FRANCISCAN MEDICAL GROUP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FRANCISCAN MEDICAL GROUP (EIN 91-1939739)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-06
IRS object ID
201101269349301525
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-06T18:03:27-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911939739EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Franciscan Medical GroupBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRANNameControl
Phone2536804005Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11708 SOUTH YAKIMA AVENUEAddressLine1
CityTACOMACity
StateWAState
ZIP Code98405ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael FitzgeraldName
TitleCFOTitle
Date Signed2011-05-05DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7208741500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoe WilczekNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11708 SOUTH YAKIMA AVENUEAddressLine1
CityTACOMACity
StateWAState
ZIP Code98405ZIPCode
FieldValueIRS element (for citing)
Gross Receipts150393672GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.fhshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionFMG was founded on the principle to provide compassionate care to everyone regardless of ability to pay or social status. FMG includes an expanding network of clinics.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees1227TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year32926864ContributionsGrantsPriorYear
Contributions Grants Current Year45248796ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84099070ProgramServiceRevenuePriorYear
Program Service Revenue CY103707245ProgramServiceRevenueCY
Investment Income Prior Year26531InvestmentIncomePriorYear
Investment Income Current Year5772InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year1423850OtherRevenueCurrentYear
Total Revenue Prior Year117052465TotalRevenuePriorYear
Total Revenue Current Year150385663TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6535GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3035GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year81004568SalariesEtcPriorYear
Salaries Etc Current Year111166893SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27328219OtherExpensePriorYear
Other Expenses Current Year32983989OtherExpensesCurrentYear
Total Expenses Prior Year108339322TotalExpensesPriorYear
Total Expenses Current Year144153917TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8713143RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6231746RevenuesLessExpensesCY
Total Assets BOY26824671TotalAssetsBOY
Total Assets EOY37547884TotalAssetsEOY
Total Liabilities BOY7470646TotalLiabilitiesBOY
Total Liabilities EOY11962113TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19354025NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25585771NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense126601457Expense
Grants3035Grants
Revenue103707245Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense126601457TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1227NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMike FitzgeraldNamePerson
Telephone Number2536804005TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11717 South J Street M/SAddressLine1
CityTacomaCity
StateWAState
ZIP Code98405ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Brian Berry
Board Vice President40.0XX20204540900
JANIS FEGLEY
Board Chair40.0XX21249727094
Mike Fitzgerald
Board Secretary/Treasurer2.0XX78505506741
Thomas Larkin
Community Director2.0X
MARIA SALCEDO-WASICEK
GENERAL SURGEON40.0X32570621889
GREGORY SEMERDJIAN MD
SR VP-CHIEF MED OFCR2.0XX45990585097
Joseph Wilczek
PRESIDENT CEO2.0XX976411008685
Diana Bader
Community Director2.0X
DEAN FIELD
PRESIDENT AND CMO40.0X25441938969
Timothy Marsh
CHIEF OPERATING OFFICER40.0X20036229483
Everett Newcomb
SR VP-CHIEF MED OFCR40.0X35220275072
Alex Mohit
NEUROSURGEON40.0123686237795X
Daniel Nehls
NEUROSURGEON40.088637142339X
Ki Oh
BARIATRIC SURGEON40.0149164937863X
KEVIN SCHOENFELDER
ORTHO SPINE SURG40.099754738610X
CRAIG TUOHY
GASTROETEROLOGIST40.069911050254X
Cliff Robertson
Former FMG President40.080623497833X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6506568TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2873428TotalReportableCompFrmRltdOrgs
Total Other Compensation703175TotalOtherCompensation
Number Individuals GT100 K184NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sellen Construction Company
227 Westlake Avenue NSeattleWA98109General contractor1834691
TNI LLC
309 91st Ave NELake StevensWA98258Transcription1037592
Axolotal
160 West Santa Clara Street SuiteSan JoseCA95113Transcription586979
TRA Medical Imaging
PO Box 1535TacomaWA98401Medical Imaging438336
Keystone Billing Service
Po Box 64742University PlaceWA98464billing service175391
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations45170849RelatedOrganizations
Government Grants74414GovernmentGrants
All Other Contributions3533AllOtherContributions
Total Contributions45248796TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services900099103468136103468136
Rental Income900099239109239109
FieldValueIRS element (for citing)
Total Program Service Revenue103707245TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6412TotalRevenueColumn
Exclusion$6,412ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7369Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other8009Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-640Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-640TotalRevenueColumn
Exclusion-$640ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSERVICES SOLDDescription
Business Code900099BusinessCode
Total Revenue Column1423850TotalRevenueColumn
Exclusion$1,423,850ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1423850TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column150385663TotalRevenueColumn
Related Or Exempt Function Income103707245RelatedOrExemptFunctionIncome
Exclusion$1,429,622ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3035Total
Program Services3035ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1407684Total
Program Services615182ProgramServices
Management And General792502ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total93808190Total
Program Services89980418ProgramServices
Management And General3827772ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3965629Total
Program Services3767348ProgramServices
Management And General198281ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7050083Total
Program Services5259317ProgramServices
Management And General1790766ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4935307Total
Program Services4402872ProgramServices
Management And General532435ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76070Total
Management And General76070ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5900894Total
Program Services2587311ProgramServices
Management And General3313583ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6729072Total
Program Services4892420ProgramServices
Management And General1836651ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total481753Total
Management And General481753ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8761632Total
