UNITY FAMILY HEALTHCARE: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- UNITY FAMILY HEALTHCARE (EIN 41-0721642)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-10
- IRS object ID
- 202011929349301126
- Schema version
- 2018v3.1
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-10T11:00:59-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Commonspirit Health | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 Inverness Drive West | AddressLine1Txt |
| City | Englewood | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410721642 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Unity Family Healthcare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 3206325441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 SE 2nd Street | AddressLine1Txt |
| City | Little Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56345 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joshua Senger | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2020-07-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mark Stocki | PreparerPersonNm |
| PTIN | P00642127 | PTIN |
| Phone | 3032989100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Smith | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 SE 2nd Street | AddressLine1Txt |
| City | Little Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56345 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,597,924 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chistgabriels.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | The vision is to create the best healthcare experience by igniting the spirit for superior care and service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 473 | TotalEmployeeCnt |
| Total Volunteers | 270 | TotalVolunteersCnt |
| Total Gross UBI | $91,465 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $498,829 | PYContributionsGrantsAmt |
| CY Contributions Grants | $445,710 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $76,139,837 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,886,651 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,064,921 | PYInvestmentIncomeAmt |
| CY Investment Income | $776,966 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,440,974 | PYOtherRevenueAmt |
| CY Other Revenue | $1,409,819 | CYOtherRevenueAmt |
| PY Total Revenue | $79,144,561 | PYTotalRevenueAmt |
| CY Total Revenue | $76,519,146 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,434,878 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $80,563 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,256,102 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,155,483 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,756,006 | PYOtherExpensesAmt |
| CY Other Expenses | $36,576,525 | CYOtherExpensesAmt |
| PY Total Expenses | $75,446,986 | PYTotalExpensesAmt |
| CY Total Expenses | $73,812,571 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,697,575 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,706,575 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $63,836,436 | TotalAssetsBOYAmt |
| Total Assets EOY | $69,091,085 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,032,422 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,531,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,804,014 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,559,773 | NetAssetsOrFundBalancesEOYAmt |
| 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 | $65,209,700 | ExpenseAmt |
| Grant | $80,563 | GrantAmt |
| Revenue | $73,798,149 | RevenueAmt |
| Desc | SEE SCHEDULE H | Desc |
| Total Program Service Expenses | $65,209,700 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 473 | 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | 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 | Yes (true) | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vicki Maleski | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3206315674 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 SE 2nd Street | AddressLine1Txt |
| City | Little Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56345 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| LEE BOYLES | |||||||||
| FORMER PRESIDENT/CEO | 1.0 | 45.0 | Yes (X) | Yes (X) | $0 | $307,832 | $26,336 | ||
| SR MARY PAT BURGER | |||||||||
| SECRETARY | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN MACKINAC | |||||||||
| CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVEN SMITH | |||||||||
| CEO/VP OF FINANCE | 1.0 | 45.0 | Yes (X) | Yes (X) | $0 | $186,902 | $37,053 | ||
| RICHARD WEAVER | |||||||||
| VICE CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY DROP | |||||||||
| Board Member/CHI SVP Division Officer | 1.0 | 50.0 | Yes (X) | $0 | $1,388,860 | $40,427 | |||
| GREGORY MCNAMARA MD | |||||||||
| BOARD MEMBER/PHYSICIAN | 45.0 | 1.0 | Yes (X) | $274,849 | $0 | $41,484 | |||
| VIRGIL MEYER MD | |||||||||
| BOARD MEMBER/PHYSICIAN | 45.0 | 1.0 | Yes (X) | $288,118 | $0 | $34,815 | |||
| MARK MOE MD | |||||||||
| BOARD MEMBER/PHYSICIAN | 45.0 | 1.0 | Yes (X) | $305,724 | $0 | $41,602 | |||
| JON VETTER | |||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINE GAMMON-KRUSCHEK | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KRISTINE ERICKSON | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID EDGERTON JR | |||||||||
| PHYSICIAN | 45.0 | 0 | $635,331 | $0 | $42,378 | Yes (X) | |||
| PAUL JOHNSON | |||||||||
| PHYSICIAN | 45.0 | 0 | $777,364 | $0 | $40,539 | Yes (X) | |||
| DAVID JORGENSEN | |||||||||
| PHYSICIAN | 45.0 | 0 | $649,980 | $0 | $43,065 | Yes (X) | |||
| SAUNG PARK | |||||||||
| PHYSICIAN | 45.0 | 0 | $577,650 | $0 | $17,058 | Yes (X) | |||
| PHILIP PROSAPIO | |||||||||
| PHYSICIAN | 45.0 | 0 | $540,570 | $0 | $34,512 | Yes (X) | |||
| RYAN KRAY MD | |||||||||
| Former Vice Chair/Physician | 45.0 | 1.0 | $244,371 | $0 | $17,491 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,293,957 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,883,594 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $416,760 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| LITTLE FALLS ANESTHESIA | ||||||
| 808 3RD STREET SUITE 130 | LITTLE FALLS | MN | 56345 | ANESTHESIA SERVICES | $1,767,179 | |
| AMN HEALTHCARE | ||||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | HEALTHCARE CONSULTING | $1,411,435 | |
| CENTRACARE LABORATORIES SERVICES | ||||||
| 20 NINTH ST SE | LONG PRAIRIE | MN | 56347 | LAB SERVICES | $829,090 | |
| CENTRAL MN DIAGNOSTIC | ||||||
| 150 10TH ST NW PO BOX 158 | MILACA | MN | 56353 | RADIOLOGY SERVICES | $721,499 | |
| WAPITI MED GROUP-LYFJABERG LLC | ||||||
| 107 FLYNN DRIVE | MILBANK | SD | 57252 | MEDICAL STAFFING SERVICES | $414,426 | SUITE 600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $24,866 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $319,355 | GovernmentGrantsAmt |
| All Other Contributions | $101,489 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $445,710 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Services | 900099 | $70,431,576 | $70,431,576 | $0 | $0 |
| Pharmacy Services | 446110 | $3,449,699 | $3,361,197 | $88,502 | $0 |
| Intercompany Transactions | 900099 | $5,376 | $5,376 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,886,651 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $464,484 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,963 | UnrelatedBusinessRevenueAmt |
| Exclusion | $461,521 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,197 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,197 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,197 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $284,197 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,752 | SecuritiesAmt |
| Other | $66,730 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $245,752 | SecuritiesAmt |
| Other | $66,730 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $312,482 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $312,482 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,712 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $24,866 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,330 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,618 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,618 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $50,109 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $70,448 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,339 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$20,339 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Reimbursement of Expenses | 900099 | $721,354 | $0 | $0 | $721,354 |
| Cafeteria | 722100 | $164,123 | $0 | $0 | $164,123 |
| Wellness Services | 900099 | $135,151 | $0 | $0 | $135,151 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $129,951 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,150,579 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,519,146 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,798,149 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $91,465 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,183,822 | 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 | $51,169 | TotalAmt |
| Program Services | $51,169 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,394 | TotalAmt |
| Program Services | $29,394 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $985,094 | TotalAmt |
| Program Services | $985,094 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,109,038 | TotalAmt |
| Program Services | $27,610,251 | ProgramServicesAmt |
| Management And General | $1,498,787 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,934 | TotalAmt |
| Program Services | $1,295,121 | ProgramServicesAmt |
| Management And General | $71,813 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,967,228 | TotalAmt |
| Program Services | $3,766,414 | ProgramServicesAmt |
| Management And General | $200,814 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,727,189 | TotalAmt |
| Program Services | $1,640,829 | ProgramServicesAmt |
| Management And General | $86,360 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,102 | TotalAmt |
| Management And General | $131,102 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,324 | TotalAmt |
| Management And General | $6,324 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,840,955 | TotalAmt |
| Program Services | $10,378,611 | ProgramServicesAmt |
| Management And General | $3,462,344 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,362 | TotalAmt |
| Program Services | $60,180 | ProgramServicesAmt |
| Management And General | $122,182 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,474 | TotalAmt |
| Program Services | $1,108,558 | ProgramServicesAmt |
| Management And General | $291,916 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,641,473 | TotalAmt |
| Program Services | $3,605,058 | ProgramServicesAmt |
| Management And General | $36,415 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,844,623 | TotalAmt |
| Program Services | $1,623,268 | ProgramServicesAmt |
| Management And General | $221,355 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,374 | TotalAmt |
| Program Services | $211,118 | ProgramServicesAmt |
| Management And General | $37,256 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,247 | TotalAmt |
| Program Services | $32,036 | ProgramServicesAmt |
| Management And General | $26,211 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,309 | TotalAmt |
| Program Services | $526,309 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,546,416 | TotalAmt |
| Management And General | $1,546,416 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,916,383 | TotalAmt |
| Program Services | $1,648,089 | ProgramServicesAmt |
| Management And General | $268,294 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,411 | TotalAmt |
| Program Services | $418,862 | ProgramServicesAmt |
| Management And General | $8,549 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $8,360,016 | $7,941,928 | $418,088 |
| Other taxes | $1,297,669 | $1,232,786 | $64,883 |
| Repairs and maintenance | $718,263 | $681,752 | $36,511 |
| Recruitment and relocation | $148,985 | $141,536 | $7,449 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,139 | TotalAmt |
| Program Services | $221,337 | ProgramServicesAmt |
| Management And General | $59,802 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,812,571 | TotalAmt |
| Program Services | $65,209,700 | ProgramServicesAmt |
| Management And General | $8,602,871 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125 | BOYAmt |
| EOY | $2,060 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,509,075 | BOYAmt |
| EOY | $4,846,640 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,154,950 | BOYAmt |
| EOY | $9,728,323 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,446 | BOYAmt |
| EOY | $97,713 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,769,877 | BOYAmt |
| EOY | $1,566,633 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070 | BOYAmt |
| EOY | $3,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,533,922 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,220,879 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,319,427 | BOYAmt |
| EOY | $21,313,043 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,198,758 | BOYAmt |
| EOY | $21,367,422 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $4,734,708 | BOYAmt |
| EOY | $10,165,668 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,836,436 | BOYAmt |
| EOY | $69,091,085 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,940,686 | BOYAmt |
| EOY | $4,641,746 | 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 | $423,148 | BOYAmt |
| EOY | $423,148 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $16,668,588 | BOYAmt |
| EOY | $20,466,418 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,032,422 | BOYAmt |
| EOY | $25,531,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,617,677 | BOYAmt |
| EOY | $43,406,795 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,008 | BOYAmt |
| EOY | $143,649 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,329 | BOYAmt |
| EOY | $9,329 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,804,014 | BOYAmt |
| EOY | $43,559,773 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,836,436 | BOYAmt |
| EOY | $69,091,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,706,575 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $490,280 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$441,096 | 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) |
