ST JOSEPHS AREA HEALTH SERVICES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS AREA HEALTH SERVICES (EIN 41-0695603)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201311349349306221
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T16:00:14-05:00 | 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 | 410695603 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S AREA HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 2186163525 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 PLEASANT AVENUE | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ROSS | Name |
| Title | CFO | Title |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kimberly Steenhoek | Name |
| PTIN | P01201968 | PTIN |
| Phone | 3032989100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENJAMIN KOPPELMAN | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 PLEASANT AVENUE | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 44065279 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SJAHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1946 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | ST. JOSEPH'S AREA HEALTH SERVICES IS A COMMUNITY HOSPITAL PROVIDING FULL SERVICE INPATIENT, OUTPATIENT, EMERGENCY SERVICES, HOME CARE AND HOSPICE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 377 | TotalNbrEmployees |
| Total Nbr Volunteers | 248 | TotalNbrVolunteers |
| Total Gross UBI | 245618 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 37864 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1212224 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 938479 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 40401497 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 41310882 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 550187 | InvestmentIncomePriorYear |
| Investment Income Current Year | 320632 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1486805 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1473167 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43650713 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44043160 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 135458 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 92111 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21154004 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22058573 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 113852 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19105295 | OtherExpensePriorYear |
| Other Expenses Current Year | 19622729 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40394757 | TotalExpensesPriorYear |
| Total Expenses Current Year | 41773413 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3255956 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2269747 | RevenuesLessExpensesCY |
| Total Assets BOY | 40425690 | TotalAssetsBOY |
| Total Assets EOY | 40593325 | TotalAssetsEOY |
| Total Liabilities BOY | 6094253 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4580314 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34331437 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36013011 | 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 | 33537776 | Expense |
| Grants | 92111 | Grants |
| Revenue | 41310882 | Revenue |
| Description | SEE SCHEDULE H | Description |
| Total Program Service Expense | 33537776 | 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 | true | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | 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 | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 46 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 377 | 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAY P ROSS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2186163525 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 PLEASANT AVENUE | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 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 |
|---|---|---|---|---|---|---|---|
| BENJAMIN KOPPELMAN | |||||||
| PRESIDENT/CEO | 50.00 | X | X | 0 | 289012 | 63663 | |
| CLAY PETERSON | |||||||
| VICE CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| JEFFREY DROP | |||||||
| SVP DIVISION OFFICER | 2.00 | X | X | 0 | 540927 | 82538 | |
| ROGER STEWART | |||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| CLARICE KONSHOK | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| DANIEL SMITH | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JEFF HAUKEBO | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JOHN WARREN | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| KATHY HENRY | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| RODNEY ALLEBACH | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| SR DORETTA MEIER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| TOM MILLER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| BRENT SCHMIDT | |||||||
| AVP FINANCE | 40.00 | X | 155578 | 5760 | 25317 | ||
| DEB HAAGENSON | |||||||
| VP PATIENT CARE | 40.00 | X | 130020 | 0 | 16748 | ||
| EUGENE KABERLINE | |||||||
| INTERIM CFO | 40.00 | X | 6314 | 0 | 0 | ||
| JAY P ROSS | |||||||
| VP FINANCE/CFO/ TREASURER | 40.00 | X | 0 | 0 | 0 | ||
| LYNN PETERSON | |||||||
| SECRETARY | 40.00 | X | 36159 | 0 | 12538 | ||
| CODRUTA FOSMAN | |||||||
| DENTIST | 40.00 | 135276 | 0 | 11502 | X | ||
| DARRYL BEEHLER | |||||||
| CHIEF OF STAFF/ER PHYSICIAN | 40.00 | 289243 | 0 | 31261 | X | ||
| JANE M CHURCHILL | |||||||
| ER PHYSICIAN | 40.00 | 272756 | 0 | 21530 | X | ||
| JOHN THOMAS | |||||||
| ER PHYSICIAN | 40.00 | 217082 | 0 | 26781 | X | ||
| LARRY KOBRIGER | |||||||
| ER PHYSICIAN | 40.00 | 282763 | 0 | 36221 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1525191 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 835699 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 328099 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ESSENTIA HEALTH | |||||
| 3200 32ND AVE S | FARGO | ND | 58103 | PHYSICIAN SERVICES/ PROF MED SERVICES | 1102428 |
| CENTRAL MINNESOTA DIAGNOSTIC INC | |||||
| 150 10TH STREET NW PO BOX 158 | MILACA | MN | 563530158 | IMAGING SERVICES | 915818 |
| CONNECT HEALTHCARE LLC | |||||
| P O BOX 92 | NEWELL | SD | 57760 | PHYSICIANS | 243275 |
