ST MARYS COMMUNITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS COMMUNITY HOSPITAL (EIN 47-0443636)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-10
- IRS object ID
- 201311309349300736
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-10T11:00:13-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470617373 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470443636 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 4028733321 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 3rd Avenue | AddressLine1 |
| City | Nebraska City | City |
| State | NE | State |
| ZIP Code | 68410 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHAWN CLOSNER | Name |
| Title | VP OF FINANCE | Title |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAMELA KROHN | Name |
| PTIN | P01210500 | PTIN |
| Phone | 3032989100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL KELLY | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 3rd Avenue | AddressLine1 |
| City | Nebraska City | City |
| State | NE | State |
| ZIP Code | 68410 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17972244 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STMARYSHOSPITALNECITY.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1927 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | ST. MARY'S IS A NOT FOR PROFIT CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE FOR THE BENEFIT OF ALL REGARDLESS OF ABILITY TO PAY AND PROMOTES HEALTH THROUGH COMMUNITY OUTREACH INITIATIVES AND PARTNERSHIPS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 175 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 8844 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 7844 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 71174 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 123866 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16780295 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17356377 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 623610 | InvestmentIncomePriorYear |
| Investment Income Current Year | 314496 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 94931 | OtherRevenuePriorYear |
| Other Revenue Current Year | 143236 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17570010 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17937975 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6927 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 738825 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7215703 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7740978 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8638593 | OtherExpensePriorYear |
| Other Expenses Current Year | 8557277 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15861223 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17037080 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1708787 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 900895 | RevenuesLessExpensesCY |
| Total Assets BOY | 19027049 | TotalAssetsBOY |
| Total Assets EOY | 19461918 | TotalAssetsEOY |
| Total Liabilities BOY | 1778708 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1552341 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17248341 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17909577 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 12428064 | Expense |
| Grants | 738825 | Grants |
| Revenue | 17356377 | Revenue |
| Description | SEE SCHEDULE H | Description |
| Total Program Service Expense | 12428064 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 175 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sharon Crunk | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4028738929 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 3rd Avenue | AddressLine1 |
| City | Nebraska City | City |
| State | NE | State |
| ZIP Code | 68410 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DANIEL KELLY | |||||||
| PRESIDENT/CEO | 40.00 | X | X | 0 | 246983 | 50352 | |
| JONATHAN STELLING | |||||||
| BOARD VICE CHAIR | 2.00 | X | X | 0 | 267532 | 41974 | |
| KATHRYN NELSON | |||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| SCOTT VANDERVEEN | |||||||
| BOARD CHAIR PERSON | 4.00 | X | X | 0 | 0 | 0 | |
| BRETT GAY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID J PARTSCH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH J JOHNSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LIDIA BORER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MELISSA TURNER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL MCCABE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MR ERWIN FRIESEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT LANIK | |||||||
| SVP CHI/CEO CHI NE | 1.00 | X | 0 | 882209 | 46446 | ||
| SHARON M CRUNK | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| STACY BLUM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 249893 | 42006 | ||
| SHAWN CLOSNER | |||||||
| VP OF FINANCE | 40.00 | X | 109095 | 0 | 27938 | ||
| JOAN BECCARD | |||||||
| PHARMACY DIRECTOR | 40.00 | 112087 | 0 | 31654 | X | ||
| SHARI LOCK | |||||||
| CHIEF QUALITY OFFICER | 40.00 | 113020 | 0 | 7537 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 334202 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1646617 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 247907 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KETTER & ASSOCIATES | |||||
| 1819 F STREET | AUBURN | NE | 68305 | THERAPY SERVICES | 570125 |
| SLEEP TIGHT ANESTHESIA PC | |||||
| 2640 WHITAKER ROAD | NEBRASKA CITY | NE | 68410 | ANESTHESIA SERVICES | 502400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 103866 | RelatedOrganizations |
| All Other Contributions | 20000 | AllOtherContributions |
| Total Contributions | 123866 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 17327351 | 17327351 |
| INTERCOMPANY REIMBURSEMENTS | 900099 | 29026 | 29026 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17356377 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 230637 | TotalRevenueColumn |
| Unrelated Business Revenue | 283 | UnrelatedBusinessRevenue |
| Exclusion | $230,354 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28364 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 26934 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1430 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1430 | TotalRevenueColumn |
| Exclusion | $1,430 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 84292 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 433 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 84292 | Securities |
| Other | -433 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83859 | TotalRevenueColumn |