|---|---|---|
| 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 | $6,324 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $6,324 | 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: AMERICAN ACADEMY OF FAMILY PHYSICIANS: $620 AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS: $15 AMERICAN ASSOCIATION FOR RESPIRATORY CARE: $19 AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS: $498 AMERICAN BOARD OF FOOT AND ANKLE SURGERY: $88 AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS: $31 AMERICAN COLLEGE OF OSTEOPATHIC FAMILY PHYSICIANS: $28 AMERICAN HOSPITAL ASSOCIATION: $1,243 AMERICAN MEDICAL ASSOCIATION: $756 AMERICAN OSTEOPATHIC ASSOCIATION: $76 CATHOLIC HEALTH ASSOCIATION: $809 CATHOLIC HEALTH ASSOCIATION OF MN: $442 MN HOSPITAL ASSOCIATION: $951 MN MEDICAL ASSOCIATION: $748 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,330 | BeginningYearBalanceAmt |
| End Year Balance | $9,330 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,985 | BeginningYearBalanceAmt |
| Contributions | $1,345 | ContributionsAmt |
| End Year Balance | $9,330 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,000 | BeginningYearBalanceAmt |
| Contributions | $2,985 | ContributionsAmt |
| End Year Balance | $7,985 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $681,604 | OtherCostOrOtherBasisAmt |
| Book Value | $681,604 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,675,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,396,801 | DepreciationAmt |
| Book Value | $9,278,827 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,630,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,870,781 | DepreciationAmt |
| Book Value | $9,760,177 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,545,732 | OtherCostOrOtherBasisAmt |
| Depreciation | $953,297 | DepreciationAmt |
| Book Value | $1,592,435 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,313,043 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (8 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CHI OIP | ||
| CHI OIP | ||
| Cash Reserved for Restricted Net Assets | ||
| CHI OIP Fixed Income | ||
| CHI OIP | ||
| CHI OIP | ||
| CHI OIP | ||
| CHI OIP | $21,367,422 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $21,367,422 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Dividend Receivable | |
| Intercompany Receivables | |
| Intercompany Receivables | $9,364,691 |
| Dividend Receivable | $800,977 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,165,668 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Debt | $15,538,542 |
| Deferred Gain on Sale/Leaseback | $3,023,460 |
| Environmental Remediation Liability | $1,022,677 |
| Vendor Accruals | $881,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,466,418 | 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 income from this permanent endowment is to be used to meet the hospital's greatest needs. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Unity Family Healthcare'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, 2019, 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, 2019 and 2018, 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, 2019 and 2018. 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 | SPRING MAGIC | Event1Nm |
| Gross Receipts Event1 | $12,398 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $10,618 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $1,780 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $810 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $600 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,345 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $295 | OtherDirectExpensesEvent1Amt |
| Event2 | DRIVE FORE CANCER | Event2Nm |
| Gross Receipts Event2 | $16,180 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $14,248 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $1,932 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $5,280 | RentFacilityCostsEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $28,578 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $24,866 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,712 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,090 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $600 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,345 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $295 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,330 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,618 | 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) |
|---|---|---|
| Persons Served | 1963 | PersonsServedCnt |
| Total Community Benefit Expns | $615,726 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $615,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0083 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,384,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,422,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 1963 | PersonsServedCnt |
| Total Community Benefit Expns | $13,000,356 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,422,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $615,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0083 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 3014 | PersonsServedCnt |
| Total Community Benefit Expns | $215,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $215,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 3 | PersonsServedCnt |
| Total Community Benefit Expns | $30,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4581 | PersonsServedCnt |
| Total Community Benefit Expns | $350,282 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $350,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0047 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 13636 | PersonsServedCnt |
| Total Community Benefit Expns | $114,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0015 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 21234 | PersonsServedCnt |
| Total Community Benefit Expns | $711,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $705,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0096 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 23197 | PersonsServedCnt |
| Total Community Benefit Expns | $13,712,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,428,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,320,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0179 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 6 | PersonsServedCnt |
| Total Community Benefit Expns | $131,301 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $125,109 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 6 | PersonsServedCnt |
| Total Community Benefit Expns | $131,301 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,192 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $125,109 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,700,001 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,753,597 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,992,929 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$239,332 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Gabriel's Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 SE Second Street | AddressLine1Txt |
| City | Little Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56345 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stgabriels.com | WebsiteAddressTxt |
| State License | 8392027 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Gabriel's Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.CHISTGABRIELS.COM/CHNA/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs are a prioritized description of the significant health needs of the community. They were identified through the CHNA and are being addressed in the hospital's most recent implementation plan. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - St. Gabriel's Hospital. As a hospital within one of the three counties served by the Morrison-Todd-Wadena Community Health Board, CHI St. Gabriel's Hospital once again turned to colleagues within the hospitals and public health organizations in this region to form a working committee (informally known as the MTW committee) to conduct a formal survey of the community. Members of the MTW Community Health Needs Assessment committee included representatives from: *Public health professionals from Morrison, Todd, and Wadena counties *Lakewood Health System, Staples (Todd County) *Tri-County Health, Wadena (Wadena County) *CentraCare Health -Long Prairie (Todd County) *South Country Health Alliance (a county-based health plan serving 12 Minnesota counties) The Morrison-Todd-Wadena committee, chaired by Katherine Mackedanz, MPH, Community Health Manager, Todd County Health and Human Services, began meeting in the summer of 2018 to plan the 2019 Community Health Survey. The committee approved a final version of the survey in November 2018 and sent it to Anne Kinney, senior research scientist with the Center for Health Statistics in the Minnesota Department of Health, who advised the MTW committee on the survey and worked with contractors in the printing, mailing, and collection of the surveys. The survey was mailed January 25, 2019, to 1,600 households in each of the counties served by the Morrison-Todd-Wadena Community Health Board, with an extra 400 surveys sent to each of the cities in the area: Little Falls, Staples, Long Prairie and Wadena. The original plan was to send 1,600 surveys to randomly chosen households in each of the three counties. However, based upon advice from the Minnesota Department of Health, and in an attempt to increase the number of completed surveys from people ages 18-30, the committee agreed to send an additional 400 surveys to each of the zip codes in the counties that are more likely to be home to people in the 18-35 age group, which are also the communities in which hospitals are located. The Morrison-Todd-Wadena committee planned and conducted interviews with community stakeholders at the same time as planning the survey and waiting for the survey results. Each hospital conducted its own stakeholder interviews based upon the set of questions developed by the committee members in collaboration, expecting that doing so would allow them to compare answers and information after the interviews were completed. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - St. Gabriel's Hospital. The CHNA was conducted with Lakewood Health System, Tri-County Health, and CentraCare Health. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - St. Gabriel's Hospital. The CHNA was conducted with the Morrison-Todd-Wadena Community Health Board. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - St. Gabriel's Hospital. A COPY OF THE CHNA WAS PROVIDED TO MORRISON COUNTY PUBLIC HEALTH. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - St. Gabriel's Hospital. The following outlines the current implementation plan priorities and strategies. 2019-2022 INITIATIVES Obesity: Food Security and Healthy Eating The Fitness Trail in Pine Grove Park and Zoo opened July 9, 2019, and represented a successful collaboration between Morrison County Public Health, CHI St. Gabriel's Health and other community organizations, and was a direct result of a commitment to addressing obesity in the 2016 CHI St. Gabriel's Health CHNA. The opening of the facility, with 10 workout stations and information plaques along the course, presented a strong reminder to the CHI St. Gabriel's Health Strategy Team that they had built a significant momentum recently in helping people increase the amount of physical activity they get in their lives. Goals: *Focus efforts on food security, healthy nutrition education, and fitness. *Continue the momentum developed in Morrison County since the 2016 CHNA. Initiatives: *Fitness Trail in Pine Grove Park -support and encourage use of the facility. *Fitness challenges in public schools -continue current and develop new programs. *In4mative Health -a concept developed by the CHI St. Gabriel's Health dietician working with the St. Francis Health and Wellness's recreational director. Expected implementation in January 2020. *Local Foods, Local Places -a program of the U.S. EPA and USDA. Little Falls is a 2019 Community in this program. Support this initiative as it develops. *Support healthy eating programs in area schools. *Support nutrition education at Sprout, a community-based healthy living non-profit. *Support and develop food rescue initiatives, particularly in aid to the homeless and hungry. Substance Abuse: Continued focus on opioid epidemic CHI St. Gabriel's Health is a proud partner in the Morrison County Prescription Drug Task Force, providing expertise on the medical treatment of overdoses and on the use of drugs to stop overdose reactions. As a result of this work, CHI St. Gabriel's Health was invited to become a training hub for the ECHO program from the University of New Mexico. Two CHI St. Gabriel's Health physicians, Heather Bell and Kurt Devine, now train each week approximately 100 people in the Upper Midwest and across the country, through online video conferencing, on the lessons and practices of this program. This success in addressing the nation's opioid epidemic, but knowing there is much work to do to help people in need, led the CHI St. Gabriel's Health Strategy Team to choose to once again address prescription abuse and substance abuse in its 2019-2022 CHNA initiatives. Goals: *Continue and enhance participation in the Morrison County Prescription Drug Task Force. *Continue efforts of the CHI St. Gabriel's Health Controlled Substance Care Team. *Increase education on the causes of substance abuse, awareness of the specifics of substance abuse, and the opportunities for substance abuse, particularly as they relate to addressing mental health needs, which is the third initiative for the coming three years. Initiatives: *Continue to provide Suboxone, for the initial induction, through the Coborn's Pharmacy or the CHI St. Gabriel's Health Pharmacy, to patients in the Morrison County Jail. *Sober Living/Emergency Housing Facility -in conjunction with Oasis Central Minnesota, CHI St. Gabriel's Health is working to create a combined sober living and emergency homeless shelter in Little Falls. - They have received $100,000 from the Minnesota Legislature and a $75,000 grant from Sourcewell, in