ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ST ALEXIUS MEDICAL CENTER (EIN 45-0226711)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-14
- IRS object ID
- 202021969349301827
- Schema version
- 2018v3.1
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-14T10:30:39-05:00 | 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 | 450226711 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STAL | BusinessNameControlTxt |
| Phone | 7015307000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 EAST BROADWAY AVENUE | AddressLine1Txt |
| City | BISMARCK | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585014520 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Terri Donovan | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2020-07-14 | 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 | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHI St Alexius Health | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kurt Schley | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 EAST BROADWAY AVENUE | AddressLine1Txt |
| City | BISMARCK | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585014520 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $274,890,522 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.chistalexiushealth.org/bismarck | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | CHI St. Alexius Health Bismarck is proud of its stellar reputation as a caring, high quality medical center and of its many awards for clinical excellence, customer satisfaction and community service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2105 | TotalEmployeeCnt |
| Total Volunteers | 138 | TotalVolunteersCnt |
| Total Gross UBI | $4,324,207 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,387,010 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,868,566 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,850,741 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $294,092,543 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $260,240,126 | CYProgramServiceRevenueAmt |
| PY Investment Income | $376,011 | PYInvestmentIncomeAmt |
| CY Investment Income | $189,810 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,384,723 | PYOtherRevenueAmt |
| CY Other Revenue | $12,436,342 | CYOtherRevenueAmt |
| PY Total Revenue | $309,721,843 | PYTotalRevenueAmt |
| CY Total Revenue | $274,717,019 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,844,238 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $171,299 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $140,085,628 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $128,889,490 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $243,817 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $183,383,565 | PYOtherExpensesAmt |
| CY Other Expenses | $219,163,398 | CYOtherExpensesAmt |
| PY Total Expenses | $327,313,431 | PYTotalExpensesAmt |
| CY Total Expenses | $348,224,187 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$17,591,588 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$73,507,168 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $263,164,438 | TotalAssetsBOYAmt |
| Total Assets EOY | $221,937,781 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $134,679,016 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,939,278 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $128,485,422 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,998,503 | 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 | $304,672,830 | ExpenseAmt |
| Grant | $171,299 | GrantAmt |
| Revenue | $267,230,925 | RevenueAmt |
| Desc | CHI ST. ALEXIUS HEALTH BISMARCK IS AN ACUTE CARE MEDICAL CENTER OFFERING A FULL LINE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES, INCLUDING PRIMARY AND SPECIALTY PHYSICIAN CLINICS, HOME HEALTH AND HOSPICE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND A FITNESS AND HUMAN PERFORMANCE CENTER. SINCE OUR FOUNDING IN 1885, CHI ST. ALEXIUS HEALTH BISMARCK HAS BEEN DEDICATED TO SERVING THE RESIDENTS OF CENTRAL AND WESTERN NORTH DAKOTA, NORTHERN SOUTH DAKOTA AND EASTERN MONTANA. WE ARE A ROMAN CATHOLIC ORGANIZATION WHOSE SPONSORS ARE THE SISTERS OF ST. BENEDICT OF THE ANNUNCIATION MONASTERY, BISMARCK, ND AND AS AN ORGANIZATION WE FOLLOW THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. WE ARE COMPRISED OF AN INTERVENTIONAL RADIOLOGIST, CARDIOLOGISTS, HEART AND VASCULAR SURGEONS AS WELL AS OTHER HIGHLY TRAINED SUPPORT PERSONNEL. SPECIALTY CLINICS: OUR SPECIALTY CLINICS ARE A UNIQUE MULTI-SPECIALTY GROUP PRACTICE LOCATED MAINLY INSIDE ST. ALEXIUS MEDICAL CENTER. PROVIDERS IN DIFFERENT SPECIALTIES WORK TOGETHER TO CARE FOR PATIENTS. SPECIALISTS MUST COMPLETE SEVEN OR MORE YEARS OF MEDICAL SCHOOL AND POST-GRADUATE TRAINING AND THEN COMPLETE FELLOWSHIPS IN THEIR CHOSEN SPECIALTIES. ALL PHYSICIANS ARE BOARD ELIGIBLE OR BOARD CERTIFIED IN ONE OR MORE SPECIALTIES. WE PROVIDE CLINIC SERVICES IN MANY OFF SITE SATELLITE CLINICS AND BRING SPECIALTY SERVICES TO THE REGION. ST. ALEXIUS OPERATES AN OUTPATIENT FAMILY SERVICE PROGRAM CALLED ARCHWAY MENTAL HEALTH SERVICES. THIS PROGRAM OFFERS SENSITIVE AND RESPONSIVE SERVICES FOR INDIVIDUAL, MARITAL AND FAMILY PROBLEMS. THIS PROGRAM IS KEEPING WITH ST. ALEXIUS MEDICAL CENTER'S PHILOSOPHY OF BEING A LEADER IN PROGRESSIVE AND QUALITY SERVICES TO THE PEOPLE OF NORTH DAKOTA. ARCHWAY SERVICES ARE ALSO PROVIDED IN HAZEN, GARRISON, AND LINTON, ND. GREAT PLAINS REHABILITATION SERVICES IS A DIVISION OF ST. ALEXIUS MEDICAL CENTER THAT PROVIDES HOME MEDICAL EQUIPMENT, ORTHOTIC & PROSTHETIC, HOME RESPIRATORY CARE, ADA ENVIRONMENTAL AND REHABILITATION TECHNOLOGY SERVICES. GREAT PLAINS PROVIDES NEEDED MEDICAL EQUIPMENT AND SUPPLIES TO HELP INDIVIDUAL LEAD ACTIVE AND INDEPENDENT LIVES. GREAT PLAINS SERVICES ALL OF NORTH DAKOTA, CENTER AND EASTERN MONTANA, AND NORTHERN SOUTH DAKOTA. OTHER: ST. ALEXIUS MEDICAL CENTER PROVIDED COMMUNITY ACTIVITIES AND SERVICES AT REDUCED OR NO COST. THOSE INCLUDED: 1. EMPLOYEE ASSISTANCE PROGRAM (EAP)- ST. ALEXIUS SERVICES EMPLOYER CONTRACTS THROUGH ITS EAP WITH EMPLOYEES BY PROVIDING PROBLEM ASSESSMENT, SHORT TERM COUNSELING AND REFERRAL TO APPROPRIATE RESOURCES FOR FOLLOW-UP CARE. EAP SERVICES ARE ONLY OPEN TO EMPLOYEES OF A PARTICIPATING COMPANY. THE SERVICE IS FREE IF YOUR EMPLOYER PAYS TO PARTICIPATE. 2. EMPLOYEE ACTIVITIES - IN KEEPING WITH THE MEDICAL CENTER COMMITMENT TO ITS EMPLOYEES: A. ACTIVELY PARTICIPATED IN THE UNITED WAY FUND CAMPAIGN. B. JOURNEY BEYOND EXCELLENCE PROGRAM - WE HAVE SEVERAL TEAMS THAT ASSIST WITH OUR JOURNEY-REWARDS AND RECOGNITION, PATIENT SATISFACTION, PHYSICIAN SATISFACTION. THESE TEAMS WORK TOGETHER WITH OUR LEADERSHIP TO RESOLVE CHALLENGES AND ENGAGE ALL IN OUR MISSION. C. THE VACATION DONATION PROGRAM ASSISTED EMPLOYEES WHO HAVE AN ILLNESS OR AN ILLNESS IN THE FAMILY ALLOWING OTHER EMPLOYEES TO DONATE VACATION HOURS TO ALLOW THE AFFECTED EMPLOYEE TIME TO HEAL OR TIME WITH A FAMILY MEMBER DURING THEIR HEALING PROCESS. D. THE EMPLOYEE EMERGENCY FUND IS FOR ANY ST. ALEXIUS EMPLOYEE WHO EXPERIENCES A CRISIS OR IS DIRECTLY AFFECTED BY A CRISIS INVOLVING A FAMILY MEMBER. THE FUNDS ARE AVAILABLE TO EMPLOYEES WHO ARE FACING PERSONAL TRAGEDIES OR HARDSHIPS FOR REASON SUCH AS A LOSS OF A SPOUSE OR CHILD, CATASTROPHIC ILLNESS, LOSS OF HOME BY FIRE OR FLOOD, OR OTHER CALAMITIES. 3. ACUTE CARE FACILITY - ST. ALEXIUS IS A PARTNER WITH ANOTHER ACUTE CARE FACILITY IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK CANCER CENTER HELPS TO ENSURE THAT PATIENTS WITH CANCER RECEIVE QUALITY CARE AND MANAGEMENT OF THEIR DISEASE WITHOUT HAVING TO DRIVE A LONG DISTANCE TO RECEIVE NECESSARY CARE. | Desc |