| Exclusion | $83,859 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 8743 | GrossSalesOfInventory |
| Cost Of Goods Sold | 6902 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1841 | TotalRevenueColumn |
| Exclusion | $1,841 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 722100 | 44756 | $44,756 | |
| MEALS ON WHEELS | 624210 | 19560 | $19,560 | |
| LABORATORY SERVICES | 621500 | 35566 | $27,005 | 8561 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40083 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $40,083 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 139965 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17937975 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17356377 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8844 | UnrelatedBusinessRevenue |
| Exclusion | $448,888 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 738075 | Total |
| Program Services | 738075 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750 | Total |
| Program Services | 750 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112074 | Total |
| Program Services | 112074 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5864697 | Total |
| Program Services | 4402965 | ProgramServices |
| Management And General | 1461732 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308285 | Total |
| Program Services | 232755 | ProgramServices |
| Management And General | 75530 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1039759 | Total |
| Program Services | 785018 | ProgramServices |
| Management And General | 254741 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416163 | Total |
| Program Services | 314203 | ProgramServices |
| Management And General | 101960 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3335939 | Total |
| Program Services | 2145770 | ProgramServices |
| Management And General | 1190169 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43096 | Total |
| Management And General | 43096 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 783178 | Total |
| Program Services | 475724 | ProgramServices |
| Management And General | 307454 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465 | Total |
| Management And General | 465 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342254 | Total |
| Program Services | 234813 | ProgramServices |
| Management And General | 107441 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55400 | Total |
| Program Services | 25739 | ProgramServices |
| Management And General | 29661 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29502 | Total |
| Program Services | 22621 | ProgramServices |
| Management And General | 6881 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49303 | Total |
| Program Services | 49303 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494172 | Total |
| Management And General | 494172 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653594 | Total |
| Program Services | 333781 | ProgramServices |
| Management And General | 319813 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24829 | Total |
| Management And General | 24829 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 1586013 | 1586013 | |
| BAD DEBTS | 510230 | 510230 | |
| REPAIRS AND MAINTENANCE | 422035 | 309172 | 112863 |
| UNRELATED BUSINESS TAXES | 9702 | 9702 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217565 | Total |
| Program Services | 149058 | ProgramServices |
| Management And General | 68507 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17037080 | Total |
| Program Services | 12428064 | ProgramServices |
| Management And General | 4609016 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300 | BOY |
| EOY | 300 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2876548 | BOY |
| EOY | 1825273 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2360710 | BOY |
| EOY | 3137395 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208506 | BOY |
| EOY | 285842 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40588 | BOY |
| EOY | 49086 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13563620 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9893660 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4066624 | BOY |
| EOY | 3669960 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9402394 | BOY |
| EOY | 10422683 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71379 | BOY |
| EOY | 71379 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19027049 | BOY |
| EOY | 19461918 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 686453 | BOY |
| EOY | 559623 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1092255 | BOY |
| EOY | 992718 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1778708 | BOY |
| EOY | 1552341 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17245088 | BOY |
| EOY | 17906321 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3253 | BOY |
| EOY | 3256 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17248341 | BOY |
| EOY | 17909577 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19027049 | BOY |
| EOY | 19461918 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 900895 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -239659 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $428 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 428 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $297, CATHOLIC HEALTH ASSOCIATION - $131 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31012 | OtherCostOrOtherBasis |
| Book Value | 31012 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 322014 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 8103637 | OtherCostOrOtherBasis |
| Depreciation | 5621624 | Depreciation |
| Book Value | 2804027 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4883771 | OtherCostOrOtherBasis |
| Depreciation | 4168337 | Depreciation |
| Book Value | 715434 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 223186 | OtherCostOrOtherBasis |
| Depreciation | 103699 | Depreciation |
| Book Value | 119487 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3669960 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OIP - FIXED INCOME | 5232482 | F |
| CHI OIP - EQUITY SECURITIES | 5190201 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 10422683 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CHI DEBT PROGRAM | $991,772 |
| UNCLAIMED PROPERTY | $946 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 992718 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | ST. MARY'S COMMUNITY HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 160 | PersonsServed |
| Total Community Benefit Expense | 209227 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 209227 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 160 | PersonsServed |
| Total Community Benefit Expense | 209227 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 209227 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 367 | PersonsServed |
| Total Community Benefit Expense | 93271 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 93181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 18 | PersonsServed |
| Total Community Benefit Expense | 10835 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10835 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 921 | PersonsServed |
| Total Community Benefit Expense | 74809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17022 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57787 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 1306 | PersonsServed |
| Total Community Benefit Expense | 178915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17112 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 161803 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 1466 | PersonsServed |
| Total Community Benefit Expense | 388142 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17112 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 371030 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02250 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 574 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 574 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 29415 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 29415 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 246 | PersonsServed |
| Total Community Building Expense | 2798 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2798 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 6064 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 6064 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 5 | PersonsServed |
| Total Community Building Expense | 1286 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1286 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 251 | PersonsServed |
| Total Community Building Expense | 40137 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 40137 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $510,230 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6550667 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6502247 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 48420 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 3RD AVENUE | AddressLine1 |
| City | NEBRASKA CITY | City |
| State | NE | State |
| ZIP Code | 68410 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Eligibility criteria for free or discounted care | Schedule H, Part I, Line 3c | WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. MARY'S COMMUNITY HOSPITAL) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. MARY'S COMMUNITY HOSPITAL BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. |
| PREPARED COMMUNITY BENEFIT REPORT | SCHEDULE H, PART I, LINE 6A | ST. MARY'S COMMUNITY HOSPITAL 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 assistance | Schedule H, Part I, Line 7 | A 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. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/12 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 510,230 |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE AMOUNT REPORTED ON THE SCHEDULE H, PART III, LINES 2 AND 3 ARE THE SAME AMOUNTS REPORTED FOR BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS. PLEASE REFER TO THE FINANCIAL STATEMENT FOOTNOTE BELOW FOR INFORMATION REGARDING THE METHODOLOGY USED TO DETERMINE AND REPORT BAD DEBT EXPENSE. ST. MARY'S COMMUNITY HOSPITAL 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. ST. MARY'S COMMUNITY HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING 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." |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | ST. MARY'S COMMUNITY HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, ST. MARY'S COMMUNITY HOSPITAL, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, ST. MARY'S COMMUNITY HOSPITAL WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | ST. MARY'S COMMUNITY HOSPITAL, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY * TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: A. NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; B. REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR C. REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. * COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. * OTHER IMPERMISSIBLE COLLECTION TACTICS. A. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; B. NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS ("RECOURSE INDEBTEDNESS"); AND C. NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. |
| Used federal poverty guidelines (FPG) to determine eligibility | Schedule H, Part V Section B, Line 9 | (1) ST. MARY'S COMMUNITY HOSPITAL - USE HUD FEDERAL GUIDELINES.; |
| Used FPG to determine eligibility for providing discounted care criteria | Schedule H, Part V Section B, Line 10 | (1) ST. MARY'S COMMUNITY HOSPITAL - USE HUD FEDERAL GUIDELINES.; |
| LINES 2, 3, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE ST. MARY'S COMMUNITY HOSPITAL ("SMCH") WAS FOUNDED TO ALLEVIATE A SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY IN 1927. AS A CATHOLIC HOSPITAL, SMCH EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF SMCH IS TO DEVELOP A HEALTHY COMMUNITY AND PROVIDE CARE TO ALL IN NEED. IT HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT, COMMUNITY REPRESENTATIVES. SMCH OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. SMCH 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 SMCH'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 REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SMCH DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON A GOVERNMENT-SUPPORTED INSTITUTION. SMCH IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY BENEFIT APPROACH LOCATED IN NEBRASKA CITY, NEBRASKA, SMCH SERVES OTOE COUNTY, NEBRASKA AND THE SURROUNDING COUNTIES IN SOUTHEAST NEBRASKA, AS WELL AS SOUTHWEST IOWA. THIS ENCOMPASSES THE HOSPITAL'S HOME ZIP CODE AREA AND THE 11 NEIGHBORING ZIP CODES. OTOE COUNTY HAS A POPULATION OF 15,740. ALMOST ONE HALF OF THE COUNTY'S POPULATION RESIDE IN NEBRASKA CITY WHILE THE OTHER HALF LIVE IN AND NEAR ONE OF THE NINE OTHER COMMUNITIES. OTOE COUNTY: THE MOST RECENT 2011 ESTIMATES, BASED ON THE LAST OFFICIAL COUNT FROM 2010 FROM THE U.S. CENSUS BUREAU, REFLECT OTOE COUNTY AS AN OLDER AND MORE DIVERSE COMMUNITY. OTOE COUNTY HAS A MEDIAN AGE OF 39.1 OTOE COUNTY MEDIAN HOUSEHOLD INCOME: $46,160 OTOE COUNTY UNEMPLOYMENT RATE: 3.9% OTOE COUNTY; PERCENTAGE OF PERSONS