AVERA ST MARYS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AVERA ST MARYS (EIN 46-0230199)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201401349349302385
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T10:01:25-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554027033 | 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 | 460230199 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AVERA ST MARY'S | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AVER | NameControl |
| Phone | 6052243130 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 EAST SIOUX AVENUE | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL EBMEIER | Name |
| Title | CEO | Title |
| Phone | 6052243130 | Phone |
| Date Signed | 2014-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM HUNWARDSEN CPA | Name |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | Phone |
| Date Prepared | 2014-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL EBMEIER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 EAST SIOUX AVENUE | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53138490 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AVERA.ORG/ST-MARYS-PIERRE | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | SD | StateLegalDomicile |
| Activity Or Mission Description | AVERA ST. MARY'S SERVES THE COMMUNITY ON A NON-DISCRIMINATORY BASIS THROUGH ITS GENERAL HOSPITAL, LONG-TERM CARE FACILITIES AND 24-HOUR EMERGENCY CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 661 | TotalNbrEmployees |
| Total Nbr Volunteers | 111 | TotalNbrVolunteers |
| Total Gross UBI | 17254 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 16254 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 129050 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 44851370 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51887350 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1260643 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1113330 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 347110 | OtherRevenuePriorYear |
| Other Revenue Current Year | 137810 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46588173 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53138490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 47683 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2468 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20240984 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22132338 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21731728 | OtherExpensePriorYear |
| Other Expenses Current Year | 27559580 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 42020395 | TotalExpensesPriorYear |
| Total Expenses Current Year | 49694386 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4567778 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3444104 | RevenuesLessExpensesCY |
| Total Assets BOY | 80703661 | TotalAssetsBOY |
| Total Assets EOY | 60526872 | TotalAssetsEOY |
| Total Liabilities BOY | 7613867 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 20078675 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 73089794 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 40448197 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AVERA IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 45381096 | Expense |
| Grants | 2468 | Grants |
| Revenue | 51887350 | Revenue |
| Description | AVERA ST. MARY'S IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY. IT IS A TAX EXEMPT 501(C)(3) ORGANIZATION OPERATED AS A MINISTRY OF THE CATHOLIC CHURCH. EFFECTIVE JANUARY 1, 2013, AVERA ST. MARY'S BECAME AFFILIATED WITH AVERA HEALTH.THE HOSPITAL SERVES ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. AVERA ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. AVERA ST. MARY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE GOVERNING BODY IS COMPRISED OF PRIMARILY INDEPENDENT INDIVIDUALS, REPRESENTATIVE OF THE COMMUNITY AS A WHOLE. AVERA ST. MARY'S PROVIDES EDUCATION AND TRAINING OPPORTUNITIES TO HEALTHCARE STUDENTS ENROLLED IN THE LOCAL COLLEGE CAPITAL UNIVERSITY CENTER. AVERA ST. MARY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. | Description |
| Total Program Service Expense | 45381096 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 661 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOM WAGNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6052243127 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 EAST SIOUX AVENUE | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 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 |
|---|---|---|---|---|---|---|---|---|
| WILLIAM VAN CAMP | ||||||||
| CHAIR | 2.00 | 1.00 | X | X | 0 | 0 | 0 | |
| COLLEEN LAMB | ||||||||
| VICE CHAIR | 2.00 | 1.00 | X | X | 0 | 0 | 0 | |
| JANET CRONIN | ||||||||
| SECRETARY | 2.00 | 1.00 | X | X | 0 | 0 | 0 | |
| RONALD TEDROW | ||||||||
| TREASURER | 2.00 | 1.00 | X | X | 0 | 0 | 0 | |
| TERRY FITZKE | ||||||||
| SECRETARY/TREASURER | 4.00 | 1.00 | X | X | 0 | 0 | 0 | |
| SISTER MARY JAEGER | ||||||||
| BOARD MEMBER | 2.00 | 8.00 | X | 0 | 0 | 0 | ||
| JEFFREY DROP | ||||||||
| BOARD MEMBER/SRVP OPERATIONS | 2.00 | 40.00 | X | 0 | 606105 | 98149 | ||
| JOE VILLA | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | X | 0 | 0 | 0 | ||
| MIKEL HOLLAND | ||||||||
| BOARD MEMBER | 2.00 | 40.00 | X | 0 | 291943 | 5000 | ||
| OWEN GARNOS | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | X | 0 | 0 | 0 | ||
| PEGGY WILLIAMS | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | X | 0 | 0 | 0 | ||
| SISTER SANDRA MEEK | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | X | 0 | 0 | 0 | ||
| SISTER KATHLEEN CROWLEY | ||||||||
| BOARD MEMBER | 2.00 | 9.50 | X | 0 | 0 | 0 | ||
| DICK MOLSEED | ||||||||
| BOARD MEMBER/EXEC VP STRATEGY | 2.00 | 40.00 | X | 0 | 351883 | 31541 | ||
| BOB SUTTON | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH MESSMER | ||||||||
| PRESIDENT & CEO | 40.00 | 40.00 | X | 0 | 300163 | 33096 | ||
| TOM WAGNER | ||||||||
| CFO | 50.00 | 0.00 | X | 129574 | 0 | 16010 | ||
| DEBBIE BRAKKE | ||||||||
| VP QA/RISK MANAGEMENT | 50.00 | 0.00 | X | 128542 | 0 | 27674 | ||
| ELLEN LEE | ||||||||
| VP ADMINISTRATION | 50.00 | 0.00 | X | 139874 | 0 | 28679 | ||
| PAUL MARSO | ||||||||
| VP HUMAN RESOURCES | 50.00 | 0.00 | X | 123387 | 0 | 33846 | ||
| ROBIN CRIST | ||||||||
| VP NURSING | 50.00 | 0.00 | X | 143071 | 0 | 18270 | ||
| KARL RICHARDS | ||||||||
| CLINICAL ADMINISTRATOR AMGP | 0.00 | 50.00 | X | 0 | 34642 | 5418 | ||
| KAREN GALLAGHER | ||||||||
| EXECUTIVE DIRECTOR MISSION | 50.00 | 0.00 | X | 130580 | 0 | 29440 | ||
| MARK SCHMIDT | ||||||||
| EXECUTIVE DIRECTOR LONG TERM CARE | 20.00 | 30.00 | X | 142207 | 0 | 34969 | ||
| CHRISTOPHER OLSON | ||||||||
| CNA | 40.00 | 0.00 | 217167 | 0 | 26807 | X | ||
| DAWN ZASTOUPIL | ||||||||
| CNA | 40.00 | 0.00 | 203771 | 0 | 35210 | X | ||
| KEVIN ROARK | ||||||||
| CNA | 40.00 | 0.00 | 193784 | 0 | 25026 | X | ||
| SANDRA JACOBSON | ||||||||
| DIRECTOR PHARMACY | 40.00 | 0.00 | 137028 | 0 | 29649 | X | ||
| STEVEN CASE | ||||||||
| PHARMACIST/PHARMACY | 40.00 | 0.00 | 140739 | 0 | 33676 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1829724 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1584736 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 512460 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CAPITAL CITY PHYSICIANS | |||||
| 800 E DAKOTA | PIERRE | SD | 57501 | PHYSICIAN COVERAGE | 1286550 |
| AVERA MCKENNAN | |||||
| PO BOX 5045 | SIOUX FALLS | SD | 571175045 | PHYSICIAN COVERAGE | 548982 |
| AVERA HEALTH | |||||
| 3900 WEST AVERA DRIVE | SIOUX FALLS | SD | 57108 | SHARED SERVICES | 473751 |
| ALL ABOUT STAFFING | |||||
| 1000 SAWGRASS CORPORATE PARKWAY 6T | SUNRISE | FL | 33323 | CONTRACT STAFF | 457636 |
| THERESA SIMMONS | |||||
| 4102 HACKAMORE COURT | GILLETTE | WY | 82718 | CRNA | 309921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | 51138561 | 51138561 | |
| MISCELLANEOUS REVENUE | 900099 | 676073 | 658819 | 17254 |
| CAFETERIA REVENUE | 900099 | 72716 | 72716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51887350 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 417487 | TotalRevenueColumn |
| Exclusion | $417,487 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 137810 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 137810 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 137810 | TotalRevenueColumn |
| Exclusion | $137,810 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 695343 | Securities |
