2011-05-02T16:00:45-04:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 470707604 St Mary's Hospital Foundation STMA 4028738929 1314 3rd Avenue Nebraska City NE 684101999 Shawn Closner 2011-04-27 MARK STOCKI 7208741500 2009 2016-02-24 21:20:13Z Dan Kelly 1314 3RD AVENUE Nebraska City NE 684101999 39750 false X N/A X 1986 NE Through voluntary leadership the foundation board seeks, attains and administers funds contributed from various sources that support the mission and services provided by St. Mary's Community Hospital. 11 6 0 6 0 0 77587 26176 0 0 547 1705 3712 2698 81846 30579 0 69013 0 0 18645 0 0 0 10022 3971 22353 22616 91366 59230 -60787 178694 152581 45113 76536 133581 76045 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. false false 76958 SEE SCHEDULE O 76958 true true false false false false false false false true false true false false false false false false true false false true false true false false false false false false false false false false false false false true true false false true 0 0 0 false false false false false true true false false false 11 6 false false false false true true true true false false false true true true true true true true true false NE X Sharon Crunk 4028738929 1314 3rd Avenue Nebraska City NE 68410 X BRETT MEYER 1.0 X 87733 3369 Doug Langemeier 1.0 X 120797 28372 Tom Farrell 1.0 X X Patricia Holmes 1.0 X 35948 16480 Karen Barr 1.0 X Mike Borns 1.0 X DANIEL KELLY 1.0 X 198965 38859 Jaclyn Kreifels 1.0 X X Jan Madsen 1.0 X X DEBORAH NORTON 1.0 X 30555 20775 Tammi Thompson 20.0 X X 37157 24615 Joyce Turner 1.0 X X Duane Smith 1.0 X JONATHAN STELLING X 250210 40345 761365 172815 0 true true false none 0 5665 6000 14511 26176 0 1705 1705 0 0 0 11869 5665 9171 2698 2698 0 0 0 30579 4403 69013 69013 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19864 7945 3974 7945 376 376 292 292 0 0 0 0 0 48 48 0 0 120 120 0 MISC EXP 1653 1653 91366 76958 4386 10022 649 0 177925 152581 2400 2400 120 0 178694 152581 45113 76536 45113 76536 X 47362 39976 86219 36069 133581 76045 178694 152581 X false true true X false X 113692 74228 50587 77587 26176 342270 113692 74228 50587 77587 26176 342270 156787 185483 1747 3245 3626 547 1705 10870 353140 0.52524 0.50366 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2400 2400 0 0 0 INTERCOMPANY PAYABLE 76536 76536 30579 91366 -60787 3251 3251 -57536 Reporting of liability for uncertain tax positions under ASC 740 Sch. D, Part X St. Mary's Hospital Foundation'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." GOLF EVENT 8785 2838 5947 5073 GOLF EVENT 8749 2827 5922 4098 0 17534 5665 11869 9171 9171 2698 true ST MARY'S COMMUNITY HOSPITAL 1314 THIRD AVENUE NEBRASKA CITY NE 68410 470443636 501 c 3 69013 Support 1 Schedule I Part I Q2 Procedures for monitoring the use of grants Grants are paid to St. Mary's Hospital Foundation in the form of Assets Released from Restriction. Donations are tracked based on use restrictions and proceeds are transferred to the hospital as restrictions are met. false true false false false false false false false DANIEL KELLY 128265 32734 37966 11250 27609 237824 10958 JONATHAN STELLING 181086 68665 459 40345 290555 EXECUTIVE COMPENSATION Schedule J, Part 1, Q. 3 Compensation for the CEO/Executive Director of St. Mary's Hospital Foundation was established and paid for 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; and 5) Approval by the board or compensation committee. POST-TERMINATION PAYMENTS Schedule J, Part 1, Q. 4A Post-termination payments are addressed in executive employment agreements for CHI 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 agreements are periodically reviewed for overall reasonableness in light of the executives overall compensation package. For the calendar year 2009, no seveance payments were made. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN Schedule J, Part 1, Q. 4b DURING THE 2009 CALENDAR YEAR, CHI MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE, INCLUDING MBO CEOs. THE FOLLOWING REPORTABLE INDIVIDUAL WAS ELIGIBLE TO PARTICIPATE AND RECEIVED THE FOLLOWING CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR: Daniel Kelly: $11,250 THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S REPORTABLE COMPENSATION FOR ScHEDULE J: Daniel Kelly $10,958 PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III LINE 4a St. Mary's Hospital Foundation was incorporated as a 501(c)(3), tax-exempt, charitable foundation in 1987 to serve as the official gift-receiving and gift-administration agency for St. Mary's Community Hospital in Nebraska City, Nebraska. The purpose is to engage in fundraising, development and other charitable activities all in support of St. Mary's Community Hospital. The foundation is focused on improving the quality of life in the communities that we serve by contributing to the hospital so they are able to provide the best health care services to our patients. The following Purpose Statement, developed by the foundation board of directors is as follows; St. Mary's Hospital Foundation is committed to seek, attain and administer funds contributed from various sources that support the mission and services provided by St. Mary's Community Hospital. Through voluntary leadership we will accomplish this goal with the strength, support and guidance of St. Mary's Community Hospital as we move toward the creation of healthier communities. St. Mary's Hospital Foundation's current 11-member Board of Trustees, raises funds through special events, employee annual giving, major gifts, and project campaigns to help fund health care equipment, projects and services offered by St. Mary's Community Hospital. As the foundation continues to grow it's donor base and revenue, we aim to lead the effort in continuing the highest quality of healthcare available. As a non-profit Foundation, it is certain that the dollars we earn and the decisions we make benefit the people who live within our community in every way possible. Executive Committee Form 990, Part VI, Q. 1a The Executive Committee CONSISTS only OF directors of the Corporation and IS composed of the Chairperson of the Board, the Vice Chairperson of the Board, and the Executive Director, each of whoM serve as ex officio voting memberS of the Executive Committee. 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 Stockholders FORM 990, PART VI, Q. 6 ACCORDING TO THE BYLAWS OF ST. MARY'S HOSPITAL FOUNDATION, THE ENTITY'S SOLE MEMBER IS St. Mary's Community Hospital, A Nebraska NONPROFIT CORPORATION. ELECTING BOARD MEMBERS FORM 990, PART VI, Q. 7A The organization's sole corporate member has the power to appoint, remove or replace the members of the board of directors. GOVERNING POWERS FORM 990, PART VI, Q. 7B The organization's corporate member is St. Mary's Hospital("SMH"). Pursuant to the organization's bylaws, SMH, CHI Nebraska, (SMH's sole corporate member) and Catholic Health Initiatives (CHI Nebraska's sole corporate member) ("CHI") have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the Board of SMH: * Approve members of SMHF's board. * Amend the corporate documents of SMHF. * Approve removal of a member of the governing body of SMHF. * Adopt long range and strategic plans for SMHF. The following rights are reserved to CHI's Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change of the mission or philosophy of SMHF. * Removal of a member of the governing body of SMHF. * Approval of issuance of debt by SMHF. * Approval of participation of SMHF in a joint venture. * Approval of formation of a new corporation by SMHF. * Approval of a merger involving SMHF. * Approval of the sale of all or substantially all of the assets of SMHF. * Requirement of the transfer of assets by SMHF to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to the organization's bylaws, SMH or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. Governing