Program Services8761632ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total109418Total
Program Services73205ProgramServices
Management And General36213ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31236Total
Program Services5094ProgramServices
Management And General26142ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2764384Total
Program Services2208916ProgramServices
Management And General555468ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3590442Total
Management And General3590442ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debts13587201358720
Income/sales/property taxes1704690165102153669
Dues & subscriptions3110023092751727
Repairs and maintenance3004152977682647
Education7294072940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total791321Total
Program Services354983ProgramServices
Management And General436338ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total144153917Total
Program Services126601457ProgramServices
Management And General17552459ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY12639EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2741886BOY
EOY1033891EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10540716BOY
EOY14965967EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31343BOY
EOY44542EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY678536BOY
EOY1053412EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1007982BOY
EOY1489746EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24590826LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8352732LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10052113BOY
EOY16238094EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1592860BOY
EOY2639392EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY179235BOY
EOY70201EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26824671BOY
EOY37547884EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7389624BOY
EOY11899369EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY81022BOY
EOY62744EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7470646BOY
EOY11962113EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19354025BOY
EOY25585771EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19354025BOY
EOY25585771EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26824671BOY
EOY37547884EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13401677CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14695957CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20006597CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32926864CurrentTaxYearMinus1Year
Current Tax Year45248796CurrentTaxYear
Total126279891Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42140043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54157251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67329518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84099070CurrentTaxYearMinus1Year
Current Tax Year103707245CurrentTaxYear
Total351433127Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year1423850CurrentTaxYear
Total1423850Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55541720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68853208CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87336115CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117025934CurrentTaxYearMinus1Year
Current Tax Year150379891CurrentTaxYear
Total479136868Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85000CurrentTaxYearMinus3Years
Total87500Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85000CurrentTaxYearMinus3Years
Total87500Total
FieldValueIRS element (for citing)
Public Support Total509479049368PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34610CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48833CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56047CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26531CurrentTaxYearMinus1Year
Current Tax Year6412CurrentTaxYear
Total172433Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34610CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48833CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56047CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26531CurrentTaxYearMinus1Year
Current Tax Year6412CurrentTaxYear
Total172433Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55576330CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68902041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87392162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117052465CurrentTaxYearMinus1Year
Current Tax Year150386303CurrentTaxYear
Total479309301Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99946PublicSupportPercentage509
Prior Year Support Percentage0.97767PriorYearSupportPercentage
Investment Income Percentage0.00036InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00048PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8090072OtherCostOrOtherBasis
Depreciation2184818Depreciation
Book Value5905254BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13258024OtherCostOrOtherBasis
Depreciation6167914Depreciation
Book Value7090110BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3242731OtherCostOrOtherBasis
Book Value3242731BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16238095TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNCLAIMED PROPERTYDescription
Amount$62,744Amount
FieldValueIRS element (for citing)
Total Of Amounts62744TotalOfAmounts
Total Revenue150385663TotalRevenue
Total Expenses144153917TotalExpenses
Excess Or Deficit For Year6231746ExcessOrDeficitForYear
Excess Or Deficit Per FS6231746ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierREPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48Identifier
ExplanationFranciscan Medical Group's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 footnote for the year ended June 30, 2010 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 annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements."Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Brian Berry
198305335039040900242945
JANIS FEGLEY
208184385046327094239591
DEAN FIELD
2311052298932538969293388
Mike Fitzgerald
40350443526597113463643869585246
Timothy Marsh
159724159372470129483229845
Alex Mohit
1206652289501260377951274657
Daniel Nehls
8793093450361242339928710
Everett Newcomb
2397283534435220310292
Ki Oh
13813451066923612378631529512
MARIA SALCEDO-WASICEK
321097415045921889347595
KEVIN SCHOENFELDER
8547771397253044386101036157
GREGORY SEMERDJIAN MD
3373495020319754545990631087173523
CRAIG TUOHY
6933214000178950254749364
Joseph Wilczek
68531216889915447359657379841106326
Cliff Robertson
42531247988245333870041923578456

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATIONSCHEDULE J, PART I, Q.3COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES, (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