| Other | 500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 695343 | Securities |
| Other | 500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 695843 | TotalRevenueColumn |
| Exclusion | $695,843 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53138490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51870096 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 17254 | UnrelatedBusinessRevenue |
| Exclusion | $1,251,140 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2468 | Total |
| Program Services | 2468 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1126122 | Total |
| Management And General | 1126122 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49130 | Total |
| Program Services | 49130 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15061615 | Total |
| Program Services | 13944018 | ProgramServices |
| Management And General | 1117597 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1114243 | Total |
| Program Services | 1098551 | ProgramServices |
| Management And General | 15692 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3222591 | Total |
| Program Services | 2979125 | ProgramServices |
| Management And General | 243466 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1558637 | Total |
| Program Services | 1397738 | ProgramServices |
| Management And General | 160899 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62107 | Total |
| Management And General | 62107 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8990964 | Total |
| Program Services | 8320070 | ProgramServices |
| Management And General | 670894 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142934 | Total |
| Program Services | 4413 | ProgramServices |
| Management And General | 138521 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2241640 | Total |
| Program Services | 2117083 | ProgramServices |
| Management And General | 124557 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1104554 | Total |
| Program Services | 1033643 | ProgramServices |
| Management And General | 70911 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123517 | Total |
| Program Services | 72713 | ProgramServices |
| Management And General | 50804 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80225 | Total |
| Management And General | 80225 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185817 | Total |
| Program Services | 185817 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2642245 | Total |
| Program Services | 2597039 | ProgramServices |
| Management And General | 45206 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149074 | Total |
| Program Services | 146540 | ProgramServices |
| Management And General | 2534 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 5572798 | 5572798 | |
| BAD DEBT EXPENSE | 3327940 | 3327940 | |
| REPAIRS AND MAINTENANCE | 686749 | 291494 | 395255 |
| UNRELATED BUSINESS TAXE | 8500 | 8500 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2240516 | Total |
| Program Services | 2240516 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49694386 | Total |
| Program Services | 45381096 | ProgramServices |
| Management And General | 4313290 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1100 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3497763 | BOY |
| EOY | 13656128 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7113335 | BOY |
| EOY | 12502781 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160074 | BOY |
| EOY | 210608 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152651 | BOY |
| EOY | 216861 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1174288 | BOY |
| EOY | 1334490 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41980 | BOY |
| EOY | 233253 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 64340602 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 46930560 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19333161 | BOY |
| EOY | 17410042 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46448226 | BOY |
| EOY | 14962709 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2781083 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80703661 | BOY |
| EOY | 60526872 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4979043 | BOY |
| EOY | 6348536 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 9953635 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2634824 | BOY |
| EOY | 3776504 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7613867 | BOY |
| EOY | 20078675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73148543 | BOY |
| EOY | 40448197 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -58749 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73089794 | BOY |
| EOY | 40448197 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80703661 | BOY |
| EOY | 60526872 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3444104 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2068035 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -9322402 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -28831334 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,434 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2434 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | AVERA ST. MARY'S PAID DUES TO ORGANIZATIONS WHICH HAVE A PORTION OF THE DUES ATTRIBUTED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1765571 | OtherCostOrOtherBasis |
| Book Value | 1765571 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26263869 | OtherCostOrOtherBasis |
| Depreciation | 17869987 | Depreciation |
| Book Value | 8393882 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34775117 | OtherCostOrOtherBasis |
| Depreciation | 27919246 | Depreciation |
| Book Value | 6855871 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1536045 | OtherCostOrOtherBasis |
| Depreciation | 1141327 | Depreciation |
| Book Value | 394718 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17410042 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENT FUND | 14764176 | F |
| INVESTMENTS IN AFFILIATED ORGANIZATIONS | 198533 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 14962709 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,660,113 |
| RELATED PARTY PAYABLES | $2,116,391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3776504 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | AVERA HEALTH AND MOST OF ITS SPONSORED ORGANIZATIONS ARE CONSIDERED NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE INTERNAL REVENUE SERVICE (IRS). AVERA HEALTH AND CERTAIN SPONSORED ORGANIZATIONS ALSO FILE AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT THEIR UNRELATED BUSINESS TAXABLE INCOME. AVERA HEALTH AND ITS SPONSORED ORGANIZATIONS BELIEVE THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE FEDERAL FORM 990T FILINGS FOR CONSOLIDATED SUBSIDIARIES ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 221241 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 221241 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3852211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1732147 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2120064 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4073452 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1732147 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2341305 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05050 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16340 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2379293 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2379293 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 165759 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 165759 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2561392 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2561392 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05530 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6634844 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1732147 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4902697 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,327,940 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11991187 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14666728 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2675541 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | AVERA ST MARY'S | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 EAST SIOUX AVENUE | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.AVERA.ORG/ST-MARYS-PIERRE/ | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | PROVIDER BASED CLINIC | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AVERA ST MARY'S | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | 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 | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | 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 | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AVERA PARKWOOD INDEPENDENT LIVING FACILI | ||||
