HEALTH	OH	N/A	N/A	0	0
HC SL VINTAGE I LLC
1400 N WATER ST STE 500	MILWAUKEE	WI	53202	270453767	PREPERTY HOLDING	WI	N/A	N/A	0	0
HEALTH AT HOME HOLDCO LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	920827634	HOME HEALTH	CO	N/A	N/A	0	0
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	INACTIVE	NE	N/A	N/A	0	0
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67402	464265403	ONCOLOGY	KS	N/A	N/A	0	0
INTUITIVE HEALTH OF PUGET SOUND LLC
3033 N 3RD AVE	PHOENIX	AZ	85013	880771168	INACTIVE	WA	N/A	N/A	0	0
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLAZA STE 110	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	N/A	N/A	0	0
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY	NE	N/A	N/A	0	0
LEXINGTON MBO PARTNERS LTD
4600 SOUTH SYRACUSE ST STE 500	DENVER	CO	80237	651132855	REAL ESTATE	CO	N/A	N/A	0	0
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	LINCOLN	NE	68510	262496856	REAL ESTATE	NE	N/A	N/A	0	0
LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	454432224	ORTHOPEDIC SERVICES	CO	N/A	N/A	0	0
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201	BAKERSFIELD	CA	93301	364510880	REAL ESTATE	CA	N/A	N/A	0	0
MOUNTAIN MEDICAL IMAGING LLC
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	870687391	MEDICAL IMAGING	TX	N/A	N/A	0	0
NATIONAL PURCHASING PARTNERS LLC
17930 INTERNATIONAL BLVD STE 900	SEATAC	WA	98188	203470995	GROUP PURCHASING	WA	N/A	N/A	0	0
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A	N/A	0	0
NEXIFY HEALTH PRIVATE LIMITED
					IT SERVICES		N/A	N/A	0	0	9TH FL MSR BLOCK KRISHE SAPPHIRE	HYDERABAD	IN	IN
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	460502935	NEONATAL HEALTHCARE	CA	N/A	N/A	0	0
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	N/A	N/A	0	0
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREET	BISMARCK	ND	58501	841641341	DIAGNOSTIC SERVICES	ND		UNRELATED	0	Yes (1)					SAMC	$2,267,245	$4,112,308	$2,244,977	0.50000
NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	770409291	AMBULATORY SURGICAL CENTER	CA	N/A	N/A	0	0
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	N/A	N/A	0	0
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE S	PARK RAPIDS	MN	56470	204926259	HEALTHCARE SERVICES	MN	N/A	N/A	0	0
PARKVIEW HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45140	991995656	HOME HEALTH	IN	N/A	N/A	0	0
PEAK ONE SURGERY CENTER LLC
PO BOX 4460	FRISCO	CO	80443	201620230	SURGERY CENTER	CO	N/A	N/A	0	0
PENINSULA RADIATION ONCOLOGY CENTER LLC
4230 BRIDGEPORT WAY W STE B	UNIVERSITY PLACE	WA	98466	870808610	HEALTHCARE SERVICES	WA	N/A	N/A	0	0
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A	N/A	0	0
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100	SANTA MARIA	CA	93454	770573567	SURGERY	CA	N/A	N/A	0	0
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	273280598	HOSPITAL	TX	N/A	N/A	0	0
PRECISION MEDICINE ALLIANCE LLC
3033 N 3RD AVE	PHOENIX	AZ	85013	352569159	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120	OXNARD	CA	93030	770191706	IMAGING	CA	N/A	N/A	0	0
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120	HENDERSON	NV	89074	271466450	AMBULANCE	NV	N/A	N/A	0	0
REID-ANC HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	371454747	HOME HEALTH	IN	N/A	N/A	0	0