| HERITAGE LIVING CENTER | |||||
| 619 WEST 6TH STREET | PARK RAPIDS | MN | 56470 | LAUNDRY SERVICES | 172331 |
| EMERGENCY PRACTICE ASSOCIATES | |||||
| P O BOX 1260 | WATERLOO | IA | 50704 | PHYSICIAN SERVICES | 169434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 42757 | FundraisingEvents |
| Related Organizations | 59105 | RelatedOrganizations |
| Government Grants | 580385 | GovernmentGrants |
| All Other Contributions | 256232 | AllOtherContributions |
| Total Contributions | 938479 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 41716303 | 41716303 |
| RENTAL INCOME | 900099 | 19388 | 19388 |
| EQUITY CHANGES OF UNCONSOLIDATED ORGANIZATIONS | 900099 | -424809 | -424809 |
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 | 41310882 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 234309 | TotalRevenueColumn |
| Unrelated Business Revenue | 283 | UnrelatedBusinessRevenue |
| Exclusion | $234,026 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 83782 | Securities |
| Other | 2600 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 59 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 83782 | Securities |
| Other | 2541 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86323 | TotalRevenueColumn |
| Exclusion | $86,323 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 7680 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 42757 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 22060 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -14380 | TotalRevenueColumn |
| Exclusion | -$14,380 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PHARMACY SERVICES | 446110 | 240579 | $240,579 | |
| DURABLE MEDICAL EQUIPMENT | 446199 | 364341 | $140,126 | 224215 |
| CAFETERIA | 722100 | 195082 | $173,962 | 21120 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 687545 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $687,545 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1487547 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44043160 | TotalRevenueColumn |
| Related Or Exempt Function Income | 41310882 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 245618 | UnrelatedBusinessRevenue |
| Exclusion | $1,548,181 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82286 | Total |
| Program Services | 82286 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9825 | Total |
| Program Services | 9825 | 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 | 456241 | Total |
| Management And General | 456241 | ManagementAndGeneral |
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 | 16834142 | Total |
| Program Services | 15107995 | ProgramServices |
| Management And General | 1684204 | ManagementAndGeneral |
| Fundraising | 41943 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 862819 | Total |
| Program Services | 753914 | ProgramServices |
| Management And General | 106812 | ManagementAndGeneral |
| Fundraising | 2093 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2601082 | Total |
| Program Services | 2272774 | ProgramServices |
| Management And General | 321998 | ManagementAndGeneral |
| Fundraising | 6310 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1304289 | Total |
| Program Services | 1139662 | ProgramServices |
| Management And General | 161463 | ManagementAndGeneral |
| Fundraising | 3164 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 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 | 6319544 | Total |
| Program Services | 3561149 | ProgramServices |
| Management And General | 2746092 | ManagementAndGeneral |
| Fundraising | 12303 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55286 | Total |
| Program Services | 22631 | ProgramServices |
| Management And General | 32655 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1210104 | Total |
| Program Services | 1002789 | ProgramServices |
| Management And General | 202703 | ManagementAndGeneral |
| Fundraising | 4612 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 911749 | Total |
| Program Services | 556167 | ProgramServices |
| Management And General | 354742 | ManagementAndGeneral |
| Fundraising | 840 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223256 | Total |
| Program Services | 192080 | ProgramServices |
| Management And General | 23239 | ManagementAndGeneral |
| Fundraising | 7937 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83171 | Total |
| Program Services | 11359 | ProgramServices |
| Management And General | 71001 | ManagementAndGeneral |
| Fundraising | 811 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97916 | Total |
| Program Services | 97916 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1063476 | Total |
| Management And General | 1063476 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2371587 | Total |
| Program Services | 1854818 | ProgramServices |
| Management And General | 508943 | ManagementAndGeneral |
| Fundraising | 7826 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116561 | Total |
| Program Services | 91162 | ProgramServices |
| Management And General | 25014 | ManagementAndGeneral |
| Fundraising | 385 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| UNRELATED BUSINESS TAXES | 17087 | 17087 | ||
| BAD DEBTS | 1196045 | 1196045 | ||
| MEDICAL SUPPLIES | 4431688 | 609 | 4431075 | 4 |
| REPAIRS AND MAINTENANCE | 315501 | 52191 | 263168 | 142 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1209758 | Total |
| Program Services | 890958 | ProgramServices |
| Management And General | 293318 | ManagementAndGeneral |
| Fundraising | 25482 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41773413 | Total |
| Program Services | 33537773 | ProgramServices |
| Management And General | 8121788 | ManagementAndGeneral |
| Fundraising | 113852 | 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 | 41576 | BOY |
| EOY | 41513 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1928190 | BOY |
| EOY | 2650159 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331585 | BOY |
| EOY | 196522 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4956079 | BOY |
| EOY | 5131934 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143907 | BOY |