| 400 PARKWOOD DRIVE | PIERRE | SD | 57501 | INDEPENDENT LIVING |
| MARYHOUSE | ||||
| 400 PARKWOOD DRIVE | PIERRE | SD | 57501 | LONG TERM CARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: AVERA ST. MARY'S USED HUD LOW INCOME GUIDELINES FOR DETERMINING FREE AND DISCOUNTED CARE FOR JULY THRU DECEMBER 2012 WHILE THEY WERE A PART OF CHI. AVERA ST. MARY'S ADOPTED AVERA'S FINANCIAL ASSISTANCE POLICY AFTER BECOMING A MEMBER OF AVERA HEALTH ON JANUARY 1, 2013. AVERA USES FPG TO DETERMINE FREE AND DISCOUNTED CARE. PATIENTS WITH INCOME LESS THAN 400% OF THE POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION HAS A GRID THAT LOOKS AT INCOME, ASSETS AND BALANCE OF CURRENT MEDICAL CLAIMS TO DETERMINE ELIGIBILITY BASED UPON A SLIDING SCALE. IT IS POSSIBLE TO RECEIVE ASSISTANCE FROM ZERO TO 100%. | |
| PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS POSTED ON OUR WEB SITE AT WWW.AVERA.ORG/ST-MARYS-PIERRE. | |
| PART I, LINE 7: CHARITY CARE AND UNREIMBURSED MEDICAID WAS CONVERTED TO COST USING THE OVERALL COST TO CHARGE RATIO IN IRS WORKSHEET 2. THE AMOUNTS ON LINES 7E AND 7I REPRESENT EXPENSES REPORTED IN THE GENERAL LEDGER. LINE 7G IS FROM THE COST REPORT. | |
| PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE WAS $3,327,940. | |
| PART III, LINE 4: BAD DEBT IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. AVERA ST. MARY'S DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE EVALUATIONS ARE COMPLETED TO DETERMINE THOSE AMOUNTS DUE AND WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE EVALUATION OF THE AMOUNT. NOTE 1 ON PAGE 9 OF THE FINANCIAL STATEMENTS DESCRIBES BAD DEBT EXPENSE. | |
| PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES. AVERA ST. MARY'S FOLLOWS THE CHA GUIDELINES IN REPORTING COMMUNITY BENEFITS AND THEREFORE ANY MEDICARE SHORTFALL (AS CALCULATED INCLUDING OUR NON-COST REPORT ENTITIES) IS EXCLUDED FROM OUR COMMUNITY BENEFIT REPORT. HOWEVER, MEDICARE IS THE ORGANIZATION'S LARGEST PAYER AND PATIENTS WITH MEDICARE COVERAGE ARE ACCEPTED REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED FROM PROVIDING THE SERVICES. THIS BASIS THEREFORE MEANS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A KEY ADVANTAGE FOR OUR COMMUNITY. | |
| PART III, LINE 9B: IF THE PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE ORGANIZATION OR ITS AGENT SHALL NOT SEND, NOR INDICATE THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE COLLECTION AGENCY. AT SUCH TIME AS THE ORGANIZATION SENDS THE UNCOLLECTED ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY SHALL REFLECT THE REDUCED-PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS. AVERA ST. MARY'S DOES NOT REPORT ANY DATA TO ANY OF THE CREDIT AGENCIES, HOWEVER, THE COLLECTION AGENCIES AVERA ST. MARY'S UTILIZES MAY REPORT TO THE CREDIT AGENCIES. ANY EXTENDED PAYMENT PLANS OFFERED BY THE HOSPITAL, OR THE HOSPITAL'S REPRESENTATIVE, IN SETTLING THE OUTSTANDING BILLS OF PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE INTEREST-FREE SO LONG AS THE REPAYMENT SCHEDULE IS MET. | |
| PART V, SECTION B, LINE 3: AVERA ST. MARY'S GATHERED INFORMATION REGARDING THE NEEDS OF THE COMMUNITY THROUGH A THREE-PRONGED PROCESS, INCLUDING SURVEYING THE COMMUNITY AS A WHOLE AT A LARGE COMMINITY EVENT, INTERVIEWING COMMUNITY LEADERS, AND HOLDING FOCUS GROUPS. AVERA ST. MARY'S ENSURED TO INCLUDE THE FOLLOWING GROUPS IN THEIR INFORMATION GATHERING: HEALTH LEADERS WITH IN-DEPTH KNOWLEDGE OF THE LOCAL HEALTH CARE ENVIRONMENT, GOVERNMENT, BUSINESS, RETIRED, SOUTH DAKOTA STATE DEPARTMENTS OF HEALTH AND SOCIAL SERVICES, URBAN INDIAN HEALTH, AND RURAL HEALTH CLINICS. | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 5C: THE CHNA IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/ | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 6I: THE IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.AVERA.ORG/EXPERIENCE/SHARED/COMMUNITY-NEEDS-HEALTH-ASSESSMENTS/ | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 7: ISSUES THAT WERE MENTIONED IN THE ASSESSMENT AND NO ACTION TAKEN ARE: SHORT TERM SHELTER FACILITY FOR THOSE OF LIMITED MEANS, DIVERSE CULTURAL NEEDS, DETOX FACILITIES AND PROGRAMS, BARRIERS (HOURS, AFFORDABILITY, AND AVAILABILITY). THE SHELTER AND DETOX HAVE BEEN STUDIED BY VARIOUS GROUPS IN THE PAST AND THE END RESULT HAS BEEN LACK OF SUSTAINABLE FINANCING. UNTIL THERE IS A SUSTAINABLE PLAN, WE ARE UNABLE TO ADDRESS THIS IN THE NEXT FEW YEARS. HOWEVER, BY FURTHER DEVELOPING MENTAL HEATH, WE BELIEVE THAT BOTH OF THESE NEEDS WILL BE FURTHER DEVELOPED IN THE PLANNING AND ACTION PROCESSES. CULTURAL NEEDS IS MUCH MORE THAN JUST ONE NEED AND SIMPLE SOLUTION. WE ARE PLANNING THAT THE KEY NEEDS WE ARE ADDRESSING WILL INCLUDE INPUT AND PARTICIPATION BY AND WITH THE NATIVE AMERICAN COMMUNITY. | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 11: AVERA ST. MARY'S USED HUD LOW INCOME GUIDELINES FOR DETERMINING FREE AND DISCOUNTED CARE FOR JULY THRU DECEMBER 2012 WHILE THEY WERE A PART OF CHI. AVERA ST. MARY'S ADOPTED AVERA'S FINANCIAL ASSISTANCE POLICY AFTER BECOMING A MEMBER OF AVERA HEALTH ON JANUARY 1, 2013. AVERA USES FPG TO DETERMINE FREE AND DISCOUNTED CARE. PATIENTS WITH INCOME LESS THAN 400% OF THE POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ORGANIZATION HAS A GRID THAT LOOKS AT INCOME, ASSETS AND BALANCE OF CURRENT MEDICAL CLAIMS TO DETERMINE ELIGIBILITY BASED UPON A SLIDING SCALE. IT IS POSSIBLE TO RECEIVE ASSISTANCE FROM ZERO TO 100%. | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 14G: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS, WAITING ROOMS, AND ADMISSIONS OFFICE AND INCLUDED IN THE BILLING STATEMENT. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH THE PATIENT UPON ADMISSION TO THE FACILITY. | AVERA ST. MARY'S |
| PART V, SECTION B, LINE 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED GROSS CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE; HOWEVER MAY BE CHARGED GROSS CHARGES FOR ELECTIVE CARE. | AVERA ST. MARY'S |
| PART VI, LINE 2: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A THREE-PRONGED PROCESS TO GATHER STAKEHOLDER INFORMATION ON COMMUNITY PERCEPTIONS OF THE HEALTH OF CENTRAL SOUTH DAKOTA WHICH INCLUDED A SURVEY AT A LARGE FARM/HOME SHOW IN FEBRUARY, 2013, INTERVIEWS WITH IDENTIFIED COMMUNITY LEADERS, AND SEVERAL FOCUS GROUPS.THE COMMUNITY HEALTH NEEDS ASSESSEMENT FOR AVERA ST. MARY'S WAS COMPLETED AND POSTED TO THEIR WEBSITE BY JUNE 30, 2013. | |
| PART VI, LINE 3: AVERA ST. MARY'S POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT; (2) PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS; (3) PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS WITH DISCHARGE MATERIALS; (4) INCLUDES THE POLICY, OR A SUMMARY THEREOF, ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION, IN PATIENT BILLS; AND/OR (5) DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. | |
| PART VI, LINE 4: AVERA ST. MARY'S IS AN ACUTE CARE HOSPITAL SERVING A RURAL COMMUNITY AREA OF CENTRAL SOUTH DAKOTA. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2011 WAS $56,525. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY IN 2011 WAS 9.5%. | |
| PART VI, LINE 5: THE HOSPITAL SERVES ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. AVERA ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. AVERA ST. MARY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE GOVERNING BODY IS COMPRISED OF PRIMARILY INDEPENDENT INVIDIVUALS, REPRESENTATIVE OF THE COMMUNITY AS A WHOLE. AVERA ST. MARY'S PROVIDES EDUCATION AND TRAINING OPPORTUNITIES TO HEALTHCARE STUDENTS ENROLLED IN THE LOCAL COLLEGE CAPITAL UNIVERSITY CENTER. AVERA ST. MARY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS. | |
| PART VI, LINE 6: THE COMMUNITIES IN WHICH AVERA OPERATES ALL HAVE UNIQUE HEALTH AND COMMUNITY BENEFIT NEEDS AND IN KEEPING WITH THE CATHOLIC HEALTHCARE ASSOCIATION GUIDELINES EACH HOSPITAL STRIVES TO MEET ITS COMMUNITY'S IDENTIFIED NEEDS. THE AVERA CENTRAL OFFICE ADVOCATES FOR ALL ON COMMUNITY BENEFIT RELATED MATTERS OF STATE, REGIONAL AND NATION IMPORTANCE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY DROP | ||||||||||||||