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	INACTIVE	DE	N/A	N/A	0	0
SAINT JOSEPH HEALTH ASC LLC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	852155230	SURGERY	KY	N/A	N/A	0	0
SANTA CRUZ COMPREHENSIVE IMAGING LLC
PO BOX 880	APTOS	CA	95001	010550623	IMAGING	CA	N/A	N/A	0	0
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROAD	SANTA CRUZ	CA	95065	770194916	SURGERY	CA	N/A	N/A	0	0
SANTA MARIA MRI LLC
1310 LAS TABLAS ROAD SUITE 206	TEMPLETON	CA	93465	770554581	IMAGING	CA	N/A	N/A	0	0
SEVEN OAKS SURGERY CENTER LLC
1801 ORANGE TREE LANE SUITE 200	REDLANDS	CA	92374	851559544	SURGERY	CA	N/A	N/A	0	0
SOUTHEASTERN HOME CARE LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	271219638	HOME HEALTH	OH	N/A	N/A	0	0
ST JOSEPH'S SURGERY CENTER LP
14201 DALLAS PARKWAY	DALLAS	TX	75254	201019390	SURGERY	TX	N/A	N/A	0	0
ST ELIZABETH HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	OH	45150	261236191	HOME HEALTH	KY	N/A	N/A	0	0
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A	N/A	0	0
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	N/A	N/A	0	0
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
PO BOX 4717	HOUSTON	TX	77210	462795726	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUE	OXNARD	CA	93030	770332349	REAL ESTATE	CA	N/A	N/A	0	0
THREE SPRING IMAGING LLC
1 MERCADO ST STE 200A	DURANGO	CO	81301	813571570	HEALTHCARE SERVICES	CO	N/A	N/A	0	0
TIA ARIZONA LLC
15051 N KIERLAND BLVD SUITE 200	SCOTTSDALE	AZ	85254	863158670	CLINIC	AZ	N/A	N/A	0	0
TOPTOLIFE LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	872868634	RETAIL	CO	N/A	N/A	0	0
UCSF HEALTH- GOHEALTH URGENT CARE MGMT LLC
5555 GLENRIDGE CONNECTOR SUITE 700	ATLANTA	GA	30342	352548698	MANAGEMENT SERVICES	DE	N/A	N/A	0	0
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
18330 ROSCOE BLVD	NORTHRIDGE	CA	91328	800864336	SURGERY	CA	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	0
ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	HEALTHCARE	TX	N/A	C	0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	841112049	MANAGEMENT SERVICES	CO	N/A	C	0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	INACTIVE	KY	N/A	C	0
BRAZOSPORT HEALTH ALLIANCE
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760518376	HEALTHCARE	TX	N/A	C	0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
3033 N 3RD AVE	PHOENIX	AZ	85013	272269511	LAB SERVICES	CO	N/A	C	0
CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON PC
1100 9TH AVE	SEATTLE	WA	98101	831583223	MEDICAL SERVICES	WA	N/A	C	0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVE	LUFKIN	TX	75904	834184717	CONDO ASSOC	TX	N/A	C	0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101	PISMO BEACH	CA	93449	743000596	AMBULATORY SURGERY CENTER	CA	N/A	S	0
DIGNITY HEALTH HOLDING CORPORATION
3033 N 3RD AVENUE	PHOENIX	AZ	85013	460675371	HOLDING CO	NV	N/A	C	0
DIGNITY HEALTH PROVIDER RESOURCES INC
3033 N 3RD AVENUE	PHOENIX	AZ	85013	473366764	HEALTH PLAN	CA	N/A	C	0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	HEALTHCARE	TX	N/A	C	0
FRANCISCAN SERVICES INC
3033 N 3RD AVE	PHOENIX	AZ	85013	232487967	HOLDING CO	CO	N/A	C	0
GALLERIA PAVILION OWNERS' ASSOCIATION
800 N GIBSON RD	HENDERSON	NV	89011	824275367	REAL ESTATE	NV	N/A	C	0
GOOD SAMARITAN OUTREACH SERVICES
3033 N 3RD AVE	PHOENIX	AZ	85013	470659440	MEDICAL CLINIC	NE	N/A	C	0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473451750	INACTIVE	WA	N/A	C	0
HEALTH AT HOME BLOCKER LLC
6281 TRI RIDGE BLVD STE 300	LOVELAND	DE	45150	884220080	HOME HEALTH	CO	N/A	C	0
HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
1400 E CHURCH STREET	SANTA MARIA	OH	93454	770074057	HEALTH SERVICES	DE	N/A	C	0
HEALTH SYSTEMS ENTERPRISES INC
3033 N 3RD AVE	PHOENIX	AZ	85013	470664558	INACTIVE	NE	N/A	C	0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET ST	TACOMA	WA	98402	911865474	INACTIVE	WA	N/A	C	0
HIGHLINE MEDICAL GROUP
1717 S J STREET	TACOMA	WA	98405	911407026	MEDICAL SERVICES	WA	N/A	C	0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710720429	REAL ESTATE	AR	N/A	C	0
MEDQUEST
1602 11TH ST W	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C	0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVE	LUFKIN	TX	75904	463622849	INACTIVE	TX	N/A	C	0
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	INACTIVE	OR	N/A	C	0
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	N/A	C	0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200	BAKERSFIELD	CA	93311	770513445	OUTPATIENT SURGERY SERVICES	CA	N/A	S	0
MOUNTAIN MANAGEMENT SERVICES INC
3033 N 3RD AVE	PHOENIX	AZ	85013	621570739	MANAGEMENT SERVICES	TN	N/A	C	0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538	BISMARK	ND	58506	450439894	HEALTHCARE	ND		C	Yes (1)	SAMC	$9,874	$177,062	0.75000
NORTHLAND MANAGEMENT SERVICES INC
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	450452840	MEDICAL EQUIPMENT	ND	N/A	C	0
QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	N/A	C	0
QUALCHOICE HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	N/A	C	0
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	N/A	C	0
ROSS PARK PHARMACY INC
3033 N 3RD AVE	PHOENIX	AZ	85013	341832654	PHARMACY	OH	N/A	C	0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222441202	INACTIVE	NJ	N/A	C	0
SJH SERVICES CORPORATION
3033 N 3RD AVE	PHOENIX	AZ	85013	232307408	INACTIVE	CO	N/A	C	0
SJL PHYSICIAN MANANGEMENT SERVICES INC
3033 N 3RD AVE	PHOENIX	AZ	85013	270164198	INACTIVE	KY	N/A	C	0
ST MARY HEALTH VENTURES INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	951912528	RETAIL PHARMACY	CA	N/A	C	0
ST ANTHONY DEVELOPMENT COMPANY
3033 N 3RD AVE	PHOENIX	AZ	85013	931216943	ATHLETIC CLUB	OR	N/A	C	0
ST JOSEPH DEVELOPMENT COMPANY INC
3033 N 3RD AVE	PHOENIX	AZ	85013	911480569	RENTAL	WA	N/A	C	0
ST LUKE'S HEALTH SYSTEM HOLDINGS INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	N/A	C	0
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	N/A	C	0
STE HOLDINGS
3033 N 3RD AVE	PHOENIX	AZ	85013	822383629	HOLDING CO	NE	N/A	C	0
STRATEGIC AND PHYSICIANS INSURANCE LTD
				981065338	CAPTIVE INSURANCE		N/A	C	0					PO BOX 1051 GRAND CAYMAN ISL	GRAND CAYMAN ISL	CJ	CJ
TOWSON MANAGEMENT INC
3033 N 3RD AVE	PHOENIX	AZ	85013	521710750	INACTIVE	MD	N/A	C	0
TRINITY MANAGEMENT SERVICES ORGANIZATION
3033 N 3RD AVE	PHOENIX	AZ	85013	341471026	MGMT SERVICES	OH	N/A	C	0
UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	841526130	REAL ESTATE	CO	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GARRISON MEMORIAL HOSPITAL
O	$3,934,998	BOOK VALUE
GARRISON MEMORIAL HOSPITAL
R	$2,000,497	BOOK VALUE
GARRISON MEMORIAL HOSPITAL
S	$1,568,384	BOOK VALUE