LAKEWOOD HEALTH CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LAKEWOOD HEALTH CENTER (EIN 41-0758434)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201401329349302960
- Schema version
- 2012v2.1
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T14:00:13-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470617373 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410758434 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAKE | NameControl |
| Phone | 2186342120 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Main Avenue South | AddressLine1 |
| City | Baudette | City |
| State | MN | State |
| ZIP Code | 56623 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ROSS | Name |
| Title | CFO | Title |
| Date Signed | 2015-05-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Stocki | Name |
| PTIN | P00642127 | PTIN |
| Phone | 3032989100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON BREUER | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Main Avenue South | AddressLine1 |
| City | Baudette | City |
| State | MN | State |
| ZIP Code | 56623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16288696 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LAKEWOODHEALTHCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | LAKEWOOD HEALTH CENTER IS A SMALL FACILITY LOCATED IN A RURAL AND ISOLATED SETTING. THE CONTINUUM OF CARE INCLUDES PHYSICIAN CLINIC, ACUTE CARE, RESIDENTIAL CARE, AND LONG TERM CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 212 | TotalNbrEmployees |
| Total Nbr Volunteers | 65 | TotalNbrVolunteers |
| Total Gross UBI | 945 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -1116 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 97027 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 682843 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14544679 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14413403 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 244482 | InvestmentIncomePriorYear |
| Investment Income Current Year | 528807 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 392392 | OtherRevenuePriorYear |
| Other Revenue Current Year | 649067 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15278580 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16274120 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 19149 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 21049 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7537284 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7451556 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 77530 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6022865 | OtherExpensePriorYear |
| Other Expenses Current Year | 7485326 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13579298 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14957931 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1699282 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1316189 | RevenuesLessExpensesCY |
| Total Assets BOY | 19801548 | TotalAssetsBOY |
| Total Assets EOY | 17465248 | TotalAssetsEOY |
| Total Liabilities BOY | 7520511 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3640619 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12281037 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13824629 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11594690 | Expense |
| Grants | 21049 | Grants |
| Revenue | 14413403 | Revenue |
| Description | SEE SCHEDULE H | Description |
| Total Program Service Expense | 11594690 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 212 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jay Ross | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2186163525 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Main Avenue South | AddressLine1 |
| City | Baudette | City |
| State | MN | State |
| ZIP Code | 56623 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRUCE BURTON | ||||||||
| Chair | 4.00 | 1.00 | X | X | 0 | 0 | 0 | |
| JASON BREUER | ||||||||
| Administrator | 50.00 | 0 | X | X | 0 | 215492 | 52497 | |
| PHILIP MILLER | ||||||||
| Vice Chair | 1.00 | 0 | X | X | 0 | 0 | 0 | |
| ROBYN SONSTEGARD | ||||||||
| Secretary/Treasurer | 1.00 | 0 | X | X | 0 | 0 | 0 | |
| ANN ELLIS | ||||||||
| Board Member | 1.00 | 0 | X | 0 | 0 | 0 | ||
| JEFFREY DROP | ||||||||
| SVP Division Officer | 1.00 | 59.00 | X | 0 | 606104 | 98488 | ||
| JOE BRUCCIANI | ||||||||
| Board Member | 1.00 | 0 | X | 0 | 0 | 0 | ||
| PASTOR HARALD BRINGSJORD | ||||||||
| Board Member | 1.00 | 0 | X | 0 | 0 | 0 | ||
| RALPH CHRISTOFFERSON | ||||||||
| Board Member | 1.00 | 0 | X | 0 | 0 | 0 | ||
| ROBERT DAYER | ||||||||
| Board Member/Physician | 44.00 | 0 | X | 214538 | 0 | 33115 | ||
| SISTER REBECCA METZGER | ||||||||
| Board Member | 1.00 | 0 | X | 0 | 0 | 0 | ||
| LYNNETTE ELLIS | ||||||||
| CFO | 44.00 | 0 | X | 84646 | 0 | 15320 | ||
| CHRISTOPHER MCGRAW | ||||||||
| Physician | 40.00 | 0 | 251514 | 0 | 42056 | X | ||
| MOHAN BANGALORE-PUTTAIAH | ||||||||
| Physician | 40.00 | 0 | 172911 | 0 | 24545 | X | ||
| REBECCA POOLMAN | ||||||||
| NURSE PRACT-FAMILY MEDICINE | 40.00 | 0 | 102177 | 0 | 27384 | X | ||
| THOMAS MIO | ||||||||
| VP Health Services | 48.00 | 0 | 117547 | 0 | 24812 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 943333 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 821596 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 318217 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WAPITI MEDICAL GROUP - LYFJABERG LLC | |||||
| 603 S DAKOTA ST PO BOX 523 | MILBANK | SD | 57252 | MEDICAL SERVICES | 149156 |
| NATIONAL INFORMATION SOLUTIONS COOPERATIVE | |||||
| 3201 NYGREN DRIVE | MANDAN | ND | 58554 | MANAGEMENT UTILITIES IT | 139938 |
| CENTRAL MINNESOTA DIAGNOSTIC INC | |||||
| PO BOX 158 | MILACA | MN | 56353 | CT SCANS, ULTRASOUNDS | 133575 |
| LIFECARE MEDICAL CENTER | |||||
| 715 DELMORE DRIVE | ROSEAU | MN | 56751 | MEDICAL SERVICES | 100469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 11955 | RelatedOrganizations |
| Government Grants | 280699 | GovernmentGrants |
| All Other Contributions | 390189 | AllOtherContributions |
| Total Contributions | 682843 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 14410122 | 14410122 |
| RENTAL INCOME | 900099 | 3281 | 3281 |
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14413403 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 213511 | TotalRevenueColumn |
| Unrelated Business Revenue | -51 | UnrelatedBusinessRevenue |
| Exclusion | $213,562 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 291697 | Securities |
| Other | 38175 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14576 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 291697 | Securities |
| Other | 23599 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 315296 | TotalRevenueColumn |
| Exclusion | $315,296 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PRODUCT SALES | 446110 | 376250 | $376,250 | |
| SERVICES SOLD | 900099 | 192923 | $191,927 | 996 |
| INTERCOMPANY SALARY REIMBURSEMENTS | 900099 | 46673 | $46,673 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33221 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $33,221 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 649067 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16274120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14413403 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 945 | UnrelatedBusinessRevenue |
| Exclusion | $1,176,929 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21049 | Total |
| Program Services | 21049 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313662 | Total |
| Program Services | 225106 | ProgramServices |
| Management And General | 87693 | ManagementAndGeneral |
| Fundraising | 863 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5371238 | Total |
| Program Services | 4676761 | ProgramServices |
| Management And General | 657830 | ManagementAndGeneral |
| Fundraising | 36647 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302234 | Total |
| Program Services | 260605 | ProgramServices |
| Management And General | 39635 | ManagementAndGeneral |
| Fundraising | 1994 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1055612 | Total |
| Program Services | 910213 | ProgramServices |
| Management And General | 138434 | ManagementAndGeneral |
| Fundraising | 6965 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 408810 | Total |
| Program Services | 348252 | ProgramServices |
| Management And General | 57856 | ManagementAndGeneral |
| Fundraising | 2702 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25225 | Total |
| Management And General | 25225 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2049059 | Total |
| Program Services | 1548701 | ProgramServices |
| Management And General | 481369 | ManagementAndGeneral |
| Fundraising | 18989 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52763 | Total |
| Program Services | 1090 | ProgramServices |
| Management And General | 51279 | ManagementAndGeneral |
| Fundraising | 394 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 652399 | Total |
| Program Services | 534277 | ProgramServices |
| Management And General | 116607 | ManagementAndGeneral |
| Fundraising | 1515 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1722437 | Total |
| Program Services | 467477 | ProgramServices |
| Management And General | 1254960 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290752 | Total |
| Program Services | 242738 | ProgramServices |
| Management And General | 47881 | ManagementAndGeneral |
| Fundraising | 133 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90384 | Total |
| Program Services | 63738 | ProgramServices |
| Management And General | 22923 | ManagementAndGeneral |
| Fundraising | 3723 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5545 | Total |
| Program Services | 902 | ProgramServices |
| Management And General | 3755 | ManagementAndGeneral |
| Fundraising | 888 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122785 | Total |
| Program Services | 122785 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466969 | Total |
| Program Services | 339271 | ProgramServices |
| Management And General | 125113 | ManagementAndGeneral |
| Fundraising | 2585 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 637874 | Total |
| Program Services | 549202 | ProgramServices |
| Management And General | 88578 | ManagementAndGeneral |
| Fundraising | 94 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19239 | Total |