| Total Program Service Expenses | $304,672,830 | 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 | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 236 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2105 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terri Donovan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7015307610 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 EAST BROADWAY AVE | AddressLine1Txt |
| City | BISMARCK | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585014520 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHN GIESE | ||||||||||
| Chair | 3.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR NANCY MILLER OSB | ||||||||||
| Vice Chair | 3.0 | 5.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Kevin Dahmen MD | ||||||||||
| Secretary/Treasurer | 40.0 | 5.0 | Yes (X) | Yes (X) | $701,598 | $0 | $46,725 | |||
| KURT SCHLEY | ||||||||||
| DIRECTOR & CEO | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $562,819 | $81,226 | |||
| CLIFF ROBERTSON MD | ||||||||||
| Director | 1.0 | 59.0 | Yes (X) | $0 | $2,055,384 | $202,344 | ||||
| TIMOTHY BOPP MD | ||||||||||
| Director | 3.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL L CASSIDY MD | ||||||||||
| Director | 1.0 | 44.0 | Yes (X) | $0 | $466,358 | $35,118 | ||||
| Shiraz Hyder | ||||||||||
| Director | 40.0 | 5.0 | Yes (X) | $477,733 | $0 | $51,705 | ||||
| MICHAEL LEFOR | ||||||||||
| Director | 1.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||||
| TESSA MARBURGER MD | ||||||||||
| Director | 1.0 | 44.0 | Yes (X) | $0 | $379,282 | $26,355 | ||||
| LESLIE B OLIVER | ||||||||||
| Director (Partial Year) | 3.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| Todd Preszler MD | ||||||||||
| Director | 40.0 | 5.0 | Yes (X) | $561,980 | $0 | $34,415 | ||||
| PATRICK SOGARD | ||||||||||
| Director | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| JULIE TRAYNOR | ||||||||||
| Director | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR THOMAS WELDER | ||||||||||
| Director | 3.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN MONGEON | ||||||||||
| Director | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT BANKS | ||||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $274,625 | $0 | $25,668 | ||||
| DEB MOHESKY | ||||||||||
| Interim CFO (Started May 2019) | 40.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN HOLT | ||||||||||
| VP Human Resources | 40.0 | 0.0 | $183,539 | $0 | $16,259 | Yes (X) | ||||
| KEITH HORNER | ||||||||||
| Director | 40.0 | 0.0 | $214,119 | $0 | $31,160 | Yes (X) | ||||
| ANGELIA SVIHOVEC | ||||||||||
| VP Outreach | 40.0 | 0.0 | $190,329 | $0 | $29,703 | Yes (X) | ||||
| JULIE WARD | ||||||||||
| VP & Chief Nursing Officer | 40.0 | 0.0 | $272,114 | $0 | $15,467 | Yes (X) | ||||
| CAROL KOLLER | ||||||||||
| VP Medical Group Enterprise | 40.0 | 0.0 | $215,921 | $0 | $28,489 | Yes (X) | ||||
| Dr Allen Booth | ||||||||||
| Cardiovascular & Thoracic Surgeon | 40.0 | 0.0 | $837,042 | $0 | $51,020 | Yes (X) | ||||
| Dr Steven Kraljic | ||||||||||
| Neurosurgeon | 40.0 | 0.0 | $1,631,991 | $0 | $31,765 | Yes (X) | ||||
| Boyd Marts | ||||||||||
| Cardiovascular Surgeon | 40.0 | 0.0 | $832,861 | $0 | $51,879 | Yes (X) | ||||
| CAMERON Charchenko | ||||||||||
| MD - Urology | 40.0 | 0.0 | $821,723 | $0 | $34,594 | Yes (X) | ||||
| RADU RADUCU | ||||||||||
| MD - Nephrology | 40.0 | 0.0 | $759,052 | $0 | $41,618 | Yes (X) | ||||
| Duwayne Schlittenhard | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $291,720 | $0 | $0 | Yes (X) | ||||
| Rosanne Schmidt | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $227,351 | $0 | $9,195 | Yes (X) | ||||
| Priscilla Needham | ||||||||||
| Former CFO | 0.0 | 40.0 | $0 | $168,089 | $22,138 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,493,698 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,631,932 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $866,843 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 208 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Bismarck Radiology Associates | ||||||
| 810 E Rosser Ave | Ste 201 | Bismarck | ND | 58501 | Radiology Services | $5,609,234 |
| Medical Solutions | ||||||
| 1010 N 102nd Street | Suite 300 | Omaha | NE | 68114 | Traveling Nurse Service | $4,870,756 |
| Northern Plains Lab | ||||||
| PO Box 2036 | Bismarck | ND | 58502 | Pathology Services | $4,684,852 | |
| Weatherby Locum Inc | ||||||
| PO Box 972633 | Dallas | TX | 75397 | Locum Services | $4,123,915 | |
| HealthSource partners ND LLC | ||||||
| 2134 N Industrial Dr | Bozeman | MT | 59715 | ED Management Service | $4,083,375 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $245,901 | FundraisingAmt |
| Related Organizations | $217,590 | RelatedOrganizationsAmt |
| Government Grants | $56,932 | GovernmentGrantsAmt |
| All Other Contributions | $1,330,318 | AllOtherContributionsAmt |
| Noncash Contributions | $50,730 | NoncashContributionsAmt |
| Total Contributions | $1,850,741 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Services | 900099 | $256,893,625 | $256,893,625 |
| Equity changes of unconsolidated orgs | 900099 | $2,792,470 | $2,792,470 |
| Tuition | 611600 | $509,350 | $509,350 |
| Cafeteria | 722100 | $44,681 | $44,681 |
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 | $260,240,126 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,519 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $619 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,900 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $560,520 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $560,520 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $560,520 | TotalRevenueColumnAmt |