Body and Management Form 990, Part VI, Q. 8b Committees do not have authority to act on their own; they are strictly working/planning meetings for special events. All actions are taken at the governing body meetings. According to the bylaws, except as provided by law, the Executive Committee shall have and may exercise such powers as may be delegated to it by the Board of Directors. All actions taken by the Executive Committee shall be promptly reported to the Board of Directors at the next regular or annual meeting of the Board of Directors. PROCESS USED TO REVIEW FORM 990 Form 990, Part VI, Q. 11A The CFO facilitates the return's review with the management team and their revisions are included in the final version of the form, which is approved for filing with the Internal Revenue Service. The Return is provided to the board prior to filing by electronic means. After provision 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. Procedures for monitoring and enforcing the COI policy Form 990, Part VI, Q. 12c St. Mary's Hospital Foundation has a board policy that references the duality of interest and conflict of interest policies provided by chi national. At the annual board and board committee meetings all members are requested to sign conflict of interest statements. The signed statements are retained in the administrative files. All members are requested to declare potential conflicts of interest at each board and /or committee meeting of the board (finance/audit and compliance committee and the performance improvement committee). If the board finds that a conflict does exist regarding the agenda items to be presented for action, members are requested to abstain from voting. In addition, a questionnaire is sent annually to all board members, top paid vendors, and top paid employees asking them to disclose any business or family relationships. PROCESS FOR DETERMINING COMPENSATION - CEO/EXECUTIVE DIRECTOR FORM 990, PART VI, Q. 15A The organization's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are 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 COMPENSATION FORM 990, PART VI, Q. 15B During the tax year ended 6/30/10, no officers, directors, or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by a compensation committee utilizing an independent consultant and comparability studies and the appropriate board oversight to determine compensation. Governing documents - COI Policy - Financial Statements available Form 990, Part VI, Q. 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 foundation's organizing documents are available from the Nebraska Secretary of State's website. The organization's conflict of interest policy is not publicly available. ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII 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. St Joseph Community Health Services 300 Central SW Suite 300 Albuquerque NM 87102 710897107 Community NM 501(c)(3) 11a CHI St Joseph Community Health Foundation 300 Central SW Suite 300 Albuquerque NM 87102 850253087 Foundation NM 501(c)(3) 7 SJCHS St Francis of Baker City 3325 Pocahontas Road Baker City OR 97814 930412495 Hospital OR 501(c)(3) 3 CHI St Elizabeth Health Care Foundation 3325 Pocahontas Road Baker City OR 97814 943164869 Foundation OR 501(c)(3) 7 SEHS Flaget Memorial Hospital Foundation Inc 4305 New Shepherdsville Road Bardstown KY 40004 562351341 Fundraising KY 501(c)(3) 11a FH Flaget Healthcare DBA Flaget Memorial 4305 New Shepherdsville Road Bardstown KY 40004 611345363 Hospital KY 501(c)(3) 3 CHI Lakewood Health Center 600 Main Avenue South Baudette MN 56623 410758434 LTerm Care MN 501(c)(3) 3 CHI Appletree Court 601 Oak Street Breckenridge MN 56520 411850500 Senior Homes MN 501(c)(3) 9 SFH Healthcare and Wellness Foundation 2400 St Francis Drive Breckenridge MN 56520 760761782 Foundation MN 501(c)(3) 11a SFMC St Francis Home 2400 St Francis Drive Breckenridge MN 56520 