| EOY | 95398 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1035698 | BOY |
| EOY | 1039386 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50302 | BOY |
| EOY | 66946 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 39156364 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19976497 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20722046 | BOY |
| EOY | 19179867 | 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 | 9702475 | BOY |
| EOY | 11065814 | 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 | 1513832 | BOY |
| EOY | 1125786 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40425690 | BOY |
| EOY | 40593325 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3800697 | BOY |
| EOY | 2729476 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1569 | BOY |
| EOY | 22632 | 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 | 2291987 | BOY |
| EOY | 1828206 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6094253 | BOY |
| EOY | 4580314 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33681375 | BOY |
| EOY | 35347544 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650062 | BOY |
| EOY | 665467 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34331437 | BOY |
| EOY | 36013011 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40425690 | BOY |
| EOY | 40593325 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2269747 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -588173 | 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 | true | MailingsMembers |
| Mailings Members | $355 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $1,659 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $1,064 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 3078 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | LINES 1D AND 1G: APPROXIMATELY 2 HOURS WERE SPENT WITH WRITING LETTERS TO REPRESENTATIVES AND 6 HOURS WERE SPENT VISITING WITH REPRESENTATIVES. LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $959, CATHOLIC HEALTH ASSOCIATION - $203 AND MINNESOTA HOSPITAL ASSOCIATION $497. | Explanation |
Schedule D IRS990ScheduleD
Art Public Exhibition Amts ArtPublicExhibitionAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | 0 | RevenuesIncluded |
| Assets In Part X | 28175 | AssetsInPartX |
Collection Used For Other CollectionUsedForOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used For Other Purposes | X | CollectionUsedForOtherPurposes |
| Description Of Other Purposes | CONTRIBUTION HELD FOR INVESTMENT | DescriptionOfOtherPurposes |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets For Sale | true | SolicitedAssetsForSale |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 171235 | OtherCostOrOtherBasis |
| Book Value | 171235 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14227014 | OtherCostOrOtherBasis |
| Depreciation | 7509118 | Depreciation |
| Book Value | 6717896 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9455 | OtherCostOrOtherBasis |
| Depreciation | 9455 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23825845 | OtherCostOrOtherBasis |
| Depreciation | 12167018 | Depreciation |
| Book Value | 11658827 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 922815 | OtherCostOrOtherBasis |
| Depreciation | 290906 | Depreciation |
| Book Value | 631909 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19179867 | 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 (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OIP - FIXED INCOME | 5531207 | F |
| CHI OIP - EQUITY SECURITIES | 5466750 | F |
| CHI OIP - DREYFUL INTL CASH ADVANTAGE FUND | 67857 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 11065814 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLE | Description |
| Amount | $1,828,206 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1828206 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Collections of art - description of collections | Schedule D, Part III, Line 4 | THE ORGANIZATION RECEIVED A CONTRIBUTION OF 29 LIMITED EDITION ART PRINTS. THEY ARE HELD TEMPORARILY WITH THE INTENT THEY WILL BE RESOLD. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | ST. JOSEPH'S AREA HEALTH SERVICES' 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." |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 41942 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 34262 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 7680 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2500 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 4257 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 6702 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 4136 | OtherDirectExpensesEvent1 |
| Name Of Event2 | LIGHT UP A LIFE | NameOfEvent2 |
| Gross Receipts Event2 | 8495 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 8495 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 0 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 4465 | OtherDirectExpensesEvent2 |
| Gross Revenue Other Events | 0 | GrossRevenueOtherEvents |
| Gross Receipts Total | 50437 | GrossReceiptsTotal |
| Charitable Contributions Total | 42757 | CharitableContributionsTotal |
| Gross Revenue Total Events | 7680 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2500 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 4257 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 6702 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 0 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 0 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 8601 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 22060 | DirectExpenseSummaryEvents |
| Net Income Summary | -14380 | NetIncomeSummary |
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 | 297 | PersonsServed |
| Total Community Benefit Expense | 91808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 91808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5442 | PersonsServed |
| Total Community Benefit Expense | 6670638 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5997085 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 673553 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01660 | 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 | 5739 | PersonsServed |