Staples, MN, to support this initiative. - Oasis Central Minnesota is applying to the USDA Rural Development Office in Brainerd to secure a loan to purchase St. Camillus Place from CHI St. Gabriel's Health for use as a sober living and emergency homeless shelter. *Stand Up For You -This Morrison County schools substance abuse program, which CHI St. Gabriel's Health has supported since its inception, will continue to be a priority for the 2019-2022 community health needs strategy. Mental Health Three lengthy discussions by the CHNA Strategy Team guided CHI St. Gabriel's Health to focus on mental health in Morrison County as its third initiative. A central concern of the Strategy Team members was helping people deal with depression, stress, and anxiety before they reach a point of abusing drugs or contemplating or attempting suicide. While recognizing that preventing suicide is vital to the health and well being of the community, team members kept returning to the need to teach people, including teens and adolescents, that there are ways to deal with the stresses of life and that health professionals are available in Morrison County to teach them and help them when they need that help. CHI St. Gabriel's Health convened a meeting of the 2019 Strategy Team on September 25, 2019, to address this third initiative, and while meetings of the team earlier in the summer had appeared to be focusing on teen suicide, at this fall meeting the team members stressed the need to help people long before suicide seems like an answer to problems. As a result of this concern, the CHI St. Gabriel's Health leaders chose the broader topic of mental health as its third initiative for the 2019-2022 CHNA period. Goals: *Collaborate as a team to provide the people of Morrison County with greater help to deal with mental health issues then currently exist in the county. *Communicate about mental health opportunities and collaborate as a team to improve and increase the opportunities to help more people before they reach the point of abusing drugs or contemplating suicide. *Draw upon the resources of CHI St. Gabriel's Health to support community organizations working on mental health and suicide prevention initiatives. Initiatives: *Collaborate with Morrison County Social Services to promote and support the use of "Vitals App" (https://thevitalsapp.com/), software that allows people to enter important information in an app on their cell phones that communicates with an app on emergency services, law enforcement and care giver phones on significant health issues. For example, Emergency Department staff could give information on the app to people who come to CHI St. Gabriel's Hospital for mental health care. *Provide support to the Little Falls School District as they work to "train the trainer" in providing the schools with someone who can teach people mental health first aid. *Support Little Falls School District and Northern Pines Mental Health Center in developing their Suicide Prevention Week programming. *Continue to support and participate in the National Children's Mental Health Day, offered annually. *Develop strategies, goals, and action items around the concept of helping people before they reach the dangerous depths of contemplating suicide. Develop ways to help people cope. *Plan and offer a Mental Health Wellness Fair. *Support County Extension efforts to address mental health. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - St. Gabriel's Hospital. 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Little Falls Orthopedics | ||||
| 1108 1st Street SE | Little Falls | MN | 56345 | Outpatient clinic |
| Community Medical Center | ||||
| 200 South First Avenue | Pierz | MN | 56364 | Outpatient clinic |
| Randall Lakes Area Clinic | ||||
| 250 White Oak Drive | Randall | MN | 56475 | Outpatient clinic |
| Family Medical Center | ||||
| 811 SE Second Street | Little Falls | MN | 56345 | Outpatient clinic |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 States Community Benefit Report Filed | Minnesota hospitals ARE required to file hospital-specific community benefit information to the Minnesota Department of Health through the Health Care Cost Information System (HCCIS). Hospitals do this by filling out the Hospital Annual Report, which the Minnesota Hospital Association administers for MDH. MHA then files all of the information in the Hospital Annual Report to MDH as public information. A key issue with this report is that it is limited to "hospital-only" costs and the elements included in the community benefits section is limited. For example, MDH does not allow for the counting of the MinnesotaCare provider tax or MA (Medical Assistance) Surcharge as community benefits costs. Through a separate, voluntary effort, MHA collects community benefit data by health system and creates a statewide summary report for advocacy purposes. MHA collects this data by requesting access to summary data from all Minnesota facilities using the Community Benefit Inventory for Social Accountability (CBISA) software and UFH grants MHA such access. This advocacy collection effort also includes some of the real life stories of community benefits provided by hospitals that change lives and the health of their communities. MHA does not file that information with the state or share the hospital/system level data publically. |
| Schedule H, Part I, Line 3c ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE | 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 VI, Line 2 Needs Assessment, continued 2 | Youth Recreation Initiative In 1997, St. Gabriel's Hospital received a CHI Mission & Ministry Fund grant to enhance recreation opportunities in partnership with the Little Falls Area Schools. Prior to 1997, there had been substantial cuts in a collaborative between the City of Little Falls and the local school district to address youth recreation. The Youth Recreation Initiative, as it is called, has continued despite the fact that grant funding through the Mission & Ministry has long been discontinued. The program has been so favorably received in the community that the leadership of St. Gabriel's Hospital has chosen to continue supporting the program. That level of support totaled more than $40,572 in fiscal year 2019 and impacted 8,603 people. Early on in the program's history, there was a noticeable decline in youth delinquency as measured by interactions with the judicial system and that decline has been maintained. We believe the decline was due to the increased opportunities created for area youth. Support Groups UFH facilities offer a variety of support groups and similar activities, including such activities as the Prostate Cancer Support Group, Eating Disorders Support Group, Adoption Support group, the Alanon Group, the Hospice Family Support activities and the special spiritual services (empty arm for miscarriages, hospice memorial services, etc.). In 2019, the value of the support for this activity was $837. The support groups served approximately 85 people in 2019. Health Screenings/Health Fairs UFH facilities, especially St. Gabriel's Hospital, offer a variety of free health screenings and health fairs for the communities in which we serve. The total value of these activities was nearly $1,120 in FY 2019, with 150 people participating in the health fairs/screenings. The screenings include such things as blood pressure checks at a local extended care facility (not part of UFH), other screenings, firemen physicals, pulmonary screening and flu shots. The Little Falls Area Health Fair, which is held in the SPRING OF EVEN-NUMBERED YEARS, was held in the spring of 2018 had over 300 participants. Donated Space UFH facilities donate the use of our facilities to non-profit organizations. Some of these include TOPS (Take Off Pounds Sensibly), the Mental Health Support Group, and OASIS Share-A-Meal, to name just a few. The total value of the donated space in fiscal year 2019 was $9,804. UFH Participation in Community Health Initiatives One of the larger community benefit activities that UFH supports is the participation in community health initiatives. This involves everything from the Healthy Communities Collaborative to the Violence Prevention Council to the Morrison County EMS board to the Morrison County Ministerial Association and the Elder Network. This activity directly impacted over 36 people in 2019 and was valued at $8,965. Senior Companion Program Finally, health care providers and community service organizations recognize the benefits provided through the St. Gabriel's Hospital Senior Companions program. Patients connect with their individual "companions" before they leave the hospital. Once home, the companions continue to regularly visit with the patients while they continue their recovery. In the past fiscal year (FY2019), the program served different people in the community, with a total community benefit of $1,284. Donations In the fiscal year ending June 30, 2019, UFH donated over $17,610 in cash to local/regional entities such as the Morrison County Relay for Life sponsored by the American Cancer Society, Oasis Share-A-Meal, Youth Frontiers, Centracare Health Foundation, and other not-for-profit organizations. Subsidized Health Services UFH has one much-needed and appreciated community service that operates as a loss to the organization. That service is St. Gabriel's Hospital's home care program-CHI Health at Home Little Falls (formerly Unity Family Home Care). In FY2019, it generated over $350,282 in community benefit. The home care provided 4,578 visits in fiscal 2019 so the benefit to the community is substantial. Physician Recruitment Our primary service area (Morrison County, MN) has a population of approximately 33,821 of which 18.4% are age 65 or older. This elderly population, in particular, requires the skills of two medical specialties--internal medicine and general surgery. Based on the community health needs assessment and physician specialty by population studies, it was determined that at least one and up to four (depending upon the mix of family practice and internal medicine) internists and two general surgeons are needed in the community to adequately serve patients' health needs. In addition, due to the retirement of one pediatrician, a second is needed. Similarly, our two OB/GYNs left in early 2017 creating a significant community need. Physician/provider recruitment has been complicated and created additional challenges due to the fact that there are Health Professional Shortage Areas in Morrison County. The total cost of expenses associated with physician recruitment and retention in these much-needed specialties was over $123,342 in fiscal 2019. Health Professions Education UFH's acute care facility--St. Gabriel's Hospital--serves as clinical education sites for medical professionals. In fiscal year 2019, St. Gabriel's Hospital assisted in the education of the following health professionals: medical students (through the Rural Physician Associate Program); nursing students; pharmacists, radiologic technologists, pharmacists; and nurse anesthetists. The community benefit claimed for that training totaled $30,956 and three people received those services. |
| Schedule H, Part VI, Line 2 Needs assessment, continued 3 | Community Building Activities Live Better Live Longer (formerly the Healthy Communities Collaborative of Morrison County) was a collaborative effort of over 20 organizations. It served as a county-wide community health status improvement initiative. LBLL's mission was, "Through collaboration, we build and nurture the total health and well-being of people in Morrison County." Its vision read, "Morrison County stands out as a vibrant, interconnected community for all to live, work, learn, worship and play." Unity Family Healthcare was the sponsoring agency for LBLL and UFH staff members served on its board and communities. LBLL had three tenets Eat, Move, and Belong, which encouraged people in the county to eat better, more nutritious meals (including breast milk for young children); exercise regularly; and become involved in the Morrison County community, whether through recreation, book clubs, churches or whatever the individual chooses. Although UFH needed to discontinue the LBLL program in 2018, many of the collaborators are still pursuing the three tenets of Eat, Move and Belong in a variety of ways. Similarly, Unity Family Healthcare staff members are involved in efforts to improve the health of the people of Morrison County. Individual staff members also donate significant time to coaching and other leadership positions in the community. |
