SAINT CLARES HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT CLARES HOSPITAL INC (EIN 22-3319886)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349306190
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T15:00:39-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470617373EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223319886EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT CLARE'S HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone9736256000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line125 Pocono RoadAddressLine1
CityDenvilleCity
StateNJState
ZIP Code07834ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIANNE HALFORDName
TitleCFOTitle
Date Signed2015-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMark StockiName
PTINP00642127PTIN
Phone3032989100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1LESLIE HIRSCH PRESIDENTCEOBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 Pocono RoadAddressLine1
CityDenvilleCity
StateNJState
ZIP Code07834ZIPCode
FieldValueIRS element (for citing)
Gross Receipts303552610GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.SAINTCLARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION STRIVES TO IMPROVE HEALTH AND WELL-BEING BY PROVIDING HIGH QUALITY, COMPASSIONATE CARE TO THOSE IN NEED WITH SPECIAL CONCERN FOR THE VULNERABLE AND POOR.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees3063TotalNbrEmployees
Total Nbr Volunteers1080TotalNbrVolunteers
Total Gross UBI366603TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15873225ContributionsGrantsPriorYear
Contributions Grants Current Year24907046ContributionsGrantsCurrentYear
Program Service Revenue Prior Year286409449ProgramServiceRevenuePriorYear
Program Service Revenue CY273298915ProgramServiceRevenueCY
Investment Income Prior Year526401InvestmentIncomePriorYear
Investment Income Current Year2015411InvestmentIncomeCurrentYear
Other Revenue Prior Year4795461OtherRevenuePriorYear
Other Revenue Current Year3248353OtherRevenueCurrentYear
Total Revenue Prior Year307604536TotalRevenuePriorYear
Total Revenue Current Year303469725TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year132562GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY119871GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year161735589SalariesEtcPriorYear
Salaries Etc Current Year159195737SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year171522250OtherExpensePriorYear
Other Expenses Current Year197212595OtherExpensesCurrentYear
Total Expenses Prior Year333390401TotalExpensesPriorYear
Total Expenses Current Year356528203TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25785865RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-53058478RevenuesLessExpensesCY
Total Assets BOY226939112TotalAssetsBOY
Total Assets EOY174974172TotalAssetsEOY
Total Liabilities BOY226640009TotalLiabilitiesBOY
Total Liabilities EOY227744935TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY299103NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-52770763NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense194939727Expense
Grants119871Grants
Revenue273298915Revenue
DescriptionSEE SCHEDULE HDescription
Total Program Service Expense194939727TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3063NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John BaroneBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9739831760TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line166 Ford RoadAddressLine1
CityDenvilleCity
StateNJState
ZIP Code07834ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EDWARD MCMANUS
CHAIR2.002.00XX000
JAMES HARRIS
TREASURER2.003.00XX000
JOHN FENTON
VICE CHAIR2.002.00XX000
LESLIE HIRSCH
PRESIDENT/CEO40.0020.00XX0911194101167
SR FRANCIS RAFTERY
SECRETARY2.001.00XX000
JAMES R JONES III
TRUSTEE2.001.00X000
JAMES SALERNO
TRUSTEE2.001.00X000
JOHN FISHER
TRUSTEE2.001.00X3555000
JOHNICE THONE
TRUSTEE2.001.00X000
MARY ELIZABETH O'BRIEN
TRUSTEE/SVP OPS CHI2.0058.00X0924954116308
MICHAEL BLICK MD
TRUSTEE2.001.00X000
MURRAY LAS MD
EX-OFFICIO/Physician2.001.00X2250000
OWEN RANKIN
TRUSTEE2.002.00X000
THOMAS R CURTIN
TRUSTEE2.001.00X000
XIOMARA GUEVARA
TRUSTEE2.001.00X000
MARK HERBERS
Interim CFO40.004.00X000
ALMA RATCLIFFE
EXECUTIVE VICE PRESIDENT40.0020.00403575032584X
DEBRA REGEN
VICE PRESIDENT/NURSING40.005.00223576025804X
GAIL COHEN
VICE PRESIDENT40.000258475040676X
JAMES LAPSLEY
VP - Physician Enterprise40.000332844028922X
JEFFREY LAMIE
EXECUTIVE DIRECTOR SCF0.0040.00223716030387X
SUELLYN ELLERBE
EXECUTIVE VICE PRESIDENT40.007.00415902027948X
VERNON PERTELLE
VICE PRESIDENT40.000218425037046X
BARBARA GIRZ
MEDICAL DIRECTOR40.000386947038304X
DONALD CANN
MED. DIR. RADIATION ONCO.40.000766071044376X
DURGESH HAJELA
RADIATION ONCOLOGIST40.000318550028034X
JAMES BELLAMY
MEDICAL DIR CORP HEALTH40.000189250039454X
TIMOTHY CHEN MD
RADIATION ONCOLOGIST40.000.00329452982036357X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4124833TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1845968TotalReportableCompFrmRltdOrgs
Total Other Compensation627367TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FTI CONSULTING
909 COMMERCE ROADANNAPOLISMD21409CONSULTING SERVICES6721128
CENTER FOR FAMILY GUIDANCE
765 RT 70 E BLDG AMARLTONNJ08053BEHAVIORAL HEALTH PHYSICIANS4763667
MORRIS ANESTHESIA GROUP PA
PO BOX 464RUTHERFORDNJ07070ANESTHESIA SERVICES1587056
EMERGENCY PHYSICIANS OF ST CLARE'S
PO BOX 1246DENVILLENJ07834ER PHYSICIANS965664
MEDICAL SOLUTIONS INC
3901 CENTERVIEW DRIVE SUITE LCHANTILLYVA20151NURSING SERVICES907814
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Related Organizations6522567RelatedOrganizations
Government Grants18346240GovernmentGrants
All Other Contributions38239AllOtherContributions
Total Contributions24907046TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES900099271568674271568674
RENTAL INCOME90009915982121598212
EDUCATION611710132029132029
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue273298915TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column415651TotalRevenueColumn
Unrelated Business Revenue-255UnrelatedBusinessRevenue
Exclusion$415,906ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1603345Securities
Other79300Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other82885Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1603345Securities
Other-3585Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1599760TotalRevenueColumn
Exclusion$1,599,760ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA722100152834432004$1,496,340
SERVICES SOLD9000991001901$1,001,901
LABORATORY SERVICES621500334854334854

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column383254TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$383,254ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3248353TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column303469725TotalRevenueColumn
Related Or Exempt Function Income273298915RelatedOrExemptFunctionIncome
Unrelated Business Revenue366603UnrelatedBusinessRevenue
Exclusion$4,897,161ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total119871Total
Program Services119871ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2044533Total
Program Services230151ProgramServices
Management And General1814382ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total122404143Total
Program Services95457172ProgramServices
Management And General26946971ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6758761Total
Management And General6758761ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17115478Total
Program Services1910ProgramServices
Management And General17113568ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10872822Total
Program Services6945287ProgramServices
Management And General3927535ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total943524Total
Management And General943524ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4000Total
Management And General4000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total46396241Total
Program Services27226724ProgramServices
Management And General19169517ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1106387Total
Management And General1106387ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11015032Total
Program Services4429422ProgramServices
Management And General6585610ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14396550Total
Program Services512903ProgramServices