410729978 LTerm Care MN 501(c)(3) 9 CHI St Francis Medical Center 2400 St Francis Drive Breckenridge MN 56520 410695598 Healthcare MN 501(c)(3) 3 CHI Carrington Health Center 800 North 4th Street Carrington ND 58421 450227311 Healthcare ND 501(c)(3) 3 CHI Saint Clare's Community Care 66 Ford Road Denville NJ 07834 222876836 Healthcare NJ 501(c)(3) 11b SCHS Saint Clare's Foundation Inc 66 Ford Road Denville NJ 07834 222502997 Fundraising NJ 501(c)(3) 7 SCHS Good Samaritan College of Nursing & Heal 375 Dixmyth Ave Cincinnati OH 45220 311778403 Education KY 501(c)(3) 2 GHS Total Healthcare PO Box 7021 Colorado Springs CO 80933 840927232 Healthcare CO 501(c)(3) 3 CHI Colorado Memorial Health Care System Inc 2525 De Sales Avenue Chattanooga TN 37404 620532345 Hospital TN 501(c)(3) 3 CHI Memorial Health Care System Foundation 2525 De Sales Avenue Chattanooga TN 37404 621839548 Foundation TN 501(c)(3) 7 MHCS Memorial Health Partners Foundation Inc 6028 Shallowford Road Chattanooga TN 37421 030417049 Healthcare TN 501(c)(3) 9 MHCS The Community Limited Care Dialysis Cent 619 Oak Street Accounting-3 West Cincinnati OH 45206 237419853 Dialysis OH 501(c)(2) none GSH Good Samaritan Foundation of Cincinnati 619 Oak Street Accounting-3 West Cincinnati OH 45206 311206047 Foundation OH 501(c)(3) 11a GSH The Good Samaritan Hospital of Cincinnat 619 Oak Street Accounting-3 West Cincinnati OH 45206 310537486 Hospital OH 501(c)(3) 3 TRI-HEALTH Saint Clare's Hospital 66 Ford Road Denville NJ 07834 223319886 Hospital NJ 501(c)(3) 3 CHI St Francis Life Care Corporation 19 Pocono Road Denville NJ 07834 222536017 Elderly Care NJ 501(c)(3) 9 SCHS TriHealth Physician Institute 619 Oak Street Accounting-3 West Cincinnati OH 45206 311074519 Physicians OH 501(c)(3) 11a GSH Catholic Health Initiatives Colorado Fou 961 East Colorado Avenue Colorado Springs CO 80903 840902211 Foundation CO 501(c)(3) 7 CHI Colorado SET of Colorado Springs Inc 825 E Pikes Peak Avenue Bldg 29 Colorado Springs CO 80903 841183335 LTerm Care CO 501(c)(3) 7 CHI Colorado Catholic Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 470617373 Healthcare CO 501(c)(3) 9 CHI Catholic Health Care Federation 1999 Broadway Suite 4000 Denver CO 80202 208473567 Jurdic Person CO 501(c)(3) 11a CHI Global Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 201536108 Ministries CO 501(c)(3) 11a CHI Health SET 4200 West Conejos Place 436 Denver CO 80204 841102943 Low Inc.Care CO 501(c)(3) 7 CHI Colorado Bishop Drumm Retirement Center 1111 6th Avenue Des Moines IA 50314 420725196 LTerm Care IA 501(c)(3) 9 CHI-IA Corp Mercy Medical Center - Des Moines AKA 1111 6th Avenue Des Moines IA 50314 420680448 Hospital IA 501(c)(3) 3 CHI-IA Corp House of Mercy 1111 6th Avenue Des Moines IA 50314 421323808 Shelter IA 501(c)(3) 7 CHI-IA Corp Mercy Auxiliary of Central Iowa 1111 6th Avenue Des Moines IA 50314 426076069 Auxiliary IA 501(c)(3) 11a CHI-IA Corp Mercy Clinics Inc 1111 6th Avenue Des Moines IA 50314 421193699 Physician IA 501(c)(3) 9 CHI-IA Corp Mercy College of Health Sciences 1111 6th Avenue Des Moines IA 50314 421511682 Education IA 501(c)(3) 2 CHI-IA Corp Mercy Foundation of Des Moines IA 1111 6th Avenue Des Moines IA 50314 237358794 Foundation IA 501(c)(3) 7 CHI-IA Corp Mercy Medical Center - Centerville FKA 1 St Josephs Drive Centerville IA 52544 420680308 Hospital IA 501(c)(3) 3 CHI-IA Corp Mercy Professional Practice Associates 1111 6th Avenue Des Moines IA 50314 421470935 Physician IA 501(c)(3) 9 CHI-IA Corp Mercy Hospital of Devils Lake 1031 East Seventh Street Devils Lake ND 58301 450227012 Healthcare ND 501(c)(3) 3 CHI Saint Joseph's Hospital Foundation 30 West 7th Street Dickinson ND 58601 363418207 Foundation ND 501(c)(3) 11a SJHHC St Joseph's Hospital and Health Center 30 West 7th Street Dickinson ND 58601 450226429 Healthcare ND 501(c)(3) 3 CHI Mercy Regional Medical Center of Durango 1010 Three Springs Blvd Durango CO 81301 840405515 