| Program Services | 18436 | ProgramServices |
| Management And General | 765 | ManagementAndGeneral |
| Fundraising | 38 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BUSINESS TAXES | 282925 | 282925 | |
| SUPPLIES | 555180 | 554299 | 881 |
| REPAIRS AND MAINTENANCE | 163398 | 135694 | 27704 |
| BAD DEBTS | 245189 | 245189 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103203 | Total |
| Program Services | 45980 | ProgramServices |
| Management And General | 57223 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14957931 | Total |
| Program Services | 11594690 | ProgramServices |
| Management And General | 3285711 | ManagementAndGeneral |
| Fundraising | 77530 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 798 | BOY |
| EOY | 850 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667630 | BOY |
| EOY | 1100129 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6415900 | BOY |
| EOY | 2196831 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1170 | BOY |
| EOY | 18615 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167075 | BOY |
| EOY | 92231 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7707 | BOY |
| EOY | 10026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13795604 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9535964 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4333366 | BOY |
| EOY | 4259640 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8207902 | BOY |
| EOY | 9786926 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19801548 | BOY |
| EOY | 17465248 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4760211 | BOY |
| EOY | 1124455 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8399 | BOY |
| EOY | 9253 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2751901 | BOY |
| EOY | 2506911 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7520511 | BOY |
| EOY | 3640619 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12156790 | BOY |
| EOY | 13805641 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124247 | BOY |
| EOY | 18988 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12281037 | BOY |
| EOY | 13824629 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19801548 | BOY |
| EOY | 17465248 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1316189 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 376628 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -149225 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $1,049 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $556 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $930 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 2535 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | LINES 1B, 1D, & 1G: THE ADMINISTRATOR AND VP OF HEALTH SERVICES CONTACTED LEGISLATORS REGARDING HEALTH CARE ISSUES. THE ADMINISTRATOR ALSO ATTENDED A MEETING IN WASHINGTON, D.C., REGARDING MINNESOTA HEALTH CARE ISSUES. A LEGISLATOR VISITED THE HOSPITAL AND SPOKE WITH APPROXIMATELY 12 EMPLOYEES ABOUT STAFF OPINIONS, FROM HEALTH CARE TO ECONOMIC CONCERNS. LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: MINNESOTA HOSPITAL ASSOCIATION - $155 AMERICAN HOSPITAL ASSOCIATION - $289 CATHOLIC HEALTH ASSOCIATION - $112 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103424 | OtherCostOrOtherBasis |
| Book Value | 103424 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9758482 | OtherCostOrOtherBasis |
| Depreciation | 6599743 | Depreciation |
| Book Value | 3158739 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22825 | OtherCostOrOtherBasis |
| Depreciation | 7608 | Depreciation |
| Book Value | 15217 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3641646 | OtherCostOrOtherBasis |
| Depreciation | 2690109 | Depreciation |
| Book Value | 951537 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 269227 | OtherCostOrOtherBasis |
| Depreciation | 238504 | Depreciation |
| Book Value | 30723 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4259640 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CHI OIP - FIXED INCOME | 4832330 |
| CHI OIP - EQUITY SECURITIES | 4954596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 9786926 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES | $66,721 |
| RELATED PARTY NOTE PAYABLE | $2,440,190 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2506911 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanation of escrow agreement | Schedule D, Part IV, Line 2b | FUNDS ARE HELD ON BEHALF OF RESIDENTS IN LONG TERM CARE. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | LAKEWOOD HEALTH CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 425 | PersonsServed |
| Total Community Benefit Expense | 131886 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 131886 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 849 | PersonsServed |
| Total Community Benefit Expense | 2584909 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1700678 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 884231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06010 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 1274 | PersonsServed |
| Total Community Benefit Expense | 2716795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1700678 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1016117 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06910 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 300 | PersonsServed |
| Total Community Benefit Expense | 66938 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9594 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57344 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 17194 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 47335 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 300 | PersonsServed |
| Total Community Benefit Expense | 131467 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9594 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 121873 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 1574 | PersonsServed |
| Total Community Benefit Expense | 2848262 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1710272 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1137990 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07740 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 9109 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 9109 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 397 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 397 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 20980 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 20980 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2581 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2581 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 33067 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 33067 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $245,189 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6006219 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5957285 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 48934 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MAIN AVENUE SOUTH | AddressLine1 |
| City | BAUDETTE | City |
| State | MN | State |
| ZIP Code | 56623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAKEWOODHEALTHCENTER.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | false | UsesFPGFree |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Eligibility criteria for free or discounted care | Schedule H, Part I, Line 3c | WHEN CATHOLIC HEALTH INITIATIVES (CHI) (THE ULTIMATE PARENT ORGANIZATION TO LAKEWOOD HEALTH CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES (FPG), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. LAKEWOOD HEALTH CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | THE APPROACH TAKEN FOR THE COMMUNITY BENEFIT CALCULATION WAS AS FOLLOWS: AN APPROACH OF INCLUDING ASSIGNED INDIRECT OVERHEAD BASED ON MEDICARE COST REPORT METHODOLOGY WAS UTILIZED. MEDICAID COMMUNITY BENEFIT WAS CALCULATED BASED UPON USING THE MEDICAID ESTIMATED INPATIENT, OUTPATIENT, AND LONG TERM CARE COST TO CHARGE RATIOS OF 109.53%, 53.08%, AND 131.81%, RESPECTIVELY, TIMES THE CHARGES FOR INPATIENT, OUTPATIENT, AND LONG TERM CARE MEDICAID PATIENTS. ADDITIONALLY, MINNESOTA CARE TAX AND MA SURCHARGE TAXES TOTALING $282,926 WERE INCLUDED IN THE COSTS FOR MEDICAID. THIS WAS THEN COMPARED TO PROJECTED REIMBURSEMENT FOR MEDICAID SERVICES. THE TOTAL COMMUNITY BENEFIT IS ESTIMATED AT $884,231. THE REMAINING COMMUNITY BENEFIT WAS TAKEN BY COMPILING THE COST OF TRADITIONAL CHARITY CARE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BUILDING ACTIVITIES. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2013 WAS COMPUTED USING THE FOLLOWING FORMULA: MEDICARE ALLOWABLE COSTS DIVIDED BY REVENUES FOR EACH SERVICE LINE TYPE. BASED ON THAT FORMULA: INPATIENT - $3,348,308 / $3,667,551 = 109.53% COST-TO-CHARGE RATIO OUTPATIENT - $6,288,195 / $11,846,871 = 53.08% COST TO CHARGE RATIO LONG-TERM CARE - $2,400,307 / $3,163,964 = 131.81% COST TO CHARGE RATIO WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 245,189 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. |
| Bad debt expense - methodology used to estimate amount | Schedule H, Part III, Line 2 | COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2013 WAS COMPUTED USING THE FOLLOWING FORMULA: MEDICARE ALLOWABLE COSTS DIVIDED BY REVENUES FOR EACH SERVICE LINE TYPE (INPATIENT, OUTPATIENT, AND LONG TERM CARE). BASED ON THAT FORMULA: INPATIENT - $3,348,308 / $3,667,551 = 109.53% COST-TO-CHARGE RATIO OUTPATIENT - $6,288,195 / $11,846,871 = 53.08% COST TO CHARGE RATIO LONG TERM CARE - $2,400,307 / $3,163,964 = 131.81% COST TO CHARGE RATIO WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. |
| Bad debt expense - methodology used to estimate amount as community benefit | Schedule H, Part III, Line 3 | LAKEWOOD HEALTH 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. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | LAKEWOOD HEALTH CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI). THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | LAKEWOOD HEALTH CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL (CAH). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, LAKEWOOD HEALTH CENTER, DUE TO DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES AND WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $6,006,219 TOTAL MEDICARE COSTS: $5,957,285 SURPLUS OR SHORTFALL $48,934 LAKEWOOD HEALTH CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION (CHA) 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 |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | LAKEWOOD HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY * TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: A. NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; B. REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR C. REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. * COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. * OTHER IMPERMISSIBLE COLLECTION TACTICS. A. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; B. NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS (RECOURSE INDEBTEDNESS); AND C. NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES, AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. |