| Schedule H, Part VI, Line 2 Needs Assessment - Continued 1 | Community Health Needs Assessment Process UFH regularly performs a community health needs assessment (CHNA) every three years in compliance to the Affordable Care Act (ACA). Prior to implementation of the ACA, the CHNAs were performed by UFH every three to five years in partnership with Morrison County Social Services (MCSS) and Morrison County Public Health (MCPH). The CHNAs include a written survey as well as stakeholder interviews (health, social services, school and court staff, elected officials, etc.). Occasionally, focus groups around particular community health issues or access concerns are also included as part of the assessment process. The three partners have shared the expenses for the CHNAs that were performed in 1989, 1994, 1999, 2004, 2009, 2013, 2016 and 2019. The most recent CHNA was conducted in FY2019 and it is posted on the UFH website (www.chistgabriels.com) along with the 2013 and 2016 CHNAs. St. Gabriel's Hospital has always taken the leadership role in coordinating the community health needs assessment. This past year, in addition to the three long-term partners (MCPH, MCSS and the hospital), the hospital was asked to participate in a regional effort that included the public health agencies in Todd and Wadena counties in addition to Morrison County. As was done in 2013 and 2016, additional collaborators will be part of the implementation strategy development for the CHNA. For the 2019 CHNA, among the people involved were the St. Gabriel's Health Foundation director, three school district representatives, senior groups, primary care providers, a mental health professional, two high school students, and multiple community leaders. As previously stated, the most-recent (2019) CHNA has been posted on the UFH website (www.chistgabriels.com). The report reflects the compilation and analysis of extensive data sources to identify issues having a significant impact on the health and general well-being of area residents. The community health needs assessment process for the hospital-St. Gabriel's Hospital-produced approximately $2.4 million in total community benefit in FY2019, demonstrating the organization's significant investment in examining the health issues of the community and creating an implementation plan to address those issues. After the 2016 CHNA, the amount of community benefit attributed to the CHNA had been decreasing, but went back up in 2019, when the latest CHNA was completed, which was due June 30, 2019. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor Translation Services - One area that has shown continued growth as the community has become more diverse, has been the increase in translation services. In FY2017, the amount was $35,265. In FY2018, the amount was $29,389. In FY2019 the amount was $33,333. Community Financial Application Assistance - UFH financial assistance counselors assist individuals in filling out the paperwork to acquire financial assistance in paying for their medical bills. In 2019 the total number of individuals who received this assistance was 720 and the dollar value of this assistance was $67,781. The amount of assistance has been increasing due to a number of factors influencing their ability to pay their medical bills. Miscellaneous Initiatives for the Poor - Unity Family Healthcare's facilities also donate staff time toward coordinating fund-raising activities for the poor. These range from assisting individuals with accessing financial assistance programs to purchasing school supplies and Christmas presents for needy families, although the individual gifts purchased at Christmas do not qualify as community benefit, since individual staff members make those gifts, the estimated value of these benefits is approximately $2,586 and the number of people impacted is approximately 300. Community Outreach for the Broader Community Youth Development, Partner Violence Prevention, Chronic Disease Management (Patient-Centered Medical Home), and Prescription Drug Abuse Initiatives UFH continues to strategically apply for, receive and manage grants that align both with our community health needs assessment (CHNA) implementation plan and the health needs and issues of the people of Morrison County. A grant UFH has received continuously since 2009 has been focused on reducing partner violence (domestic violence) in Morrison County as measured by the number of domestic assaults charged, the number of Orders for Protection issued and the number of charged violations of Orders for Protection. By all three measures, things improved. In July 1, 2014, this grant initiative received another three years of funding. Secondly, the patient-centered medical home development initiative (PCMHDI), which seeks to improve the health of residents of Morrison County, especially those with chronic disease, by using a Triple AIM approach, has been very well-received in the community and in FY 2014 received certification from the Minnesota Department of Health (MDH) as a medical home. The PCMH recently received re-certification as a medical home by MDH. Finally, the aforementioned prescription drug abuse reduction initiative is making a difference in the lives impacted by such abuse. Together, these grant initiatives (and a few minor initiatives) resulted in $28,982 in community benefits in FY2019. These three initiatives have received funding for fiscal year 2019 so these community benefit efforts are continuing. Furthermore, in a time of tight government budgets, the grant initiatives are enabling the hospital to pursue projects that address well-defined community needs as outlined in our CHNA. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | A cost-accounting methodology was not used. The cost-to-charge ratios for the year ended June 30, 2019 were computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $170,820,112 /$70,456,603 results in a 41.25% cost-to-charge ratio for St. Gabriel's Hospital. Worksheet 2 was not used to derive the cost-to-charge ratio. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Costing methodology for amounts reported on line 2 is determined using the Unity Family Healthcare's cost/charge ratios of 41.25% for St. Gabriel's Hospital. 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 Bad Debt Expense Methodology | Unity Family Healthcare 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 Bad debt expense - financial statement footnote | Unity Family Healthcare 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 2019 was not significant. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Unity Family Healthcare is designated as a Critical Access Hospital ("CAH"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfallss are based on costs, not charges, Unity Family Healthcare, due to its designation as a CAH, received cost-based reimbursement for Medicare purposes, and will not experience significant Medicare-related shortfalls. The total shortfall for FY2019 was $239,332 or approximately 1.4%. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $16,753,597 Total Medicare costs: $16,992,929 Surplus (or Shortfall): ($239,332) Unity Family Healthcare believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: * Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. * Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count 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." At Unity Family Healthcare, our hospice and home care department-CHI Health at Home (formerly) Unity Family Home Care & Hospice-is an example subsidized health service. * 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 Collection practices for patients eligible for financial 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 V, Section B, Line 16a FAP website | - St. Gabriel's Hospital: Line 16a URL: HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - St. Gabriel's Hospital: Line 16b URL: HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - St. Gabriel's Hospital: Line 16c URL: HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part VI, Line 2 Needs assessment | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE Unity Family Healthcare's (UFH/CHI St. Gabriel's Health) mission is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthier communities. Our vision is to create the best possible health care experience by igniting the spirit for superior care and service. UFH was founded by the Franciscan Sisters of Little Falls to carry out the organization's healing ministry. The cornerstone of UFH (also commonly and collectively referred to as CHI St. Gabriel's Health) is St. Gabriel's Hospital, a 25-bed Critical Access Hospital (CAH), which originally was organized in May of 1891 and received its first patients in January of 1892. St. Gabriel's Hospital and the other organizations that comprise UFH-Family Medical Center, Little Falls Orthopedics and CHI Health at Home (Little Falls)-serve all persons in the community on a non-discriminatory basis. The hospital operates an emergency services department that is open to all persons regardless of their ability to pay and it has an open medical staff with privileges available to all qualified physicians and advanced practice clinicians (ACPs) such as physician assistants, nurse practitioners, etc. The UFH board of directors is an eleven-member governing board of individuals who serve as representatives of the community and oversee operations of the UFH facilities. Only two members of the governing board are not directly serving as representatives of the community-the market president and the senior vice president of operations from the Catholic Health Initiatives (CHI) division office in Fargo, ND. St. Gabriel's Hospital engages in the training of health professionals, especially nurses, pharmacists, radiologic technologists, physical therapists, nurse anesthetists and physician assistants. St. Gabriel's Hospital also has been an active participant in the University of Minnesota's Rural Physician Associate Program (RPAP) since its inception in 1973. RPAP provides a "hands-on" experience of serving the primary care needs of people in rural areas. UFH facilities participate in all government-sponsored health care programs such as Medicaid, Medicare, CHAMPUS, MinnesotaCare, MNsure, Tri-Care, and other government health care programs (i.e., the SAGE program, formerly called the Minnesota Breast & Cervical Cancer Control Program, which provides free or low-cost breast and cervical cancer screening services to women at or below 200% of federal poverty guidelines). St. Gabriel's Hospital is a critical access hospital (CAH) and operates a 24-hour emergency room, open 365 days per year. The emergency room is open to all individuals regardless of ability to pay. Furthermore, the hospital has an open medical staff, participates in Medicare and Medicaid, and has an active charity care/financial assistance program. The hospital does not discriminate on the basis of any non-merit factor, including race, national origin, color, religion, sex, sexual orientation, gender identity, disability (physical or mental), age, status as a parent, or genetic information. Community service and improving the health of the people we serve have always been at the forefront of UFH activities. For example, UFH was the first organization in the region to offer prenatal education to expectant mothers through St. Gabriel's Hospital in the 1950s. Other notable efforts to improve health from recent years include: the Youth Recreation Initiative, Youth as Resources (YAR), the Live Better Live Longer breastfeeding initiative, the Bridges: Youth, Family, and Community program, which provided behavioral health counseling and other services to youth in the public schools and other services to families utilizing community resources, the Violence Prevention Initiative and the Prescription Drug Abuse Reduction Initiative. The programs and services described throughout this report not only serve all persons in the community, but also specifically help to reduce the burdens on local government through a spirit of collaboration thanks to, in large, part, our success in securing grant funding for community-based health initiatives, some of which will be discussed later in this document. St. Gabriel's Hospital provides charity care, in addition to a wide range of community benefit activities associated with serving the needs of the poor. Performing these services and picking up the related costs helps local government agencies which might otherwise have to fund the services. UFH also contributes to the quality of life for area residents in one additional significant way-- through its extensive volunteer program. Apart from the many community benefit hours donated to such activities as the emergency medical system and other community health initiatives, UFH has multiple staff members who donate volunteer time to coaching, serving on church boards, etc., that enhance life in central Minnesota. Beyond these efforts, many community members donate their time and talents to serve the people who utilize our facilities. Our volunteer services department is well known throughout the community and the entire Fargo Division of Catholic Health Initiatives for having a comprehensive, well-developed volunteer program. How well-developed? In FYE June 30, 2019, a total of 270 volunteers contributed 20,018 hours of service to UFH. These hours not only contribute mightily to UFH facilities, but also offer a variety of intrinsic rewards that the volunteers say "give meaning" to their lives. Finally, the hospital is included in the Official Catholic Directory as a tax-exempt hospital. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | 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, www.catholichealth.net, 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. Gabriel's Hospital is located in central Minnesota in the city of Little Falls and serves the people of Morrison County, Minnesota, and small portions in the surrounding counties. Morrison County has a population of 33,836 according the most recent (July 2019) estimate from the U.S. Census Bureau (QuickFacts Morrison County, Minnesota, July 2019. Source: U.S. Census Bureau, Population Division). On average, Morrison County is older and "poorer" on average than the population of the state of Minnesota overall. In the county, 19.6% of the population is age 65 or older compared to 15.9% of Minnesotans. The median age for Morrison County is 42.1 and for Minnesota, it is 37.9. The median household income for the county is $36,245 and the per capita income is $28,792, in comparison to $68,411 and $36,245, respectively for Minnesota. The percentage of persons below the poverty level (1-year estimate, which, according to the U.S. Census Bureau itself, is not statistically valid for comparisons with other geographic areas) in the county is 10.1%, while in the state, it is 9.6%. Morrison County has a largely Caucasian population with 97.1% of the population "white." This is in comparison to the state of Minnesota as a whole, which is 84.1% white. Similarly, only 1.3% of the population is foreign born in the county, while Minnesota's foreign-born population is 8.4%. There are 29.5 persons per square mile in the county and for Minnesota as a whole, there are 66.6 persons per square mile. The percentage of people in Morrison County with a disability is 7.9%, compared to 7.3% for the state. A few areas of the county have been designated as Health Professional Shortage Areas (HPSAs), due to economic factors. According to the U.S. Census Bureau data (TownCharts), the median earnings per worker is $41,584 for Morrison County compared to $51,758 for all of Minnesota. The county unemployment rate is currently (December 2019) 7.5%. The state rate is 3.5%. Over the past year, the unemployment rate for the county varies greatly from as low as 3.0% in the past year (2019) to as high as 7.5% while in the state it has ranged from 3.0% to 3.4% (again, in 2019). The total number of jobs in the county (BEA estimates) is 17,576 with approximately two-thirds (66.6%) of these jobs wage and salary positions. The average hourly rate in the county (actually Region 5) is $19.99/hour compared to $25.99/hour for Minnesota. Similarly, the average weekly wage for the county is $754/week, or 31.9% less than the state average of $1,107/week. Since its inception in 1891, St. Gabriel's Hospital has been intimately involved in community health collaboration, initially working with local lumbering companies to develop plans to care for their workers in the late 1800s and early 1900s. More recently, St. Gabriel's has been collaborating with Morrison County Public Health and Morrison County Social Services since the 1980s to examine area health issues, enabling the three partners to set priorities and plans for health improvement. St. Gabriel's Hospital continues our deep commitment and involvement in the community health assessment and action planning today. |