LIVING BELOW THE POVERTY LINE: 12.2% OTOE COUNTY HISPANIC POPULATION: 5.1% MEDICALLY UNDERSERVED POPULATION: 11.2% UNINSURED THE BABY BOOMERS BORN BETWEEN 1946 AND 1964 ARE THE LARGEST GENERATION WITH MANY REACHING THE STATUS OF A SENIOR CITIZEN. CITY OF NEBRASKA CITY: LARGEST POPULATION IS WHITE: 91.5% HISPANIC POPULATION: 7.5% MEDIAN INCOME: $55,350 JOBS HAVE DECREASED BY 70 SINCE 12/31/2011 SMCH HAS BEEN COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES FOR A NUMBER OF YEARS. IN 2004, SMCH OFFICIALLY LAUNCHED THE HEALTHY COMMUNITIES COALITION PROCESS TO LOOK AT AREA HEALTH ISSUES, SET PRIORITIES AND PLAN FOR IMPROVEMENT. A WIDE VARIETY OF CITIZENS FROM THE PUBLIC AND PRIVATE SECTORS PARTICIPATED IN THIS PROCESS. SMCH CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIVE TODAY. PROCESS SMCH'S COMMUNITY BENEFIT EFFORTS ARE BASED ON THE UNDERSTANDING OF COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. IN 2007, SMCH'S HEALTHY COMMUNITIES COALITION AND OTOE COUNTY COALITION MERGED TO FORM PARTNERS FOR OTOE COUNTY (P4OC) COALITION. THE COALITION STRIVES TO MAXIMIZE RESOURCES (FINANCIAL AND HUMAN), REDUCE DUPLICATION OF WORK AND EFFECTIVELY MEET THE NEEDS AND PRIORITIES OF NEBRASKA CITY AND OTOE COUNTY. P4OC ENCOURAGES INDIVIDUALS, ORGANIZATIONS AND INSTITUTIONS TO TAKE RESPONSIBILITY FOR IMPROVING THE HEALTH AND QUALITY OF LIFE IN THEIR COMMUNITIES. P4OC HAS BEEN WORKING FOR SEVERAL YEARS TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. SUMMARY OF ASSESSMENT FINDINGS SMCH, IN COLLABORATION WITH PARTNER FOR OTOE COUNTY (P4OC) COALITION, COMPLETED THE HEALTHY COMMUNITIES' ASSESSMENT PROCESS IN 2007. IN SUBSEQUENT YEARS, SMCH HAS WORKED WITH COMMUNITY PARTNERS TO CONDUCT ADDITIONAL FOCUS GROUPS AND SURVEYS TO GAUGE COMMUNITY NEEDS. THESE PROCESSES IDENTIFIED ISSUES HAVING A SIGNIFICANT IMPACT ON THE OVERALL HEALTH OF THE POPULATION OF NEBRASKA CITY AND OTOE COUNTY. FROM THESE IDENTIFIED ISSUES, P40C DEVELOPED GOALS. IN FISCAL YEAR 2012, THE GOAL AREAS WERE EVALUATED TO BETTER RESPOND TO COMMUNITY NEEDS. THE OVERARCHING COALITION GOAL IS TO BUILD A COMMUNITY WHERE EVERY FAMILY THRIVES. KEY FACTORS IDENTIFIED AS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA CURRENTLY GUIDE SMCH COMMUNITY BENEFIT EFFORTS AND INCLUDE THE FOLLOWING: * HEALTHY LIFESTYLES AND BEHAVIORS * VIOLENCE PREVENTION * CHILD AND MATERNAL HEALTH * ACCESS TO BASIC NEEDS/COMMUNITY HEALTH SERVICES * EDUCATIONAL PROGRAMS |
| LINES 2, 3, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION | SCHEDULE H, PART VI | QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR SMCH IS DEDICATED TO SERVING ALL PEOPLE IN OUR COMMUNITY REGARDLESS OF ABILITY TO PAY. SMCH'S CHARITY CARE POLICY PROVIDES FOR UNCOMPENSATED OR DISCOUNTED MEDICAL SERVICES FOR INDIVIDUALS WHO HAVE DEMONSTRATED NEED IN EXCESS OF INSURANCE, PERSONAL RESOURCES, AND FUNDS AVAILABLE THROUGH FEDERAL, STATE, AND LOCAL MEDICAL FUNDING PROGRAMS. CHARITY CARE MAY BE PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR DETERMINED TO BE MEDICALLY INDIGENT. SMCH PROVIDES SUPPORT TO LOW INCOME FAMILIES IN THE REGION THROUGH VARIOUS OUTREACH INITIATIVES. SMCH ALSO HOSTS AN ANNUAL BACK TO SCHOOL EVENT. THIS OUTREACH PROGRAM BENEFITS LOW INCOME CHILDREN AND FAMILIES IN THE REGION AND WAS DEVELOPED IN RESPONSE TO AN IDENTIFIED NEED. THIS INITIATIVE SERVED OVER 350 AREA CHILDREN AND PROVIDED SCHOOL SUPPLIES AS WELL AS EDUCATIONAL MATERIALS TO SUPPORT A HEALTHY LIFESTYLE. IN A COLLABORATIVE COMMUNITY EFFORT, SMCH WORKED TO HELP AREA FAMILIES WHO REQUESTED AND QUALIFIED FOR ASSISTANCE THROUGH THE SOUTHEAST NEBRASKA COMMUNITY ACTION AND THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY IN COLLABORATION WITH THE UNIVERSITY OF NEBRASKA MEDICAL CENTER (UNMC), SMCH SERVES AS A TELEMEDICINE HOST SITE. TELEMEDICINE IS THE USE OF MEDICAL INFORMATION EXCHANGED FROM ONE SITE TO ANOTHER VIA ELECTRONIC COMMUNICATION TO IMPROVE A PATIENT'S HEALTH STATUS. THIS IMPORTANT SERVICE PROVIDES ACCESS TO MENTAL HEALTH CARE NOT READILY AVAILABLE LOCALLY. SMCH PROVIDES STAFF AND RESOURCES TO SUPPORT THE COMMUNITY MEALS ON WHEELS PROGRAM. SMCH'S FOOD PREPARATION AND ORGANIZATION OF THE DELIVERY ROUTES KEEP THIS MUCH NEEDED SERVICE OPERATIONAL. THIS NUTRITION PROGRAM PROVIDES IN-HOME MEALS TO SENIORS AND OTHER HOME-BOUND PERSONS AND HELPS ENSURE A HEALTHIER COMMUNITY. ADDITIONAL COMMUNITY HEALTH SERVICES PROVIDED BY SMCH THAT IMPROVES COMMUNITY HEALTH AND EXTENDS BEYOND TRADITIONAL PATIENT CARE INCLUDE TELEPHONE TRIAGE SERVICES, INFANT HEARING SCREENINGS, DIABETES EDUCATION, AND SMOKING CESSATION CLASSES. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SMCH PROVIDED HEALTH EDUCATION TO AREA FAMILIES THROUGH IT'S COLLABORATION WITH THE SOUTHEAST DISTRICT HEALTH DEPARTMENT. GROWING GREAT KIDS IN SOUTHEAST NEBRASKA IS A HOME VISITATION PROGRAM THAT MATCHES TRAINED PROFESSIONALS WITH PREGNANT AND NEW MOMS DURING THE CRITICAL EARLY YEARS OF THEIR CHILD'S LIFE TO PROMOTE CHILD DEVELOPMENT, HEALTH, SAFETY, NUTRITION AND STRESS MANAGEMENT. THE PROGRAM SERVICES INCLUDE A ONE-TIME PARENT SURVEY VISIT TO CONNECT FAMILIES WITH COMMUNITY RESOURCES AND HOME VISITS PRENATAL UP TO THE CHILD'S THIRD BIRTHDAY. SMCH PROVIDED COORDINATION, FUNDING AND RESOURCES FOR THE PROGRAM. HEALTH PROFESSIONS EDUCATION SMCH SERVED AS A TRAINING SITE FOR VARIOUS HEALTH CARE PROFESSIONS WHICH EXPOSED HEALTH CARE WORKERS TO THE RURAL EXPERIENCE AND ATTRACTED NEW GRADUATES TO MEET FUTURE NEEDS. IN FISCAL YEAR 2012, SMCH SERVED AS A TRAINING SITE FOR THE FOLLOWING HEALTHCARE PROFESSIONS: LABORATORY, IMAGING SERVICES, PHYSICIAN/MED STUDENT, NURSING AND OCCUPATIONAL THERAPY. COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES FOR SMCH TARGETS ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOUSING ISSUES, AND ENVIRONMENTAL AND SAFETY ISSUES THROUGH ACTIVE PARTICIPATION IN COMMUNITY LIFE OF NEBRASKA CITY. ACTIVITIES INCLUDE: * HOSPITAL LEADERSHIP SERVED ON VARIOUS LOCAL BOARDS. * SMCH HAS AN ACTIVE ROLE IN PARTNERS FOR OTOE COUNTY (P40C) COALITION, A COUNTY-WIDE PARTNERSHIP OF COMMUNITY ORGANIZATIONS, BUSINESSES, AND INDIVIDUALS OF ALL AGES WORKING TOGETHER FOR POSITIVE CHANGE IN OTOE COUNTY. THE COALITION STRIVES TO MAXIMIZE RESOURCES (FINANCIAL AND HUMAN), REDUCE DUPLICATION OF WORK AND WORK EFFECTIVELY TO MEET THE NEEDS AND PRIORITIES OF NEBRASKA CITY AND OTOE COUNTY. SMCH PROVIDED DEDICATED STAFF TO SUPPORT THE WORK OF P4OC. * IN FISCAL YEAR 2012, SMCH HOSTED ITS 4TH ANNUAL BACK TO SCHOOL EVENT. THIS OUTREACH PROGRAM BENEFITED LOW INCOME CHILDREN AND FAMILIES IN THE REGION BY PROVIDING ESSENTIAL BACK TO SCHOOL SUPPLIES WHILE PROVIDING HEALTH EDUCATION TO PARTICIPATING FAMILIES. THE EVENT IS POSSIBLE THROUGH PARTNERSHIPS WITH