Management And General13883647ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8507233Total
Program Services1653996ProgramServices
Management And General6853237ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total154467Total
Program Services78420ProgramServices
Management And General76047ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total114772Total
Program Services70998ProgramServices
Management And General43774ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5367657Total
Program Services5367657ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total6722014Total
Management And General6722014ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15003085Total
Program Services8217082ProgramServices
Management And General6786003ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3025335Total
Program Services144826ProgramServices
Management And General2880509ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
IMPAIRMENT3318232833182328
MEDICAL SUPPLIES294255784697029378608
BAD DEBT1231746912317469
REPAIRS & MAINTENANCE487533031580831717247

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4655593Total
Program Services1069984ProgramServices
Management And General3585609ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total356528203Total
Program Services194939727ProgramServices
Management And General161588476ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10394BOY
EOY16221EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2177780BOY
EOY1509028EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY40069189BOY
EOY42380599EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4105971BOY
EOY3563717EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY728809BOY
EOY414692EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis182037450LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74430244LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY146380540BOY
EOY107607206EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15785517BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17680912BOY
EOY19482709EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY226939112BOY
EOY174974172EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31208131BOY
EOY27293450EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY170215BOY
EOY77275EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY195261663BOY
EOY200374210EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY226640009BOY
EOY227744935EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY249103BOY
EOY-52820763EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50000BOY
EOY50000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY299103BOY
EOY-52770763EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY226939112BOY
EOY174974172EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-53058478ReconcilationRevenueExpenses
Reconcilation Other Changes-11388ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$6,313GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB6313TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION $4,548 CATHOLIC HEALTH ASSOCIATION $1,765Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis67307OtherCostOrOtherBasis
Book Value67307BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis115352336OtherCostOrOtherBasis
Depreciation29602500Depreciation
Book Value85749836BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1330290OtherCostOrOtherBasis
Depreciation1094910Depreciation
Book Value235380BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64500546OtherCostOrOtherBasis
Depreciation43711860Depreciation
Book Value20788686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis786971OtherCostOrOtherBasis
Depreciation20974Depreciation
Book Value765997BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings107607206TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
PROFESSIONAL LIABILITY GROSS UP (ESTIMATED CLAIMS)12824820
WORKERS COMPENSATION GROSS UP (ESTIMATED CLAIMS)5588699
INVESTMENTS IN UNCONSOLIDATED ORGS (CONTROLLING INTEREST)656037
NJ SELF INSURANCE DEPOSITS380669
RENTAL PROPERTY DEPOSITS25392
OTHER ASSETS7092
FieldValueIRS element (for citing)
Total Book Value Other Assets19482709TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$61,911,254
CHI DEBT PROGRAM$110,937,631
SELF INSURANCE RESERVES & CLAIMS$18,413,519
BOONTON COMPLIANCE PROGRAM$4,454,599
ENVIRONMENTAL REMEDIATION LIABILITY$2,898,105
MEMORIAL SLOAN KETTERING LIABILITY$1,312,628
GRANT RESTRICTIONS LIABILITY$377,354
UNCLAIMED PROPERTY$69,120
FieldValueIRS element (for citing)
Total Of Amounts200374210TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationST. CLARE'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ST. CLARE'S HEALTH SYSTEM, INC. (SCHS), A RELATED ORGANIZATION. SCHS' FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "THE SYSTEM, HOSPITAL, FOUNDATION, LIFE CARE, COMMUNITY CARE, AND VNA ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THESE ENTITIES ARE ALSO EXEMPT FROM STATE AND LOCAL INCOME TAXES. PRIMARY CARE IS A FOR-PROFIT ORGANIZATION SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXES. NO INCOME TAXES HAVE BEEN PROVIDED FOR AT JUNE 30, 2013 AND 2012 DUE TO CARRY FORWARD NET LOSSES, FOR WHICH THE ULTIMATE REALIZABLE AMOUNT IS UNCERTAIN. SUCH AMOUNTS ARE NOT MATERIAL TO THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS." ST. CLARE'S HOSPITAL'S FINANCIAL INFORMATION IS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served15859PersonsServed
Total Community Benefit Expense20830049TotalCommunityBenefitExpense
Direct Offsetting Revenue18795087DirectOffsettingRevenue
Net Community Benefit Expense2034962NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served8480PersonsServed
Total Community Benefit Expense11631480TotalCommunityBenefitExpense
Direct Offsetting Revenue6378334DirectOffsettingRevenue
Net Community Benefit Expense5253146NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served24339PersonsServed
Total Community Benefit Expense32461529TotalCommunityBenefitExpense
Direct Offsetting Revenue25173421DirectOffsettingRevenue
Net Community Benefit Expense7288108NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served20548PersonsServed
Total Community Benefit Expense938451TotalCommunityBenefitExpense
Direct Offsetting Revenue4363DirectOffsettingRevenue
Net Community Benefit Expense934088NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served5598PersonsServed
Total Community Benefit Expense119527TotalCommunityBenefitExpense
Direct Offsetting Revenue19065DirectOffsettingRevenue
Net Community Benefit Expense100462NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served7729PersonsServed
Total Community Benefit Expense35972TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense35972NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served2786PersonsServed
Total Community Benefit Expense200113TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense200113NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs66NumberOfActivitiesOrPrograms
Persons Served36661PersonsServed
Total Community Benefit Expense1294063TotalCommunityBenefitExpense
Direct Offsetting Revenue23428DirectOffsettingRevenue
Net Community Benefit Expense1270635NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs66NumberOfActivitiesOrPrograms
Persons Served61000PersonsServed
Total Community Benefit Expense33755592TotalCommunityBenefitExpense
Direct Offsetting Revenue25196849DirectOffsettingRevenue
Net Community Benefit Expense8558743NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served30PersonsServed
Total Community Building Expense8442TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8442NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served487PersonsServed
Total Community Building Expense123272TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense123272NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served39PersonsServed
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served556PersonsServed
Total Community Building Expense131714TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense131714NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,317,469BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare73851716AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare87023656CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13171940MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOtherFacility Reporting GroupFacilityReportingGroupEr OtherErOther
SAINT CLARES HOSPITAL INC
125 POCONO ROADDENVILLENJ07834SAINTCLARES.ORGXXXBEHAVIORAL HEALTHA
SAINT CLARE'S HOSPITAL DOVER GENERAL
2400 WEST BLACKWELL STREETDOVERNJ07802SAINTCLARES.ORGXXXA
SAINT CLARE'S HOSPITAL BOONTON TOWNSHIP
3130 POWERVILLE ROADBOONTONNJ07005SAINTCLARES.ORGXBEHAVIORAL HEALTHA
SAINT CLARE'S HOSPITAL SUSSEX
420 WALNUT STREETSUSSEXNJ07461SAINTCLARES.ORGXSEDAX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ST CLARES IMAGING & PAT CENTERS
ROUTE 46PARSIPPANYNJ07054MEDICAL IMAGING
SAINT CLARE'S HOSPITAL REHABILITATION CENTER
253 NEWTON-SPARTA ROADNEWTONNJ07860REHABILITATION CENTER
SAINT CLARE'S HOSPITAL REHABILITATION CENTER
VERNON COLONIAL PLAZA ROUTE 94MCAFEENJ07428REHABILITATION CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PREPARATION OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ASAINT CLARE'S HOSPITAL, INC. PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION.
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)12,317,469
Subsidized Health ServicesSchedule H, Part I, Line 7gTHERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 22.1%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefitSchedule H, Part III, Line 3SAINT CLARE'S HOSPITAL INC. DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4SAINT CLARE'S HOSPITAL, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. SAINT CLARE'S HOSPITAL, INC.'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $73,851,716 TOTAL MEDICARE COSTS: $87,023,656 SHORTFALL: $(13,171,940) SAINT CLARE'S HOSPITAL, INC. BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bSAINT CLARE'S HOSPITAL, INC.'S DEBT COLLECTION POLICY PROVIDES THAT SAINT CLARE'S HOSPITAL, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH SAINT CLARE'S HOSPITAL, INC. COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE SAINT CLARE'S HOSPITAL, INC.COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SAINT CLARE'S HOSPITAL, INC. FOR APPROPRIATE FOLLOW-UP. SAINT CLARE'S HOSPITAL, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' (CHI) HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) SAINT CLARES HOSPITAL, INC. - COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. SAINT CLARE'S SOUGHT COMMUNITY INPUT THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS, KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS, AND/OR INCLUSION OF COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY SAINT CLARE'S, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. RESEARCH COMPONENTS INCLUDED TELEPHONE SURVEYS AND FOCUS GROUPS WITH COMMUNITY RESIDENTS, AS WELL AS DATA FROM THE HEALTH RESEARCH AND EDUCATIONAL TRUST OF NEW JERSEY.;
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(2) SAINT CLARE'S HOSPITAL, DOVER GENERAL - SAINT CLARE'S HOSPITAL TEAMED UP WITH OTHER COMMUNITY PARTNERS TO CONDUCT THEIR CHNA. RESEARCH COMPONENTS INCLUDED TELEPHONE SURVEYS AND FOCUS GROUPS WITH COMMUNITY RESIDENTS, AS WELL AS DATA FROM THE HEALTH RESEARCH AND EDUCATIONAL TRUST OF NEW JERSEY.;
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(3) SAINT CLARE'S HOSPITAL, BOONTON TOWNSHIP - SAINT CLARE'S HOSPITAL TEAMED UP WITH OTHER COMMUNITY PARTNERS TO CONDUCT THEIR CHNA. RESEARCH COMPONENTS INCLUDED TELEPHONE SURVEYS AND FOCUS GROUPS WITH COMMUNITY RESIDENTS, AS WELL AS DATA FROM THE HEALTH RESEARCH AND EDUCATIONAL TRUST OF NEW JERSEY.;
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(4) SAINT CLARE'S HOSPITAL, SUSSEX - SAINT CLARE'S HOSPITAL TEAMED UP WITH OTHER COMMUNITY PARTNERS TO CONDUCT THEIR CHNA. RESEARCH COMPONENTS INCLUDED TELEPHONE SURVEYS AND FOCUS GROUPS WITH COMMUNITY RESIDENTS, AS WELL AS DATA FROM THE HEALTH RESEARCH AND EDUCATIONAL TRUST OF NEW JERSEY.;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(1) SAINT CLARES HOSPITAL, INC. - THE CHNA WAS DONE IN COLLABORATION WITH THE COMMUNITY HEALTH ALLIANCE OF NORTHWESTERN CENTRAL NEW JERSEY, A COLLABORATIVE OF NINE HOSPITALS AND HEALTH SYSTEMS IN CENTRAL NEW JERSEY, TO ASSESS REGIONAL HEALTH NEEDS.;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(2) SAINT CLARE'S HOSPITAL, DOVER GENERAL - THE CHNA WAS DONE IN COLLABORATION WITH THE COMMUNITY HEALTH ALLIANCE OF NORTHWESTERN CENTRAL NEW JERSEY, A COLLABORATIVE OF NINE HOSPITALS AND HEALTH SYSTEMS IN CENTRAL NEW JERSEY, TO ASSESS REGIONAL HEALTH NEEDS.;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(3) SAINT CLARE'S HOSPITAL, BOONTON TOWNSHIP - THE CHNA WAS DONE IN COLLABORATION WITH THE COMMUNITY HEALTH ALLIANCE OF NORTHWESTERN CENTRAL NEW JERSEY, A COLLABORATIVE OF NINE HOSPITALS AND HEALTH SYSTEMS IN CENTRAL NEW JERSEY, TO ASSESS REGIONAL HEALTH NEEDS.;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(4) SAINT CLARE'S HOSPITAL, SUSSEX - THE CHNA WAS DONE IN COLLABORATION WITH THE COMMUNITY HEALTH ALLIANCE OF NORTHWESTERN CENTRAL NEW JERSEY, A COLLABORATIVE OF NINE HOSPITALS AND HEALTH SYSTEMS IN CENTRAL NEW JERSEY, TO ASSESS REGIONAL HEALTH NEEDS.;
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VISAINT CLARE'S HOSPITAL, INC. STATEMENT OF COMMUNITY BENEFIT AND NEEDS ASSESSMENT ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE SAINT CLARE'S HOSPITAL, INC. WAS FOUNDED TO ALLEVIATE A SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY IN 1953. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, SAINT CLARE'S HOSPITAL EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF SAINT CLARE'S HOSPITAL, INC. IS TO DEVELOP A HEALTHY COMMUNITY AND PROVIDE CARE TO ALL IN NEED. ITS BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. SAINT CLARE'S HOSPITAL, INC. OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. SAINT CLARE'S HOSPITAL, INC. HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT CLARE'S HOSPITAL, INC.'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO WORK TO PROVIDE THE LOCAL COMMUNITY BASIC HEALTH CARE, HEALTH AND SAFETY EDUCATION, AND COOPERATIVE PROGRAMS TO THE PEOPLE OF MORRIS COUNTY. SAINT CLARE'S HOSPITAL, INC. IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. SAINT CLARE'S HOSPITAL, INC., WAS FORMED IN 1953 AS A NOT-FOR-PROFIT, GENERAL ACUTE CARE HOSPITAL. THE CURRENT LAYOUT OF SAINT CLARE'S HOSPITAL INCLUDES FOUR (4) CAMPUSES: DENVILLE, DOVER, SUSSEX AND BOONTON. THE INPATIENT BED COMPLIMENT IS AS FOLLOWS: DENVILLE, DOVER, AND SUSSEX COMBINED HAVE 374 ACUTE CARE BEDS; BOONTON HAS 104 BEDS DEVOTED TO BEHAVIORAL HEALTH. AS A TAX-EXEMPT 501(C)(3) LONG TERM CARE FACILITY, SAINT CLARE'S HOSPITAL INC. IS COMMITTED TO SERVING THE NEEDS OF COMMUNITY MEMBERS WITHOUT REGARD TO ONE'S ABILITY TO PAY. SAINT CLARE'S HOSPITAL INC. REQUIRES RESIDENTS TO DEMONSTRATE THE ABILITY TO PAY THE FACILITY FEES AND CHARGES, WHICH ARE SET AT A RATE THAT IS AFFORDABLE TO A SIGNIFICANT SEGMENT OF THE ELDERLY RESIDING IN THE AREA. HOWEVER, THE HOSPITAL WILL NOT FORCE A RESIDENT TO MOVE FROM THE FACILITY IF THE INDIVIDUAL AND/OR THE INDIVIDUAL'S FAMILY BECOMES UNABLE TO PAY THE FACILITY CHARGES. SAINT CLARE'S HOSPITAL INC. IS ALSO COMMITTED TO THE PROMOTION OF HEALTHIER COMMUNITIES. SAINT CLARE'S HOSPITAL INC. IS PROUD OF ITS CATHOLIC HERITAGE AND ITS ABILITY TO PROVIDE DIRECT AND INDIRECT SUPPORT TO THE COMMUNITIES IT SERVES. COMMUNITY BENEFIT APPROACH WITH HOSPITALS IN DENVILLE, DOVER, BOONTON, AND SUSSEX, NEW JERSEY, ST. CLARE'S HEALTH SYSTEM SERVES OVER 60 TOWNS IN NORTHWESTERN NEW JERSEY AND NORTHEASTERN PENNSYLVANIA. MORRIS COUNTY: THE MOST RECENT 2012 ESTIMATES BASED ON THE LAST OFFICIAL COUNT FROM 2010 OF THE U.S. CENSUS BUREAU REFLECT THE COUNTY AS AN AFFLUENT, OLDER, AND DIVERSE COMMUNITY. MORRIS COUNTY HAS A MEDIAN AGE OF 41.3, UP FROM 38 IN 2000; MORRIS COUNTY 2010 MEDIAN INCOME WAS $96,747; THE BABY BOOMERS BORN BETWEEN 1946 AND 1964 ARE THE LARGEST GENERATION WITH MANY REACHING THE STATUS OF A SENIOR CITIZEN; AND THE COUNTY UNEMPLOYMENT RATE IS 6.8% AS OF JUNE 2013. ACCORDING TO THE 2010 US CENSUS DATA, THERE ARE MORE THAN 56,000 HISPANICS IN MORRIS COUNTY. THIS REPRESENTS APPROXIMATELY 11% OF THE MORRIS COUNTY POPULATION. TOWN OF DOVER: DOVER HAS THE LARGEST HISPANIC POPULATION (70%); LOWEST MEDIAN INCOME IN 2012 OF $66,763; AND THE HIGHEST PERCENTAGE OF PERSONS LIVING BELOW THE POVERTY LINE IN ALL OF MORRIS COUNTY. THE BUREAU OF PRIMARY HEALTH CARE HAS DESIGNATED MORRIS COUNTY AND THE NEIGHBORING TOWN OF DOVER AS AREAS WITH "MEDICALLY UNDERSERVED POPULATIONS." SAINT CLARE'S HOSPITAL, INC. HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND SPEARHEADED THE ORIGINAL TEAM TO LOOK AT AREA HEALTH ISSUES, SET PRIORITIES, AND PLAN FOR IMPROVEMENT. SAINT CLARE'S HOSPITAL, INC. CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIVE TODAY. SAINT CLARE'S HOSPITAL INC.'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM THE COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. THE COMMUNITY HEALTH COLLABORATIVE (CHC) WAS FORMED AS A COLLABORATIVE ENTITY OF HEALTH AND HUMAN SERVICE PROVIDERS WITH A GENERAL DESIRE TO REDUCE DUPLICATION OF EFFORTS, THEREBY PROVIDING A MORE EFFICIENT USE OF LIMITED RESOURCES. ADDITIONALLY, IT WAS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY WAS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRED THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. THE CHC HAS BEEN WORKING FOR SEVERAL YEARS TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE COMMUNITY HEALTH COLLABORATIVE COMPLETED AN IN-DEPTH COMMUNITY HEALTH STATUS REPORT IN JANUARY 2010. THE REPORT REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL-BEING OF AREA RESIDENTS. SUMMARY OF ASSESSMENT FINDINGS TEN KEY FACTORS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE COMMUNITY HEALTH STATUS REVIEW. THE TEN ISSUES WERE THEN PRIORITIZED THROUGH A GROUP PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZE THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND HOW AWARE THE COMMUNITY WAS OF EACH ISSUE AND HOW DIFFICULT THE ISSUE WAS TO CHANGE. AS A RESULT, THE ISSUES FELL INTO THE FOLLOWING ORDER OF PRIORITY. 1. HEALTHY BEHAVIORS 2. CHILD AND MATERNAL HEALTH 3. SMOKING AND TOBACCO 4. ACCESS TO HEALTH CARE SERVICES 5. DISEASE AND MORTALITY 6. UNINTENTIONAL INJURIES 7. ENVIRONMENT 8. PERSONAL AND FAMILY SAFETY 9. INCOME, EMPLOYMENT, AND EDUCATION 10. ALCOHOL AND DRUGS PRIORITIZATION SESSIONS WERE HELD IN OCTOBER 2012 TO REVIEW THE RESULTS OF THE COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OF THE SAINT CLARE'S SERVICE AREA. THROUGH FACILITATED DISCUSSION, THE PARTICIPANTS DEVELOPED A MASTER LIST OF COMMUNITY HEALTH NEEDS DERIVED FROM QUANTITATIVE RESULTS OF THE CHNA STUDY AND THE EXPERT KNOWLEDGE OF GROUP PARTICIPANTS. THE FOLLOWING KEY COMMUNITY HEALTH ISSUES EMERGED: PHYSICAL ACTIVITY AND NUTRITION ACCESS TO CARE MENTAL HEALTH AND WELL-BEING SUBSTANCE USE AND ABUSE (CONTINUED)
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VISAINT CLARE'S HOSPITAL, INC. STATEMENT OF COMMUNITY BENEFIT AND NEEDS ASSESSMENT (CONTINUED) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR SAINT CLARE'S HOSPITAL IS IMPROVING THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITIES WE SERVE. OUR GOAL IS TO PROVIDE OUR COMMUNITIES WITH COMPASSIONATE AND LEADING-EDGE CARE BY HAVING THE BEST PHYSICIANS, THE HIGHEST LEVEL OF TECHNOLOGY, AND STATE-OF-THE-ART FACILITIES. THROUGH ITS OUTREACH EFFORTS, SAINT CLARE'S HOSPITAL CONTINUES TO ADDRESS THE NEEDS OF THE COMMUNITY BY PROVIDING FREE EDUCATIONAL, SOCIAL, AND PREVENTATIVE HEALTH PROGRAMS TO ENSURE ACCESS TO THESE VITAL SERVICES BY THOSE PEOPLE WHO MIGHT NOT OTHERWISE BE ABLE TO AFFORD THEM. SISTER CATHERINE COMMUNITY HEALTH CENTER CLINIC ("THE CLINIC") HAS BEEN SERVING THE COMMUNITY FOR MORE THAN 20 YEARS PROVIDING HIGH QUALITY, COMPASSIONATE CARE TO THE VULNERABLE, POOR, UNDERSERVED AND UNINSURED. THE CLINIC OFFERS COMPREHENSIVE SERVICES FOR ALL FAMILY HEALTH NEEDS, INCLUDING INTERNAL MEDICINE, OBSTETRICS, GYNECOLOGY, AND PEDIATRICS, ALL IN A SINGLE CONVENIENT LOCATION. THE CENTER IS STAFFED WITH BOARD-CERTIFIED PHYSICIANS WHO SPECIALIZE IN INTERNAL MEDICINE, PEDIATRICS, AND OBSTETRICS, NURSES, SOCIAL WORKERS, DIETICIANS, FINANCIAL COUNSELORS, AND SUPPORT STAFF. IN ADDITION, IT COLLABORATES WITH THE MORRIS COUNTY OFFICE OF TEMPORARY ASSISTANCE TO PROVIDE AN OUT-STATION MEDICAID WORKER TO ASSIST CURRENT CLINIC CLIENTS IN APPLYING FOR MEDICAID PROGRAMS. APPROXIMATELY 95% OF NON-CLINICAL STAFF IS BILINGUAL. LATINO AND ASIAN COMMUNITY OUTREACH: THE OUTREACH PROGRAM WORKS IN COORDINATION WITH MULTIPLE COMMUNITY ORGANIZATIONS SUCH AS HEAD START SCHOOL, MORRIS COUNTY OFFICE OF HISPANIC AFFAIRS, MORRIS COUNTY PROSECUTORS OFFICE, MORRIS COUNTY PREVENTION IS KEY, NORWESCAP, EL PRIMER PASO, AND COMMISSION OF THE BLIND, TO OFFER A WIDE VARIETY OF HEALTH AND WELLNESS PROGRAMS TO THE HISPANIC COMMUNITY. IN ADDITION, THERE IS A FOCUS ON ENSURING THAT THE ASIAN, HINDU, AND CHINESE COMMUNITIES RECEIVE EDUCATION AND INFORMATION ON DISEASES THAT MAY IMPACT THEIR COMMUNITY. COLLABORATIVE EFFORTS WITH COMMUNITY MINISTRY: SAINT CLARE'S HOSPITAL, INC. WORKS IN CONCERT WITH FAITH COMMUNITIES IN A HOLISTIC APPROACH TO IMPROVE HEALTH. THE CONGREGATIONAL HEALTH MINISTRY PROVIDES EDUCATION, GUIDANCE, SUPPORT, AND RESOURCES TO HELP CONGREGATIONS PROMOTE SPIRITUAL, EMOTIONAL, AND PHYSICAL WELL-BEING IN MORRIS, SUSSEX, AND WARREN COUNTIES. THE PROGRAM ASSISTS PASTORS, NURSES, AND OTHER INTERESTED MEMBERS OF EACH CONGREGATION TO SELECT AND MAINTAIN A COMMITTEE OR HEALTH CABINET THAT MEETS REGULARLY TO ASSESS THE HEALTH NEEDS OF THE CONGREGATION AND DETERMINE HOW TO ADDRESS THOSE NEEDS MOST EFFECTIVELY. EACH PROGRAM IS UNIQUELY TAILORED AND PLANNED WITH THE CONGREGATION. FINANCIAL COUNSELING / CHARITY CARE: FINANCIAL COUNSELORS ARE AVAILABLE TO HELP PATIENTS IN THE CLINICS AT SAINT CLARE'S HOSPITAL, INC. THEY ASSIST WITH APPLICATION COMPLETION FOR THE CHARITY CARE PROGRAM, RUN BY THE STATE OF NEW JERSEY. COUNSELORS OFFER PEACE OF MIND TO PATIENTS DEALING WITH MEDICAL CONCERNS. MEDICAID WORKERS ARE AVAILABLE TO ASSIST WITH APPLICATIONS TO THE GOVERNMENT PROGRAM. SOCIAL WORKERS ASSIST PATIENTS WITH COMMUNITY RESOURCES. PUBLIC HEALTH NURSE SERVICES COLLABORATION: SAINT CLARE'S HOSPITAL, INC. HAS PARTNERED WITH THE LOCAL COMMUNITY HEALTH DEPARTMENT TO PROVIDE OUTREACH PROGRAMS THAT FOCUS ON TOTAL FAMILY HEALTH, COMMUNITY OUTREACH, EDUCATION, HEALTH SCREENINGS, AND COMMUNICABLE DISEASE INVESTIGATION. OUR OUTREACH IS THERE TO COMPLEMENT THE SERVICES PROVIDED BY THE TOWN OF DOVER. THE GOAL IS TO EDUCATE AND INFORM THE MULTIGENERATIONAL AND CULTURALLY DIVERSE COMMUNITY ABOUT HEALTH AND SOCIAL ISSUES AFFECTING THEM. THE EDUCATIONAL PROGRAMS ARE FREE OF CHARGE AND HELD AT VARIOUS ORGANIZATIONS AND LOCATIONS, THUS PROVIDING EASY ACCESS TO COMMUNITY RESIDENTS. PROGRAMS ARE OFFERED IN BOTH ENGLISH AND SPANISH. THESE PROGRAMS ARE REPEATED THROUGHOUT THE YEAR TO MAXIMIZE OUTREACH TO THE COMMUNITY. NEW JERSEY SELF-HELP CLEARINGHOUSE: SINCE 1981, SAINT CLARE'S HOSPITAL, INC. SELF-HELP CLEARINGHOUSE HAS ASSISTED PEOPLE IN FINDING AND CREATING SELF-HELP SUPPORT GROUPS WITHIN THE STATE AND COUNTRY. ASSISTANCE IS PROVIDED THROUGH A DATABASE OF MORE THAN 6,750 SUPPORT GROUPS FOR ALL TYPES OF NEEDS: ADDICTIONS, DISABILITIES, LOSS OF A LOVED ONE, PARENTING SITUATIONS, ABUSE SITUATIONS, AND OTHER STRESSFUL LIFE SITUATIONS. OVER THE LAST 30 YEARS, THIS FREE SERVICE HAS HELPED MORE THAN 120,000 PEOPLE FIND SUPPORT GROUPS. SUPPORTED COMMUNITY LIVING PROGRAM: SAINT CLARE'S HOSPITAL, INC. PROVIDES IN-HOME SERVICES TO ADULT POPULATIONS (18 YEARS OR OLDER) WHO SUFFER FROM PSYCHIATRIC DISORDERS. COUNSELORS WORK WITH PERSONS WHO ARE LIVING INDEPENDENTLY, BUT NEED ASSISTANCE WITH INTEGRATION IN TO THE LOCAL COMMUNITY AND/OR IMPROVEMENT IN HOUSEHOLD MANAGEMENT/ACTIVITIES OF DAILY LIVING SKILLS. TRANSITIONS: SAINT CLARE'S HOSPITAL, INC. ASSISTS ADULTS WITH PSYCHIATRIC ILLNESSES AND/OR CO-OCCURRING DISORDERS AS A STEP DOWN FROM AN INPATIENT STAY OR TO DIVERT INPATIENT ADMISSIONS. PROGRAMMING EMPHASIZES COMPLETE WELLNESS AND RECOVERY AND INCLUDES A VARIETY OF EVIDENCED-BASED TREATMENT OPTIONS.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3SAINT CLARE'S HOSPITAL, INC. INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SAINT CLARE'S HOSPITAL, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SAINT CLARE'S HOSPITAL, INC. OUTPATIENT FACILITIES. IN ADDITION, SAINT CLARE'S HOSPITAL, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SAINT CLARE'S HOSPITAL, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. SAINT CLARE'S HOSPITAL, INC. REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. SAINT CLARE'S HOSPITAL, INC. STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care systemSchedule H, Part VI, Line 6SAINT CLARE'S HOSPITAL, INC., ALONG WITH ITS AFFILIATED NON-PROFIT AND FOR-PROFIT ENTITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION, AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. SAINT CLARE'S HOSPITAL, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND ITS FUNDRAISING ARM, SAINT CLARE'S FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE MORRIS AND SUSSEX COUNTIES.
State filing of community benefit reportSchedule H, Part VI, Line 7NJ

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MORRIS COUNTY ORG FOR HISPANIC AFFAIRS
95-97 BASSETT HIGHWAYDOVERNJ07081222137333501(C)(3)11000PROGRAM SUPPORT
SUSSEX COUNTY CHAMBER OF COMMERCE
120 HAMPTON HOUSE ROADNEWTONNJ07860221915590501(C)(6)6000PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE GRANT FUNDS ARE PROVIDED AS SPONSORSHIPS IN SUPPORT OF THE GENERAL PROGRAMS OF VARIOUS COMMUNITY ORGANIZATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALMA RATCLIFFE
EXECUTIVE VICE PRESIDENT3439110439180157460205960119880436159000
BARBARA GIRZ
MEDICAL DIRECTOR346805037104030380205960177080425251000
DEBRA REGEN
VICE PRESIDENT/NURSING20236101462106594017544082600249380000
DONALD CANN
MED. DIR. RADIATION ONCO.76427400017970205960237800810447000
DURGESH HAJELA
RADIATION ONCOLOGIST3147830003767020596074380346584000
GAIL COHEN
VICE PRESIDENT2172680282230129840205960200800299151000
JAMES BELLAMY
MEDICAL DIR CORP HEALTH18778800014620157400237140228704000
JAMES LAPSLEY
VP - PHYSICIAN ENTERPRISE279231036680016933020596083260361766000
JEFFREY LAMIE
EXECUTIVE DIRECTOR SCF1728520212310296330143420160450254103000
LESLIE HIRSCH
PRESIDENT/CEO0672587014252409608308119401997301012361069139
MARY ELIZABETH O'BRIEN
TRUSTEE/SVP OPS CHI0714927013920007082701069650934301041262043883
SUELLYN ELLERBE
EXECUTIVE VICE PRESIDENT249496000166406020596073520443850000
TIMOTHY CHEN MD
RADIATION ONCOLOGIST264660000647929820205960157610365809982000
VERNON PERTELLE
VICE PRESIDENT442090001742160175620194840255471000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Severance or change-of-control paymentSchedule J, Part I, Line 4aPOST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: VERNON PERTELLE - $159,216 SUELLYN ELLERBE - $123,508
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: LESLIE HIRSCH AND MARY ELIZABETH O'BRIEN. DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: LESLIE HIRSCH - $60,598 MARY ELIZABETH O'BRIEN - $83,869 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: LESLIE HIRSCH - $69,139 MARY ELIZABETH O'BRIEN - $43,883

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Significant changes in program servicesForm 990, Part III, Line 3IN 2012, THE SAINT CLARE'S HOSPITAL SUSSEX LOCATION CLOSED AS AN ACUTE CARE FACILITY AND IS NOW OPERATING AS A HEALTH CENTER. SAINT CLARE'S HEALTH CENTER AT SUSSEX CONTINUES TO PROVIDE A WIDE RANGE OF MEDICAL SERVICES, INCLUDING A FULL-SERVICE, 24/7 SATELLITE EMERGENCY DEPARTMENT (SED), THE WOMEN'S HEALTH CENTER, AND A NUMBER OF DIAGNOSTIC AND TESTING SERVICES, SUCH AS CT SCANNING, X-RAY, LABORATORY, NUCLEAR MEDICINE, ECHOCARDIOGRAPHY, AND ULTRASOUND, TO MEET THE NEEDS OF THE COMMUNITY SERVED IN SUSSEX COUNTY. PATIENTS REQUIRING INPATIENT MEDICAL CARE WILL BE TRANSPORTED TO NEARBY HOSPITALS IN ACCORDANCE WITH THE WISHES OF THE PATIENT, FAMILY, AND/OR ATTENDING PHYSICIAN; THESE HOSPITALS MAY INCLUDE SAINT CLARE'S HOSPITAL FACILITIES IN DENVILLE AND DOVER.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aPURSUANT TO SECTION 8.6 OF THE BYLAWS OF SAINT CLARE'S HOSPITAL, INC., THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6SAINT CLARE'S HEALTH SERVICES, INC., A NEW JERSEY NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. SAINT CLARE'S HEALTH SERVICES, INC. IS A SUBSIDIARY OF CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE ORGANIZATION'S CORPORATE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH SAINT CLARE'S HEALTH SERVICES, INC. AND CATHOLIC HEALTH INITIATIVES (CHI) (SAINT CLARE'S HEALTH SERVICES' SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE SAINT CLARE'S HEALTH SERVICES BOARD: -APPROVE MEMBERS OF THE SAINT CLARE'S HOSPITAL, INC. BOARD; -AMENDMENT OF THE CORPORATE DOCUMENTS OF SAINT CLARE'S HOSPITAL, INC.; -APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT CLARE'S HOSPITAL, INC.; -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SAINT CLARE'S HOSPITAL, INC. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SAINT CLARE'S HOSPITAL, INC.; -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT CLARE'S HOSPITAL, INC.; -APPROVAL OF ISSUANCE OF DEBT BY SAINT CLARE'S HOSPITAL, INC.; -APPROVAL OF PARTICIPATION OF SAINT CLARE'S HOSPITAL, INC. IN A JOINT VENTURE; -APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT CLARE'S HOSPITAL, INC.; -APPROVAL OF A MERGER INVOLVING SAINT CLARE'S HOSPITAL, INC.; -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SAINT CLARE'S HOSPITAL, INC.; -TO REQUIRE THE TRANSFER OF ASSETS BY SAINT CLARE'S HOSPITAL, INC. TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, SAINT CLARE'S HEALTH SERVICES, INC. OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO ST. CLARE'S HOSPITAL, INC.'S BOARD PRIOR TO FILING. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUALLY, OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ACKNOWLEDGING THAT THEY HAVE NO CONFLICTS OF INTEREST. THE COMPLETED FORMS ARE RETURNED TO THE CORPORATE RESPONSIBILITY OFFICER FOR REVIEW. IN ADDITION, ANY CONFLICTS THAT MAY ARISE DURING THE YEAR MUST BE DISCLOSED TO THE RESPONSIBILITY OFFICER AND AT THE BEGINNING OF EACH MEETING.
WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICYFORM 990, PART VI, LINE 14THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IT FOLLOWS; HOWEVER, THIS POLICY HAS NOT BEEN FORMALLY ADOPTED BY THE ORGANIZATION'S GOVERNING BODY.
PROCESS USED TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ATHE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bCOMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS SET BY THE COMPENSATION COMMITTEE OF SAINT CLARE'S HEALTH SERVICES, INC. USING RECOMMENDATIONS MADE BY THE PRESIDENT/CEO. THE COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS. THE COMMITTEE USES MARKET STUDIES AND EMPLOYS AN INDEPENDENT COMPENSATION CONSULTANT IN THE DETERMINATION OF COMPENSATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
COMPENSATION OF INTERIM CFOFORM 990, PART VII, SECTION A, LINE 1AMARK HERBERS IS THE INTERIM CFO FOR SAINT CLARE'S HOSPITAL AND IS PAID BY FTI CONSULTING. CATHOLIC HEALTH INITIATIVES (CHI), THE PARENT COMPANY TO SAINT CLARE'S HEALTH SERVICES, INC., PAYS FTI CONSULTING FOR MARK HERBERS' SERVICES AND FOR SEVERAL OTHER INTERIM POSITIONS THROUGHOUT THE ORGANIZATION'S HEALTH CARE SYSTEM. THEREFORE, MARK HERBERS WILL SHOW $0 REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND FROM ANY RELATED ORGANIZATION AS HE IS PAID DIRECTLY BY FTI CONSULTING.
Other ExpensesForm 990, Part IX, Line 11gOTHER FEES FOR SERVICES - TOTAL EXPENSE: 31688059, PROGRAM SERVICE EXPENSE: 18166822, MANAGEMENT AND GENERAL EXPENSES: 13521237, FUNDRAISING EXPENSES: ; CONTRACT LABOR - NURSING - TOTAL EXPENSE: 3805711, PROGRAM SERVICE EXPENSE: 3752041, MANAGEMENT AND GENERAL EXPENSES: 53670, FUNDRAISING EXPENSES: ; CONTRACT LABOR - BEHAVIORAL - TOTAL EXPENSE: 5135533, PROGRAM SERVICE EXPENSE: 4952234, MANAGEMENT AND GENERAL EXPENSES: 183299, FUNDRAISING EXPENSES: ; CONTRACT LABOR - CONSULTING - TOTAL EXPENSE: 5766938, PROGRAM SERVICE EXPENSE: 355627, MANAGEMENT AND GENERAL EXPENSES: 5411311, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CAPITAL POOL CONTRIBUTION - -11388;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgBusiness Name Line2NameOfDisregardedEntity/BusinessNameLine2
ALEGENT CREIGHTON CLINIC
12809 WEST DODGE ROADOMAHANE68154HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROADOMAHANE68154HEALTHCARENE501(C)(3)3NAtrue
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROADOMAHANE68124HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STREETMISSOURI VALLEYIA51555HEALTHCAREIA501(C)(3)3AHIMCtrue
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROADOMAHANE68154FUNDRAISINGNE501(C)(3)7ACHtrue
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND STREETOMAHANE68122HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE
104 W 17TH STREETSCHUYLERNE68661HEALTHCARENE501(C)(3)3AHIMCtrue
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841HEALTHCAREIA501(C)(3)3AHBMHStrue
ALVERNA APARTMENTS
300 SE 8TH AVENUELITTLE FALLSMN56345LTERM CAREMN501(C)(3)9CHItrue
APPLETREE COURT
601 OAK STREETBRECKENRIDGEMN56520SENIOR HOMESMN501(C)(3)9SFHtrue
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUEDES MOINESIA50314LTERM CAREIA501(C)(3)9CHI-IA CORPtrue
BORNEMANN HEALTH CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)11 - Type ICHItrue
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREETCARRINGTONND58421HEALTHCAREND501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)9NAtrue
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919FUNDRAISINGCO501(C)(3)7CHICtrue
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)11 - Type ICHItrue
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919FUNDRAISINGCO501(C)(3)9CHItrue
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST SUITE 500ENGLEWOODCO80112HEALTHCARECO501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUEDES MOINESIA50314HEALTHCAREIA501(C)(3)3CHItrue
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAYROSEBURGOR97470PHYSICIANSOR501(C)(3)9MMCtrue
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530SURGERY CNTRKS501(C)(3)3CHItrue
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY SOUTHFARGOND58104HEALTHCAREND501(C)(3)9CHItrue
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400ERLANGERKY41018HEALTHCAREKY501(C)(3)11 - Type ICHItrue
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)9CHI NHCtrue
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)11 - Type ICHItrue
CHI NEBRASKA
6940 O STREETLINCOLNNE68510HEALTHCARENE501(C)(3)11 - Type ICHItrue
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206DIALYSISOH501(C)(2)N/AGSHtrue
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA
631 N 8TH STREETMISSOURI VALLEYIA51555FUNDRAISINGIA501(C)(3)11 - Type IAHCMHtrue
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVELEXINGTONKY40509LTACHKY501(C)(3)3SJHStrue
COVENANT HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112HOME HEALTHPA501(C)(3)11 - Type IINAtrue
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUEENUMCLAWWA98022HEALTHCAREWA501(C)(3)3FHStrue
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004HEALTHCAREKY501(C)(3)3KOHtrue
FLAGET MEMORIAL HOSPITAL FOUNDATION
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004FUNDRAISINGKY501(C)(3)11 - Type IFHtrue
FRANCISCAN FOUNDATION
1717 SOUTH J STREETTACOMAWA98405FUNDRAISINGWA501(C)(3)9FHStrue
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STREETTACOMAWA98405HEALTHCAREWA501(C)(3)3CHItrue
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUETACOMAWA98405HEALTHCAREWA501(C)(3)9FHStrue
FRANCISCAN VILLA OF SOUTH MILWAUKEE
3601 SOUTH CHICAGO AVENUESOUTH MILWAUKEEWI53172HEALTHCAREWI501(C)(3)9CHItrue
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUEGETTYSBURGSD57442HEALTHCARESD501(C)(3)3SMHCtrue
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112MINISTRIESCO501(C)(3)11 - Type ICHItrue
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206EDUCATIONOH501(C)(3)2GSHtrue
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206FUNDRAISINGOH501(C)(3)11 - Type IGSHtrue
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREETKEARNEYNE68847FUNDRAISINGNE501(C)(3)7GSHtrue
ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK
6624 FANNINHOUSTONTX77030PHY PRACTICESTX501(C)(3)3SLHStrue
HEALTH SET
4200 WEST CONEJOS PLACE 436DENVERCO80204LOW INC.CARECO501(C)(3)7CHICtrue
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520FUNDRAISINGMN501(C)(3)11 - Type ISFMCtrue
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166HEALTHCAREWA501(C)(3)3FHStrue
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVETOWSONMD21204HEALTHCAREMD501(C)(3)9SJMCtrue
HOUSE OF MERCY
1111 6TH AVENUEDES MOINESIA50314SHELTERIA501(C)(3)7CHI-IA CORPtrue
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH STREETLOUISVILLEKY40202HEALTHCAREKY501(C)(3)3KOHtrue
JEWISH PHYSICIAN GROUP INC
539 S 4TH STREETLOUISVILLEKY40202HEALTHCAREKY501(C)(3)9JHSMHtrue
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202HEALTHCAREKY501(C)(3)9CHItrue
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTHBAUDETTEMN56623HEALTHCAREMN501(C)(3)3CHItrue
LINUS OAKES INC
2700 STEWART PARKWAYROSEBURGOR97470SENIOR LIVINGOR501(C)(3)9MMCtrue
LISBON AREA HEALTH SERVICES
905 MAIN STREETLISBONND58054HEALTHCAREND501(C)(3)3CHItrue
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUECHATTANOOGATN37404FUNDRAISINGTN501(C)(3)7MHCStrue
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUECHATTANOOGATN37404HEALTHCARETN501(C)(3)3CHItrue
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411HEALTHCARETN501(C)(3)9MHCStrue
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUEDES MOINESIA50314AUXILIARYIA501(C)(3)11 - Type ICHI-IA CORPtrue
MERCY CLINICS INC
1111 6TH AVENUEDES MOINESIA50314PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUEDES MOINESIA50314EDUCATIONIA501(C)(3)2CHI-IA CORPtrue
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUEDES MOINESIA50314FUNDRAISINGIA501(C)(3)7CHI-IA CORPtrue
MERCY FOUNDATION INC
2700 STEWART PARKWAYROSEBURGOR97470FUNDRAISINGOR501(C)(3)7MMCtrue
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841FUNDRAISINGNE501(C)(3)11 - Type IAHMHtrue
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072FUNDRAISINGND501(C)(3)11 - Type III - FIMHVCtrue
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVECOUNCIL BLUFFSIA51503FUNDRAISINGIA501(C)(3)11 - Type IAHBMHStrue
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NEDEVILS LAKEND58301HEALTHCAREND501(C)(3)3CHItrue
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 SEVENTH STREET NEDEVILS LAKEND58301FUNDRAISINGND501(C)(3)7CHItrue
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER
1301 15TH AVENUE WESTWILLISTONND58801HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544HEALTHCAREIA501(C)(3)3CHI-IA CORPtrue
MERCY MEDICAL CENTER INC
2700 STEWART PARKWAYROSEBURGOR97470HEALTHCAREOR501(C)(3)3CHItrue
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WESTWILLISTONND58801FUNDRAISINGND501(C)(3)11 - Type IMMCtrue
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUEDES MOINESIA50314PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MLIFECARES