| 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 Affiliated health care system | 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 comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 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 2019, CommonSpirit Health provided more than $2.1 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 $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share 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 | MN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| YOUTH FRONTIERS INC | |||||||
| 6009 EXCELSIOR BLVD | MINNEAPOLIS | MN | 55416 | 411598977 | 501(C)(3) | $5,610 | VIOLENCE PREVENTION |
| CENTRACARE HEALTH FOUNDATION | |||||||
| 1406 SIXTH AVENUE N | ST CLOUD | MN | 56303 | 411855173 | 501(C)(3) | $12,000 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| SCHOLARSHIPS | 4 | $2,000 | |||
| PATIENT INTERPRETERS | 248 | $27,394 | BOOK | PAYMENTS TO INTERPRETERS FOR NON-ENGLISH SPEAKING PATIENTS |
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 | Requests for grants to be paid to individuals or organizations are sent to the manager of communications and/or the foundation director for approval. These requests are reviewed to ensure their purpose benefits the community and are in line with Unity Family Healthcare's mission and values. Large grant fund requests are reviewed and signed off on by the President/CEO. The foundation director is responsible for working with each grantee to meet their reporting guidelines as stipulated to ensure grant awards are used according to the contract signed by both parties. Grant contracts are maintained in MediTract with reminders of expiration dates to ensure timely reporting and completion. | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RYAN KRAY MD | ||||||||||||||
| Former Vice Chair/Physician | $229,225 | $0 | $14,337 | $0 | $809 | $0 | $14,592 | $0 | $2,899 | $0 | $261,862 | $0 | $0 | $0 |
| LEE BOYLES | ||||||||||||||
| FORMER PRESIDENT/CEO | $0 | $243,637 | $0 | $41,635 | $0 | $22,560 | $0 | $0 | $0 | $26,336 | $0 | $334,168 | $0 | $0 |
| STEVEN SMITH | ||||||||||||||
| CEO/VP OF FINANCE | $0 | $156,220 | $0 | $18,150 | $0 | $12,532 | $0 | $10,959 | $0 | $26,094 | $0 | $223,955 | $0 | $0 |
| JEFFREY DROP | ||||||||||||||
| Board Member/CHI SVP Division Officer | $0 | $716,564 | $0 | $535,360 | $0 | $136,936 | $0 | $22,411 | $0 | $18,016 | $0 | $1,429,287 | $0 | $0 |
| GREGORY MCNAMARA MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $259,426 | $0 | $12,443 | $0 | $2,980 | $0 | $16,273 | $0 | $25,211 | $0 | $316,333 | $0 | $0 | $0 |
| VIRGIL MEYER MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $257,898 | $0 | $17,274 | $0 | $12,946 | $0 | $16,375 | $0 | $18,440 | $0 | $322,933 | $0 | $0 | $0 |
| MARK MOE MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $302,280 | $0 | $2,678 | $0 | $766 | $0 | $16,391 | $0 | $25,211 | $0 | $347,326 | $0 | $0 | $0 |
| DAVID EDGERTON JR | ||||||||||||||
| PHYSICIAN | $633,031 | $0 | $0 | $0 | $2,300 | $0 | $15,895 | $0 | $26,483 | $0 | $677,709 | $0 | $0 | $0 |
| PAUL JOHNSON | ||||||||||||||
| PHYSICIAN | $737,152 | $0 | $39,372 | $0 | $840 | $0 | $15,328 | $0 | $25,211 | $0 | $817,903 | $0 | $0 | $0 |
| DAVID JORGENSEN | ||||||||||||||
| PHYSICIAN | $575,229 | $0 | $69,207 | $0 | $5,544 | $0 | $16,375 | $0 | $26,690 | $0 | $693,045 | $0 | $0 | $0 |
| SAUNG PARK | ||||||||||||||
| PHYSICIAN | $575,718 | $0 | $0 | $0 | $1,932 | $0 | $6,750 | $0 | $10,308 | $0 | $594,708 | $0 | $0 | $0 |
| PHILIP PROSAPIO | ||||||||||||||
| PHYSICIAN | $467,595 | $0 | $64,784 | $0 | $8,191 | $0 | $16,361 | $0 | $18,151 | $0 | $575,082 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS | DURING THE CALENDAR YEAR 2018, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | During the calendar year 2018, compensation for the top management official was established and paid by Catholic Health Initiatives ("CHI"), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Jeffrey Drop - $110,067 Lee Boyles - $13,240 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHANIE KRAY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF FORMER DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $175,913 | TransactionAmt |
| Transaction | EMPLOYEE PAYROLL WAGES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 16b JOINT VENTURE POLICY | UNITY FAMILY HEALTHCARE HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. Catholic Health Initiatives used Korn Ferry as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Korn Ferry reviewed both cash and total compensation for overall reasonableness, for adherence to Catholic Health Initiatives' compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review was delivered by Korn Ferry to the CHI HR committee of the Board of Stewardship Trustees annually at their September meeting and minutes shared with the full board at the December meeting. The last review was September 25, 2018. In addition, Korn Ferry completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels were reviewed annually and revised based on market data, where applicable. |
| Form 990, Part VI, Line 12c Conflict of Interest Policy | b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. 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. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES | During the tax year ended 6/30/2019, no other officers or key employees received compensation from the organization. Any executive compensation paid to other officers or key employees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as N/A. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | Pursuant to Section 8.6 of the bylaws of Unity Family Healthcare, the Executive Committee shall consist of only directors of the corporation and shall be composed of the Chairperson, Vice Chairperson, and the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee. Each individual appointed shall serve a term of one year or until his or her successor is duly appointed by the Board of Directors. Except as provided by law, the Executive Committee shall have and may exercise such powers as may be delegated to it by the board of directors. Additionally, the Executive Committee shall have and may exercise such powers to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors, provided that such actions taken shall be consistent with and not conflict with any actions or policies of the board of directors or of the corporate member, with the bylaws, or with applicable laws. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NON-PROFIT CORPORATION. |
| 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 5.5.1 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 Unity Family Healthcare ("UFH"); - Amendment of the corporate documents of UFH; - Approve members of the UFH board; - Removal of a member of the governing body of UFH; - Approval of issuance of debt by UFH; - Approval of participation of UFH in a joint venture; - Approval of formation of a new corporation by UFH; - Approval of a merger involving UFH; - Approval of the sale of all or substantially all of the assets of UFH; - To require the transfer of assets by UFH 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 UFH. Pursuant to Section 5.5.2 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 | Unity Family Healthcare's VP of Finance is responsible for reviewing the Form 990 as prepared by the CommonSpirit Health tax department. The Form 990 is posted to a community board portal where all board members are able to access and review prior to filing. Subsequent to the return being provided to the board the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board. |
| Form 990, Part VI, 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. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. |
| Form 990, Part VI, Line 19 Required documents available to the public | The Organization's conflict of interest policy and governing documents are not publicly available. 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 VIII, Line 11d Other Miscellaneous Revenue | Other Miscellaneous Revenue - Total Revenue: 129951, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 129951; |
| Form 990, Part IX, Line 11g Other Fees | Purchased Services - Total Expense: 5477770, Program Service Expense: 4106222, Management and General Expenses: 1371548, Fundraising Expenses: 0; Contract Labor - Total Expense: 4832460, Program Service Expense: 3624345, Management and General Expenses: 1208115, Fundraising Expenses: 0; Other Fees for Services - Total Expense: 3150180, Program Service Expense: 2362635, Management and General Expenses: 787545, Fundraising Expenses: 0; Contract Services - Total Expense: 319956, Program Service Expense: 239967, Management and General Expenses: 79989, Fundraising Expenses: 0; Consulting - Total Expense: 60589, Program Service Expense: 45442, Management and General Expenses: 15147, Fundraising Expenses: 0; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Capital Resource Pool Contribution - -441096; |
Schedule R IRS990ScheduleR
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 SYSTEM | ||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HOSPITAL | IA | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | ||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| 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 Foundation | ||||||||||
| 345 S Halcyon Rd | Arroyo Grande | CA | 93420 | 203256066 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| Bakersfield Memorial Hospital | ||||||||||
| 420 34TH Street | Bakersfield | CA | 93301 | 951802779 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| Barrow Neurological Foundation | ||||||||||
| 350 West Thomas Road | Phoenix | AZ | 85013 | 860174371 | FUNDRAISING | 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) | Type I | SLCHS | false |
| BAYLOR ST LUKE'S MEDICAL GROUP | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(c)(3) | 3 | SLHS | false |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232187242 | HEALTHCARE | PA | 501(c)(3) | Type I | CSH | false |
| BRAZOSPORT HEALTH FOUNDATION INC | ||||||||||
| 1 West Way Ct | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING FOUNDATION | TX | 501(c)(3) | Type I | BRHS | false |
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | ||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | PHYSICIANS | TX | 501(c)(3) | 3 | BRHS | false |
| BURLESON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| BURLESON ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| California Hospital Medical Center Foundation | ||||||||||
| 1401 South Grand Avenue | Los Angeles | CA | 90015 | 954000909 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DCC | false |
| CARRINGTON HEALTH CENTER | ||||||||||
| 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 FOUNDATION | ||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 840902211 | FUNDRAISING FOUNDATION | CO | 501(c)(3) | 7 | CHIC | false |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 1150 Kelly Johnson Blvd 204 | COLORADO SPRINGS | CO | 80920 | 270930004 | HEALTHCARE | CO | 501(c)(3) | Type I | CSH | false |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | PHYSICIANS | CO | 501(c)(3) | Type I | CHINS | false |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | SURGERY CENTER | OR | 501(c)(3) | 10 | MMC | false |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | 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 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 10 | CSH | false |
| CHI HEALTH FOUNDATION | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | 7 | ACH | false |
| CHI INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(c)(3) | Type I | CSH | false |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(c)(3) | Type I | CSH | false |
| CHI LIVING COMMUNITIES | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | HEALTHCARE | OH | 501(c)(3) | Type II | 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 DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(c)(3) | 10 | CHI NS | false |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(c)(3) | Type I | CSH | false |
| CHI NEBRASKA | ||||||||||
| 12809 West Dodge Road | Omaha | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(c)(3) | Type I | CSH | false |
| CHI ST JOSEPH CHILDREN'S HEALTH | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(c)(3) | Type I | CSH | false |
| CHI ST JOSEPH'S CHILDREN | ||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(c)(3) | Type I | 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) | Type II | SVIMC | false |
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIANS | AR | 501(c)(3) | 3 | CHISVHS | false |
| COMMONSPIRIT HEALTH | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(c)(3) | Type I | NA | false |
| Community Hospital of San Bernardino | ||||||||||
| 1805 Medical Center Drive | San Bernardino | CA | 92411 | 951643373 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(c)(4) | GSH | false | |
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING FOUNDATION | IA | 501(c)(3) | Type I | AH-CMHMV | false |
| CONTINUING CARE HOSPITAL | ||||||||||
| One Saint Joseph Drive | LEXINGTON | KY | 40504 | 611400619 | HOSPITAL | KY | 501(c)(3) | 3 | SJHS | false |
| Dignity Community Care | ||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 815009488 | HOSPITAL | CO | 501(c)(3) | 3 | NA | 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 Drive | Redding | CA | 96003 | 237115371 | Senior Center Services | CA | 501(c)(3) | 7 | DH | false |
| Dignity Health Foundation | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 462037641 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| Dignity Health Foundation - Inland Empire | ||||||||||