POST-TERMINATION PAYMENTSSCHEDULE J, PART 1, Q.4APOST-TERMINATION PAYMENTS ARE ADDRESSED IN THE CHI EXECUTIVE EMPLOYMENT AGREEMENTS FOR MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2009 CALENDAR YEAR.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSCHEDULE J, PART 1, Q. 4BDURING THE 2009 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING FRANCISCAN MEDICAL GROUP REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE AND THE FOLLOWING CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WERE MADE ON THEIR BEHALF: JOSEPH WILCZEK 59,657 NO DISRIBUTIONS WERE MADE FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN IN 2009. During the 2009 calendar year Franciscan Health System ("FHS") maintained a supplemental non-qualified deferred compensation plan for Senior Vice Presidents and above. The following reportable individuals were eligible to participate: Cliff Robertson Gregory Semerdjian Mike Fitzgerald The following reportable individual received contributions to the non-qualified plan during the 2009 calendar year: Cliff Robertson $38,700 Mike Fitzgerald $34,636 The following reportable individuals received payments from the supplemental non-qualified deferred compensation plan during the 2009 calendar year, and the following amounts were included in the individuals' W-2 and reportable compensation on Schedule J: Gregory Semerdjian $173,523

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, Q. 4AI. Introduction A. Market Based Organization Mission and Vision Franciscan Medical Group was founded in April 1999 to provide community based health care services. Since its inception, Franciscan Medical Group has focused on providing quality health care to all members of their community regardless of ability to pay for services. Community service has always been at the core of our activity. B. Community Benefit Approach Franciscan Medical Group clinics provide services across a large geography of south Puget Sound in Washington State, serving a diverse population in our service area. Franciscan Medical Group provides services to patients regardless of race, creed, sex, national origin, handicap or ability to pay. The programs and services described throughout this document not only serve the community but also reduce the burden on governmental programs, i.e. Medicare and Medicaid. Without the charity care provided by Franciscan Medical Group clinics, the community charity care cases would fall upon the more expensive emergency rooms in local hospitals, including those operated by local government. Franciscan Medical Group has 216 providers located in 57 clinics with annual patient visits of 792,898. II. Quantitative Description of Community Benefit: Estimated Number Community OF PEOPLE Benefit Served Cost (Millions) Benefit for the Poor: Charity care at cost 1,243 $ .8 Unpaid costs of public programs 41,659 $28.5 Medicaid and other indigent care programs Community health services Subsidized health services Financial contributions Other benefit provided to the poor Total Benefit for the Poor $29.3 Benefit for the Broader Community: Community health Services Health professions education Subsidized health services Research Financial contributions Community Building activities Community Benefit operations Other benefit provided to the broader community Total Benefit for the Broader Community Total Benefit for the Poor and Broader Community $29.3 Uncompensated Care As described in the above table, Franciscan Medical Group provided a significant level of charity care services to those with limited or an inability to pay. To the extent Medicare and Medicaid reimbursement is below cost, Franciscan Medical Group recognizes these amounts as the uncompensated cost of providing care. As mentioned above, Franciscan Medical Group provides services to patients regardless of race, creed, sex, national origin, handicap, or ability to pay. Most physician groups in the State of Washington have either partially or fully closed their practices to new Medicare and Medicaid patients as the reimbursement for these programs has increasingly fallen short of the cost of providing that care. Although reimbursement for services rendered is critical to the operation and stability of Franciscan Medical Group, not all individuals possess the ability to purchase essential medical services and our mission is to serve the community by providing health care services and health care education. Therefore, in keeping with Franciscan Medical Group's commitment to serve all members of its community, we provide care to persons covered by governmental programs - although the cost of providing that care exceeds governmental program reimbursement. For the fiscal year ending June 30, 2010, the cost of uncompensated Medicare care amounted to $18.2 million; for Medicaid it amounted to $ 10.3million; Charity care totaled $ .8 million for the year. III. Qualitative Description of Community Benefit A. Community Outreach for the Poor and the Broader Community Activities offered include wellness programs, community education programs, special programs for terminally ill patients, and a broad variety of community support activities. Franciscan Medical Group provides charity care for the poor. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which Franciscan Medical Group believes serve a bona fide community health need. These include community education service cost for the community, classes for children that cover health care topics, emergency response, fire safety, bike and traffic safety, photo and fingerprinting, electrical safety, seat belts and other care safety, and other community health topics. It is significant to note that all of the Franciscan Medical Group primary care clinics operate in communities designated by the US Department of Health as medically underserved areas for access to primary care. Health Fairs, Events and Screenings Franciscan Medical Group provides cholesterol screenings, glucose screenings, blood pressure checks, and health education information to the community. In fiscal year 2010, these screenings and community health education opportunities reached approximately 6,200 people in our communities. FMG managers provided a minimum of 750 volunteer hours serving our communities. Fundraisers Supported Alzheimer's Association American Cancer Society - Relay for Life American Heart Association American Diabetes Association American Red Cross - Mt Rainier Chapter United Way Muscular Dystrophy Association Tacoma Rescue Mission Leukemia and Lymphoma Society Salvation Army Franciscan Foundation - Cornerstone Club Franciscan Foundation - St Joseph Hospital Ball Franciscan Foundation - St Francis Hospital Gala Franciscan Foundation - Hospice Golf Tournament Franciscan Foundation - St Francis Hospital Golf Tournament Franciscan Foundation - St Clare Hospital Golf Tournament Enumclaw Community Hospital Foundation Catholic Charities Most of these fundraising activities were supported by actual fundraising activities, but most were also supported by cash donations from Franciscan Medical Group.
EXECUTIVE COMMITTEEFORM 990, PART VI, Q. 1ATHE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF TWO PHYSICIAN DIRECTORS, ONE COMMUNITY REPRESENTATIVE NON-PHYSICIAN DIRECTOR AND THE CHAIRPERSON OF THE BOARD (UNLESS SUCH CHAIRPERSON OF THE BOARD IS ALSO ONE OF THE OTHER QUALIFIED MEMBERS, IN WHICH CASE THE FOURTH MEMBER SHALL BE A DIRECTOR APPOINTED BY THE CHAIRPERSON OF THE BOARD). THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.
MEMBERS OR SHAREHOLDERSFORM 990, PART VI, Q. 6THE SOLE MEMBER OF THE ORGANIZATION IS Franciscan Health System, A Washington NONPROFIT CORPORATION.
MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARDFORM 990, PART VI, Q. 7ATHE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
GOVERNING POWERSFORM 990, PART VI, Q. 7BFranciscan Medical Group's ("FMG")corporate member is Franciscan Health System ("FHS"). Pursuant to Section 5.4 of FMG's bylaws, both FHS and Catholic Health Initiatives ("CHI") (FHS's Sole Corporate Member) have specific rights set forth and reserved in the CHI governance matrix. Pursuant to the governance matrix the following rights are reserved to the FHS Board: 1. Approve members of the FMG board 2. Amendment of the corporate documents of FMG 3. Approve Removal of a member of the governing body of FMG 4. Adoption of long range and strategic plans for FMG The following rights are reserved to the CHI board directly or through powers delegated to the CHI Chief Executive Officer: 1. Substantial change in the mission or philosophy of FMG 2. Removal of a member of the governing body of FMG 3. Approval of issuance of debt by FMG 4. Approval of participation of FMG in a joint venture 5. Approval of formation of a new corporation by FMG 6. Approval of a merger involving FMG 7. Approval of the sale of all or substantially all of the assets of FMG 8. To require the transfer of assets by FMG to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. In addition, pursuant to Section 5.5.2 of the organization's bylaws, FHS or 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.
PROCESS THE ORGANIZATION USES TO REVIEW FORM 990FORM 990, PART VI, Q. 11AThe CFO reviews the tax return and any necessary changes are included in the final version that is approved for filing with the IRS. In addition, the return is provided to the Board prior to filing. Subsequent to review, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing.
PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICYFORM 990, PART VI, Q. 12CEach employee is provided education regarding Conflict of Interest policy at New Employee Orientation. As a part of the annual performance review process, the following statement is initialed by all employees: Conflicts of Interest: "I will comply with the standards and guidelines contained in the Conflict of Interest Policy. I understand that I am responsible for recognizing any situation in which a conflict of interest is present or might arise. I will immediately report any such situation to my Manager/Vice President and will take appropriate action to eliminate or prevent a conflict." The governing body is also required to annually declare conflicts of interests, as well as the Medical Staff leaders. When a conflict is acknowledged, the individuals are prohibited from deliberations and decisions in the transaction. The Executive Committee of the Board reviews all governance conflicts of interests, and at each board meeting the Chairperson asks if there are any conflicts of interests related to current agenda items. Conflicts of Interests are reviewed by the CFO, CEO, Legal or at the appropriate level of management depending on the nature of the conflict of interest.
Process for Determining CEO's CompensationForm 990 Part VI Line 15The organization's CEO's compensation is paid by CHI. CHI uses the Hay Group as an independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of CHI's senior most executives (including each MBO CEO) is reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, Q. 15BAn external compensation firm is used who utilizes actual market data compensation from similar institutions with comparable positions and compensation levels and considering the organizations geographic location. The Executive Committee of the Board annually evaluates and approves the Executive Compensation Arrangement for each executive for fair market value along with other applicable factors relied on by the Board's determination. The supporting documentation becomes part of the minutes of the meeting. This process is completed yearly.
GOVERNING DOCUMENTS - COI POLICY - FINANCIAL STATEMENTS AVAILABLEFORM 990, PART VI, Q. 19THE 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 ON THE WASHINGTON SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC IN THE ORGANIZATION'S ADMINISTRATION OFFICES.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIICOMPENSATION 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 EMPLOYEES. REPORTABLE INDIVIDUALS EMPLOYED BY CHI AND FRANCISCAN HEALTH SYSTEM ARE COMPENSATED IN EXCHANGE FOR 60 AND 40 HOUR WORK WEEKS RESPECTIVELY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St Joseph Community Health Services
300 Central SW Suite 300AlbuquerqueNM87102710897107CommunityNM501(c)(3)11aCHI
St Joseph Community Health Foundation