| BOARD MEMBER/SRVP OPERATIONS | 0 | 400149 | 0 | 146277 | 0 | 59679 | 0 | 76703 | 0 | 21446 | 0 | 704254 | 0 | 0 |
| MIKEL HOLLAND | ||||||||||||||
| BOARD MEMBER | 0 | 290783 | 0 | 0 | 0 | 1160 | 0 | 5000 | 0 | 0 | 0 | 296943 | 0 | 0 |
| DICK MOLSEED | ||||||||||||||
| BOARD MEMBER/EXEC VP STRATEGY | 0 | 282651 | 0 | 0 | 0 | 69232 | 0 | 13475 | 0 | 18695 | 0 | 384053 | 0 | 0 |
| JOSEPH MESSMER | ||||||||||||||
| PRESIDENT & CEO | 0 | 300000 | 0 | 0 | 0 | 163 | 0 | 33096 | 0 | 0 | 0 | 333259 | 0 | 0 |
| DEBBIE BRAKKE | ||||||||||||||
| VP QA/RISK MANAGEMENT | 108274 | 0 | 20001 | 0 | 267 | 0 | 15465 | 0 | 12209 | 0 | 156216 | 0 | 0 | 0 |
| ELLEN LEE | ||||||||||||||
| VP ADMINISTRATION | 117885 | 0 | 21524 | 0 | 465 | 0 | 15842 | 0 | 12837 | 0 | 168553 | 0 | 0 | 0 |
| PAUL MARSO | ||||||||||||||
| VP HUMAN RESOURCES | 102250 | 0 | 20725 | 0 | 412 | 0 | 14404 | 0 | 19442 | 0 | 157233 | 0 | 0 | 0 |
| ROBIN CRIST | ||||||||||||||
| VP NURSING | 120970 | 0 | 21992 | 0 | 109 | 0 | 11518 | 0 | 6752 | 0 | 161341 | 0 | 0 | 0 |
| KAREN GALLAGHER | ||||||||||||||
| EXECUTIVE DIRECTOR MISSION | 109492 | 0 | 20987 | 0 | 101 | 0 | 16444 | 0 | 12996 | 0 | 160020 | 0 | 0 | 0 |
| MARK SCHMIDT | ||||||||||||||
| EXECUTIVE DIRECTOR LONG TERM CARE | 119068 | 0 | 23021 | 0 | 118 | 0 | 15331 | 0 | 19638 | 0 | 177176 | 0 | 0 | 0 |
| CHRISTOPHER OLSON | ||||||||||||||
| CNA | 216925 | 0 | 0 | 0 | 242 | 0 | 20024 | 0 | 6783 | 0 | 243974 | 0 | 0 | 0 |
| DAWN ZASTOUPIL | ||||||||||||||
| CNA | 203662 | 0 | 0 | 0 | 109 | 0 | 16405 | 0 | 18805 | 0 | 238981 | 0 | 0 | 0 |
| KEVIN ROARK | ||||||||||||||
| CNA | 193528 | 0 | 0 | 0 | 256 | 0 | 15790 | 0 | 9236 | 0 | 218810 | 0 | 0 | 0 |
| SANDRA JACOBSON | ||||||||||||||
| DIRECTOR PHARMACY | 136371 | 0 | 0 | 0 | 657 | 0 | 16664 | 0 | 12985 | 0 | 166677 | 0 | 0 | 0 |
| STEVEN CASE | ||||||||||||||
| PHARMACIST/PHARMACY | 140647 | 0 | 0 | 0 | 92 | 0 | 14708 | 0 | 18968 | 0 | 174415 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | COMPENSATION REPORTED ON THE TAX RETURN FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION AS IT REFLECTS COMPENSATION PAID IN CALENDAR YEAR 2012 WHEN THE ENTITY WAS AFFILIATED WITH CHI. 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. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR RILEY LAMB | NamePerson |
| Relationship With Organization | FAMILY RELATIONSHIP WITH BOARD MEMBER | RelationshipWithOrganization |
| Purpose Of Loan | RELOCATION | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $210,608 | OriginalPrincipalAmount |
| Balance Due | 210608 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 210608 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CAPITAL CITY PHYSICIANS LLC | |||
| OWNED BY BOARD MEMBER | 1286550 | PHYSICIAN SERVICES | 0 |
| DEBORAH HOLLAND | |||
| FAMILY MEMBER OF BOARD MEMBER | 49130 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | A PROVIDER BASED CLINIC WAS ADDED MARCH 1, 2013. |
| FORM 990, PART V, LINE 1A: | INDEPENDENT CONTRACTORS REPORTED RELATE TO SERVICES RECEIVED BY AVERA ST. MARY'S, HOWEVER A RELATED ORGANIZATION FILES APPLICABLE FORM 1099S ON BEHALF OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE, WHILE AFFILIATED WITH CHI, CONSISTED ONLY OF DIRECTORS OF THE CORPORATION AND WAS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER, EACH OF WHOM SERVED AS EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAD THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN WERE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING. AFTER AFFILIATING WITH AVERA HEALTH, THERE NO LONGER IS AN EXECUTIVE COMMITTEE. | |
| FORM 990, PART VI, SECTION A, LINE 2 | SISTER MARY JAEGER, SISTER KATHLEEN CROWLEY, JEFFREY DROP, DICK MOLSEED, AND BOB SUTTON HAVE BUSINESS RELATIONSHIPS. | |
| FORM 990, PART VI, SECTION A, LINE 4 | A CHANGE OF SPONSORSHIP OCCURRED ON JANUARY 1, 2013. THE ORGANIZATION'S DOCUMENTS WERE AMENDED TO REFLECT AVERA HEALTH AS THE SOLE MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 6 | AS OF JANUARY 1, 2013, THE SOLE MEMBER OF THE ORGANIZATION IS AVERA HEALTH, A NONPROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE STATE OF SOUTH DAKOTA AND EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. PRIOR TO JANUARY 1, 2013, THE SOLE MEMBER WAS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | AVERA HEALTH, AS THE SOLE MEMBER, HAS THE FOLLOWING RIGHTS AS OF JANUARY 1, 2013: 1) TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE STATEMENTS OF PHILOSOPHY, MISSION AND VALUES OF CORPORATION; 2) TO INITIATE THE ADOPTION, AMENDMENT OR REPEAL OF ANY PROVISION OF THE ARTICLES OF INCORPORATION OR BYLAWS OF CORPORATION, AND TO GIVE FINAL APPROVAL OF ANY SUCH ACTION WITH RESPECT THERETO; 3) TO APPROVE AND ACT UPON THE ALIENATION OF REAL PROPERTY AND PRECIOUS ARTIFACTS UNDER THE CANONICAL STEWARDSHIP OF THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY OF ABERDEEN, SOUTH DAKOTA ("PRESENTATION SISTERS") OR THE BENEDICTINE SISTERS OF SACRED HEART MONASTERY ("BENEDICTINE SISTERS"), PURSUANT TO THE POLICIES ESTABLISHED BY THE MEMBER; 4) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION, OR THE DIVESTITURE OF A SPONSORED WORK OR MINISTRY ASSOCIATED WITH THE CORPORATION; 5) TO APPROVE THE CREATION OF NEW SPONSORED WORKS OR MINISTRIES TO BE CONDUCTED BY OR UNDER THE AUTHORITY OF THE CORPORATION; 6) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE BOARD OF DIRECTORS OF THE CORPORATION. 7) TO APPOINT AND/OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. 8) TO APPROVE OPERATING/CAPITAL BUDGETS AND STRATEGIC PLANS OF THE CORPORATION. 9) TO APPROVE EXPENDITURES OUTSIDE OF OPERATING AND CAPITAL BUDGETS EXCEEDING DEFINED THRESHOLDS ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 10) TO APPROVE ACQUISITIONS, SALES AND LEASES, ACCORDING TO POLICY WHICH MAY BE ADOPTED FROM TIME TO TIME BY THE MEMBER. 11) TO ESTABLISH AND MAINTAIN EMPLOYEE BENEFIT PROGRAMS. 12) TO ESTABLISH AND MAINTAIN INSURANCE PROGRAMS. 13) TO APPROVE MAJOR COMMUNITY FUND DRIVES. 14) TO APPROVE THE APPOINTMENT OF AUDITORS. 15) TO ADOPT POLICIES DESIGNED TO EFFECTUATE THE RESERVED POWERS OF THE MEMBER. PRIOR TO JANUARY 1, 2013, CHI AS SOLE MEMBER HAD COMPARABLE RIGHTS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CFO. THE CFO PRESENTS THE RETURN TO THE BOARD AT A BOARD MEETING OR AN ELECTRONIC COPY OF THE RETURN IS SENT TO EACH BOARD MEMBER BY EMAIL FOR THEIR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS OF JANUARY 1, 2013, THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. AT EACH BOARD MEETING, A REQUEST IS MADE FOR ALL BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST PERTAINING TO ANY ITEM LISTED ON THE AGENDA OR PERTAINING TO ANY POTENTIAL ITEM THAT COULD BE DISCUSSED DURING THE COURSE OF THE MEETING. THE DECLARATION OF CONFLICT OF INTEREST IS RECORDED IN THE MEETING MINUTES. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REFRAIN FROM VOTING. PRIOR TO JANUARY 1, 2013, THE CONFLICT OF INTEREST POLICY COVERED ALL EMPLOYEES UNDER THE CHI STANDARDS OF CONDUCT. A STATEMENT OF CONFLICT OF INTEREST DISCLOSURE IS MADE ON AN ANNUAL BASIS BY OFFICERS AND DIRECTORS. THE INFORMATION IS MAINTAINED IN A DATABASE AND A REPORT IS PROVIDED TO THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 15B | DURING THE ENTIRE FISCAL YEAR, THE ORGANIZATION'S CEO'S COMPENSATION WAS PAID BY CHI. CHI HAD A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USED 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 WAS REVIEWED ANNUALLY. THE HAY GROUP REVIEWED 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 WAS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES WERE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2012. 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. THE COMPENSATION OF KARL RICHARDS AND DICK MOLSEED WAS DETERMINED BY THE AVERA HEALTH HUMAN RESOURCES BASED ON A MARKET ANALYSIS OF COMPARABLE POSITIONS. THE COMPENSATION WAS APPROVED BY THE CEO. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE CONSOLIDATED IN THE AVERA HEALTH CONSOLIDATED FINANCIALS. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,657,493. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,657,493. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 979,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 979,456. OTHER FEES: PROGRAM SERVICE EXPENSES 1,683,121. MANAGEMENT AND GENERAL EXPENSES 670,894. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,354,015. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS TO AVERA HEALTH RELATED TO ACQUISITION -50,000,000. TRANSFER FROM ST. MARY'S FOUNDATION 11,168,666. TRANSFER FROM RELATED ENTITY 10,000,000. |