| Community Served by Needs Assessment | Schedule H, Part V Section B, Line 3 | (1) LAKEWOOD HEALTH CENTER - A GROUP CONSISTING OF NEARLY 60 COMMUNITY MEMBERS WAS CONVENED IN A SINGLE SESSION ON SEPTEMBER 25, 2012. MEMBERS OF THE COMMUNITY GROUP REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY LAKEWOOD HEALTH CENTER. INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING THE SCHOOL DISTRICT, COUNTY SOCIAL SERVICES, OCCUPATIONAL AND DEVELOPMENT OFFICE, MINISTERIUM, CITY AND COUNTY GOVERNMENT, LOCAL BUSINESS OWNERS, HEALTH CARE WORKERS/LEADERS, AND THE PUBLIC HEALTH DIRECTOR. IN ADDITION, THE MEETING WAS ANNOUNCED ON THE LOCAL RADIO STATION AND POSTED IN THE LOCAL NEWSPAPERS. THE SESSION WAS FACILITATED BY THE VP OF MISSION, CATHOLIC HEALTH INITIATIVES, FARGO DIVISION. THE ASSESSMENT INCLUDED AREAS OF HEALTH, SAFETY, VIOLENCE PREVENTION, NUTRITION, PHYSICAL ACTIVITY, AND QUALITY OF LIFE. EACH TABLE OF 6-8 PARTICIPANTS COMBINED THEIR INDIVIDUAL INPUT BY FINDING OVERLAPPING, COMMON THEMES WITH OTHERS AT THE TABLE. ALL OF THE INDIVIDUAL NOTES WERE COLLECTED TO RECORD THE STRONG RECURRING THEMES. NEAR THE CLOSE OF THE MEETING, EACH PARTICIPANT WAS PROVIDED THREE DOTS TO MARK THEIR PERCEPTION OF WHAT RESOURCES ARE NEEDED TO ADDRESS THE ISSUES AFTER HEARING THE PERSPECTIVES OF OTHERS. THIS PROCESS WAS NOT INTENDED TO BE SCIENTIFIC OR STATISTICALLY VALID. IT WAS DESIGNED TO COLLECT QUALITATIVE DATA AND QUANTITATIVE DATA FROM THE COMMUNITY, SPECIFICALLY RELATED TO COMMUNITY-PERCEIVED HEALTH NEEDS AND WHAT RESOURCES ARE NEEDED. ; |
| Used federal poverty guidelines (FPG) to determine eligibility | Schedule H, Part V Section B, Line 10 | (1) LAKEWOOD HEALTH CENTER - HUD LOW INCOME GUIDELINES USED; |
| Used FPG to determine eligibility for providing discounted care criteria | Schedule H, Part V Section B, Line 11 | (1) LAKEWOOD HEALTH CENTER - HUD LOW INCOME GUIDELINES USED; |
| LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE INTRODUCTION: I. THE MISSION OF LAKEWOOD HEALTH CENTER AND CATHOLIC HEALTH INITIATIVES IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. THE VISION OF LAKEWOOD HEALTH CENTER AND CATHOLIC HEALTH INITIATIVES IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY LAKEWOOD HEALTH CENTER, LOCATED IN BAUDETTE, MINNESOTA, IS A CATHOLIC, NOT-FOR-PROFIT CARE ORGANIZATION SPONSORED BY CATHOLIC HEALTH INITIATIVES (CHI), ONE OF THE LARGEST CATHOLIC, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN AMERICA. LAKEWOOD HEALTH CENTER IS DEDICATED TO THE HEALTH AND WELL-BEING OF THE COMMUNITY AND TO PROVIDING QUALITY, HOLISTIC HEALTH CARE SERVICES AND FACILITIES FOR THE RESIDENTS OF BAUDETTE, LAKE OF THE WOODS COUNTY, AND SURROUNDING COMMUNITIES OF THE LAKE OF THE WOODS REGION. LAKEWOOD HEALTH CENTER IS LOCATED IN A RURAL AND ISOLATED AREA OF NORTHERN MINNESOTA, SERVING LAKE OF THE WOODS COUNTY AND SURROUNDING COUNTIES OF ROSEAU, KOOCHICHING, BELTRAMI, AND, ON OCCASION, RESIDENTS OF CANADA. LAKEWOOD HEALTH CENTER IS FEDERALLY DESIGNATED, 15-BED CRITICAL ACCESS HOSPITAL. LAKEWOOD HEALTH CENTER OFFERS A CONTINUUM OF CARE INCLUDING LONG TERM CARE, ASSISTED RESIDENTIAL COMMUNITY (BOARD AND LODGING WITH SERVICES), HOSPITAL CARE, AND SERVICES TO INCLUDE CLINIC OFFICE VISITS. LAKEWOOD HEALTH CENTER CLOSED OB SERVICES IN SEPTEMBER 2009. THE CLINIC IS STAFFED WITH THREE FAMILY PRACTICE PHYSICIANS AND ONE FAMILY PRACTICE NURSE PRACTITIONER; HOWEVER, THERE HAS BEEN A VACANCY DURING RECRUITMENT FOR ONE FAMILY PRACTICE PHYSICIAN. LAKEWOOD NURSING SERVICE, WHICH INCLUDED HOME CARE, HOSPICE, PUBLIC HEALTH, AND SCHOOL NURSING, FORMED A NEW DIVISION WITHIN CATHOLIC HEALTH INITIATIVES, AND THESE SERVICES TRANSFERRED OUT OF LAKEWOOD HEALTH CENTER OPERATIONS IN DECEMBER OF 2010. LAKEWOOD NURSING SERVICE WAS CLOSED IN 2012, DISCONTINUING HOSPICE AND HOME CARE SERVICES. PUBLIC HEALTH AND SCHOOL NURSING RETURNED TO LAKEWOOD HEALTH CENTER CAMPUS UNDER THE NAME OF LAKEWOOD PUBLIC HEALTH. A NEW PROGRAM WAS DEVELOPED THROUGH THE RURAL HEALTH CLINIC AND APPROVED IN AUGUST 2012 (RURAL HEALTH CLINIC VISITING NURSE PROGRAM). LAKEWOOD HEALTH CENTER SERVES ALL PERSONS IN THE COMMUNITY ON A NONDISCRIMINATORY BASIS, PARTICIPATES IN MEDICAID AND MEDICARE PROGRAMS, AND HAS AN ACTIVE CHARITY CARE PROGRAM. THE EMERGENCY ROOM IS AVAILABLE 24 HOURS A DAY, 365 DAYS PER YEAR, AND IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. LAKEWOOD HEALTH CENTER COLLABORATED WITH RAINY RIVER COMMUNITY COLLEGE TO BRING THE PRACTICAL NURSING PROGRAM TO BAUDETTE FOR ANOTHER COHORT OF STUDENTS, WHO BEGAN IN THE FALL OF 2011 AND COMPLETED THE FORMAL COURSE WORK IN THE SPRING OF 2013. LAKEWOOD HEALTH CENTER PROVIDES CLASSROOM SPACE, ITV EQUIPMENT, CLINICAL EXPERIENCE, AND CLINICAL INSTRUCTORS FOR THE NURSING PROGRAMS. THE GOAL IS TO MAKE NURSING EDUCATION ACCESSIBLE AND TO ADDRESS POTENTIAL NURSING SHORTAGE ISSUES IN THIS AGING COMMUNITY. LAKEWOOD HEALTH CENTER HAS A GOVERNING BODY (BOARD OF DIRECTORS) THAT IS LARGELY COMPRISED OF INDEPENDENT PERSONS WHO ARE REPRESENTATIVE OF THE COMMUNITY, ALONG WITH THREE BOARD MEMBERS FROM WITHIN THE ORGANIZATION. HISTORY LAKEWOOD HEALTH CENTER OPENED IN MARCH 1950 AS BAUDETTE COMMUNITY HOSPITAL. IT WAS OWNED BY THE COMMUNITY AND OPERATED BY THE SISTERS OF ST. JOSEPH OUT OF CROOKSTON. THE HOSPITAL WAS LEASED TO THE SISTERS OF ST. JOSEPH IN 1954 AND IN 1957 THE SISTERS PURCHASED THE HOSPITAL AND CHANGED THE NAME TO "TRINITY HOSPITAL". IN 1982, THE SISTERS ENTERED INTO A MANAGEMENT CONTRACT WITH UNITED HEALTH RESOURCES OF GRAND FORKS, NORTH DAKOTA, UNTIL THEY SOLD THE HOSPITAL TO FRANCISCAN SISTERS HEALTH CARE, INCORPORATED IN 1985. DURING THIS TIME, TRINITY HOSPITAL TOOK OVER MANAGEMENT OF THE PIONEER NURSING HOME, THE LONG-TERM TERM CARE FACILITY LOCATED ONE MILE EAST OF THE HOSPITAL. IN 1986, THE HOSPITAL ACQUIRED THE COUNTY-OWNED PUBLIC HEALTH SERVICE. TRINITY HOSPITAL BOUGHT THE PIONEER NURSING HOME IN 1990, AND THE NAME WAS CHANGED TO "LAKEWOOD HEALTH CENTER" TO REFLECT THE COMING TOGETHER OF ACUTE CARE, LONG-TERM CARE (LAKEWOOD CARE CENTER), AND HOME HEALTH/PUBLIC HEALTH (LAKEWOOD NURSING SERVICE) UNDER ONE UMBRELLA. CATHOLIC HEALTH CORPORATION OF OMAHA, NEBRASKA, TOOK OVER SPONSORSHIP OF LAKEWOOD HEALTH CENTER IN 1993. TWO YEARS LATER, THEY MERGED WITH TWO OTHER LARGE CATHOLIC HEALTH CARE SYSTEMS TO FORM CATHOLIC HEALTH INITIATIVES (CHI), OUR CURRENT SPONSOR, BASED IN ENGLEWOOD, COLORADO. LAKEWOOD HEALTH CENTER COMPLETED A BUILDING AND RENOVATION PROJECT IN 2000 THAT RESULTED IN ALL HEALTH CARE SERVICES BEING AVAILABLE ON ONE CAMPUS. LAKEWOOD NURSING SERVICE TRANSFERRED TO CATHOLIC HEALTH INITIATIVES HEALTH CONNECT AT HOME. THE OPERATION MOVED OFF SITE IN JUNE 2010, AND THE FINANCIAL OPERATIONS WERE SEPARATED IN DECEMBER OF 2010. CATHOLIC HEALTH INITIATIVES AT HOME DISCONTINUED HOME HEALTH SERVICES IN LAKE OF THE WOODS COUNTY AND PUBLIC HEALTH, SCHOOL NURSING, AND PARKER'S ARC TRANSFERRED BACK TO LAKEWOOD HEALTH CENTER BY JULY OF 2012. LAKEWOOD HEALTH CENTER IS THE ONLY HOSPITAL, CLINIC, AND LICENSED LONG TERM CARE PROVIDER IN LAKE OF THE WOODS COUNTY. LAKEWOOD HEALTH CENTER IS COMMITTED TO THE PROMOTION OF HEALTHIER COMMUNITIES. LAKEWOOD HEALTH CENTER IS PROUD OF ITS CATHOLIC HERITAGE AND ITS ABILITY TO PROVIDE DIRECT AND INDIRECT SUPPORT TO THE COMMUNITIES IT SERVES. LAKEWOOD HEALTH CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. |
| LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | (CONTINUED) COMMUNITY BENEFIT APPROACH LAKEWOOD HEALTH CENTER IS LOCATED IN BAUDETTE, MINNESOTA, A RURAL AND ISOLATED AREA OF NORTHERN MINNESOTA, SERVING LAKE OF THE WOODS COUNTY AND SURROUNDING COUNTIES OF ROSEAU, KOOCHICHING, BELTRAMI, AND, ON OCCASION, RESIDENTS OF CANADA. ACCORDING TO THE 2010 US CENSUS BUREAU, THE CITY OF BAUDETTE POPULATION IS 1,106 AND LAKE OF THE WOODS COUNTY CENSUS IS 4,045. THIS REPRESENTS A DECLINE OF 10.5% IN POPULATION IN THE COUNTY SINCE THE YEAR 2000. THE DECLINE IN POPULATION IS THOUGHT TO BE RELATED TO THE ECONOMIC DOWNTURN AND LOSS OF YOUNG FAMILIES FROM THE AREA. PERSONS 65 YEARS AND OVER MAKE UP 20.3 % OF LAKE OF THE WOODS COUNTY POPULATION AND THE MEDIAN AGE IS 48.7. THE MEDIAN HOUSEHOLD INCOME IS $40,118 AND 11.7% OF PERSONS IN LAKE OF THE WOODS COUNTY ARE BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE FOR LAKE OF THE WOODS COUNTY WAS RECORDED AT 5.5% IN APRIL OF 2010. THERE ARE 3.3 PERSONS PER SQUARE MILE IN LAKE OF THE WOODS COUNTY. LAKEWOOD HEALTH CENTER IS THE LARGEST EMPLOYER IN THE COUNTY WITH AN ECONOMIC IMPACT OF ABOUT 18.3 MILLION DOLLARS ACCORDING TO A STUDY DONE IN 2005 BY MINNESOTA RURAL HEALTH RESOURCE CENTER. THE MISSION LEADER AND CHIEF FINANCIAL OFFICER GATHER AND TRACK THE COMMUNITY BENEFIT DATA. THE BOARD OF DIRECTORS AND SENIOR LEADERSHIP TEAM ALONG WITH DEPARTMENT HEADS COLLABORATE THROUGHOUT THE YEAR ON HOW TO MAKE A DIFFERENCE IN THE COMMUNITY WE SERVE. A COST-TO-CHARGE RATIO IS USED DETERMINED USING A WORKSHEET PROVIDED BY CATHOLIC HEALTH INITIATIVES, ENGLEWOOD, COLORADO. COMMUNITY FOCUS GROUPS WERE HELD IN 2009 TO ASSESS THE NEEDS OF THE COMMUNITY. AT THIS FORUM, NEEDS IDENTIFIED WERE WELLNESS EDUCATION, VARIOUS SUPPORT GROUP NEEDS, NUTRITION (WITH A FOCUS ON PLANS TO ASSIST WITH PLANNED WEIGHT LOSS), IMPROVED DENTAL CARE, INCREASED PUBLIC TRANSPORTATION, AND INCREASED ACCESS TO PSYCHIATRY, PODIATRY, OPHTHALMOLOGY, AUDIOLOGY, AND OBTAINING DIALYSIS SERVICES CLOSER TO HOME. THE COMMUNITY IS INTERESTED IN HOW TECHNOLOGY CAN BE UTILIZED IN THIS AREA AS ADVANCES ARE MADE IN TELEMEDICINE. A COMMUNITY FORUM WAS HELD IN JANUARY 2010 TO OBTAIN THE COMMUNITY'S PERCEPTION OF VIOLENCE ISSUES IN LAKE OF THE WOODS COUNTY. A COALITION FOR VIOLENCE PREVENTION WAS FORMED IN 2010 TO IDENTIFY A PRIORITY FOCUS AND DEVELOP AN ACTION PLAN TO PREVENT AT LEAST ONE FORM OF VIOLENCE IN LAKE OF THE