| Exclusion | $560,520 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,751 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,460 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,751 | SecuritiesAmt |
| Other | -$6,460 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,291 | TotalRevenueColumnAmt |
| Exclusion | $45,291 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $118,889 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $245,901 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $130,227 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,338 | TotalRevenueColumnAmt |
| Exclusion | -$11,338 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $27,483 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $36,816 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,333 | TotalRevenueColumnAmt |
| Exclusion | -$9,333 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Pharmacy Services | 446110 | $5,273,245 | $4,664,025 | $609,220 |
| Laboratory Services | 621500 | $1,324,179 | $1,324,179 | |
| Intercompany Transactions | 900099 | $2,326,774 | $2,326,774 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,972,295 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,390,189 | UnrelatedBusinessRevenueAmt |
| Exclusion | $582,106 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,896,493 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,717,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $267,230,925 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,324,207 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,311,146 | 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 | $171,299 | TotalAmt |
| Program Services | $171,299 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,395,093 | TotalAmt |
| Management And General | $3,395,093 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,486,793 | TotalAmt |
| Program Services | $98,716,554 | ProgramServicesAmt |
| Management And General | $6,618,260 | ManagementAndGeneralAmt |
| Fundraising | $151,979 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,366,298 | TotalAmt |
| Program Services | $12,049,230 | ProgramServicesAmt |
| Management And General | $1,299,399 | ManagementAndGeneralAmt |
| Fundraising | $17,669 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,641,306 | TotalAmt |
| Program Services | $5,819,112 | ProgramServicesAmt |
| Management And General | $814,224 | ManagementAndGeneralAmt |
| Fundraising | $7,970 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,593 | TotalAmt |
| Management And General | $422,593 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,768 | TotalAmt |
| Management And General | $16,768 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,573,390 | TotalAmt |
| Program Services | $52,761,306 | ProgramServicesAmt |
| Management And General | $24,812,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,049,520 | TotalAmt |
| Program Services | $524,760 | ProgramServicesAmt |
| Management And General | $524,760 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,164,073 | TotalAmt |
| Program Services | $2,896,946 | ProgramServicesAmt |
| Management And General | $1,201,335 | ManagementAndGeneralAmt |
| Fundraising | $65,792 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,663,700 | TotalAmt |
| Program Services | $2,831,850 | ProgramServicesAmt |
| Management And General | $2,831,850 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,997,733 | TotalAmt |
| Program Services | $8,754,015 | ProgramServicesAmt |
| Management And General | $1,243,718 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,991 | TotalAmt |
| Program Services | $594,123 | ProgramServicesAmt |
| Management And General | $83,461 | ManagementAndGeneralAmt |
| Fundraising | $407 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,376 | TotalAmt |
| Program Services | $2,188 | ProgramServicesAmt |
| Management And General | $2,188 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,264,975 | TotalAmt |
| Program Services | $4,264,975 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,175,732 | TotalAmt |
| Program Services | $5,175,732 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,291,744 | TotalAmt |
| Program Services | $12,256,098 | ProgramServicesAmt |
| Management And General | $35,646 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,316 | TotalAmt |
| Program Services | $736,155 | ProgramServicesAmt |
| Management And General | $6,161 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Unrelated Business Taxes | $341,265 | $341,265 |
| Medical Supplies | $52,027,448 | $52,027,448 |
| Restructuring / Impairment losses | $38,000,000 | $38,000,000 |
| Repairs and Maintenance | $4,102,239 | $4,102,239 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,647,535 | TotalAmt |
| Program Services | $2,647,535 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,224,187 | TotalAmt |
| Program Services | $304,672,830 | ProgramServicesAmt |
| Management And General | $43,307,540 | ManagementAndGeneralAmt |
| Fundraising | $243,817 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,348 | BOYAmt |
| EOY | $8,349 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,059 | BOYAmt |
| EOY | $4,133 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,596 | BOYAmt |
| EOY | $6,176 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,050,201 | BOYAmt |
| EOY | $33,175,705 | 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 | $662,078 | BOYAmt |
| EOY | $557,631 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,578,785 | BOYAmt |
| EOY | $9,622,914 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,609 | BOYAmt |
| EOY | $1,064,876 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $120,049,989 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,014,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,995,610 | BOYAmt |
| EOY | $60,035,413 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,932 | BOYAmt |
| EOY | $1,642,167 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,175,439 | BOYAmt |
| EOY | $4,455,209 | 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 |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,642,781 | BOYAmt |
| EOY | $111,365,208 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,164,438 | BOYAmt |
| EOY | $221,937,781 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,754,348 | BOYAmt |
| EOY | $72,278,744 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,762 | BOYAmt |
| EOY | $2,288,672 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $1,223,984 | BOYAmt |