198 INVERNESS DRIVE WESTENGLEWOODCO80112PROPERTY MGMTMO501(C)(3)11 - Type ISJRMCtrue
MNMCH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREKS501(C)(3)3SJRMCtrue
MT ST JOSEPH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112NURSING CAREOR501(C)(3)11 - Type ICHItrue
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREETLINCOLNNE68526HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREETOAKESND58474HEALTHCAREND501(C)(3)3CHItrue
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREETOAKESND58474FUNDRAISINGND501(C)(3)11 - Type IOCHtrue
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52PUEBLOCO81004COMMUNITYCO501(C)(3)7CHICtrue
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DRIVE SUITE 450COLORADO SPRINGSCO80906LTERM CARECO501(C)(3)7CHICtrue
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROADDENVILLENJ07834HEALTHCARENJ501(C)(3)11 - Type IISCHStrue
SAINT CLARE'S FOUNDATION
25 POCONO ROADDENVILLENJ07834FUNDRAISINGNJ501(C)(3)7SCHStrue
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROADDENVILLENJ07834MANAGEMENTNJ501(C)(3)7CHItrue
SAINT CLARE'S HOSPITAL
25 POCONO ROADDENVILLENJ07834HEALTHCARENJ501(C)(3)3SCHStrue
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREETLINCOLNNE68510FUNDRAISINGNE501(C)(3)7SERMCtrue
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREETLINCOLNNE68510HEALTHCARENE501(C)(3)3SERMCtrue
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREETLINCOLNNE68510HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEYGRAND ISLANDNE68803HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802FUNDRAISINGNE501(C)(3)7SFMCtrue
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREETBEREAKY40403FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160LEXINGTONKY40503HEALTHCAREKY501(C)(3)3CHItrue
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202PHY PRACTICESKY501(C)(3)3SJHStrue
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRIVEMOUNT STERLINGKY40353FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREETDICKINSONND58601FUNDRAISINGND501(C)(3)11 - Type ISJHHCtrue
SAMARITAN BEHAVIORAL HEALTH
2222 PHILADELPHIA DRIVEDAYTONOH45406HEALTHCAREOH501(C)(3)3SHPtrue
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVEDAYTONOH45406FUNDRAISINGOH501(C)(3)7SHPtrue
SAMARITAN HEALTH PARTNERS
110 NORTH MAIN STREETDAYTONOH45402HEALTHCAREOH501(C)(3)11 - Type ICHItrue
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREETSCHUYLERNE68661FUNDRAISINGNE501(C)(3)11 - Type IAHMHStrue
SJMGROUP
198 INVERNESS DRIVE WESTENGLEWOODCO80112PHYS PRACTICEMO501(C)(3)9SJRMCtrue
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREMO501(C)(3)3CHItrue
SL AUGUSTA CORP
PO BOX 20269HOUSTONTX77225TITLE HOLDINGTX501(C)(2)N/ASL PROPERTIEStrue
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150LANCASTERPA17602HEALTHCAREPA501(C)(3)11 - Type ICHItrue
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN SUITE 1100HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISL PROPERTIEStrue
ST ANTHONY HOSPITAL
1601 SE COURT AVENUEPENDLETONOR97801HEALTHCAREOR501(C)(3)3CHItrue
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUEPENDLETONOR97801FUNDRAISINGOR501(C)(3)11 - Type ISA HOSPITALtrue
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVEMORRILTONAR72110HEALTHCAREAR501(C)(3)3SVIMCtrue
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREETGARDEN CITYKS67846HEALTHCAREKS501(C)(3)3CHItrue
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREETGARDEN CITYKS67846FUNDRAISINGKS501(C)(3)11 - Type ISCHtrue
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREETONTARIOOR97914HEALTHCAREOR501(C)(4)N/ACHItrue
ST FRANCIS HOME
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520LTERM CAREMN501(C)(3)9CHItrue
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROADDENVILLENJ07834ELDERLY CARENJ501(C)(3)9SCHStrue
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520HEALTHCAREMN501(C)(3)3CHItrue
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREOR501(C)(3)3CHItrue
ST JOHN'S MERCY REGIONAL FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112FUNDRAISINGMO501(C)(3)7SJRMCtrue
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVENUE SWALBUQUERQUENM87102COMMUNITYNM501(C)(3)11 - Type ICHItrue
ST JOSEPH HOSPITAL FOUNDATION INC
ONE SAITN JOSEPH DRIVELEXINGTONKY40504FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316READINGPA19603FUNDRAISINGPA501(C)(3)11 - Type ISJRHNtrue
ST JOSEPH MEDICAL CENTER FOUNDATION
7601 OSLER DRIVETOWSONMD21204FUNDRAISINGMD501(C)(3)7SJMCtrue
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVETOWSONMD21204HEALTHCAREMD501(C)(3)3CHItrue
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)9BHCtrue
ST JOSEPH PHYSICIAN ENTERPRISE INC
7601 OSLER DRIVETOWSONMD21204PHYSICIANSMD501(C)(3)11 - Type ISJMCtrue
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)3CHItrue
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUEPARK RAPIDSMN56470HEALTHCAREMN501(C)(3)3CHItrue
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREETDICKINSONND58601HEALTHCAREND501(C)(3)3CHItrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrueR LAND HOSPITAL
ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH
6624 FANNIN SUITE 1100HOUSTONTX77030MANAGEMENTTX501(C)(3)11 - Type ICHItrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN SUITE 2505HOUSTONTX77030MANAGEMENTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL
6624 FANNIN SUITE 1100HOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrue
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN SUITE 1100HOUSTONTX77030INVESTMENT MANAGEMENTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN SUITE 1100HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE SUITE 855HOUSTONTX77004FUNDRAISINGTX501(C)(3)7SLHStrue
ST LUKE'S MEDICAL CENTER
6624 FANNINHOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrue
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUENEBRASKA CITYNE68410HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUEPIERRESD57501HEALTHCARESD501(C)(3)3CHItrue
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUENEBRASKA CITYNE68410FUNDRAISINGNE501(C)(3)7SMHtrue
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205FUNDRAISINGAR501(C)(3)11 - Type ISVIMCtrue
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205HEALTHCAREAR501(C)(3)3CHItrue
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205HEALTHCAREAR501(C)(3)9SVIMCtrue
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN SUITE 2505HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISL CDC - SLtrue
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206HEALTHCAREOH501(C)(3)3CHItrue
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500LINCOLNNE68503PHYS PRACTICENE501(C)(3)11 - Type ICHI NEBRASKAtrue
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500ENGLEWOODCO80112HEALTHCARECO501(C)(3)3CHICtrue
UNITY FAMILY HEALTHCARE
815 SE 2ND STREETLITTLE FALLSMN56345HEALTHCAREMN501(C)(3)3CHItrue
VILLA NAZARETH INC
801 PAGE DRIVEFARGOND58103LT CAREND501(C)(3)9CHItrue
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT ROADSPARTANJ07871HOME HEALTHNJ501(C)(3)9SCHStrue
WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL
16251 SYLVESTER RD SWBURIENWA98166AUXILIARYWA501(C)(3)11 - Type IIHMCtrue
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY SUITE 170THE WOODLANDSTX77384PHY PRACTICESTX501(C)(3)9SL CHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918841513085REAL ESTATECOCHICRELATED349918665388false$0false0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400OMAHANE68137392045003STAFFING OF NURSESNEAHBMHSRELATED-2104054806071false-$439,536false0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRELATED575451013237false$0true0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310LEXINGTONKY40504611386736DIAGNOSTICKYSJHSRELATED3084283317191false$0false0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUEKEARNEYNE68848470692112HEALTHCARE SRVCNENARELATED228435675251false$0true1
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVEGRAND ISLANDNE68802810653461PHYSICAL THERAPYNESFMCRELATED17101992712656false$0false0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUNRELATED3449625324617413792false$0true0.7992
HEALTHCARE SUPPORT SERVICES
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENARELATED985833190677false$0false1
MRI AT ST JOSEPH MEDICAL CENTER LLC
7253 AMBASSADOR ROADBALTIMOREMD21244521958002MEDICAL IMAGINGMDSJMCRELATED4231672174155false$0true0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRELATED810711077536false$0false0.5745
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVETOWSONMD21204521682964REAL ESTATEMDTMIRELATED94900false$0true0.6658
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOTHCRELATED18461538411844false$0false0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MARTIN LUTHER KING JR WAY 111TACOMAWA98405870808610HEALTHCARE SRVCWAFHSRELATED2565673262002false$0false0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCOCHICRELATED7150943489436false$0false0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201BALTIMOREMD21204522095835SURGERY CENTERMDSJMCRELATED-693450false$0true0.51
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRDOSBURG ROADLEXINGTONKY40504453801157OP SURGERYDESJHSRELATED00false$0true0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202721386840SURGERY CENTERKYJHRELATED3388666017false$0true0.51
ST FRANCIS LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOCHICRELATED-13096713823763false$0false0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREETTACOMAWA98405911352698MED. OFFICEWAFHSRELATED2387171907063false$0false0.5846
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503452116736MGMT SVCSKYSJHSRELATED304461149003false$0true0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREETLINCOLNNE68521262884555OP DIAGNOSTICSNESERMCRELATED-200323821112false$0true0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503621179539SURGERY CENTERDESJHSRELATED-2003184079584false$0true0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202621179537SURGERY CENTERKYJHRELATED-15452396101false$0true0.51
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREETOMAHANE68116061786985OP DIAGNOSTICSNEACHRELATED116752776649false$0true0.51
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100OMAHANE68124208671994AMBUL SURG CTRNEACHRELATED1420853294472false$0false0.6394
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEACHRELATED34658801951221false$0false0.516
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEACHRELATED14552941013126false$0false0.5228
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREETOMAHANE68122270263191SPINE HOSPITALNEACHRELATED1050173017301869false$0false0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST 102LINCOLNNE68508204962103TECH SERVICESNEAH-IMCRELATED10118045564586false$68,565true0.627
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRIVE SUITE 300MILFORDOH45150263330545HOME HEALTHKYJHRELATED32081399684824false$0false0.969
LINCOLN CK LEASING LLC
8770 BRYN MAWR SUITE 1370CHICAGOIL60631262496856REAL ESTATENESERMCRELATED397452439334false$0false0.5376
HIGHLINE IMAGING LLC
275 SW 160TH STBURIENWA98166200460005DIAGNOSTICWAHMCRELATED8402221784058false$0false0.8
HC SL VINTAGE I LLC
18000 WEST SARAH LANE SUITE 250BROOKFIELDWI53045270453767PROPERTY HOLDWISL CDC - VINTAGERELATED1027057105658490false$0false0.51
ST LUKE'S HOSPITAL AT THE VINTAGE LLC
6624 FANNIN SUITE 2505HOUSTONTX77030263734516HOSPITALTXSL CDC - VINTAGERELATED-1925374369158748false$0true0.51
PMC HOSPITAL LLC
6624 FANNIN SUITE 2505HOUSTONTX77030273280598HOSPITALTXSL CDC - PMCRELATED109254020751174false$0true0.51
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520HOUSTONTX77030710959365DIAGNOSTICTXSLHS HOLDINGSRELATED273448868814false$0false0.573
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505HOUSTONTX77030300427437HOSPITALTXSL CDC - WOODLANDSRELATED110662825874619false$0true0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN SUITE 800HOUSTONTX77030462795726DIAGNOSTICTXSLHS HOLDINGSRELATED00false$0false0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line2NameOfRelatedOrg/BusinessNameLine2
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400ERLANGERKY41018841112049MANAGEMENT SERVICESCOCHIC CORPORATION062727461true
AMERICAN NURSING CARE
1700 EDISON DRIVEMILFORDOH45150311085414HOME HEALTHOHCHSC CORPORATION5118606519202071true
AMERIMED INC
1700 EDISON DRIVEMILFORDOH45150311158699HOME HEALTHOHANCC CORPORATION2134392146692191true
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851FITNESS CLUBKYJHC CORPORATION001true
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570736HEALTHCARETNMHCSC CORPORATION010081true
CAPTIVE MANAGEMENT INITIATIVES
980663022CAPTIVE MANAGEMENTCHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511RESEARCHCOCIRIC CORPORATION-228653812412591true
CGH REALTY COMPANY INC
2500 BERNVILLE RDREADINGPA19603232326801REAL ESTATEPASJHMC CORPORATION001true
COMCARE SERVICES
4231 W 16TH AVENUEDENVERCO80204840904813INACTIVECOCHICC CORPORATION001true
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVEMILFORDOH45150311378212HOME HEALTHOHCHIC CORPORATION-879467523794871true
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUEDES MOINESIA50314420837382REAL ESTATEIACHI-IA CORPC CORPORATION6120410640320.9298true
FIRST INITIATIVES INSURANCE LTD
980203038INSURANCECHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HEALTHCARECOCHIC CORPORATION-78687182541true
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NEBRASKAC CORPORATION-2574181804681true
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC CORPORATION8727813778201true
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET STTACOMAWA98402911865474HEALTH ORG.WAFHSC CORPORATION001true
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDMMC WILLISTONC CORPORATION15351011527151true
MERCY PARK APARTMENTS LTD
1111 6TH AVENUEDES MOINESIA50314421202422HOUSINGIACHI-IA CORPC CORPORATION36923119372181true
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97470930824308RETAIL SALESORMMCC CORPORATION-44059614233771true
MHSERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112431457881DMEMOSJRMCC CORPORATION001true
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570739MGMT SVC ORGTNMHCSC CORPORATION9604464651791true
NAZARETH ASSURANCE COMPANY
030304831INSURANCECHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVEMILFORDOH45150311100798HOME HEALTHOHANCC CORPORATION-16434054882751true
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET STTACOMAWA98402911746721HEALTH ORG.WAFHSC CORPORATION001true
SAINT CLARES PRIMARY CARE INC
66 FORD ROADDENVILLENJ07834222441202BILLING SERVICESNJSCCCC CORPORATION-35726313612421true
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700DAYTONOH45402311299450HEALTHCAREOHSHPC CORPORATION001true
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408HEALTHCARECOFSIC CORPORATION-19703933317371true
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160LEXINGTONKY40503270164198MANAGEMENTKYSJHSC CORPORATION001true
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORSAHC CORPORATION11466329361021true
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARSVIMCC CORPORATION2408638152257321true
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREETTACOMAWA98405911480569RENTALWAFSIC CORPORATION655478123574181true
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70LEXINGTONKY40504611079899MANAGEMENTKYSJHSC CORPORATION08821390.85true
TOWSON MANAGEMENT INC
7601 OSLER DRIVETOWSONMD21204521710750MANAGEMENT SERVICESMDFSIC CORPORATION5164571971961true
COLLABHEALTH MANAGED SOLUTIONS INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461222808HOLDING COCOCHIC CORPORATION0238067071true
COLLABHEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461224037ADMIN SERVICESCOCHMSC CORPORATION-1082933382726081true
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW 170BURIENWA98166911407026MEDICAL SERVICESWAHMCC CORPORATION-604914756891391true
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S SUITE 201FEDERAL WAYWA98001421720801INSURANCEWACHPSC CORPORATION-154741109769730.556true
SLEHS HOLDINGS INC
6624 FANNIN SUITE 800HOUSTONTX77030760637138HOLDING COTXSLHSC CORPORATION1425313331141031true
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN SUITE 1100HOUSTONTX77030461517163MEDICAL CLINICTXSLMCC CORPORATION001true
SLMT PARKING INC
6624 FANNIN SUITE 800HOUSTONTX77030760637140PARKINGTXSLHSC CORPORATION1117934137682211true
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030300355517CONDOMINIUM ASSOCTXSLPCC CORPORATION001true
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNERHOUSTONTX77030760377932PHOTXSLMCC CORPORATION600.6true
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030300355518CONDOMINIUM ASSOCTXSLPCC CORPORATION001true
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030760298751CONDOMINIUM ASSOCTXSLMTCC CORPORATION001true
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAYSUGAR LANDTX77478454270163MEDICAL CLINICTXSL CHSC CORPORATION-11594115665901true
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN SUITE 1100HOUSTONTX77030900064009CONDOMINIUM ASSOCTXSLMCC CORPORATION001trueUILDING CONDOMINIUM ASSOCIATION
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE ROADOMAHANE68154470802396MANAGED CARENEACHC CORPORATION531231345208651true
ALL SAINTS INSURANCE COMPANY SPC LTD
INSURANCESLHSC CORPORATION0438669611truePO BOX 69 GT 720 WEST BAY ROADGEORGETOWNGRAND CAYMANCJKY-1102CJ
VINTAGE DOCTOR GROUP
6624 FANNIN SUITE 1100HOUSTONTX77030MEDICAL CLINICTXSLMCC CORPORATION001true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.