WOODS COUNTY. VIOLENCE WITHIN OUR COMMUNITY WAS IDENTIFIED WITHIN THE FOCUS GROUPS AS AN OUTCOME FROM OTHER "ABUSES" - ALCOHOL OR SUBSTANCE ABUSE WERE NOTED AS A COMMON FACTOR FOR MUCH OF THE DOMESTIC ABUSE/VIOLENCE THAT OCCURS WITHIN THE COMMUNITY. BULLYING WAS BROUGHT FORWARD WITHIN THE GROUPS AS A TOPIC OF CONCERN FOR SCHOOL-AGE CHILDREN. A COMMUNITY FORUM WAS HELD IN SEPTEMBER OF 2012 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOCUS QUESTIONS INCLUDED THE TOPICS OF HEALTH, SAFETY/VIOLENCE PREVENTION, NUTRITION, PHYSICAL ACTIVITY, AND QUALITY OF LIFE. THE MAJOR NEEDS AND PRIORITIES ESTABLISHED WERE: 1) HOME CARE AND HOSPICE SHORTAGE; 2) NUTRITION, PHYSICAL ACTIVITY - OBESITY; AND 3) TRANSPORTATION ISSUES - PUBLIC RIDES AND TRANSPORTATION FOR OUT OF TOWN APPOINTMENTS. COMMUNITY FORUMS ARE HELD WITH THE COMMUNITY EVERY THREE YEARS TO REVIEW PROGRESS ON COMMUNITY GOALS, ASSESS CURRENT NEEDS, AND UPDATE ACTION PLANS. LAKEWOOD HEALTH CENTER HAS BEEN INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS A HISTORY OF SPONSORING COMMUNITY FORUMS TO LOOK AT AREA HEALTH ISSUES AND SET PRIORITIES AND PLANS FOR IMPROVEMENT. LAKEWOOD HEALTH CENTER CONTINUES A DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH ACTIVITIES. LAKEWOOD HEALTH CENTER STRIVES TO HAVE COMMUNITY BENEFIT A VISIBLE PART OF WHO WE ARE AND PROVIDES AN ANNUAL REPORT FOR OUR COMMUNITY IN ONE OF OUR QUARTERLY NEWSLETTERS. COLLABORATING AND COOPERATING WITH OUR COMMUNITY IS "A WAY OF LIFE" AND PART OF THE CULTURE FOR LAKEWOOD HEALTH CENTER AND ITS EMPLOYEES. WE ARE THANKFUL TO HAVE THE RESOURCES OF TIME, TALENT, AND OTHER GIFTS TO SHARE FOR THE GOOD OF OUR COMMUNITY. |
| LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | (CONTINUED) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR LAKEWOOD HEALTH CENTER PROVIDES TRADITIONAL CHARITY CARE VIA AN INTERNAL PROGRAM FOR THE MEDICALLY NEEDY THAT ASSISTS PATIENTS, RESIDENTS, OR CLIENTS FINANCIALLY BY FORGIVING OR REDUCING THEIR MEDICAL DEBT AT LAKEWOOD HEALTH CENTER. THE BILLING/INSURANCE OFFICE OR THE SOCIAL WORKER IDENTIFIES THOSE INDIVIDUALS OR FAMILIES WITHOUT INSURANCE COVERAGE OR THOSE THAT ARE UNDERINSURED AND PROVIDES APPLICATION ASSISTANCE FOR THIS PROGRAM. TOTAL EXPENSE FOR THIS PROGRAM IS $152,458 WITH 420 PERSONS SERVED. UNPAID COST OF MEDICAID IS $884,231 WITH 849 PERSONS SERVED FOR FISCAL YEAR ENDING JUNE 30, 2013. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY * LAKEWOOD HEALTH CENTER SPONSORS AND PROVIDES SUPPORT FOR DEVELOPMENT AND MAINTENANCE OF AN ALZHEIMER'S SUPPORT GROUP IN LAKE OF THE WOODS COUNTY AND SURROUNDING AREAS. A NEED WAS IDENTIFIED DURING THE 2009 COMMUNITY ASSESSMENT AND THROUGH LAKEWOOD CARE CENTER FAMILY COUNCIL MEMBERS. VOLUNTEERS HAVE COME FORWARD TO LEAD THE SUPPORT GROUP, AND MONTHLY MEETINGS HAVE BEEN ESTABLISHED. THE MEETINGS ARE HELD AT LAKEWOOD HEALTH CENTER AND REFRESHMENTS ARE PROVIDED BY LAKEWOOD HEALTH CENTER'S DIETARY DEPARTMENT. AN ALZHEIMER'S ASSOCIATION SUPPORT GROUP IS A SAFE PLACE TO LEARN, OFFER AND RECEIVE HELPFUL TIPS, AND MEET OTHERS COPING WITH ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA. THE ATMOSPHERE OF AN ALZHEIMER'S ASSOCIATION SUPPORT GROUP IS ONE OF SHARING AND CARING FRIENDSHIP. THE ENVIRONMENT IS A CONFIDENTIAL AND NON-JUDGMENTAL PLACE TO SHARE IDEAS, FRUSTRATIONS, ANGER AND JOY. MEMBERS RECEIVE POSITIVE REINFORCEMENT. * LAKEWOOD HEALTH CENTER PARTNERED WITH THE LAKE OF THE WOODS SCHOOL TO SCREEN ALL FALL, WINTER, AND SPRING SPORTS ATHLETES. THIS INCLUDED STUDENTS RANGING IN AGE FROM 10 TO 18. THE PROGRAM ALSO EXTENDED TO THE COMMUNITY'S YOUTH HOCKEY PROGRAM. THE SCREENING INVOLVES A 10-MINUTE BASELINE TEST ON EACH ATHLETE LOOKING FOR ANY PHYSICAL OR COGNITIVE SIGNS OF PREVIOUS CONCUSSION. THE ATHLETE'S NORMAL PHYSICAL AND COGNITIVE ABILITIES ARE DOCUMENTED, SHARED WITH THE COACH, AND KEPT WITH THE STUDENT'S MEDICAL RECORD. MINNESOTA STATE HIGH SCHOOL LEAGUE ADOPTED NEW RULES LAST YEAR ABOUT WHAT STEPS SHOULD BE TAKEN BEFORE AN ATHLETE WITH A HEAD INJURY CAN RETURN TO PLAY OR PRACTICE, AND THIS PROGRAM ASSISTS THE ATHLETIC PROGRAMS IN MAINTAINING COMPLIANCE AND SAFETY FOR YOUNG ATHLETES. * LAKEWOOD HEALTH CENTER'S DIETITIAN PROVIDES A MONTHLY COLUMN FOR FIVE NEWSPAPERS IN NORTHWEST MINNESOTA. THESE ARTICLES COVER VARIOUS TOPICS OF NUTRITION AND FOOD SAFETY. THE DIETITIAN IS ALSO OPEN TO PROVIDING EDUCATION/OUTREACH FOR GROUPS WHO REQUEST A PRESENTATION; HE HAS PROVIDED OUTREACH FOR TWO OF THE PUBLIC SCHOOLS IN THE AREA. * LAKEWOOD HEALTH CENTER, IN CONJUNCTION WITH LAKEWOOD HEALTH CENTER CLINIC, DEVELOPED THE DIABETES RESOURCE CENTER TO BRING AWARENESS OF THE CHRONIC DISEASE TO THE PUBLIC AND PROVIDE EDUCATION FOR PEOPLE WITH DIABETES TO HELP THEM UNDERSTAND AND MANAGE THEIR DISEASE. THE PROGRAM IS OFFERED IN CLASS SESSIONS AND ENCOURAGES SELF-MANAGEMENT AND LONG-TERM HEALTH MAINTENANCE. LAKEWOOD HEALTH CENTER PROVIDES A DIETITIAN CONSULT FOR THE PROGRAM. THE DIABETES RESOURCE CENTER STAFF IS AVAILABLE TO MEET WITH INDIVIDUALS TO ASSIST THEM WITH MANAGING THEIR DIABETES. THE DIABETIC RESOURCE CENTER IS STAFFED OUT OF THE CARDIO-PULMONARY REHABILITATION DEPARTMENT. THE DIABETES RESOURCE CENTER OFFERED "I CAN PREVENT DIABETES! - INDIVIDUALS AND COMMUNITIES ACTING NOW TO PREVENT DIABETES," A 16 WEEK PROGRAM (CLASSES STARTED NOVEMBER 2009 AND CONTINUE) OFFERED TO THOSE WHO MEET SCREENING CRITERIA. THE "I CAN PREVENT DIABETES!" PROGRAM HAS BEEN ADAPTED FROM THE DIABETES PREVENTION PROGRAM (DPP). THE DPP IS AN EVIDENCED-BASED LIFESTYLE CHANGE PROGRAM FOCUSED ON DIET AND EXERCISE. THE ORIGINAL DPP SHOWED A 60% REDUCTION IN RISK FOR DIABETES WHEN PARTICIPANTS MADE LIFESTYLE CHANGES RELATED TO FOOD CHOICES AND EXERCISE. A COMMUNITY SUPPORT GROUP WAS ESTABLISHED FOR THOSE AFFECTED BY DIABETES AND THIS GROUP IS MEETING APPROXIMATELY FOUR TIMES A YEAR. * LAKEWOOD HEALTH CENTER PROVIDED THE AMERICAN LUNG ASSOCIATION - "FREEDOM FROM SMOKING" PROGRAM FOR THE COMMUNITY. THE FREEDOM FROM SMOKING® GROUP CLINIC INCLUDES EIGHT SESSIONS AND FEATURES A STEP-BY-STEP PLAN FOR QUITTING SMOKING. EACH SESSION IS DESIGNED TO HELP SMOKERS GAIN CONTROL OVER THEIR BEHAVIOR. THE CLINIC FORMAT ENCOURAGES PARTICIPANTS TO WORK ON THE PROCESS AND PROBLEMS OF QUITTING BOTH INDIVIDUALLY AND AS PART OF A GROUP. THIS PROGRAM WAS PROVIDED AS OUTREACH FROM THE CARDIO-PULMONARY REHABILITATION DEPARTMENT AND IS PROMOTED AT HEALTH FAIRS THROUGH THE DEPARTMENT AND LOCAL NEWSPAPERS. * LAKEWOOD HEALTH CENTER HELD THE ANNUAL HEALTH FAIR IN AUGUST 2012 AT THE LAKE OF THE WOODS COUNTY FAIR. MEMBERS OF ALL DEPARTMENTS AT LAKEWOOD HEALTH CENTER ARE ASKED TO PARTICIPATE IN SOME WAY. A THREE DAY EVENT WAS HELD (FRIDAY, SATURDAY, AND SUNDAY) AND APPROXIMATELY 140 PEOPLE RECEIVED GLUCOSE, CHOLESTEROL, AND BLOOD PRESSURE SCREENINGS. NURSES PROVIDED HEALTH EDUCATION DURING THE TIME OF SCREENING. LAKEWOOD HEALTH CENTER ALSO PARTICIPATED IN SCREENING EVENTS FOR THE MARVIN'S HEALTH FAIR AND WILLIE WALLEYE DAYS, LOCAL COMMUNITY EVENTS. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH LAKEWOOD HEALTH CENTER DONATES CASH TO PROGRAMS, PROJECTS, AND SPECIAL COMMUNITY EVENTS. THESE ORGANIZATIONS/COMMUNITY GROUPS ARE ALSO NOT FOR PROFIT AND INVOLVE COLLABORATION FOR SAFE ENVIRONMENT, SAFE RECREATIONAL OPPORTUNITIES, GROWTH AND DEVELOPMENT OF YOUTH, AND OTHER ACTIVITIES/PROGRAMS THAT ASSIST IN BUILDING THE COMMUNITY AND THE HEALTH OF THE COMMUNITY. * LAKEWOOD HEALTH CENTER ENCOURAGES EMPLOYEES TO BE INVOLVED IN COMMUNITY ACTIVITIES AND TO VOLUNTEER WHERE ABLE. LAKEWOOD HEALTH CENTER ALLOWS USE OF PRINTERS, COPY MACHINES, PAPER, AND DONATION OF SUPPLIES. SOME OF THE PROJECTS INCLUDE LOCAL FOOD SHELF, TAKE A KID FISHING PROGRAM, SENIOR FISHING PROGRAM, YOUTH HOCKEY, HUMANE SOCIETY, POST PROM PARTY, JOB SHADOWING EXPERIENCE, SCHOOL CAREER DAY, SCHOOL BOOSTER CLUB, ROBOTICS, AND OTHER SCHOOL PROJECTS. LAKEWOOD HEALTH CENTER (ALONG WITH CHI FARGO DIVISION) PARTICIPATES IN FUND RAISING FOR INTERNATIONAL MISSION PROJECTS FOR THE INDIGENOUS PEOPLE'S HOSPITAL IN THE PHILIPPINES THROUGH INTERNAL FUNDRAISING EVENTS FOR EMPLOYEES, AS WELL AS THE ANNUAL DUCKY DERBY FUNDRAISER EVENT HELD ANNUALLY IN ONE OF THE FACILITIES IN THE CHI FARGO DIVISION. * LAKEWOOD HEALTH CENTER SUPPORTS THE AMERICAN CANCER SOCIETY'S SENTINEL FUND RAISING EVENT RELAY FOR LIFE, THAT HAS BEEN HELD IN COMMUNITIES ACROSS MINNESOTA AND THE NATION. THE ELEVENTH RELAY FOR LIFE EVENT WAS HELD IN LAKE OF THE WOODS COUNTY IN AUGUST 2012, WITH LAKEWOOD HEALTH CENTER AS ONE OF THE CORPORATE SPONSORS. LAKEWOOD HEALTH CENTER ALSO PARTICIPATES IN DAFFODIL DAYS, ANOTHER AMERICAN CANCER SOCIETY EVENT. THE ADMISSIONS STAFF SET UP A DISPLAY TO REFER CANCER PATIENTS TO THE AMERICAN CANCER SOCIETY NETWORK. HEALTH PROFESSIONS EDUCATION * LAKEWOOD HEALTH CENTER AND RAINY RIVER COMMUNITY COLLEGE/INTERNATIONAL FALLS, MN HAVE COLLABORATED TO PROVIDE THE PRACTICAL NURSING PROGRAM AT LAKEWOOD HEALTH CENTER IN BAUDETTE. THE PROGRAM IS SET UP TO ENCOURAGE STUDENTS TO WORK, ATTEND CLASSES, AND MEET FAMILY OBLIGATIONS BY MOVING THROUGH THE PROGRAM OVER TWO YEARS AT A PART-TIME PACE. LAKEWOOD HEALTH CENTER PROVIDES CLASSROOM AND CLINICAL SPACE FOR THE NURSING STUDENTS. ITV IS SET UP IN A CONFERENCE ROOM FOR CLASSES. NURSING STAFF MEMBERS AT LAKEWOOD ARE OCCASIONALLY ASKED TO PRINT TESTS OR HANDOUTS AND DISTRIBUTE THEM ON THE DAY OF CLASS. CLASSES STARTED IN FALL OF 2011 WITH NURSING COURSE WORK ARE SCHEDULED TO BE COMPLETED IN THE SPRING OF 2013. |
| LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | (CONTINUED) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT (CONT.) COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING AND COMMUNITY HEALTH ACTIVITIES LAKEWOOD HEALTH CENTER DONATES CASH TO PROGRAMS, PROJECTS, AND SPECIAL COMMUNITY EVENTS. THESE ORGANIZATIONS/COMMUNITY GROUPS ARE ALSO NOT FOR PROFIT AND INVOLVE COLLABORATION FOR SAFE ENVIRONMENT, SAFE RECREATIONAL OPPORTUNITIES, GROWTH AND DEVELOPMENT OF YOUTH, AND OTHER ACTIVITIES/PROGRAMS THAT ASSIST IN BUILDING THE COMMUNITY AND THE HEALTH OF THE COMMUNITY. * THE BRINK SENIOR CENTER IS A NON-PROFIT ORGANIZATION THAT PROVIDES NUTRITIOUS MEALS AT NOON, FIVE DAYS A WEEK, THROUGH LUTHERAN SOCIAL SERVICE PROGRAM. THEY ALSO PROVIDE MEALS ON WHEELS IN OUR COMMUNITY. THE BRINK SENIOR CENTER IS THE HUB OF ACTIVITY FOR SENIORS IN LAKE OF THE WOODS COUNTY AND NEIGHBORING SENIORS FROM RAINY RIVER, ONTARIO, CANADA. THE CENTER HAS DAILY ACTIVITIES AND ALSO SERVES AS A FORUM FOR INFORMATION RELATED TO HEALTH, ISSUES, AND ADVOCACY PROGRAMS FOR SENIORS. THE NEWSLETTER IS PREPARED AND DISTRIBUTED MONTHLY TO KEEP THE SENIORS INFORMED OF COMMUNITY EVENTS, SENIOR CENTER ACTIVITIES, AND THE DAILY MENU. THE SOCIAL WORKER AND DIETITIAN PARTICIPATE ON THE NUTRITION BOARD AT THE BRINK CENTER AND ASSIST WITH FUND RAISERS ONCE OR TWICE A YEAR FOR THE NUTRITION PROGRAM. OTHER LAKEWOOD HEALTH CENTER STAFF MEMBERS OCCASIONALLY ASSIST WITH SPECIAL EVENTS OR FUNDRAISERS. * LAKEWOOD HEALTH CENTER SUPPORTS SEMI-ANNUAL BLOOD DRIVES (FALL AND SPRING) IN OUR COMMUNITY. LAKEWOOD HEALTH CENTER ENCOURAGES AND SUPPORTS EMPLOYEES TO VOLUNTEER AS BLOOD DONORS; STAFF FROM ENVIRONMENTAL SERVICES OFFERS ASSISTANCE IN SET UP AND CLEAN UP FOR THE BLOOD DRIVE EVENT. LAKEWOOD HEALTH CENTER LAB AND RADIOLOGY DEPARTMENTS TOOK OVER THE RESPONSIBILITIES IN 2012. COMMUNICATIONS/MARKETING STAFF ASSIST WITH PROMOTING THE BLOOD DRIVE. * THE BAUDETTE COMMUNITY FOUNDATION IS A NON-PROFIT ORGANIZATION SEEKING TO ENHANCE AND IMPROVE AREA RECREATIONAL AND SOCIAL FACILITIES. THE BAUDETTE COMMUNITY FOUNDATION BOARD MEETS MONTHLY AND OVERSEES THE THEATER BUSINESS AND WORKS TOWARD IMPROVING THE RECREATIONAL FACILITIES. THE COMMUNITY FOUNDATION HELD AN AUCTION FUND RAISER IN JULY 2012. MAINTENANCE STAFF, ADMINISTRATION, AND SOCIAL WORKERS ASSIST WITH PICKING UP AND TRANSPORTING ITEMS TO THE AUCTION AS WELL AS HELPING ON THE DAY OF THE AUCTION. BAUDETTE COMMUNITY FOUNDATION ALSO SERVES AS A FISCAL AGENT FOR THE SENIOR FISHING PROGRAM IN LAKE OF THE WOODS COUNTY. * LAKE OF THE WOODS COUNTY PREVENTION COALITION (ALCOHOL, TOBACCO, AND OTHER DRUGS): LAKEWOOD HEALTH CENTER'S MISSION LEADER AND ADMINISTRATOR ARE MEMBERS OF THE COALITION, AND LAKEWOOD HEALTH CENTER PROVIDES SPACE FOR MEETINGS AND OCCASIONAL REFRESHMENTS. LAKE OF THE WOODS COUNTY WORKS WITH THE DEPARTMENT OF HUMAN SERVICES, ALCOHOL AND DRUG ABUSE DIVISION BY FOCUSING ON CHANGING THE ENVIRONMENT IN WHICH YOUTH LIVE. INVESTING IN PREVENTION MEASURES WILL NOT ONLY ENHANCE THE COMMUNITY, IT WILL ENHANCE THE LIVES OF OUR YOUTH. THE PROPOSED PREVENTION MEASURES ARE AIMED AT: 1) REDUCING ACCESS AND AVAILABILITY; 2) ENFORCEMENT OF EXISTING LAWS AND POLICIES; AND 3) CHANGING PUBLIC ATTITUDES AND SOCIAL NORMS. * VIOLENCE PREVENTION WORK: LAKEWOOD HEALTH CENTER IS STRIVING TO PROMOTE A HEALTHY COMMUNITY BY CREATING A PLAN TO REDUCE COMMUNITY VIOLENCE. THE PURPOSE OF OUR WORK IS TO ADDRESS A COMMUNITY-IDENTIFIED FORM OF VIOLENCE AND CREATE A HEALTHIER COMMUNITY THROUGH VIOLENCE REDUCTION. LAKEWOOD HEALTH CENTER, ALONG WITH CATHOLIC HEALTH INITIATIVES, IS COMMITTED TO ADDRESSING THE ISSUE OF VIOLENCE IN OUR SOCIETY. LAKEWOOD HEALTH CENTER SPONSORED AND FACILITATED A COMMUNITY FORUM IN JANUARY 2010 TO DIALOGUE ABOUT VIOLENCE PREVENTION, RISK FACTORS, RESILIENCY FACTORS, AND NAMED VIOLENCE ISSUES KNOWN IN OUR COMMUNITY. A VIOLENCE PREVENTION COALITION HAS BEEN FORMED AND IS MEETING REGULARLY. LAKEWOOD HEALTH CENTER IS PARTICIPATING IN A PLANNING GRANT (AWARDED JULY 2010-JUNE 2012) FOR VIOLENCE PREVENTION WORK. A THREE YEAR PROJECT GRANT IS UNDERWAY WITH THE COALITION'S FOCUS ON FAMILY VIOLENCE, THE IMPACT OF THIS VIOLENCE ON YOUTH, AND THE FACT THAT ALCOHOL AND DRUGS HAVE BEEN IDENTIFIED AS A COMMON FACTOR DURING THE INCIDENT OF VIOLENCE. A TRACKING TOOL WAS DEVELOPED FOR BASELINE DATA AND FUTURE EFFECTIVENESS MEASUREMENTS. * STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP): THE SHIP PROCESS HAS ENGAGED A TEAM OF INTERESTED COMMUNITY MEMBERS REPRESENTING THE SCHOOL, COUNTY, CITY, AND LAKEWOOD HEALTH CENTER. THE GROUP MEETS TO DISCUSS ACTIVITIES THAT HAVE BEEN SHOWN TO PREVENT CHRONIC DISEASE BY INCREASING ACCESS TO HEALTHY FOODS, DECREASING TOBACCO USE, AND INCREASING ACTIVE LIVING OPPORTUNITIES. THEY WORK ON POLICY AND SYSTEM CHANGES THAT CAN BE ADOPTED WITH OUR SCHOOL, COMMUNITIES, PLACES OF WORK, AND HEALTH CARE FACILITIES. ACTIVITIES UNDERWAY INCLUDE THE SUPPORT OF COMMUNITY GARDENS, ASSESSMENT OF STUDENT HEALTH POLICIES AT LAKE OF THE WOODS SCHOOL, AND STRENGTHENING THE AVAILABILITY OF HEALTHY FOODS IN SCHOOLS. LAKEWOOD HEALTH CENTER PARTICIPATES IN WORKSITE WELLNESS CAMPAIGNS FOR EMPLOYEES AND PROVIDES THE "FREEDOM FROM SMOKING" TOBACCO CESSATION AND SUPPORT PROGRAM, AVAILABLE TO MEMBERS OF THE COMMUNITY. AN ASSESSMENT OF "ACTIVE LIVING" IN THE COMMUNITY WILL BE COMPLETED AND A THREE TO TEN YEAR STRATEGIC PLAN WILL BE DEVELOPED. * COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES THE PURPOSE OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IS TO DESCRIBE THE HEALTH OF LOCAL PEOPLE, IDENTIFY USE OF LOCAL HEALTH CARE SERVICES, PRIORITIZE COMMUNITY NEEDS, AND IDENTIFY ACTIONS NEEDED TO ADDRESS THE FUTURE DELIVERY OF HEALTH CARE IN THE DEFINED AREA. A HEALTH NEEDS ASSESSMENT BENEFITS THE COMMUNITY BY: 1) COLLECTING TIMELY INPUT FROM THE LOCAL COMMUNITY, HEALTH PROVIDERS, AND STAFF; 2) PROVIDING AN ANALYSIS OF SECONDARY DATA RELATED TO HEALTH CONDITIONS, RISKS, AND OUTCOMES; 3) COMPILING AND ORGANIZING INFORMATION TO GUIDE DECISION-MAKING, EDUCATION, AND MARKETING EFFORTS AND TO FACILITATE THE DEVELOPMENT OF A STRATEGIC PLAN; 4) ENGAGING COMMUNITY MEMBERS ABOUT THE FUTURE OF HEALTH CARE IN THE COMMUNITY; AND 5) ALLOWING THE CHARITABLE HOSPITAL TO MEET FEDERAL REGULATIONS OF THE AFFORDABLE CARE ACT, WHICH REQUIRES NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS. LAKEWOOD HEALTH CENTER COMPLETED A HEALTH NEEDS ASSESSMENT AND PUBLISHED THE FINDINGS ON THE FACILITY WEBSITE. THE PRIORITIZED NEEDS IDENTIFIED INCLUDE: (A) HOME CARE AND HOSPICE SHORTAGE, (B) NUTRITION, PHYSICAL ACTIVITY, AND OBESITY CONCERNS, AND (C) TRANSPORTATION ISSUES - PUBLIC RIDES AND AVAILABILITY FOR OUT OF TOWN APPOINTMENTS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY * LAKEWOOD HEALTH CENTER OFFERS PERSONALIZED, CONFIDENTIAL ASSISTANCE AT NO CHARGE TO MEDICARE BENEFICIARIES WHO WISH TO ENROLL OR UPDATE PARTICIPATION IN THE MEDICARE PART D PRESCRIPTION DRUG PROGRAM. THE PROCESS IS COMPLICATED AND INTERNET ACCESS HAS PROVEN TO BE A BARRIER FOR PEOPLE, ESPECIALLY THE ELDERLY. LAKEWOOD HEALTH CENTER HAS A DEDICATED HIGH-SPEED INTERNET CONNECTION AND PRIVATE CONSULTING SPACE. DESIGNATED STAFF MEMBERS AT LAKEWOOD HEALTH CENTER HAVE RECEIVED TRAINING AND WILL SCHEDULE APPOINTMENTS TO ASSIST WITH THIS ENROLLMENT PROCESS. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | LAKEWOOD HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, LAKEWOOD HEALTH CENTER PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN ENGLISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN LAKEWOOD HEALTH CENTER'S OUTPATIENT FACILITIES. LAKEWOOD HEALTH CENTER 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 FINANCIAL ASSISTANCE UNDER LAKEWOOD HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY. 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 AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. LAKEWOOD HEALTH CENTER 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. LAKEWOOD HEALTH CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | LAKEWOOD HEALTH CENTER IS PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION, AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. 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 MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. LAKEWOOD HEALTH CENTER OPERATES WITH ITS COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF LAKE OF THE WOODS COUNTY, MINNESOTA, AND SURROUNDING COMMUNITIES. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | MN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| Total Nbr Of501 C3 And Govt Grants | 0 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GRANTS AND OTHER ASSISTANCE TO GOVERNMENTS AND ORGANIZATIONS IN THE U.S. | SCHEDULE I, PART II | NO ONE RECIPIENT RECEIVED MORE THAN $5,000 FROM THE ORGANIZATION. |
| Procedures for monitoring use of grant funds | Schedule I, Part I, Line 2 | GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATIONS CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER MCGRAW | ||||||||||||||
| PHYSICIAN | 250758 | 0 | 0 | 0 | 756 | 0 | 23096 | 0 | 18960 | 0 | 293570 | 0 | 0 | 0 |
| JASON BREUER | ||||||||||||||
| ADMINISTRATOR | 0 | 129147 | 0 | 60306 | 0 | 26039 | 0 | 32403 | 0 | 20094 | 0 | 267989 | 0 | 0 |
| JEFFREY DROP | ||||||||||||||
| SVP DIVISION OFFICER | 0 | 400148 | 0 | 146277 | 0 | 59679 | 0 | 76703 | 0 | 21785 | 0 | 704592 | 0 | 36347 |
| MOHAN BANGALORE-PUTTAIAH | ||||||||||||||
| PHYSICIAN | 149068 | 0 | 3549 | 0 | 20294 | 0 | 13287 | 0 | 11258 | 0 | 197456 | 0 | 0 | 0 |
| ROBERT DAYER | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | 213146 | 0 | 0 | 0 | 1392 | 0 | 19822 | 0 | 13293 | 0 | 247653 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | 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. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A | 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. THERE WERE NO REPORTABLE INDIVIDUALS WHO RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2012. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JASON BREUER JEFFREY DROP DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JASON BREUER - $12,112 JEFFREY DROP - $48,607 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $36,347 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELINE DAYER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SPOUSE OF BOARD MEMBER AND CONTRACTS WITH LHC | Relationship |
| Amount Of Transaction | 50000 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New program services | Form 990, Part III, Line 2 | DURING FISCAL YEAR 2013, PUBLIC HEALTH, SCHOOL NURSING, AND PARKER'S ARC PROGRAMS WERE TRANSFERRED BACK TO LAKEWOOD HEALTH CENTER FROM CHI CONNECT AT HOME - FARGO, A RELATED, TAX EXEMPT ORGANIZATION. |