Hospital CO 501(c)(3) 3 CHI CHI Kentucky Inc 3900 Olympic Blvd Suite 400 Erlanger KY 41018 202741651 Healthcare KY 501(c)(3) 11a CHI Villa Nazareth Inc 801 Page Drive Fargo ND 58103 450226714 LT Care ND 501(c)(3) 9 CHI St Catherine Hospital 401 East Spruce Street Garden City KS 67846 480543721 Hospital KS 501(c)(3) 3 CHI St Catherine Hospital Development Found 401 East Spruce Street Garden City KS 67846 200598702 Foundation KS 501(c)(3) 11a SCH Saint Francis Medical Center Foundation PO Box 9804 Grand Island NE 68802 470630267 Foundation NE 501(c)(3) 7 SFMC Saint Francis Medical Center PO Box 9804 Grand Island NE 68802 470376601 HealthCare NE 501(c)(3) 3 CHI Nebraska Central Kansas Medical Center 3515 Broadway Great Bend KS 67530 480543724 Hospital KS 501(c)(3) 3 CHI St Joseph Memorial Hospital 923 Carroll Ave Larned KS 67550 481253246 Hospital KS 501(c)(3) 3 CKMC MNMCH Inc 220 North Pennsylvania Columbus KS 66725 481216238 Hospital KS 501(c)(3) 3 SJRMC Mercy Lifecare Systems 2727 McClelland Blvd Joplin MO 64804 431305163 Property Mgmt MO 501(c)(3) 11a SJRMC St John's Medical Group 2727 McClelland Blvd Joplin MO 64804 431882377 Phys Practice MO 501(c)(3) 9 SJRMC St John's Mercy Regional Foundation 2727 McClelland Blvd Joplin MO 64804 431308084 Foundation MO 501(c)(3) 7 SJRMC St John's Regional Medical Center 2727 McClelland Blvd Joplin MO 64804 440545809 Hospital MO 501(c)(3) 3 CHI Good Samaritan Hospital PO Box 1990 Kearney NE 68848 470379755 HealthCare NE 501(c)(3) 3 CHI Nebraska Good Samaritan Hospital Foundation PO Box 1810 Kearney NE 68848 470659443 Foundation NE 501(c)(3) 7 GSH St Joseph Health Ministries 2135 Noll Drive Suite C Lancaster PA 17603 232342997 Health PA 501(c)(3) 11a SJHM St Joseph Health Ministries Foundation 2135 Noll Drive Suite C Lancaster PA 17603 232605579 Fundraising PA 501(c)(3) 11a SJHM St Joseph Health Services Inc 2135 Noll Drive Suite C Lancaster PA 17603 201425375 Dental care PA 501(c)(3) 11a SJHM Continuing Care Hospital 150 North Eagle Creek Drive Lexington KY 40509 611400619 LTACH KY 501(c)(3) 3 SJHS Saint Joseph Berea Hospital Foundation 305 Estill Street Berea KY 40403 260152877 Foundation KY 501(c)(3) 7 SJHS Saint Joseph Health System Inc 150 N Eagle Creek Dr Lexington KY 40509 611334601 Hospital KY 501(c)(3) 3 CHI St Joseph Hospital Foundation Inc One St Joseph Drive Lexington KY 40504 611159649 Foundation KY 501(c)(3) 11a SJHS Saint Joseph Medical Foundation Inc One St Joseph Drive Lexington KY 40504 311539059 Phy Practices KY 501(c)(3) 3 SJHS Visiting Nurse Association of Saint Clar 191 Woodport Road Sparta NJ 07871 221768334 Home Health NJ 501(c)(3) 9 SCHS Saint Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 Foundation NE 501(c)(3) 7 SERMC Saint Elizabeth Health Services 555 South 70th Street Lincoln NE 68510 363233120 Healthcare NE 501(c)(3) 3 SERMC CHI Nebraska 555 South 70th Street Lincoln NE 68510 363233121 Healthcare NE 501(c)(3) 11a CHI Saint Elizabeth Regional Medical Center 555 South 70th Street Lincoln NE 68510 470379836 Healthcare NE 501(c)(3) 3 CHI Nebraska The Physician Network 8055 O Street Suite 300 Lincoln NE 68510 470780857 Healthcare NE 501(c)(3) 11a CHI Nebraska Lisbon Area Health Services 905 Main Street Lisbon ND 58054 820558836 Healthcare ND 501(c)(3) 3 CHI Alverna Apartments 300 SE 8th Avenue Little Falls MN 56345 411351177 Lterm Care MN 501(c)(3) 9 CHI Unity Family Healthcare 815 2nd Street SE Little Falls MN 56345 410721642 Healthcare MN 501(c)(3) 3 CHI St Anthony's Hospital Association 4 Hospital Drive Morrilton AR 72110 710245507 Healthcare AR 501(c)(3) 3 SVIMC St Vincent Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 710236917 Healthcare AR 501(c)(3) 3 CHI St Vincent Medical Group 2 St Vincent Circle Little Rock AR 72205 710830696 Healthcare AR 501(c)(3) 9 SVIMC Maria-Joseph Center 4830 Salem Avenue Dayton OH 45416 310935118 Healthcare OH 501(c)(3) 9 SHP Saint Joseph London Foundation Inc 310 