THE COMMUNITY BUSINESSES AND ORGANIZATIONS. * SMCH IDENTIFIED THAT AREA FAMILIES WERE IN NEED OF FUNDS FOR HEAT ASSISTANCE. SMCH RESPONDED WITH A SERIES OF REACH OUT AND WARM UP SOUP LUNCHEONS. THE LUNCHEONS WERE A FREE WILL DONATION AND SMCH MATCHED THE FUNDS AND PROVIDED THEM TO SOUTHEAST NEBRASKA COMMUNITY ACTION (SENCA) FOR DISTRIBUTION TO QUALIFYING FAMILIES. BY MEETING THIS BASIC NEED, SMCH HELPED ALLEVIATE STRESS ON THESE FAMILIES AND IMPROVED THEIR OVERALL HEALTH AND WELLBEING. * DURING FISCAL YEAR 2011, AREA COMMUNITY MEMBERS COMPLETED A PLANNING PROCESS AND IDENTIFIED YOUTH VIOLENCE AS A TOP PRIORITY FOR OTOE COUNTY. BASED ON THE COMMUNITY'S INPUT, SMCH AND THEIR PARTNERS ARE WORKING TO REDUCE REPORTED INCIDENTS OF YOUTH VIOLENCE (INCLUDING BULLYING, ASSAULT, AND PHYSICAL AGGRESSION) AMONG YOUTH AGE 10-17 IN OTOE COUNTY. THE FIRST GOAL IS TO EDUCATE YOUTH, FAMILIES AND THE COMMUNITY ON SAFE HOMES, SAFE LIVES AND SAFE COMMUNITIES BY WORKING WITH FAMILIES, SCHOOLS, CHURCHES, BUSINESSES, YOUTH ORGANIZATIONS, AND OTHER ORGANIZATIONS TO REDUCE THE CONDITIONS OF VIOLENCE AND TO EQUIP YOUTH WITH KNOWLEDGE, SKILLS AND RELATIONSHIPS WHICH REDUCE VIOLENCE. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | ST. MARY'S COMMUNITY HOSPITAL INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, ST. MARY'S COMMUNITY HOSPITAL 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. IN ADDITION, ST. MARY'S COMMUNITY HOSPITAL'S 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 ST. MARY'S COMMUNITY HOSPITAL'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. ST. MARY'S COMMUNITY HOSPITAL'S 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. ST. MARY'S COMMUNITY HOSPITAL'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | ST. MARY'S COMMUNITY HOSPITAL IN NEBRASKA CITY, NEBRASKA IS PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2011 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. ST. MARY'S COMMUNITY HOPSITAL OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH IT'S FUNDRAISING ARM, ST. MARY'S COMMUNITY HOSPITAL FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE NEBRASKA CITY AND SURROUNDING COMMUNITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHI NEBRASKA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6940 O STREET SUITE 200 | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 363233121 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 734693 | AmountOfCashGrant |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | THE ORGANIZATION MADE A GRANT TO CHI NEBRASKA, A RELATED ORGANIZATION THAT ENGAGES IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THIS CONTRIBUTION, AS IT IS CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO CHI NEBRASKA IS NOT MONITORED BEYOND DISTRIBUTION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL KELLY | |||||||||||||
| 0 | 163137 | 0 | 56012 | 0 | 27834 | 0 | 38262 | 0 | 12090 | 0 | 297335 | 0 | 5926 |
| JONATHAN STELLING | |||||||||||||
| 0 | 209167 | 0 | 57673 | 0 | 692 | 0 | 22678 | 0 | 19296 | 0 | 309506 | 0 | 0 |
| ROBERT LANIK | |||||||||||||
| 0 | 532784 | 0 | 194611 | 0 | 154814 | 0 | 32478 | 0 | 13968 | 0 | 928655 | 0 | 81987 |
| STACY BLUM | |||||||||||||
| 0 | 213439 | 0 | 23492 | 0 | 12962 | 0 | 22678 | 0 | 19328 | 0 | 291899 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A | POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THERE WERE NO INTERESTED PERSONS THAT RECEIVED SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS DURING CALENDAR YEAR 2011. |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | DURING THE 2011 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: DANIEL KELLY AND ROBERT LANIK DURING 2011, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: DANIEL KELLY - $14,760 DURING 2011, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: DANIEL KELLY - $5,926; ROBERT LANIK - $81,987 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2011 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $45,883 |
| Non-fixed payments | Schedule J, Part I, Line 7 | DURING FISCAL YEAR 2012, SMCH MAINTAINED A DISCRETIONARY BONUS PROGRAM ACCRUED FOR IN FISCAL YEAR 2012, TO BE PAID OUT IN NOVEMBER, 2012 (FISCAL YEAR 2013). AWARDS OF COMPENSATION FROM THIS PLAN ARE BASED ON THE ACHIEVEMENT OF CERTAIN ORGANIZATIONAL TARGETS (GENERALLY ASSOCIATED WITH PATIENT SATISFACTION, FINANCIAL PERFORMANCE, AND QUALITY INITIATIVES) AND ARE PAYABLE AS A FIXED PERCENTAGE OF EACH PARTICIPANT'S BASE COMPENSATION IF SUCH TARGETS ARE ACHIEVED. HOWEVER, TARGETS WERE NOT ACHIEVED. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | PURSUANT TO SECTION 8.1 OF THE BYLAWS OF ST. MARY'S COMMUNITY HOSPITAL, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. MARY'S COMMUNITY HOSPITAL, THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, AND THE PRESIDENT AND CEO. 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. |
| Significant changes to organizational documents | Form 990, Part VI, Section A, Line 4 | THE ORGANIZATION'S BYLAWS WERE REVISED, EFFECTIVE AS OF MAY 1, 2012, RELATING TO A RESTRUCTURING. IN SUMMARY, THE ORGANIZATION'S BOARD OF DIRECTORS DEEMED IT IN THE BEST INTERESTS OF THE ORGANIZATION TO ADOPT THE NEBRASKA GOVERNANCE RESTRUCTRE AS PRESENTED AND RECOMMENDED BY THE GOVERNANCE COMMITTEE AND RESOLVED THAT THE BYLAWS WOULD REFLECT CHANGES BROUGHT ABOUT IN THE NEBRASKA GOVERNANCE RESTRUCTURE. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF THE ORGANIZATION IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S 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 CHI NEBRASKA BOARD: * APPROVE MEMBERS OF THE ST. MARY'S COMMUNITY HOSPITAL BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. MARY'S COMMUNITY HOSPITAL * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. MARY'S COMMUNITY HOSPITAL * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. MARY'S COMMUNITY HOSPITAL 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 ST. MARY'S COMMUNITY HOSPITAL * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. MARY'S COMMUNITY HOSPITAL * APPROVAL OF ISSUANCE OF DEBT BY ST. MARY'S COMMUNITY HOSPITAL * APPROVAL OF PARTICIPATION OF ST. MARY'S COMMUNITY HOSPITAL IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. MARY'S COMMUNITY HOSPITAL * APPROVAL OF A MERGER INVOLVING ST. MARY'S COMMUNITY HOSPITAL * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. MARY'S COMMUNITY HOSPITAL * TO REQUIRE THE TRANSFER OF ASSETS BY ST. MARY'S COMMUNITY HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA 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 body | Form 990, Part VI, Section B, Line 11b | ONCE THE RETURN IS PREPARED, IT IS REVIEWED BY THE VP OF FINANCE. AFTER THE VP OF FINANCE HAS REVIEWED THE RETURN, COPIES OF THE 990 ARE PROVIDED TO ALL BOARD MEMBERS. THE TAX DEPARTMENT THEN 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 UNLESS MATERIAL. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ST. MARY'S COMMUNITY HOSPITAL HAS A BOARD POLICY THAT REFERENCES THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICIES PROVIDED BY CHI NATIONAL. AT THE ANNUAL BOARD AND BOARD COMMITTEE MEETINGS ALL MEMBERS ARE REQUESTED TO SIGN CONFLICT OF INTEREST STATEMENTS. THE SIGNED STATEMENTS ARE RETAINED IN THE ADMINISTRATIVE FILES. ALL MEMBERS ARE REQUESTED TO DECLARE POTENTIAL CONFLICTS OF INTEREST AT EACH BOARD AND/OR COMMITTEE MEETING OF THE BOARD (FINANCE, AUDIT AND COMPLIANCE COMMITTEE AND THE PERFORMANCE IMPROVEMENT COMMITTEE). IF THE BOARD FINDS THAT A CONFLICT DOES EXIST REGARDING THE AGENDA ITEMS TO BE PRESENTED FOR ACTION, MEMBERS ARE REQUESTED TO ABSTAIN FROM VOTING. IN ADDITION, A QUESTIONNAIRE IS SENT ANNUALLY TO ALL BOARD MEMBERS, TOP PAID VENDORS, AND TOP PAID EMPLOYEES ASKING THEM TO DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS. |
| DOCUMENT RETENTION & DESTRUCTION POLICY | FORM 990, PART VI, LINE 14 | THE ORGANIZATION'S BOARD FORMALLY ADOPTED A DOCUMENT RETENTION & DESTRUCTION POLICY ON MAY 22, 2012. |
| PROCESS FOR DETERMING COMPENSATION - TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. 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 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | ANY EXECUTIVE COMPENSATION PAID BY ST. MARY'S COMMUNITY HOSPITAL WAS SET BY THE EXECUTIVE COMMITTEE UTILIZING COMPARABILITY STUDIES TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS 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. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A | COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -284410; CHI CONNECT DEPRECIATION - 44751; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||
| 7500 MERCY ROAD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI | true |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | 3 | AHBMHS | true |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| APPLETREE COURT | ||||||||||
| 601 OAK STREET | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR HOMES | MN | 501(C)(3) | 9 | SFH | true |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | true |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | 9 | NA | true |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(C)(3) | 7 | CHIC | true |
| CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | true |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(C)(3) | 9 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | true |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 263946191 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | true |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CNTR | KS | 501(C)(3) | 3 | CHI | true |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PARKWAY | FARGO | ND | 58104 | 271966847 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | 11 - Type I | CHI | true |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHINS | true |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI | true |
| CHI NEBRASKA | ||||||||||
| 6940 O STREET SUITE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | 11 - Type I | CHI | true |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | 611400619 | LTACH | KY | 501(C)(3) | 3 | SJHS | true |
| COVENANT HOME CARE | ||||||||||
| 1223 POTTSVILLE PIKE | SHOEMAKERSVILLE | PA | 19555 | 232018429 | HOME HEALTH | PA | 501(C)(3) | 11 - Type II | NA | true |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | true |
| FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | FH | true |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(C)(3) | 3 | CHI | true |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1708 SOUTH YAKIMA AVENUE | TACOMA | WA | 98405 | 911939739 | HEALTHCARE | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 SOUTH CHICAGO AVENUE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(C)(3) | 9 | CHI | true |
| GETTYSBURG MEDICAL CENTER | ||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE | SD | 501(C)(3) | 3 | SMHC | true |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | 11 - Type I | CHI | true |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 311778403 | EDUCATION | OH | 501(C)(3) | 2 | GSH | true |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(C)(3) | 11 - Type I | GSH | true |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST STREET | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(C)(3) | 7 | GSH | true |
| HEALTH SET | ||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | 841102943 | LOW INC.CARE | CO | 501(C)(3) | 7 | CHIC | true |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | 11 - Type I | SFMC | true |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 526050777 | HEALTHCARE | MD | 501(C)(3) | 9 | SJMC | true |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| JEWISH PHYSICIAN GROUP INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40215 | 611352729 | HEALTHCARE | KY | 501(C)(3) | 9 | JHSMH | true |
| KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(C)(3) | 9 | CHI | true |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVENUE SOUTH | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | true |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(C)(3) | 7 | MHCS | true |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 6028 SHALLOWFORD ROAD | CHATTANOOGA | TN | 37421 | 030417049 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | true |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | 11 - Type I | CHI-IA CORP | true |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | 2 | CHI-IA CORP | true |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 936088946 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | true |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMH | true |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MHVC | true |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHBMHS | true |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930386868 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MMC | true |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421470935 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MLIFECARES | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431305163 | PROPERTY MGMT | MO | 501(C)(3) | 11 - Type I | SJRMC | true |
| MNMCH INC | ||||||||||
| 220 NORTH PENNSYLVANIA | COLUMBUS | KS | 66725 | 481216238 | HEALTHCARE | KS | 501(C)(3) | 3 | SJRMC | true |
| MT ST JOSEPH INC | ||||||||||
| 3060 SE STARK STREET | PORTLAND | OR | 97214 | 930386870 | NURSING CARE | OR | 501(C)(3) | 9 | CHI | true |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 SOUTH 91ST STREET | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 314 SOUTH 8TH STREET | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH STREET | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | OCH | true |
| PUEBLO STEPUP | ||||||||||
| 1925 EAST ORMAN AVE SUITE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | 7 | CHIC | true |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 825 E PIKES PEAK AVENUE BLDG 29 | COLORADO SPRINGS | CO | 80903 | 841183335 | LTERM CARE | CO | 501(C)(3) | 7 | CHIC | true |
| SAINT CLARE'S COMMUNITY CARE | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(C)(3) | 11 - Type II | SCHS | true |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(C)(3) | 7 | SCHS | true |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(C)(3) | 7 | CHI | true |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | 3 | SCHS | true |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(C)(3) | 7 | SERMC | true |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(C)(3) | 3 | SERMC | true |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 WEST FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(C)(3) | 7 | SFMC | true |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 424 LEWIS HARGETT CIRCLE 160 | LEXINGTON | KY | 40509 | 611334601 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | true |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 310 EAST NINTH STREET | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| SAINT JOSEPH MEDICAL FOUNDATION INC | ||||||||||
| ONE ST JOSEPH DRIVE | LEXINGTON | KY | 40504 | 311539059 | PHY PRACTICES | KY | 501(C)(3) | 3 | SJHS | true |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 50 STERLING AVENUE | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | SJHHC | true |
| SAMARITAN BEHAVIORAL HEALTH | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45408 | 020633634 | HEALTHCARE | OH | 501(C)(3) | 3 | SHP | true |
| SAMARITAN HEALTH FOUNDATION | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 237296923 | FUNDRAISING | OH | 501(C)(3) | 7 | SHP | true |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 311107411 | HEALTHCARE | OH | 501(C)(3) | 11 - Type I | CHI | true |
| SJMGROUP | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431882377 | PHYS PRACTICE | MO | 501(C)(3) | 9 | SJRMC | true |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 440545809 | HEALTHCARE | MO | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTH | PA | 501(C)(3) | 11 - Type I | CHI | true |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(C)(3) | 11 - Type I | SA HOSPITAL | true |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DRIVE | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | true |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(C)(3) | 3 | CHI | true |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(C)(3) | 11 - Type I | SCH | true |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 930433692 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | true |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 930412495 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST JOHN'S MERCY REGIONAL FOUNDATION | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431308084 | FUNDRAISING | MO | 501(C)(3) | 7 | SJRMC | true |
| ST JOSEPH COMMUNITY HEALTH | ||||||||||
| 300 CENTRAL AVE SW SUITE 3000 | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | 11 - Type I | CHI | true |
| ST JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(C)(3) | 11 - Type I | SJRHN | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521681044 | FUNDRAISING | MD | 501(C)(3) | 7 | SJMC | true |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 520591461 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | true |
| ST JOSEPH PHYSICIAN ENTERPRISES | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521311775 | PHYSICIANS | MD | 501(C)(3) | 11 - Type I | SJMC | true |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | true |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| ST MARY'S HEALTHCARE CENTER | ||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE | SD | 501(C)(3) | 3 | CHI | true |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | 7 | SMH | true |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | 11 - Type I | SVIMC | true |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | true |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | true |
| THE COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | DIALYSIS | OH | 501(C)(2) | N/A | GSH | true |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(C)(3) | 3 | CHI | true |
| THE MERCY HOSPITAL OF DEVILS LAKE FDN | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(C)(3) | 7 | MHDL | true |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 470780857 | PHYS PRACTICE | NE | 501(C)(3) | 11 - Type I | CHI NEBRASKA | true |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(C)(3) | 3 | CHIC | true |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 2ND STREET SE | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | 450226714 | LT CARE | ND | 501(C)(3) | 9 | CHI | true |
| VISITING NURSE ASSOCIATION OF SAINT CLARE'S | ||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Code VCodeVAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | 34991 | -694032 | false | false | 0.501 | |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD SUITE 400 | OMAHA | NE | 68137 | 392045003 | HEALTHCARE | NE | AHBMHS | RELATED | -2862040 | -2537888 | false | false | 0.95 | |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | 57545 | 1013237 | false | true | 0.63 | |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | SJHS | RELATED | false | false | 0.65 | |||
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | NA | RELATED | -92336 | 745068 | false | true | 1 | |
| CENTRAL NEBRASKA REHAB SERVICE | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | 1835812 | 2199571 | false | false | 0.51 | |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | 397241271 | 6272650880 | false | true | 1 | |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | RELATED | -11179 | 3069835 | false | false | 1 | |
| MRI AT ST JOESPH MEDICAL CENTER LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521958002 | MEDICAL IMAGING | MD | SJMC | RELATED | 423167 | 2174155 | false | true | 0.51 | |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | 81071 | 1077536 | false | false | 0.5744 | |
| O'DEA MEDICAL ARTS LIMITED PARTNERSHIP | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521682964 | REAL ESTATE | MD | TOWSON MANAGEMENT INC | RELATED | 111933 | 5418117 | false | false | 0.65122 | |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | CHIC | RELATED | -3249434 | -2760206 | false | false | 0.6 | |
| PENINSULA RADIATION ONCOLOGY | ||||||||||||||
| 315 MARTIN LUTHER KING JR WAY 111 | TACOMA | WA | 98405 | 710799771 | HEALTHCARE SRVC | WA | FHS | RELATED | 135014 | 85985 | false | false | 0.6 | |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | 715094 | 2397488 | false | false | 0.7 | |
| RUXTON SURGICENTER LLC | ||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | SJMC | RELATED | -69345 | 2802932 | false | true | 0.51 | |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | RELATED | false | true | 0.51 | |||
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | 68676 | 446063 | false | true | 0.51 | |
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -130967 | 408090 | false | false | 0.51 | |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | FHS | RELATED | 110986 | 1672098 | false | false | 0.5421 | |
| ST JOSEPH-PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | false | true | 0.625 | |||
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -254775 | 796941 | false | false | 0.51 | $0 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | 393519 | 2214599 | false | true | 0.51 | |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -3676 | 395845 | false | true | 0.51 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | |||||||||||||||||
| 3900 OLYMPIC BOULEVARD SUITE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | CHI | C CORPORATION | 0 | 3267441 | 1 | ||||||
| AMERICAN NURSING CARE | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C CORPORATION | 4648726 | 44654199 | 1 | ||||||
| AMERIMED INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C CORPORATION | 662062 | 11666874 | 1 | ||||||
| BC HOLDING COMPANY INC | |||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | JH | C CORPORATION | 0 | 0 | 1 | ||||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | MHCS | C CORPORATION | 0 | 1008 | 1 | ||||||
| CAPTIVE MANAGEMENT INITIATIVES | |||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | CIRI | TRUST | -2864605 | 2809707 | 1 | ||||||
| CGH REALTY COMPANY INC | |||||||||||||||||
| 215 N 12TH ST | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | SJHM | C CORPORATION | 1 | ||||||||
| COMCARE SERVICES | |||||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | CHIC | C CORPORATION | 0 | 0 | 1 | ||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C CORPORATION | -1525246 | 65844862 | 1 | ||||||
| DAVID DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192395 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | CHI-IA CORP | C CORPORATION | 71497 | 1221667 | 0.9298 | ||||||
| FIRST INITIATIVES INSURANCE LTD | |||||||||||||||||
| 980203038 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| FRANCISCAN SERVICES INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | CHI | C CORPORATION | -5719 | 5837142 | 1 | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI NEBRASKA | C CORPORATION | -165666 | 355110 | 1 | ||||||
| HAROLD W RASE 1995 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 456090420 | INVESTMENTS | ND | SJHHC | TRUST | 1240 | 22148 | 1 | ||||||
| HAROLD W RASE 1996 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037112 | INVESTMENTS | ND | SJHHC | TRUST | 1057 | 15462 | 1 | ||||||
| HAROLD W RASE 1997 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037104 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 20520 | 1 | ||||||
| HAROLD W RASE 1999 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037099 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 25036 | 1 | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C CORPORATION | 102136 | 1443049 | 1 | ||||||
| HEALTHCARE MGMT SERVICES ORG INC | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| JAMES & HENRIETTA NISTLER UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206021899 | INVESTMENTS | ND | SJHHC | TRUST | 692 | 39075 | 1 | ||||||
| JEANNE DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192398 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| JOSEPH A SCHUSTER ANNUITY TRUST #1 | |||||||||||||||||
| 400 UNIVERSITY AVENUE | DES MOINES | IA | 50314 | 421195122 | INVESTMENTS | IA | MFDM | TRUST | 7834 | 416349 | 1 | ||||||
| LODESCA MILLER CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476186933 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| MEDQUEST | |||||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | MMC WILLISTON | C CORPORATION | 151498 | 962554 | 1 | ||||||
| MERCY PARK APARTMENTS LTD | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | CHI-IA CORP | C CORPORATION | 369905 | 1937220 | 1 | ||||||
| MERCY SERVICES CORP | |||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | MMC | C CORPORATION | 0 | 956003 | 1 | ||||||
| MHSERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431457881 | DME | MO | SJRMC | C CORPORATION | -4061 | 0 | 1 | ||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | MHCS | C CORPORATION | -33152 | 4679435 | 1 | ||||||
| NAZARETH ASSURANCE COMPANY | |||||||||||||||||
| 030304831 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C CORPORATION | 479940 | 1 | |||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| RAY & SHIRLEY DAVID 1999 UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037077 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 26110 | 1 | ||||||
| ROBERT & WANDA CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 266191916 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| SAINT CLARE'S PRIMARY CARE INC | |||||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | SCCC | C CORPORATION | -469962 | 1772016 | 1 | ||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | SHP | C CORPORATION | 1 | ||||||||
| SJH SERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | FSI | C CORPORATION | -192777 | 2973858 | 1 | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | SJHS | C CORPORATION | 0 | 0 | 1 | ||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | SAH | C CORPORATION | 92139 | 3007550 | 1 | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | SVIMC | C CORPORATION | 2804485 | 14049374 | 1 | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | FSI | C CORPORATION | 63164 | 11845439 | 1 | ||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | SJHS | C CORPORATION | 882139 | 0.85 | |||||||
| TOM DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192393 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| TOWSON MANAGEMENT INC | |||||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | FSI | C CORPORATION | 266960 | 1 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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