| 2101 N Waterman Avenue | San Bernardino | CA | 92404 | 237440086 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| Dignity Health Foundation East Valley | ||||||||||
| 475 South Dobson Road | Chandler | AZ | 85224 | 742418514 | FUNDRAISING FOUNDATION | AZ | 501(c)(3) | Type I | DH | false |
| Dignity Health HPL Self-Insurance Trust | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 943006034 | Self Insurance | CA | 501(c)(3) | Type I | DH | false |
| Dignity Health Insurance Nevada Ltd | ||||||||||
| 185 Berry Street | San Francisco | NV | 94107 | 813800752 | Self Insurance | NV | 501(c)(3) | Type I | DH | false |
| Dignity Health Medical Foundation | ||||||||||
| 3400 Data Drive | Rancho Cordova | CA | 95670 | 680220314 | MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC | CA | 501(c)(3) | Type I | DCC | false |
| Dignity Health Workers Comp Self-Insurance Trust | ||||||||||
| 185 Berry Street | San Francisco | CA | 94107 | 946612446 | Self Insurance | CA | 501(c)(3) | Type I | DH | false |
| Dominican Health Services | ||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770056778 | Community Health System | CA | 501(c)(3) | Type I | DH | false |
| Dominican Hospital Foundation | ||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 942450442 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| Dominican Oaks Corporation | ||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770127719 | Operation and management of housing complex to elderly persons | CA | 501(c)(3) | 10 | DHS | false |
| East Texas Clinical Services | ||||||||||
| 2801 VIA FORTUNA SUITE 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | 501(c)(3) | Type I | SLHS | false |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1455 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | Type I | FH | false |
| FRANCISCAN CARE CENTER | ||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(c)(3) | 10 | FLC | false |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING FOUNDATION | WA | 501(c)(3) | 10 | FHS | false |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HOSPITAL | WA | 501(c)(3) | 3 | CSH | false |
| FRANCISCAN HEALTH VENTURES FKA SJMGROUP | ||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(c)(3) | 10 | CSH | false |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(c)(3) | 10 | FHS | false |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(c)(3) | 10 | CSH | false |
| French Hospital Medical Center Foundation | ||||||||||
| 1911 Johnson Avenue | San Luis Obispo | CA | 93401 | 203256125 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DCC | false |
| GARRISON MEMORIAL HOSPITAL | ||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HOSPITAL | ND | 501(c)(3) | 3 | SAMC | false |
| Glendale Memorial Health Foundation | ||||||||||
| 1420 South Central Avenue | Glendale | CA | 91204 | 953625651 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DCC | false |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(c)(3) | Type I | CSH | false |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311778403 | EDUCATION | OH | 501(c)(3) | 2 | GSH | false |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING FOUNDATION | OH | 501(c)(3) | Type I | GSH | false |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | 7 | GSH | false |
| HARRISON MEDICAL CENTER | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| HARRISON MEDICAL CENTER FOUNDATION | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING FOUNDATION | WA | 501(c)(3) | 7 | HMC | false |
| HEALTH FOUNDATION OF KENTUCKYONE INC | ||||||||||
| 1451 HARRODSBURG RD STE D-308 | LEXINGTON | KY | 40504 | 832170324 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | Type II | KOH | false |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | Type I | SFMC | false |
| HIGHLINE MEDICAL CENTER | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(c)(3) | 7 | CHI-IA CORP | false |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | ||||||||||
| 250 E Liberty St Ste 500 | LOUISVILLE | KY | 40202 | 611029768 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | ||||||||||
| 100 E Liberty St Ste 800 | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(c)(3) | 10 | JHSMH | false |
| KENTUCKYONE HEALTH INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(c)(3) | Type II | CSH | false |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | 7 | LHC | false |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930821381 | SENIOR LIVING | OR | 501(c)(3) | 10 | MMC | false |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(c)(3) | Type I | MHSET | false |
| MADISON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| MADONNA MANOR INC | ||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | LIVING ASSIST | KY | 501(c)(3) | 10 | FLC | false |
| Marian Regional Medical Center Foundation | ||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 953818027 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| Mark Twain Medical Center | ||||||||||
| 768 Mountain Ranch Road | San Andreas | CA | 95249 | 680127677 | HOSPITAL | CA | 501(c)(3) | 3 | NA | false |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING FOUNDATION | TN | 501(c)(3) | 7 | MHCS | false |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HOSPITAL | TN | 501(c)(3) | 3 | CSH | false |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(c)(3) | 10 | MHCS | false |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HOSPITAL | TX | 501(c)(3) | 3 | MHSET | false |
| MEMORIAL MEDICAL CENTER - 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) | Type I | MHSET | false |
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HOSPITAL | TX | 501(c)(3) | 3 | MHSET | false |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(c)(3) | Type I | MF-DM IA | false |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(c)(3) | 10 | CHI-IA CORP | false |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(c)(3) | 2 | CHI-IA CORP | false |
| Mercy Foundation Bakersfield | ||||||||||
| PO Box 119 | Bakersfield | CA | 93302 | 770201321 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING FOUNDATION | IA | 501(c)(3) | 7 | CHI-IA CORP | false |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING FOUNDATION | OR | 501(c)(3) | 7 | MMC | false |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING FOUNDATION | IA | 501(c)(3) | Type I | AHMH-Corning | false |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | Type I | MHVC | false |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING FOUNDATION | IA | 501(c)(3) | Type I | AHBMHS | false |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | 7 | MHDL | false |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| Mercy McMahon Terrace | ||||||||||
| 3865 J Street | Sacramento | CA | 95816 | 680117340 | Senior Citizen's Housing/Retirement Communities | CA | 501(c)(3) | 10 | DCC | false |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HOSPITAL | IA | 501(c)(3) | 3 | CHI-IA CORP | false |
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | ||||||||||
| 204 N 4th Ave E | Newton | IA | 50314 | 421470935 | HOSPITAL | IA | 501(c)(3) | 3 | CHI-IA CORP | false |
| Mercy Medical Center Merced Foundation | ||||||||||
| 301 E 13th Street | Merced | CA | 95340 | 770035928 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| MERCY MEDICAL CENTER INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HOSPITAL | OR | 501(c)(3) | 3 | CSH | false |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | Type I | MMC | false |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| Northland Healthcare Alliance | ||||||||||
| 2223 East Rosser Avenue | Bismarck | ND | 58501 | 911845296 | MANAGEMENT | ND | 501(c)(3) | 7 | NCHA | false |
| Northridge Hospital Foundation | ||||||||||
| 18300 Roscoe Blvd | Northridge | CA | 91328 | 237444901 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DCC | false |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | Type I | OCH | false |
| Pacific Central Coast Health Centers | ||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770447575 | Clinic | CA | 501(c)(3) | 3 | DH | false |
| PINEYWOODS MEDICAL DEVELOPMENT CORP | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(c)(3) | Type I | MHSET | false |
| Port City Operating Company LLC | ||||||||||
| 3400 Data Drive | Rancho Cordova | CA | 95670 | 465322209 | HOSPITAL | CA | 501(c)(3) | 3 | DH | false |
| PROVIDENCE CARE CENTER | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | HEALTHCARE | OH | 501(c)(3) | 10 | FLC | false |
| PROVIDENCE CARE CENTERS | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341826099 | HOLDING CO | OH | 501(c)(3) | Type II | FLC | false |
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | ||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false |
| PUEBLO STEPUP | ||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(c)(3) | 7 | CHIC | false |
| REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE | ||||||||||
| 16251 Sylvester Road SW | Burien | WA | 98166 | 911170040 | HOSPITAL | WA | 501(c)(3) | 3 | FHS | false |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 841183335 | Senior Center Services | CO | 501(c)(3) | 7 | CHIC | false |
| SAINT CLARE'S COMMUNITY CARE INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(c)(3) | 10 | SCHS | false |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING FOUNDATION | 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) | 3 | SCHS | false |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | 7 | SERMC | false |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HOSPITAL | NE | 501(c)(3) | 3 | SERMC | false |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | 7 | SFMC | false |
| Saint Francis Memorial Hospital | ||||||||||
| 900 Hyde Street | San Francisco | CA | 94109 | 941156295 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611334601 | HOSPITAL | KY | 501(c)(3) | 3 | KOH | false |
| SAINT JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| 701 Bob Olink Dr 200 | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | Type I | SJHS | false |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING FOUNDATION | KY | 501(c)(3) | 7 | SJHS | false |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 2500 Fairway Street | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING FOUNDATION | ND | 501(c)(3) | Type I | SJHHC | false |
| San Gabriel Valley Medical Center Foundation | ||||||||||
| 438 West Las Tunas Drive | San Gabriel | CA | 91776 | 953430341 | INACTIVE | CA | 501(c)(3) | Type I | DH | false |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | Type I | AHMHS | false |
| Sierra Nevada Memorial-Miners Hospital | ||||||||||
| 155 Glasson Way | Grass Valley | CA | 95945 | 941439787 | HOSPITAL | CA | 501(c)(3) | 3 | DCC | false |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HOSPITAL | MO | 501(c)(3) | 3 | CSH | false |
| St Francis Foundation of Santa Barbara | ||||||||||
| 2323 De La Vina St Suite 104 | Santa Barbara | CA | 93105 | 237137119 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| St Francis Hospital Support Corporation | ||||||||||
| 601 E Micheltorena Street | Santa Barbara | CA | 93103 | 770022302 | INACTIVE | CA | 501(c)(3) | Type I | DH | false |
| St Johns Healthcare Foundation | ||||||||||
| 1600 North Rose Avenue | Oxnard | CA | 93030 | 202865781 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| St Josephs Foundation (Phoenix) | ||||||||||
| 350 West Thomas Road | Phoenix | AZ | 85013 | 942941245 | FUNDRAISING FOUNDATION | AZ | 501(c)(3) | Type I | DH | false |
| St Josephs Foundation of San Joaquin | ||||||||||
| 1800 N California Street | Stockton | CA | 95204 | 510432777 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| St Mary Medical Center Foundation | ||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 237153876 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| St Mary Professional Building Inc | ||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 237373088 | INACTIVE | CA | 501(c)(3) | Type I | DH | false |
| St Marys Medical Center Foundation | ||||||||||
| 450 Stanyan Street | San Francisco | CA | 94117 | 943336143 | FUNDRAISING FOUNDATION | CA | 501(c)(3) | Type I | DH | false |
| St Rose Dominican Health Foundation | ||||||||||
| 3001 St Rose Parkway | Henderson | NV | 89052 | 880349432 | FUNDRAISING FOUNDATION | NV | 501(c)(3) | Type I | DH | false |
| ST ALEXIUS MEDICAL CENTER | ||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| ST ANTHONY HOSPITAL | ||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930391614 | HOSPITAL | OR | 501(c)(3) | 3 | CSH | false |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 2801 St Anthony Way | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING FOUNDATION | OR | 501(c)(3) | Type I | SAH | false |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HOSPITAL | AR | 501(c)(3) | 3 | SVIMC | false |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HOSPITAL | KS | 501(c)(3) | 3 | CSH | false |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING FOUNDATION | KS | 501(c)(3) | Type I | SCH | false |
| ST CLARE COMMONS | ||||||||||
| 12469 Five Point Road | TOLEDO | OH | 43551 | 270163752 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(c)(4) | CSH | false | |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(c)(3) | 10 | 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 MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH FOUNDATION OF BRYAN TEXAS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING FOUNDATION | TX | 501(c)(3) | Type II | SJSC | false |
| ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HOSPITAL | MD | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH PHYSICIAN ASSOCIATES | ||||||||||
| 2801 FRANCISCAN DRIVE | 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) | Type I | SJMC | false |
| ST JOSEPH REGIONAL HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| ST JOSEPH REGIONAL HEALTH PARTNERS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HOSPITAL | TX | 501(c)(3) | 3 | SJSC | false |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(c)(3) | 10 | SJSC | false |
| ST JOSEPH SERVICES CORPORATION | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(c)(3) | Type I | SLHS | false |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | false |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 2500 Fairway St | DICKINSON | ND | 58601 | 450226429 | HOSPITAL | ND | 501(c)(3) | 3 | CSH | false |