East Ninth Street London KY 40741 260438748 Foundation KY 501(c)(3) 11a SJHS Samaritan Behavioral Health 601 S Edwin C Moses Blvd Dayton OH 45408 020633634 Hospital OH 501(c)(3) 3 SHP Mercy Medical Center 1512 12th Avenue Road Nampa ID 83686 820200896 Hospital ID 501(c)(3) 3 CHI Mercy Medical Center Foundation 1512 12th Avenue Road Nampa ID 83686 261737256 Foundation ID 501(c)(3) 11a Mercy Med Ct Mercy Physician Group Inc 1512 12th Avenue Road Nampa ID 83686 208192593 Phys Group ID 501(c)(3) 9 Mercy Med Ct St Mary's Hospital 1314 3rd Avenue Nebraska City NE 68410 470443636 Hospital NE 501(c)(3) 3 CHI Nebraska St Mary's Hospital Foundation 1314 3rd Avenue Nebraska City NE 68410 470707604 Foundation NE 501(c)(3) 7 SMH Oakes Community Hospital 314 South 8th Street Oakes ND 58474 450231675 Hospital ND 501(c)(3) 3 CHI Oakes Community Hospital Foundation 314 South 8th Street Oakes ND 58474 710966606 Foundation ND 501(c)(3) 11a OCH St Dominic at Ontario 351 SW 9th Street Ontario OR 97914 930433692 Hospital OR 501(c)(3) 3 CHI Holy Rosary Medical Center Foundation 351 SW 9th Street Ontario OR 97914 202683560 Foundation OR 501(c)(3) 11a HRMC St Joseph's Area Health Services 600 Pleasant Avenue Park Rapids MN 56470 410695603 Hospital MN 501(c)(3) 3 CHI St Anthony Hospital 1601 SE Court Avenue Pendleton OR 97801 930391614 Hospital OR 501(c)(3) 3 CHI St Anthony Hospital Foundation 1601 SE Court Avenue Pendleton OR 97801 930992727 Foundation OR 501(c)(3) 11a SA Hospital Gettysburg Medical Center 606 East Garfield Avenue Gettysburg SD 57442 460234354 Hospital SD 501(c)(3) 3 SMHC St Mary's Healthcare Center 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare SD 501(c)(3) 3 CHI Mt St Joseph Inc 3060 SE Stark Street Portland OR 97214 930386870 Nursing Care OR 501(c)(3) 9 CHI Pueblo Stepup 1925 East Orman Avenue Suite G52 Pueblo CO 81004 841234295 Community CO 501(c)(3) 7 CHI Bornemann Healthcare Corporation 2500 Bernville Road PO Box 316 Reading PA 19603 232187242 Healthcare PA 501(c)(3) 11a CHI St Joseph Medical Center Foundation 2500 Bernville Road PO Box 316 Reading PA 19603 232649362 Foundation PA 501(c)(3) 11a SJRHN St Joseph Medical Group 2500 Bernville Road PO Box 316 Reading PA 19603 208544021 Healthcare PA 501(c)(3) 9 BHC St Joseph Regional Health Network 2500 Bernville Road PO Box 316 Reading PA 19603 231352211 Healthcare PA 501(c)(3) 3 CHI Linus Oakes Inc 2700 Stewart Parkway Roseburg OR 97470 930821381 Senior Living OR 501(c)(3) 9 MMC Mercy Foundation Inc 2700 Stewart Parkway Roseburg OR 97470 936088946 Foundation OR 501(c)(3) 7 MMC Mercy Medical Center 2700 Stewart Parkway Roseburg OR 97470 930386868 Hospital OR 501(c)(3) 3 CHI Franciscan Villa of South Milwaukee Inc 3601 South Chicago Avenue South Milwaukee WI 53172 391093829 Healthcare WI 501(c)(3) 9 CHI Enumclaw Community Hospital 1450 Battersby Avenue Enumclaw WA 98022 910715805 Hospital WA 501(c)(3) 3 FHS Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 Fundraising WA 501(c)(3) 9 FHS Franciscan Health System FKA Franciscan 1717 South J Street Tacoma WA 98405 910564491 Healthcare WA 501(c)(3) 3 CHI Franciscan Medical Group 1708 South Yakima Avenue Tacoma WA 98405 911939739 Healthcare WA 501(c)(3) 9 FHS St Joseph Medical Center Foundation In 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 7 SJMC St Joseph Medical Center Inc 7601 Osler Drive Towson MD 21204 520591461 Hospital MD 501(c)(3) 3 CHI St Joseph Physician Enterprises 7601 Osler Drive Towson MD 21204 521311775 Physicians MD 501(c)(3) 11a CHI Samaritan Health Foundation 2222 Philadelphia Drive Dayton OH 45406 237296923 Foundation OH 501(c)(3) 7 SHP Mercy Hospital of Valley City 570 Chautauqua Boulevard Valley City ND 58072 450226553 Hospital ND 501(c)(3) 3 CHI Mercy Medical Center 1301 15th Avenue West Williston ND 58801 450231183 Healthcare ND 501(c)(3) 3 CHI Mercy Medical Foundation 1301 15th Avenue West Williston ND 58801 450381803 Foundation ND 501(c)(3) 