| Total Community Benefit Expense | 6762446 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5997085 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 765361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 880 | PersonsServed |
| Total Community Benefit Expense | 31113 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3814 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27299 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| 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 |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3976176 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2974103 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1002073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02470 | 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 | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 53690 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 53690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 880 | PersonsServed |
| Total Community Benefit Expense | 4060979 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2977917 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1083062 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 6619 | PersonsServed |
| Total Community Benefit Expense | 10823425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8975002 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1848423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04560 | 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 | 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 |
Community Support CommunitySupport
| 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 |
Environmental Improvements EnvironmentalImprovements
| 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 |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 10 | PersonsServed |
| Total Community Building Expense | 52 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 52 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| 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 |
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 | 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 |
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 | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 10 | PersonsServed |
| Total Community Building Expense | 52 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 52 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,196,045 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14818410 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14246734 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 571676 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| 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 JOSEPH'S AREA HEALTH SERVICES | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 PLEASANT AVENUE | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| COMMUNITY DENTAL CLINIC | ||||
| 205 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | DENTAL CLINIC |
| HOME CARE HOSPICE AND PUBLIC HEALTH OFFICES | ||||
| 323 MAIN AVENUE SOUTH | PARK RAPIDS | MN | 56470 | WIC CLINIC AND FATHER PROJECT OFFICES |
| DME CARE ESSENTIALS | ||||
| 1004 1ST STREET WEST | PARK RAPIDS | MN | 56470 | DURABLE MEDICAL EQUIPMENT |
| WALKER OUTPATIENT THERAPY SERVICES OFFICE | ||||
| 110 MICHIGAN AVENUE | WALKER | MN | 56484 | OUTPATIENT HEALTH SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (20 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. JOSEPH'S AREA HEALTH SERVICES) 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. JOSEPH'S AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | THE APPROACH TAKEN FOR THE COMMUNITY BENEFIT CALCULATION WAS AS FOLLOWS: *MEDICAID COMMUNITY BENEFIT WAS CALCULATED BASED UPON USING MEDICAID THE ESTIMATED INPATIENT AND OUTPATIENT COST TO CHARGE RATIOS OF 51% AND 38%, RESPECTIVELY TIMES THE CHARGES FOR INPATIENT AND OUTPATIENT MEDICAID PATIENTS. THIS WAS THEN COMPARED TO PROJECTED REIMBURSEMENT FOR MEDICAID SERVICES. THE TOTAL COMMUNITY BENEFIT IS ESTIMATED AT $673,553 *SUBSIDIZED HEALTH SERVICES WAS CALCULATED USING ESTIMATED NET REVENUE AS COMPARED TO DIRECT COSTS AND OVERHEAD ALLOCATED. OVERHEAD ALLOCATED FOLLOWS THE MEDICARE COST REPORT ASSIGNMENT OF ALLOCATING OVERHEAD TO COST CENTERS. THE MEDICARE COST REPORT IS NOT YET PREPARED AT TIME OF CALCULATION OF THE COMMUNITY BENEFIT FOR FINANCIAL STATEMENT PURPOSES. AS A RESULT, WE UTILIZE AN INTERNAL CALCULATION MODEL TO PROJECT THIS BENEFIT IN JULY. THE COMMUNITY BENEFIT FROM SUBSIDIZED HEALTH SERVICES WAS $1,002,073. *THE REMAINING COMMUNITY BENEFIT WAS TAKEN BY COMPILING THE COST OF TRADITIONAL CHARITY CARE $91,808; COMMUNITY HEALTH IMPROVEMENT SERVICES $27,299; AND FINANCIAL AND IN-KIND CONTRIBUTIONS $53,690. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/12 WAS COMPUTED USING THE FOLLOWING FORMULA: INPATIENT REVENUES DIVIDED BY INPATIENT ALLOWABLE COSTS BY MEDICARE AND OUTPATIENT REVENUES DIVIDED BY OUTPATIENT ALLOWABLE COSTS BY MEDICARE. BASED ON THAT FORMULA THE INPATIENT CALCULATIONS, $31,853,911 /$16,310,040 RESULTS IN A 51.2% COST-TO-CHARGE RATIO AND FOR OUTPATIENT $41,355,240 / 15,905,286 A 38.46% COST TO CHARGE RATIO. FOR SUBSIDIZED HEALTH SERVICES, A COST ACCOUNTING METHODOLOGY COMBINED WITH AN APPROACH OF INCLUDING ASSIGNED INDIRECT OVERHEAD BASED ON MEDICARE COST REPORT METHODOLOGY WAS UTILIZED. 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) | 1,196,045 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. |
| Community Building Activities | Schedule H, Part II | SEE DESCRIPTION OF COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | ST. JOSEPH'S AREA HEALTH SERVICES 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. JOSEPH'S AREA HEALTH SERVICES 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. JOSEPH'S AREA HEALTH SERVICES 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. JOSEPH'S AREA HEALTH SERVICES, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, ST. JOSEPH'S AREA HEALTH SERVICES WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: HOSPITAL: TOTAL MEDICARE REVENUE: $14,818,410 TOTAL MEDICARE COSTS: $14,246,734 SURPLUS $571,676 ER PHYSICIANS: TOTAL MEDICARE REVENUE: $363,265 TOTAL MEDICARE COSTS: $278,461 SURPLUS $84,804 DME: TOTAL MEDICARE REVENUE: $17,385 TOTAL MEDICARE COSTS: $36,159 SHORTFALL ($18,774) ST. JOSEPH'S AREA HEALTH SERVICES BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | ST. JOSEPH'S AREA HEALTH SERVICES DEBT COLLECTION POLICY PROVIDES THAT ST. JOSEPH'S AREA HEALTH SERVICES WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. JOSEPH'S AREA HEALTH SERVICES FOR APPROPRIATE FOLLOW-UP. ST. JOSEPH'S AREA HEALTH SERVICES REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' 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. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; |