| EOY | $840,906 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,244,922 | BOYAmt |
| EOY | $92,530,956 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,679,016 | BOYAmt |
| EOY | $167,939,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,588,454 | BOYAmt |
| EOY | $47,894,951 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,406,626 | BOYAmt |
| EOY | $1,648,343 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,490,342 | BOYAmt |
| EOY | $4,455,209 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,485,422 | BOYAmt |
| EOY | $53,998,503 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,164,438 | BOYAmt |
| EOY | $221,937,781 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$73,507,168 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $102,613 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,082,364 | 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 | $16,768 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $16,768 | 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 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | LINE 1F- THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION- $4,058 CATHOLIC HEALTH ASSOCIATION- $3,063 NORTH DAKOTA HOSPITAL ASSOCIATION- $9,647 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,175,493 | BeginningYearBalanceAmt |
| Contributions | $35,000 | ContributionsAmt |
| Investment Earnings Or Losses | $264,476 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $19,760 | AdministrativeExpensesAmt |
| End Year Balance | $4,455,209 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,916,916 | BeginningYearBalanceAmt |
| Contributions | $80,000 | ContributionsAmt |
| Investment Earnings Or Losses | $303,577 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,799 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,109,542 | OtherExpendituresAmt |
| Administrative Expenses | $13,659 | AdministrativeExpensesAmt |
| End Year Balance | $4,175,493 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,031,666 | BeginningYearBalanceAmt |
| Contributions | $176,232 | ContributionsAmt |
| Investment Earnings Or Losses | $409,345 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $688,455 | OtherExpendituresAmt |
| Administrative Expenses | $11,872 | AdministrativeExpensesAmt |
| End Year Balance | $4,916,916 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,511,626 | BeginningYearBalanceAmt |
| Contributions | $155,866 | ContributionsAmt |
| Investment Earnings Or Losses | $18 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $623,219 | OtherExpendituresAmt |
| Administrative Expenses | $12,625 | AdministrativeExpensesAmt |
| End Year Balance | $5,031,666 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,092,887 | BeginningYearBalanceAmt |
| Contributions | $1,167,300 | ContributionsAmt |
| Investment Earnings Or Losses | $148,073 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $877,031 | OtherExpendituresAmt |
| Administrative Expenses | $19,603 | AdministrativeExpensesAmt |
| End Year Balance | $5,511,626 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.82 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,461,043 | OtherCostOrOtherBasisAmt |
| Book Value | $12,461,043 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,084,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,067,214 | DepreciationAmt |
| Book Value | $23,017,646 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,015,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,891,547 | DepreciationAmt |
| Book Value | $21,124,061 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,488,478 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,055,815 | DepreciationAmt |
| Book Value | $3,432,663 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $60,035,413 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deposits | $247,951 |
| Intercompany Receivables | $105,479,235 |
| Rental Property Land | $5,531,994 |
| Other assets | $106,028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $111,365,208 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $79,054,585 |
| Deferred Gain on Sale/Leasback-LT | $13,487,282 |
| Unclaimed Property | $46 |
| Other Liabilities | -$10,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,530,956 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE ENDOWMENT IS UTILIZED TO PROVIDE FUNDING TO CONTINUE TO ADVANCE MEDICAL SERVICES AND PROGRAMS FOR THE REGION AT ST. ALEXIUS MEDICAL CENTER SET FORTH IN OUR MISSION, "LET ALL BE RECEIVED AS CHRIST." |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | ST. ALEXIUS MEDICAL CENTER'S financial information is included in the consolidated audited financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's FIN 48 (ASC 740) footnote for the year ended June 30, 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 | Night for the Stars | Event1Nm |
| Gross Receipts Event1 | $308,198 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $195,159 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $113,039 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $10,581 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $21,205 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $96,573 | OtherDirectExpensesEvent1Amt |
| Event2 | SAKT | Event2Nm |
| Gross Receipts Event2 | $56,592 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $50,742 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $5,850 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $669 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $208 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $124 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $367 | OtherDirectExpensesEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $364,790 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $245,901 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $118,889 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $669 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,789 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $21,329 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $96,940 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $130,227 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$11,338 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | $2,486 | GrossRevenueBingoAmt |
| Non Cash Prizes Bingo | $738 | NonCashPrizesBingoAmt |
| Other Direct Expenses Bingo | $140 | OtherDirectExpensesBingoAmt |
| Volunteer Labor Bingo | false | VolunteerLaborBingoInd |