11a MMC Samaritan Health Partners 2222 Philadelphia Drive Dayton OH 45406 311107411 Healthcare OH 501(c)(3) 11a CHI St Vincent Foundation Two St Vincent Circle Little Rock AR 72205 510169537 Fundraising AR 501(c)(3) 11a SVIMC Auxiliary of Holy Rosary Hospital Inc 351 SW 9th Street Ontario OR 97914 943059469 Hospital OR 501(c)(3) 9 HRMC The Mercy Hospital of Devils Lake Fdn 1031 East Seventh Street Devils Lake ND 58301 352367360 Foundation ND 501(c)(3) 11a MHDL Alegent Health - Bergan Mercy Health Sys 7500 Mercy Road Omaha NE 68124 470484764 Hospital NE 501(c)(3) 3 CHI Alegent Health - Mercy Hospital Corning PO Box 368 Corning IA 50841 420782518 Hospital IA 501(c)(3) 3 AHBMHS Mercy Health Care Foundation PO Box 368 Corning IA 50841 421461064 Foundation NE 501(c)(3) 11a AHMH Mercy Hospital Foundation Council Bluff 800 Mercy Drive Council Bluffs IA 51503 421178204 Foundation IA 501(c)(3) 11a AHBMHS CHI Institute For Research and Innovatio 198 Inverness Drive West Englewood CO 80112 271050565 Healthcare CO 501(c)(3) 11a CHI CHI Colorado 188 Inverness Drive West Englewood CO 80112 840405257 Healthcare CO 501(c)(3) 3 CHI Saint Joseph Mount Sterling Foundation 50 Sterling Avenue Mount Sterling KY 40353 272884584 Foundation KY 501(c)(3) 7 SJHS Centennial Medical Group Inc 2700 Stewart Parkway Roseburg OR 97470 900433062 Physicians OR 501(c)(3) 9 MMC CHI National Foundation 198 Inverness Drive West Englewood CO 80112 270930004 Foundation CO 501(c)(3) 11a CHI Saint Clare's Health Services Inc 25 Pocono Road Denville NJ 07834 223639733 Management NJ 501(c)(3) 7 CHI Good Samaritan Hospital 2222 Philadelphia Drive Dayton OH 45406 310536981 Hospital OH 501(c)(3) 3 SHP Superior Medical Imaging LLC 5000 North 26th Street Lincoln NE 68521 262884555 OP Diagnostics NE SERMC Related -155495 993429 false 272 false Central Nebraska Rehab Services 3004 W Faidley Ave Grand Island NE 68802 810653461 Physical Therapy NE CHI Related 1816979 2933623 false 5050 false Mercy West Endoscopy LLC 1601 NW 114th St Suite 244 Clive IA 50325 900129077 Ambulatory Surg IA CHI-IA Corp Related 1917716 1695121 false false Audubon Land Company LLC 5390 N Academy Blvd Suite 300 Colorado Springs CO 80918 841513085 Real Estate CO THC Related 67577 9001605 false false Breckenridge Medical Clinic LLC 555 South Park Avenue Plaza 11 Breckenridge CO 80424 651295958 Medical Clinic CO THC Related false false Penrad Imaging 1390 Kelly Johnson Blvd Colorado Springs CO 80920 841072619 Medical Imaging CO THC Related 1922441 8248492 false false St Anthony Regional Mtn Cancer Center 4231 W 16th Avenue Denver CO 80112 371568013 Cancer Center CO THC Related 60513 318803 false false St Francis Land Company 5390 N Academy Blvd Suite 300 Colorado Springs CO 80918 263134100 Real Estate CO THC Related -180979 14886022 false false OrthoColorado LLC 11650 West 2nd Place Lakewood CO 80255 371577105 Ortho Hospital CO THC Related -5375165 15265510 false false Mercy Outpatient Surgery Center LLC 1512 12th Avenue Road Nampa ID 83686 841380439 Surgery Center ID MMC Related -812036 949357 false 4620 true Peninsula Radiation Oncology 314 Martin Luther King Jr Way 11 Tacoma WA 98405 870808610 Healthcare Srvc WA FHS Related -516076 3860362 false false Healthcare Support Services LLC PO Box 9804 Grand Island NE 688029804 721546196 Laundry NE CHI Related 199968 3913481 false 58436 false Bluegrass Regional Imaging Center 1218 South Broadway Suite 310 Lexington KY 40504 611386736 Diagnostic KY SJ HospitalLex Related 242456 3773725 false false North River Surgery Center LLC 2209 Wildwood Avenue Sherwood AR 72120 710799771 Ambul Surg Ctr AR SVIMC Related 213989 1696001 false false CHI Operating Investment Program LP 198 Inverness Drive West Englewood CO 80112 470727942 Investments CO CHI Investment 58022 4069968 false 14031 true Ruxton Surgicenter LLC 8322 Bellona Avenue Suite 201 Baltimore MD 21204 522095835 Surgery Center MD SJMC Related -75716 3421084 false