| Used FPG to determine eligibility for providing discounted care criteria | Schedule H, Part V Section B, Line 10 | (1) ST. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 19d | (1) ST. JOSEPH'S AREA HEALTH SERVICES - THE ORGANIZATION USES THE MOST FAVORED INSURANCE RATE WHEN DETERMINING THE AMOUNT TO CHARGE TO AN INDIVIDUAL WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE.; |
| Needs assessment. | Schedule H, Part VI, Line 2 | ST. JOSEPH'S AREA HEALTH SERVICES IS FOLLOWING THE CHA GUIDELINES IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS CONSISTS OF A SIX STEP PROCESS AND INCLUDES: 1. PLANNING AND PREPARING FOR THE ASSESSMENT, 2. DETERMINING THE PURPOSE AND SCOPE OF THE NEEDS ASSESSMENT, 3. IDENTIFYING DATA THAT DESCRIBES THE HEALTH AND NEEDS OF THE COMMUNITY, 4. UNDERSTAND AND INTERPRETING THE DATA, 5. DEFINING AND VALIDATING PRIORITIES, AND 6. DOCUMENTING AND COMMUNICATING THE RESULTS. THIS PROCESS WAS STARTED AT THE END OF OUR FISCAL YEAR AND WILL BE COMPLETED BEFORE THE NEXT FISCAL YEAR END. |
| NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION | SCHEDULE H, PART VI, LINE 2 | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE ST. JOSEPH'S AREA HEALTH SERVICES WAS FOUNDED TO ALLEVIATE A SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY IN THE LATE 1940S. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, ST. JOSEPH'S AREA HEALTH SERVICES EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF ST. JOSEPH'S AREA HEALTH SERVICES IS TO DEVELOP A HEALTHY COMMUNITY AND PROVIDE CARE TO ALL IN NEED. IT ALSO HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. ST. JOSEPH'S AREA HEALTH SERVICES OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ST. JOSEPH'S AREA HEALTH SERVICES 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 ST. JOSEPH AREA HEALTH SERVICES' 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 ST. JOSEPH'S AREA HEALTH SERVICES DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON A GOVERNMENT-SUPPORTED INSTITUTION. COMMUNITY BENEFIT APPROACH ST. JOSEPH'S IS LOCATED IN PARK RAPIDS, A RURAL TOWN OF 3,276 IN NORTH CENTRAL MINNESOTA THAT SERVES AS THE COUNTY SEAT FOR HUBBARD COUNTY. APPROXIMATELY 200 MILES NORTHWEST OF MINNEAPOLIS, ST. JOSEPH'S IS THE SOLE AREA PROVIDER OF HOSPITAL SERVICES FOR THE 20,428 RESIDENTS (U.S. CENSUS, 2010) OF HUBBARD COUNTY, AS WELL AS PORTIONS OF BECKER, CASS AND WADENA COUNTIES (APPROX. 3,800 SQUARE MILES). OF THE 20,428 RESIDENTS: -6.2% (1,267) ARE CHILDREN UNDER THE AGE OF 5 -21.2% (4,464) ARE CHILDREN UNDER THE AGE OF 18 -20.8% (4,245) ARE 65 YEARS OF AGE AND OVER -50% ARE FEMALE IN THE 2010 CENSUS, 94.5% OF THE RESIDENTS REPORTED AS BEING WHITE; 0.2% BLACK; 2.7% AMERICAN INDIAN AND ALASKA NATIVE; 0.2% ASIAN; AND 1.8% REPORTED TWO OR MORE RACES. FROM 2005-2009, 1.0% OF THE HUBBARD COUNTY RESIDENTS REPORTED BEING FOREIGN BORN AND 2.1% IDENTIFIED SPEAKING A LANGUAGE OTHER THAN ENGLISH IN THEIR HOME. CITIZENS OF HUBBARD COUNTY ARE GENERALLY OLDER (MEDIAN AGE = 42.5 AS COMPARED TO 35.4) AND POORER ($32,423 PER CAPITA INCOME COMPARED TO MINNESOTA AT $41,854) THAN THE STATE AVERAGES IN 2009. ACCORDING TO THE MINNESOTA DEPARTMENT OF HEALTH, 10.9% OF OUR RESIDENTS LIVED IN POVERTY IN 2009. THE U.S. CENSUS SMALL AREA HEALTH INSURANCE ESTIMATES 21.5% OF RESIDENTS LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL AND ARE UNINSURED - 1,038 INDIVIDUALS. ACCORDING TO THE MINNESOTA DEPARTMENT OF HUMAN SERVICES, HUBBARD COUNTY HAS 3,357 ENROLLEES IN THE PUBLIC ASSISTANCE PROGRAMS. THE PER CAPITA INCOME FOR HUBBARD COUNTY IN 2009 WAS $32,423, AS COMPARED TO THE STATE OF MINNESOTA PER CAPITA INCOME OF $41,854. FOR THE SAME TIME FRAME, THE PER CAPITA INCOME FOR THE FIVE SURROUNDING COUNTIES WAS: -CLEARWATER: $28,738 -WADENA: $29.661 -BELTRAMI: $30,976 -BECKER: $34,615 -CASS: $34,643 THE MEDIAN HOUSEHOLD INCOME FOR 2009 WAS REPORTED TO BE $43,721 (US CENSUS, 2010). IT WAS $35,321 IN 1999. THERE ARE 9,571 PEOPLE IN THE CIVILIAN WORKFORCE FOR HUBBARD COUNTY IN 2010 (US CENSUS, 2010). ACCORDING TO THE MINNESOTA DEPARTMENT OF HEALTH, THE ANNUAL UNEMPLOYMENT AVERAGE IN 2009 WAS 10.3% AND CURRENTLY 9.8% FOR 2010. HUBBARD COUNTY IS DESIGNATED AS A DENTAL HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ACCORDING TO MINNESOTA DEPARTMENT OF HEALTH, AS OF SEPTEMBER 2012 THERE WERE 112 DENTAL HPSA'S IN MINNESOTA. THIS DESIGNATION USES A PROVIDER-TO-POPULATION RATIO, AND THE DENTAL HPSA FOR A GEOGRAPHIC AREA REQUIRES A RATIO OF DENTIST FTE-TO POPULATION RATIO OF 1:5000 OR GREATER IN ADDITION TO LACK OF CONTIGUOUS SERVICES AVAILABLE TO THE AREA. (SEE CONTINUATION #1) |
| NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION | SCHEDULE H, PART VI, LINE 2 | (CONTINUATION #1) SINCE 1987, ST. JOSEPH'S HAS CONTRACTED WITH THE HUBBARD COUNTY COMMISSIONERS TO PERFORM THE PUBLIC HEALTH FUNCTION FOR HUBBARD COUNTY. AS THE PUBLIC HEALTH ENTITY, THEY HAVE PERFORMED A COMMUNITY NEEDS ASSESSMENT ON AN ANNUAL BASIS. THE DEPARTMENT HAS COMPILED COUNTY HEALTH DATA, IDENTIFIED HEALTH ISSUES, SET PRIORITIES, AND PLANS FOR IMPROVEMENT. ST. JOSEPH'S CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN COMMUNITY HEALTH COLLABORATION TODAY. PROCESS ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. HEALTHY PARK RAPIDS AREA 2020 WAS FORMED IN 2002 AS A COLLABORATIVE ENTITY OF HEALTH AND HUMAN SERVICE PROVIDERS WITH A GENERAL DESIRE TO IMPROVE COMMUNITY HEALTH AND WELL BEING. ADDITIONALLY, IT WAS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY WAS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRED THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. THE COMMUNITY COLLABORATION HAS BEEN WORKING FOR SEVERAL YEARS TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE HUBBARD COUNTY COMMUNITY HEALTH ASSESSMENT WAS COMPLETED IN-DEPTH IN 2009. THE REPORT REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL BEING OF AREA RESIDENTS. SUMMARY OF ASSESSMENT FINDINGS TEN KEY FACTORS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE COMMUNITY HEALTH STATUS REVIEW. THE TEN ISSUES WERE THEN PRIORITIZED THROUGH A GROUP PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZE THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND HOW AWARE THE COMMUNITY WAS OF EACH ISSUE AND HOW DIFFICULT THE ISSUE WAS TO CHANGE. AS A RESULT, THE ISSUES FELL INTO THE FOLLOWING ORDER OF PRIORITY. 1. HEALTHY BEHAVIORS RELATED TO OBESITY AND INACTIVITY 2. CHILD AND MATERNAL HEALTH 3. SMOKING AND TOBACCO 4. ACCESS TO HEALTH CARE SERVICES, INCLUDING DENTAL AND MENTAL HEALTH SERVICES 5. DISEASE AND MORTALITY 6. UNINTENTIONAL INJURIES 7. ENVIRONMENT 8. PERSONAL AND FAMILY SAFETY, INCLUDING VIOLENCE PREVENTION 9. INCOME, EMPLOYMENT, AND EDUCATION 10. ALCOHOL AND DRUGS QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR COMMUNITY DENTAL CLINIC OUR COMMUNITY DENTAL CLINIC PROVIDES DENTAL CARE TO THE PUBLICLY FUNDED POPULATIONS THROUGHOUT NORTH CENTRAL MINNESOTA. THIS PAST YEAR, THEY PROVIDED 5,019 DENTAL VISITS. THE "GIVE KIDS A SMILE" DAY PROVIDED HYGIENE AND EXAMS TO 65 CHILDREN IN 2011. PREGNANCY TO PARENTING PROGRAM THE PREGNANCY-TO-PARENTHOOD PROGRAM WAS DEVELOPED TO ADDRESS THE NEEDS OF AT-RISK MOTHERS AND CHILDREN. THE PROGRAM INCLUDES PRENATAL EDUCATION, PARENTING EDUCATION AND SUPPORT. ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES THE OVERSIGHT OF THE GRANTS AND THE ADDITIONAL FUNDING FOR THIS PROGRAM. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) THIS NON-MEDICAL HOME VISITING PROGRAM IS PARTIALLY FUNDED BY GRANT DOLLARS. ST. JOSEPH'S HAS WORKED TO EXPAND THE NUMBER OF FAMILIES SERVED THROUGH THE TANF PROGRAM WHICH FOCUSES ON FAMILY VIOLENCE PREVENTION AND CHILD ABUSE PREVENTION. IMMUNIZATION CLINICS VACCINATIONS ARE ONE OF THE MOST EFFECTIVE WAYS TO PREVENT DISEASE AND ALSO ONE OF THE MOST COST EFFICIENT MEDICAL INTERVENTIONS AVAILABLE. ST. JOSEPH'S AREA HEALTH SERVICES OFFERS LOW COST OR FREE VACCINATIONS TO ELIGIBLE CHILDREN FROM BIRTH TO AGE 19 AT MONTHLY CLINICS. ANNUAL FLU SHOT CLINICS ARE PROVIDED TO AREA BUSINESSES. ST. JOSEPH'S AREA HEALTH SERVICES ALSO MAKES VACCINES AVAILABLE IN ALL THE SCHOOLS IN HUBBARD COUNTY. MINNESOTA CARE OUTREACH ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES OUTREACH TO UNINSURED INDIVIDUALS IN OUR SERVICE AREA. ST. JOSEPH'S AREA HEALTH SERVICES ALSO ASSISTS THEM IN THE ENROLLMENT TO MINNESOTA CARE OR MAKES REFERRALS FOR OTHER INSURANCE SERVICES. ST. JOSEPH'S AREA HEALTH SERVICES HAS BEEN CERTIFIED AS AN MNCAA AGENT (MINNESOTA COMMUNITY APPLICATION AGENT) SINCE 2010 TO HELP ASSIST ELIGIBLE PATIENTS WITH THEIR MEDICAL ASSISTANCE APPLICATIONS. HOME HEALTH CARE ST. JOSEPH'S AREA HEALTH SERVICES HOME CARE STAFF PROVIDES NURSING AND HOME HEALTH AIDE VISITS TO ELIGIBLE CLIENTS TO ASSIST THEM IN THEIR HOMES. WE CARE FOR PATIENTS WITH LIMITED INCOMES AND WORK WITH THEM TO FIND A FUNDING SOURCE, IF POSSIBLE, FOR IN-HOME SERVICES. ST. JOSEPH'S AREA HEALTH SERVICES CONNECTS PATIENTS WITH VOLUNTEER ORGANIZATIONS IN THE COMMUNITY TO SUPPLEMENT FUNDED CARE. TRANSPORTATION ST. JOSEPH'S AREA HEALTH SERVICES WILL PAY THE COST OF TRANSPORTATION HOME FROM THE EMERGENCY DEPARTMENT OR THE HOSPITAL TO INDIVIDUALS THAT HAVE NO OPTIONS FOR A RIDE HOME. FREE MAMMOGRAPHY SERVICES ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES MAMMOGRAMS AT NO COST TO ELIGIBLE WOMEN ENROLLED IN THE SAGE PROGRAM THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. VIOLENCE PREVENTION ST. JOSEPH'S AREA HEALTH SERVICES IMPLEMENTED PROGRAMS FOR VIOLENCE PREVENTION. THESE PROGRAMS HAVE CENTERED ON MENTORING, THE PROMOTION OF FATHERHOOD AND ON FAMILY RESOURCES IN THE COMMUNITY. THE FATHER PROJECT, A PROGRAM OF GOODWILL/EASTER SEALS MINNESOTA WAS INITIATED THROUGH THE COMMUNITY HEALTH DEPARTMENT IN 2012 AND OFFERS CASE MANAGEMENT, PARENTING EDUCATION, EMPLOYMENT SERVICES, CHILD SUPPORT SERVICES, GED ASSISTANCE, AND FATHER AND FAMILY ACTIVITIES TO INTERESTED FATHERS. AFTER SCHOOL LOW INCOME STUDENT SCHOLARSHIPS ST. JOSEPH'S AREA HEALTH SERVICES OFFERED SCHOLARSHIPS FOR LOW INCOME ELEMENTARY STUDENTS TO ATTEND THE PARK RAPIDS AREA SCHOOLS' AFTER SCHOOL ADVENTURES PROGRAM. (SEE CONTINUATION #2) |
| NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION | SCHEDULE H, PART VI, LINE 2 | (CONTINUATION #2) COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. JOSEPH'S AREA HEALTH SERVICES IS RECOGNIZED AS A PROGRESSIVE COMMUNITY AND REGIONAL PROVIDER OF HEALTH CARE SERVICES. THE BOARD OF DIRECTORS AND STAFF VOLUNTEER THEIR TIME AND RESOURCES TO NUMEROUS REGIONAL AND LOCAL BOARDS, ADVISORY COUNCILS, COMMUNITY ORGANIZATIONS AND COLLABORATIONS. COMMUNITY BUILDING ACTIVITIES ST. JOSEPH'S AREA HEALTH SERVICES CONTINUES ITS COMMITMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY. ST. JOSEPH'S AREA HEALTH SERVICES HAS COORDINATED A COLLABORATIVE EFFORT THAT IS KNOWN AS HEALTHY PARK RAPIDS 2020. THIS GROUP'S PURPOSE IS TO CREATE A COMMUNITY INFRASTRUCTURE THAT WILL ENSURE THAT THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL HEALTH NEEDS OF THE COMMUNITY ARE MET. THE GROUP RECRUITED OVER 50 COMMUNITY STAKEHOLDERS TO CREATE A SHARED VISION OF HEALTH AND AN ACTION PLAN TO CREATE HEALTHIER COMMUNITIES. THEY HAVE SPONSORED COMMUNITY GARDENS THROUGHOUT THE COUNTY PROVIDING LOCALLY GROWN FOOD OPPORTUNITIES FOR ALL RESIDENTS. HEALTHY PARK RAPIDS 2020 COLLABORATES WITH OTHER COMMUNITY GROUPS BY ENDORSING AND PROVIDING SUPPORT FOR OR PARTNERING WITH ORGANIZATIONS IN ACTIVITIES THAT PROMOTE HEALTH AND WELLNESS, SUCH AS IMPROVEMENTS TO A LOCAL PARK AND THE PROMOTING OF SAFE BIKE RIDING. ST. JOSEPH'S AREA HEALTH SERVICES HAS ALSO FOSTERED A NEW CULTURE OF FATHERHOOD FRIENDLINESS AND EDUCATION THROUGHOUT THE COMMUNITY AS A RESULT OF A CATHOLIC HEALTH INITIATIVES MISSION AND MINISTRY GRANT. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH IMMUNIZATION REGISTRY ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES AN INTERNET-BASED REGISTRY FOR ALL CHILDREN IN HUBBARD COUNTY. THE REGISTRY IS PART OF A 13 COUNTY REGISTRY AND ALLOWS PARENTS, CLINICS, AND SCHOOLS TO ACCESS VACCINATION DATES. HEALTH SCREENINGS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES CHOLESTEROL SCREENINGS, GLUCOSE SCREENINGS, BLOOD PRESSURE CHECKS, FOOT CARE, AND FLU SHOTS TO SENIOR CITIZENS THROUGHOUT HUBBARD COUNTY. PRESCHOOL SCREENINGS: PRESCHOOL SCREENING OCCURS IN THREE SCHOOLS IN THE ST. JOSEPH'S AREA HEALTH SERVICES' AREA FOR ALL 3 ½ TO 5 YEAR OLDS. ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES A REGISTERED NURSE TO DO NUTRITIONAL AND HEALTH REVIEWS, AND TO PERFORM IMMUNIZATIONS ON SITE. HEALTH FAIRS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES HEALTH-SCREENING EVENTS FOR LOCAL AGENCIES AND BUSINESS THROUGHOUT OUR SERVICE AREA, OFFERING ON-SITE BLOOD PRESSURE CHECKS, CHOLESTEROL AND GLUCOSE SCREENINGS, AND HEALTH PROMOTION EDUCATION. SUPPORT GROUPS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES STAFF FOR THE FOLLOWING SUPPORT GROUPS: GRIEF SUPPORT, DIABETES SUPPORT, GASTRIC BYPASS SUPPORT, STROKE SUPPORT, AND CAREGIVERS SUPPORT. HUBBARD COUNTY DRUG AND ALCOHOL TASK FORCE ST. JOSEPH'S AREA HEALTH SERVICES' STAFF IS ACTIVE PARTICIPANTS IN THIS GROUP OF LIKE-MINDED COMMUNITY MEMBERS WITH REPRESENTATIVES FROM LOCAL LAW ENFORCEMENT, HEALTH CARE, EDUCATION, LOCAL GOVERNMENTS AND THE COMMUNITY AT LARGE, ADDRESSING ISSUES RELATED TO YOUTH AND SUBSTANCE USE/ABUSE. ST. JOSEPH'S AREA HEALTH SERVICES ALSO HAS INITIATED A PROGRAM TO WORK WITH YOUTH TO PREVENT YOUTH ALCOHOL ABUSE. PARISH NURSE PROGRAM ST. JOSEPH'S AREA HEALTH SERVICES SPONSORS PARISH NURSE TRAINING FOR CONGREGATIONS IN OUR SERVICE AREA. OUR PARISH NURSE COORDINATOR FACILITATES REGULAR MEETINGS WITH THIS GROUP OF INDIVIDUALS WHO HAVE CHOSEN A MINISTRY OF NURSING IN THEIR FAITH COMMUNITY. PRESENTLY 9 PARISH NURSES ARE BEING SUPPORTED IN THEIR ROLE AS HEALTH CARE ADVOCATES IN THEIR AREA FAITH COMMUNITIES. PARISH NURSES FUNCTION IN A VARIETY OF WAYS TO MEET THE HEALTH NEEDS OF THEIR CHURCH MEMBERS. THIS MAY INCLUDE ACCOMPANYING A PARISHIONER TO A DOCTOR APPOINTMENT OR COORDINATING A HEALTH FAIR. SENIOR COMPANION PROGRAM ST. JOSEPH'S AREA HEALTH SERVICES IS A SPONSOR OF THE SENIOR COMPANION PROGRAM. THIS IS A PROGRAM THAT FINDS ITS ORIGINS WITH LUTHERAN SOCIAL SERVICES. IT PROVIDES VOLUNTEER OPPORTUNITIES FOR SENIOR TO HELP OTHER SENIORS. VOLUNTEERS ARE PAID A STIPEND AND MILEAGE. THEY ARE OFFERED THE OPPORTUNITY FOR AN ANNUAL HEALTH SCREEN AND MEALS IN OUR CAFETERIA WHEN THEY ARE VOLUNTEERING. THIS PROGRAM MEETS THE NEEDS OF PROVIDING MEANINGFUL WORK AND A SMALL INCOME FOR THE VOLUNTEERS AND IN MANY INSTANCES A SOCIAL CONNECTION FOR THOSE THEY SERVE. CAR SEAT GIVEAWAY ST. JOSEPH'S AREA HEALTH SERVICES OFFERS AN INFANT CAR SEAT TO ALL PARENTS THAT DELIVER THEIR BABIES AT OUR FACILITY. WITH OVER 150 BIRTHS LAST YEAR, WE ARE COMMITTED TO OFFERING A SAFE METHOD FOR THOSE INFANTS TO LEAVE THE HOSPITAL. NEWBORN HEARING SCREENING ST. JOSEPH'S AREA HEALTH SERVICES SCREENS ALL THE INFANTS BORN AT THE HOSPITAL FOR HEARING LOSS BEFORE THEY ARE ONE MONTH OF AGE. THE RESULTS ARE THEN FORWARDED TO THE FAMILY PHYSICIAN AND THE INFANTS THAT DO NOT PASS THE SCREENING ARE REFERRED TO AN AUDIOLOGIST. COMMUNITY SUPPORT GROUPS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES A LOCATION FOR GROUPS TO MEET. MEETING LOCATIONS AND TIMES ARE ADVERTISED IN SEVERAL DIFFERENT PUBLICATIONS. THE FOLLOWING GROUPS CURRENTLY USE ST. JOSEPH'S MEETING SPACE: CHILDBIRTH EDUCATION CLASSES SENIOR PROVIDERS GASTRIC BYPASS SUPPORT GROUP DIABETES SUPPORT GROUP GRIEF SUPPORT GROUP |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | ST. JOSEPH'S AREA HEALTH SERVICES INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, ST. JOSEPH'S AREA HEALTH SERVICES PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN ST. JOSEPH'S AREA HEALTH SERVICES OUTPATIENT FACILITIES. IN ADDITION, ST. JOSEPH'S AREA HEALTH SERVICES 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. JOSEPH'S AREA HEALTH SERVICES' 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. JOSEPH'S AREA HEALTH SERVICES' 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. JOSEPH'S AREA HEALTH SERVICES' 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. |
| Community information. | Schedule H, Part VI, Line 4 | ST. JOSEPH'S AREA HEALTH SERVICES, LOCATED IN PARK RAPIDS, MINNESOTA IS THE SOLE AREA PROVIDER OF HOSPITAL SERVICES FOR RESIDENTS OF HUBBARD COUNTY, AS WELL AS POSITIONS OF BECKER, CASS, AND WADENA COUNTIES IN MINNESOTA. |
| Promotion of community health | Schedule H, Part VI, Line 5 | SEE COMMUNITY BENEFIT NARRATIVE ATTACHED. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | ST. JOSEPH'S AREA HEALTH SERVICES, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 74 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 $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2012 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. JOSEPH'S AREA HEALTH SERVICES OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. JOSEPH'S AREA HEALTH SERVICES FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE PARK RAPIDS, MN COMMUNITIES. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | MN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK RAPIDS AREA SCHOOL DISTRICT #309 | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 HUNTSINGER AVENUE | AddressLine1 |
| City | PARK RAPIDS | City |
| State | MN | State |
| ZIP Code | 56470 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 416001518 | EINOfRecipient |
| IRC Section | PARK RAPIDS SCHOOLS | IRCSection |
| Amount Of Cash Grant | 20241 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | LATE BUS PROGRAM | 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 III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 13 | NumberOfRecipients |
| Amount Of Cash Grant | 9825 | AmountOfCashGrant |
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 FACILITY PUBLIC HEALTH MANAGER HAS OVERSIGHT FOR PUBLIC HEALTH GRANTS. FACILITY STAFF PARTICIPATE IN GRANT ACTIVITIES THROUGH THE PUBLIC HEALTH DEPARTMENT TO SUPPLEMENT GRANT PROJECT NEEDS. EACH GRANT HAS REQUIRED REPORTING ELEMENTS FOR BOTH STRATEGIC AND FINANCIAL GOALS. GRANT RECIPIENT PREPARES SIX MONTH PROGRESS REPORTING ON THE GRANT PROJECT, WHICH IS REVIEWED AND APPROVED BY FACILITY PUBLIC HEALTH MANAGER. | 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 | true | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN KOPPELMAN | |||||||||||||
| 0 | 195490 | 0 | 62142 | 0 | 31380 | 0 | 45448 | 0 | 18215 | 0 | 352675 | 0 | 0 |
| BRENT SCHMIDT | |||||||||||||
| 137630 | 5760 | 16910 | 0 | 1038 | 0 | 18504 | 0 | 6813 | 0 | 180895 | 5760 | 0 | 0 |
| DARRYL BEEHLER | |||||||||||||
| 280255 | 0 | 0 | 0 | 8988 | 0 | 20228 | 0 | 11033 | 0 | 320504 | 0 | 0 | 0 |
| JANE M CHURCHILL | |||||||||||||
| 264439 | 0 | 0 | 0 | 8317 | 0 | 20228 | 0 | 1302 | 0 | 294286 | 0 | 0 | 0 |
| JEFFREY DROP | |||||||||||||
| 0 | 377987 | 0 | 139608 | 0 | 23332 | 0 | 61092 | 0 | 21446 | 0 | 623465 | 0 | 0 |
| JOHN THOMAS | |||||||||||||
| 214338 | 0 | 0 | 0 | 2744 | 0 | 17797 | 0 | 8984 | 0 | 243863 | 0 | 0 | 0 |
| LARRY KOBRIGER | |||||||||||||
| 280941 | 0 | 0 | 0 | 1822 | 0 | 20228 | 0 | 15993 | 0 | 318984 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 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. |
| POST-TERMINATION 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2011 CALENDAR YEAR. |
| 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: JEFFERY DROP AND BENJAMIN KOPPELMAN. DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: BENJAMIN KOPPELMAN; $17,870, JEFFERY DROP; $33,514 |
| Compensation contingent on revenues of the organization | Schedule J, Part I, Line 5a | THE ORGANIZATION HAS A COMPENSATION PLAN IN PLACE FOR THE DENTISTS WHICH COMPENSATES THEM FOR EITHER A PERCENTAGE OF THEIR GROSS PERSONAL PRODUCTION OR A BASE COMPENSATION AMOUNT WHICHEVER IS GREATER. |
| Non-fixed payments | Schedule J, Part I, Line 7 | ST. JOSEPH'S AREA HEALTH SERVICES HAS AN INCENTIVE COMPENSATION PLAN FOR MANAGERS AND ABOVE BASED ON ACHIEVING IDENTIFIED GOALS, ONE COMPONENT OF WHICH IS OPERATING MARGIN PERFORMANCE. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. JOSEPH'S AREA HEALTH SERVICES, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | ACCORDING TO THE BYLAWS OF ST. JOSEPH'S AREA HEALTH SERVICES, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT 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 CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. JOSEPH'S AREA HEALTH SERVICES *AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH'S AREA HEALTH SERVICES *APPROVE MEMBERS OF ST. JOSEPH'S AREA HEALTH SERVICES BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF PARTICIPATION OF ST. JOSEPH'S AREA HEALTH SERVICES IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF A MERGER INVOLVING ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. JOSEPH'S AREA HEALTH SERVICES *TO REQUIRE THE TRANSFER OF ASSETS BY ST. JOSEPH'S AREA HEALTH SERVICES TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH'S AREA HEALTH SERVICES PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FORM 990 AND 990T ARE REVIEWED BY THE VP FINANCE/CFO BEFORE BEING FILED WITH LIMITED REVIEW BY THE CEO. THE REVIEW CONSISTS OF MAKING SURE DATA FIELDS DO NOT CONTAIN MATERIAL DIFFERENCES FROM THE FINANCIALS AND THAT SCHEDULES APPEAR TO BE COMPLETED COMPLETELY AND ACCURATELY. PRIOR TO FILING THE FORM 990, A COPY IS PROVIDED TO THE FULL BOARD. AFTER PRESENTATION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. ONCE FILED, THE FINANCE COMMITTEE, ALONG WITH THE BOARD CHAIR, REVIEWS A COPY OF THE FORM 990 AT A SEPARATE MEETING OF THE BOARD OF DIRECTORS TO ALLOW ADEQUATE TIME FOR QUESTIONS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | BOARD MEMBERS AND OFFICERS COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE TRANSACTION REVIEW COMMITTEE OF THE BOARD WOULD REVIEW AND DETERMINE CONFLICTS AT THE BOARD LEVEL OR WITH KEY EXECUTIVES. FACILITY CONTRACTS ARE REVIEWED BY THE RESPECTIVE ADMIN SUPERVISOR (VP) TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AT THE MANAGER/EMPLOYEE LEVEL. MANAGERS/EMPLOYEES ARE HELD ACCOUNTABLE TO RECEIVE ANNUAL CORPORATE RESPONSIBILITY ETHICS TRAINING AS WELL AS INTERNAL CULTURAL INTEGRATION TRAINING ON BUSINESS BEHAVIORS. MANAGER COMPLIANCE IS MONITORED BY THE ADMIN COUNCIL. EMPLOYEE COMPLIANCE WOULD BE MONITORED BY MANAGERS AND HUMAN RESOURCES, WITH ANY NON-COMPLIANCE REVIEWED BY ADMIN COUNCIL. NON-COMPLIANCE WILL RESULT IN DISCIPLINARY ACTION. |
| PROCESS USED TO ESTABLISH COMPENSATION OF 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 TO OFFICERS, DIRECTORS OR TRUSTEES WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE AMOUNTS. THE BOARD OF DIRECTORS OVERSEES ALL OFFICER COMPENSATION WITH APPROVAL BY THE DIVISION OFFICE. THIS PROCESS IS COMPLETED ANNUALLY AND WAS LAST COMPLETED IN OCTOBER 2012. SUBSEQUENT TO THE ORGANIZATION'S FISCAL YEAR END, THE PROCESS WAS COMPLETED IN OCTOBER 2012. |
| EVALUATION OF PARTICIPATION IN JOINT VENTURE AGREEMENTS | FORM 990, PART VI, LINE 16B | THE ORGANIZATION HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS AT ALL TIMES RETAIN CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. |
| 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 ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATION OFFICE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. |
| ESTIMATE OF 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 - -235054; CHI CONNECT DEPRECIATION - 50425; CAPITAL RESOURCE POOL CONTRIBUTION - -428544; INVESTMENT CONTRIBUTION IN LLC - 25000; |
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 | CHI NHC | 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 (24 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 | |
| PARK RAPIDS AREA HEALTH CARE LLC | ||||||||||||||
| 600 PLEASANT AVENUE S | PARK RAPIDS | MN | 56470 | 204926259 | RENTAL | MN | SJAHS | RELATED | -135652 | 5045193 | false | true | 0.5 | $0 |
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 | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | 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 | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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