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | PURSUANT TO SECTION 8.6 OF THE BYLAWS OF LAKEWOOD HEALTH CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT/CEO, EACH OF WHOM SHALL SERVE AS AN EX-OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. 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. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT, REPLACE, OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO ARTICLE V, SECTION 5.4.2 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF LAKEWOOD HEALTH CENTER; *AMENDMENT OF THE CORPORATE DOCUMENTS OF LAKEWOOD HEALTH CENTER; *APPROVE MEMBERS OF THE LAKEWOOD HEALTH CENTER BOARD; *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF LAKEWOOD HEALTH CENTER; *APPROVAL OF ISSUANCE OF DEBT BY LAKEWOOD HEALTH CENTER; *APPROVAL OF PARTICIPATION OF LAKEWOOD HEALTH CENTER IN A JOINT VENTURE; *APPROVAL OF FORMATION OF A NEW CORPORATION BY LAKEWOOD HEALTH CENTER; *APPROVAL OF A MERGER INVOLVING LAKEWOOD HEALTH CENTER; *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF LAKEWOOD HEALTH CENTER; *TO REQUIRE THE TRANSFER OF ASSETS BY THE LAKEWOOD HEALTH CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES AND TO SATISFY CHI DEBTS; AND *ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR LAKEWOOD HEALTH CENTER. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | ONCE PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CFO WILL PROVIDE A COPY OF THE RETURN TO THE BOARD EITHER AT A BOARD MEETING OR BY EMAILING A COPY OF THE RETURN TO EACH BOARD MEMBER. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | LAKEWOOD HEALTH CENTER HAS A BOARD POLICY THAT REFERENCES THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICIES PROVIDED BY CHI NATIONAL. AT THE ANNUAL BOARD AND BOARD COMMITTEE MEETINGS ALL MEMBERS ARE REQUESTED TO SIGN CONFLICT OF INTEREST STATEMENTS. THE SIGNED STATEMENTS ARE RETAINED IN THE ADMINISTRATIVE FILES. ALL MEMBERS ARE REQUESTED TO DECLARE POTENTIAL CONFLICTS OF INTEREST AT EACH BOARD AND/OR COMMITTEE MEETING OF THE BOARD (FINANCE/AUDIT AND COMPLIANCE COMMITTEE AND THE PERFORMANCE IMPROVEMENT COMMITTEE). IF THE BOARD FINDS THAT A CONFLICT DOES EXIST REGARDING THE AGENDA ITEMS TO BE PRESENTED FOR ACTION, MEMBERS ARE REQUESTED TO ABSTAIN FROM VOTING. IN ADDITION, A QUESTIONNAIRE IS SENT ANNUALLY TO ALL BOARD MEMBERS, TOP PAID VENDORS, AND TOP PAID EMPLOYEES ASKING THEM TO DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS. |
| WRITTEN DOCUMENT RETENTION & DESTRUCTION POLICY | FORM 990, PART VI, LINE 14 | THE ORGANIZATION'S DOCUMENT RETENTION AND DESTRUCTION POLICY HAS NOT YET BEEN FORMALLY ADOPTED BY THE BOARD. HOWEVER, THE ORGANIZATION HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY ADOPTED BY THE BOARD-APPOINTED FINANCE COMMITTEE. |
| PROCESS FOR DETERMINING COMPENSATION FOR TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP 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 IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | ALL EXECUTIVE COMPENSATION PAID TO OFFICERS AND KEY EMPLOYEES WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | LAKEWOOD HEALTH CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Other Expenses | Form 990, Part IX, Line 11g | RCC FEES - TOTAL EXPENSE: 468852, PROGRAM SERVICE EXPENSE: 468852, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHYSICIAN SERVICES - TOTAL EXPENSE: 318425, PROGRAM SERVICE EXPENSE: 318425, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 124720, PROGRAM SERVICE EXPENSE: 124720, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; ANESTHESIA SERVICES - TOTAL EXPENSE: 111450, PROGRAM SERVICE EXPENSE: 111450, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 1025612, PROGRAM SERVICE EXPENSE: 525254, MANAGEMENT AND GENERAL EXPENSES: 481369, FUNDRAISING EXPENSES: 18989; |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | CAPITAL POOL CONTRIBUTION - -195228; TRANSFER OF FIXED ASSETS FROM AFFILIATE - 29081; CHI CONNECT DEPRECIATION - 16922; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | HEALTHCARE | NE | 501(C)(3) | 3 | ACH | true | |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | HEALTHCARE | NE | 501(C)(3) | 3 | NA | true | |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||
| 7500 MERCY ROAD | OMAHA | NE | 68124 | HEALTHCARE | NE | 501(C)(3) | 3 | ACH | true | |
| ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA | ||||||||||
| 631 N 8TH STREET | MISSOURI VALLEY | IA | 51555 | HEALTHCARE | IA | 501(C)(3) | 3 | AHIMC | true | |
| ALEGENT HEALTH FOUNDATION | ||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | FUNDRAISING | NE | 501(C)(3) | 7 | ACH | true | |
| ALEGENT HEALTH IMMANUEL MEDICAL CENTER | ||||||||||
| 6901 NORTH 72ND STREET | OMAHA | NE | 68122 | HEALTHCARE | NE | 501(C)(3) | 3 | ACH | true | |
| ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE | ||||||||||
| 104 W 17TH STREET | SCHUYLER | NE | 68661 | HEALTHCARE | NE | 501(C)(3) | 3 | AHIMC | true | |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | HEALTHCARE | IA | 501(C)(3) | 3 | AHBMHS | true | |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true | |
| APPLETREE COURT | ||||||||||
| 601 OAK STREET | BRECKENRIDGE | MN | 56520 | SENIOR HOMES | MN | 501(C)(3) | 9 | SFH | true | |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | true | |
| BORNEMANN HEALTH CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | true | |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 9 | NA | true | |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | FUNDRAISING | CO | 501(C)(3) | 7 | CHIC | true | |
| CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | true | |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | FUNDRAISING | CO | 501(C)(3) | 9 | CHI | true | |
| CATHOLIC HEALTH INITIATIVES-COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | true | |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI | true | |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | true | |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | SURGERY CNTR | KS | 501(C)(3) | 3 | CHI | true | |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PARKWAY SOUTH | FARGO | ND | 58104 | HEALTHCARE | ND | 501(C)(3) | 9 | CHI | true | |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | HEALTHCARE | KY | 501(C)(3) | 11 - Type I | CHI | true | |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI NHC | true | |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | true | |
| CHI NEBRASKA | ||||||||||
| 6940 O STREET | LINCOLN | NE | 68510 | HEALTHCARE | NE | 501(C)(3) | 11 - Type I | CHI | true | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | DIALYSIS | OH | 501(C)(2) | N/A | GSH | true | |
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA | ||||||||||
| 631 N 8TH STREET | MISSOURI VALLEY | IA | 51555 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHCMH | true | |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | LTACH | KY | 501(C)(3) | 3 | SJHS | true | |
| COVENANT HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HOME HEALTH | PA | 501(C)(3) | 11 - Type II | NA | true | |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | true | |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true | |
| FLAGET MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | FH | true | |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | true | |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | HEALTHCARE | WA | 501(C)(3) | 3 | CHI | true | |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1708 SOUTH YAKIMA AVENUE | TACOMA | WA | 98405 | HEALTHCARE | WA | 501(C)(3) | 9 | FHS | true | |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE | ||||||||||
| 3601 SOUTH CHICAGO AVENUE | SOUTH MILWAUKEE | WI | 53172 | HEALTHCARE | WI | 501(C)(3) | 9 | CHI | true | |
| GETTYSBURG MEDICAL CENTER | ||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | HEALTHCARE | SD | 501(C)(3) | 3 | SMHC | true | |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | MINISTRIES | CO | 501(C)(3) | 11 - Type I | CHI | true | |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | EDUCATION | OH | 501(C)(3) | 2 | GSH | true | |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | FUNDRAISING | OH | 501(C)(3) | 11 - Type I | GSH | true | |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true | |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST STREET | KEARNEY | NE | 68847 | FUNDRAISING | NE | 501(C)(3) | 7 | GSH | true | |
| ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK | ||||||||||
| 6624 FANNIN | HOUSTON | TX | 77030 | PHY PRACTICES | TX | 501(C)(3) | 3 | SLHS | true | |
| HEALTH SET | ||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | LOW INC.CARE | CO | 501(C)(3) | 7 | CHIC | true | |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | FUNDRAISING | MN | 501(C)(3) | 11 - Type I | SFMC | true | |
| HIGHLINE MEDICAL CENTER | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | true | |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | HEALTHCARE | MD | 501(C)(3) | 9 | SJMC | true | |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | SHELTER | IA | 501(C)(3) | 7 | CHI-IA CORP | true | |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | ||||||||||
| 539 S 4TH STREET | LOUISVILLE | KY | 40202 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true | |
| JEWISH PHYSICIAN GROUP INC | ||||||||||
| 539 S 4TH STREET | LOUISVILLE | KY | 40202 | HEALTHCARE | KY | 501(C)(3) | 9 | JHSMH | true | |
| KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | HEALTHCARE | KY | 501(C)(3) | 9 | CHI | true | |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVENUE SOUTH | BAUDETTE | MN | 56623 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true | |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | true | |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | FUNDRAISING | TN | 501(C)(3) | 7 | MHCS | true | |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | HEALTHCARE | TN | 501(C)(3) | 3 | CHI | true | |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | true | |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | AUXILIARY | IA | 501(C)(3) | 11 - Type I | CHI-IA CORP | true | |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true | |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | EDUCATION | IA | 501(C)(3) | 2 | CHI-IA CORP | true | |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | FUNDRAISING | IA | 501(C)(3) | 7 | CHI-IA CORP | true | |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | true | |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMH | true | |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | FUNDRAISING | ND | 501(C)(3) | 11 - Type III - FI | MHVC | true | |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHBMHS | true | |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | FUNDRAISING | ND | 501(C)(3) | 7 | CHI | true | |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | true | |
| MERCY MEDICAL CENTER INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true | |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MMC | true | |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true | |
| MLIFECARES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | PROPERTY MGMT | MO | 501(C)(3) | 11 - Type I | SJRMC | true | |
| MNMCH INC | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | KS | 501(C)(3) | 3 | SJRMC | true | |