true Central Nebraska Home Care Services PO Box 1146-4510 Second Avenue Kearney NE 68848 470692112 Healthcare Srvc NE HSEINC Related -102982 1021500 false true Mercy Health Services Corporation 2727 McClelland Blvd Joplin MO 64804 431457881 DME MO St John's RMC C Corp -1033832 2093683 1.00000 Mountain Management Services Inc 6028D Shallowford Road Chattanooga TN 37422 621570739 mgmt svc org TN MHCS C Corp 348642 4530845 1.00000 MedQuest 1301 15th Avenue West Williston ND 58801 450392137 Sale of DME ND MHof Williston C Corp -16794 911494 1.00000 St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR St Anthony H C Corp 41861 3047938 1.00000 GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY NE 68848 470659440 MEDICAL CLINIC NE CHI Nebraska C Corp -2491623 840232 1.00000 HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY NE 68848 470664558 MANAGEMENT NE GSH C Corp 10957 1559747 1.00000 Mercy Park Apartments Ltd 1111 6th Avenue Des Moines IA 50314 421202422 Housing IA CHI-IA Corp C Corp 227244 1806199 1.00000 Des Moines Medical Center Inc 1111 6th Avenue Des Moines IA 50314 420837382 Real Estate IA CHI-IA Corp C Corp 1123173 0.92980 Comcare Services 4231 W 16th Avenue Denver CO 80204 840904813 Inactive CO CHIC C Corp 1.00000 Mednow Inc 1512 12th Avenue Road Nampa ID 83686 820389927 Outpat Pharmacy ID Mercy Med Ctr C Corp -672954 5348476 1.00000 Saint Clare's Primary Care Inc 66 Ford Road Denville NJ 07834 222441202 Billing Services NJ SCCC C Corp -350630 2590487 1.00000 Healthcare Mgmt Services Org Inc 1149 Market St Tacoma WA 98402 911865474 Health Org. WA FHS C Corp 1.00000 Physician Health System Network 1149 Market St Tacoma WA 98402 911746721 Health Org. WA FHS C Corp 1.00000 Mercy Services Corp 2700 Stewart Parkway Roseburg OR 97470 930824308 Retail Sales OR Mercy Medical C Corp -499409 1403001 1.00000 Caduceus Medical Associates Inc 6028 Shallowford Road Suite D Chattanooga TN 37422 621570736 Healthcare TN MHCS C Corp 1008 1.00000 CENTRAL KANSAS HEALTH SERVICES ASSOCIATI 3515 Broadway Great Bend KS 67530 481042853 MEDICAL EQUIPMENT KS CKMC C Corp 110125 1.00000 St Vincent Community Health Services In Two St Vincent Circle Little Rock AR 72205 710710785 Healthcare AR SVIMC C Corp 2404944 10195000 1.00000 Alternative Insurance Management Service 3900 Olympic Boulevard Suite 400 Erlanger KY 41018 841112049 Management Servic CO CHI C Corp 3272176 1.00000 Nazareth Assurance Company 76 St Paul Street Suite 500 Burlington VT 05401 030304831 Insurance VT CHI C Corp 1.00000 Franciscan Services Inc 198 Inverness Drive West Englewood CO 80112 232487967 Healthcare CO CHI C Corp 194756 12598258 1.00000 SJH Services Corporation 198 Inverness Drive West Englewood CO 80112 232307408 Healthcare CO FSI C Corp 314346 3423012 1.00000 St Joseph Development Company Inc 1717 South J Street Tacoma WA 98405 911480569 Rental WA FSI C Corp 1677122 11984725 1.00000 Towson Management Inc 7601 Osler Drive Towson MD 21204 521710750 Management Servic MD FSI C Corp 99315 498383 1.00000 Captive Management Initiatives 980663022 Captive Managemen CJ CHI C Corp 1.00000 First Initiatives Insurance Ltd 980203038 Insurance CJ CHI C Corp 1.00000 Center for Translational Research 198 Inverness Drive West Englewood CO 80112 272269511 Healthcare CO CHI C Corp -840949 1746201 1.00000 Samaritan Family Care Inc 40 W Fourth St 1700 Dayton OH 45402 311299450 Healthcare OH SHP LLC -1199836 4894397 1.00000 SJL Physician Management Services Inc 424 Lewis Hargett Cr 160 Lexington KY 40503 999999999 Management KY SJHS C Corp 1.00000 CGH Realty Company Inc 215 N 12th St Reading PA 19603 232326801 Real Estate PA SJHM C Corp 1007 42415 1.00000 St Joseph Office Park Association 1401 HarrodsBurg Road Bldg B70 Lexington KY 40504 611079899 Management KY SJHS C Corp 10217 572843 0.85000 false true false false false false false false false false false false true true false true false false St Mary's Community Hospital B 69013