300 Central SW Suite 300AlbuquerqueNM87102850253087FoundationNM501(c)(3)7SJCHS
St Francis of Baker City
3325 Pocahontas RoadBaker CityOR97814930412495HospitalOR501(c)(3)3CHI
St Elizabeth Health Care Foundation
3325 Pocahontas RoadBaker CityOR97814943164869FoundationOR501(c)(3)7SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville RoadBardstownKY40004562351341FundraisingKY501(c)(3)11aFH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville RoadBardstownKY40004611345363HospitalKY501(c)(3)3CHI
Lakewood Health Center
600 Main Avenue SouthBaudetteMN56623410758434LTerm CareMN501(c)(3)3CHI
Appletree Court
601 Oak StreetBreckenridgeMN56520411850500Senior HomesMN501(c)(3)9SFH
Healthcare and Wellness Foundation
2400 St Francis DriveBreckenridgeMN56520760761782FoundationMN501(c)(3)11aSFMC
St Francis Home
2400 St Francis DriveBreckenridgeMN56520410729978LTerm CareMN501(c)(3)9CHI
St Francis Medical Center
2400 St Francis DriveBreckenridgeMN56520410695598HealthcareMN501(c)(3)3CHI
Carrington Health Center
800 North 4th StreetCarringtonND58421450227311HealthcareND501(c)(3)3CHI
Saint Clare's Community Care
66 Ford RoadDenvilleNJ07834222876836HealthcareNJ501(c)(3)11bSCHS
Saint Clare's Foundation Inc
66 Ford RoadDenvilleNJ07834222502997FundraisingNJ501(c)(3)7SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth AveCincinnatiOH45220311778403EducationKY501(c)(3)2GHS
Total Healthcare
PO Box 7021Colorado SpringsCO80933840927232HealthcareCO501(c)(3)3CHI Colorado
Memorial Health Care System Inc
2525 De Sales AvenueChattanoogaTN37404620532345HospitalTN501(c)(3)3CHI
Memorial Health Care System Foundation
2525 De Sales AvenueChattanoogaTN37404621839548FoundationTN501(c)(3)7MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford RoadChattanoogaTN37421030417049HealthcareTN501(c)(3)9MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 WestCincinnatiOH45206237419853DialysisOH501(c)(2)noneGSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 WestCincinnatiOH45206311206047FoundationOH501(c)(3)11aGSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 WestCincinnatiOH45206310537486HospitalOH501(c)(3)3TRI-HEALTH
Saint Clare's Hospital
66 Ford RoadDenvilleNJ07834223319886HospitalNJ501(c)(3)3CHI
St Francis Life Care Corporation
19 Pocono RoadDenvilleNJ07834222536017Elderly CareNJ501(c)(3)9SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 WestCincinnatiOH45206311074519PhysiciansOH501(c)(3)11aGSH
Catholic Health Initiatives Colorado Fou
961 East Colorado AvenueColorado SpringsCO80903840902211FoundationCO501(c)(3)7CHI Colorado
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29Colorado SpringsCO80903841183335LTerm CareCO501(c)(3)7CHI Colorado
Catholic Health Initiatives
1999 Broadway Suite 4000DenverCO80202470617373HealthcareCO501(c)(3)9CHI
Catholic Health Care Federation
1999 Broadway Suite 4000DenverCO80202208473567Jurdic PersonCO501(c)(3)11aCHI
Global Health Initiatives
1999 Broadway Suite 4000DenverCO80202201536108MinistriesCO501(c)(3)11aCHI
Health SET
4200 West Conejos Place 436DenverCO80204841102943Low Inc.CareCO501(c)(3)7CHI Colorado
Bishop Drumm Retirement Center
1111 6th AvenueDes MoinesIA50314420725196LTerm CareIA501(c)(3)9CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th AvenueDes MoinesIA50314420680448HospitalIA501(c)(3)3CHI-IA Corp
House of Mercy
1111 6th AvenueDes MoinesIA50314421323808ShelterIA501(c)(3)7CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th AvenueDes MoinesIA50314426076069AuxiliaryIA501(c)(3)11aCHI-IA Corp
Mercy Clinics Inc
1111 6th AvenueDes MoinesIA50314421193699PhysicianIA501(c)(3)9CHI-IA Corp
Mercy College of Health Sciences
1111 6th AvenueDes MoinesIA50314421511682EducationIA501(c)(3)2CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th AvenueDes MoinesIA50314237358794FoundationIA501(c)(3)7CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs DriveCentervilleIA52544420680308HospitalIA501(c)(3)3CHI-IA Corp
Mercy Professional Practice Associates
1111 6th AvenueDes MoinesIA50314421470935PhysicianIA501(c)(3)9CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh StreetDevils LakeND58301450227012HealthcareND501(c)(3)3CHI
Saint Joseph's Hospital Foundation
30 West 7th StreetDickinsonND58601363418207FoundationND501(c)(3)11aSJHHC
St Joseph's Hospital and Health Center
30 West 7th StreetDickinsonND58601450226429HealthcareND501(c)(3)3CHI
Mercy Regional Medical Center of Durango
1010 Three Springs BlvdDurangoCO81301840405515HospitalCO501(c)(3)3CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400ErlangerKY41018202741651HealthcareKY501(c)(3)11aCHI
Villa Nazareth Inc
801 Page DriveFargoND58103450226714LT CareND501(c)(3)9CHI
St Catherine Hospital
401 East Spruce StreetGarden CityKS67846480543721HospitalKS501(c)(3)3CHI
St Catherine Hospital Development Found
401 East Spruce StreetGarden CityKS67846200598702FoundationKS501(c)(3)11aSCH
Saint Francis Medical Center Foundation
PO Box 9804Grand IslandNE68802470630267FoundationNE501(c)(3)7SFMC
Saint Francis Medical Center
PO Box 9804Grand IslandNE68802470376601HealthCareNE501(c)(3)3CHI Nebraska
Central Kansas Medical Center
3515 BroadwayGreat BendKS67530480543724HospitalKS501(c)(3)3CHI
St Joseph Memorial Hospital
923 Carroll AveLarnedKS67550481253246HospitalKS501(c)(3)3CKMC
MNMCH Inc
220 North PennsylvaniaColumbusKS66725481216238HospitalKS501(c)(3)3SJRMC
Mercy Lifecare Systems
2727 McClelland BlvdJoplinMO64804431305163Property MgmtMO501(c)(3)11aSJRMC
St John's Medical Group
2727 McClelland BlvdJoplinMO64804431882377Phys PracticeMO501(c)(3)9SJRMC
St John's Mercy Regional Foundation
2727 McClelland BlvdJoplinMO64804431308084FoundationMO501(c)(3)7SJRMC
St John's Regional Medical Center
2727 McClelland BlvdJoplinMO64804440545809HospitalMO501(c)(3)3CHI
Good Samaritan Hospital
PO Box 1990KearneyNE68848470379755HealthCareNE501(c)(3)3CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810KearneyNE68848470659443FoundationNE501(c)(3)7GSH
St Joseph Health Ministries
2135 Noll Drive Suite CLancasterPA17603232342997HealthPA501(c)(3)11aSJHM
St Joseph Health Ministries Foundation
2135 Noll Drive Suite CLancasterPA17603232605579FundraisingPA501(c)(3)11aSJHM
St Joseph Health Services Inc
2135 Noll Drive Suite CLancasterPA17603201425375Dental carePA501(c)(3)11aSJHM
Continuing Care Hospital
150 North Eagle Creek DriveLexingtonKY40509611400619LTACHKY501(c)(3)3SJHS
Saint Joseph Berea Hospital Foundation
305 Estill StreetBereaKY40403260152877FoundationKY501(c)(3)7SJHS
Saint Joseph Health System Inc
150 N Eagle Creek DrLexingtonKY40509611334601HospitalKY501(c)(3)3CHI
St Joseph Hospital Foundation Inc
One St Joseph DriveLexingtonKY40504611159649FoundationKY501(c)(3)11aSJHS
Saint Joseph Medical Foundation Inc
One St Joseph DriveLexingtonKY40504311539059Phy PracticesKY501(c)(3)3SJHS
Visiting Nurse Association of Saint Clar
191 Woodport RoadSpartaNJ07871221768334Home HealthNJ501(c)(3)9SCHS
Saint Elizabeth Foundation
555 South 70th StreetLincolnNE68510470625523FoundationNE501(c)(3)7SERMC
Saint Elizabeth Health Services
555 South 70th StreetLincolnNE68510363233120HealthcareNE501(c)(3)3SERMC
CHI Nebraska
555 South 70th StreetLincolnNE68510363233121HealthcareNE501(c)(3)11aCHI
Saint Elizabeth Regional Medical Center
555 South 70th StreetLincolnNE68510470379836HealthcareNE501(c)(3)3CHI Nebraska
The Physician Network
8055 O Street Suite 300LincolnNE68510470780857HealthcareNE501(c)(3)11aCHI Nebraska
Lisbon Area Health Services
905 Main StreetLisbonND58054820558836HealthcareND501(c)(3)3CHI
Alverna Apartments
300 SE 8th AvenueLittle FallsMN56345411351177Lterm CareMN501(c)(3)9CHI
Unity Family Healthcare
815 2nd Street SELittle FallsMN56345410721642HealthcareMN501(c)(3)3CHI
St Anthony's Hospital Association
4 Hospital DriveMorriltonAR72110710245507HealthcareAR501(c)(3)3SVIMC
St Vincent Infirmary Medical Center
2 St Vincent CircleLittle RockAR72205710236917HealthcareAR501(c)(3)3CHI
St Vincent Medical Group
2 St Vincent CircleLittle RockAR72205710830696HealthcareAR501(c)(3)9SVIMC
Maria-Joseph Center
4830 Salem AvenueDaytonOH45416310935118HealthcareOH501(c)(3)9SHP
Saint Joseph London Foundation Inc
310 East Ninth StreetLondonKY40741260438748FoundationKY501(c)(3)11aSJHS
Samaritan Behavioral Health
601 S Edwin C Moses BlvdDaytonOH45408020633634HospitalOH501(c)(3)3SHP
Mercy Medical Center
1512 12th Avenue RoadNampaID83686820200896HospitalID501(c)(3)3CHI
Mercy Medical Center Foundation
1512 12th Avenue RoadNampaID83686261737256FoundationID501(c)(3)11aMercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue RoadNampaID83686208192593Phys GroupID501(c)(3)9Mercy Med Ct
St Mary's Hospital
1314 3rd AvenueNebraska CityNE68410470443636HospitalNE501(c)(3)3CHI Nebraska
St Mary's Hospital Foundation
1314 3rd AvenueNebraska CityNE68410470707604FoundationNE501(c)(3)7SMH
Oakes Community Hospital
314 South 8th StreetOakesND58474450231675HospitalND501(c)(3)3CHI
Oakes Community Hospital Foundation
314 South 8th StreetOakesND58474710966606FoundationND501(c)(3)11aOCH
St Dominic at Ontario
351 SW 9th StreetOntarioOR97914930433692HospitalOR501(c)(3)3CHI
Holy Rosary Medical Center Foundation
351 SW 9th StreetOntarioOR97914202683560FoundationOR501(c)(3)11aHRMC
St Joseph's Area Health Services
600 Pleasant AvenuePark RapidsMN56470410695603HospitalMN501(c)(3)3CHI
St Anthony Hospital
1601 SE Court AvenuePendletonOR97801930391614HospitalOR501(c)(3)3CHI
St Anthony Hospital Foundation
1601 SE Court AvenuePendletonOR97801930992727FoundationOR501(c)(3)11aSA Hospital