| Gross Revenue Other Gaming | $24,997 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $35,588 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $350 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (true) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 0.06 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $27,483 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $36,326 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $490 | OthDirectExpnssTotalGamingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | ND | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.33 | GamingOwnFacilityPct |
| Gaming Other Facility | 0.66 | GamingOtherFacilityPct |
| Individual With Books | ERICA SOLSETH | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 E MAIN AVE | AddressLine1Txt |
| City | BISMARCK | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585065510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
Gaming Manager Business Name GamingManagerBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KILEE HARMON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | ADMINISTER AND OVERSEE GAMING EVENTS | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | Yes (true) | CharitableDistributionRqrInd |
| Distributed | $0 | DistributedAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule G, Part III, Line 17 Distributions required under state law | FormAndLineReferenceDesc |
| Explanation | STATE=NORTH DAKOTA,MANDATORY DISTRIBUTION AMOUNT=0; | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,307,844 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,307,844 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0038 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,505,533 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,123,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,813,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,123,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,307,844 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0038 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $204,087 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $204,087 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $178,433 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $178,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,971,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,924,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,046,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0432 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,171 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,172 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $175,196 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $175,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,580,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,982,589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,604,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0448 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $36,393,547 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,105,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,912,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0486 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,575,986 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $79,626,229 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,322,558 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,303,671 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN PLAINS LAB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | LABORATORY SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.5 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 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 Alexius Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 East Broadway | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 585065510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.chistalexiushealth.org/bismarck | WebsiteAddressTxt |
| State License | 5004 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| 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 Alexius Medical Center | 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.chistalexiushealth.org/about-us/community-health-assessments | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| 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.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.chistalexiushealth.org/patients-visitors/our-patients/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 and identified through the CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - ST. ALEXIUS MEDICAL CENTER. An online survey was conducted with identified community key stakeholders. The study concentrated on the stakeholders' concerns for the community specific to economic wellbeing, transportation, children and youth, the aging population, safety, health care and wellness, mental health and substance abuse. The study was conducted through a partnership with Center for Social Research (CSR) at North Dakota State University. The CSR developed and maintained links to the online survey tool. Bismarck-Burleigh Public Health distributed the survey link via email to stakeholders and key leaders located within the Bismarck/Mandan community and Burleigh and Morton counties. Data collection occurred during December 2017. A total of 68 community stakeholders participated in the survey. Resident Survey The resident survey tool included questions about the respondent's personal health. An online survey was developed in partnership with public health experts. The Minnesota Health Department reviewed the survey and advised to include key questions used in the State Health Improvement Program (SHIP) surveys and those questions were included in this survey. The North Dakota Public Health Association developed an Addendum to the survey with questions specific to the American Indian population. The survey was sent to a representative sample of the Burleigh county and Morton county populations secured through Qualtrics, a qualified vendor. A total of 645 community residents participated in the resident survey. Community Asset Mapping Asset mapping was conducted to find the community resources available to address the assessed needs. Each unmet need was researched to determine what resources were available to address the needs. Community Stakeholders Meeting Community stakeholders were invited to attend a presentation of the findings of the CHNA research. On Thursday, April 5, 2018, the Community Health Collaborative Core Group hosted a Community Health Stakeholders meeting. Community profile information for Burleigh and Morton counties were presented to attendees in addition to survey findings from NDSU Center for Social Research. A total of 61 stakeholders were present for the Community Health Stakeholders meeting representing the following agencies: * AARP * Bismarck City Commission * Bismarck Parks & Recreation * Bismarck Police Department * Bismarck-Burleigh Public Health * Bismarck-Mandan Chamber of Commerce * Bridging the Dental Gap * Burleigh County Commission * Burleigh County Housing Authority * Charles Hall Youth Services * CHI St. Alexius Health * City of Bismarck Administration * Community Healthcare Association of the Dakotas * Community Options * Go! Bismarck Mandan * Heartview Foundation * Lutheran Social Services * Mandan Police Department * Mental Health America of ND * Missouri Valley Homeless Coalition * ND Department of Health * Ruth Meiers Hospitality House * Sanford Health * State Legislators * UND Center for Family Medicine * United Tribes Technical College * United Way * University of Mary * Vulnerable Adult Protective Services * West Central Human Service Center * YMCA Following the presentations, facilitated round table discussions took place where attendees provided feedback on the survey results and shared ideas on how their organizations could assist with the needs identified. Facilitators captured the discussions and feedback from attendees. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Sanford Health. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Burleigh Public Health. |
| Schedule H, Part V, Section B, Line 6b Facility , 2 | Facility , 2 - Center for Social Research at North Dakota State University. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ST. ALEXIUS MEDICAL CENTER. The significant community health needs that the hospital will address: Opioid Abuse * Review current takeback policy * Assess prescription usage * Review literature on other programs * Plan provider education programs * Educate patients Food insecurity * Assess food hunger among dialysis patients * Educate nurses and physicians on assessment of food insecurity * Work with dietary, food pantries and families to simplify the process of obtaining appropriate foods Domestic Violence * Explore opportunities to educate health professionals about domestic violence - assess for domestic violence * Appreciate selected interventional skills in domestic violence situations Significant Needs the Hospital Does Not Intend to Address The hospital intends to take actions to address all of the prioritized significant health needs in the CHNA report, both through its own programs and services and in collaboration with community partners. Homelessness: CHI St. Alexius Health works collaboratively with institutions who are providing housing for homeless and those who are implementing housing for those who are impaired. We pay particular attention to our sister institution, Ministry on the Margin. Another concern is discharge of homeless persons. Children and Youth: We will continue to work with our programs with nutrition and diabetes with children. Safety: Violence prevention programs; domestic violence and sex trafficking - active plan for violence prevention. Wellness: Clinics Abuse of prescription drugs - included in opioid plan, and all "take back" drug programs. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - ST. ALEXIUS MEDICAL CENTER. 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 (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| St Alexius Heart & Lung Clinic | ||||
| 310 North 10th Street | Bismarck | ND | 58501 | Heart, lung & peripheral vascular disease clinic |
| Great Plains Rehabilitation Services | ||||
| 1212 East Main | Bismarck | ND | 58501 | Provide home medical products to general public |
| St Alexius Minot Clinic | ||||
| 2700 8TH ST NW | Minot | ND | 58701 | Family medicine clinic |
| St Alexius Mandan Clinic North | ||||
| 2500 Sunset Dr NW | Mandan | ND | 58554 | Family medicine clinic |
| Urgent Care on 43rd | ||||
| 4315 Ottawa Street | Bismarck | ND | 58503 | Urgent Care |
| Urgent Care Pinehurst | ||||
| 921 W Interstate Ave | Bismarck | ND | 58503 | Urgent Care |
| Urgent Care on Main | ||||
| 807 E Main Suite A | Bismarck | ND | 58501 | Urgent Care |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Financial Assistance Eligibility | UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. * THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. * THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: * RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; * HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; * PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); * FOOD STAMP ELIGIBILITY; * SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; * ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); * LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR * PATIENT IS DECEASED WITH NO KNOWN ESTATE. |
| Schedule H, Part I, Line 7g Subsidized Health Services | SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE CHARITY CARE INCLUDED IN PART I, LINE 7A IS BASED ON THE AVERAGE COST TO GROSS CHARGES CALCULATED FROM OUR AUDITED FINANCIAL. THE UNREIMBURSED MEDICAID IN PART I, LINE 7B IS BASED ON GROSS CHARGES AND CLAIMS FROM OUR ACCOUNTS RECEIVABLE SYSTEM. THE COMMUNITY HEALTH SERVICES, EDUCATION AND CONTRIBUTIONS IN PART I, LINES 7E, F AND I ARE BASED ON ACTUAL EXPENSES. THE SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G ARE BASED ON ESTIMATED COSTS FROM THE INTERNAL COST ACCOUNTING GENERAL LEDGER SYSTEM. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE AMOUNT REPORTED AS BAD DEBT EXPENSE REPRESENTS TOTAL CHARGES WRITTEN OFF TO BAD DEBT. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | ST. ALEXIUS MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | ST. ALEXIUS MEDICAL CENTER does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of CommonSpirit Health. The consolidated footnote reads as follows: CommonSpirit relies on the results of detailed reviews of historical write-offs and collections in estimating the collectability of accounts receivable. Updates to the hindsight analysis is performed at least quarterly using primarily a rolling eighteen-month collection history and write-off data. Subsequent changes to estimates of the transaction price are generally recorded as adjustments to net patient revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in a third-party payor's ability to pay are recorded as bad debt expense in purchased services and other in the accompanying consolidated statements of operations and change in net assets. Bad debt expense for 2019 was not significant. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. ALEXIUS MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. |
| Schedule H, Part III, Line 9b 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. Alexius Medical Center: Line 16a URL: https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - St. Alexius Medical Center: Line 16b URL: https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - St. Alexius Medical Center: Line 16c URL: https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR 2019. |
| Schedule H, Part VI, Line 3 Patient education 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. Alexius provides outreach services across its service of central and western North Dakota. St. Alexius operates the Garrison Memorial Hospital in Garrison, North Dakota and manages the Community Memorial Hospital in Turtle Lake. St. Alexius owns and operates clinics in Mandan, Minot, Garrison, and Washburn. North Dakota's population is 790,701 of which 75,858 reside in the city of Bismarck. The population is 92.1% white, 4.5% Native American, and the remaining 3.4% being African American, Asian, and Hispanic. By the year 2020, 450 of the 53 counties will have more than 22% of their population age 65 or older. From 2000-2005 our state had a 15% decrease in the number of youth and a 13.8% increase in the minority population which was primarily Native American Reservations. North Dakota has 12% of their population living poverty. The leading causes of death in Burleigh county ranked in order are diseases of the heart, Alzheimer's, respiratory cancer, accidental, cerebrovascular disease, COPD, diabetes, breast cancer, and colorectal cancer. Health related behaviors influence cardiovascular diseases such as smoking, physical inactivity, poor nutrition, and unhealthy weight status. Hypertension is a chronic disease associated with aging that has a high risk factor for heart disease and stroke. In North Dakota, 26% of adults have high blood pressure. North Dakota adults are a part of the national trend towards increased obesity. 63% of the adults here have an unhealthy weight/BMI. Some of the health screenings that St. Alexius is conducting throughout the service region are vascular, wellness, memory, sleep apnea, and chronic obstructive pulmonary disease. Those individuals that are being screened at no or minimal costs are being alerted of health risks that might go undetected. Through screenings, it is our hope that these individuals seek further treatment and are empowered to make healthier lifestyle choices. |
| 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 | ND |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| American Heart Association | |||||||
| 2750 Blue Water Road Suite 250 | Eagan | MN | 55121 | 135613797 | 501(c)(3) | $25,000 | Program Support |
| Bismarck Cancer Center Foundation | |||||||
| 500 N 8th Street | Bismarck | ND | 58501 | 260466647 | 501(c)(3) | $10,000 | Program Support |
| Bismarck Larks Baseball | |||||||
| 300 N 4th St 103 | Bismarck | ND | 58501 | 813163412 | N/A | $15,383 | Program Support |
| Bismarck Marathon | |||||||
| PO Box 7023 | Bismarck | ND | 58507 | 208441757 | 501(c)(3) | $12,000 | Program Support |
| Light of Christ School | |||||||
| 1025 N 2nd Street | Bismarck | ND | 58501 | 460581758 | 501(c)(3) | $50,000 | Program Support |
| Schaumberg Ice Expansion | |||||||
| 400 E Front Ave | Bismarck | ND | 58504 | 450384442 | 501(c)(3) | $16,666 | Program Support |
| NDUS Foundation | |||||||
| 600 E Boulevard Ave Dept 215 | Bismarck | ND | 58505 | 450422574 | 501(c)(3) | $25,000 | Program Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | ST. ALEXIUS MAKES DONATIONS TO ENTITIES WITH CHARITABLE MISSIONS TO ENSURE THAT OUR DONATIONS ARE USED FOR THE PURPOSES INTENDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Dahmen MD | ||||||||||||||
| Secretary/Treasurer | $480,289 | $0 | $219,722 | $0 | $1,587 | $0 | $26,600 | $0 | $20,125 | $0 | $748,323 | $0 | $0 | $0 |
| KURT SCHLEY | ||||||||||||||
| DIRECTOR & CEO | $0 | $433,185 | $0 | $71,446 | $0 | $58,188 | $0 | $54,317 | $0 | $26,909 | $0 | $644,045 | $0 | $37,116 |
| CLIFF ROBERTSON MD | ||||||||||||||
| Director | $0 | $1,021,091 | $0 | $870,115 | $0 | $164,178 | $0 | $173,553 | $0 | $28,791 | $0 | $2,257,728 | $0 | $133,018 |
| MICHAEL L CASSIDY MD | ||||||||||||||
| Director | $0 | $453,646 | $0 | $3,100 | $0 | $9,612 | $0 | $15,934 | $0 | $19,184 | $0 | $501,476 | $0 | $0 |
| Shiraz Hyder | ||||||||||||||
| Director | $381,969 | $0 | $87,895 | $0 | $7,869 | $0 | $29,500 | $0 | $22,205 | $0 | $529,438 | $0 | $0 | $0 |
| TESSA MARBURGER MD | ||||||||||||||
| Director | $0 | $367,563 | $0 | $0 | $0 | $11,719 | $0 | $15,853 | $0 | $10,502 | $0 | $405,637 | $0 | $0 |
| Todd Preszler MD | ||||||||||||||
| Director | $538,240 | $0 | $21,118 | $0 | $2,622 | $0 | $11,000 | $0 | $23,415 | $0 | $596,395 | $0 | $0 | $0 |
| Priscilla Needham | ||||||||||||||
| Former CFO | $0 | $85,265 | $0 | $25,000 | $0 | $57,824 | $0 | $17,175 | $0 | $4,963 | $0 | $190,227 | $0 | $0 |
| SCOTT BANKS | ||||||||||||||
| CFO | $253,129 | $0 | $19,537 | $0 | $1,959 | $0 | $6,164 | $0 | $19,504 | $0 | $300,293 | $0 | $0 | $0 |
| Duwayne Schlittenhard | ||||||||||||||
| Former Key Employee | $0 | $0 | $0 | $0 | $291,720 | $0 | $0 | $0 | $0 | $0 | $291,720 | $0 | $0 | $0 |
| Rosanne Schmidt | ||||||||||||||
| Former Key Employee | $0 | $0 | $0 | $0 | $227,351 | $0 | $0 | $0 | $9,195 | $0 | $236,546 | $0 | $0 | $0 |
| ELLEN HOLT | ||||||||||||||
| VP Human Resources | $165,246 | $0 | $15,968 | $0 | $2,325 | $0 | $7,310 | $0 | $8,949 | $0 | $199,798 | $0 | $0 | $0 |
| KEITH HORNER | ||||||||||||||
| Director | $190,935 | $0 | $10,652 | $0 | $12,532 | $0 | $8,803 | $0 | $22,357 | $0 | $245,279 | $0 | $0 | $0 |
| ANGELIA SVIHOVEC | ||||||||||||||
| VP Outreach | $172,492 | $0 | $16,959 | $0 | $878 | $0 | $7,841 | $0 | $21,862 | $0 | $220,032 | $0 | $0 | $0 |
| JULIE WARD | ||||||||||||||
| VP & Chief Nursing Officer | $240,338 | $0 | $28,256 | $0 | $3,520 | $0 | $4,275 | $0 | $11,192 | $0 | $287,581 | $0 | $0 | $0 |
| CAROL KOLLER | ||||||||||||||
| VP Medical Group Enterprise | $197,062 | $0 | $17,500 | $0 | $1,359 | $0 | $7,549 | $0 | $20,940 | $0 | $244,410 | $0 | $0 | $0 |
| Dr Allen Booth | ||||||||||||||
| Cardiovascular & Thoracic Surgeon | $827,898 | $0 | $0 | $0 | $9,144 | $0 | $28,004 | $0 | $23,016 | $0 | $888,062 | $0 | $0 | $0 |
| Dr Steven Kraljic | ||||||||||||||
| Neurosurgeon | $1,307,982 | $0 | $322,299 | $0 | $1,710 | $0 | $11,000 | $0 | $20,765 | $0 | $1,663,756 | $0 | $0 | $0 |
| Boyd Marts | ||||||||||||||
| Cardiovascular Surgeon | $827,959 | $0 | $0 | $0 | $4,902 | $0 | $28,524 | $0 | $23,355 | $0 | $884,740 | $0 | $0 | $0 |
| CAMERON Charchenko | ||||||||||||||