| FORM 990, PART X, LINE 20: | THE ISSUE PRICE INCLUDES THE FILING ORGANIZATION'S SHARE OF THE ENTIRE BOND ISSUE, WHICH WAS ISSUED TO AVERA HEALTH ON BEHALF OF THE AVERA OBLIGATED GROUP. THE AVERA OBLIGATED GROUP CONSISTS OF AVERA HEALTH, AVERA MCKENNAN, AVERA ST. LUKE'S, AVERA QUEEN OF PEACE, AVERA MARSHALL, AVERA ST. MARY'S, AND AVERA SACRED HEART. IN ACCORDANCE WITH IRS INSTRUCTIONS, INFORMATION RELATED TO THE TAX EXEMPT BOND REPORTING IS BEING REPORTED ON AVERA HEALTH'S TAX RETURN (EIN 46-0422673). | |
| FORM 990, PART XII, LINE 2C: | DURING THE TAX YEAR, AVERA ST. MARY'S WAS AFFILIATED WITH CHI FROM JULY 1, 2012 THROUGH DECEMBER 31, 2012 AND AFFILIATED WITH AVERA HEALTH FROM JANUARY 1, 2013 THROUGH JUNE 30, 2013. THE FINANCIAL INFORMATION WAS INCLUDED IN THE CONSOLIDATED FINANIAL STATEMENTS FOR BOTH CHI AND AVERA HEALTH FOR THE RESPECTIVE PORTION OF THE YEAR. FOR THE PERIOD JANUARY 1 THROUGH JUNE 30, THE AUDIT COMMITTEE OF AVERA HEALTH, PARENT ORGANIZATION, SELECTED THE AUDITOR AND REVIEWED THE AUDITED FINANCIAL STATEMENTS FOR AVERA ST. MARY'S. | |
| FORM 990, PART XI, LINE 8: | THE PRIOR PERIOD ADJUSTMENT IS DUE TO TRANSACTIONS RELATED TO THE UNFUNDED PENSION LIABILITY. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (152 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AVERA HEALTH | |||||||||||
| 3900 WEST AVERA DRIVE SUITE 300 | SIOUX FALLS | SD | 57108 | 460422673 | PROMOTION OF HEALTH | SD | 501(C)(3) | LINE 9 | N/A | 0 | |
| AVERA GETTYSBURG | |||||||||||
| 606 EAST GARFIELD | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA ST MARY'S HEALTHCARE CENTER | |
| AVERA ST ANTHONY'S HOSPITAL | |||||||||||
| 300 N 2ND STREET | ONEILL | NE | 68763 | 470463911 | HEALTHCARE EDUCATION | NE | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| AVERA HOLY FAMILY | |||||||||||
| 826 NORTH 8TH STREET | ESTHERVILLE | IA | 51334 | 420680370 | HEALTHCARE SERVICES | IA | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| AVERA HOLY FAMILY FOUNDATION | |||||||||||
| 826 NORTH 8TH STREET | ESTHERVILLE | IA | 51334 | 421317452 | FUNDRAISING | IA | 501(C)(3) | LINE 9 | 0 | AVERA HOLY FAMILY | |
| AVERA MARSHALL | |||||||||||
| 300 S BRUCE STREET | MARSHALL | MN | 56258 | 410919153 | HEALTHCARE SERVICES | MN | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| AVERA MARSHALL FOUNDATION | |||||||||||
| 300 S BRUCE STREET | MARSHALL | MN | 56258 | 411784801 | FUNDRAISING | MN | 501(C)(3) | LINE 7 | 0 | AVERA MARSHALL | |
| ST BENEDICT HEALTH CENTER | |||||||||||
| 401 WEST GLYNN DRIVE | PARKSTON | SD | 57366 | 460226738 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| ST BENEDICT HEALTH CENTER FOUNDATION | |||||||||||
| WEST GLYNN DRIVE PO BOX B | PARKSTON | SD | 57366 | 460458725 | SUPPORT HEALTH RELATED SERVICES | SD | 501(C)(3) | LINE 11A, I | 0 | ST BENEDICT HEALTH CENTER | |
| AVERA MCKENNAN | |||||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 57117 | 460224743 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| SACRED HEART HEALTH SERVICES | |||||||||||
| 501 SUMMIT STREET | YANKTON | SD | 57078 | 460225483 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| AVERA QUEEN OF PEACE HOSPITAL | |||||||||||
| 525 NORTH FOSTER | MITCHELL | SD | 57301 | 460224604 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| HEALTH MANAGEMENT SERVICES | |||||||||||
| 501 SUMMIT STREET | YANKTON | SD | 57078 | 460399291 | ADULT DAYCARE AND HOMEMAKING SERVICES | SD | 501(C)(3) | LINE 9 | 0 | SACRED HEART HEALTH SERVICES | |
| LEWIS AND CLARK HEALTH EDUCATION AND SERVICE AGENCY | |||||||||||
| 1000 W 4TH STREET SUITE 9 | YANKTON | SD | 57078 | 460337013 | HEALTHCARE EDUCATION | SD | 501(C)(3) | LINE 9 | 0 | SACRED HEART HEALTH SERVICES | |
| AVERA ST LUKE'S | |||||||||||
| 305 SOUTH STATE STREET | ABERDEEN | SD | 57401 | 460224598 | HEALTHCARE SERVICES | SD | 501(C)(3) | LINE 3 | 0 | AVERA HEALTH | |
| ALEGENT CREIGHTON CLINIC | |||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | 470765154 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | ACH | |
| ALEGENT CREIGHTON HEALTH | |||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | 470757164 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | N/A | 0 | |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | |||||||||||
| 7500 MERCY ROAD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | ACH | |
| ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA | |||||||||||
| 631 N 8TH STREET | MISSOURI VALLEY | IA | 51555 | 420776568 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | 0 | AHIMC | |
| ALEGENT HEALTH FOUNDATION | |||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | 0 | ACH | |
| ALEGENT HEALTH IMMANUEL MEDICAL CENTER | |||||||||||
| 6901 NORTH 72ND STREET | OMAHA | NE | 68122 | 470376615 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | ACH | |
| ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE | |||||||||||
| 104 W 17TH STREET | SCHUYLER | NE | 68661 | 470399853 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | AHIMC | |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | 0 | AHBMHS | |
| ALVERNA APARTMENTS | |||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | LINE 9 | 0 | CHI | |
| APPLETREE COURT | |||||||||||
| 601 OAK STREET | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR HOMES | MN | 501(C)(3) | LINE 9 | 0 | SFH | |
| BISHOP DRUMM RETIREMENT CENTER | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | LINE 9 | 0 | CHI-IA CORP | |
| BORNEMANN HEALTH CORPORATION | |||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| CARRINGTON HEALTH CENTER | |||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| CATHOLIC HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | LINE 9 | N/A | 0 | |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | |||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(C)(3) | LINE 7 | 0 | CHIC | |
| CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | |||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(C)(3) | LINE 9 | 0 | CHI | |
| CATHOLIC HEALTH INITIATIVES-COLORADO | |||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | LINE 3 | 0 | CHI | |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | 0 | CHI | |
| CENTENNIAL MEDICAL GROUP INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 263946191 | PHYSICIANS | OR | 501(C)(3) | LINE 9 | 0 | MMC | |
| CENTRAL KANSAS MEDICAL CENTER | |||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CNTR | KS | 501(C)(3) | LINE 3 | 0 | CHI | |
| CHI HEALTH CONNECT AT HOME - FARGO | |||||||||||
| 4816 AMBER VALLEY PARKWAY SOUTH | FARGO | ND | 58104 | 271966847 | HEALTHCARE | ND | 501(C)(3) | LINE 9 | 0 | CHI | |
| CHI KENTUCKY INC | |||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| CHI NATIONAL HOME CARE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | LINE 9 | 0 | CHI NHC | |
| CHI NATIONAL SERVICES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| CHI NEBRASKA | |||||||||||
| 6940 O STREET | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | |||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | 237419853 | DIALYSIS | OH | 501(C)(3) | LINE 11A, I | 0 | GSH | |
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA | |||||||||||
| 631 N 8TH STREET | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING | IA | 501(C)(3) | LINE 11A, I | 0 | AHCMH | |
| CONTINUING CARE HOSPITAL | |||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | 611400619 | LTACH | KY | 501(C)(3) | LINE 3 | 0 | SJHS | |
| COVENANT HOME CARE | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232018429 | HOME HEALTH | PA | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | |||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | FHS | |
| FLAGET HEALTHCARE INC | |||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | 0 | KOH | |
| FLAGET MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | LINE 11A, I | 0 | FH | |
| FRANCISCAN FOUNDATION | |||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | LINE 9 | 0 | FHS | |
| FRANCISCAN HEALTH SYSTEM | |||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(C)(3) | LINE 3 | 0 | CHI | |
| FRANCISCAN MEDICAL GROUP | |||||||||||
| 1708 SOUTH YAKIMA AVENUE | TACOMA | WA | 98405 | 911939739 | HEALTHCARE | WA | 501(C)(3) | LINE 9 | 0 | FHS | |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE | |||||||||||
| 3601 SOUTH CHICAGO AVENUE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(C)(3) | LINE 9 | 0 | CHI | |
