FRANCISCAN CARE SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: FRANCISCAN CARE SERVICES INC (EIN 47-0486026)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-10
IRS object ID: 202033159349301113
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-10T08:00:41-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 North 96th Street Suite 300	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470486026	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRANCISCAN CARE SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ALISA BRUNSING	InCareOfNm
Business Name Control	FRAN	BusinessNameControlTxt
Phone	4023722404	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	430 NORTH MONITOR STREET	AddressLine1Txt
City	WEST POINT	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	687881555	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TYLER TOLINE	PersonNm
Person Title	President	PersonTitleTxt
Phone	4023722404	PhoneNum
Signature	2020-11-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONALD NEAL JR	PreparerPersonNm
PTIN	P00798244	PTIN
Phone	4023481450	PhoneNum
Preparation	2020-11-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	47006120203155000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9C230E3C43A1AC01475832C9617E9CAF99CA9519	AtSubmissionCreationDeviceId
At Submission Filing Device Id	65CF9D49F64C2267637B54237ED8CC7527705457	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TYLER TOLINE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	430 NORTH MONITOR STREET	AddressLine1Txt
City	WEST POINT	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	687881555	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$36,315,857	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FRANHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1964	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF FRANCISCAN CARE SERVICES INC. IS TO LIVE AND TO PROMOTE THE HEALING MISSION OF JESUS CHRIST.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	287	TotalEmployeeCnt
Total Volunteers	206	TotalVolunteersCnt
Total Gross UBI	$4,520	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,520	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,841,243	PYContributionsGrantsAmt
CY Contributions Grants	$360,184	CYContributionsGrantsAmt
PY Program Service Revenue	$34,419,893	PYProgramServiceRevenueAmt
CY Program Service Revenue	$35,127,979	CYProgramServiceRevenueAmt
PY Investment Income	$1,039,828	PYInvestmentIncomeAmt
CY Investment Income	$807,263	CYInvestmentIncomeAmt
PY Other Revenue	$16,484	PYOtherRevenueAmt
CY Other Revenue	$1,141	CYOtherRevenueAmt
PY Total Revenue	$37,317,448	PYTotalRevenueAmt
CY Total Revenue	$36,296,567	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,730,621	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$750,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,885,689	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$20,661,679	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,328	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,193,471	PYOtherExpensesAmt
CY Other Expenses	$13,120,449	CYOtherExpensesAmt
PY Total Expenses	$47,809,781	PYTotalExpensesAmt
CY Total Expenses	$34,532,128	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,492,333	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,764,439	CYRevenuesLessExpensesAmt
Total Assets BOY	$65,168,569	TotalAssetsBOYAmt
Total Assets EOY	$70,294,650	TotalAssetsEOYAmt
Total Liabilities BOY	$13,238,931	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,983,537	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$51,929,638	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$57,311,113	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF FRANCISCAN CARE SERVICES INC. IS TO LIVE AND TO PROMOTE THE HEALING MISSION OF JESUS CHRIST BY PROVIDING QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH AND PHYSICIAN SERVICES TO ANYONE IN NORTHEAST NEBRASKA, REGARDLESS OF THEIR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$29,805,572	ExpenseAmt
Grant	$750,000	GrantAmt
Revenue	$35,129,125	RevenueAmt
Desc	FRANCISCAN CARE SERVICES MISSION IS TO PROVIDE QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH AND PHYSICIAN SERVICES TO THE PEOPLE OF NORTHEASTERN NEBRASKA. THE CRITICAL ACCESS HOSPITAL PROVIDES A 24-HOUR EMERGENCY ROOM AND DOES NOT DISCRIMINATE AGAINST ANY PATIENT REGARDLESS OF THEIR ABILITY TO PAY. OUR CHARITY CARE POLICY FOLLOWS RECOMMENDED STANDARDS WHICH ARE BASED UPON THE FEDERAL POVERTY GUIDELINES. THIS POLICY IS COMMUNICATED TO OUR PATIENTS ON OUR WEBSITE AND AT OUR REGISTRATION DESKS. PATIENTS SERVED DURING THE YEAR: TOTAL MEDICARE MEDICAID IN-PATIENTS DISCHARGED 316 206 17 PATIENT DAYS - ACUTE 1,113 791 32 - SWING BED 1,101 971 8 - NURSERY 96 NONE 20 OUT-PATIENT & HOME HEALTH 51,476 19,805 1,957 PHYSICIAN CLINIC VISITS 24,251 8,480 2,271 THE HOSPITAL RECEIVES GENEROUS SUPPORT FROM THE COMMUNITY NOT ONLY FINANCIALLY BUT ALSO FROM ABOUT 206 VOLUNTEERS WHO DONATED 4,416 HOURS OF THEIR VALUABLE TIME.	Desc
Total Program Service Expenses	$29,805,572	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	62	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	287	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ALISA BRUNSING	PersonNm
Phone	4023726717	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	430 NORTH MONITOR STREET	AddressLine1Txt
City	WEST POINT	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	687881555	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
Michael Bittles MD
Physician	40.0	0.0	Yes (X)	$576,904	$0	$25,843
THOMAS COHEE MD
PHYSICIAN	44.69	0.0	Yes (X)	$550,116	$0	$43,329
Brian Hass MD
Physician	44.69	0.0	Yes (X)	$534,950	$0	$46,036
Scott Green MD
Physician	44.06	0.0	Yes (X)	$523,245	$0	$48,189
Rhett Eckmann MD
Physician	45.08	0.0	Yes (X)	$508,911	$0	$46,036
Jerry Wordekemper
CEO & President	45.0	0.39		$227,979	$0	$42,503	Yes (X)	Yes (X)
Terry Nelson
Ancillary Director	55.0	0.0		$214,040	$0	$47,695			Yes (X)
DAVID AMEEN
Contracted Interim CEO	40.0	0.29		$165,590	$0	$0	Yes (X)	Yes (X)
Alisa Brunsing
CFO	50.0	0.0		$146,049	$0	$7,297		Yes (X)
Dennis Dinslage
V.P. Fiscal & Support Services	42.0	0.0		$61,344	$0	$6,192		Yes (X)
DAVE STEFFENSMEIER
Chairman	1.85	0.19		$0	$0	$0	Yes (X)	Yes (X)
GARY KAUP
VICE CHAIRMAN	1.85	0.0		$0	$0	$0	Yes (X)	Yes (X)
JACKIE RIDDER
Trustee	1.35	0.0		$0	$0	$0	Yes (X)
MARY JANATA
SECRETARY	1.5	0.0		$0	$0	$0	Yes (X)	Yes (X)
STEVE SWANSON
TREASURER	1.5	0.0		$0	$0	$0	Yes (X)	Yes (X)
CHAD ORTMEIER DDS
Trustee	1.35	0.0		$0	$0	$0	Yes (X)
KARI PENROSE
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)
REGINA UHING
TRUSTEE	1.35	0.0		$0	$0	$0	Yes (X)
Sr PATRICIA LINSSEN
Trustee	2.74	5.05		$0	$0	$0	Yes (X)
JASON SMITH
Trustee	1.35	0.0		$0	$0	$0	Yes (X)
CHET MCWHORTER
TRUSTEE	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,509,128	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$313,120	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	IT SOFTWARE SUPPPORT	$1,215,734
KAT ANESTHESIA LLC
606 VISTA AVENUE	WEST POINT	NE	68788	ANESTHESIA SERVICES	$603,782
CYPRESS BENEFIT ADMINISTRATOR
PO BOX 7020	APPLETON	WI	549127020	HEALTH PLAN ADMIN	$452,202
BE SMITH
PO BOX 7400 7636	CHICAGO	IL	606747636	MGMT / RECRUITING	$254,903
CREDIT BUREAU SERVICES INC
PO BOX 318	FREMONT	NE	68025	CREDIT COLLECTION	$132,108

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$340,109	RelatedOrganizationsAmt
Government Grants	$14,170	GovernmentGrantsAmt
All Other Contributions	$5,905	AllOtherContributionsAmt
Total Contributions	$360,184	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL/CLINIC HEALTHCARE SERVICES	621110	$35,054,070	$35,054,070
DIETARY/CAFETERIA	721000	$73,909	$73,909

Field	Value	IRS element (for citing)
Total Program Service Revenue	$35,127,979	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$806,340	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,520	UnrelatedBusinessRevenueAmt
Exclusion	$801,820	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$923	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$923	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$923	TotalRevenueColumnAmt
Exclusion	$923	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$20,431	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$19,290	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,141	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,141	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,296,567	TotalRevenueColumnAmt
Related Or Exempt Func Income	$35,129,120	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,520	UnrelatedBusinessRevenueAmt
Exclusion	$802,743	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$750,000	TotalAmt
Program Services	$750,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$923,159	TotalAmt
Program Services	$658,115	ProgramServicesAmt
Management And General	$265,044	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,718,234	TotalAmt
Program Services	$13,995,163	ProgramServicesAmt
Management And General	$1,723,071	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$422,106	TotalAmt
Program Services	$333,854	ProgramServicesAmt
Management And General	$88,252	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,599,372	TotalAmt
Program Services	$2,080,011	ProgramServicesAmt
Management And General	$519,361	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$998,808	TotalAmt
Program Services	$879,928	ProgramServicesAmt
Management And General	$118,880	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,740	TotalAmt
Management And General	$17,740	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$78,890	TotalAmt
Management And General	$78,890	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,999	TotalAmt
Management And General	$2,999	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,871,085	TotalAmt
Program Services	$2,352,001	ProgramServicesAmt
Management And General	$519,084	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$142,250	TotalAmt
Program Services	$140,648	ProgramServicesAmt
Management And General	$1,602	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,413,843	TotalAmt
Program Services	$1,239,292	ProgramServicesAmt
Management And General	$174,551	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,130,901	TotalAmt
Program Services	$903,351	ProgramServicesAmt
Management And General	$227,550	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$845,710	TotalAmt
Program Services	$705,169	ProgramServicesAmt
Management And General	$140,541	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$152,782	TotalAmt
Program Services	$129,640	ProgramServicesAmt
Management And General	$23,142	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$66,149	TotalAmt
Program Services	$60,776	ProgramServicesAmt
Management And General	$5,373	ManagementAndGeneralAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,455,619	TotalAmt
Program Services	$2,762,164	ProgramServicesAmt
Management And General	$693,455	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$104,963	TotalAmt
Management And General	$104,963	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$2,662,593	$2,662,593
DUES & SUBSCRIPTIONS	$169,287	$152,867	$16,420
HOSPITAL AUXILIARY SUPPLIES	$5,328			$5,328
UNRELATED BUSINESS INC. TAX	$310		$310

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,532,128	TotalAmt
Program Services	$29,805,572	ProgramServicesAmt
Management And General	$4,721,228	ManagementAndGeneralAmt
Fundraising	$5,328	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,347,168	BOYAmt
EOY	$1,633,654	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,391,953	BOYAmt
EOY	$3,696,661	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,271,921	BOYAmt
EOY	$5,062,010	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$643,216	BOYAmt
EOY	$719,660	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$343,757	BOYAmt
EOY	$532,791	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$64,091,203	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,834,406	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,416,280	BOYAmt
EOY	$22,256,797	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,170,336	BOYAmt
EOY	$33,548,593	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$564,490	BOYAmt
EOY	$490,789	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,019,448	BOYAmt
EOY	$2,353,695	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,168,569	BOYAmt
EOY	$70,294,650	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,806,316	BOYAmt
EOY	$5,261,676	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	$14,679	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,417,936	BOYAmt
EOY	$7,721,861	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,238,931	BOYAmt
EOY	$12,983,537	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,819,190	BOYAmt
EOY	$56,200,665	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,110,448	BOYAmt
EOY	$1,110,448	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,929,638	BOYAmt
EOY	$57,311,113	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$65,168,569	BOYAmt
EOY	$70,294,650	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,764,439	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,617,036	NetUnrlzdGainsLossesInvstAmt
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,999	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,999	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE F	MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATIONS OF WHICH A PERCENTAGE OF THE DUES ARE ALLOCATED TO LOBBYING ACTIVITIES.
SCHEDULE C, PART II-B, LINE G	OCCASIONAL PHONE CALL OR EMAIL TO AND FROM OUR REPRESENTATIVES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$300,006	OtherCostOrOtherBasisAmt
Book Value	$300,006	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,230,648	OtherCostOrOtherBasisAmt
Depreciation	$12,205,659	DepreciationAmt
Book Value	$10,024,989	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,459,549	OtherCostOrOtherBasisAmt
Depreciation	$29,628,747	DepreciationAmt
Book Value	$11,830,802	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,000	OtherCostOrOtherBasisAmt
Book Value	$101,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,256,797	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$39,913,712	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,617,036	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$3,617,036	RevenueNotReportedAmt
Revenue Subtotal	$36,296,676	RevenueSubtotalAmt
Other Revenues Not Included	-$109	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$109	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$36,296,567	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$34,526,800	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$34,526,800	ExpensesSubtotalAmt
Other Expenses Not Included	$5,328	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$5,328	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$34,532,128	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	FIN 48 FOOTNOTE ON AUDITED FINANCIAL STATEMENTS: The Internal Revenue Service has ruled that the Organization is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (the "Code") and exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Income tax provisions for the Organization are not material to the financial statements.
SCHEDULE D, PART XI, LINE 4B	AUXILIARY GIFT SHOP SALES 20,451 AUXILIARY GIFT SHOP COGS (19,290) --------- NET GAIN FROM SALES 1,141 AUXILIARY FUNDS RAISED 3,107 AUXILIARY DONATION TO HOSPITAL (4,357) --------- TOTAL (109) =========
SCHEDULE D, PART XII, LINE 4B	AUXILIARY OPERATING EXPENSES 5,328

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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	124	PersonsServedCnt
Total Community Benefit Expns	$141,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$141,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	1211	PersonsServedCnt
Total Community Benefit Expns	$1,706,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,175,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$530,136	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	1335	PersonsServedCnt
Total Community Benefit Expns	$1,847,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,175,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$671,264	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	4650	PersonsServedCnt
Total Community Benefit Expns	$291,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,513	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$266,095	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	51	PersonsServedCnt
Total Community Benefit Expns	$171,026	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,026	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	8708	PersonsServedCnt
Total Community Benefit Expns	$7,242,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,665,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,576,810	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	13409	PersonsServedCnt
Total Community Benefit Expns	$7,704,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,690,913	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,013,931	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	14744	PersonsServedCnt
Total Community Benefit Expns	$9,552,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,866,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,685,195	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,925	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1000	PersonsServedCnt
Total Community Benefit Expns	$29,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	81	PersonsServedCnt
Total Community Benefit Expns	$16,993	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	1081	PersonsServedCnt
Total Community Benefit Expns	$98,192	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$873,772	BadDebtExpenseAmt
Bad Debt Expense Attributable	$174,754	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,037,712	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,396,890	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$359,178	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST FRANCIS MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	430 NORTH MONITOR STREET	AddressLine1Txt
City	WEST POINT	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68788	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.FRANHEALTH.ORG	WebsiteAddressTxt
State License	180001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST FRANCIS MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	St. Francis Memorial Hospital took into account input from persons who represent the broad interests of the community served via surveys and a town hall meeting with community stakeholders. Data was collected through community-level health surveys administered on-line and through regular mail available in both English and Spanish. Patrons were invited to take the survey by means of several routes including public press releases, radio public service announcements; Chamber of Commerce newsletters; through employers and area businesses, senior citizen centers; social media posts; and distribution of paper flyers. Those interested in taking the survey were encouraged to do so online, or were invited to request a hard-copy survey. The number of surveys completed was 1,422. On April 30, 2019, a Community Health Improvement Plan Stakeholder Town Hall Meeting was held in Norfolk, Nebraska. On May 1, 2019, an identical meeting was held in West Point, Nebraska. Approximately 260 invitations were sent out to key stakeholders in the public health system. The public was invited to attend the town hall meetings as well. There were 50 individuals that attended the town hall meeting in West Point, and 34 individuals attended the town hall meeting in Norfolk. Meeting participants included individuals from the following sectors: Elected Officials, Hospital and Clinic, Long-Term Care, Behavioral Health, Community-Based Organizations, Trails Committee Members, Center for Rural Affairs, Institutes of Higher Education, Hospital Board Members, Ponca Tribe of Nebraska, Federally-Qualified Health Center, Chamber of Commerce, Economic Development, UNL County Extension, Juvenile Diversion, Public Health Liaison/Advocate, Cuming County Public Power District, Law Enforcement, City Employees, Medical Response Systems, Veteran Service Officer, and Schools.
SCHEDULE H, PART V, SECTION B, LINE 6a	St. Francis Memorial Hospital conducted its CHNA in conjunction with MercyOne Oakland Medical Center in Oakland, Nebraska and Faith Regional Health Services in Norfolk, Nebraska.
SCHEDULE H, PART V, SECTION B, LINE 6b	St. Francis Memorial Hospital conducted its CHNA in conjunction with Elkhorn Logan Valley Public Health Department.
SCHEDULE H, PART V, SECTION B, LINE 7a	The CHNA for St. Francis Memorial Hospital is available at www.franhealth.org/about/needs-assessment.html
SCHEDULE H, PART V, SECTION B, LINE 10A	St. Francis Memorial Hospitals CHNA implementation plan is available at www.franhealth.org/about/needs-assessment.html
SCHEDULE H, PART V, SECTION B, LINE 11	The 2019 CHNA revealed two main health priorities in our area: 1) Chronic Disease Control and Sepsis and 2) Behavioral/Mental Health. The CHNA Implementation Plan has the following goals to improve the health priorities identified. For the health priority of chronic disease control and sepsis we will: 1. Increase primary care visits 2. Increase screening visits such as mammograms, prostate, colonoscopy, and vaccinations. 3. Increase participation in the clinic chronic care management program. 4. Increase participation in the clinic transitional care management program. 5. Identify tobacco users and provide cessation program information. 6. Sponsor increased Eat Well and Be Active Classes. For the health priority of behavioral/mental health we will: 1. Recruit behavioral/mental health providers. 2. Development of recruitment incentives. 3. Identify telemedicine alternatives. 4. Suicide prevention program development. During the development of the CHNA it was determined that the health priorities were reduced to just two to achieve a more-meaningful impact on the selected priorities. However, it should be noted that some of the other opportunities for prioritization that were identified such as vaping-related lung disease, opioid overdose/misuse, the disproportionate retirement rates of healthcare professionals, post-flood water quality issues, natural disaster preparedness, etc. are still issues that we face and work through often. Just because they are not part of the CHNA, does not mean that we are not focusing on them and working to improve the outcomes.
SCHEDULE H, PART V, SECTION B, LINE 13H	Other factors used in determining eligibility for financial assistance include eligibility for Medicaid, Social Security or a bank loan.
SCHEDULE H, PART V, SECTION B, LINE 14	According to our financial assistance policy, patients who are deemed to be eligible for financial assistance will not be charged for care more than Amounts Generally Billed (AGB) by the hospital to individuals who have health insurance covering such care. Discounts granted to eligible patients under this policy will be taken from gross charges. The hospital utilizes the look-back method to establish its AGB and AGB Percentage. The AGB is the hospital's gross charges multiplied by the AGB Percentage. The hospital's AGB Percentage during 2019 was 71%. The AGB Percentage is calculated by dividing the total of all claims allowed by health insurers during the prior 12-month period by the total gross charges for those claims. Claims are considered to be "allowedbased upon when the care was provided, but when the insurer determines the allowable amount of the claim. The amount "allowed" includes the amount the insurer will pay plus the amount for which the individual is personally responsible (including co-pays and deductibles). Allowed claims are included in the AGB Percentage calculation regardless of whether they have been paid or collected. "Health insurers" for purposes of this definition are Medicare fee-for-service and all private health insurers.
SCHEDULE H, PART V, SECTION B, LINE 16A	The FAP is available at https://franhealth.org/file_download/inline/a0e97036-1d8b-46e5-acce-be381c 441aa4.
SCHEDULE H, PART V, SECTION B, LINE 16B	The FAP application form is available at https://franhealth.org/file_download/inline/8472e986-5d29-4ca2-855a-ff6a3b 2d45fc.
SCHEDULE H, PART V, SECTION B, LINE 16C	A plain language summary of the FAP is available at https://franhealth.org/file_download/inline/587ab2c1-9339-4c38-aa97-857903 0c40be.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	A cost-to-charge ratio was used to calculate the cost of community benefit expenses detailed in the table for Part I, line 7(a) 7(k). The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges.
Schedule H, Part I, Line 7, Column F	The amount used to compute column (f) is from the amount reported on Form 990, Part IX, line 25, column (a).
Schedule H, Part I, Line 7G	Subsidized health services of $1,576,810 are reported on line 7g. This amount represents the community benefit attributable to physician services.
Schedule H, Part II	Franciscan Care Services, Inc. currently has involvement in the Elkhorn Logan Valley Public Health Department Board which looks at how the community addresses health and safety issues, the access individuals have to health care services, and the staff necessary to provide healthcare services. We spend a considerable amount of time and effort in educating healthcare professionals. We have many residents and clinical college students on-site throughout the year. We also have a job shadowing program for high school students in the area. We help educate these individuals in the hope that they will come back to the community to provide healthcare services. We provide funds for activities at area schools that provide a safe environment and education for our youth. We have multiple staff members that are part of the West Point Trails project. During 2019, we donated funds to help make the West Point Trails a reality. This was a project to help improve the health and wellness of the persons in the community and surrounding area. We donate funds to different organizations to improve the communitys health and safety.
Schedule H, Part III, Line 2	The amount reported on line 2 is taken directly from the general ledger. The amount that is written off to bad debt is the patients account balance when it is determined that the patient will not pay. Therefore, if the patient is self pay and has not paid any of the balance, then 100% of charges are written off. If the patient has commercial insurance and cannot pay the 20% coinsurance that is due after insurance has paid and the contracted discounts have been applied, then only the 20% coinsurance that is owed by the patient is written off to bad debt.
Schedule H, Part III, Line 3	The amount reported on line three is estimated based on past financial analysis performed by the Patient Accounting Manager and the Patient Financial Counselor. Historically, a review of the accounts written off to bad debt was done, taking into consideration the individuals financial situation. During the review, accounts that could have been written off as charity care if sufficient information was received were identified. As a result of the analysis, it was determined that $174,754 would possibly have qualified as charity care. There is a fine line between bad debt and charity care. There are those individuals who just will not pay, but there are a larger number of individuals who cannot pay, but do not want to fill out the paperwork for charity care or do not want to even ask for charity care. We have estimated that $174,754 of our bad debt expense should have been classified as charity care, if the appropriate paperwork was received. These are the dollars that should be classified as community benefit.
Schedule H, Part III, Line 4	The accounts receivable footnote which discusses bad debt expense is on page 6 of the Notes to Financial Statements.
Schedule H, Part III, Line 8	Total revenue received from Medicare and the Medicare allowable costs reported on Part III, lines 5 & 6 was taken directly from the 2019 Medicare Cost Report. In addition to the revenue received from Medicare and the Medicare allowable costs reported on the Medicare Cost Report, we also receive Medicare Part B payments (fee schedule) for certain lab, radiology, and physician services. These amounts are not included on the Medicare Cost Report. The revenue received for Medicare Part B services was $288,511 while the associated costs were $807,968 for a shortfall of ($519,457). The costs for the services reimbursed on a fee schedule methodology were calculated using the cost to charge ratio from the Medicare cost report for that department. The shortfall reported on Part III, line 7 of ($359,178) and the Medicare Part B shortfall of ($519,457) for a total shortfall of ($878,635) should be treated as a community benefit because these are costs over and above the amount that Medicare pays us. These services are integral to the community and would not be available to the community if they were not provided by our facility.
Schedule H, Part III, Line 9B	In our billing and collection policy there is a section on financial assistance. IT STATES: "FRANCISCAN CARE SERVICES HAS A financial assistance program to assist patients that are financially burdened and unable to pay for their medical expenses. A financial assistance application must be completed and turned into the Patient Financial Counselor. A copy of the most current tax return must accompany the financial assistance application. A determination of approval or denial is made from this application and is based upon hospital established guidelines."
Needs Assessment	The health care needs of the communities we serve are assessed in many different ways. We work closely with the Elkhorn Logan Valley Public Health Department who surveys the area population to ascertain health disparities, collaborate on health screenings, and determine areas of need. As our physicians and other health care workers see patients they discuss their current status and what else we can do for them. Also, our board members and employees who are in the public advise us as to what health care needs are in the community that we do not currently address. Many of our employees are involved in state and national organizations that keep us up-to-date on the current trends in health care that are brought back to our community. Through strategic planning with the physicians, the board of directors, and hospital leaders, we look at what the needs of the community are and how we can address them. All of these groups work together with Administration to continue to address the health care needs of the community.
Patient Education of Eligibility for Assistance	On the Conditions of Admission and Consent for Treatment form that is signed by each patient of the hospital, there is a financial agreement section that states "if you have limited insurance or do not have insurance, you may request to meet with our Patient Financial Counselor to set up a payment plan or to determine if you are eligible for financial assistance." The financial assistance policy (FAP), the plain language summary of the FAP, the application for financial assistance, and financial assistance contact information is posted at the main entrance to the hospital and clinic and also at the emergency room entrance and is also posted on our website at http://franhealth.org/patients-visitors/patient-financial-information.html . A plain language summary of the FAP is offered to patients upon registration. On our patient bills there is a section that states "We also offer financial assistance to patients who qualify. Please contact the Patient Financial Counselor at 402-372-4029 for more information or visit our website at http://franhealth.org/patients-visitors/patient-financial-information.html . Also, if the Patient Financial Counselor contacts a patient regarding payment of a bill, a letter and a summary of the financial assistance policy is sent to them which states that if they are unable to pay their bill they may be eligible for our financial assistance program.
Community Information	Franciscan Care Services, Inc. is located in a rural area, predominantly agricultural based. The population of the five county service area is approximately 18,000 people. The median household income is approximately $50,000. The population is predominantly Caucasian, high-school educated, and geriatric in nature. There is a small population of Hispanic descent.
Promotion of Community Health	The board of directors is comprised of individuals from the surrounding communities. The board members are diverse in background ranging from Sisters from our sponsor, a nurse, dentist, a school guidance counselor, bankers, and business owners who are neither employees (except CEO), contractors, or family members. We hope the diverse backgrounds of our board members give us the insight we need to fulfill the needs of the community. Franciscan Care Services, Inc. has an open medical staff that includes one orthopaedic surgeon, five family practice physicians, four physician assistants, and three nurse practitioners. There are also a number of specialists that come in from the nearby communities of Norfolk, Fremont, and Omaha to meet the health needs of the community. Specialists that see patients in our Outpatient Clinic include Audiology, Cardiology, Dermatology, ENT, General Surgery, Nephrology, Neurology, Obstetrics/Gynecology, Oncology, Ophthalmology, Orthopaedics, Pain, Podiatry, Pulmonology, Rheumatology, Urology, and Vascular. There are many different programs that we are able to offer due to surplus funds from operations. Our clinics provide disease management through the use of health coaches to help patients manage chronic health conditions such as diabetes, hypertension, COPD, clotting, and osteoporosis. This is a program that is good for our patients even though we receive little to no reimbursement for providing this service. We provide free sports screenings to area athletes who have been injured at a practice or game. We offer reduced-cost screens and health education to businesses in our service area to reach out to those individuals who do not take the time to come to our facility to see us. We provide a number of exercise programs for the elderly in the community. We host an annual health fair to reach out to those who do not regularly schedule a clinic visit or annual lab tests.
Affiliated Health Care System	Franciscan Care Services, Inc. is a part of the Franciscan Sisters of Christian Charity Sponsored Ministries, a not-for-profit system of acute and long-term health care facilities and a liberal arts college located in Wisconsin, Nebraska and Ohio. Each organization within the Ministry is responsible for carrying out the healing and education mission of the Catholic Church according to the needs of their community.
State Filing of Community Benefit Report	The community benefit report is filed with the Nebraska Hospital Association. The report is also sent to our local mayor and our state and congressional representatives.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST JOSEPH'S ELDER SERVICES Inc
540 EAST WASHINGTON ST	WEST POINT	NE	68788	814879204	501(C)(3)	$700,000	PROGRAM SUPPORT
West Point Community Foundation
PO Box 65	West point	NE	68788	363819725	501(C)(3)	$50,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	During 2019, Franciscan Care Services transfered cash of $700,000 to St. Joseph's Elder Services,Inc., a related entity under Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. During 2019, Franciscan Care Services transfered cash of $50,000 to West Point Community Foundation for program support for the West Point Trails & Pathways initiative. Records have been maintained to substantiate the amounts transferred.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Jerry Wordekemper
CEO & President	$95,997	$0	$43,696	$0	$88,286	$0	$8,335	$0	$35,792	$0	$272,106	$0	$0	$0
Alisa Brunsing
CFO	$130,000	$0	$13,441	$0	$2,608	$0	$7,297	$0	$1,180	$0	$154,526	$0	$0	$0
Terry Nelson
Ancillary Director	$192,964	$0	$200	$0	$20,876	$0	$16,500	$0	$32,751	$0	$263,291	$0	$0	$0
Michael Bittles MD
Physician	$207,672	$0	$0	$0	$369,232	$0	$13,000	$0	$13,592	$0	$603,496	$0	$0	$0
Scott Green MD
Physician	$392,551	$0	$117,420	$0	$13,274	$0	$14,500	$0	$35,486	$0	$573,231	$0	$0	$0
Brian Hass MD
Physician	$392,032	$0	$120,586	$0	$22,332	$0	$12,211	$0	$35,622	$0	$582,783	$0	$0	$0
Rhett Eckmann MD
Physician	$359,163	$0	$136,318	$0	$13,430	$0	$12,211	$0	$35,622	$0	$556,744	$0	$0	$0
DAVID AMEEN
Contracted Interim CEO	$165,590	$0	$0	$0	$0	$0	$0	$0	$0	$0	$165,590	$0	$0	$0
THOMAS COHEE MD
PHYSICIAN	$425,215	$0	$108,278	$0	$16,623	$0	$12,500	$0	$32,626	$0	$595,242	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4b	QUESTIONS REGARDING COMPENSATION DURING 2019, FRANCISCAN CARE SERVICES INC. CONTRIBUTED FUNDS TO AN IRC SECTION 457(F) PLAN FOR THE FOLLOWING INDIVIDUALS: DR. COHEE $12,500 DR. GREEN $ 4,000 DR. ECKMANN $ 4,321 DR. HASS $ 4,321 DR. BITTLES $13,000 MR. NELSON $16,500
SCHEDULE J, PART I, LINE 4a	DURING 2019, FRANCISCAN CARE SERVICES, INC. PAID JERRY WORDEKEMPER SEVERANCE OF $78,215
SCHEDULE J, PART I, LINE 5A	QUESTIONS REGARDING COMPENSATION IN EACH OF THE FAMILY PRACTICE PHYSICIAN'S CONTRACTS, THERE IS A SECTION THAT ESTABLISHES THE POTENTIAL AMOUNT OF SUPPLEMENTAL INCOME THAT THE PHYSICIANS MAY RECEIVE DURING THE YEAR BASED ON THEIR INDIVIDUAL PRODUCTIVITY. EACH OF THESE PHYSICIANS IS PAID A BASE SALARY AS AN EMPLOYED PHYSICIAN OF THE ORGANIZATION. IN ADDITION, THE PHYSICIAN MAY EARN ADDITIONAL COMPENSATION BASED ON A PRE-DETERMINED CALCULATED FORMULA AS STIPULATED IN THE CONTRACT. THE FORMULA IS CALCULATED BY TAKING THE INDIVIDUAL'S PRODUCTIVITY REVENUE FOR THE CALENDAR YEAR LESS ANY CONTRACTUAL ADJUSTMENTS OR WRITE-OFFS AND THEN MULTIPLYING THAT NET AMOUNT BY A PRE-DETERMINED PERCENTAGE. IF THIS CALCULATED AMOUNT EXCEEDS THEIR BASE SALARY, THE PHYSICIAN IS PAID THE VARIANCE. DURING THE YEAR, DRS. GREEN, ECKMANN, COHEE AND HASS RECEIVED A PAYMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY NO 1 OF CUMING COUNTY NE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	470762878	BondIssuerEIN
Bond Issued	2016-10-01	BondIssuedDt
Issue Price	$10,000,000	IssuePriceAmt
Purpose	SEE SCHEDULE K, PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,222,076	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$10,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$10,000,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2012	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART 1, LINE A, COLUMN F:	FormAndLineReferenceDesc
Explanation	THE BOND IS BEING REISSSUED FOR FEDERAL TAX PURPOSE AS OF OCTOBER 1, 2016 DUE TO CHANGES TO THE TERMS OF THE OBLIGATION. THE NOTES WERE ORIGINALLY ISSUED FOR THE PURPOSE OF PROVIDING A LOAN TO FRANCISCAN CARE SERVICES, INC.(THE "HOSPITAL") FOR AN ADDITION TO AND IMPROVEMENTS FOR EXISTING HOSPITAL FACILITIES LOCATED IN THE CITY OF WEST POINT , NEBRASKA, OWNED BY THE HOSPITAL.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAN HAKEL
SEE PART V	$161,637	EMPLOYMENT	Yes (true)
BRENDA WISNIESKI
SEE PART V	$44,597	EMPLOYMENT	false
MARGUERITE KAUP
SEE PART V	$11,801	EMPLOYMENT	false
Meagan Janata
SEE PARY V	$29,781	EMPLOYMENT	false
JILL HAKEL
SEE PART V	$39,985	EMPLOYMENT	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DAN HAKEL IS A FAMILY MEMBER OF CHAD ORTMEIER, TRUSTEE BRENDA WISNIESKI IS A FAMILY MEMBER OF MARY JANATA, TRUSTEE MARGUERITE KAUP IS A FAMILY MEMBER OF GARY KAUP, TRUSTEE MEAGAN JANATA IS A FAMILY MEMBER TO MARY JANATA, TRUSTEE JILL HAKEL IS A FAMILY MEMBER OF CHAD ORTMEIER, TRUSTEE	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 12A	Checklist of Required Schedules The organization's financial statements were audited on a separate basis but also consolidated at the organization's parent level. The organization uses the separate audited financial statements for tax return purposes. FORM 990, PART VI, SECTION A, LINE 3 & PART VII,SECTION A, LINE 21 IN JULY 2019, FRANCISCAN CARE SERVICES, INC. CONTRACTED WITH B.E SMITH TO PROVIDE INTERIM CEO SERVICES AND PROFESSIONAL RECRUITING. DAVID AMEEN, A B.E SMITH EMPLOYEE, SERVED AS THE INERIM CEO FROM JULY 22, 2019 THROUGH DECEMBER 31, 2019.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION WHOSE MEMBER IS FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.
FORM 990, PART VI, SECTION A, LINE 7A & 7B	THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. A WISCONSIN NON-STOCK, NOT FOR PROFIT CORPORATION HAS THE FOLLOWING RESERVED POWERS OVER FRANCISCAN CARE SERVICES, INC.: A) APPROVAL OF THE PHILOSOPHY, MISSION AND VALUES STATEMENTS OF THE CORPORATION. B) AMENDMENT OF ARTICLES OF INCORPORATION AND BY-LAWS OF THE CORPORATION. C) APPOINTMENT AND REMOVAL OF MEMBERS TO THE BOARD OF DIRECTORS. D) APPROVAL OF THE CREATION AND DISSOLUTION OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATIONS, AS WELL AS APPROVAL OF ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE OR OTHER FORM OF CORPORATE REORGANIZATION OF THIS CORPORATION OR ANY SUBSIDIARY OF WHICH THIS CORPORATION IS THE MEMBER OR CONTROLLING SHAREHOLDER. E) APPOINTMENT, EVALUATION AND DISCHARGE OF THE PRESIDENT OF THE CORPORATION. F) APPROVAL OF BORROWING IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER. G) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE, OR LEASE OF REAL ESTATE, BY OR TO THE CORPORATION FOR LONGER THAN ONE YEAR. H) IMPLEMENTATION OF SPONSOR APPOINTMENT, SALARY NEGOTIATION, AND REASSIGNMENT PROCESSES FOR FRANCISCAN SISTER PERSONNEL WITHIN THIS CORPORATION. I) APPROVAL OF CAPITAL AND OPERATING BUDGETS. J) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. K) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. L) APPROVAL OF LONG-RANGE OR STRATEGIC PLANS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED PRIOR TO SUBMISSION BY THE MEMBER (FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.) AND THE FINANCE COMMITTEE OF THE FRANCISCAN CARE SERVICES, INC. BOARD OF DIRECTORS. A COPY OF FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW AT THEIR MONTHLY BOARD MEETING BEFORE THE 990 IS FILED. FORM 990 IS MADE AVAILABLE IN THE ADMINISTRATIVE OFFICE FOR ANY INDIVIDUAL REQUESTING TO INSPECT IT AS REQUIRED BY INTERNAL REVENUE CODE SECTION 6104.
FORM 990, PART VI, SECTION B, LINE 12C	THE CORPORATE COMPLIANCE OFFICER (CCO) AND SEVERAL MEMBERS OF THE CORPORATE COMPLIANCE COMMITTEE ATTEND BOARD, ADMINISTRATIVE, AND DEPARTMENT MANAGER MEETINGS. THE CCO ENSURES THAT ALL BOARD, MEDICAL STAFF, ADMINISTRATION STAFF, DEPARTMENT MANAGERS, AND INDIVIDUALS WHO HAVE PURCHASING AUTHORITY REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY CONFLICTS THAT MIGHT EXIST. EACH INDIVIDUAL IS ALSO ASKED TO IDENTIFY ANY FAMILY MEMBERS THAT ARE AN EMPLOYEE OF FRANCISCAN CARE SERVICES (FCS), INC. OR EMPLOYED BY A BUSINESS WITH WHICH FCS CONDUCTS BUSINESS. ANY NEW CONFLICTS THAT ARISE DURING THE YEAR NEED TO BE REPORTED TO THE COMPLIANCE OFFICER IMMEDIATELY. IF A CONFLICT EXISTS AT THE BOARD LEVEL, THE PERSON OR THE CCO OR COMMITTEE MEMBER IDENTIFIES THAT THE CONFLICT EXISTS AND THEN THE BOARD DETERMINES IF THE PERSON CAN TAKE PART IN THE DELIBERATIONS OR NEEDS TO LEAVE THE ROOM. THE PERSON WOULD NOT BE ABLE TO VOTE AND IT IS IDENTIFIED IN THE MINUTES OF THE MEETING. AT THE ADMINISTRATIVE LEVEL, THE STAFF MEMBER IDENTIFIES THE CONFLICT AND THE ADMINISTRATIVE TEAM DETERMINES IF THE PERSON CAN TAKE PART IN THE DISCUSSION OR NEEDS TO LEAVE THE ROOM. THIS IS ALSO THE POLICY AT THE MEDICAL STAFF AND MANAGER MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	FRANCISCAN CARE SERVICES, INC. STRIVES TO PROVIDE A FAIR AND COMPETITIVE COMPENSATION PACKAGE FOR ITS EXECUTIVES. THIS PACKAGE SHALL INCLUDE,BUT IS NOT LIMITED TO SALARY, INCENTIVE BONUS, LIFE INSURANCE, HEALTH BENEFITS, AND A MATCHING DEFINED CONTRIBUTION TO A 403(B) RETIREMENT PLAN. THE SALARY RANGE AND TOTAL COMPENSATION SHALL BE BASED UPON SURVEYS OF THE GEOGRAPHIC WEST NORTH CENTRAL STATES AVERAGE FOR THE POSITION AS REPORTED BY AN INDEPENDENT EXECUTIVE COMPENSATION MARKET ANALYSIS FOR LIKE-SIZED ORGANIZATIONS AND THE EXECUTIVE COMPENSATION SURVEY FOR NEBRASKA HOSPITALS PROVIDED BY THE NEBRASKA HOSPITAL ASSOCIATION. BONUSES ARE GIVEN BASED UPON ACHIEVEMENT OF STRATEGIC GOALS AGREED UPON BY THE FRANCISCAN CARE SERVICES BOARD OF DIRECTORS AND THE PRESIDENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. THESE BONUSES ARE BASED UPON A PERCENTAGE OF SALARY AND ARE NOT TO EXCEED 25%. THE PRESIDENT/CEO'S COMPENSATION IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE SPONSORED MINISTRIES PRESIDENT AFTER A PERFORMANCE APPRAISAL CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE FCS BOARD (SERVING AS THE COMPENSATION COMMITTEE) AND THE PRESIDENT OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. ALL MEMBERS OF THE BOARD PROVIDE THEIR INPUT THROUGH A WRITTEN APPRAISAL PRESENTED TO THE COMPENSATION COMMITTEE. MINUTES OF THE MEETING ARE KEPT BY THE SPONSORED MINISTRIES PRESIDENT. ALL OTHER EXECUTIVES ARE REVIEWED BY THE FRANCISCAN CARE SERVICES, INC. PRESIDENT/CEO, WHO SETS THEIR COMPENSATION BASED UPON THE ABOVE SURVEYS AND PRINCIPLES.
FORM 990, PART VI, SECTION C, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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
HOLY FAMILY CONVENT FRANCISCAN SISTERS
2409 SOUTH ALVERNO ROAD	MANITOWOC	WI	54220	390808523	RELIGION	WI	501(C)(3)	LINE 1	NA	false
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
1415 SOUTH RAPIDS ROAD	MANITOWOC	WI	54220	391530622	EDU/HLTHCARE	WI	501(C)(3)	LINE 1	SEE LINE 1	false
ST FRANCIS MEMORIAL HOSPITAL FOUNDATION
430 N MONITOR ST	WEST POINT	NE	68788	470629079	FUNDRAISING	NE	501(C)(3)	12A TYPE I	NA	false
ST JOSEPHS RETIREMENT COMMUNITY FDN
PO BOX 65	WEST POINT	NE	68788	470790644	FUNDRAISING	NE	501(C)(3)	12A TYPE I	NA	false
HOLY FAMILY MEMORIAL INC
2300 WESTERN AVE PO BOX 1450	MANITOWOC	WI	54221	390806395	HEALTHCARE	WI	501(C)(3)	Line 3	SEE LINE 2	false
ST PAUL ELDER SERVICES INC
316 EAST 14TH STREET	KAUKAUNA	WI	54130	391029149	ELDER CARE	WI	501(C)(3)	LINE 10	SEE LINE 2	false
GOOD SAMARITAN MEDICAL CENTER
800 FOREST AVENUE	ZANESVILLE	OH	43701	314379479	HOLDING CO.	OH	501(C)(3)	12A TYPE I	SEE LINE 2	false
SILVER LAKE COLLEGE OF HOLY FAMILY INC
2406 SOUTH ALVERNO ROAD	MANITOWOC	WI	54220	390980974	HIGHER EDUCAT	WI	501(C)(3)	LINE 2	SEE LINE 2	false
ST JOSEPH'S ELDER SERVICES INC
540 EAST WASHINGTON STREET	WEST POINT	NE	68788	814879204	ELDER CARE	NE	501(C)(3)	LINE 10	SEE LINE 2	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY FAMILY HEALTH SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3310 CALUMET AVENUE	AddressLine1Txt
City	MANITOWOC	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54220	ZIPCd

Field	Value	IRS element (for citing)
EIN	391572253	EIN
Primary Activities	PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	See Pt II Ln 5	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ALL TRANSACTIONS WERE BETWEEN 501(c)(3) ORGS	BusinessNameLine1Txt