| MT ST JOSEPH INC | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | NURSING CARE | OR | 501(C)(3) | 11 - Type I | CHI | true | |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 SOUTH 91ST STREET | LINCOLN | NE | 68526 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true | |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 314 SOUTH 8TH STREET | OAKES | ND | 58474 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH STREET | OAKES | ND | 58474 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | OCH | true | |
| PUEBLO STEPUP | ||||||||||
| 1925 EAST ORMAN AVE SUITE G52 | PUEBLO | CO | 81004 | COMMUNITY | CO | 501(C)(3) | 7 | CHIC | true | |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 2864 S CIRCLE DRIVE SUITE 450 | COLORADO SPRINGS | CO | 80906 | LTERM CARE | CO | 501(C)(3) | 7 | CHIC | true | |
| SAINT CLARE'S COMMUNITY CARE | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | HEALTHCARE | NJ | 501(C)(3) | 11 - Type II | SCHS | true | |
| SAINT CLARE'S FOUNDATION | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | FUNDRAISING | NJ | 501(C)(3) | 7 | SCHS | true | |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | MANAGEMENT | NJ | 501(C)(3) | 7 | CHI | true | |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | HEALTHCARE | NJ | 501(C)(3) | 3 | SCHS | true | |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | FUNDRAISING | NE | 501(C)(3) | 7 | SERMC | true | |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | HEALTHCARE | NE | 501(C)(3) | 3 | SERMC | true | |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true | |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 WEST FAIDLEY | GRAND ISLAND | NE | 68803 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true | |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | FUNDRAISING | NE | 501(C)(3) | 7 | SFMC | true | |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true | |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 424 LEWIS HARGETT CIRCLE 160 | LEXINGTON | KY | 40503 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | true | |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true | |
| SAINT JOSEPH MEDICAL FOUNDATION INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | PHY PRACTICES | KY | 501(C)(3) | 3 | SJHS | true | |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 225 FALCON DRIVE | MOUNT STERLING | KY | 40353 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true | |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | SJHHC | true | |
| SAMARITAN BEHAVIORAL HEALTH | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | HEALTHCARE | OH | 501(C)(3) | 3 | SHP | true | |
| SAMARITAN HEALTH FOUNDATION | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | FUNDRAISING | OH | 501(C)(3) | 7 | SHP | true | |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 110 NORTH MAIN STREET | DAYTON | OH | 45402 | HEALTHCARE | OH | 501(C)(3) | 11 - Type I | CHI | true | |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 104 W 17TH STREET | SCHUYLER | NE | 68661 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMHS | true | |
| SJMGROUP | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | PHYS PRACTICE | MO | 501(C)(3) | 9 | SJRMC | true | |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | MO | 501(C)(3) | 3 | CHI | true | |
| SL AUGUSTA CORP | ||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | TITLE HOLDING | TX | 501(C)(2) | N/A | SL PROPERTIES | true | |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | true | |
| ST LUKE'S MEDICAL TOWER CORPORATION | ||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | SL PROPERTIES | true | |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true | |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | FUNDRAISING | OR | 501(C)(3) | 11 - Type I | SA HOSPITAL | true | |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DRIVE | MORRILTON | AR | 72110 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | true | |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | HEALTHCARE | KS | 501(C)(3) | 3 | CHI | true | |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | FUNDRAISING | KS | 501(C)(3) | 11 - Type I | SCH | true | |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | HEALTHCARE | OR | 501(C)(4) | N/A | CHI | true | |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true | |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | true | |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true | |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true | |
| ST JOHN'S MERCY REGIONAL FOUNDATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | FUNDRAISING | MO | 501(C)(3) | 7 | SJRMC | true | |
| ST JOSEPH COMMUNITY HEALTH | ||||||||||
| 300 CENTRAL AVENUE SW | ALBUQUERQUE | NM | 87102 | COMMUNITY | NM | 501(C)(3) | 11 - Type I | CHI | true | |
| ST JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| ONE SAITN JOSEPH DRIVE | LEXINGTON | KY | 40504 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true | |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | FUNDRAISING | PA | 501(C)(3) | 11 - Type I | SJRHN | true | |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | FUNDRAISING | MD | 501(C)(3) | 7 | SJMC | true | |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | true | |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | true | |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | PHYSICIANS | MD | 501(C)(3) | 11 - Type I | SJMC | true | |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | HEALTHCARE | PA | 501(C)(3) | 3 | CHI | true | |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true | |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SL CDC | true | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | true | R LAND HOSPITAL |
| ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH | ||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | MANAGEMENT | TX | 501(C)(3) | 11 - Type I | CHI | true | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | MANAGEMENT | TX | 501(C)(3) | 11 - Type I | SLHS | true | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SL CDC | true | |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SL CDC | true | |
| ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL | ||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | true | |
| ST LUKE'S HEALTH SYSTEM FOUNDATION | ||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | INVESTMENT MANAGEMENT | TX | 501(C)(3) | 11 - Type I | SLHS | true | |
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | SLHS | true | |
| ST LUKE'S FOUNDATION | ||||||||||
| 1213 HERMANN DRIVE SUITE 855 | HOUSTON | TX | 77004 | FUNDRAISING | TX | 501(C)(3) | 7 | SLHS | true | |
| ST LUKE'S MEDICAL CENTER | ||||||||||
| 6624 FANNIN | HOUSTON | TX | 77030 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | true | |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true | |
| ST MARY'S HEALTHCARE CENTER | ||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | HEALTHCARE | SD | 501(C)(3) | 3 | CHI | true | |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | FUNDRAISING | NE | 501(C)(3) | 7 | SMH | true | |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | FUNDRAISING | AR | 501(C)(3) | 11 - Type I | SVIMC | true | |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | true | |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | true | |
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | SL CDC - SL | true | |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | HEALTHCARE | OH | 501(C)(3) | 3 | CHI | true | |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | PHYS PRACTICE | NE | 501(C)(3) | 11 - Type I | CHI NEBRASKA | true | |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | HEALTHCARE | CO | 501(C)(3) | 3 | CHIC | true | |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND STREET | LITTLE FALLS | MN | 56345 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true | |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | LT CARE | ND | 501(C)(3) | 9 | CHI | true | |
| VISITING NURSE ASSOCIATION OF ST CLARE'S | ||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | true | |
| WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | AUXILIARY | WA | 501(C)(3) | 11 - Type II | HMC | true | |
| WOODLANDS DOCTOR GROUP | ||||||||||
| 17200 ST LUKES WAY SUITE 170 | THE WOODLANDS | TX | 77384 | PHY PRACTICES | TX | 501(C)(3) | 9 | SL CHS | true | |
Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | 34991 | 8665388 | false | $0 | false | 0.501 |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD SUITE 400 | OMAHA | NE | 68137 | 392045003 | STAFFING OF NURSES | NE | AHBMHS | RELATED | -210405 | 4806071 | false | -$439,536 | false | 0.95 |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | 57545 | 1013237 | false | $0 | true | 0.63 |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | SJHS | RELATED | 308428 | 3317191 | false | $0 | false | 0.65 |
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | NA | RELATED | 228435 | 675251 | false | $0 | true | 1 |
| CENTRAL NEBRASKA REHAB SERVICES | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | 1710199 | 2712656 | false | $0 | false | 0.51 |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | 344962532 | 4617413792 | false | $0 | true | 0.7992 |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | RELATED | 98583 | 3190677 | false | $0 | false | 1 |
| MRI AT ST JOSEPH MEDICAL CENTER LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521958002 | MEDICAL IMAGING | MD | SJMC | RELATED | 423167 | 2174155 | false | $0 | true | 0.51 |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | 81071 | 1077536 | false | $0 | false | 0.5745 |
| O'DEA MEDICAL ARTS LIMITED PARTNERSHIP | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521682964 | REAL ESTATE | MD | TMI | RELATED | 9490 | 0 | false | $0 | true | 0.6658 |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | THC | RELATED | 1846153 | 8411844 | false | $0 | false | 0.6 |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||||
| 315 MARTIN LUTHER KING JR WAY 111 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | FHS | RELATED | 256567 | 3262002 | false | $0 | false | 0.6 |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | 715094 | 3489436 | false | $0 | false | 0.7 |
| RUXTON SURGICENTER LLC | ||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | SJMC | RELATED | -69345 | 0 | false | $0 | true | 0.51 |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRDOSBURG ROAD | LEXINGTON | KY | 40504 | 453801157 | OP SURGERY | DE | SJHS | RELATED | 0 | 0 | false | $0 | true | 0.51 |
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | 3388 | 666017 | false | $0 | true | 0.51 |
| ST FRANCIS LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -130967 | 13823763 | false | $0 | false | 0.51 |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | FHS | RELATED | 238717 | 1907063 | false | $0 | false | 0.5846 |
| ST JOSEPH-PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | 30446 | 1149003 | false | $0 | true | 0.625 |
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -200323 | 821112 | false | $0 | true | 0.51 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | -200318 | 4079584 | false | $0 | true | 0.51 |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -15452 | 396101 | false | $0 | true | 0.51 |
| ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC | ||||||||||||||
| 3606 N 156TH STREET | OMAHA | NE | 68116 | 061786985 | OP DIAGNOSTICS | NE | ACH | RELATED | 116752 | 776649 | false | $0 | true | 0.51 |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 MERCY ROAD STE 100 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | RELATED | 142085 | 3294472 | false | $0 | false | 0.6394 |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | RELATED | 3465880 | 1951221 | false | $0 | false | 0.516 |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | RELATED | 1455294 | 1013126 | false | $0 | false | 0.5228 |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND STREET | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | RELATED | 10501730 | 17301869 | false | $0 | false | 0.51 |
| PRAIRIE HEALTH VENTURES LLC | ||||||||||||||
| 421 S 9TH ST 102 | LINCOLN | NE | 68508 | 204962103 | TECH SERVICES | NE | AH-IMC | RELATED | 1011804 | 5564586 | false | $68,565 | true | 0.627 |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DRIVE SUITE 300 | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | JH | RELATED | 3208139 | 9684824 | false | $0 | false | 0.969 |
| LINCOLN CK LEASING LLC | ||||||||||||||
| 8770 BRYN MAWR SUITE 1370 | CHICAGO | IL | 60631 | 262496856 | REAL ESTATE | NE | SERMC | RELATED | 397452 | 439334 | false | $0 | false | 0.5376 |
| HIGHLINE IMAGING LLC | ||||||||||||||
| 275 SW 160TH ST | BURIEN | WA | 98166 | 200460005 | DIAGNOSTIC | WA | HMC | RELATED | 840222 | 1784058 | false | $0 | false | 0.8 |
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 WEST SARAH LANE SUITE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLD | WI | SL CDC - VINTAGE | RELATED | 1027057 | 105658490 | false | $0 | false | 0.51 |
| ST LUKE'S HOSPITAL AT THE VINTAGE LLC | ||||||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | 263734516 | HOSPITAL | TX | SL CDC - VINTAGE | RELATED | -19253743 | 69158748 | false | $0 | true | 0.51 |
| PMC HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | 273280598 | HOSPITAL | TX | SL CDC - PMC | RELATED | 1092540 | 20751174 | false | $0 | true | 0.51 |
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6620 MAIN ST SUITE 1520 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTIC | TX | SLHS HOLDINGS | RELATED | 273448 | 868814 | false | $0 | false | 0.573 |
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN SUITE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | SL CDC - WOODLANDS | RELATED | 1106628 | 25874619 | false | $0 | true | 0.51 |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN SUITE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTIC | TX | SLHS HOLDINGS | RELATED | 0 | 0 | false | $0 | false | 0.51 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line2NameOfRelatedOrg/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | |||||||||||||||||||
| 3900 OLYMPIC BOULEVARD SUITE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | CHI | C CORPORATION | 0 | 6272746 | 1 | true | |||||||
| AMERICAN NURSING CARE | |||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C CORPORATION | 5118606 | 51920207 | 1 | true | |||||||
| AMERIMED INC | |||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C CORPORATION | 2134392 | 14669219 | 1 | true | |||||||
| BC HOLDING COMPANY INC | |||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | JH | C CORPORATION | 0 | 0 | 1 | true | |||||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | MHCS | C CORPORATION | 0 | 1008 | 1 | true | |||||||
| CAPTIVE MANAGEMENT INITIATIVES | |||||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | CHI | C CORPORATION | 0 | 0 | 1 | true | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | ||||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | CIRI | C CORPORATION | -2286538 | 1241259 | 1 | true | |||||||
| CGH REALTY COMPANY INC | |||||||||||||||||||
| 2500 BERNVILLE RD | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | SJHM | C CORPORATION | 0 | 0 | 1 | true | |||||||
| COMCARE SERVICES | |||||||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | CHIC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C CORPORATION | -879467 | 52379487 | 1 | true | |||||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | CHI-IA CORP | C CORPORATION | 61204 | 1064032 | 0.9298 | true | |||||||
| FIRST INITIATIVES INSURANCE LTD | |||||||||||||||||||
| 980203038 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | true | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | ||||||
| FRANCISCAN SERVICES INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | CHI | C CORPORATION | -7868 | 718254 | 1 | true | |||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI NEBRASKA | C CORPORATION | -257418 | 180468 | 1 | true | |||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C CORPORATION | 87278 | 1377820 | 1 | true | |||||||
| HEALTHCARE MGMT SERVICES ORG INC | |||||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | true | |||||||
| MEDQUEST | |||||||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | MMC WILLISTON | C CORPORATION | 153510 | 1152715 | 1 | true | |||||||
| MERCY PARK APARTMENTS LTD | |||||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | CHI-IA CORP | C CORPORATION | 369231 | 1937218 | 1 | true | |||||||
| MERCY SERVICES CORP | |||||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | MMC | C CORPORATION | -440596 | 1423377 | 1 | true | |||||||
| MHSERVICES CORPORATION | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431457881 | DME | MO | SJRMC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | MHCS | C CORPORATION | 96044 | 6465179 | 1 | true | |||||||
| NAZARETH ASSURANCE COMPANY | |||||||||||||||||||
| 030304831 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | true | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | ||||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C CORPORATION | -164340 | 5488275 | 1 | true | |||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | |||||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | true | |||||||
| SAINT CLARES PRIMARY CARE INC | |||||||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | SCCC | C CORPORATION | -357263 | 1361242 | 1 | true | |||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | SHP | C CORPORATION | 0 | 0 | 1 | true | |||||||
| SJH SERVICES CORPORATION | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | FSI | C CORPORATION | -197039 | 3331737 | 1 | true | |||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | SJHS | C CORPORATION | 0 | 0 | 1 | true | |||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | SAH | C CORPORATION | 114663 | 2936102 | 1 | true | |||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | SVIMC | C CORPORATION | 2408638 | 15225732 | 1 | true | |||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | FSI | C CORPORATION | 655478 | 12357418 | 1 | true | |||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | SJHS | C CORPORATION | 0 | 882139 | 0.85 | true | |||||||
| TOWSON MANAGEMENT INC | |||||||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | FSI | C CORPORATION | 516457 | 197196 | 1 | true | |||||||
| COLLABHEALTH MANAGED SOLUTIONS INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | CHI | C CORPORATION | 0 | 23806707 | 1 | true | |||||||
| COLLABHEALTH PLAN SERVICES INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | CHMS | C CORPORATION | -1082933 | 38272608 | 1 | true | |||||||
| HIGHLINE MEDICAL GROUP | |||||||||||||||||||
| 15811 AMBAUM BLVD SW 170 | BURIEN | WA | 98166 | 911407026 | MEDICAL SERVICES | WA | HMC | C CORPORATION | -6049147 | 5689139 | 1 | true | |||||||
| SOUNDPATH HEALTH INC | |||||||||||||||||||
| 32129 WEYERHAEUSER WAY S SUITE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | CHPS | C CORPORATION | -154741 | 10976973 | 0.556 | true | |||||||
| SLEHS HOLDINGS INC | |||||||||||||||||||
| 6624 FANNIN SUITE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | SLHS | C CORPORATION | 1425313 | 33114103 | 1 | true | |||||||
| ST LUKE'S ANESTHESIOLOGY ASSOCIATES | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | 461517163 | MEDICAL CLINIC | TX | SLMC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| SLMT PARKING INC | |||||||||||||||||||
| 6624 FANNIN SUITE 800 | HOUSTON | TX | 77030 | 760637140 | PARKING | TX | SLHS | C CORPORATION | 1117934 | 13768221 | 1 | true | |||||||
| ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | 300355517 | CONDOMINIUM ASSOC | TX | SLPC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC | |||||||||||||||||||
| 6720 BERTNER | HOUSTON | TX | 77030 | 760377932 | PHO | TX | SLMC | C CORPORATION | 6 | 0 | 0.6 | true | |||||||
| ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | 300355518 | CONDOMINIUM ASSOC | TX | SLPC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | 760298751 | CONDOMINIUM ASSOC | TX | SLMTC | C CORPORATION | 0 | 0 | 1 | true | |||||||
| SUGAR LAND DOCTOR GROUP | |||||||||||||||||||
| 1317 LAKE POINTE PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | MEDICAL CLINIC | TX | SL CHS | C CORPORATION | -1159411 | 566590 | 1 | true | |||||||
| THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | 900064009 | CONDOMINIUM ASSOC | TX | SLMC | C CORPORATION | 0 | 0 | 1 | true | UILDING CONDOMINIUM ASSOCIATION | ||||||
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC | |||||||||||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | ACH | C CORPORATION | 5312313 | 4520865 | 1 | true | |||||||
| ALL SAINTS INSURANCE COMPANY SPC LTD | |||||||||||||||||||
| INSURANCE | SLHS | C CORPORATION | 0 | 43866961 | 1 | true | PO BOX 69 GT 720 WEST BAY ROAD | GEORGETOWN | GRAND CAYMAN | CJ | KY-1102 | CJ | |||||||
| VINTAGE DOCTOR GROUP | |||||||||||||||||||
| 6624 FANNIN SUITE 1100 | HOUSTON | TX | 77030 | MEDICAL CLINIC | TX | SLMC | C CORPORATION | 0 | 0 | 1 | true | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |