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: 2020-09-02
IRS object ID: 202032469349301533
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-09-02T15:01:20-05:00	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	2020-09-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

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	$279,453,846	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	$1,877,016	PYContributionsGrantsAmt
CY Contributions Grants	$1,874,508	CYContributionsGrantsAmt
PY Program Service Revenue	$300,014,100	PYProgramServiceRevenueAmt
CY Program Service Revenue	$265,421,836	CYProgramServiceRevenueAmt
PY Investment Income	$376,360	PYInvestmentIncomeAmt
CY Investment Income	$189,983	CYInvestmentIncomeAmt
PY Other Revenue	$12,862,900	PYOtherRevenueAmt
CY Other Revenue	$11,794,016	CYOtherRevenueAmt
PY Total Revenue	$315,130,376	PYTotalRevenueAmt
CY Total Revenue	$279,280,343	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,852,513	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	$143,031,126	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$132,192,217	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$250,890	CYTotalFundraisingExpenseAmt
PY Other Expenses	$185,118,183	PYOtherExpensesAmt
CY Other Expenses	$220,552,103	CYOtherExpensesAmt
PY Total Expenses	$332,001,822	PYTotalExpensesAmt
CY Total Expenses	$352,915,619	CYTotalExpensesAmt
PY Revenues Less Expenses	-$16,871,446	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$73,635,276	CYRevenuesLessExpensesAmt
Total Assets BOY	$264,517,220	TotalAssetsBOYAmt
Total Assets EOY	$223,658,252	TotalAssetsEOYAmt
Total Liabilities BOY	$135,547,916	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$169,303,975	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$128,969,304	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$54,354,277	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	$308,867,955	ExpenseAmt
Grant	$171,299	GrantAmt
Revenue	$271,694,470	RevenueAmt
Desc	CHI ST. ALEXIUS HEALTH BISMARCK IS AN ACUTE CARE MEDICAL CENTER OFFERING A FULL LINE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES, INCLUDING PRIMARY AND SPECIALTY PHYSICIAN CLINICS, HOME HEALTH AND HOSPICE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND A FITNESS AND HUMAN PERFORMANCE CENTER. SINCE OUR FOUNDING IN 1885, CHI ST. ALEXIUS HEALTH BISMARCK HAS BEEN DEDICATED TO SERVING THE RESIDENTS OF CENTRAL AND WESTERN NORTH DAKOTA, NORTHERN SOUTH DAKOTA AND EASTERN MONTANA. CHI ST. ALEXIUS HEALTH TURTLE LAKE IS A 25 BED CRITICAL ACCESS HOSPITAL WITH A LEVEL V EMERGENCY DEPARTMENT THAT IS AVAILABLE 24 HOURS A DAY. OUR HOSPITAL HAS BEEN COMMITTED TO PROVIDING PATIENTS QUALITY MEDICAL TREATMENT IN THE TURTLE LAKE AREA AND SURROUNDING COMMUNITIES SINCE 1952. THROUGH THE YEARS, THE HOSPITAL HAS SOUGHT TO CONTINUALLY UPGRADE THE QUALITY AND NUMBERS OF SERVICES IT PROVIDES. THE HOSPITAL'S AFFILIATION WITH MAJOR MEDICAL CENTERS AND HEALTH CARE AGENCIES HAS ALLOWED IT TO EXPAND ITS HEALTH CARE SERVICES THROUGH A NETWORK THAT BEGINS AT THE LOCAL LEVEL. WE ARE A ROMAN CATHOLIC ORGANIZATION WHOSE SPONSORS ARE THE SISTERS OF ST. BENEDICT OF THE ANNUNCIATION MONASTERY, BISMARCK, ND AND AS AN ORGANIZATION WE FOLLOW THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. WE ARE COMPRISED OF AN INTERVENTIONAL RADIOLOGIST, CARDIOLOGISTS, HEART AND VASCULAR SURGEONS AS WELL AS OTHER HIGHLY TRAINED SUPPORT PERSONNEL. SPECIALTY CLINICS: OUR SPECIALTY CLINICS ARE A UNIQUE MULTI-SPECIALTY GROUP PRACTICE LOCATED MAINLY INSIDE ST. ALEXIUS MEDICAL CENTER. PROVIDERS IN DIFFERENT SPECIALTIES WORK TOGETHER TO CARE FOR PATIENTS. SPECIALISTS MUST COMPLETE SEVEN OR MORE YEARS OF MEDICAL SCHOOL AND POST-GRADUATE TRAINING AND THEN COMPLETE FELLOWSHIPS IN THEIR CHOSEN SPECIALTIES. ALL PHYSICIANS ARE BOARD ELIGIBLE OR BOARD CERTIFIED IN ONE OR MORE SPECIALTIES. WE PROVIDE CLINIC SERVICES IN MANY OFF SITE SATELLITE CLINICS AND BRING SPECIALTY SERVICES TO THE REGION. ST. ALEXIUS OPERATES AN OUTPATIENT FAMILY SERVICE PROGRAM CALLED ARCHWAY MENTAL HEALTH SERVICES. THIS PROGRAM OFFERS SENSITIVE AND RESPONSIVE SERVICES FOR INDIVIDUAL, MARITAL AND FAMILY PROBLEMS. THIS PROGRAM IS KEEPING WITH ST. ALEXIUS MEDICAL CENTER'S PHILOSOPHY OF BEING A LEADER IN PROGRESSIVE AND QUALITY SERVICES TO THE PEOPLE OF NORTH DAKOTA. ARCHWAY SERVICES ARE ALSO PROVIDED IN HAZEN, GARRISON, AND LINTON, ND. GREAT PLAINS REHABILITATION SERVICES IS A DIVISION OF ST. ALEXIUS MEDICAL CENTER THAT PROVIDES HOME MEDICAL EQUIPMENT, ORTHOTIC & PROSTHETIC, HOME RESPIRATORY CARE, ADA ENVIRONMENTAL AND REHABILITATION TECHNOLOGY SERVICES. GREAT PLAINS PROVIDES NEEDED MEDICAL EQUIPMENT AND SUPPLIES TO HELP INDIVIDUAL LEAD ACTIVE AND INDEPENDENT LIVES. GREAT PLAINS SERVICES ALL OF NORTH DAKOTA, CENTER AND EASTERN MONTANA, AND NORTHERN SOUTH DAKOTA. OTHER: ST. ALEXIUS MEDICAL CENTER PROVIDED COMMUNITY ACTIVITIES AND SERVICES AT REDUCED OR NO COST. THOSE INCLUDED: 1. EMPLOYEE ASSISTANCE PROGRAM (EAP)- ST. ALEXIUS SERVICES EMPLOYER CONTRACTS THROUGH ITS EAP WITH EMPLOYEES BY PROVIDING PROBLEM ASSESSMENT, SHORT TERM COUNSELING AND REFERRAL TO APPROPRIATE RESOURCES FOR FOLLOW-UP CARE. EAP SERVICES ARE ONLY OPEN TO EMPLOYEES OF A PARTICIPATING COMPANY. THE SERVICE IS FREE IF YOUR EMPLOYER PAYS TO PARTICIPATE. 2. EMPLOYEE ACTIVITIES - IN KEEPING WITH THE MEDICAL CENTER COMMITMENT TO ITS EMPLOYEES: A. ACTIVELY PARTICIPATED IN THE UNITED WAY FUND CAMPAIGN. B. JOURNEY BEYOND EXCELLENCE PROGRAM - WE HAVE SEVERAL TEAMS THAT ASSIST WITH OUR JOURNEY-REWARDS AND RECOGNITION, PATIENT SATISFACTION, PHYSICIAN SATISFACTION. THESE TEAMS WORK TOGETHER WITH OUR LEADERSHIP TO RESOLVE CHALLENGES AND ENGAGE ALL IN OUR MISSION. C. THE VACATION DONATION PROGRAM ASSISTED EMPLOYEES WHO HAVE AN ILLNESS OR AN ILLNESS IN THE FAMILY ALLOWING OTHER EMPLOYEES TO DONATE VACATION HOURS TO ALLOW THE AFFECTED EMPLOYEE TIME TO HEAL OR TIME WITH A FAMILY MEMBER DURING THEIR HEALING PROCESS. D. THE EMPLOYEE EMERGENCY FUND IS FOR ANY ST. ALEXIUS EMPLOYEE WHO EXPERIENCES A CRISIS OR IS DIRECTLY AFFECTED BY A CRISIS INVOLVING A FAMILY MEMBER. THE FUNDS ARE AVAILABLE TO EMPLOYEES WHO ARE FACING PERSONAL TRAGEDIES OR HARDSHIPS FOR REASON SUCH AS A LOSS OF A SPOUSE OR CHILD, CATASTROPHIC ILLNESS, LOSS OF HOME BY FIRE OR FLOOD, OR OTHER CALAMITIES. 3. ACUTE CARE FACILITY - ST. ALEXIUS IS A PARTNER WITH ANOTHER ACUTE CARE FACILITY IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK CANCER CENTER HELPS TO ENSURE THAT PATIENTS WITH CANCER RECEIVE QUALITY CARE AND MANAGEMENT OF THEIR DISEASE WITHOUT HAVING TO DRIVE A LONG DISTANCE TO RECEIVE NECESSARY CARE.	Desc
Total Program Service Expenses	$308,867,955	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	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	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
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$245,901	FundraisingAmt
Related Organizations	$217,590	RelatedOrganizationsAmt
Government Grants	$56,932	GovernmentGrantsAmt
All Other Contributions	$1,354,085	AllOtherContributionsAmt
Noncash Contributions	$50,730	NoncashContributionsAmt
Total Contributions	$1,874,508	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Services	900099	$262,067,752	$262,067,752	$0	$0
Equity changes of unconsolidated orgs	900099	$2,792,470	$2,792,470	$0	$0
Tuition	611600	$509,350	$509,350	$0	$0
Cafeteria	722100	$52,264	$52,264	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$265,421,836	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$144,692	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$619	UnrelatedBusinessRevenueAmt
Exclusion	$144,073	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$560,520	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$560,520	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$560,520	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$560,520	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,751	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
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
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$9,333	ExclusionAmt

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

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Pharmacy Services	446110	$5,292,684	$4,683,464	$609,220	$0
Laboratory Services	621500	$1,324,179	$0	$1,324,179	$0
Intercompany Transactions	900099	$1,589,170	$1,589,170	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,048,134	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,390,189	UnrelatedBusinessRevenueAmt
Exclusion	$657,945	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,254,167	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$279,280,343	TotalRevenueColumnAmt
Related Or Exempt Func Income	$271,694,470	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,324,207	UnrelatedBusinessRevenueAmt
Exclusion	$1,387,158	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

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	$108,157,811	TotalAmt
Program Services	$101,143,173	ProgramServicesAmt
Management And General	$6,858,919	ManagementAndGeneralAmt
Fundraising	$155,719	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,822,884	TotalAmt
Program Services	$12,453,764	ProgramServicesAmt
Management And General	$1,350,857	ManagementAndGeneralAmt
Fundraising	$18,263	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,816,429	TotalAmt
Program Services	$5,972,555	ProgramServicesAmt
Management And General	$835,694	ManagementAndGeneralAmt
Fundraising	$8,180	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	$77,912,934	TotalAmt
Program Services	$52,992,197	ProgramServicesAmt
Management And General	$24,920,737	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,057,060	TotalAmt
Program Services	$528,530	ProgramServicesAmt
Management And General	$528,530	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,323,446	TotalAmt
Program Services	$3,007,822	ProgramServicesAmt
Management And General	$1,247,314	ManagementAndGeneralAmt
Fundraising	$68,310	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	$10,116,621	TotalAmt
Program Services	$8,858,113	ProgramServicesAmt
Management And General	$1,258,508	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$696,580	TotalAmt
Program Services	$610,413	ProgramServicesAmt
Management And General	$85,749	ManagementAndGeneralAmt
Fundraising	$418	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	$4,264,970	TotalAmt
Program Services	$4,264,970	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	$12,349,154	TotalAmt
Program Services	$12,313,341	ProgramServicesAmt
Management And General	$35,813	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	$52,652,465	$52,652,465
Restructuring / Impairment losses	$38,000,000	$38,000,000
Repairs and maintenance	$4,145,847	$4,145,847

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,666,276	TotalAmt
Program Services	$2,666,276	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$352,915,619	TotalAmt
Program Services	$308,867,955	ProgramServicesAmt
Management And General	$43,796,774	ManagementAndGeneralAmt
Fundraising	$250,890	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
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	$35,698,280	BOYAmt
EOY	$34,248,103	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	$8,672,954	BOYAmt
EOY	$9,713,913	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$327,397	BOYAmt
EOY	$1,064,876	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$120,944,849	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,352,461	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$105,608,317	BOYAmt
EOY	$60,592,388	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
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$108,642,779	BOYAmt
EOY	$111,365,208	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$264,517,220	BOYAmt
EOY	$223,658,252	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,525,559	BOYAmt
EOY	$72,639,643	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,455,762	BOYAmt
EOY	$2,288,672	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,223,984	BOYAmt
EOY	$840,906	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,342,611	BOYAmt
EOY	$93,534,754	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$135,547,916	BOYAmt
EOY	$169,303,975	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,072,336	BOYAmt
EOY	$48,250,725	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	$128,969,304	BOYAmt
EOY	$54,354,277	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$264,517,220	BOYAmt
EOY	$223,658,252	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$73,635,276	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	$28,510,577	OtherCostOrOtherBasisAmt
Depreciation	$5,079,495	DepreciationAmt
Book Value	$23,431,082	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,484,751	OtherCostOrOtherBasisAmt
Depreciation	$54,217,151	DepreciationAmt
Book Value	$21,267,600	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	$60,592,388	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	$79,914,688
Deferred Gain on Sale/Leasback-LT	$13,487,282
Unclaimed Property	$46
Other Liabilities	$132,738

Field	Value	IRS element (for citing)
Total Liability	$93,534,754	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	0.0037	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	0.0037	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	0.0426	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	0.0442	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	0.0479	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	$5,886,202	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 (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
St Alexius Medical Center
1	900 East Broadway	Bismarck	ND	585065510	https://www.chistalexiushealth.org/bismarck	5004	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Turtle Lake Community Memorial Hospital
2	220 5th Ave	Turtle Lake	ND	58575	www.chistalexiushealth.org/turtlelake	5059	Yes (X)	Yes (X)		Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
St Alexius Medical Center
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.chistalexiushealth.org/about-us/community-health-assessments	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	300.0	300.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Turtle Lake Community Memorial Hospital
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.chistalexiushealth.org/about-us/community-health-assessments	Yes (X)	Yes (true)	18	false	Yes (true)	false	Yes (true)	Yes (X)	300.0	300.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	https://www.chistalexiushealth.org/patients-visitors/our-patients/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (11 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.
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 - Turtle Lake Community Memorial Hospital. CHI ST. ALEXIUS HEALTH TURTLE LAKE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY COLLECTING DATA FROM 1. A SURVEY SOLICITED FEEDBACK FROM AREA RESIDENTS; 2. COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TOOK PART IN ONE-ON-ONE KEY INFORMANT INTERVIEWS; 3. THE COMMUNITY GROUP, COMPRISED OF COMMUNITY LEADERS AND AREA RESIDENTS, WAS CONVENED TO DISCUSS AREA HEALTH NEEDS AND INFORM THE ASSESSMENT PROCESS; 4. A RANGE OF SECONDARY SOURCES OF DATA WERE EXAMINED, PROVIDING INFORMATION ON A MULTITUDE OF MEASURES INCLUDING DEMOGRAPHICS; HEALTH CONDITIONS, INDICATORS, AND OUTCOMES; RATES OF PREVENTIVE MEASURES; RATES OF DISEASE; AND AT-RISK BEHAVIOR. ONE-ON-ONE INTERVIEWS, WITH KEY INFORMANTS, WERE CONDUCTED IN PERSON IN TURTLE LAKE ON AUGUST 22, 2018. ONE ADDITIONAL KEY INFORMANT INTERVIEW WAS CONDUCTED OVER THE PHONE ON AUGUST 23, 2018. A REPRESENTATIVE FROM THE CENTER FOR RURAL HEALTH CONDUCTED THE INTERVIEWS. INTERVIEWS WERE HELD WITH SELECTED MEMBERS OF THE COMMUNITY WHO COULD PROVIDE INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Turtle Lake Community Memorial Hospital. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS, AVAILABILTY OF RESOURCES TO HELP THE ELDERLY STAY IN THEIR HOMES, JOBS WITH LIVABLE WAGES AND ACCESS TO EXERCISE AND WELLNESS ACTIVITIES. ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS GOAL: ENSURE ALL COMMUNITY MEMBERS, INCLUDING THE UNINSURED AND WORKING POOR HAVE ACCESS TO PRIMARY CARE PROVIDERS IN ORDER TO IMPROVE OVERALL HEALTH MAINTENANCE AND AVOID COSTLY TRIPS TO THE EMERGENCY ROOM. KEY OBJECTIVES: 1. RETAIN THE NUMBER OF PRACTICING PRIMARY CARE PROVIDERS. 2. ACTIVELY RECRUIT PRIMARY CARE PROVIDERS TO WORK IN THE RURAL SETTING. IMPLEMENTATION STRATEGIES: 1. MAINTAIN CHI ST. ALEXIUS HEALTH TURTLE LAKE AND THE WASHBURN FAMILY CLINIC DESIGNATIONS AS NATIONAL HEALTH SERVICE CORE SITES. THIS ALLOWS OUR PRIMARY CARE PROVIDERS ACCESS TO LOAN REPAYMENT ON STUDENT LOANS ALONG WITH A COMMITMENT OF SERVICE. 2. WORK WITH THE STATE OF NORTH DAKOTA ON LOAN REPAYMENT IN THE EVENT PROVIDERS DO NOT QUALIFY FOR NATIONAL HEALTH SERVICE CORE REPAYMENT. 3. ENCOURAGE JOB SHADOWING WITH MEDICAL PROVIDER STUDENTS INTERESTED IN RURAL HEATH. 4. ATTEND JOB FAIRS AS NEEDED. 5. MONITOR CURRENT STAFF JOB SATISFACTION. 6. REMAIN COMPETITIVE IN SALARY AND BENEFITS. 7. OFFER CONTINUING EDUCATION OPPORTUNITIES TO CURRENT STAFF. AVAILABILTY OF RESOURCES TO HELP ELDERLY STAY IN THEIR HOMES GOAL: INCREASE THE AWARENESS OF RESOURCES AVAILABLE IN SURROUNDING AREA TO ALLOW ELDERLY PATIENTS TO REMAIN IN THEIR HOMES. KEY OBJECTIVES: 1. INVESTIGATE EXISTING RESOURCES AVAILABLE WITHIN THE COUNTY THAT PROVIDE ASSISTANCE TO THE ELDERLY POPULATION. 2. BECOME AN ADVOCATE TO OUR ELDERLY POPULATION BY MAKING AVAILABLE INFORMATION ABOUT AVAILABILITY OF RESOURCES EITHER WITHIN THE COUNTY OR OUR OWN HOSPITAL SERVICES. IMPLEMENTATION STRATEGIES: 1. WORK IN PARTNERSHIP WITH CHI ST. ALEXIUS HEALTH AT HOME FOR PATIENTS NEEDING MEDICAL ASSISTANCE AT HOME. 2. HOLD A FALL PREVENTION PROGRAM ON A YEARLY BASIS FOR THE PUBLIC. 3. PROVIDE INFORMATION REGARDING MEALS ON WHEELS, MEDICALERT SYSTEMS, VETERAN SERVICES AND MCLEAN OR SHERIDAN COUNTY PROVIDED PROGRAMS TO THE ELDERLY POPULATION. 4. MARKET THE AVAILABILITY OF DAY CARE AND RESPITE SERVICES AVAILABLE AT CHI ST. ALEXIUS HEALTH TURTLE LAKE FOR CARE-GIVERS NEEDING TIME AWAY FROM ELDERLY FAMILY. 5. PARTICIPATE WITH HOSPITAL AUXILIARY DURING THEIR PUBLIC PROGRAMS WITH GUEST SPEAKERS ON ISSUES INVOLVING THE ELDERLY. ACCESS TO EXERCISE AND WELLNESS ACTIVITIES GOAL: INCREASE THE AWARENESS OF RESOURCES AND PROGRAMS AVAILABLE TO THE GENERAL PUBLIC TO IMPROVE THE POPULATION'S OVERALL GENERAL HEALTH. KEY OBJECTIVES: 1. WORK WITH SUPPORTING HOSPITAL BOARDS TO PROVIDE ACTIVITIES THAT ENCOURAGE WELLNESS. 2. WORK WITH HOSPITAL DEPARTMENT HEADS AND STAFF TO PROVIDE OPPORTUNITIES FOR INCREASED WELLNESS AND EXERCISE OPPORTUNITIES. IMPLEMENTATION STRATEGIES: 1. MAKE HEALTH FAIRS AN ANNUAL EVENT IN CONJUNCTION WITH THE DAKOTA FEEDER CALF SHOW (AN ANNUAL EVENT THAT BRINGS SURROUNDING COMMUNITY RESIDENTS INTO AREA) 2. OFFER YEARLY WELLNESS CHALLENGES FOR THE GENERAL PUBLIC TO PARTICIPATE IN AND PROVIDE EDUCATIONAL OPPORTUNITIES IN AREAS OF NUTRITION, EXERCISE, ETC. DURING CHALLENGE. 3. OFFER ADULT FITNESS PROGRAM AND MAKE EXERCISE EQUIPMENT AVAILABLE TO THE GENERAL PUBLIC. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS PLAN EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THE HOSPITAL, OTHER ORGANIZATIONS WITHIN THE HOSPITAL SYSTEM, AND OTHER COMMUNITY PARTNERS OF THE HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN. JOBS WITH LIVABLE WAGE OUR FACILITY CURRENTLY PUBLISHES AVAILABLE JOBS IN THE COUNTY PAPERS AND POSTS ON FACEBOOK ANY JOB OPPORTUNITIES WE HAVE AVAILABLE. OUR FACILITY PARTICIPATES IN THE DAKOTA NURSING PROGRAM WHICH ALLOWS STUDENTS TO FURTHER THEIR EDUCATION IN THE NURSING FIELD AT A LOCAL LOCATION WHILE MAINTAINING THEIR EMPLOYMENT. OUR HOSPITAL ASSOCIATION WILL ASSIST WITH SCHOLARSHIPS FOR THESE STUDENTS. OUR HOSPITAL STAFF EVERY YEAR ALSO AWARDS THREE $500.00 SCHOLARSHIPS TO COLLEGE STUDENTS PURSUING CAREERS IN A HEALTH CARE FIELD.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Turtle Lake Community Memorial Hospital. THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (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; - Turtle Lake Community Memorial Hospital: 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; - Turtle Lake Community Memorial Hospital: 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; - Turtle Lake Community Memorial Hospital: 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 (14 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 Miscellaneous Revenue - Total Revenue: 3048134, Related or Exempt Function Revenue: , Unrelated Business Revenue: 2390189, Revenue Excluded from Tax Under Sections 512, 513, or 514: 657945;
Form 990, Part IX, Line 11g Other Fees	Contract Services - Total Expense: 27701483, Program Service Expense: 18837008, Management and General Expenses: 8864475, Fundraising Expenses: 0; Purchased Services - Total Expense: 20039522, Program Service Expense: 13638277, Management and General Expenses: 6401245, Fundraising Expenses: 0; Contract Labor - Total Expense: 16411835, Program Service Expense: 11160048, Management and General Expenses: 5251787, Fundraising Expenses: 0; Other Fees for Services - Total Expense: 13482913, Program Service Expense: 9168381, Management and General Expenses: 4314532, Fundraising Expenses: 0; Consulting - Total Expense: 277181, Program Service Expense: 188483, Management and General Expenses: 88698, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Asset Transfer - -1082364;
Form 990 Statement of Changes on Amended Return	The tax preparers for St. Alexius Medical Center omitted the information for Turtle Lake Community Memorial Hospital, a leased facility, on the 2018 Form 990. Therefore, we are amending the 990 to add Turtle Lake Community Memorial Hospital facility information to Schedule H, Part V, to attach the Hospital's Implementation Strategy, and to add its financial information to the following areas of the return: Form 990, Part I Form 990, Part III Form 990, Part VIII Form 990, Part IX Form 990, Part X Form 990, Part XI Form 990, Schedule D

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