| GETTYSBURG MEDICAL CENTER | |||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE | SD | 501(C)(3) | LINE 3 | 0 | SMHC | |
| GLOBAL HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | |||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | 311778403 | EDUCATION | OH | 501(C)(3) | LINE 2 | 0 | GSH | |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | |||||||||||
| 619 OAK STREET - ACCOUNTING 3 WEST | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(C)(3) | LINE 11A, I | 0 | GSH | |
| GOOD SAMARITAN HOSPITAL | |||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | CHI NEBRASKA | |
| GOOD SAMARITAN HOSPITAL FOUNDATION | |||||||||||
| 111 W 31ST STREET | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | 0 | GSH | |
| HEALTH SET | |||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | 841102943 | LOW INC.CARE | CO | 501(C)(3) | LINE 7 | 0 | CHIC | |
| HEALTHCARE AND WELLNESS FOUNDATION | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | LINE 11A, I | 0 | SFMC | |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 526050777 | HEALTHCARE | MD | 501(C)(3) | LINE 9 | 0 | SJMC | |
| HOUSE OF MERCY | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | LINE 7 | 0 | CHI-IA CORP | |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | |||||||||||
| 539 S 4TH STREET | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | 0 | KOH | |
| JEWISH PHYSICIAN GROUP INC | |||||||||||
| 539 S 4TH STREET | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(C)(3) | LINE 9 | 0 | JHSMH | |
| KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC | |||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(C)(3) | LINE 9 | 0 | CHI | |
| LAKEWOOD HEALTH CENTER | |||||||||||
| 600 MAIN AVENUE SOUTH | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(C)(3) | LINE 3 | 0 | CHI | |
| LINUS OAKES INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | LINE 9 | 0 | MMC | |
| LISBON AREA HEALTH SERVICES | |||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION | |||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(C)(3) | LINE 7 | 0 | MHCS | |
| MEMORIAL HEALTH CARE SYSTEM INC | |||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(C)(3) | LINE 3 | 0 | CHI | |
| MERCY AUXILIARY OF CENTRAL IOWA | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | LINE 11A, I | 0 | CHI-IA CORP | |
| MERCY CLINICS INC | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | PHYSICIAN | IA | 501(C)(3) | LINE 9 | 0 | CHI-IA CORP | |
| MERCY COLLEGE OF HEALTH SCIENCES | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | LINE 2 | 0 | CHI-IA CORP | |
| MERCY FOUNDATION OF DES MOINES IA | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(C)(3) | LINE 7 | 0 | CHI-IA CORP | |
| MERCY FOUNDATION INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 936088946 | FUNDRAISING | OR | 501(C)(3) | LINE 7 | 0 | MMC | |
| MERCY HEALTH CARE FOUNDATION | |||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | NE | 501(C)(3) | LINE 11A, I | 0 | AHMH | |
| MERCY HEALTHCARE FOUNDATION | |||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING | ND | 501(C)(3) | LINE 11A, I | 0 | MHVC | |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | |||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | LINE 11A, I | 0 | AHBMHS | |
| MERCY HOSPITAL OF DEVILS LAKE | |||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | |||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(C)(3) | LINE 7 | 0 | CHI | |
| MERCY HOSPITAL OF VALLEY CITY | |||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| MERCY MEDICAL CENTER | |||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| MERCY MEDICAL CENTER - CENTERVILLE | |||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | 0 | CHI-IA CORP | |
| MERCY MEDICAL CENTER INC | |||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930386868 | HEALTHCARE | OR | 501(C)(3) | LINE 3 | 0 | CHI | |
| MERCY MEDICAL FOUNDATION | |||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | LINE 11A, I | 0 | MMC | |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421470935 | PHYSICIAN | IA | 501(C)(3) | LINE 9 | 0 | CHI-IA CORP | |
| MLIFECARES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431305163 | PROPERTY MGMT | MO | 501(C)(3) | LINE 11A, I | 0 | SJRMC | |
| MNMCH INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 481216238 | HEALTHCARE | KS | 501(C)(3) | LINE 3 | 0 | SJRMC | |
| MT ST JOSEPH INC | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930386870 | NURSING CARE | OR | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| NEBRASKA HEART HOSPITAL | |||||||||||
| 7500 SOUTH 91ST STREET | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | CHI NEBRASKA | |
| OAKES COMMUNITY HOSPITAL | |||||||||||
| 314 SOUTH 8TH STREET | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| OAKES COMMUNITY HOSPITAL FOUNDATION | |||||||||||
| 1200 N 7TH STREET | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(C)(3) | LINE 11A, I | 0 | OCH | |
| PUEBLO STEPUP | |||||||||||
| 1925 EAST ORMAN AVE SUITE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | LINE 7 | 0 | CHIC | |
| SET OF COLORADO SPRINGS INC | |||||||||||
| 2864 S CIRCLE DRIVE SUITE 450 | COLORADO SPRINGS | CO | 80906 | 841183335 | LTERM CARE | CO | 501(C)(3) | LINE 7 | 0 | CHIC | |
| SAINT CLARE'S COMMUNITY CARE | |||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(C)(3) | LINE 11A, I | 0 | SCHS | |
| SAINT CLARE'S FOUNDATION | |||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(C)(3) | LINE 7 | 0 | SCHS | |
| SAINT CLARE'S HEALTH SERVICES INC | |||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(C)(3) | LINE 7 | 0 | CHI | |
| SAINT CLARE'S HOSPITAL | |||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | LINE 3 | 0 | SCHS | |
| SAINT ELIZABETH FOUNDATION | |||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | 0 | SERMC | |
| SAINT ELIZABETH HEALTH SERVICES | |||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | SERMC | |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | |||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | CHI NEBRASKA | |
| SAINT FRANCIS MEDICAL CENTER | |||||||||||
| 2620 WEST FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | CHI NEBRASKA | |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | |||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | 0 | SFMC | |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | |||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | LINE 7 | 0 | SJHS | |
| SAINT JOSEPH HEALTH SYSTEM INC | |||||||||||
| 424 LEWIS HARGETT CIRCLE 160 | LEXINGTON | KY | 40503 | 611334601 | HEALTHCARE | KY | 501(C)(3) | LINE 3 | 0 | CHI | |
| SAINT JOSEPH LONDON FOUNDATION INC | |||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | LINE 7 | 0 | SJHS | |
| SAINT JOSEPH MEDICAL FOUNDATION INC | |||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 311539059 | PHY PRACTICES | KY | 501(C)(3) | LINE 3 | 0 | SJHS | |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | |||||||||||
| 225 FALCON DRIVE | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | LINE 7 | 0 | SJHS | |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | |||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | LINE 11A, I | 0 | SJHHC | |
| SAMARITAN HEALTH FOUNDATION | |||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 237296923 | FUNDRAISING | OH | 501(C)(3) | LINE 7 | 0 | SHP | |
| SAMARITAN HEALTH PARTNERS | |||||||||||
| 110 NORTH MAIN STREET | DAYTON | OH | 45402 | 311107411 | HEALTHCARE | OH | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 104 W 17TH STREET | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING | NE | 501(C)(3) | LINE 11A, I | 0 | AHMHS | |
| SJMGROUP | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431882377 | PHYS PRACTICE | MO | 501(C)(3) | LINE 9 | 0 | SJRMC | |
| SJRMC JOPLIN MISSOURI | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HEALTHCARE | MO | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST JOSEPH HEALTH MINISTRIES | |||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| ST ANTHONY HOSPITAL | |||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST ANTHONY HOSPITAL FOUNDATION | |||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(C)(3) | LINE 11A, I | 0 | SA HOSPITAL | |
| ST ANTHONY'S HOSPITAL ASSOCIATION | |||||||||||
| FOUR HOSPITAL DRIVE | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | LINE 3 | 0 | SVIMC | |
| ST CATHERINE HOSPITAL | |||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | |||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(C)(3) | LINE 11A, I | 0 | SCH | |
| ST DOMINIC OF ONTARIO OREGON | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 930433692 | HEALTHCARE | OR | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST FRANCIS HOME | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | LINE 9 | 0 | CHI | |
| ST FRANCIS LIFE CARE CORPORATION | |||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | LINE 9 | 0 | SCHS | |
| ST FRANCIS MEDICAL CENTER | |||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST FRANCIS OF BAKER CITY | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930412495 | HEALTHCARE | OR | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST JOHN'S MERCY REGIONAL FOUNDATION | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431308084 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | 0 | SJRMC | |
| ST JOSEPH COMMUNITY HEALTH | |||||||||||
| 300 CENTRAL AVENUE SW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | LINE 11A, I | 0 | CHI | |
| ST JOSEPH HOSPITAL FOUNDATION INC | |||||||||||
| ONE SAITN JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | LINE 11A, I | 0 | SJHS | |
| ST JOSEPH MEDICAL CENTER FOUNDATION | |||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(C)(3) | LINE 11A, I | 0 | SJRHN | |
| ST JOSEPH MEDICAL CENTER FOUNDATION | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521681044 | FUNDRAISING | MD | 501(C)(3) | LINE 7 | 0 | SJMC | |
| ST JOSEPH MEDICAL CENTER INC | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 520591461 | HEALTHCARE | MD | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST JOSEPH MEDICAL GROUP | |||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | LINE 9 | 0 | BHC | |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | |||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521311775 | PHYSICIANS | MD | 501(C)(3) | LINE 11A, I | 0 | SJMC | |
| ST JOSEPH REGIONAL HEALTH NETWORK | |||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST JOSEPH'S AREA HEALTH SERVICES | |||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | |||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST MARY'S COMMUNITY HOSPITAL | |||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | LINE 3 | 0 | CHI NEBRASKA | |
| ST MARY'S HEALTHCARE CENTER | |||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE | SD | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | 0 | SMH | |
| ST VINCENT FOUNDATION | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | LINE 11A, I | 0 | SVIMC | |
| ST VINCENT INFIRMARY MEDICAL CENTER | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | LINE 3 | 0 | CHI | |
| ST VINCENT MEDICAL GROUP | |||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | LINE 9 | 0 | SVIMC | |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | |||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(C)(3) | LINE 3 | 0 | CHI | |
| THE PHYSICIAN NETWORK | |||||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 470780857 | PHYS PRACTICE | NE | 501(C)(3) | LINE 11A, I | 0 | CHI NEBRASKA | |
| TOTAL HEALTHCARE | |||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(C)(3) | LINE 3 | 0 | CHIC | |
| UNITY FAMILY HEALTHCARE | |||||||||||
| 815 SE 2ND STREET | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | LINE 3 | 0 | CHI | |
| VILLA NAZARETH INC | |||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | 450226714 | LT CARE | ND | 501(C)(3) | LINE 9 | 0 | CHI | |
| VISITING NURSE ASSOCIATION OF ST CLARE'S | |||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | LINE 9 | 0 | SCHS | |
| WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL | |||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 916060784 | AUXILIARY | WA | 501(C)(3) | LINE 11A, I | 0 | HMC | |
| WOODLANDS DOCTOR GROUP | |||||||||||
| 17200 ST LUKES WAY SUITE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHY PRACTICES | TX | 501(C)(3) | LINE 9 | 0 | SL CHS | |
| MEMORIAL HEALTH PARTNERS FOUNDATION | |||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(C)(3) | LINE 9 | 0 | MHCS | |
| SAMARITAN BEHAVIORAL HEALTH | |||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 020633634 | HEALTHCARE | OH | 501(C)(3) | LINE 3 | 0 | SHP | |
Form990 Schedule R Part III Form990ScheduleRPartIII (43 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Q&M PROPERTIES LLC | ||||||||||||||
| 525 NORTH FOSTER | MITCHELL | SD | 57301 | 731652049 | MEDICAL CLINIC BUILDING | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT LLC | ||||||||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 57117 | 460488198 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| MRIS LLC | ||||||||||||||
| 1325 S CLIFF AVE PO BOX 5045 | SIOUX FALLS | SD | 57117 | 470874983 | HEALTH CARE SERVICES INCLUDING AIRCRAFT | SD | N/A | |||||||
| HOME MEDICAL EQUIPMENT OF PIERRE LLC | ||||||||||||||
| 329 E DAKOTA | PIERRE | SD | 57501 | 460444002 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | AVERA MCKENNAN | RELATED | 17254 | 201776 | 0 | 0 | 0.50000 | |
| AVERA HOME MEDICAL EQUIPMENT OF FLOYD VALLEY HOSPITAL LLC | ||||||||||||||
| 714 LINCOLN ST NE | LEMARS | IA | 51031 | 820582350 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF ESTHERVILLE LLC | ||||||||||||||
| PO BOX 5045 | SIOUX FALLS | SD | 57117 | 201686097 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF SIOUX CENTER LLC | ||||||||||||||
| 38 19TH ST SW | SIOUX CENTER | IA | 51250 | 753203100 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF MARSHALL LLC | ||||||||||||||
| 1104 EAST COLLEGE DRIVE | MARSHALL | MN | 56258 | 205271924 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| AVERA HOME MEDICAL EQUIPMENT OF SPENCER HOSPITAL LLC | ||||||||||||||
| 2400 S MINNESOTA AVE 102 | SIOUX FALLS | SD | 57117 | 800619999 | MEDICAL SERVICES - HOME MEDICAL EQUIPMENT | SD | N/A | |||||||
| SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC | ||||||||||||||
| 310 S PENNSYLVANIA ST | ABERDEEN | SD | 57401 | 460461429 | SURGICAL ASSOCIATES | SD | N/A | |||||||
| HEART HOSPITAL OF SOUTH DAKOTA LLC | ||||||||||||||
| 10720 SIKES PLACE SUITE 300 | CHARLOTTE | NC | 28277 | 562143771 | HEALTHCARE SERVICES | NC | N/A | |||||||
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | 34991 | 8665388 | 0 | 0 | 0.50100 | |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD SUITE 400 | OMAHA | NE | 68137 | 392045003 | STAFFING OF NURSES | NE | AHBMHS | RELATED | -210405 | 4806071 | 0 | 0 | 0.95000 | |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | 57545 | 1013237 | 0 | 1 | 0.63000 | |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | SJHS | RELATED | 308428 | 3317191 | 0 | 0 | 0.65000 | |
| CENTRAL NEBRASKA REHAB SERVICES | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | 1710199 | 2712656 | 0 | 0 | 0.51000 | |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | 344962532 | 4617413792 | 0 | 1 | 0.79920 | |
| MRI AT ST JOESPH MEDICAL CENTER LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521958002 | MEDICAL IMAGING | MD | SJMC | RELATED | 423167 | 2174155 | 0 | 1 | 0.51000 | |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | 81071 | 1077536 | 0 | 0 | 0.57450 | |
| O'DEA MEDICAL ARTS LIMITED PARTNERSHIP | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521682964 | REAL ESTATE | MD | TMI | RELATED | 9490 | 0 | 1 | 0.66580 | ||
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | THC | RELATED | 1846153 | 8411844 | 0 | 0 | 0.60000 | |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||||
| 315 MARTIN LUTHER KING JR WAY 111 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | FHS | RELATED | 256567 | 3262002 | 0 | 0 | 0.60000 | |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | 715094 | 3489436 | 0 | 0 | 0.70000 | |
| RUXTON SURGICENTER LLC | ||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | SJMC | RELATED | -69345 | 0 | 1 | 0.51000 | ||
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRDOSBURG ROAD | LEXINGTON | KY | 40504 | 453801157 | OP SURGERY | DE | SJHS | RELATED | 0 | 1 | 0.51000 | |||
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | 3388 | 666017 | 0 | 1 | 0.51000 | |
| ST FRANCIS LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -130967 | 13823763 | 0 | 0 | 0.51000 | |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | FHS | RELATED | 238717 | 1907063 | 0 | 0 | 0.58460 | |
| ST JOSEPH-PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | 30446 | 1149003 | 0 | 1 | 0.62500 | |
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -200323 | 821112 | 0 | 1 | 0.51000 | |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | -200318 | 4079584 | 0 | 1 | 0.51000 | |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -15452 | 396101 | 0 | 1 | 0.51000 | |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 MERCY ROAD STE 100 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | RELATED | 142085 | 3294472 | 0 | 0 | 0.63940 | |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | RELATED | 3465880 | 1951221 | 0 | 0 | 0.51600 | |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | RELATED | 1455294 | 1013126 | 0 | 0 | 0.52280 | |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND STREET | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | RELATED | 10501730 | 17301869 | 0 | 0 | 0.51000 | |
| PRAIRIE HEALTH VENTURES LLC | ||||||||||||||
| 421 S 9TH ST 102 | LINCOLN | NE | 68508 | 204962103 | TECH SERVICES | NE | AH-IMC | RELATED | 1011804 | 5564586 | 0 | 1 | 0.62700 | |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DRIVE SUITE 300 | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | JH | RELATED | 3208139 | 9684824 | 0 | 0 | 0.96900 | |
| LINCOLN CK LEASING LLC | ||||||||||||||
| 8770 BRYN MAWR SUITE 1370 | CHICAGO | IL | 60631 | 262496856 | REAL ESTATE | NE | SERMC | RELATED | 397452 | 439334 | 0 | 0 | 0.53760 | |
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 WEST SARAH LANE SUITE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLD | WI | SL CDC - VINTAGE | RELATED | 1027057 | 105658490 | 0 | 0 | 0.51000 | |
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SERVICES | NE | N/A | RELATED | 228435 | 675251 | 0 | 1 | 1.00000 | |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | ND | 68802 | 721546196 | LAUNDRY | NE | N/A | RELATED | 98583 | 3190677 | 0 | 0 | 1.00000 | |
| ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC | ||||||||||||||
| 3606 N 156TH STREET | OMAHA | NE | 68116 | 061786985 | OP DIAGNOSTICS | NE | ACH | RELATED | 116752 | 776649 | 0 | 1 | 0.51000 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (43 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Share Of Total IncomeShareOfTotalIncome | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACCOUNTS MANAGEMENT INC | ||||||||||||||||||
| 5132 S CLIFF AVE SUITE 101 | SIOUX FALLS | SD | 57108 | 460373021 | COLLECTION AGENCY | SD | N/A | C | 0 | |||||||||
| AVERA HEALTH PLANS INC | ||||||||||||||||||
| 3900 WEST AVERA DRIVE SUITE 101 | SIOUX FALLS | SD | 57108 | 460451539 | HEALTH FINANCING AND HEALTH PLAN ADMINISTRATION | SD | N/A | C | 0 | |||||||||
| AVERA PROPERTY INSURANCE INC | ||||||||||||||||||
| 610 W 23RD ST STE 1 PO BOX 38 | YANKTON | SD | 57078 | 460463155 | INSURANCE | SD | N/A | C | 0 | |||||||||
| DR DONALD & MARGUERITE MABEE TRUST | ||||||||||||||||||
| C/O FIRST NATIONAL BANK OF SOUTH DA | MITCHELL | SD | 57301 | 466056202 | INVESTING | SD | N/A | T | 0 | |||||||||
| VALLEY HEALTH SERVICES | ||||||||||||||||||
| 501 SUMMIT STREET | YANKTON | SD | 57078 | 460357149 | RENTAL REAL ESTATE | SD | N/A | C | 0 | |||||||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | ||||||||||||||||||
| 3900 OLYMPIC BOULEVARD SUITE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | C | 0 | CHI | 6272746 | 1.00000 | |||||||
| AMERICAN NURSING CARE | ||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | C | 0 | CHS | 51920207 | 1.00000 | 5118606 | ||||||
| AMERIMED INC | ||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | C | 0 | ANC | 14669219 | 1.00000 | 2134392 | ||||||
| BC HOLDING COMPANY INC | ||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | C | 0 | JH | 1.00000 | ||||||||
| CADUCEUS MEDICAL ASSOCIATES INC | ||||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | C | 0 | MHCS | 1008 | 1.00000 | |||||||
| CAPTIVE MANAGEMENT INITIATIVES | ||||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | C | 0 | CHI | 1.00000 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | CJ | ||||||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | C | 0 | CIRI | 1241259 | 1.00000 | -2286538 | ||||||
| CGH REALTY COMPANY INC | ||||||||||||||||||
| 2500 BERNVILLE RD | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | C | 0 | SJHM | 1.00000 | ||||||||
| COMCARE SERVICES | ||||||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | C | 0 | CHIC | 1.00000 | ||||||||
| CONSOLIDATED HEALTH SERVICES | ||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | C | 0 | CHI | 52379487 | 1.00000 | -879467 | ||||||
| DES MOINES MEDICAL CENTER INC | ||||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | C | 0 | CHI-IA CORP | 1064032 | 0.92980 | 61204 | ||||||
| FIRST INITIATIVES INSURANCE LTD | ||||||||||||||||||
| 980203038 | INSURANCE | C | 0 | CHI | 1.00000 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | CJ | ||||||||
| FRANCISCAN SERVICES INC | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | C | 0 | CHI | 718254 | 1.00000 | -7868 | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | C | 0 | CHI NEBRASKA | 180468 | 1.00000 | -257418 | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | C | 0 | GSH | 1377820 | 1.00000 | 87278 | ||||||
| HEALTHCARE MGMT SERVICES ORG INC | ||||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | C | 0 | FHS | 1.00000 | ||||||||
| MEDQUEST | ||||||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | C | 0 | MMC WILLISTON | 1152715 | 1.00000 | 153510 | ||||||
| MERCY PARK APARTMENTS LTD | ||||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | C | 0 | CHI-IA CORP | 1937218 | 1.00000 | 369231 | ||||||
| MERCY SERVICES CORP | ||||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | C | 0 | MMC WILLISTON | 1423377 | 1.00000 | -440596 | ||||||
| MHSERVICES CORPORATION | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431457881 | DME | MO | C | 0 | SJRMC | 1.00000 | ||||||||
| MOUNTAIN MANAGEMENT SERVICES INC | ||||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | C | 0 | MHCS | 6465179 | 1.00000 | 96044 | ||||||
| PATIENT TRANSPORT SERVICES INC | ||||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | C | 0 | ANC | 5488275 | 1.00000 | -164340 | ||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | ||||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | C | 0 | FHS | 1.00000 | ||||||||
| SAINT CLARES PRIMARY CARE INC | ||||||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | C | 0 | SCCC | 1361242 | 1.00000 | -357263 | ||||||
| SAMARITAN FAMILY CARE INC | ||||||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | C | 0 | SHP | 1.00000 | ||||||||
| SJH SERVICES CORPORATION | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | C | 0 | FSI | 3331737 | 1.00000 | -197039 | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | ||||||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | C | 0 | SJHS | 1.00000 | ||||||||
| ST ANTHONY DEVELOPMENT COMPANY | ||||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | C | 0 | SAH | 2936102 | 1.00000 | 114663 | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | ||||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | C | 0 | SVIMC | 15225732 | 1.00000 | 2408638 | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | ||||||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | C | 0 | FSI | 12357418 | 1.00000 | 655478 | ||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | ||||||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | C | 0 | SJHS | 882139 | 0.85000 | |||||||
| TOWSON MANAGEMENT INC | ||||||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | C | 0 | FSI | 197196 | 1.00000 | 516457 | ||||||
| COLLABHEALTH MANAGED SOLUTIONS INC | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | C | 0 | CHI | 23806707 | 1.00000 | |||||||
| COLLABHEALTH PLAN SERVICES INC | ||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | C | 0 | CHMS | 38272608 | 1.00000 | -1082933 | ||||||
| SOUNDPATH HEALTH INC | ||||||||||||||||||
| 32129 WEYERHAEUSER WAY S SUITE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | C | 0 | CHPS | 10976973 | 0.55600 | -154741 | ||||||
| SUGAR LAND DOCTOR GROUP | ||||||||||||||||||
| 1317 LAKE POINTE PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | MEDICAL CLINIC | TX | C | 0 | SL CHS | 566590 | 1.00000 | -1159411 | ||||||
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC | ||||||||||||||||||
| 12809 WEST DODGE ROAD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | C | 0 | ACH | 4520865 | 1.00000 | 5312313 | ||||||
| ALL SAINTS INSURANCE COMPANY SPC LTD | ||||||||||||||||||
| INSURANCE | C | 0 | SLHS | 43866961 | 1.00000 | PO BOX 69 GT 720 WEST BAY ROAD | GEORGETOWN | GRAND CAYMAN | CJ | CJ | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |