ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST ALEXIUS MEDICAL CENTER (EIN 45-0226711)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-18
IRS object ID: 202111389349301716
Schema version: 2019v5.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-18T13:34:45-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1225 17th Street Suite 800	AddressLine1Txt
City	Denver	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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)
In Care Of	% TERRI DONOVAN	InCareOfNm
Business Name Control	STAL	BusinessNameControlTxt
Phone	7015307000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 EAST BROADWAY AVENUE	AddressLine1Txt
City	BISMARCK	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	585014520	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TERRI DONOVAN	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mark E Shelton	PreparerPersonNm
PTIN	P01203482	PTIN
Phone	3032962323	PhoneNum
Preparation	2021-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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	KURT SCHLEY	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	585014520	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$270,900,606	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2036	TotalEmployeeCnt
Total Volunteers	116	TotalVolunteersCnt
Total Gross UBI	$4,170,585	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$816,696	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,874,508	PYContributionsGrantsAmt
CY Contributions Grants	$6,802,409	CYContributionsGrantsAmt
PY Program Service Revenue	$265,421,836	PYProgramServiceRevenueAmt
CY Program Service Revenue	$249,516,220	CYProgramServiceRevenueAmt
PY Investment Income	$189,983	PYInvestmentIncomeAmt
CY Investment Income	$311,073	CYInvestmentIncomeAmt
PY Other Revenue	$11,794,016	PYOtherRevenueAmt
CY Other Revenue	$14,269,664	CYOtherRevenueAmt
PY Total Revenue	$279,280,343	PYTotalRevenueAmt
CY Total Revenue	$270,899,366	CYTotalRevenueAmt
PY Grants And Similar Paid	$171,299	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$586,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$132,192,217	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,810,345	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$220,552,103	PYOtherExpensesAmt
CY Other Expenses	$172,704,522	CYOtherExpensesAmt
PY Total Expenses	$352,915,619	PYTotalExpensesAmt
CY Total Expenses	$304,100,967	CYTotalExpensesAmt
PY Revenues Less Expenses	-$73,635,276	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$33,201,601	CYRevenuesLessExpensesAmt
Total Assets BOY	$223,658,252	TotalAssetsBOYAmt
Total Assets EOY	$266,454,652	TotalAssetsEOYAmt
Total Liabilities BOY	$169,303,975	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$231,659,889	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$54,354,277	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$34,794,763	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$287,494,350	ExpenseAmt
Grant	$586,100	GrantAmt
Revenue	$255,884,635	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. CHI ST. ALEXIUS HEALTH TURTLE LAKE IS A 25 BED CRITICAL ACCESS HOSPITAL WITH A LEVEL V EMERGENCY DEPARTMENT THAT IS AVAILABLE 24 HOURS A DAY. OUR 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 COMMUNITIES SINCE 1952. THE HOSPITAL'S AFFILIATION WITH MAJOR MEDICAL CENTERS AND HEALTH CARE AGENCIES HAS ALLOWED IT TO EXPAND ITS HEALTH CARE SERVICES THROUGH A NETWORK THAT BEGINS AT THE LOCAL LEVEL. 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. GREAT PLAINS PROVIDES NEEDED MEDICAL EQUIPMENT AND SUPPLIES TO HELP INDIVIDUAL LEAD ACTIVE AND INDEPENDENT LIVES. GREAT PLAINS SERVICES ALL OF NORTH DAKOTA, CENTER AND EASTERN MONTANA, AND NORTHERN SOUTH DAKOTA. 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. 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.	Desc
Total Program Service Expenses	$287,494,350	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	235	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2036	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TERRI DONOVAN	PersonNm
Phone	7015307610	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	585014520	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
CLIFF ROBERTSON MD
Director	1.0	59.0	Yes (X)	$0	$2,271,574	$46,283
DR Steven Kraljic
Neurosurgeon	40.0	0.0		$2,085,384	$0	$31,840	Yes (X)
Stephen Markewich
MD - Pain Clinic	40.0	0.0		$861,766	$0	$50,840	Yes (X)
CAMERON Charchenko
M.D. - Urology	40.0	0.0		$807,006	$0	$39,776	Yes (X)
Nicholas Bradbury
MD - Interventional Radiology	40.0	0.0		$739,610	$0	$41,310	Yes (X)
Agnieszka Solberg
MD - Interventional Radiology	40.0	0.0		$709,261	$0	$22,877	Yes (X)
KURT SCHLEY
DIRECTOR & CEO	5.0	40.0	Yes (X)	$0	$585,573	$83,318		Yes (X)
Kevin Dahmen MD
Secretary/Treasurer	40.0	5.0	Yes (X)	$0	$609,968	$49,012		Yes (X)
Todd Preszler MD
Director	40.0	5.0	Yes (X)	$0	$601,917	$34,490
MICHAEL L CASSIDY MD
Director THROUGH 10/30/19	1.0	44.0	Yes (X)	$0	$465,951	$33,734
Shiraz Hyder
Director	40.0	5.0	Yes (X)	$0	$392,975	$53,490
TESSA MARBURGER MD
Director THROUGH 10/30/19	1.0	44.0	Yes (X)	$0	$394,767	$25,950
JULIE WARD
VP/Chief Nursing Off.-11/29/19	40.0	0.0		$271,694	$0	$17,029			Yes (X)
KEITH HORNER
Director	40.0	0.0		$195,279	$0	$31,354			Yes (X)
ANGELIA SVIHOVEC
VP Outreach	40.0	0.0		$179,136	$0	$30,309			Yes (X)
CAROL KOLLER
VP Med. Group Ent. - 4/12/19	40.0	0.0		$196,981	$0	$10,143			Yes (X)
ELLEN HOLT
VP Human Resources	40.0	0.0		$172,998	$0	$15,049			Yes (X)
DEBRA MOHESKY
Interim CFO THROUGH 11/30/19	40.0	0.0		$0	$185,000	$0		Yes (X)
Terri Donovan
Chief Financial Officer	40.0	0.0		$0	$51,949	$1,385		Yes (X)
TIMOTHY BOPP MD
Director	3.0	5.0	Yes (X)	$0	$0	$0
JOHN GIESE
Chair	3.0	6.0	Yes (X)	$0	$0	$0		Yes (X)
MICHAEL LEFOR
Director	1.0	6.0	Yes (X)	$0	$0	$0
SR NANCY MILLER OSB
Vice Chair	3.0	5.0	Yes (X)	$0	$0	$0		Yes (X)
JOHN MONGEON
Director	1.0	5.0	Yes (X)	$0	$0	$0
PATRICK SOGARD
Director through 10/30/19	1.0	5.0	Yes (X)	$0	$0	$0
JULIE TRAYNOR
Director through 10/30/19	1.0	5.0	Yes (X)	$0	$0	$0
SR THOMAS WELDER
Director THROUGH 6/6/20	3.0	5.0	Yes (X)	$0	$0	$0
Mike Weisbeck
Director	3.0	5.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,219,115	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,559,674	TotReportableCompRltdOrgAmt
Total Other Compensation	$618,189	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	187	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BISMARCK RADIOLOGY ASSOCIATES
1310 E Main AVENUE	BISMARCK	ND	585010000	Radiology Services	$5,609,234
MEDICAL SOLUTIONS
PO BOX 310737	DES MOINES	IA	503310737	Traveling Nurses	$4,847,888
NORTHERN PLAINS LAB
PO BOX 2036	BISMARCK	ND	585020000	Pathology Services	$4,575,964
WEATHERBY LOCUM INC
PO BOX 972633	DALLAS	TX	753972633	Locum Services	$4,123,915
ZIMMER BIOMET
14235 COLLECTION CTR DRive	CHICAGO	IL	606930000	Medical Devices	$4,089,102

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	161	CntrctRcvdGreaterThan100KCnt
Fundraising	$99,444	FundraisingAmt
Government Grants	$5,964,769	GovernmentGrantsAmt
All Other Contributions	$738,196	AllOtherContributionsAmt
Noncash Contributions	$99,748	NoncashContributionsAmt
Total Contributions	$6,802,409	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	900099	$246,032,931	$246,032,931	$0	$0
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	$3,099,115	$3,099,115	$0	$0
TUITION	611600	$321,578	$321,578	$0	$0
CAFETERIA	722100	$62,596	$62,596	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$249,516,220	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,383	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,383	UnrelatedBusinessRevenueAmt
Exclusion	$131,000	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$891,015	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$891,015	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$891,015	TotalRevenueColumnAmt
Exclusion	$891,015	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$152,281	SecuritiesAmt
Other	$26,409	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$152,281	SecuritiesAmt
Other	$26,409	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$178,690	TotalRevenueColumnAmt
Exclusion	$178,690	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$59,479	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$99,444	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,122	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,357	TotalRevenueColumnAmt
Exclusion	$58,357	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$976	GamingGrossIncomeAmt
Gaming Direct Expenses	$118	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$858	TotalRevenueColumnAmt
Exclusion	$858	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY SERVICES	446110	$5,418,898	$4,815,806	$603,092	$0
LABORATORY SERVICES	621500	$1,148,474	$0	$1,148,474	$0
INTERCOMPANY TRANSACTIONS	900099	$1,552,609	$1,552,609	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,199,453	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,417,636	UnrelatedBusinessRevenueAmt
Exclusion	$2,781,817	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,319,434	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$270,899,366	TotalRevenueColumnAmt
Related Or Exempt Func Income	$255,884,635	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,170,585	UnrelatedBusinessRevenueAmt
Exclusion	$4,041,737	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	$586,100	TotalAmt
Program Services	$586,100	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,125,336	TotalAmt
Program Services	$1,125,336	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$107,271,719	TotalAmt
Program Services	$101,851,866	ProgramServicesAmt
Management And General	$5,419,853	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,464,578	TotalAmt
Program Services	$14,691,349	ProgramServicesAmt
Management And General	$773,229	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,948,712	TotalAmt
Program Services	$6,601,277	ProgramServicesAmt
Management And General	$347,435	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$422,138	TotalAmt
Program Services	$401,031	ProgramServicesAmt
Management And General	$21,107	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,063	TotalAmt
Management And General	$7,063	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$72,953,891	TotalAmt
Program Services	$67,804,462	ProgramServicesAmt
Management And General	$5,149,429	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,001,282	TotalAmt
Program Services	$951,218	ProgramServicesAmt
Management And General	$50,064	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,661,039	TotalAmt
Program Services	$3,477,987	ProgramServicesAmt
Management And General	$183,052	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,805,288	TotalAmt
Program Services	$5,515,024	ProgramServicesAmt