| ST LEONARD | ||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(c)(3) | 10 | FLC | false |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S COMMUNITY HEALTH SERVICES | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S FOUNDATION | ||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING FOUNDATION | TX | 501(c)(3) | 7 | SLHS | false |
| ST LUKE'S HEALTH SYSTEM CORPORATION | ||||||||||
| PO Box 20269 | HOUSTON | TX | 77225 | 760536232 | MANAGEMENT | TX | 501(c)(3) | Type I | CSH | false |
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||
| 1213 Hermann Drive Ste 855 | HOUSTON | TX | 77004 | 760531716 | PROPERTY MGMT | TX | 501(c)(3) | Type I | SLHS | false |
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(c)(3) | Type I | SLCDC-SL | false |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1301 Grundman Boulevard | NEBRASKA CITY | NE | 68410 | 470443636 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING FOUNDATION | NE | 501(c)(3) | 7 | SMCH | false |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING FOUNDATION | AR | 501(c)(3) | Type I | SVIMC | false |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HOSPITAL | AR | 501(c)(3) | 3 | CSH | false |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(c)(3) | 10 | SVIMC | false |
| SYLVANIA FRANCISCAN HEALTH | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 341412964 | HEALTHCARE | OH | 501(c)(3) | Type I | CSH | false |
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 455357161 | FUNDRAISING FOUNDATION | OH | 501(c)(3) | Type I | FLC | false |
| THE COMMONS OF PROVIDENCE | ||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(c)(3) | 10 | FLC | false |
| THE COMMUNITY HOSPITAL OF BRAZOSPORT | ||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 741385192 | HOSPITAL | TX | 501(c)(3) | 3 | SLHS | false |
| THE GOOD SAMARITAN HOSPITAL 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) | Type I | CHI NEBRASKA | false |
| TOTAL HEALTHCARE | ||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 840927232 | HOSPITAL | CO | 501(c)(3) | 3 | CHIC | false |
| TRINITY HEALTH FOUNDATION | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 311329423 | FUNDRAISING FOUNDATION | OH | 501(c)(3) | Type I | THS | false |
| TRINITY HEALTH SYSTEM | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(c)(3) | Type I | NA | false |
| TRINITY HOSPITAL TWIN CITY | ||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HOSPITAL | OH | 501(c)(3) | 3 | SFH | false |
| TRI-STATE HEALTH SERVICES INC | ||||||||||
| ONE ROSS PARK BLVD | STEUBENVILLE | OH | 43952 | 341522484 | ASSIST LIVING | OH | 501(c)(3) | 7 | THS | false |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(c)(3) | 10 | CSH | false |
| VISITING NURSE ASSOCIATION 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 (80 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 Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AGH Phoenix LLC | |||||||||||
| 220 E Las Colinas Blvd Suite 1000 | Irving | TX | 75039 | 471584330 | Holding Company | AZ | NA | N/A | false | false | |
| American Mercy Home Care LLC | |||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 830486150 | HOME HEALTH | OH | NA | N/A | false | false | |
| Arizona Care Network LLC (ACN LLC) | |||||||||||
| 350 W Thomas Rd | Phoenix | AZ | 85013 | 454494682 | Care Network | AZ | NA | N/A | false | false | |
| Audubon Land Company LLC | |||||||||||
| 630 Southpointe Court 200 | COLORADO SPRINGS | CO | 80906 | 841513085 | Real Estate | CO | NA | N/A | false | false | |
| AVON EMERGENCY AND URGENT CARE CENTER LLC | |||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 811727282 | HEALTHCARE SRVC | CO | NA | N/A | false | false | |
| BAYLOR CHI ST LUKES HEALTH SERVICES LLC | |||||||||||
| 6624 Fannin St Ste 1100 | HOUSTON | TX | 77030 | 472079184 | HEALTHCARE SRVC | TX | NA | N/A | false | false | |
| BERGAN MERCY SURGERY CENTER LLC | |||||||||||
| 7710 Mercy Rd Ste 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | NA | N/A | false | false | |
| BERYWOOD OFFICE PROPERTIES LLC | |||||||||||
| 2501 Citico Avenue | CHATTANOGA | TN | 37404 | 621875199 | PHYS OFFICE | TN | NA | N/A | false | false | |
| BLUEGRASS REGIONAL IMAGING CENTER | |||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | NA | N/A | false | false | |
| CBCC Outsmarting Cancer LLC | |||||||||||
| 6501 Truxtun Avenue | Bakersfield | CA | 93309 | 461602286 | Radiation / Oncology including Cyberknife | CA | NA | N/A | false | false | |
| CENTRAL NEBRASKA REHABILITATION SERVICES LLC | |||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | Physical Therapy | NE | NA | N/A | false | false | |
| CENTURA-SCA HOLDINGS LLC | |||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CENTER | AL | NA | N/A | false | false | |
| CHI OPERATING INVESTMENT PROGRAM LP | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | NA | N/A | false | false | |
| CHICAMSURG Surgery Centers LLC | |||||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 465683027 | SURGERY CENTER | CO | NA | N/A | false | false | |
| CHICLARKIN VENTURES LLC | |||||||||||
| 9100 E Mineral Circle | Centennial | CO | 80112 | 474210888 | URGENT CARE | CO | NA | N/A | false | false | |
| Colorado Springs CK Leasing LLC | |||||||||||
| 630 Southpointe Court 200 | COLORADO SPRINGS | CO | 80906 | 262982714 | REAL ESTATE | CO | NA | N/A | false | false | |
| Community Mercy Home Care Services of Springfield LLC | |||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311746556 | HOME HEALTH | OH | NA | N/A | false | false | |
| DE JV LLC | |||||||||||
| 8686 New Trails Drive | The Woodlands | TX | 77381 | 320496548 | Emergency Care | NV | NA | N/A | false | false | |
| DHHP Surgery Centers LLC | |||||||||||
| 1513 S Grand Avenue Ste 350 | Los Angeles | CA | 90015 | 831847466 | SURGERY | CA | NA | N/A | false | false | |
| DHRT Holdings LLC | |||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 352484591 | Holding Company | DE | NA | N/A | false | false | |
| Dignity- GoHealthUrgent Care Management LLC | |||||||||||
| 5555 Glenridge Connector Suite 700 | Atlanta | GA | 30342 | 352548698 | Management Services | DE | NA | N/A | false | false | |
| Dignity Health at Home LLC | |||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 824674115 | HEALTHCARE SRVC | DE | NA | N/A | false | false | |
| Dignity Health Specialty Pharmacy LLC | |||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 320589462 | Specialty Pharmacy Services | DE | NA | N/A | false | false | |
| DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC | |||||||||||
| 15305 Dallas Parkway | Addison | TX | 75001 | 202999237 | Surgery | TX | NA | N/A | false | false | Suite 1600 LB 28 |
| DignityUSP NorCal Surgery Centers LLC | |||||||||||
| 15306 Dallas Parkway | Addison | TX | 75001 | 202468509 | SURGERY | TX | NA | N/A | false | false | Suite 1600 LB 28 |
| DIGNITYUSP PHOENIX SURGERY CENTERS LLC | |||||||||||
| 15307 Dallas Parkway | Addison | TX | 75001 | 134248908 | Surgery | TX | NA | N/A | false | false | Suite 1600 LB 28 |
| DignityUSPJohn Muir East Bay Surg Ctrs LLC | |||||||||||
| 15308 Dallas Parkway | Addison | TX | 75001 | 352584991 | SURGERY | TX | NA | N/A | false | false | Suite 1600 LB 28 |
| Dignity-Abrazo Health Network LLC | |||||||||||
| 3030 N Central Avenue Suite 1402 | Phoenix | AZ | 85012 | 465477985 | Management Services | AZ | NA | N/A | false | false | |
| Dominican Magnetic Resonance Imaging Center | |||||||||||
| 1545 Soquel Drive | Santa Cruz | CA | 94065 | 770095477 | Imaging Center | CA | NA | N/A | false | false | |
| Folsom Sierra Endoscopy Center LP | |||||||||||
| 1650 Creekside Drive 1600 | Folsom | CA | 95630 | 680482416 | Endoscopy | CA | NA | N/A | false | false | |
| Franciscan Medical 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 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 813725123 | HEALTHCARE SRVC | WA | NA | N/A | false | false | |
| Good Samaritan Home Care Services 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 HOLDING | WI | NA | N/A | false | false | |
| HEALTHCARE 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 | NA | N/A | false | false | |
| Highline Physical Therapy Group | |||||||||||
| 181 S 333rd Street STE 250 | Federal Way | WA | 98003 | 911431904 | Physical Therapy | WA | NA | N/A | false | false | |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | |||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | NA | N/A | false | false | |
| LAKESIDE ENDOSCOPY CENTER LLC | |||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | NA | N/A | false | false | |
| LINCOLN CK LEASING LLC | |||||||||||
| 555 SOUTH 70TH STREET | Lincoln | NE | 68510 | 262496856 | Real Estate | NE | NA | N/A | false | false | |
| Mercy Davis Cancer Center Management Co LLC | |||||||||||
| 2740 M Street | Merced | CA | 95340 | 943358445 | Management of Cancer Center | CA | NA | N/A | false | false | |
| Mercy Rehabilitation Hospital LLC | |||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 814437201 | HEALTHCARE SRVC | TX | NA | 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 | NA | N/A | false | false | |
| NICU Operating CO of Santa Cruz LLC | |||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 460502935 | Neonatal Healthcare | CA | NA | N/A | false | false | |
| NORTH RIVER SURGERY CENTER LLC | |||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | NA | N/A | false | false | |
| NSC Channel Islands LLC | |||||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 770418197 | Ambulatory surgical center | CA | NA | N/A | false | false | |
| OMG Arizona LLC | |||||||||||
| 130 Sutter Street 2nd Flr | San Francisco | CA | 94104 | 471708588 | Medical Office | AZ | NA | N/A | false | false | |
| ORTHOCOLORADO LLC | |||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80228 | 371577105 | ORTHO HOSPITAL | CO | NA | N/A | false | false | |
| Park Rapids Area Health Care | |||||||||||
| 600 Pleasant Avenue S | Park Rapids | MN | 56470 | 204926259 | HEALTHCARE SRVC | MN | NA | N/A | false | false | |
| Pasadena Urgency Center LLC | |||||||||||
| 4600 E SAM HOUSTON PKWY SOUTH | PASADENA | TX | 77505 | 812482854 | URGENT CARE | TX | NA | N/A | false | false | |
| Patient Transport Services of Columbus Inc | |||||||||||
| 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 | HEALTHCARE SRVC | WA | NA | N/A | false | false | |
| Penrad Imaging LLC | |||||||||||
| 1390 Kelly Johnson Blvd | COLORADO SPRINGS | CO | 80920 | 841072619 | Medical Imaging | CO | NA | N/A | false | false | |
| Performance Medical Equipment & Respiratory Svsc LLC | |||||||||||
| 19625 62nd Avenue South STE 101 | Kent | WA | 98032 | 452901632 | Holding Company | WA | NA | N/A | false | false | |
| Plaza Surgery Center LP | |||||||||||
| 525 E Plaza Drive Suite 100 | Santa Maria | CA | 93454 | 770573567 | Surgery | CA | NA | N/A | false | false | |
| PMC HOSPITAL LLC | |||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | NA | N/A | false | false | |
| Precision Medicine Alliance LLC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 352569159 | Diagnostic Services | CO | NA | N/A | false | false | |
| Pueblo Ambulatory Surgery Center LLC | |||||||||||
| 25 Montebello Rd | Pueblo | CO | 81003 | 621488737 | SURGERY CENTER | CO | NA | N/A | false | false | |
| Radiation Oncology Centers of Ventura County | |||||||||||
| 1700 N ROSE AVENUE SUITE 120 | OXNARD | CA | 93030 | 770191706 | IMAGING | CA | NA | N/A | false | false | |
| RBR Management LLC | |||||||||||
| 91 Corporate Park Drive Suite 120 | Henderson | NV | 89074 | 271466450 | Ambulance | NV | NA | 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 | NA | N/A | false | false | |
| SAINT JOSEPH-ANC HOME CARE SERVICES | |||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | NA | N/A | false | false | |
| Santa Cruz Comprehensive Imaging LLC | |||||||||||
| 1661 Soquel Drive Suite G | Santa Cruz | CA | 95065 | 010550623 | Imaging | CA | NA | N/A | false | false | |
| Santa Cruz Land & Building LP | |||||||||||
| 1555 Soquel Drive | Santa Cruz | CA | 95065 | 770285236 | REAL ESTATE | CA | NA | N/A | false | false | |
| Santa Cruz Surgery Center LLC | |||||||||||
| 3003 PAUL SWEET ROAD | SANTA CRUZ | CA | 95065 | 770194916 | SURGERY | CA | NA | N/A | false | false | |
| SMI Imaging LLC | |||||||||||
| 6740 E Camelback Road Suite 101 | Scottsdale | AZ | 85251 | 264000683 | Imaging Center | CA | NA | 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 Center LP | |||||||||||
| 15305 Dallas Parkway | Addison | TX | 75001 | 201019390 | Surgery | TX | NA | N/A | false | false | Suite 1600 LB 28 |
| 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 | NA | N/A | false | false | |
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | |||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTICS | TX | NA | N/A | false | false | |
| ST LUKE'S LAKESIDE HOSPITAL LLC | |||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | NA | N/A | false | false | |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | |||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | NA | N/A | false | false | |
| Templeton Surgery Center LLC | |||||||||||
| 1310 Las Tablas Road Suite 104 | Templeton | CA | 94365 | 202246616 | Surgery | CA | NA | N/A | false | false | |
| The Medical Pavilion at St John's | |||||||||||
| 1700 Rose Avenue | Oxnard | CA | 93030 | 770332349 | Real Estate | CA | NA | N/A | false | false | |
| THREE SPRING IMAGING LLC | |||||||||||
| 1 Mercado St STE 200A | DURANGO | CO | 81301 | 813571570 | HEALTHCARE SRVC | CO | NA | N/A | false | false | |
| Valley Physicians Surgery Center At Northridge LLC | |||||||||||
| 18330 Roscoe Blvd | Northridge | CA | 91328 | 800864336 | Surgery | CA | NA | N/A | false | false | |
| WEST LAKES SURGERY CENTER LLC | |||||||||||
| 12499 UNIVERSITY AVENUE STE 100 | CLIVE | IA | 50325 | 205345295 | HEALTHCARE SRVC | IA | NA | N/A | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (92 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 | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alegent HealthCreighton St Joseph Managed Care Services Inc | ||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 470802396 | Managed Care | NE | NA | C Corporation | false | |||||||
| All Saints Insurance Company SPC Ltd | ||||||||||||||||
| 980556913 | Insurance | NA | C Corporation | false | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc | ||||||||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | Healthcare | TX | NA | C Corporation | false | |||||||
| Alternative Insurance Management Service Inc | ||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | Erlanger | KY | 41018 | 841112049 | Management Services | CO | NA | C Corporation | false | |||||||
| AMERICAN NURSING CARE Inc | ||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | NA | C Corporation | false | |||||||
| AMERIMED INC | ||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | NA | C Corporation | false | |||||||
| BC HOLDING COMPANY INC | ||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | Fitness Club | KY | NA | C Corporation | false | |||||||
| BrazoSport Health Alliance | ||||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | Health Care | TX | NA | C Corporation | false | |||||||
| Caduceus Medical Associates INC | ||||||||||||||||
| 5600 Brainerd Road Ste 500 | Chattanooga | TN | 37411 | 621570736 | Healthcare | TN | NA | C Corporation | false | |||||||
| Captive Management Initiatives Ltd | ||||||||||||||||
| 980663022 | Captive Management | NA | C Corporation | false | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Catholic Health Initiatives Center for Translational Research | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 272269511 | Research | CO | NA | C Corporation | false | |||||||
| CHI St Luke's Health - Memorial Condominium Association Inc | ||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 834184717 | Condo Assoc | TX | NA | C Corporation | false | |||||||
| ClearRiver Health | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464495960 | Insurance | TN | NA | C Corporation | false | |||||||
| Coastal Surgical Specialists Inc | ||||||||||||||||
| 921 Oak Park Blvd Suite 101 | Pismo Beach | CA | 93449 | 743000596 | Healthcare | CA | NA | S Corporation | false | |||||||
| Comcare Services Inc | ||||||||||||||||
| 5570 DTC Parkway | Englewood | CO | 80111 | 840904813 | Inactive | CO | NA | C Corporation | false | |||||||
| CONSOLIDATED HEALTH SERVICES | ||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | NA | C Corporation | false | |||||||
| Des Moines Medical Center Inc | ||||||||||||||||
| 1111 6TH AVE | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | NA | C Corporation | false | |||||||
| Dignity Health Holding Corporation | ||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 460675371 | Holding Co | NV | NA | C Corporation | false | |||||||
| Dignity Health Insurance Ltd (Cayman Island corporation) | ||||||||||||||||
| 981065338 | Insurance | NA | C Corporation | false | PO Box 1051 KY1-1102 | Grand Cayman Islands | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Dignity Health Provider Resources Inc | ||||||||||||||||
| 185 Berry Street Suite 300 | San Francisco | CA | 94107 | 473366764 | Health Plan | CA | NA | C Corporation | false | |||||||
| Diversified Health Resources Inc | ||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | Health Care | TX | NA | C Corporation | false | |||||||
| First Initiatives Insurance LTD | ||||||||||||||||
| 980203038 | Insurance | NA | C Corporation | false | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car | ||||||||||||||||
| C/O CPGUSA 1345 AVE OF THE AMERICAS | NEW YORK | NY | 10105 | 812174959 | Healthcare | NY | NA | C Corporation | false | e | ||||||
| Franciscan Services Inc | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232487967 | Healthcare | CO | NA | C Corporation | false | |||||||
| Good Samaritan Outreach Services | ||||||||||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470659440 | Medical Clinic | NE | NA | C Corporation | false | |||||||
| HarvestPlains Health of Iowa | ||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | Insurance | WA | NA | C Corporation | false | |||||||
| Health Services of the Pacific Central Coast Inc | ||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770074057 | Healthcare | CA | NA | C Corporation | false | |||||||
| Health Systems Enterprises Inc | ||||||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470664558 | MGMT | NE | NA | C Corporation | false | |||||||
| Healthcare MGMT Services Organization INC | ||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | NA | C Corporation | false | |||||||
| HeartlandPlains Health | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464368223 | Insurance | NE | NA | C Corporation | false | |||||||
| Highline Medical Group | ||||||||||||||||
| 1717 S J Street | Tacoma | WA | 98405 | 911407026 | Medical Services | WA | NA | C Corporation | false | |||||||
| Integrated Medical Services | ||||||||||||||||
| 9250 N 3rd Street Suite 4010 | Phoenix | AZ | 85020 | 860783428 | Multi-specialty physicians group | AZ | NA | C Corporation | false | |||||||
| KOMG-Louisville Region Inc | ||||||||||||||||
| 201 Abraham Flexner Way | Louisville | KY | 40202 | 832481198 | Healthcare | KY | NA | C Corporation | false | |||||||
| Management Services Organization of Santa Maria Inc | ||||||||||||||||
| 1400 E Church Street | Santa Maria | CA | 93454 | 770318135 | Health Care Mgmt | CA | NA | C Corporation | false | |||||||
| Medical Office Building Horizontal Property Regime Inc | ||||||||||||||||
| 300 Werner St | Hot Springs | AR | 71913 | 710720429 | Real Estate | AR | NA | C Corporation | false | |||||||
| Medquest | ||||||||||||||||
| 1301 15TH AVENUE WEST | Williston | ND | 58801 | 450392137 | Sale of DME | ND | NA | C Corporation | false | |||||||
| Memorial CV Service Line Management Company LLC | ||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 463622849 | Heath Care | TX | NA | C Corporation | false | |||||||
| Mercy Park Apartments LTD | ||||||||||||||||
| 1111 6th AVE | Des Moines | IA | 50314 | 421202422 | Housing | IA | NA | C Corporation | false | |||||||
| Mercy Services Corp | ||||||||||||||||
| 2700 STEWART PARKWAY | Roseburg | OR | 97471 | 930824308 | Retail Sales | OR | NA | C Corporation | false | |||||||
| MHI Clinical Services | ||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 461967952 | Healthcare | TX | NA | C Corporation | false | |||||||
| Millenium Surgery Center Inc | ||||||||||||||||
| 9300 Stockdale Hwy 200 | Bakersfield | CA | 93311 | 770513445 | Healthcare | CA | NA | S Corporation | false | |||||||
| Mountain Management Services Inc | ||||||||||||||||
| 6028 Shallowford Rd | Chattanooga | TN | 37421 | 621570739 | MGMT SVC ORG | TN | NA | C Corporation | false | |||||||
| North Central Health Care Alliance | ||||||||||||||||
| PO Box 5538 | Bismark | ND | 58506 | 450439894 | Healthcare | ND | NA | C Corporation | false | |||||||
| PATIENT TRANSPORT SERVICES INC | ||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | NA | C Corporation | false | |||||||
| QCA Health Plan Inc | ||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710794605 | Insurance | AR | NA | C Corporation | false | |||||||
| QualChoice Advantage | ||||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | Insurance | WA | NA | C Corporation | false | |||||||
| QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc) | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461224037 | Admin Services | CO | NA | C Corporation | false | |||||||
| QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461222808 | Holding Co | CO | NA | C Corporation | false | |||||||
| QualChoice Holdings Inc | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 274075520 | Holding Co | AR | NA | C Corporation | false | |||||||
| QualChoice Life and Health Insurance Company Inc | ||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710386640 | Insurance | AR | NA | C Corporation | false | |||||||
| QualChoice of Nebraska | ||||||||||||||||
| 2401 S 73rd St | Omaha | NE | 68124 | 810738827 | Inactive | NE | NA | C Corporation | false | |||||||
| RiverLink Health | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464380824 | Insurance | OH | NA | C Corporation | false | |||||||
| RiverLink Health of Kentucky Inc | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464828332 | Insurance | KY | NA | C Corporation | false | |||||||
| Ross Park Pharmacy Inc | ||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | Pharmacy | OH | NA | C Corporation | false | |||||||
| RUSHWINC Properties Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 753160650 | Lease negotiations | GA | NA | C Corporation | false | |||||||
| Saint Clare's Primary Care Inc | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 222441202 | Billing Services | NJ | NA | C Corporation | false | |||||||
| SJH Services Corporation | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232307408 | Healthcare | CO | NA | C Corporation | false | |||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | ||||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | Lexington | KY | 40503 | 270164198 | Mgmt | KY | NA | C Corporation | false | |||||||
| SoundPath Health Inc | ||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | Federal Way | WA | 98001 | 421720801 | Insurance | WA | NA | C Corporation | false | |||||||
| St Mary Health Ventures Inc | ||||||||||||||||
| 1050 Linden Avenue | Long Beach | CA | 90813 | 951912528 | Retail Pharmacy | CA | NA | C Corporation | false | |||||||
| St Anthony Development Company | ||||||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | NA | C Corporation | false | |||||||
| St Joseph Development Company Inc | ||||||||||||||||
| 1717 SOUTH J ST | Tacoma | WA | 98405 | 911480569 | Rental | WA | NA | C Corporation | false | |||||||
| St Luke's Health System Holdings Inc | ||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637138 | Holding Co | TX | NA | C Corporation | false | |||||||
| St Mary's Multi Specialty Clinic | ||||||||||||||||
| 1625 Prater Way Suite 102 | Sparks | NV | 89434 | 113763590 | Healthcare | NV | NA | C Corporation | false | |||||||
| St Vincent Community Health Services Inc | ||||||||||||||||
| TWO ST VINCENT CIRCLE | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | NA | C Corporation | false | |||||||
| StableView Health Inc | ||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464373713 | Insurance | KY | NA | C Corporation | false | |||||||
| STE Holdings | ||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 822383629 | Holding Co | NE | NA | C Corporation | false | |||||||
| Sugar Land Doctor Group | ||||||||||||||||
| 1317 Lake Point Parkway | Sugar Land | TX | 77478 | 454270163 | Medical Clinic | TX | NA | C Corporation | false | |||||||
| Towson Management Inc | ||||||||||||||||
| 7601 OSLER DR | Towson | MD | 21204 | 521710750 | Mgmt Services | MD | NA | C Corporation | false | |||||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | ||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | Mgmt Services | OH | NA | C Corporation | false | |||||||
| US HealthWorks Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582420844 | Occupational Medical Services | CA | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Alaska LLC | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 631219117 | Occupational Medical Services | AK | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Arizona Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582625710 | Occupational Medical Services | AZ | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Florida Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582654983 | Occupational Medical Services | FL | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Georgia Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582625714 | Occupational Medical Services | GA | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Kentucky Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 473277440 | Occupational Medical Services | KY | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Maine Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582654976 | Occupational Medical Services | ME | NA | C Corporation | false | |||||||
| US HealthWorks Medical Group of Ohio Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 311540841 | Occupational Medical Services | OH | NA | C Corporation | false | |||||||
| US HealthWorks of Colorado Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 811053593 | Occupational Medical Services | CO | NA | C Corporation | false | |||||||
| US HealthWorks of Illinois Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 461384805 | Occupational Medical Services | IL | NA | C Corporation | false | |||||||
| US HealthWorks of Indiana Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 351991196 | Occupational Medical Services | IN | NA | C Corporation | false | |||||||
| US HealthWorks of Kansas City Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 462754415 | Occupational Medical Services | KS | NA | C Corporation | false | |||||||
| US HealthWorks of Minnesota Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 452494357 | Occupational Medical Services | MN | NA | C Corporation | false | |||||||
| US HealthWorks of New Jersey Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 043323869 | Occupational Medical Services | NJ | NA | C Corporation | false | |||||||
| US HealthWorks of North Carolina Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 562029468 | Occupational Medical Services | NC | NA | C Corporation | false | |||||||
| US HealthWorks of Pennsylvania Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 582660955 | Occupational Medical Services | PA | NA | C Corporation | false | |||||||
| US HealthWorks of Tennessee Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 452697510 | Occupational Medical Services | TN | NA | C Corporation | false | |||||||
| US HealthWorks of Washington Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 911173613 | Occupational Medical Services | WA | NA | C Corporation | false | |||||||
| US HealthWorks of Wisconsin Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 461384564 | Occupational Medical Services | WI | NA | C Corporation | false | |||||||
| USHW Holding Corporation | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 208050895 | Occupational Medical Services | DE | NA | C Corporation | false | |||||||
| USHW of California Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 954585828 | Occupational Medical Services | CA | NA | C Corporation | false | |||||||
| USHW of Texas Inc | ||||||||||||||||
| 25124 Springfield Court Suite 200 | Valencia | CA | 91355 | 742785392 | Occupational Medical Services | TX | NA | C Corporation | 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 | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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