Gettysburg Medical Center
606 East Garfield AvenueGettysburgSD57442460234354HospitalSD501(c)(3)3SMHC
St Mary's Healthcare Center
801 East Sioux AvenuePierreSD57501460230199HealthcareSD501(c)(3)3CHI
Mt St Joseph Inc
3060 SE Stark StreetPortlandOR97214930386870Nursing CareOR501(c)(3)9CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52PuebloCO81004841234295CommunityCO501(c)(3)7CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316ReadingPA19603232187242HealthcarePA501(c)(3)11aCHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316ReadingPA19603232649362FoundationPA501(c)(3)11aSJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316ReadingPA19603208544021HealthcarePA501(c)(3)9BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316ReadingPA19603231352211HealthcarePA501(c)(3)3CHI
Linus Oakes Inc
2700 Stewart ParkwayRoseburgOR97470930821381Senior LivingOR501(c)(3)9MMC
Mercy Foundation Inc
2700 Stewart ParkwayRoseburgOR97470936088946FoundationOR501(c)(3)7MMC
Mercy Medical Center
2700 Stewart ParkwayRoseburgOR97470930386868HospitalOR501(c)(3)3CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago AvenueSouth MilwaukeeWI53172391093829HealthcareWI501(c)(3)9CHI
Enumclaw Community Hospital
1450 Battersby AvenueEnumclawWA98022910715805HospitalWA501(c)(3)3FHS
Franciscan Foundation
1717 South J StreetTacomaWA98405911145592FundraisingWA501(c)(3)9FHS
Franciscan Health System FKA Franciscan
1717 South J StreetTacomaWA98405910564491HealthcareWA501(c)(3)3CHI
Franciscan Medical Group
1708 South Yakima AvenueTacomaWA98405911939739HealthcareWA501(c)(3)9FHS
St Joseph Medical Center Foundation In
7601 Osler DriveTowsonMD21204521681044FundraisingMD501(c)(3)7SJMC
St Joseph Medical Center Inc
7601 Osler DriveTowsonMD21204520591461HospitalMD501(c)(3)3CHI
St Joseph Physician Enterprises
7601 Osler DriveTowsonMD21204521311775PhysiciansMD501(c)(3)11aCHI
Samaritan Health Foundation
2222 Philadelphia DriveDaytonOH45406237296923FoundationOH501(c)(3)7SHP
Mercy Hospital of Valley City
570 Chautauqua BoulevardValley CityND58072450226553HospitalND501(c)(3)3CHI
Mercy Medical Center
1301 15th Avenue WestWillistonND58801450231183HealthcareND501(c)(3)3CHI
Mercy Medical Foundation
1301 15th Avenue WestWillistonND58801450381803FoundationND501(c)(3)11aMMC
Samaritan Health Partners
2222 Philadelphia DriveDaytonOH45406311107411HealthcareOH501(c)(3)11aCHI
St Vincent Foundation
Two St Vincent CircleLittle RockAR72205510169537FundraisingAR501(c)(3)11aSVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th StreetOntarioOR97914943059469HospitalOR501(c)(3)9HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh StreetDevils LakeND58301352367360FoundationND501(c)(3)11aMHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy RoadOmahaNE68124470484764HospitalNE501(c)(3)3CHI
Alegent Health - Mercy Hospital Corning
PO Box 368CorningIA50841420782518HospitalIA501(c)(3)3AHBMHS
Mercy Health Care Foundation
PO Box 368CorningIA50841421461064FoundationNE501(c)(3)11aAHMH
Mercy Hospital Foundation Council Bluff
800 Mercy DriveCouncil BluffsIA51503421178204FoundationIA501(c)(3)11aAHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive WestEnglewoodCO80112271050565HealthcareCO501(c)(3)11aCHI
CHI Colorado
188 Inverness Drive WestEnglewoodCO80112840405257HealthcareCO501(c)(3)3CHI
Saint Joseph Mount Sterling Foundation
50 Sterling AvenueMount SterlingKY40353272884584FoundationKY501(c)(3)7SJHS
Centennial Medical Group Inc
2700 Stewart ParkwayRoseburgOR97470900433062PhysiciansOR501(c)(3)9MMC
CHI National Foundation
198 Inverness Drive WestEnglewoodCO80112270930004FoundationCO501(c)(3)11aCHI
Saint Clare's Health Services Inc
25 Pocono RoadDenvilleNJ07834223639733ManagementNJ501(c)(3)7CHI
Good Samaritan Hospital
2222 Philadelphia DriveDaytonOH45406310536981HospitalOH501(c)(3)3SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
Superior Medical Imaging LLC
5000 North 26th StreetLincolnNE68521262884555OP DiagnosticsNESERMCRelated-155495993429false$272false
Central Nebraska Rehab Services
3004 W Faidley AveGrand IslandNE68802810653461Physical TherapyNECHIRelated18169792933623false$5,050false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244CliveIA50325900129077Ambulatory SurgIACHI-IA CorpRelated19177161695121falsefalse
Audubon Land Company LLC
5390 N Academy Blvd Suite 300Colorado SpringsCO80918841513085Real EstateCOTHCRelated675779001605falsefalse
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11BreckenridgeCO80424651295958Medical ClinicCOTHCRelatedfalsefalse
Penrad Imaging
1390 Kelly Johnson BlvdColorado SpringsCO80920841072619Medical ImagingCOTHCRelated19224418248492falsefalse
St Anthony Regional Mtn Cancer Center
4231 W 16th AvenueDenverCO80112371568013Cancer CenterCOTHCRelated60513318803falsefalse
St Francis Land Company
5390 N Academy Blvd Suite 300Colorado SpringsCO80918263134100Real EstateCOTHCRelated-18097914886022falsefalse
OrthoColorado LLC
11650 West 2nd PlaceLakewoodCO80255371577105Ortho HospitalCOTHCRelated-537516515265510falsefalse
Mercy Outpatient Surgery Center LLC
1512 12th Avenue RoadNampaID83686841380439Surgery CenterIDMMCRelated-812036949357false$4,620true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11TacomaWA98405870808610Healthcare SrvcWAFHSRelated-5160763860362falsefalse
Healthcare Support Services LLC
PO Box 9804Grand IslandNE688029804721546196LaundryNECHIRelated1999683913481false$58,436false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310LexingtonKY40504611386736DiagnosticKYSJ HospitalLexRelated2424563773725falsefalse
North River Surgery Center LLC
2209 Wildwood AvenueSherwoodAR72120710799771Ambul Surg CtrARSVIMCRelated2139891696001falsefalse
CHI Operating Investment Program LP
198 Inverness Drive WestEnglewoodCO80112470727942InvestmentsCOCHIInvestment580224069968false$14,031true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201BaltimoreMD21204522095835Surgery CenterMDSJMCRelated-757163421084falsetrue
Central Nebraska Home Care Services
PO Box 1146-4510 Second AvenueKearneyNE68848470692112Healthcare SrvcNEHSEINCRelated-1029821021500falsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland BlvdJoplinMO64804431457881DMEMOSt John's RMCC Corp-103383220936831.00000
Mountain Management Services Inc
6028D Shallowford RoadChattanoogaTN37422621570739mgmt svc orgTNMHCSC Corp34864245308451.00000
MedQuest
1301 15th Avenue WestWillistonND58801450392137Sale of DMENDMHof WillistonC Corp-167949114941.00000
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSt Anthony HC Corp4186130479381.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NebraskaC Corp-24916238402321.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC Corp1095715597471.00000
Mercy Park Apartments Ltd
1111 6th AvenueDes MoinesIA50314421202422HousingIACHI-IA CorpC Corp22724418061991.00000
Des Moines Medical Center Inc
1111 6th AvenueDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corp11231730.92980
Comcare Services
4231 W 16th AvenueDenverCO80204840904813InactiveCOCHICC Corp1.00000
Mednow Inc
1512 12th Avenue RoadNampaID83686820389927Outpat PharmacyIDMercy Med CtrC Corp-67295453484761.00000
Saint Clare's Primary Care Inc
66 Ford RoadDenvilleNJ07834222441202Billing ServicesNJSCCCC Corp-35063025904871.00000
Healthcare Mgmt Services Org Inc
1149 Market StTacomaWA98402911865474Health Org.WAFHSC Corp1.00000
Physician Health System Network
1149 Market StTacomaWA98402911746721Health Org.WAFHSC Corp1.00000
Mercy Services Corp
2700 Stewart ParkwayRoseburgOR97470930824308Retail SalesORMercy MedicalC Corp-49940914030011.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite DChattanoogaTN37422621570736HealthcareTNMHCSC Corp10081.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 BroadwayGreat BendKS67530481042853MEDICAL EQUIPMENTKSCKMCC Corp1101251.00000
St Vincent Community Health Services In
Two St Vincent CircleLittle RockAR72205710710785HealthcareARSVIMCC Corp2404944101950001.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400ErlangerKY41018841112049Management ServicCOCHIC Corp32721761.00000
Nazareth Assurance Company
76 St Paul Street Suite 500BurlingtonVT05401030304831InsuranceVTCHIC Corp1.00000
Franciscan Services Inc
198 Inverness Drive WestEnglewoodCO80112232487967HealthcareCOCHIC Corp194756125982581.00000
SJH Services Corporation
198 Inverness Drive WestEnglewoodCO80112232307408HealthcareCOFSIC Corp31434634230121.00000
St Joseph Development Company Inc
1717 South J StreetTacomaWA98405911480569RentalWAFSIC Corp1677122119847251.00000
Towson Management Inc
7601 Osler DriveTowsonMD21204521710750Management ServicMDFSIC Corp993154983831.00000
Captive Management Initiatives
980663022Captive ManagemenCHIC Corp1.00000CJ
First Initiatives Insurance Ltd
980203038InsuranceCHIC Corp1.00000CJ
Center for Translational Research
198 Inverness Drive WestEnglewoodCO80112272269511HealthcareCOCHIC Corp-84094917462011.00000
Samaritan Family Care Inc
40 W Fourth St 1700DaytonOH45402311299450HealthcareOHSHPLLC-119983648943971.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160LexingtonKY40503999999999ManagementKYSJHSC Corp1.00000
CGH Realty Company Inc
215 N 12th StReadingPA19603232326801Real EstatePASJHMC Corp1007424151.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70LexingtonKY40504611079899ManagementKYSJHSC Corp102175728430.85000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TyperTransactionType
Amount Involved45170849AmountInvolved

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