Management And General	$290,264	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,848,101	TotalAmt
Program Services	$12,205,696	ProgramServicesAmt
Management And General	$642,405	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$577,584	TotalAmt
Program Services	$548,705	ProgramServicesAmt
Management And General	$28,879	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,454,014	TotalAmt
Program Services	$3,281,314	ProgramServicesAmt
Management And General	$172,700	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$4,953,912	TotalAmt
Program Services	$4,706,216	ProgramServicesAmt
Management And General	$247,696	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,046,257	TotalAmt
Program Services	$8,593,945	ProgramServicesAmt
Management And General	$452,312	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$643,635	TotalAmt
Program Services	$611,453	ProgramServicesAmt
Management And General	$32,182	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
UNRELATED BUSINESS TAXES	$582,400	$553,280	$29,120
MEDICAL SUPPLIES	$50,698,710	$48,201,676	$2,497,034
REPAIRS AND MAINTENANCE	$4,405,967	$4,185,669	$220,298
DUES & SUBSCRIPTIONS	$849,904	$807,409	$42,495

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$793,337	TotalAmt
Program Services	$793,337	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,100,967	TotalAmt
Program Services	$287,494,350	ProgramServicesAmt
Management And General	$16,606,617	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,448	BOYAmt
EOY	$4,045,346	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,133	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,176	BOYAmt
EOY	$6,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,248,103	BOYAmt
EOY	$32,213,091	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$557,631	BOYAmt
EOY	$827,708	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,713,913	BOYAmt
EOY	$9,920,979	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,064,876	BOYAmt
EOY	$1,201,508	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$123,611,571	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$68,914,358	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$60,592,388	BOYAmt
EOY	$54,697,213	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,642,167	BOYAmt
EOY	$1,589,922	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,455,209	BOYAmt
EOY	$4,512,979	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$111,365,208	BOYAmt
EOY	$157,439,906	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$223,658,252	BOYAmt
EOY	$266,454,652	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$72,639,643	BOYAmt
EOY	$105,469,749	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,288,672	BOYAmt
EOY	$2,464,160	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$840,906	BOYAmt
EOY	$388,024	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,534,754	BOYAmt
EOY	$123,337,956	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$169,303,975	BOYAmt
EOY	$231,659,889	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	$48,250,725	BOYAmt
EOY	$28,688,902	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,103,552	BOYAmt
EOY	$6,105,861	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,354,277	BOYAmt
EOY	$34,794,763	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$223,658,252	BOYAmt
EOY	$266,454,652	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$33,201,601	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$117,522	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$13,759,609	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$7,063	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$7,063	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMGA - $1,505 American Hospital Association - $3,274 Catholic Health Association - $2,284	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,455,209	BeginningYearBalanceAmt
Contributions	$15,000	ContributionsAmt
Investment Earnings Or Losses	$134,210	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
Other Expenditures	$76,009	OtherExpendituresAmt
Administrative Expenses	$12,431	AdministrativeExpensesAmt
End Year Balance	$4,512,979	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,175,493	BeginningYearBalanceAmt
Contributions	$35,000	ContributionsAmt
Investment Earnings Or Losses	$264,476	InvestmentEarningsOrLossesAmt
Administrative Expenses	$19,760	AdministrativeExpensesAmt
End Year Balance	$4,455,209	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,916,916	BeginningYearBalanceAmt
Contributions	$80,000	ContributionsAmt
Investment Earnings Or Losses	$303,577	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,799	GrantsOrScholarshipsAmt
Other Expenditures	$1,109,542	OtherExpendituresAmt
Administrative Expenses	$13,659	AdministrativeExpensesAmt
End Year Balance	$4,175,493	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,031,666	BeginningYearBalanceAmt
Contributions	$176,232	ContributionsAmt
Investment Earnings Or Losses	$409,345	InvestmentEarningsOrLossesAmt
Other Expenditures	$688,455	OtherExpendituresAmt
Administrative Expenses	$11,872	AdministrativeExpensesAmt
End Year Balance	$4,916,916	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,511,626	BeginningYearBalanceAmt
Contributions	$155,866	ContributionsAmt
Investment Earnings Or Losses	$18	InvestmentEarningsOrLossesAmt
Other Expenditures	$623,219	OtherExpendituresAmt
Administrative Expenses	$12,625	AdministrativeExpensesAmt
End Year Balance	$5,031,666	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.82000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,461,043	OtherCostOrOtherBasisAmt
Book Value	$12,461,043	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,447,141	OtherCostOrOtherBasisAmt
Depreciation	$6,837,397	DepreciationAmt
Book Value	$21,609,744	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,791,687	OtherCostOrOtherBasisAmt
Depreciation	$60,797,074	DepreciationAmt
Book Value	$14,994,613	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,914,729	OtherCostOrOtherBasisAmt
Depreciation	$1,282,916	DepreciationAmt
Book Value	$5,631,813	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,697,213	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEPOSITS	$343,219
OTHER ASSETS	$83,707
RENTAL PROPERTY LAND	$5,067,994
INTERCOMPANY RECEIVABLES	$115,201,072
ROU ASSET - OPERATING LEASE	$36,240,884
ROU ASSET - FINANCE LEASE	$503,030

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$157,439,906	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$77,547,495
OPERATING LEASE LIABILITY	$38,479,610
FINANCE LEASE LIABILITY	$511,669
UNCLAIMED PROPERTY	$1,156
OTHER PHYSICIAN GROUP PAYABLES	$6,798,026

Field	Value	IRS element (for citing)
Total Liability	$123,337,956	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDS

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."

SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE

ST. ALEXIUS MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: "COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX BENEFITS AS OF JUNE 30, 2020 AND 2019. 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	SAKT Sept. 2019	Event1Nm
Gross Receipts Event1	$39,048	GrossReceiptsEvent1Amt
Charitable Contri Event1	$33,368	CharitableContriEvent1Amt
Gross Revenue Event1	$5,680	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$354	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$216	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$185	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$367	OtherDirectExpensesEvent1Amt
Event2	Night for Stars	Event2Nm
Gross Receipts Event2	$119,875	GrossReceiptsEvent2Amt
Charitable Contri Event2	$66,076	CharitableContriEvent2Amt
Gross Revenue Event2	$53,799	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$0	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$158,923	GrossReceiptsTotalAmt
Charitable Contributions Tot	$99,444	CharitableContributionsTotAmt
Gross Revenue Total Events	$59,479	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$354	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$216	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$185	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$367	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,122	DirectExpenseSummaryEventsAmt
Net Income Summary	$58,357	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,480,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,480,671	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,464,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,689,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,775,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,945,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,689,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,255,893	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,477	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$188,946	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,581,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,742,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,838,830	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,866,472	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,777,956	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,088,516	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,811,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,467,309	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,344,409	NetCommunityBenefitExpnsAmt
Total Expense	0.05820	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$7,599,481	BadDebtExpenseAmt
Bad Debt Expense Attributable	$592,760	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,445,623	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$82,557,980	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,112,357	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	LABORATORY SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	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	585065510	HTTPS://WWW.CHISTALEXIUSHEALTH.ORG	5004	Yes (X)	Yes (X)	Yes (X)	Yes (X)
TURTLE LAKE COMMUNITY MEMORIAL HOSPIT
2	220 5TH AVE	TURTLE LAKE	ND	58575	WWW.CHISTALEXIUSHEALTH.ORG/TURTLELAKE	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	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	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	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	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	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
ST ALEXIUS MEDICAL CENTER
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE STATEMENT	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	300.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
TURTLE LAKE COMMUNITY MEMORIAL HOSPIT
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		18	Yes (true)	false	false	Yes (true)	Yes (X)	SEE STATEMENT	Yes (X)	Yes (true)	18	false	Yes (true)	false	Yes (true)	Yes (X)	300.	300.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	SEE STATEMENT	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E - THE SIGNIFICANT HEALTH NEEDS OF	THE COMMUNITY 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 5 - INPUT FROM PERSONS WHO REPRESENT	BROAD INTERESTS OF COMMUNITY SERVED FACILITY NAME: ST. ALEXIUS MEDICAL CENTER AN ONLINE SURVEY WAS CONDUCTED WITH IDENTIFIED COMMUNITY KEY STAKEHOLDERS. THE STUDY CONCENTRATED ON THE STAKEHOLDERS' CONCERNS FOR THE COMMUNITY SPECIFIC TO ECONOMIC WELLBEING, TRANSPORTATION, CHILDREN AND YOUTH, THE AGING POPULATION, SAFETY, HEALTH CARE AND WELLNESS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE STUDY WAS CONDUCTED THROUGH A PARTNERSHIP WITH CENTER FOR SOCIAL RESEARCH (CSR) AT NORTH DAKOTA STATE UNIVERSITY. THE CSR DEVELOPED AND MAINTAINED LINKS TO THE ONLINE SURVEY TOOL. BISMARCK-BURLEIGH PUBLIC HEALTH DISTRIBUTED THE SURVEY LINK VIA EMAIL TO STAKEHOLDERS AND KEY LEADERS LOCATED WITHIN THE BISMARCK/MANDAN COMMUNITY AND BURLEIGH AND MORTON COUNTIES. A TOTAL OF 68 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE SURVEY. RESIDENT SURVEY THE RESIDENT SURVEY TOOL INCLUDED QUESTIONS ABOUT THE RESPONDENT'S PERSONAL HEALTH. AN ONLINE SURVEY WAS DEVELOPED IN PARTNERSHIP WITH PUBLIC HEALTH EXPERTS. THE MINNESOTA. HEALTH DEPARTMENT REVIEWED THE SURVEY AND ADVISED TO INCLUDE KEY QUESTIONS USED IN THE STATE HEALTH IMPROVEMENT PROGRAM (SHIP) SURVEYS AND THOSE QUESTIONS WERE INCLUDED IN THIS SURVEY. THE NORTH DAKOTA PUBLIC HEALTH ASSOCIATION DEVELOPED AN ADDENDUM TO THE SURVEY WITH QUESTIONS SPECIFIC TO THE AMERICAN INDIAN POPULATION. THE SURVEY WAS SENT TO A REPRESENTATIVE SAMPLE OF THE BURLEIGH COUNTY AND MORTON COUNTY POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. A TOTAL OF 645 COMMUNITY RESIDENTS PARTICIPATED IN THE RESIDENT SURVEY. COMMUNITY ASSET MAPPING ASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS. COMMUNITY STAKEHOLDERS MEETING COMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. ON THURSDAY, APRIL 5, 2018, THE COMMUNITY HEALTH COLLABORATIVE CORE GROUP HOSTED A COMMUNITY HEALTH STAKEHOLDERS MEETING. COMMUNITY PROFILE INFORMATION FOR BURLEIGH AND MORTON COUNTIES WERE PRESENTED TO ATTENDEES IN ADDITION TO SURVEY FINDINGS FROM NDSU CENTER FOR SOCIAL RESEARCH. A TOTAL OF 61 STAKEHOLDERS WERE PRESENT FOR THE COMMUNITY HEALTH STAKEHOLDERS MEETING REPRESENTING THE FOLLOWING AGENCIES: *AARP; BISMARCK CITY COMMISSION; BISMARCK PARKS & RECREATION; BISMARCK POLICE DEPARTMENT; BISMARCK-BURLEIGH PUBLIC HEALTH; BISMARCK-MANDAN CHAMBER OF COMMERCE; BRIDGING THE DENTAL GAP; BURLEIGH COUNTY COMMISSION; BURLEIGH COUNTY HOUSING AUTHORITY; CHARLES HALL YOUTH SERVICES; CHI ST. ALEXIUS HEALTH; CITY OF BISMARCK ADMINISTRATION; COMMUNITY HEALTHCARE ASSOCIATION OF THE DAKOTAS; COMMUNITY OPTIONS; GO! BISMARCK MANDAN; HEARTVIEW FOUNDATION; LUTHERAN SOCIAL SERVICES; MANDAN POLICE DEPARTMENT; MENTAL HEALTH AMERICA OF ND; MISSOURI VALLEY HOMELESS COALITION; ND DEPARTMENT OF HEALTH; RUTH MEIERS HOSPITALITY HOUSE; SANFORD HEALTH; STATE LEGISLATORS; UND CENTER FOR FAMILY MEDICINE; UNITED TRIBES TECHNICAL COLLEGE; UNITED WAY; UNIVERSITY OF MARY; VULNERABLE ADULT PROTECTIVE SERVICES; WEST CENTRAL HUMAN SERVICE CENTER; and YMCA. FOLLOWING THE PRESENTATIONS, FACILITATED ROUND TABLE DISCUSSIONS TOOK PLACE WHERE ATTENDEES PROVIDED FEEDBACK ON THE SURVEY RESULTS AND SHARED IDEAS ON HOW THEIR ORGANIZATIONS COULD ASSIST WITH THE NEEDS IDENTIFIED. FACILITATORS CAPTURED THE DISCUSSIONS AND FEEDBACK FROM ATTENDEES. FACILITY NAME: TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL CHI ST. ALEXIUS HEALTH TURTLE LAKE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY COLLECTING DATA FROM 1. A SURVEY SOLICITED FEEDBACK FROM AREA RESIDENTS; 2. COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TOOK PART IN ONE-ON-ONE KEY INFORMANT INTERVIEWS; 3. THE COMMUNITY GROUP, COMPRISED OF COMMUNITY LEADERS AND AREA RESIDENTS, WAS CONVENED TO DISCUSS AREA HEALTH NEEDS AND INFORM THE ASSESSMENT PROCESS; 4. A RANGE OF SECONDARY SOURCES OF DATA WERE EXAMINED, PROVIDING INFORMATION ON A MULTITUDE OF MEASURES INCLUDING DEMOGRAPHICS; HEALTH CONDITIONS, INDICATORS, AND OUTCOMES; RATES OF PREVENTIVE MEASURES; RATES OF DISEASE; AND AT-RISK BEHAVIOR. ONE-ON-ONE INTERVIEWS, WITH KEY INFORMANTS, WERE CONDUCTED IN PERSON IN TURTLE LAKE ON AUGUST 22, 2018. ONE ADDITIONAL KEY INFORMANT INTERVIEW WAS CONDUCTED OVER THE PHONE ON AUGUST 23, 2018. A REPRESENTATIVE FROM THE CENTER FOR RURAL HEALTH CONDUCTED THE INTERVIEWS. INTERVIEWS WERE HELD WITH SELECTED MEMBERS OF THE COMMUNITY WHO COULD PROVIDE INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES. SCHEDULE H, PART V, SECTION B, LINE 6A (St. Alexius Medical Center) FACILITY NAME: SANFORD HEALTH SCHEDULE H, PART V, SECTION B, LINE 6B (St. Alexius Medical Center) FACILITY NAME: BURLEIGH PUBLIC HEALTH FACILITY NAME: CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY
SCHEDULE H, PART V, SECTION B, LINE 7 - CHNA REPORT ON FACILITIES WEBSITE	LIST URL) Both facilities can be found here: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, LINE 11 - HOW HOSPITAL FACILITY IS	ADDRESSING NEEDS IDENTIFIED IN CHNA FACILITY NAME: ST. ALEXIUS MEDICAL CENTER DESCRIPTION: THE SIGNIFICANT COMMUNITY HEALTH NEEDS THAT THE HOSPITAL WILL ADDRESS: OPIOID ABUSE REVIEW CURRENT TAKEBACK POLICY ASSESS PRESCRIPTION USAGE REVIEW LITERATURE ON OTHER PROGRAMS PLAN PROVIDER EDUCATION PROGRAMS EDUCATE PATIENTS FOOD INSECURITY ASSESS FOOD HUNGER AMONG DIALYSIS PATIENTS EDUCATE NURSES AND PHYSICIANS ON ASSESSMENT OF FOOD INSECURITY WORK WITH DIETARY, FOOD PANTRIES AND FAMILIES TO SIMPLIFY THE PROCESS OF OBTAINING APPROPRIATE FOODS. DOMESTIC VIOLENCE EXPLORE OPPORTUNITIES TO EDUCATE HEALTH PROFESSIONALS ABOUT DOMESTIC VIOLENCE - ASSESS FOR DOMESTIC VIOLENCE APPRECIATE SELECTED INTERVENTIONAL SKILLS IN DOMESTIC VIOLENCE SITUATIONS. SIGNIFICANT NEEDS THE HOSPITAL DOES NOT INTEND TO ADDRESS THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND IN COLLABORATION WITH COMMUNITY PARTNERS. HOMELESSNESS: CHI ST. ALEXIUS HEALTH WORKS COLLABORATIVELY WITH INSTITUTIONS WHO ARE PROVIDING HOUSING FOR HOMELESS AND THOSE WHO ARE IMPLEMENTING HOUSING FOR THOSE WHO ARE IMPAIRED. WE PAY PARTICULAR ATTENTION TO OUR SISTER INSTITUTION, MINISTRY ON THE MARGIN. ANOTHER CONCERN IS DISCHARGE OF HOMELESS PERSONS. CHILDREN AND YOUTH: WE WILL CONTINUE TO WORK WITH OUR PROGRAMS WITH NUTRITION AND DIABETES WITH CHILDREN. SAFETY: VIOLENCE PREVENTION PROGRAMS; DOMESTIC VIOLENCE AND SEX TRAFFICKING - ACTIVE PLAN FOR VIOLENCE PREVENTION. WELLNESS: CLINICS ABUSE OF PRESCRIPTION DRUGS - INCLUDED IN OPIOID PLAN, AND ALL "TAKE BACK" DRUG PROGRAMS. FACILITY NAME: TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL DESCRIPTION: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS, AVAILABILITY OF RESOURCES TO HELP THE ELDERLY STAY IN THEIR HOMES, JOBS WITH LIVABLE WAGES AND ACCESS TO EXERCISE AND WELLNESS ACTIVITIES. ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS. GOAL: ENSURE ALL COMMUNITY MEMBERS, INCLUDING THE UNINSURED AND WORKING POOR HAVE ACCESS TO PRIMARY CARE PROVIDERS IN ORDER TO IMPROVE OVERALL HEALTH MAINTENANCE AND AVOID COSTLY TRIPS TO THE EMERGENCY ROOM. KEY OBJECTIVES: 1.RETAIN THE NUMBER OF PRACTICING PRIMARY CARE PROVIDERS. 2.ACTIVELY RECRUIT PRIMARY CARE PROVIDERS TO WORK IN THE RURAL SETTING. IMPLEMENTATION STRATEGIES: 1. MAINTAIN CHI ST. ALEXIUS HEALTH TURTLE LAKE AND THE WASHBURN FAMILY CLINIC DESIGNATIONS AS NATIONAL HEALTH SERVICE CORE SITES. THIS ALLOWS OUR PRIMARY CARE PROVIDERS ACCESS TO LOAN REPAYMENT ON STUDENT LOANS ALONG WITH A COMMITMENT OF SERVICE. 2. WORK WITH THE STATE OF NORTH DAKOTA ON LOAN REPAYMENT IN THE EVENT PROVIDERS DO NOT QUALIFY FOR NATIONAL HEALTH SERVICE CORE REPAYMENT. 3. ENCOURAGE JOB SHADOWING WITH MEDICAL PROVIDER STUDENTS INTERESTED IN RURAL HEATH. 4. ATTEND JOB FAIRS AS NEEDED. 5. MONITOR CURRENT STAFF JOB SATISFACTION. 6. REMAIN COMPETITIVE IN SALARY AND BENEFITS. 7. OFFER CONTINUING EDUCATION OPPORTUNITIES TO CURRENT STAFF. AVAILABILITY OF RESOURCES TO HELP ELDERLY STAY IN THEIR HOMES. GOAL: INCREASE THE AWARENESS OF RESOURCES AVAILABLE IN SURROUNDING AREA TO ALLOW ELDERLY PATIENTS TO REMAIN IN THEIR HOMES. KEY OBJECTIVES: 1. INVESTIGATE EXISTING RESOURCES AVAILABLE WITHIN THE COUNTY THAT PROVIDE ASSISTANCE TO THE ELDERLY POPULATION. 2. BECOME AN ADVOCATE TO OUR ELDERLY POPULATION BY MAKING AVAILABLE INFORMATION ABOUT AVAILABILITY OF RESOURCES EITHER WITHIN THE COUNTY OR OUR OWN HOSPITAL SERVICES. IMPLEMENTATION STRATEGIES: 1. WORK IN PARTNERSHIP WITH CHI ST. ALEXIUS HEALTH AT HOME FOR PATIENTS NEEDING MEDICAL ASSISTANCE AT HOME. 2. HOLD A FALL PREVENTION PROGRAM ON A YEARLY BASIS FOR THE PUBLIC. 3. PROVIDE INFORMATION REGARDING MEALS ON WHEELS, MEDICALERT SYSTEMS, VETERAN SERVICES AND MCLEAN OR SHERIDAN COUNTY PROVIDED PROGRAMS TO THE ELDERLY POPULATION. 4. MARKET THE AVAILABILITY OF DAY CARE AND RESPITE SERVICES AVAILABLE AT CHI ST. ALEXIUS HEALTH TURTLE LAKE FOR CARE-GIVERS NEEDING TIME AWAY FROM ELDERLY FAMILY. 5. PARTICIPATE WITH HOSPITAL AUXILIARY DURING THEIR PUBLIC PROGRAMS WITH GUEST SPEAKERS ON ISSUES INVOLVING THE ELDERLY. ACCESS TO EXERCISE AND WELLNESS ACTIVITIES GOAL: INCREASE THE AWARENESS OF RESOURCES AND PROGRAMS AVAILABLE TO THE GENERAL PUBLIC TO IMPROVE THE POPULATION'S OVERALL GENERAL HEALTH. KEY OBJECTIVES: 1. WORK WITH SUPPORTING HOSPITAL BOARDS TO PROVIDE ACTIVITIES THAT ENCOURAGE WELLNESS. 2. WORK WITH HOSPITAL DEPARTMENT HEADS AND STAFF TO PROVIDE OPPORTUNITIES FOR INCREASED WELLNESS AND EXERCISE OPPORTUNITIES. IMPLEMENTATION STRATEGIES: 1. MAKE HEALTH FAIRS AN ANNUAL EVENT IN CONJUNCTION WITH THE DAKOTA FEEDER CALF SHOW (AN ANNUAL EVENT THAT BRINGS SURROUNDING COMMUNITY RESIDENTS INTO AREA) 2. OFFER YEARLY WELLNESS CHALLENGES FOR THE GENERAL PUBLIC TO PARTICIPATE IN AND PROVIDE EDUCATIONAL OPPORTUNITIES IN AREAS OF NUTRITION, EXERCISE, ETC. DURING CHALLENGE. 3. OFFER ADULT FITNESS PROGRAM AND MAKE EXERCISE EQUIPMENT AVAILABLE TO THE GENERAL PUBLIC. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS PLAN EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THE HOSPITAL, OTHER ORGANIZATIONS WITHIN THE HOSPITAL SYSTEM, AND OTHER COMMUNITY PARTNERS OF THE HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN. JOBS WITH LIVABLE WAGE OUR FACILITY CURRENTLY PUBLISHES AVAILABLE JOBS IN THE COUNTY PAPERS AND POSTS ON FACEBOOK ANY JOB OPPORTUNITIES WE HAVE AVAILABLE. OUR FACILITY PARTICIPATES IN THE DAKOTA NURSING PROGRAM WHICH ALLOWS STUDENTS TO FURTHER THEIR EDUCATION IN THE NURSING FIELD AT A LOCAL LOCATION WHILE MAINTAINING THEIR EMPLOYMENT. OUR HOSPITAL ASSOCIATION WILL ASSIST WITH SCHOLARSHIPS FOR THESE STUDENTS. OUR HOSPITAL STAFF EVERY YEAR ALSO AWARDS THREE $500.00 SCHOLARSHIPS TO COLLEGE STUDENTS PURSUING CAREERS IN A HEALTH CARE FIELD.
SCHEDULE H, PART V, SECTION B, LINE 13H - OTHER ELIGIBILITY CRITERIA FOR	APPLIES TO BOTH FACILITIES: FINANCIAL ASSISTANCE FACILITY NAME: ST. ALEXIUS MEDICAL CENTER DESCRIPTION: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) 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 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 CHI 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 16A - FAP AVAILABLE WEBSITE	BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE	BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIA L-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C-PLAIN LANGUAGE FAP SUMMARY WEBSITE	BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIA L-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST ALEXIUS HEART & LUNG CLINIC
310 NORTH 10TH STREET	BISMARCK	ND	58501	HEART, LUNG & PERIPHERAL VASCULAR DISEASE CLINIC
GREAT PLAINS REHABILITATION SERVICES
1212 EAST MAIN	BISMARCK	ND	58501	PROVIDE HOME MEDICAL PRODUCTS TO GENERAL PUBLIC
ST ALEXIUS MINOT CLINIC
2700 8TH ST NW	MINOT	ND	58701	FAMILY MEDICINE CLINIC
ST ALEXIUS MANDAN CLINIC NORTH
2500 SUNSET DR NW	MANDAN	ND	58554	FAMILY MEDICINE CLINIC
URGENT CARE ON 43RD
4315 OTTAWA STREET	BISMARCK	ND	58503	URGENT CARE
URGENT CARE PINEHURST
921 W INTERSTATE AVE	BISMARCK	ND	58503	URGENT CARE
URGENT CARE ON MAIN
807 E MAIN SUITE A	BISMARCK	ND	58501	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C - FINANCIAL ASSISTANCE ELIGIBILITY	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 THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. . THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. . THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. . THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. 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 CLINIC; . PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); . FOOD STAMP ELIGIBILITY; . SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; . ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); . LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR . PATIENT IS DECEASED WITH NO KNOWN ESTATE.
SCHEDULE H, PART I, LINE 7 - DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM	PHYSICIAN CLINIC ON LINE 7G SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
SCHEDULE H, PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT	THE AMOUNT REPORTED AS BAD DEBT EXPENSE REPRESENTS TOTAL CHARGES WRITTEN OFF TO BAD DEBT. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3 - FAP ELIGIBLE PATIENT BAD DEBT CALCULATION	METHODOLOGY ST. ALEXIUS MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
SCHEDULE H, PART III, LINE 4 - FOOTNOTE IN ORGANIZATION'S FINANCIAL	STATEMENTS DESCRIBING BAD DEBT 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 CONSOLIDATED FOOTNOTE READS AS FOLLOWS: COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2020 WAS NOT SIGNIFICANT.
SCHEDULE H, PART III, LINE 8 - DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7	TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. ALEXIUS MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
SCHEDULE H, PART III, LINE 9B - DID COLLECTION POLICY CONTAIN PROVISIONS	ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE. HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. 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. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY. SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY.
SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENT	THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR 2019.
SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION	NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: . CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; . NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND . PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI 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. IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES. HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION	ST. ALEXIUS PROVIDES OUTREACH SERVICES ACROSS ITS SERVICE OF CENTRAL AND WESTERN NORTH DAKOTA. ST. ALEXIUS OPERATES THE GARRISON MEMORIAL HOSPITAL IN GARRISON, NORTH DAKOTA AND MANAGES THE COMMUNITY MEMORIAL HOSPITAL IN TURTLE LAKE. ST. ALEXIUS OWNS AND OPERATES CLINICS IN MANDAN, MINOT, GARRISON, AND WASHBURN. NORTH DAKOTA'S POPULATION IS 790,701 OF WHICH 75,858 RESIDE IN THE CITY OF BISMARCK. THE POPULATION IS 92.1% WHITE, 4.5% NATIVE AMERICAN, AND THE REMAINING 3.4% BEING AFRICAN AMERICAN, ASIAN, AND HISPANIC. BY THE YEAR 2020, 450 OF THE 53 COUNTIES WILL HAVE MORE THAN 22% OF THEIR POPULATION AGE 65 OR OLDER. FROM 2000-2005 OUR STATE HAD A 15% DECREASE IN THE NUMBER OF YOUTH AND A 13.8% INCREASE IN THE MINORITY POPULATION WHICH WAS PRIMARILY NATIVE AMERICAN RESERVATIONS. NORTH DAKOTA HAS 12% OF THEIR POPULATION LIVING POVERTY. THE LEADING CAUSES OF DEATH IN BURLEIGH COUNTY RANKED IN ORDER ARE DISEASES OF THE HEART, ALZHEIMER'S, RESPIRATORY CANCER, ACCIDENTAL, CEREBROVASCULAR DISEASE, COPD, DIABETES, BREAST CANCER, AND COLORECTAL CANCER. HEALTH RELATED BEHAVIORS INFLUENCE CARDIOVASCULAR DISEASES SUCH AS SMOKING, PHYSICAL INACTIVITY, POOR NUTRITION, AND UNHEALTHY WEIGHT STATUS. HYPERTENSION IS A CHRONIC DISEASE ASSOCIATED WITH AGING THAT HAS A HIGH RISK FACTOR FOR HEART DISEASE AND STROKE. IN NORTH DAKOTA, 26% OF ADULTS HAVE HIGH BLOOD PRESSURE. NORTH DAKOTA ADULTS ARE A PART OF THE NATIONAL TREND TOWARDS INCREASED OBESITY. 63% OF THE ADULTS HERE HAVE AN UNHEALTHY WEIGHT/BMI. SOME OF THE HEALTH SCREENINGS THAT ST. ALEXIUS IS CONDUCTING THROUGHOUT THE SERVICE REGION ARE VASCULAR, WELLNESS, MEMORY, SLEEP APNEA, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THOSE INDIVIDUALS THAT ARE BEING SCREENED AT NO OR MINIMAL COSTS ARE BEING ALERTED OF HEALTH RISKS THAT MIGHT GO UNDETECTED. THROUGH SCREENINGS, IT IS OUR HOPE THAT THESE INDIVIDUALS SEEK FURTHER TREATMENT AND ARE EMPOWERED TO MAKE HEALTHIER LIFESTYLE CHOICES. McLean County's population from 2010 to 2017 increased 8.1%. The average of residents under age 18 (21.3%) for McLean County is lower than the state average (23.3%). The percentage of residents ages 65 and older is about 7.8% higher for McLean County (22.8%) than the North Dakota average (15.0%), and the rates of education are slightly lower for McLean County (91.5%) than the North Dakota average (92.0%). The median household income in McLean County ($59,976/2016) slightly below the state average for North Dakota ($60,656/2016). Compared to the median United States household income, North Dakota median household income is $3,039 higher. Data compiled by County Health Rankings show McLean County is doing better than North Dakota in six health outcomes, better than the national levels in four factors and tied with the national levels in two factors. McLean County, according to County Health Rankings data, is performing poorly relative to the rest of the state in 12 factors and is not meeting the U.S. Top 10% performers in 25 factors.
SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	THE ORGANIZATION'S HOSPITAL FACILITY PROMOTES HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITY HAS AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITY TREATS PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.
SCHEDULE H, PART VI, LINE 6 - DESCRIPTION OF AFFILIATED GROUP	THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH AS A SINGLE MINISTRY 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 21 STATES AND IS THE SOLE CORPORATE MEMBER OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF 137 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. IN FISCAL YEAR 2020, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.2 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 $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $29.57 BILLION IN FISCAL YEAR 2020, HAS TOTAL ASSETS OF APPROXIMATELY $46.77 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.
SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	ND

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt
AMERICAN HEART ASSOCIATION
2750 BLUE WATER ROAD SUITE 250	EAGAN	MN	55121	135613797	501(C)(3)	$25,000
BISMARCK CANCER CENTER FOUNDATION
500 N 8TH STREET	BISMARCK	ND	58501	260466647	501(C)(3)	$7,500
BISMARCK LARKS BASEBALL
300 N 4TH STREET 103	BISMARCK	ND	58501	813163412	LLC, NON-PROFIT	$21,500
LIGHT OF CHRIST SCHOOL
1025 N 2ND STREET	BISMARCK	ND	58501	460581758	501(C)(3)	$50,000
SCHAUMBERG ICE EXPANSION
400 E FRONT AVENUE	BISMARCK	ND	58504	450384442	501(C)(3)	$8,333
Bis-Man Chamber of Commerce
1640 Burnt Boat Drive	BISMARCK	ND	58503	450116753	501(C)(6)	$11,000

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS.	FormAndLineReferenceDesc
Explanation	ST. ALEXIUS MAKES DONATIONS TO ENTITIES WITH CHARITABLE MISSIONS TO ENSURE THAT OUR DONATIONS ARE USED FOR THE PURPOSES INTENDED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	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
MICHAEL L CASSIDY MD
Director THROUGH 10/30/19	$0	$454,407	$0	$0	$0	$11,544	$0	$16,066	$0	$17,668	$0	$499,685	$0	$0
CAMERON Charchenko
M.D. - Urology	$596,472	$0	$155,593	$0	$54,941	$0	$30,200	$0	$11,832	$0	$849,038	$0	$0	$0
Kevin Dahmen MD
Secretary/Treasurer	$0	$538,026	$0	$69,320	$0	$2,622	$0	$26,200	$0	$25,068	$0	$661,236	$0	$0
ELLEN HOLT
VP Human Resources	$168,125	$0	$2,500	$0	$2,373	$0	$6,895	$0	$9,204	$0	$189,097	$0	$0	$0
KEITH HORNER
Director	$194,280	$0	$0	$0	$999	$0	$8,064	$0	$24,535	$0	$227,878	$0	$0	$0
Shiraz Hyder
Director	$0	$368,041	$0	$17,410	$0	$7,524	$0	$30,200	$0	$24,324	$0	$447,499	$0	$0
CAROL KOLLER
VP Med. Group Ent. - 4/12/19	$58,771	$0	$0	$0	$138,210	$0	$2,448	$0	$8,105	$0	$207,534	$0	$0	$0
DR Steven Kraljic
Neurosurgeon	$1,293,809	$0	$789,865	$0	$1,710	$0	$11,200	$0	$22,896	$0	$2,119,480	$0	$0	$0
TESSA MARBURGER MD
Director THROUGH 10/30/19	$0	$382,945	$0	$0	$0	$11,822	$0	$16,072	$0	$9,878	$0	$420,717	$0	$0
DEBRA MOHESKY
Interim CFO THROUGH 11/30/19	$0	$185,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$185,000	$0	$0
Todd Preszler MD
Director	$0	$534,680	$0	$62,335	$0	$4,902	$0	$11,200	$0	$25,546	$0	$638,663	$0	$0
CLIFF ROBERTSON MD
Director	$0	$1,062,248	$0	$848,919	$0	$360,407	$0	$16,675	$0	$29,608	$0	$2,317,857	$0	$136,676
KURT SCHLEY
DIRECTOR & CEO	$0	$441,481	$0	$123,160	$0	$20,932	$0	$57,065	$0	$26,253	$0	$668,891	$0	$0
ANGELIA SVIHOVEC
VP Outreach	$172,238	$0	$2,500	$0	$4,398	$0	$7,395	$0	$24,042	$0	$210,573	$0	$0	$0
JULIE WARD
VP/Chief Nursing Off.-11/29/19	$250,592	$0	$0	$0	$21,102	$0	$7,633	$0	$10,927	$0	$290,254	$0	$0	$0
Stephen Markewich
MD - Pain Clinic	$445,158	$0	$415,468	$0	$1,140	$0	$30,200	$0	$22,896	$0	$914,862	$0	$0	$0
Nicholas Bradbury
MD - Interventional Radiology	$313,365	$0	$392,246	$0	$33,999	$0	$29,270	$0	$13,307	$0	$782,187	$0	$0	$0
Agnieszka Solberg
MD - Interventional Radiology	$308,644	$0	$330,434	$0	$70,183	$0	$11,200	$0	$12,944	$0	$733,405	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3 - METHODS USED TO ESTABLISH CEO	DURING THE CALENDAR YEAR 2019, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON, $139,927. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: CLIFF ROBERTSON, $182,082.
SCHEDULE J, PART I, LINE 7 - NON-FIXED PAYMENTS	AT THE BEGINNING OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE ESTABLISHES A FINANCIAL THRESHOLD WHICH MUST BE MET BEFORE ANY AWARDS ARE PAID AND ESTABLISHES GUIDELINES DEFINING THE SIZE OF ANY AWARDS AVAILABLE TO PARTICIPANTS. AT THE END OF THE PLAN YEAR, THE COMMITTEE DECIDES WHETHER TO MAKE ANY AWARDS TO PARTICIPANTS AND HOW LARGE ANY AWARD SHALL BE, IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED AT THE BEGINNING OF THE PLAN YEAR. INCENTIVE COMPENSATION IS EARNED AS A PERCENT OF BASE SALARY. BASE SALARY IS DEFINED AS THE ANNUALIZED RATE OF PAY (SUMMATION OF MONTHLY BASE SALARY FOR THE PLAN YEAR).

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	346	ContributionCnt
Noncash Contributions Rpt F990	$1,672	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	OTHER	67	$61,290	FMV
Yes (X)	Gift cards	385	$19,573	COST
Yes (X)	Equipment	5518	$15,640	FMV
Yes (X)	Supplies	4343	$1,573	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 1A - DELEGATE BROAD AUTHORITY TO A COMMITTEE	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, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS	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, LINE 7A - MEMBERS OR STOCKHOLDERS	ELECTING MEMBERS OF GOVERNING BODY 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, LINE 7B - DECISIONS REQUIRING	APPROVAL BY MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER 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: SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ORGANIZATION AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ORGANIZATION APPROVE MEMBERS OF THE ORGANIZATION'S BOARD REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION APPROVAL OF ISSUANCE OF DEBT BY THE ORGANIZATION APPROVAL OF PARTICIPATION OF THE ORGANIZATION IN A JOINT VENTURE APPROVAL OF FORMATION OF A NEW CORPORATION BY THE 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. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ORGANIZATION. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (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, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY	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 EXTERNAL TAX RETURN PREPARERS IF REQUESTED BY THE TRUSTEES. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE EXTERNAL PREPARER 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, LINE 12C - CONFLICT OF INTEREST POLICY	THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI, LINE 15A - TOP MANAGEMENT OFFICIAL COMPENSATION	THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED.
FORM 990, PART VI, LINE 15B - PROCESS TO ESTABLISH COMPENSATION OF OTHER	OFFICERS OR KEY EMPLOYEES COMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE PRESIDENT/CEO AND/OR BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, LINE 19 - REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	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 OR WWW.CATHOLICHEALTHINITIATIVES.ORG.
FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS	NET ASSET TRANSFER - $ 13,759,670 OTHER - $(61) ________________ TOTAL $13,759,609
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:8983997
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:283419
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:30168887
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:17628654
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:15888934

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ALEXIUS HEART & LUNG CLINIC LLC	BusinessNameLine1Txt

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)
EIN	861123162	EIN
Primary Activities	SPECIALITY CL	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd
Total Income	-$27,190,562	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 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
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HOSPITAL	NE	501(c)(3)	3	ACH	false
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY RD	OMAHA	NE	68124	470484764	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - CMH OF MISSOURI VALLEY
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - IMMANUEL MED CTR
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - MEMORIAL HOSP SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - MERCY HOSP CORNING IA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA	false
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(c)(3)	10	CSH	false
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(c)(3)	10	SFH	false
Arroyo Grande Community Hospital FDN
345 S Halcyon Rd	Arroyo Grande	CA	93420	203256066	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
Bakersfield Memorial Hospital
420 34TH Street	Bakersfield	CA	93301	951802779	HOSPITAL	CA	501(c)(3)	3	DCC	false
Barrow Neurological FDN
350 West Thomas Rd	Phoenix	AZ	85013	860174371	FUND. FDN	AZ	501(c)(3)	7	DH	false
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(c)(3)	12 Type 1	SLCHS	false
BAYLOR ST LUKE'S MEDGROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(c)(3)	3	SLHS	false
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	232187242	HEALTHCARE	PA	501(c)(3)	12 Type 1	CSH	false
BRAZOSPORT HEALTH FDN INC
1 West Way Ct	LAKE JACKSON	TX	77566	760080110	FUND. FDN	TX	501(c)(3)	12 Type 1	BRHS	false
BRAZOSPORT REGIONAL PHYSICIAN SRVS
100 MEDICAL DR	LAKE JACKSON	TX	77566	800240261	PHYSICIANS	TX	501(c)(3)	3	BRHS	false
BURLESON ST JOSEPH HEALTH CTR
2801 FRANCISCAN DR	BRYAN	TX	77802	742759890	HOSPITAL	TX	501(c)(3)	3	SJSC	false
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DR	BRYAN	TX	77802	742913931	HEALTHCARE	TX	501(c)(3)	10	SJSC	false
California Hospital MED CTR FDN
1401 South Grand AVE	Los Angeles	CA	90015	954000909	FUND. FDN	CA	501(c)(3)	12 Type 1	DCC	false
CARRINGTON HEALTH CTR
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HOSPITAL	ND	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral Circle	Centennial	CO	80112	840405257	HOSPITAL	CO	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HOSPITAL	IA	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES COLORADO FDN
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	840902211	FUND. FDN	CO	501(c)(3)	7	CHIC	false
CATHOLIC HEALTH INITIATIVES NATIONAL FDN
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	270930004	HEALTHCARE	CO	501(c)(3)	12 Type 1	CSH	false
CHI VIRTUAL HEALTH SERVICES
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	460992796	PHYSICIANS	CO	501(c)(3)	12 Type 1	CHINS	false
CENTENNIAL MEDGROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTE	OR	501(c)(3)	10	MMC	false
CENTRAL CALIFORNIA HEALTH CTRS
300 OLD RIVER Rd STE 200	BAKERSFIELD	CA	93311	844171789	CLINIC	CA	501(c)(3)	3	DCC	false
CENTRAL KANSAS MED CTR
3515 BRdWAY	GREAT BEND	KS	67530	480543724	HOSPITAL	KS	501(c)(3)	3	CSH	false
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	FUND. FDN	MN	501(c)(3)	10	CSH	false
CHI HEALTH FDN
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUND. FDN	NE	501(c)(3)	7	ACH	false
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(c)(3)	12 Type 1	CSH	false
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	HEALTHCARE	OH	501(c)(3)	12 Type 1	SFH	false
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HOSPITAL	GA	501(c)(3)	3	MHCS	false
CHI NATIONAL HOME CARE
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(c)(3)	10	CHI NS	false
CHI NATIONAL SERVICES
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(c)(3)	12 Type 1	CSH	false
CHI NEBRASKA
12809 West Dodge Rd	Omaha	NE	68510	363233121	HEALTHCARE	NE	501(c)(3)	12 Type 1	CSH	false
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(c)(3)	12 Type 1	CSH	false
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(c)(3)	12 Type 1	CSH	false
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501(c)(3)	3	CHISVHS	false
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(c)(3)	12 Type 1	SVIMC	false
CHI ST VINCENT MED GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	PHYSICIANS	AR	501(c)(3)	3	CHISVHS	false
COMMONSPIRIT HEALTH
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(c)(3)	12 Type 1	NA	false
COMMONSPIRIT HEALTH OPER INV POOL LLC
185 BERRY STREET STE 300	SAN FRANCISCO	CA	94107	850919176	INVESTMENTS	CA	501(c)(3)	12 Type 1	CSH	false
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(c)(3)	12 Type 1	CSH	false
Community Hospital of San Bernardino
1805 Medical CTR DR	San Bernardino	CA	92411	951643373	HOSPITAL	CA	501(c)(3)	3	DCC	false
COMMUNITY LIMITED CARE DIALYSIS CTR
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(c)(4)		GSH	false
COMMUNITY MEMORIAL HPL MED SERVICE FDN
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUND. FDN	IA	501(c)(3)		AH-CMHMV	false
CONTINUING CARE HOSPITAL
One Saint Joseph DR	LEXINGTON	KY	40504	611400619	HOSPITAL	KY	501(c)(3)	3	SJHS	false
Dignity Community Care
185 Berry Street Ste 300	San Francisco	CA	94107	815009488	HOSPITAL	CO	501(c)(3)	3	CSH	false
DIGNITY HEALTH
185 BERRY STREET STE 300	SAN FRANCISCO	CA	94107	941196203	HOSPITAL	CA	501(c)(3)	3	CSH	false
Dignity Health Connected Living
200 Mercy Oaks DR	Redding	CA	96003	237115371	Senior Center	CA	501(c)(3)	3	DH	false
Dignity Health FDN
185 Berry Street	San Francisco	CA	94107	462037641	FUND. FDN	CA	501(c)(3)	7	DH	false
Dignity Health FDN - Inland Empire
2101 N Waterman AVE	San Bernardino	CA	92404	237440086	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
Dignity Health FDN East Valley
475 South Dobson Rd	Chandler	AZ	85224	742418514	FUND. FDN	AZ	501(c)(3)	12 Type 1	DH	false
Dignity Health HPL Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	943006034	Self Insuranc	CA	501(c)(3)	12 Type 1	DH	false
Dignity Health Insurance Nevada Ltd
185 Berry Street	San Francisco	NV	94107	813800752	Self Insuranc	NV	501(c)(3)	12 Type 1	DH	false
Dignity Health MEDFDN
3400 Data DR	Rancho Cordova	CA	95670	680220314	MULTI-SPECIAL	CA	501(c)(3)	12 Type 1	DCC	false
DH Workers's Comp Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	946612446	Self Insuranc	CA	501(c)(3)	12 Type 1	DH	false
Dominican Health Services
1555 Soquel DR	Santa Cruz	CA	95065	770056778	Community Hea	CA	501(c)(3)	12 Type 1	DH	false
Dominican Hospital FDN
1555 Soquel DR	Santa Cruz	CA	95065	942450442	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
Dominican Oaks Corporation
1555 Soquel DR	Santa Cruz	CA	95065	770127719	Operation and	CA	501(c)(3)	12 Type 1	DHS	false
East Texas Clinical Services
2801 VIA FORTUNA Ste 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	501(c)(3)	10	SLHS	false
ENUMCLAW REGIONAL HOSPITAL ASSN
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HOSPITAL	WA	501(c)(3)	12 Type 1	FHS	false
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HOSPITAL	KY	501(c)(3)	3	KOH	false
FLAGET MEMORIAL HOSPITAL FDN INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUND. FDN	KY	501(c)(3)	3	FH	false
FRANCISCAN CARE CTR
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(c)(3)	12 Type 1	CHILC	false
FRANCISCAN FDN
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUND. FDN	WA	501(c)(3)	10	FHS	false
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HOSPITAL	WA	501(c)(3)	10	CSH	false
FH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BRdWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(c)(3)	3	CSH	false
FRANCISCAN MEDGROUP
1313 BRdWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(c)(3)	10	FHS	false
FRANCISCAN VILLA OF S MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(c)(3)	10	CSH	false
French Hospital MED CTR FDN
1911 Johnson AVE	San Luis Obispo	CA	93401	203256125	FUND. FDN	CA	501(c)(3)	10	DCC	false
GARRISON MEMORIAL HOSPITAL
407 THIRD AVE SOUTHEAST	GARRISON	ND	58540	450227752	HOSPITAL	ND	501(c)(3)	12 Type 1	SAMC	Yes (true)
Glendale Memorial Health FDN
1420 South Central AVE	Glendale	CA	91204	953625651	FUND. FDN	CA	501(c)(3)	3	DCC	false
GLOBAL HEALTH INITIATIVES
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(c)(3)	12 Type 1	CSH	false
GSC OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(c)(3)	12 Type 1	GSH	false
GOOD SAMARITAN FDN OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUND. FDN	OH	501(c)(3)	2	GSH	false
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HOSPITAL	NE	501(c)(3)	12 Type 1	CHI NEBRASKA	false
GOOD SAMARITAN HOSP FDN
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUND. FDN	NE	501(c)(3)	3	GSH	false
HARRISON MED CTR
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HOSPITAL	WA	501(c)(3)	7	FHS	false
HARRISON MED CTR FDN
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUND. FDN	WA	501(c)(3)	3	HMC	false
HEALTH FDN OF KY ONE INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUND. FDN	KY	501(c)(3)	7	KOH	false
HEALTHCARE AND WELLNESS FDN
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUND. FDN	MN	501(c)(3)	12 Type 1	SFMC	false
HIGHLINE MED CTR
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HOSPITAL	WA	501(c)(3)	12 Type 1	FHS	false
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(c)(3)	3	CHI-IA CORP	false
JEWISH HOSP& ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500	LOUISVILLE	KY	40202	611029768	HOSPITAL	KY	501(c)(3)	7	KOH	false
KENTUCKYONE HEALTH MEDGROUP INC
100 E Liberty St Ste 800	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(c)(3)	3	JHSMH	false
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(c)(3)	10	CSH	false
LAKEWOOD HEALTH CTR
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HOSPITAL	MN	501(c)(3)	12 Type 1	CSH	false
LAKEWOOD REGIONAL HEALTHCARE FDN
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUND. FDN	ND	501(c)(3)	3	LHC	false
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HOSPITAL	ND	501(c)(3)	7	CSH	false
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(c)(3)	3	MHSET	false
MADISON ST JOSEPH HEALTH CTR
2801 FRANCISCAN DR	BRYAN	TX	77802	742761145	HOSPITAL	TX	501(c)(3)	12 Type 1	SJSC	false
MADONNA MANOR INC
2344 AMSTERDAM Rd	VILLA HILLS	KY	51017	610654635	LIVING ASSIST	KY	501(c)(3)	3	CHILC	false
Marian Regional MED CTR FDN
1400 E Church Street	Santa Maria	CA	93454	953818027	FUND. FDN	CA	501(c)(3)	10	DH	false
Mark Twain MED CTR
768 Mountain Ranch Rd	San Andreas	CA	95249	680127677	HOSPITAL	CA	501(c)(3)	12 Type 1	DCC	false
MEMORIAL HEALTH CARE SYSTEM FDN INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUND. FDN	TN	501(c)(3)	3	MHCS	false
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HOSPITAL	TN	501(c)(3)	7	CSH	false
MEMORIAL HEALTH PARTNERS FDN INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(c)(3)	3	MHCS	false
MEMORIAL HEALTH SYS OF EAST TX
PO BOX 1447	LUFKIN	TX	75902	750755367	HOSPITAL	TX	501(c)(3)	10	SLHS	false
MEMORIAL MED CTR - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HOSPITAL	TX	501(c)(3)	3	MHSET	false
MEMORIAL MED CTR - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HOSPITAL	TX	501(c)(3)	3	MHSET	false
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(c)(3)	3	MHSET	false
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HOSPITAL	TX	501(c)(3)	12 Type 1	MHSET	false
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(c)(3)	3	MF-DM IA	false
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(c)(3)	12 Type 1	CHI-IA CORP	false
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(c)(3)	10	CHI-IA CORP	false
Mercy FDN Bakersfield
PO Box 119	Bakersfield	CA	93302	770201321	FUND. FDN	CA	501(c)(3)	2	DH	false
MERCY FDN OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUND. FDN	IA	501(c)(3)	12 Type 1	CHI-IA CORP	false
MERCY FDN INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUND. FDN	OR	501(c)(3)	7	MMC	false
MERCY HEALTH CARE FDN
PO BOX 368	CORNING	IA	50841	421461064	FUND. FDN	IA	501(c)(3)	7	AHMH-Corning	false
MERCY HEALTHCARE FDN
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUND. FDN	ND	501(c)(3)	12 Type 1	MHVC	false
MERCY HOSPITAL FDN COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUND. FDN	IA	501(c)(3)	12 Type 1	AHBMHS	false
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(c)(3)	12 Type 1	CSH	false
MERCY HOSPITAL OF DEVILS LAKE FDN
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUND. FDN	ND	501(c)(3)	3	MHDL	false
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(c)(3)	7	CSH	false
Mercy McMahon Terrace
3865 J Street	Sacramento	CA	95816	680117340	Senior Citize	CA	501(c)(3)	3	DH	false
MERCY MED CTR
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(c)(3)	10	CSH	false
MERCY MED CTR - CTRVILLE
ONE ST JOSEPHS DR	CTRVILLE	IA	52544	420680308	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP	false
MERCY MED CTR - NEWTON DBA SKIFF MED CTR
204 N 4th Ave E	Newton	IA	50314	421470935	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP	false
Mercy MED CTR Merced FDN
301 E 13th Street	Merced	CA	95340	770035928	FUND. FDN	CA	501(c)(3)	3	DH	false
MERCY MED CTR INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(c)(3)	12 Type 1	CSH	false
MERCY MED FDN
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUND. FDN	ND	501(c)(3)	3	MMC	false
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HOSPITAL	NE	501(c)(3)	12 Type 1	CHI NEBRASKA	false
Northland Healthcare Alliance
2223 East Rosser AVE	Bismarck	ND	58501	911845296	MANAGEMENT	ND	501(c)(3)	3	NCHA	false
Northridge Hospital FDN
18300 Roscoe Blvd	Northridge	CA	91328	237444901	FUND. FDN	CA	501(c)(3)	7	DCC	false
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HOSPITAL	ND	501(c)(3)	12 Type 1	CSH	false
OAKES COMMUNITY HOSPITAL FDN
1200 N 7TH ST	OAKES	ND	58474	710966606	FUND. FDN	ND	501(c)(3)	3	OCH	false
Pacific Central Coast Health CTRs
1400 E Church Street	Santa Maria	CA	93454	770447575	Clinic	CA	501(c)(3)	12 Type 1	DCC	false
PINEYWOODS MEDDEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(c)(3)	3	MHSET	false
Port City Operating Company LLC
3400 Data DR	Rancho Cordova	CA	95670	465322209	HOSPITAL	CA	501(c)(3)	12 Type 1	DH	false
PROVIDENCE CARE CTR
2025 HAYES AVE	SANDUSKY	OH	44870	341658625	HEALTHCARE	OH	501(c)(3)	3	CHILC	false
PROVIDENCE CARE CTRS
2025 HAYES AVE	SANDUSKY	OH	44870	341826099	HOLDING CO	OH	501(c)(3)	10	CHILC	false
PROVIDENCE RESIDENTIAL COMMUNITY CORP
5055 PROVIDENCE DR	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(c)(3)	12 Type 1	CHILC	false
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(c)(3)	10	CHIC	false
REGIONAL HPL FOR RESP & COMPLEX CARE
16251 Sylvester Rd SW	Burien	WA	98166	911170040	HOSPITAL	WA	501(c)(3)	7	FHS	false
SET OF COLORADO SPRINGS INC
9100 E Mineral Circle	Centennial	CO	80112	841183335	Senior Center	CO	501(c)(3)	3	CHIC	false
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(c)(3)	7	SCHS	false
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(c)(3)	10	CSH	false
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(c)(3)	10	SCHS	false
SAINT ELIZABETH FDN
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUND. FDN	NE	501(c)(3)	2	SERMC	false
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HOSPITAL	NE	501(c)(3)	7	SERMC	false
SAINT ELIZABETH REGIONAL MED CTR
555 S 70TH ST	LINCOLN	NE	68510	470379836	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
SAINT FRANCIS MED CTR
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
SAINT FRANCIS MED CTR FDN
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUND. FDN	NE	501(c)(3)	3	SFMC	false
Saint Francis Memorial Hospital
900 Hyde Street	San Francisco	CA	94109	941156295	HOSPITAL	CA	501(c)(3)	7	DCC	false
SAINT JOSEPH BEREA HOSPITAL FDN INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUND. FDN	KY	501(c)(3)	3	SJHS	false
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611334601	HOSPITAL	KY	501(c)(3)	7	KOH	false
SAINT JOSEPH HOSPITAL FDN INC
701 Bob Olink Dr 200	LEXINGTON	KY	40504	611159649	FUND. FDN	KY	501(c)(3)	3	SJHS	false
SAINT JOSEPH LONDON FDN INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUND. FDN	KY	501(c)(3)	12 Type 1	SJHS	false
SAINT JOSEPH MOUNT STERLING FDN INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUND. FDN	KY	501(c)(3)	7	SJHS	false
SAINT JOSEPH'S HOSPITAL FDN
2500 Fairway Street	DICKINSON	ND	58601	363418207	FUND. FDN	ND	501(c)(3)	7	SJHHC	false
San Gabriel Valley MED CTR FDN
438 West Las Tunas DR	San Gabriel	CA	91776	953430341	INACTIVE	CA	501(c)(3)	12 Type 1	DH	false
SCHUYLER MEMORIAL HOSPITAL FDN INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUND. FDN	NE	501(c)(3)	12 Type 1	AHMHS	false
Sierra Nevada Memorial-Miners Hosp
155 Glasson Way	Grass Valley	CA	95945	941439787	HOSPITAL	CA	501(c)(3)	12 Type 1	DCC	false
SJRMC JOPLIN MISSOURI
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	440545809	HOSPITAL	MO	501(c)(3)	3	CSH	false
St Francis FDN of Santa Barbara
2323 De La Vina St Ste 104	Santa Barbara	CA	93105	237137119	FUND. FDN	CA	501(c)(3)	3	DH	false
St Francis Hospital Support Corp
601 E Micheltorena Street	Santa Barbara	CA	93103	770022302	INACTIVE	CA	501(c)(3)	12 Type 1	DH	false
St John's Healthcare FDN
1600 North Rose AVE	Oxnard	CA	93030	202865781	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
St Joseph's FDN (Phoenix)
350 West Thomas Rd	Phoenix	AZ	85013	942941245	FUND. FDN	AZ	501(c)(3)	12 Type 1	DH	false
St Joseph's FDN of San Joaquin
1800 N California Street	Stockton	CA	95204	510432777	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
St Mary MED CTR FDN
1050 Linden AVE	Long Beach	CA	90813	237153876	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
St Mary Professional Building Inc
1050 Linden AVE	Long Beach	CA	90813	237373088	INACTIVE	CA	501(c)(3)	12 Type 1	DH	false
St Mary's MED CTR FDN
450 Stanyan Street	San Francisco	CA	94117	943336143	FUND. FDN	CA	501(c)(3)	12 Type 1	DH	false
St Rose Dominican Health FDN
3001 St Rose Parkway	Henderson	NV	89052	880349432	FUND. FDN	NV	501(c)(3)	12 Type 1	DH	false
ST ANTHONY HOSPITAL
2801 St Anthony Way	PENDLETON	OR	97801	930391614	HOSPITAL	OR	501(c)(3)	3	CSH	false
ST ANTHONY HOSPITAL FDN
2801 St Anthony Way	PENDLETON	OR	97801	930992727	FUND. FDN	OR	501(c)(3)	3	SAH	false
ST ANTHONY'S HOSPITAL ASSN
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HOSPITAL	AR	501(c)(3)	12 Type 1	SVIMC	false
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HOSPITAL	KS	501(c)(3)	3	CSH	false
ST CATHERINE HOSP DEVELOPMENT FDN
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUND. FDN	KS	501(c)(3)	3	SCH	false
ST CLARE COMMONS
12469 Five Point Rd	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(c)(3)	12 Type 1	CHILC	false
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	OR	501(c)(4)	10	CSH	false
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(c)(3)		CSH	false
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(c)(3)	10	SCHS	false
ST FRANCIS MED CTR
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HOSPITAL	MN	501(c)(3)	8	CSH	false
ST JOSEPH FDN OF BRYAN TEXAS
2801 FRANCISCAN DR	BRYAN	TX	77802	742351158	FUND. FDN	TX	501(c)(3)	3	SJSC	false
ST JOSEPH MANOR
2801 FRANCISCAN DR	BRYAN	TX	77802	742847594	HEALTHCARE	TX	501(c)(3)	12 Type 1	SJSC	false
ST JOSEPH MED CTR INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HOSPITAL	MD	501(c)(3)	10	CSH	false
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DR	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(c)(3)	3	SJSC	false
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(c)(3)	3	SJMC	false
ST JOSEPH REGIONAL HEALTH CTR
2801 FRANCISCAN DR	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(c)(3)	12 Type 1	SJSC	false
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DR	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(c)(3)	3	SJSC	false
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DR	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(c)(3)	3	SJSC	false
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DR	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(c)(3)	10	SLHS	false
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(c)(3)	12 Type 1	CSH	false
ST JOSEPH'S HOSPITAL AND HEALTH CTR
2500 Fairway St	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(c)(3)	3	CSH	false
ST LEONARD
8100 CLYO Rd	CTRVILLE	OH	45458	341940863	LIVING COMM	OH	501(c)(3)	3	CHILC	false
ST LUKE'S COMM DEVELOPMENT CORP - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(c)(3)	10	SLHS	false
ST LUKE'S COMM DEVELOPM CORP - SUGAR
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S COMM DEVELOP CORP - THE WOO
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S COMMUNITY HEALTH SRVS
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S FDN
1213 HERMANN DR STE 855	HOUSTON	TX	77004	453811485	FUND. FDN	TX	501(c)(3)	3	SLHS	false
ST LUKE'S HEALTH SYSTEM CORP
PO Box 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(c)(3)	7	CSH	false
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(c)(3)	12 Type 1	SLHS	false
ST LUKE'S PROPERTIES CORP
1213 Hermann DR Ste 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(c)(3)	3	SLHS	false
ST LUKE'S SUGAR LAND PROPERTIES CORP
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(c)(3)	12 Type 1	SLCDC-SL	false
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(c)(3)	12 Type 1	CHI NEBRASKA	false
ST MARY'S HOSPITAL FDN
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUND. FDN	NE	501(c)(3)	3	SMCH	false
ST VINCENT FDN
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUND. FDN	AR	501(c)(3)	7	SVIMC	false
ST VINCENT INFIRMARY MED CTR
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(c)(3)	12 Type 1	CSH	false
ST VINCENT MEDGROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(c)(3)	3	SVIMC	false
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	341412964	HEALTHCARE	OH	501(c)(3)	10	CSH	false
SYLVANIA FRANCISCAN HEALTH FDN
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	455357161	FUND. FDN	OH	501(c)(3)	12 Type 1	SFH	false
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DR	SANDUSKY	OH	44870	341826097	ASSIST LIVING	OH	501(c)(3)	12 Type 1	CHILC	false
THE COMMUNITY HOSP OF BRAZOSPORT
100 MEDICAL DR	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(c)(3)	10	SLHS	false
THE GOOD SAMARITAN HPL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HOSPITAL	OH	501(c)(3)	3	CSH	false
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(c)(3)	3	CHI NEBRASKA	false
TOTAL HEALTHCARE
9100 E Mineral Circle	Centennial	CO	80112	840927232	HOSPITAL	CO	501(c)(3)	12 Type 1	CHIC	false
TRINITY HEALTH FDN
380 SUMMIT AVE	STEUBENVILLE	OH	43952	311329423	FUND. FDN	OH	501(c)(3)	3	THS	false
TRINITY HEALTH SYSTEM
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(c)(3)	12 Type 1	NA	false
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(c)(3)	12 Type 1	THS	false
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSIST LIVING	OH	501(c)(3)	3	THS	false
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(c)(3)	7	CSH	false
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(c)(3)	3	CSH	false
VISITING NURSE ASSN OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(c)(3)	10	SCHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (81 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
American Mercy Home Care LLC
1700 EDISON DR	MILFORD	OH	45150	830486150	HOME HEALTH	OH	NA	N/A	false	false
ARIZONA CARE NETWORK - NEXT LLC
350 W Thomas Rd	Phoenix	AZ	85018	474696671	Care Network	AZ	DCC	N/A	false	false
Arizona Care Network LLC (ACN LLC)
350 W Thomas Rd	Phoenix	AZ	85013	454494682	Care Network	AZ	DCC	N/A	false	false
Audubon Land Company LLC
630 Spointe Court 200	COLORADO SPRINGS	CO	80906	841513085	Real Estate	CO	CHIC	N/A	false	false
AVON EMERGENCY & URGENT CARE CTR LLC
9100 E Mineral Circle	Centennial	CO	80112	811727282	HC SRVC	CO	CHIC	N/A	false	false
BAYLOR CHI ST LUKES HEALTH SrvC LLC
6624 Fannin St Ste 1100	HOUSTON	TX	77030	472079184	HC SRVC	TX	SLHS	N/A	false	false
BERGAN MERCY SURGERY CTR LLC
7710 Mercy Rd Ste 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	N/A	false	false
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico ave	CHATTANOGA	TN	37404	621875199	PHYS OFFICE	TN	MHCS	N/A	false	false
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
					Health SRVC		DHI LLC	N/A	false	false	709 Wing on Plza 62 Mody RD TST E	Kowloon Hong Kong	CH	CH
BLUEGRASS REGIONAL IMAGING CTR
1218 S BRoDWAY STE 310	LEXINGTON	KY	40504	611386736	DIAG IMAGING	KY	SJHS	N/A	false	false
CBCC Outsmarting Cancer LLC
6501 Truxtun ave	Bakersfield	CA	93309	461602286	Rad/Onc/Cyberknif	CA	DH	N/A	false	false
CENTRAL NEBRASKA REHAB SRVC LLC
3004 W FAIDLEY ave	GRAND ISLAND	NE	68803	810653461	Physical Therapy	NE	SFMC	N/A	false	false
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CTR	AL	CHIC	N/A	false	false
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CSH	EXCLUDED	false	false					$582,759	$4,201,904	$1,383	0.00074
CHICAMSURG Surgery CTRs LLC
1A Burton Hills Blvd	Nashville	TN	37215	465683027	SURGERY CTR	CO	CHIC	N/A	false	false
Colorado Springs CK Leasing LLC
630 Spointe Court 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	CHIC	N/A	false	false
CM HOME CARE SRVC of Springfield LLC
1700 EDISON DR	MILFORD	OH	45150	311746556	HOME HEALTH	OH	NA	N/A	false	false
DE JV LLC
8686 New Trails DR	The Woodlands	TX	77381	320496548	Emergency Care	NV	DH	N/A	false	false
DHHP Surgery CTRs LLC
1513 S Grand ave Ste 350	Los Angeles	CA	90015	831847466	SURGERY	CA	DCC	N/A	false	false
DHRT Holdings LLC
185 Berry Street STE 300	San Francisco	CA	94107	352484591	Holding Company	DE	DHHC	N/A	false	false
Dignity- GoHealthUrgent Care MGT LLC
5555 Glenridge Connector STE 700	Atlanta	GA	30342	352548698	mgt SRVC	DE	DCC	N/A	false	false
Dignity Health at Home LLC
1700 EDISON DR	MILFORD	OH	45150	824674115	HC SRVC	DE	NA	N/A	false	false
Dignity Health Specialty Pharmacy LLC
185 Berry Street STE 300	San Francisco	CA	94107	320589462	Spec. Pharm SRVC	DE	DCC	N/A	false	false
Dignity Home Recovery Care LLC
49 Music SQ West STE 401	Nashville	TN	37203	832832522	Home Recov. Prgm	DE	DCC	N/A	false	false
DIGNITYUSP LAS VEGAS SURG CTRS LLC
15305 Dallas PKWY STE 1600 LB 28	Addison	TX	75001	202999237	Surgery	TX	DCC	N/A	false	false
DignityUSP NorCal Surgery CTRs LLC
15305 Dallas PKWY STE 1600 LB 28	Addison	TX	75001	202468509	SURGERY	TX	DHMF	N/A	false	false
DIGNITYUSP PHOENIX SURGERY CTRS LLC
15305 Dallas PKWY STE 1600 LB 28	Addison	TX	75001	134248908	Surgery	TX	DCC	N/A	false	false
DignityUSPJohn Muir East Bay Surg Ctrs
15305 Dallas PKWY STE 1600 LB 28	Addison	TX	75001	352584991	SURGERY	TX	DHMF	N/A	false	false
Dignity-Abrazo Health Network LLC
3030 N Central ave STE 1402	Phoenix	AZ	85012	465477985	mgt SRVC	AZ	DCC	N/A	false	false
Dominican Magnetic Resonance Imaging CTR
1545 Soquel DR	Santa Cruz	CA	94065	770095477	Imaging CTR	CA	DH	N/A	false	false
ECCS ACQUISITION COMPANY LLC
2940 N CIRCLE DR	COLORADO SPRINGS	CO	80909	352656413	AMBUL SURG CTR	CO	CHIC	N/A	false	false
Folsom Sierra Endoscopy CTR LP
1650 Creekside DR 1600	Folsom	CA	95630	680482416	Endoscopy	CA	DH	N/A	false	false
Franciscan Med Pavilion Bonney Lake LLC
6622 Wollochet Dr NW	Gig Harbor	WA	98335	463494108	Real Estate	WA	NA	N/A	false	false
FRANCISCAN SPECIALTY CARE LLC
680 S FOURTH STREET	LOUISVILLE	KY	40202	813725123	HC SRVC	WA	FHS	N/A	false	false
GS HOME CARE Srvc of Vincenne IN LLC
1700 EDISON DR	MILFORD	OH	45150	201792869	HOME HEALTH	OH	NA	N/A	false	false
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HLDG	WI	SL HOSP-VINTAGE	N/A	false	false
HC SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	na	N/A	false	false
Heartland Oncology LLC
2337 E Crawford St	Salina	KS	67401	464265403	ONCOLOGY	KS	SCH	N/A	false	false
LAKESIDE AMBULATORY SURG CTR LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	N/A	false	false
LAKESIDE ENDOSCOPY CTR LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	N/A	false	false
LINCOLN CK LEASING LLC
555 S 70TH STREET	Lincoln	NE	68510	262496856	Real Estate	NE	SERMC	N/A	false	false
Memorial Medical Plaza
3838 San Dimas STE B 201	Bakersfield	CA	93301	364510880	Real estate	CA	BMH	N/A	false	false
Mercy Davis Cancer CTR MGT Co LLC
2740 M Street	Merced	CA	95340	943358445	mgt of Cancer CTR	CA	DH	N/A	false	false
Mercy Rehabilitation Hospital LLC
680 S FOURTH STREET	LOUISVILLE	KY	40202	814437201	HC SRVC	TX	CHI IA	N/A	false	false
Military Road Properties LLC
181 S 333rd Street STE 250	Federal Way	WA	98003	912067879	Real Estate	WA	NA	N/A	false	false
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	N/A	false	false
NICU Operating CO of Santa Cruz LLC
1555 Soquel DR	Santa Cruz	CA	95065	460502935	Neonatal HC	CA	DH	N/A	false	false
NORTH RIVER SURGERY CTR LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	N/A	false	false
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREET	BISMARK	ND	58501	841641341	Diagnostic SRVC	ND	SAMC	N/A	false	false
NSC Channel Islands LLC
3000 Riverchase Galleria STE 500	Birmingham	AL	35244	770418197	Ambul SURG CTR	CA	DCC	N/A	false	false
OMG Arizona LLC
130 Sutter Street 2nd Flr	San Francisco	CA	94104	471708588	Med Office	AZ	DCC	N/A	false	false
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	CHIC	N/A	false	false
Park Rapids Area Health Care
600 Pleasant ave S	Park Rapids	MN	56470	204926259	HC SRVC	MN	NA	N/A	false	false
Pasadena Urgency CTR LLC
4600 E SAM HOUSTON PKWY South	PASADENA	TX	77505	812482854	URGENT CARE	TX	SLHS	N/A	false	false
Patient Transport Services of Columbus
1700 EDISON DR	MILFORD	OH	45150	264601285	Ambulance	OH	NA	N/A	false	false
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11	TACOMA	WA	98405	870808610	HC SRVC	WA	FHS	N/A	false	false
Penrad Imaging LLC
1390 Kelly Johnson Blvd	COLORADO SPRINGS	CO	80920	841072619	Med Imaging	CO	CHIC	N/A	false	false
Performance Med Equip & Respir SRVC LL
19625 62nd ave S STE 101	Kent	WA	98032	452901632	Holding Company	WA	NA	N/A	false	false
Plaza Surgery CTR LP
525 E Plaza DR STE 100	Santa Maria	CA	93454	770573567	Surgery	CA	HSPCC Inc	N/A	false	false
PMC HOSPITAL LLC
3100 MAIN ST STE 500	HOUSTON	TX	77002	273280598	HOSPITAL	TX	SLHS	N/A	false	false
Precision Medicine Alliance LLC
198 INVERNESS DR WEST	ENGLEWOOD	CO	80112	352569159	Diag. SRVC	CO	NA	N/A	false	false
Pueblo Ambulatory Surgery CTR LLC
25 Montebello Rd	Pueblo	CO	81003	621488737	SURGERY CTR	CO	CHIC	N/A	false	false
Radiation Oncology CTRs of Ventura Count
1700 N ROSE ave STE 120	OXNARD	CA	93030	770191706	IMAGING	CA	DH	N/A	false	false
RBR Management LLC
91 Corporate Park DR STE 120	Henderson	NV	89074	271466450	Ambulance	NV	DH	N/A	false	false
Reid-ANC Home Care Services LLC
1700 EDISON DR	MILFORD	OH	45150	371454747	HOME HEALTH	IN	NA	N/A	false	false
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	N/A	false	false
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	CHINHC	N/A	false	false
Santa Cruz Comprehensive Imaging LLC
1661 Soquel DR STE G	Santa Cruz	CA	95065	010550623	Imaging	CA	DH	N/A	false	false
Santa Cruz Land & Building LP
1555 Soquel DR	Santa Cruz	CA	95065	770285236	REAL ESTATE	CA	DHS	N/A	false	false
Santa Cruz Surgery CTR LLC
3003 PAUL SWEET RD	SANTA CRUZ	CA	95065	770194916	SURGERY	CA	DH	N/A	false	false
Southeastern Home Care LLC
1700 EDISON DR	MILFORD	OH	45150	271219638	HOME HEALTH	OH	NA	N/A	false	false
St Joseph's Surgery CTR LP
15305 Dallas PKWY STE 1600 LB 28	Addison	TX	75001	201019390	Surgery	TX	Port City Op	N/A	false	false
St Elizabeth Home Care Services LLC
1700 EDISON DR	MILFORD	OH	45150	261236191	HOME HEALTH	KY	NA	N/A	false	false
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	N/A	false	false
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	SLHS HOLDINGS	N/A	false	false
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC-W	N/A	false	false
ST LUKE'S THE WOODLANDS SLEEP CTR LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	SLHSH	N/A	false	false
Templeton Surgery CTR LLC
1310 Las Tablas RD STE 104	Templeton	CA	94365	202246616	Surgery	CA	DCC	N/A	false	false
The Medical Pavilion at St John's
1700 Rose ave	Oxnard	CA	93030	770332349	Real Estate	CA	DH	N/A	false	false
THREE SPRING IMAGING LLC
1 Mercado St STE 200A	DURANGO	CO	81301	813571570	HC SRVC	CO	CHIC	N/A	false	false
Valley Phys SURG CTR At Northridge LLC
18330 Roscoe Blvd	Northridge	CA	91328	800864336	Surgery	CA	DCC	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (65 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
AHCreighton SJ Managed Care SRVCInc
12809 West Dodge Rd	Omaha	NE	68154	470802396	Managed Care	NE	CHI Nebraska	C CORP	false
All Saints Insurance Company SPC Ltd
				980556913	Insurance	NY	CSH	C CORP	false	PO BOX 10073 APO	Georgetown	Grand Cayman	CJ	KY1-1001
AH PROVIDERS OF BRAZOS Valley Inc
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	Healthcare	TX	SJSC	C CORP	false
Alternative Insurance MGT SRVC Inc
3900 OLYMPIC BLVD STE 400	Erlanger	KY	41018	841112049	MGT Services	CO	CSH	C CORP	false
AMERICAN NURSING CARE Inc
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORP	false
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORP	false
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	Fitness Club	KY	JHSMH	C CORP	false
BrazoSport Health Alliance
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	Health Care	TX	BRHS	C CORP	false
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500	Chattanooga	TN	37411	621570736	Healthcare	TN	MHCS	C CORP	false
Captive MGT Initiatives Ltd
				980663022	Captive MGT	NY	CSH	C CORP	false	PO BOX 10073 APO	Georgetown	Grand Cayman	CJ	KY1-1001
CHI CTR for Translational Research
198 INVERNESS DRIVE WEST	Englewood	CO	80112	272269511	Research	CO	CSHRI	C CORP	false
CHI SLH - Memor Condominium Assn Inc
1201 W Frank Ave	Lufkin	TX	75904	834184717	Condo Assoc	TX	MHSET	C CORP	false
ClearRiver Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464495960	Insurance	TN	QCHPS	C CORP	false
Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101	Pismo Beach	CA	93449	743000596	Healthcare	CA	DCC	S CORP	false
Comcare SRVC Inc
5570 DTC Parkway	Englewood	CO	80111	840904813	Inactive	CO	CHIC	C CORP	false
Consolidated Health SRVC
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CSH	C CORP	false
Des Moines Medical CTR Inc
1111 6TH AVE	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C CORP	false
Dignity Health Holding Corp
185 Berry Street Suite 300	San Francisco	CA	94107	460675371	Holding Co	NV	DCC	C CORP	false
DH Insurance Ltd (Cayman Island Corp)
				981065338	Insurance	NY	DH	C CORP	false	PO Box 1051 KY1-1102	Grand Cayman Islands	Grand Cayman	CJ	KY1-1001
Dignity Health Provider Resources Inc
185 Berry Street Suite 300	San Francisco	CA	94107	473366764	Health Plan	CA	DCC	C CORP	false
Diversified Health Resources Inc
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	Health Care	TX	BRHS	C CORP	false
First Initiatives Insurance LTD
				980203038	Insurance	NY	CSH	C CORP	false	PO BOX 10073 APO	Georgetown	Grand Cayman	CJ	KY1-1001
FCUC SRVC PS dba City MD - FUC
C/O CPGUSA 1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	812174959	Healthcare	NY	FHS	C CORP	false
Franciscan SRVC Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232487967	Healthcare	CO	CSH	C CORP	false
Good Samaritan Outreach SRVC
PO Box 1990	Kearney	NE	68848	470659440	Medical Clinic	NE	CHI Nebraska	C CORP	false
Harvest Plains Health of Iowa
32129 Weyerhaeuser Way S STE 201	FEDERAL WAY	WA	98001	473451750	Insurance	WA	QCHPS	C CORP	false
Health SRVC of the Pacific Cntrl Coast
1400 E Church Street	Santa Maria	CA	93454	770074057	Healthcare	CA	DCC	C CORP	false
Health Systems Enterprises Inc
PO BOX 1990	Kearney	NE	68848	470664558	MGMT	NE	GSH	C CORP	false
Healthcare MGMT SRVC Organization INC
1149 MARKET ST	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C CORP	false
HeartlandPlains Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464368223	Insurance	NE	QCHPS	C CORP	false
Highline Medical Group
1717 S J Street	Tacoma	WA	98405	911407026	Medical SRVC	WA	HMC	C CORP	false
Integrated Medical SRVC
9250 N 3rd Street Suite 4010	Phoenix	AZ	85020	860783428	M/S phys. group	AZ	DCC	C CORP	false
KOMG-Louisville Region Inc
201 Abraham Flexner Way	Louisville	KY	40202	832481198	Healthcare	KY	JHSMH	C CORP	false
MGT SRVC Organization of Santa Maria Inc
1400 E Church Street	Santa Maria	CA	93454	770318135	Health Care Mgt	CA	DH	C CORP	false
Med Office Bld Horizont Prop RegimeInc
300 Werner St	Hot Springs	AR	71913	710720429	Real Estate	AR	CHI-SVHS	C CORP	false
Medquest
1301 15TH AVENUE WEST	Williston	ND	58801	450392137	Sale of DME	ND	MMC Williston	C CORP	false
Memorial CV SRVC Line MGT Company LLC
1201 W Frank Ave	Lufkin	TX	75904	463622849	Heath Care	TX	MHSET	C CORP	false
Mercy Park Apartments LTD
1111 6th AVE	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C CORP	false
Mercy SRVC Corp
2700 STEWART PARKWAY	Roseburg	OR	97471	930824308	Retail Sales	OR	MMC	C CORP	false
MHI Clinical SRVC
1201 W Frank Ave	Lufkin	TX	75904	461967952	Healthcare	TX	MHSET	C CORP	false
Millennium Surgery CTR Inc
9300 Stockdale Hwy 200	Bakersfield	CA	93311	770513445	Healthcare	CA	BMH	S CORP	false
Mountain MGT SRVC Inc
6028 Shallowford Rd	Chattanooga	TN	37421	621570739	MGT SVC ORG	TN	MHCS	C CORP	false
North Central Health Care Alliance
PO Box 5538	Bismark	ND	58506	450439894	Healthcare	ND	SAMC	C CORP	Yes (true)						$113,984	$353,183	0.75000
PATIENT TRANSPORT SRVC INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORP	false
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	Insurance	WA	QCHPS	C CORP	false
QCH Plan SRVC Inc (fka CHP SRVC Inc)
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461224037	Admin SRVC	CO	QCHI	C CORP	false
QCH Inc fka CH Managed Solutions Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461222808	Holding Co	CO	CSH	C CORP	false
QualChoice Holdings Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	274075520	Holding Co	AR	QCHPS	C CORP	false
QualChoice of Nebraska
2401 S 73rd St	Omaha	NE	68124	810738827	Inactive	NE	QCHPS	C CORP	false
RiverLink Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464380824	Insurance	OH	QCHPS	C CORP	false
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464828332	Insurance	KY	QCHPS	C CORP	false
Ross Park Pharmacy Inc
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	Pharmacy	OH	TSHS	C CORP	false
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	222441202	Billing SRVC	NJ	SCCC	C CORP	false
SJH SRVC Corp
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C CORP	false
SJL PHYSICIAN MGT SRVC INC
424 LEWIS HARGETT CR STE 160	Lexington	KY	40503	270164198	Management	KY	SJHS	C CORP	false
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201	Federal Way	WA	98001	421720801	Insurance	WA	QCHPS	C CORP	false
St Mary Health Ventures Inc
1050 Linden Avenue	Long Beach	CA	90813	951912528	Retail Pharm.	CA	DH	C CORP	false
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	SAH	C CORP	false
St Joseph Development Company Inc
1717 SOUTH J ST	Tacoma	WA	98405	911480569	Rental	WA	FSI	C CORP	false
St Luke's Health System Holdings Inc
6624 Fannin STE 800	Houston	TX	77030	760637138	Holding Co	TX	SLHS	C CORP	false
St Vincent Community Health SRVC Inc
TWO ST VINCENT CIRCLE	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C CORP	false
STE Holdings
12809 West Dodge Rd	Omaha	NE	68154	822383629	Holding Co	NE	SERMC	C CORP	false
Sugar Land Doctor Group
1317 Lake Point Parkway	Sugar Land	TX	77478	454270163	Medical Clinic	TX	SLCDC-SL	C CORP	false
Towson MGT Inc
7601 OSLER DR	Towson	MD	21204	521710750	Mgmt SRVC	MD	FSI	C CORP	false
TRINITY MGT SRVC ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	Mgmt SRVC	OH	THS	C CORP	false

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GARRISON MEMORIAL HOSPITAL
S	$1,023,582	book value
GARRISON MEMORIAL HOSPITAL
O	$4,919,450	book value