| MD - Urology | $529,104 | $0 | $235,579 | $0 | $57,040 | $0 | $28,350 | $0 | $6,244 | $0 | $856,317 | $0 | $0 | $0 |
| RADU RADUCU | ||||||||||||||
| MD - Nephrology | $310,209 | $0 | $447,699 | $0 | $1,144 | $0 | $25,327 | $0 | $16,291 | $0 | $800,670 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 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 ("CHI") 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 | METHODS USED TO ESTABLISH CEO 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 4a Severance or change-of-control payment | DUWAYNE SCHLITTENHARD, a former key employee, received severance payment of $291,720. ROSANNE SCHMIDT, a former key employee, received severance payment of $227,351. |
| 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. During 2018 the following distributions were made by CHI from the deferred compensation plan: KURT RONALD SCHLEY - $37,136 CLIFF ROBERTSON- $139,166 |
| Schedule J, Part I, Line 7 Non-fixed payments | AT THE BEGINNING OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE ESTABLISHES A FINANCIAL THRESHOLD WHICH MUST BE MET BEFORE ANY AWARDS ARE PAID AND ESTABLISHES GUIDELINES DEFINING THE SIZE OF ANY AWARDS AVAILABLE TO PARTICIPANTS. AT THE END OF THE PLAN YEAR, THE COMMITTEE DECIDES WHETHER TO MAKE ANY AWARDS TO PARTICIPANTS AND HOW LARGE ANY AWARD SHALL BE, IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED AT THE BEGINNING OF THE PLAN YEAR. INCENTIVE COMPENSATION IS EARNED AS A PERCENT OF BASE SALARY. BASE SALARY IS DEFINED AS THE ANNUALIZED RATE OF PAY (SUMMATION OF MONTHLY BASE SALARY FOR THE PLAN YEAR). |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Various | Desc |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50,730 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Other - Various Number of contributions | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 12c CONFLICT OF INTEREST POLICY | 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 15a TOP MANAGEMENT OFFICIAL COMPENSATION | The organization's top management official's compensation was paid by Catholic Health Initiatives ("CHI"), a related organization. CHI had a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges were 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 1a Delegate broad authority to a committee | PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ACCORDING TO THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS CommonSpirit Health, A COLORADO NONPROFIT 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 5.4 OF THE ORGANIZATION'S BYLAWS, CommonSpirit Health SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CommonSpirit Health BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CommonSpirit Health CHIEF EXECUTIVE OFFICER: * APPROVE MEMBERS OF THE ORGANIZATION'S BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ORGANIZATION * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ORGANIZATION * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ORGANIZATION * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION * APPROVAL OF ISSUANCE OF DEBT BY ORGANIZATION * APPROVAL OF PARTICIPATION OF ORGANIZATION IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ORGANIZATION * APPROVAL OF A MERGER INVOLVING THE ORGANIZATION * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION * TO REQUIRE THE TRANSFER OF ASSETS BY THE ORGANIZATION TO CommonSpirit Health TO ACCOMPLISH CommonSpirit Health'S GOALS AND OBJECTIVES, AND TO SATISFY CommonSpirit Health DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, CommonSpirit Health MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The board will not review prior to filing |
| 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. 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. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | COMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE PRESIDENT/CEO AND/OR BOARD OF DIRECTORS FOR APPROVAL. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in CommonSpirit Health's consolidated audited financial statements that are available at www.commonspirit.org or www.catholichealthinitiatives.org. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: 2972295, Related or Exempt Function Revenue: , Unrelated Business Revenue: 2390189, Revenue Excluded from Tax Under Sections 512, 513, or 514: 582106; |
| Form 990, Part IX, Line 11g Other Fees | Other Fees for Services - Total Expense: 13482915, Program Service Expense: 9168381, Management and General Expenses: 4314534, Fundraising Expenses: ; Consulting - Total Expense: 254309, Program Service Expense: 172930, Management and General Expenses: 81379, Fundraising Expenses: ; Contract Services - Total Expense: 27667522, Program Service Expense: 18813915, Management and General Expenses: 8853607, Fundraising Expenses: ; Contract Labor - Total Expense: 16393410, Program Service Expense: 11147519, Management and General Expenses: 5245891, Fundraising Expenses: ; Purchased Services - Total Expense: 19775234, Program Service Expense: 13458561, Management and General Expenses: 6316673, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Asset Transfer - -1082364; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Heart & Lung Clinic LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 East Broadway Avenue | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861123162 | EIN |
| Primary Activities | Speciality Clinic-Cardiology, etc. | PrimaryActivitiesTxt |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Total Income | $33,108,355 | TotalIncomeAmt |
| End Of Year Assets | $14,194 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Alexius Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HOSPITAL | NE | 501(c)(3) | 3 | ACH | false |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HOSPITAL | NE | 501(c)(3) | 3 | CHI NEBRASKA | false |
| ALEGENT HEALTH - BERGAN MERCY HEALTH 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 | Yes (true) |
| 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 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 |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HOSPITAL | MN | 501(c)(3) | 3 | CSH | 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | UBI Code VUBICodeVAmt | 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 | Excluded | false | false | $161,862 | $4,455,209 | $619 | |
| 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 Suite | 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | SAMC | C Corporation | Yes (true) | $138,548 | $272,631 | |||||||
| 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 | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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