2026-05-14T14:27:51-05:00 2025-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2024-07-01 410721642 UNITY FAMILY HEALTHCARE UNIT 3206325441 3033 N 3RD AVE PHOENIX AZ 85013 TIM SCHNACK MARKET CFO 4023434323 2026-05-12 1 0 MARK STOCKI P00642127 3032989100 2024 2025-03-06 01:10:19Z X MARYROSE KNUTSON 3033 N 3RD AVE PHOENIX AZ 85013 88229913 0 0928 X WWW.CHISTGABRIELS.COM X 2001 MN THE VISION IS TO CREATE THE BEST HEALTHCARE EXPERIENCE BY IGNITING THE SPIRIT FOR SUPERIOR CARE AND SERVICE. 10 7 484 89 1583754 4938 636038 808290 73545007 80596153 628876 1320556 3605564 5446074 78415485 88171073 59339 61017 0 0 41889748 46230634 0 0 0 45460240 49384519 87409327 95676170 -8993842 -7505097 128710233 143781482 91928149 114017087 36782084 29764395 AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 83565513 61017 80596153 SEE SCHEDULE H 83565513 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 484 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X VICKI MALESKI 3206315674 815 SE 2ND STREET LITTLE FALLS MN 56345 PAUL JOHNSON MD PHYSICIAN 45.00 0.00 X 1043740 0 57692 DAVID EDGERTON JR MD PHYSICIAN 45.00 0.00 X 955515 0 52341 DAVID JONES BOARD MEMBER/MARKET PRESIDENT REGIONAL HOSPITAL 1.00 45.00 X 0 522725 94004 DIANE PALKERT MD PHYSICIAN 45.00 0.00 X 548552 0 883 JONATHAN ZELLMER MD GENERAL SURGEON 45.00 0.00 X 478253 0 59455 CHARLES SNOW MD PHYSICIAN 45.00 0.00 X 470123 0 45584 STEVEN SMITH BOARD MEMBER/CEO 1.00 45.00 X X 0 311092 59535 TIM SCHNACK MARKET CFO 1.00 45.00 X 0 319497 48789 NICK O'TOOL FORMER OFFICER 0.00 49.00 X 0 293806 52737 AMBER STOWMAN FORMER OFFICER 0.00 40.00 X 0 200901 46256 PETER GERMSCHEID MD BOARD MEMBER/PHYSICIAN 45.00 0.00 X 186040 0 23340 DOUG DAHLBERG BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN HACKER BOARD MEMBER 1.00 1.00 X 0 0 0 SR CAROLINE STOLTZ SECRETARY 1.00 1.00 X X 0 0 0 ROXANNE THOMPSON BOARD MEMBER 1.00 1.00 X 0 0 0 JON VETTER CHAIRPERSON 1.00 1.00 X X 0 0 0 KRISTINE ERICKSON VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 CHRISTINE GAMMON-KRUSCHEK BOARD MEMBER 1.00 1.00 X 0 0 0 3682223 1648021 540616 90 1 1 0 CLINICAL COLLEAGUES INC 1765 E NINE MILE RD PENSACOLA FL 32514 CRNA SERVICES 2098400 NATIONAL INFORMATION SOLUTIONS COOPERATI ONE INNOVATION CIRCLE LAKE ST ST LOUIS MO 63367 IT SERVICES 1602148 CENTRACARE LABORATORIES SVC 20 NINTH ST SE LONG PRAIRIE MN 56347 LAB SERVICES 1592891 WAPITI MEDICAL STAFFING 6112 CHANCELLOR DR CEDAR FALLS IA 50613 MEDICAL STAFFING SERVICES 1549107 CENTRAL MINNESOTA DIAGNOSTIC PO BOX 158 MILACA MN 56353 CT SCANS, ULTRASOUND 1135098 17 22982 320260 138108 326940 808290 NET PATIENT SERVICES 900099 77121212 77121212 0 0 INTERCOMPANY TRANSACTI 900099 3474941 3474941 0 0 80596153 155958 155958 194180 0 194180 194180 194180 322097 842501 0 0 322097 842501 1164598 1164598 23809 22982 16457 7352 7352 5546 0 5546 5546 57302 42383 14919 14919 PHARMACY SERVICES 446110 3180513 0 1583754 1596759 EMPLOYEE RETENTION CRE 900099 1070826 0 0 1070826 REIMBURSEMENT OF EXPEN 900099 767018 0 0 767018 205720 205720 5224077 88171073 80596153 1583754 5182876 X 32920 32920 28097 28097 194338 194338 36151816 34335639 1816177 1661445 1577869 83576 5889008 5593930 295078 2334027 2217326 116701 94251 94251 4834 4834 21854232 16387650 5466582 203824 67262 136562 1674852 1280593 394259 2822766 2794538 28228 3689545 3246800 442745 198253 168515 29738 1809 995 814 423099 423099 2030767 2030767 3948531 3395737 552794 355445 348336 7109 MEDICAL SUPPLIES 9153095 9153095 0 0 REPAIRS AND MAINTENANCE 951121 903565 47556 0 STATE PROVIDER TAX 687588 687588 0 0 UNRELATED BUSINESS TAXE 1000 1000 0 0 1289507 726621 562886 95676170 83565513 12110657 0 35044 52806 1752161 0 0 0 8804470 13076267 0 0 0 0 418910 339664 2137657 1639029 373596 381668 57127418 39940528 18425457 17186890 103500 103500 11518883 4192006 0 0 0 0 85140555 106809652 128710233 143781482 6038000 6262011 0 0 0 9836 0 0 0 0 0 0 0 0 0 0 85890149 107745240 91928149 114017087 X 36551675 29545024 230409 219371 36782084 29764395 128710233 143781482 X -7505097 252377 235031 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4834 0 0 0 4834 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION: $2,458. CATHOLIC HEALTH ASSOCIATION: $1,199. MN HOSPITAL ASSOCIATION: $1,107. ALLOCATED 340B $70. 9330 9330 9330 9330 9330 9330 9330 9330 9330 9330 1.00000 0 0 679204 679204 17891719 10575060 7316659 4552806 2350559 2202247 33179243 26384658 6794585 824446 630251 194195 17186890 INTERCOMPANY RECEIVABLES 86504642 RIGHT OF USE ASSETS 19226359 DIVIDEND RECEIVABLE 1078651 106809652 INTERCOMPANY DEBT 85169665 LEASE LIABILITY 21582621 ENVIRONMENTAL REMEDIATION LIABILITY 843514 PHYSICIAN RECRUIT AND GUARANTEE PAYABLE 149440 107745240 X PART V, LINE 4: THE INCOME FROM THIS PERMANENT ENDOWMENT IS TO BE USED TO MEET THE HOSPITAL'S GREATEST NEEDS. PART X, LINE 2: UNITY FAMILY HEALTHCARE'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. SPRING MAGIC 16445 7980 8465 6186 103 2354 621 GOLF TOURNAMENT/DRIVE FORE CANCER 30346 15002 15344 7000 193 46791 22982 23809 6186 7103 2354 814 16457 7352 1 1 X 1 X 1 X 1 1 1 0 1 1 1793 527282 0 527282 0.00550 18536 9643459 7789958 1853501 0.01940 20329 10170741 7789958 2380783 0.02490 6 1077 341892 39245 302647 0.00320 1 2000 2000 0.00000 2 6338 1291035 1291035 0.01350 5 3764 75909 75909 0.00080 14 11179 1710836 39245 1671591 0.01750 14 31508 11881577 7829203 4052374 0.04240 1 20 9195 9195 0.00010 3 96 122544 122544 0.00130 4 116 131739 131739 0.00140 1 2880396 7476648 12780162 -5303514 X 1 1 1 1 ST GABRIEL'S HOSPITAL 815 SE SECOND STREET LITTLE FALLS MN 56345 WWW.CHISTGABRIELS.COM/ 8392027 X X X X ST GABRIEL'S HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.CHISTGABRIELS.COM/CHNA/ X X 1 22 1 HTTPS://WWW.CHISTGABRIELS.COM/CHNA/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-REV X HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-REV X HTTPS://WWW.CHISTGABRIELS.COM/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-REV X X X X X X 1 X 0 X X X X 1 X 0 0 ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI ST. GABRIEL'S HEALTH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. CHI ST. GABRIEL'S HEALTH SOLICITED FEEDBACK ON SURVEY FINDINGS AT A COMMUNITY INPUT MEETING HELD ON JANUARY 7, 2025. A PRESENTATION THAT SUMMARIZED THE COMMUNITY PROFILE AND HIGHLIGHTED KEY SURVEY FINDINGS WAS USED TO REPORT AND VALIDATE PRIORITY NEEDS IDENTIFIED IN THE SURVEY RESULTS, AS WELL AS GUIDE DISCUSSION OF NEEDS AND PRIORITIES FOR COMMUNITY HEALTH IMPROVEMENT PLANNING. DURING THE COMMUNITY INPUT MEETING, ATTENDEES DISCUSSED SURVEY FINDINGS, WHETHER THE SURVEY FINDINGS ALIGNED WITH THEIR PERCEPTIONS OF THEIR COMMUNITY'S NEEDS, AND THE DEMOGRAPHICS OF SURVEY RESPONDENTS. ASIDE FROM THE TOPICS PRESENTED, DISCUSSION ALSO INCLUDED CHILD CARE AVAILABILITY AND COST, TRANSPORTATION, ACCESS TO HEALTHY FOODS, AND ADVERSE CHILDHOOD EXPERIENCES. THERE WERE 21 ATTENDEES, INCLUDING REPRESENTATIVES FROM:-LITTLE FALLS SCHOOLS -MIDSTATE EDUCATION DISTRICT -CHI/COMMONSPIRIT -MORRISON COUNTY HEALTH AND HUMAN SERVICES (HHS) -ELDERCARE OF MINNESOTA -ST. GABRIEL'S HOSPITAL -SENIOR LIFE SOLUTIONS -CHI HEALTH AT HOME AND HOSPICE -NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CHI ST. GABRIEL'S HEALTH COLLABORATED WITH ASTERA HEALTH, CENTRACARE, THE COMMUNITY HEALTH BOARD OF MORRISON, TODD AND WADENA COUNTIES, AND THE LAKEWOOD HEALTH SYSTEM. CHI ST. GABRIEL'S HEALTH CONTRACTED WITH THE NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH TO CONDUCT THE CHNA. THE CENTER FOR SOCIAL RESEARCH DEVELOPED COMMUNITY PROFILES AND DEVELOPED AND CONDUCTED A COMMUNITY FEEDBACK SURVEY THAT PROVIDED THE FOUNDATION FOR THIS NEEDS ASSESSMENT. THE HOSPITAL INVITED WRITTEN COMMENTS ON THE MOST RECENT CHNA REPORT AND IMPLEMENTATION STRATEGY BOTH IN THE DOCUMENTS AND ON THE WEBSITE WHERE THEY ARE WIDELY AVAILABLE TO THE PUBLIC. NO WRITTEN COMMENTS HAVE BEEN RECEIVED. ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 6A: LAKEWOOD HEALTH SYSTEM, STAPLES (TODD COUNTY); CENTRACARE HEALTH -LONG PRAIRIE (TODD COUNTY) ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 6B: MORRISON COUNTY PUBLIC HEALTH AND HUMAN SERVICES ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA REPORT WAS ALSO SHARED WITH ORGANIZATIONS APPLYING FOR THE COMMUNITY HEALTH IMPROVEMENT GRANT PROGRAM. ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2024. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON HTTPS://WWW.CHISTGABRIELS.COM/CHNATHE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY AND SECONDARY DATA FROM KEY INFORMANT INTERVIEWS:TOP HEALTH NEEDS (FROM 2025 CHNA): 1. SUBSTANCE MISUSE2. OBESITY OR OVERWEIGHTNESS3. AFFORDABILITY OF HEALTHCARE SERVICES4. MENTAL HEALTH (ANXIETY, STRESS, DEPRESSION)5. SOCIAL CONNECTIONSFOR THIS PLAN, THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: BEHAVIORAL HEALTH (SUBSTANCE USE AND MENTAL HEALTH)TO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026 - 2028:- MORRISON COUNTY SUICIDE PREVENTION COHORT - PROVIDE GERIATRIC MENTAL HEALTH TO IMPROVE THE LIVES OF OLDER ADULTS PRIORITY HEALTH NEED #2: SOCIAL DRIVERS OF HEALTHTO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2026 - 2028:- TOTAL HEALTH ROAD MAP: COMMUNITY HEALTH WORKERS HELPING PATIENTS TO CONNECT WITH RESOURCES - PROVIDE ACCESS TO FOOD THROUGH FOOD ASSISTANCE PROGRAM, AND FOOD PANTRY - PROVIDE ACCESS TO FOOD THROUGH PICNIC PALS - PROVIDE ACCESS TO FOOD THROUGH FOOD PANTRY THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: CHI ST. GABRIEL'S HEALTH WILL NOT DIRECTLY PRIORITIZE THE FOLLOWING HEALTH NEEDS BECAUSE THERE ARE EXISTING COMMUNITY PARTNERS THAT ARE BEST POSITIONED TO ADDRESS THIS NEED. WE WILL CONTINUE TO EXPLORE WAYS TO SUPPORT OTHERS' EFFORTS. - SUBSTANCE MISUSE: WHILE VITALLY IMPORTANT, COMMUNITY PARTNERS DETERMINED THAT IT WOULD BE DIFFICULT TO IMPACT THIS STRATEGY COLLECTIVELY COMPARED TO THE OTHERS DUE TO LACK OF RESOURCES. - OBESITY AND OVERWEIGHTNESS: WE MAY INDIRECTLY IMPACT THIS HEALTH NEED THROUGH THE SOCIAL DRIVER'S OF HEALTH PRIORITY HEALTH NEED BY EXPANDING ACCESS TO FOOD FOR PEOPLE WITH LIMITED RESOURCES, BUT IS NOT THE EXCLUSIVE FOCUS OF THAT WORK. IN ORDER TO MEANINGFULLY ADDRESS THE OTHER HEALTH PRIORITIES, WE WILL FOCUS OUR FINITE RESOURCES ON ACCESS TO HEALTH CARE SERVICES AND COMMUNITY RESOURCES, WHILE EXPLORING OPPORTUNITIES TO SUPPORT PARTNER'S EFFORTS TO ADDRESS THIS HEALTH NEED DIRECTLY. - AFFORDABILITY OF HEALTHCARE SERVICES: WHILE VITALLY IMPORTANT, COMMUNITY PARTNERS DETERMINED THAT IT WOULD BE DIFFICULT TO IMPACT THIS STRATEGY COLLECTIVELY COMPARED TO THE OTHERS DUE TO LACK OF RESOURCES. - SOCIAL CONNECTIONS: WHILE VITALLY IMPORTANT, COMMUNITY PARTNERS DETERMINED THAT IT WOULD BE DIFFICULT TO IMPACT THIS STRATEGY COLLECTIVELY COMPARED TO THE OTHERS DUE TO LACK OF RESOURCES. THE FOLLOWING TOP HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED AS PART OF THE CHNA AND IMPLEMENTATION STRATEGY PLAN APPROVED IN 2022. ALTHOUGH A MORE RECENT CHNA WAS COMPLETED IN 2025, THE RELATED IMPLEMENTATION PLAN WAS NOT APPROVED UNTIL OCTOBER, 2025. THEREFORE, THE WORK DESCRIBED BELOW IS TIED TO THE 2022 ASSESSMENT AND PLANS AND REPRESENTS WORK CARRIED OUT BY THE HOSPITAL DURING FISCAL YEAR 2025.THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA OBTAINED THROUGH THE COMMUNITY HEALTH SURVEY AND KEY INFORMANT SURVEY, AS WELL AS A REVIEW OF SECONDARY DATA ON A VARIETY OF HEALTH INDICATORS.TOP HEALTH NEEDS (FROM 2022 CHNA): 1. OBESITY, NUTRITION, AND DIABETES2. ADVERSE CHILDHOOD EXPERIENCES (ACES)3. MENTAL HEALTH4. HIRING HEALTHCARE PROFESSIONALS5. INCREASING CHILDCARE OPPORTUNITIESFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: OBESITY, NUTRITION, AND DIABETESTO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023-2025:- STRATEGY 1.1: IMPLEMENT THE TOTAL HEALTH ROADMAP AT FAMILY MEDICAL CENTER (FMC) CLINICS TO SCREEN FOR NUTRITION SECURITY VIA COMMUNITY HEALTH WORKERS. PARTNER WITH EXTENSION SNAP EDUCATORS TO INCREASE ENROLLMENT OF SNAP ELIGIBLE PERSONS.FY25 ACTIONS AND IMPACT: COMMUNITY HEALTH WORKERS CONTINUED TO SCREEN PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH. MEASURES: # OF PATIENTS SCREENED: 49 PATIENTS SCREENED POSITIVE FOR HRSN IN FY25-STRATEGY 1.2 SUPPORT THE EXPANSION OF A COMMUNITY WELLNESS CALENDAR IN PARTNERSHIP WITH LITTLE FALLS SCHOOLS AND UNIVERSITY OF MINNESOTA.FY25 ACTIONS AND IMPACT: LOCAL COMMUNITY PARTNER, UNIVERSITY OF MINNESOTA EXTENSION, CREATED A WELLNESS CALENDAR FOR THE COMMUNITY.MEASURES: AN EAT SMART SENIOR NUTRITION CLASS WAS HELD FOR 5 WEEKS IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA EXTENSION.-STRATEGY 1.3 EXPAND DIABETES EDUCATION. -STRATEGY 1.4 EXPAND FITNESS OPPORTUNITIES IN THE COMMUNITY THROUGH PUBLIC AND PRIVATE PARTNERSHIPS.PRIORITY HEALTH NEED #2: ACESTO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023-2025:-STRATEGY 2.1 INTEGRATE ACES SCREENING AND REFERRAL IN PRIMARY CARE AT FMC CLINICS.-STRATEGY 2.2 PROVIDE EDUCATION TO STAFF AND PROVIDERS REGARDING ACES AWARENESS.-STRATEGY 2.3 PROVIDE COMMUNITY EDUCATION ON ACES.-STRATEGY 2.4 SUPPORT THE TRAIN THE TRAINER PROGRAM THROUGH MORRISON COUNTY FAMILY SERVICES.-STRATEGY 2.5 EXPLORE ACES EDUCATION IN AREA SCHOOLS.PRIORITY HEALTH NEED #3: MENTAL HEALTH, INCLUDING SUICIDE PREVENTIONTO ADDRESS THIS NEED, THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:-STRATEGY 3.1 CONTINUE INVOLVEMENT/SUPPORT FOR MORRISON COUNTY SUICIDE PREVENTION COHORT.FY25 ACTIONS AND IMPACT: LOCAL COMMUNITY HEALTH WORKER ATTENDED MONTANA'S SUMMER INSTITUTE WHERE THE TOPIC OF WHY FEAR APPEALS ARE NOT EFFECTIVE AND THE POWER OF THE POSITIVE WERE EXPLORED. LOCAL COMMUNITY HEALTH WORKER IS A MEMBER OF THE MORRISON COUNTY MENTAL HEALTH ADVISORY COUNCIL. LOCAL COMMUNITY HEALTH WORKER ATTENDED THE MORRISON COUNTY BOARD OF COMMISSIONERS SEPTEMBER SUICIDE PREVENTION PROCLAMATION. -STRATEGY 3.2 EXPAND EDUCATION AND REACH OF THE NEW 988 RESOURCE.FY25 ACTIONS AND IMPACT: THREE NEW 988 BILLBOARDS HAVE BEEN PLACED IN THE LOCAL COMMUNITY (ONE IN MORRISON COUNTY, ONE IN TODD COUNTY AND ONE IN WADENA COUNTY).-STRATEGY 3.3 CONTINUE LEAD SUPPORT FOR MINNESOTA PREVENTION ALLIANCE.-STRATEGY 3.4 RECRUIT ADDITIONAL MENTAL AND BEHAVIORAL HEALTH PROVIDERS. FY25 ACTIONS AND IMPACT: THE FAMILY MEDICAL CENTER ADDED AN ADDITIONAL 2 BEHAVIORAL HEALTH ADVANCED PRACTICE PROVIDERS.MEASURES: # OF BEHAVIORAL HEALTH PROVIDERS HIRED: 2 THE CLINIC NOW HAS A TOTAL OF 4 BEHAVIORAL HEALTH PROVIDERS AND IS FULLY STAFFED.-STRATEGY 3.5 START KETAMINE INFUSION CLINICFY25 ACTIONS AND IMPACT: CONTINUE TO RECEIVE REFERRALS AND ONGOING TREATMENTS.THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: HIRING HEALTHCARE PROFESSIONALS - THE HOSPITAL WILL FOCUS ON ITS OWN PROGRAM FOR RECRUITMENT OF PROVIDERS, NURSES, AND STAFF TO CONTINUE TO PROVIDE EXCELLENT PATIENT CARE IN OUR COMMUNITY.INCREASING CHILDCARE OPPORTUNITIES - THE HOSPITAL WORKED WITH COMMONSPIRIT HEALTH AND THE CITY OF LITTLE FALLS TO ADD UP TO 24 ADDITIONAL CHILDCARE OPENINGS IN 2023. ST. GABRIEL'S WILL REMODEL THE FORMER ST. CAMILLUS PLACE AND MAKE IT AVAILABLE FOR DAYCARE PROVIDERS. ST. GABRIEL'S HOSPITAL PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. 4 1 - LITTLE FALLS ORTHOPEDICS 1108 1ST STREET SE LITTLE FALLS MN 56345 OUTPATIENT CLINIC 2 - FAMILY MEDICAL CENTER PIERZ 200 1ST AVE S PIERZ MN 56364 OUTPATIENT CLINIC 3 - FAMILY MEDICAL CENTER RANDALL 250 WHITE OAK DRIVE RANDALL MN 56475 OUTPATIENT CLINIC 4 - FAMILY MEDICAL CENTER 811 SE SECOND STREET LITTLE FALLS MN 56345 OUTPATIENT CLINIC PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:-THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.-THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.-THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;-HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;-PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;-ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);-LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR-PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 7: COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CHI ST. GABRIEL'S HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE SUPPORT OF LOCAL HEALTH COALITIONS, INVESTMENTS IN PARTNERSHIPS AND PROGRAMS THAT ADDRESS TOP COMMUNITY HEALTH NEEDS, PARTICIPATION IN LOCAL COMMITTEES AND BOARDS TIED TO TOP HEALTH NEEDS, AND INVESTMENTS IN MANY OTHER WAYS AS DESCRIBED IN OTHER AREAS OF THE SCHEDULE H NARRATIVE.BELOW ARE SPECIFIC EXAMPLES OF WORK THAT FALLS WITHIN THE DEFINITION OF COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE CRITICAL IN HELPING BUILD SOCIAL, HEALTH, AND ECONOMIC OPPORTUNITIES IN OUR COMMUNITY THAT ULTIMATELY DRIVE HEALTH STATUS AND QUALITY OF LIFE FOR OUR RESIDENTS: -PROVIDE FINANCIAL SUPPORT TO COMMUNITY SERVICES OF LITTLE FALLS TO HELP DEFRAY COSTS OF RECREATION PROGRAMS IN THE COMMUNITY- DONATES THE ST CAMILLUS PLACE FACILITY FOR DAYCARE PROVIDERS TO RUN THEIR BUSINESS SO THAT THE COMMUNITY CAN CONTINUE TO GO TO WORK TO PROVIDE FOR THEIR FAMILIES-FACILITATES ONE-TO-ONE CONTACT BETWEEN FRAIL ELDERLY LEAVING THE HOSPITAL WITH A COMPANION PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: UNITY FAMILY HEALTHCARE MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. UNITY FAMILY HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. UNITY FAMILY HEALTHCARE ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, UNITY FAMILY HEALTHCARE DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: UNITY FAMILY HEALTHCARE DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS) AND OTHERS AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 18). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. UNITY FAMILY HEALTHCARE'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $ $5,303,514 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. HOSPITALS' PUBLICLY AVAILABLE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES STATE THAT IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY, AND THAT THE POLICY, PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: MORRISON COUNTY IS HOME TO JUST MORE THAN 34,000 PEOPLE. MORRISON IS MINNESOTA'S 17TH LARGEST COUNTY BY AREA, ENCOMPASSING 1,124.5 SQUARE MILES. WITH A POPULATION DENSITY OF FEWER THAN 29 PEOPLE IN EACH SQUARE MILE, MORRISON COUNTY RANKS 41ST AMONG MINNESOTA COUNTIES FOR POPULATION DENSITY. NEARLY 1 IN 4 RESIDENTS IN MORRISON COUNTY ARE UNDER THE AGE OF 18 (23.0 PERCENT) AND 20.1 PERCENT ARE AGED 65 AND OLDER. THE COUNTY'S RACIAL COMPOSITION IS LARGELY NON-HISPANIC WHITE (95.1 PERCENT). LESS THAN 1 PERCENT OF THE POPULATION SPEAKS ENGLISH LESS THAN VERY WELL. THE COUNTY'S GENDER SPLIT IS ROUGHLY EVEN AT 51 PERCENT MALE AND 49 PERCENT FEMALE. MORRISON, TODD, AND WADENA COUNTIES ARE EACH DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) BY THE UNITED STATES HEALTH RESOURCES & SERVICES ADMINISTRATION. TODD COUNTY AS WELL AS PARTS OF MORRISON AND WADENA COUNTIES ARE ALSO DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE UNITED STATES HEALTH RESOURCES & SERVICES ADMINISTRATION. PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL AND MARKET COMMUNITY BOARDS OF COMMUNITY ADVISORS (OR THEIR DESIGNATED COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 24, 2025, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 138 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 20 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2025, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.071 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.156 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $39.1 BILLION IN FISCAL YEAR 2025, HAS TOTAL ASSETS OF APPROXIMATELY $57.26 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. 1 LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 COMO AVE ST PAUL MN 55108 410872993 501(C)(3) 15000 0 GENERAL SUPPORT 1 0 SCHOLARSHIPS 3 1500 BOOK PATIENT INTERPRETERS 67 26597 BOOK PAYMENTS TO INTERPRETERS FOR NON-ENGLISH SPEAKING PATIENTS PART I, LINE 2: REQUESTS FOR GRANTS TO BE PAID TO INDIVIDUALS OR ORGANIZATIONS ARE SENT TO THE MANAGER OF COMMUNICATIONS AND/OR THE FOUNDATION DIRECTOR FOR APPROVAL. THESE REQUESTS ARE REVIEWED TO ENSURE THEIR PURPOSE BENEFITS THE COMMUNITY AND ARE IN LINE WITH UNITY FAMILY HEALTHCARE'S MISSION AND VALUES. LARGE GRANT FUND REQUESTS ARE REVIEWED AND SIGNED OFF ON BY THE PRESIDENT/CEO. THE FOUNDATION DIRECTOR IS RESPONSIBLE FOR WORKING WITH EACH GRANTEE TO MEET THEIR REPORTING GUIDELINES AS STIPULATED TO ENSURE GRANT AWARDS ARE USED ACCORDING TO THE CONTRACT SIGNED BY BOTH PARTIES. GRANT CONTRACTS ARE MAINTAINED IN MEDITRACT WITH REMINDERS OF EXPIRATION DATES TO ENSURE TIMELY REPORTING AND COMPLETION. 0 1 0 0 0 0 0 0 0 PAUL JOHNSON MD PHYSICIAN 1041808 0 0 0 1932 0 18925 0 38767 0 1101432 0 0 0 DAVID EDGERTON JR MD PHYSICIAN 939311 0 0 0 16204 0 18925 0 33416 0 1007856 0 0 0 DAVID JONES BOARD MEMBER/MARKET PRESIDENT REGION 0 375142 0 145048 0 2535 0 58939 0 35065 0 616729 0 0 DIANE PALKERT MD PHYSICIAN 527263 0 0 0 21289 0 0 0 883 0 549435 0 0 0 JONATHAN ZELLMER MD GENERAL SURGEON 477112 0 0 0 1141 0 20325 0 39130 0 537708 0 0 0 CHARLES SNOW MD PHYSICIAN 440217 0 0 0 29906 0 5077 0 40507 0 515707 0 0 0 STEVEN SMITH BOARD MEMBER/CEO 0 293542 0 0 0 17550 0 33959 0 25576 0 370627 0 13950 TIM SCHNACK MARKET CFO 0 310697 0 0 0 8800 0 19088 0 29701 0 368286 0 0 NICK O'TOOL FORMER OFFICER 0 293064 0 0 0 742 0 17277 0 35460 0 346543 0 0 AMBER STOWMAN FORMER OFFICER 0 200230 0 0 0 671 0 13261 0 32995 0 247157 0 0 PETER GERMSCHEID MD BOARD MEMBER/PHYSICIAN 180737 0 0 0 5303 0 11256 0 12084 0 209380 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH, USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. SCHEDULE J, PART I, LINE 4A: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. SCHEDULE J, PART I, LINE 4B: CERTAIN LISTED PERSONS PARTICIPATE IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFIED RETIREMENT PLAN DESIGNED TO PROVIDE DEFERRED COMPENSATION TO KEY EXECUTIVES WHO HAVE CONTRIBUTED MATERIALLY TO THE SUCCESS OF OUR MINISTRY. THE SERP IS INTENDED TO PROVIDE HIGHLY COMPENSATED INDIVIDUALS WITH ADDITIONAL RETIREMENT INCOME TO HELP OFFSET REGULATORY LIMITS IN PLACE ON QUALIFIED RETIREMENT PLANS AND SOCIAL SECURITY. EACH ANNUAL CONTRIBUTION IS SUBJECT TO A FOUR-YEAR VESTING OR RETENTION PERIOD. UPON COMPLETION OF THE APPLICABLE FOUR-YEAR RETENTION PERIOD FOR EACH ANNUAL CONTRIBUTION, VESTING WILL OCCUR, AND ANY ACCUMULATED BENEFIT UNDER THE PLAN WILL BE RECEIVED. ON THE FIRST DAY OF THE CALENDAR MONTH AFTER THE FOURTH ANNIVERSARY OF THE SERP BENEFIT, THE ANNUAL CONTRIBUTION AND ITS ASSOCIATED INVESTMENT GAINS OR LOSSES BECOME 100% VESTED. IN ADDITION, THE PARTICIPANT'S SERP BENEFIT BECOMES 100% VESTED UPON ANY OF THE FOLLOWING EVENTS: 1) REACHING THE AGE OF 65 (THE PLAN'S NORMAL RETIREMENT AGE), OR 2) DEATH, OR BECOME DISABLED UNDER THE LONG-TERM DISABILITY PLAN OR SOCIAL SECURITY. SHOULD EMPLOYMENT END FOR ANY REASON OTHER THAN TERMINATION WITH SEVERANCE, RETIREMENT AT AGE 65 OR OLDER, DISABILITY, OR DEATH, UNVESTED SERP FUNDS ARE FORFEITED. IF EMPLOYMENT IS TERMINATED WITH SEVERANCE, THE TERMS AND CONDITIONS OUTLINED WITHIN THE SERP, AND NOT THOSE OF ANY SEVERANCE AGREEMENT, WILL CONTROL AND GOVERN PAYMENT ENTITLEMENT UNDER THE SERP. CERTAIN ELIGIBLE LISTED PERSONS RECEIVED AN ADDITIONAL PAYMENT DURING 2024 DUE TO A DELAY IN THE START DATE OF THE SERP. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN THE CATHOLIC HEALTH INITIATIVES SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR REGION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2024 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: STEVEN SMITH, $15,599. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2024 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. SCHEDULE J, PART II UNITY FAMILY HEALTHCARE FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE PEOPLE AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2024. MICHELLE DAHLBERG SPOUSE OF DIRECTOR 200171 EMPLOYEE PAYROLL WAGES 0 PART V, LINE 1C: PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE, NO FORMS 1099 ARE ISSUED BY UNITY FAMILY HEALTHCARE. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF UNITY FAMILY HEALTHCARE ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO SECTION 8.6 OF THE BYLAWS OF UNITY FAMILY HEALTHCARE, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON, VICE CHAIRPERSON, AND THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED SHALL SERVE A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. 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. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR OF THE CORPORATE MEMBER, WITH THE BYLAWS, OR WITH APPLICABLE LAWS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.5.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF UNITY FAMILY HEALTHCARE ("UFH"); - AMENDMENT OF THE CORPORATE DOCUMENTS OF UFH; - APPROVE MEMBERS OF THE UFH BOARD; - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF UFH; - APPROVAL OF ISSUANCE OF DEBT BY UFH; - APPROVAL OF PARTICIPATION OF UFH IN A JOINT VENTURE; - APPROVAL OF FORMATION OF A NEW CORPORATION BY UFH; - APPROVAL OF A MERGER INVOLVING UFH; - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF UFH; - TO REQUIRE THE TRANSFER OF ASSETS BY UFH TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR UFH. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH 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. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL VP OF OPERATIONAL FINANCE. ADDITIONALLY, THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW VIA EMAIL AND ARE ABLE TO ASK THE VP OF OPERATIONAL FINANCE AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON VP OF OPERATIONAL FINANCE APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF IT AND AT LEAST ANNUALLY THEREAFTER (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS AS FURTHER DESCRIBED BELOW. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. STANDARD MANAGEMENT APPROACHES PER COI POLICY ARE APPLIED TO DISCLOSED CONFLICTS. DISCLOSURES THAT IDENTIFY PERCEIVED, POTENTIAL, OR ACTUAL COIS THAT REQUIRE IMMEDIATE MATERIAL ACTION TO RESOLVE, WILL BE IDENTIFIED, AND, A CONFLICT OF INTEREST MANAGEMENT PLAN DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A PEOPLE AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR ADOPTING A REASONABLE COMPENSATION PHILOSOPHY AND SETTING REASONABLE COMPENSATION PRACTICES FOR THE ORGANIZATION. COMMONSPIRIT'S COMPENSATION DEPARTMENT ENSURES THAT ITS PRACTICES ARE CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY, PRACTICES, AND PRINCIPLES, AS DETERMINED BY THE PEOPLE AND COMPENSATION COMMITTEE. WHEN NECESSARY, THE COMPENSATION DEPARTMENT ALSO ENGAGES AN INDEPENDENT CONSULTANT, AS WELL AS QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABILITY DATA IS ALSO OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, AS PART OF THE ORGANIZATION'S COMPENSATION PRACTICES (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). THE DOCUMENTATION OF COMPENSATION DECISIONS INCLUDES THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMPENSATION DEPARTMENT AND THE SOURCES FROM WHICH THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 6,667,977. MANAGEMENT AND GENERAL EXPENSES 2,222,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,890,636. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 556,206. MANAGEMENT AND GENERAL EXPENSES 185,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 741,608. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,933,886. MANAGEMENT AND GENERAL EXPENSES 1,644,629. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,578,515. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,229,581. MANAGEMENT AND GENERAL EXPENSES 1,413,892. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,643,473. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES 235,031. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BENAROYA RESEARCH INSTITUTE AT VIRGINIA MASON 1201 9TH AVE SEATTLE WA 98101 910653422 RESEARCH WA 501(C)(3) LINE 4 VMFH 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL AVE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CSH 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 CS OR 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DCC 0 CENTRAL KANSAS MEDICAL CENTER 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 930 S WYNN ROAD OREGON OH 43616 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH DIVERSIFIED HOLDINGS 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 421178204 REHABILITATION IA 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 3033 N 3RD AVENUE PHOENIX AZ 85013 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT KANSAS INC 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 COMMONSPIRIT MOUNTAIN REGION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 841335382 MANAGEMENT COMPANY CO 501(C)(3) LINE 12A, I CHIC 0 COMMONSPIRIT OREGON 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(2) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 3033 N 3RD AVENUE PHOENIX AZ 85013 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 3033 N 3RD AVENUE PHOENIX AZ 85013 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING CA 96003 237115371 SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DH 0 DIGNITY HEALTH FOUNDATION 3033 N 3RD AVENUE PHOENIX AZ 85013 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN 0 GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH 0 HARRISON MEDICAL CENTER 1800 NW MYHRE RD SILVERDALE WA 98383 910565546 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029768 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(C)(3) LINE 10 KOH 0 KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LONGMONT UNITED HOSPITAL 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 840460697 HOSPITAL CO 501(C)(3) LINE 3 CHIC 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSISTED LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 0 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 0 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 7 CS OR 0 MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING 0 MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC 0 MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 MHDL 0 MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO CA 95816 680117340 SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DH 0 MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC WILLISTON 0 NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK ND 58501 911845296 DIAGNOSTIC SERVICES ND 501(C)(3) LINE 7 SAMC 0 NORTHLAND PACE PROGRAM 2223 EAST ROSSER AVENUE BISMARCK ND 58501 261689193 HEALTHCARE ND 501(C)(3) LINE 10 NHA 0 NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH 0 PACIFIC CENTRAL COAST HEALTH CENTERS 1414 E MAIN STREET SUITE 201 SANTA MARIA CA 93454 770447575 CLINIC CA 501(C)(3) LINE 3 DCC 0 PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 465322209 HOSPITAL CA 501(C)(3) LINE 3 DH 0 PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 LTERM CARE OH 501(C)(3) LINE 10 CHILC 0 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222876836 INACTIVE NJ 501(C)(3) LINE 12B, II SCHS 0 SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223639733 INACTIVE NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223319886 INACTIVE NJ 501(C)(3) LINE 3 SCHS 0 SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE 0 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO CA 94109 941156295 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON KY 40504 611334601 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS 0 SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC 0 SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS 0 SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY CA 95945 941439787 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 INACTIVE MO 501(C)(3) LINE 3 CSH 0 ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA CA 93103 770022302 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST JOHN'S HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST JOSEPH'S FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 ST JOSEPH'S FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH CA 90813 237373088 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST MARY'S MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO CA 94117 943336143 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON NV 89052 880349432 FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DH 0 ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 863590968 INACTIVE WA 501(C)(3) LINE 10 FHS 0 ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON OR 97801 930391614 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON OR 97801 930992727 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH 0 ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(C)(3) LINE 3 SVIMC 0 ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I CS KS 0 ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO OH 43551 270163752 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 INVESTMENTS OR 501(C)(4) CSH 0 ST ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 INACTIVE NE 501(C)(3) LINE 3 SERMC 0 ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222536017 INACTIVE NJ 501(C)(3) LINE 8 SCHS 0 ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 LTERM CARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 520591461 INACTIVE MD 501(C)(3) LINE 3 CSH 0 ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIANS TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521311775 INACTIVE MD 501(C)(3) LINE 12A, I SJMC 0 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS 0 ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY STREET DICKINSON ND 58601 450226429 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS 0 ST LUKE'S HEALTH CLINICAL OPERATIONS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON TX 77225 760536232 MANAGEMENT TX 501(C)(3) LINE 12A, I CSH 0 ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 760531716 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS 0 ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL 0 ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY NE 68410 470443636 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ST MARY'S HOSPITAL FOUNDATION 1301 GRUNDMAN BLVD NEBRASKA CITY NE 68410 470707604 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SMCH 0 ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC 0 ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HOSPITAL AR 501(C)(3) LINE 3 CSH 0 ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 PHYSICIANS AR 501(C)(3) LINE 10 SVIMC 0 SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 341412964 HOLDING CO OH 501(C)(3) LINE 12A, I CSH 0 SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 455357161 INACTIVE OH 501(C)(3) LINE 12A, I SFH-OH 0 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSISTED LIVING OH 501(C)(3) LINE 10 CHILC 0 THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HOSPITAL TX 501(C)(3) LINE 3 SLH-CO 0 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 HOSPITAL OH 501(C)(3) LINE 3 CSH 0 THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA 0 TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840927232 INACTIVE CO 501(C)(3) LINE 3 CHIC 0 TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS 0 TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(C)(3) LINE 12A, I N/A 0 TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HOSPITAL OH 501(C)(3) LINE 3 THS 0 TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSISTED LIVING OH 501(C)(3) LINE 7 THS 0 UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(C)(3) LINE 10 CSH 0 VIRGINIA MASON FRANCISCAN HEALTH TACOMA FINANCIAL CENTER BUILDING 11 TACOMA WA 98402 861332353 HOLDING CO WA 501(C)(3) LINE 12A, I CSH 0 VIRGINIA MASON INSTITUTE 1100 9TH AVE SEATTLE WA 98101 263763656 EDUCATION WA 501(C)(3) LINE 10 VMMC 0 VIRGINIA MASON MEDICAL CENTER 1100 9TH AVE SEATTLE WA 98101 910565539 HOSPITAL WA 501(C)(3) LINE 3 VMFH 0 VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 221768334 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 860098923 HOSPITAL AZ 501(C)(3) LINE 3 DCC 0 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLOW CREEK ROAD PRESCOTT AZ 86301 861038463 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I YRMC 0 AMERICAN MERCY HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 830486150 HOME HEALTH OH N/A N/A 0 0 ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 474696671 CARE NETWORK AZ N/A N/A 0 0 ARIZONA CARE NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 454494682 CARE NETWORK AZ N/A N/A 0 0 ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES CA 90025 851067265 IMAGING CENTER DE N/A N/A 0 0 AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 841513085 REAL ESTATE CO N/A N/A 0 0 BAPTIST DEACONESS MADISON HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 933197463 HOME HEALTH KY N/A N/A 0 0 BAYLOR CHI ST LUKE'S HEALTH SERVICES LLC 3100 MAIN STE 566 HOUSTON TX 77002 472079184 HEALTHCARE SERVICES TX N/A N/A 0 0 BERGAN MERCY SURGERY CENTER LLC 7500 MERCY RD STE 4300 OMAHA NE 68124 208671994 AMBUL SURG CTR NE N/A N/A 0 0 BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOOGA TN 37404 621875199 HEALTHCARE SERVICES TN N/A N/A 0 0 BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC SERVICES KY N/A N/A 0 0 CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD CA 93309 461602286 RADIATION / ONCOLOGY CA N/A N/A 0 0 CENTURA SUMMIT ORTHOPEDICS LLC 68 SCHOOL RD FRISCO CO 80443 871308304 DIAGNOSTIC SERVICES CO N/A N/A 0 0 CHER LLC 8610 EXPLORER DR 302 COLORADO SPRINGS CO 80902 205633472 DIAGNOSTIC SERVICES CO N/A N/A 0 0 CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 465683027 SURGERY CENTER CO N/A N/A 0 0 COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO N/A N/A 0 0 COMMUNITY HEALTH AT HOME - INFUSION LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 833517309 HOME HEALTH IN N/A N/A 0 0 COMMUNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 833536760 HOME HEALTH IN N/A N/A 0 0 COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 311746556 HOME HEALTH OH N/A N/A 0 0 DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 320496548 EMERGENCY CARE NV N/A N/A 0 0 DEACONESS HOME HEALTH LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 843167946 HOME HEALTH IN N/A N/A 0 0 DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD) 3 MORE LONDON RIVERSIDE 4TH FLOOR LONDON UK HEALTH SERVICES UK N/A N/A 0 0 DH PACIFICLINKAGE HEALTH INT'L LTD RMS 1318-20 HOLLYWOOD PLAZA 610 NA HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 DHHP SURGERY CENTERS LLC 1401 S GRAND AVENUE LOS ANGELES CA 90015 831847466 SURGERY DE N/A N/A 0 0 DHRT HOLDINGS LLC 3033 N 3RD AVENUE PHOENIX AZ 85013 352484591 HOLDING COMPANY DE N/A N/A 0 0 DIGITAL MEDICAL IMAGING LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON CA 93465 874209407 IMAGING CA N/A N/A 0 0 DIGNITY HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 824674115 DIAGNOSTIC SERVICES DE N/A N/A 0 0 DIGNITY HOME RECOVERY CARE LLC 3854 AMERICAN WAY SUITE A BATON ROUGE LA 70816 832832522 HOME RECOVERY PROGRAM DE N/A N/A 0 0 DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202999237 SURGERY TX N/A N/A 0 0 DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202468509 SURGERY TX N/A N/A 0 0 DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 134248908 SURGERY TX N/A N/A 0 0 DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 352584991 SURGERY TX N/A N/A 0 0 DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 465477985 MANAGEMENT SERVICES AZ N/A N/A 0 0 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER PO BOX 880 APTOS CA 95001 770095477 IMAGING CENTER CA N/A N/A 0 0 ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS CO 80909 352656413 AMBUL SURG CTR CO N/A N/A 0 0 ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK AR 72207 201337002 DIAGNOSTIC SERVICES AR N/A N/A 0 0 FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR WA 98335 463494108 REAL ESTATE WA N/A N/A 0 0 FRANCISCAN SPECIALTY CARE LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 813725123 DIAGNOSTIC SERVICES WA N/A N/A 0 0 GO PHYSICAL THERAPY LLC 3004 WEST FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 PHYSICAL THERAPY NE N/A N/A 0 0 GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 201792869 HOME HEALTH OH N/A N/A 0 0 HC SL VINTAGE I LLC 1400 N WATER ST STE 500 MILWAUKEE WI 53202 270453767 PREPERTY HOLDING WI N/A N/A 0 0 HEALTH AT HOME HOLDCO LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 920827634 HOME HEALTH CO N/A N/A 0 0 HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 INACTIVE NE N/A N/A 0 0 HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA KS 67402 464265403 ONCOLOGY KS N/A N/A 0 0 INTUITIVE HEALTH OF PUGET SOUND LLC 3033 N 3RD AVE PHOENIX AZ 85013 880771168 INACTIVE WA N/A N/A 0 0 LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS PLAZA STE 110 OMAHA NE 68130 204267902 AMBUL SURG CTR NE N/A N/A 0 0 LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY NE N/A N/A 0 0 LEXINGTON MBO PARTNERS LTD 4600 SOUTH SYRACUSE ST STE 500 DENVER CO 80237 651132855 REAL ESTATE CO N/A N/A 0 0 LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN NE 68510 262496856 REAL ESTATE NE N/A N/A 0 0 LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 454432224 ORTHOPEDIC SERVICES CO N/A N/A 0 0 MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD CA 93301 364510880 REAL ESTATE CA N/A N/A 0 0 MOUNTAIN MEDICAL IMAGING LLC 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 870687391 MEDICAL IMAGING TX N/A N/A 0 0 NATIONAL PURCHASING PARTNERS LLC 17930 INTERNATIONAL BLVD STE 900 SEATAC WA 98188 203470995 GROUP PURCHASING WA N/A N/A 0 0 NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE N/A N/A 0 0 NEXIFY HEALTH PRIVATE LIMITED 9TH FL MSR BLOCK KRISHE SAPPHIRE HYDERABAD IN IT SERVICES IN N/A N/A 0 0 NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 460502935 NEONATAL HEALTHCARE CA N/A N/A 0 0 NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR N/A N/A 0 0 NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARCK ND 58501 841641341 DIAGNOSTIC SERVICES ND N/A N/A 0 0 NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 770409291 AMBULATORY SURGICAL CENTER CA N/A N/A 0 0 ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80228 371577105 ORTHO HOSPITAL CO N/A N/A 0 0 PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS MN 56470 204926259 HEALTHCARE SERVICES MN N/A N/A 0 0 PARKVIEW HEALTH AT HOME LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45140 991995656 HOME HEALTH IN N/A N/A 0 0 PEAK ONE SURGERY CENTER LLC PO BOX 4460 FRISCO CO 80443 201620230 SURGERY CENTER CO N/A N/A 0 0 PENINSULA RADIATION ONCOLOGY CENTER LLC 4230 BRIDGEPORT WAY W STE B UNIVERSITY PLACE WA 98466 870808610 HEALTHCARE SERVICES WA N/A N/A 0 0 PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO 80920 841072619 MEDICAL IMAGING CO N/A N/A 0 0 PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA CA 93454 770573567 SURGERY CA N/A N/A 0 0 PMC HOSPITAL LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA TX 77505 273280598 HOSPITAL TX N/A N/A 0 0 PRECISION MEDICINE ALLIANCE LLC 3033 N 3RD AVE PHOENIX AZ 85013 352569159 DIAGNOSTIC SERVICES CO N/A N/A 0 0 RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA N/A N/A 0 0 RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON NV 89074 271466450 AMBULANCE NV N/A N/A 0 0 REID-ANC HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 371454747 HOME HEALTH IN N/A N/A 0 0 SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON KY 40503 453801157 INACTIVE DE N/A N/A 0 0 SAINT JOSEPH HEALTH ASC LLC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 852155230 SURGERY KY N/A N/A 0 0 SANTA CRUZ COMPREHENSIVE IMAGING LLC PO BOX 880 APTOS CA 95001 010550623 IMAGING CA N/A N/A 0 0 SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA N/A N/A 0 0 SANTA MARIA MRI LLC 1310 LAS TABLAS ROAD SUITE 206 TEMPLETON CA 93465 770554581 IMAGING CA N/A N/A 0 0 SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS CA 92374 851559544 SURGERY CA N/A N/A 0 0 SOUTHEASTERN HOME CARE LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 271219638 HOME HEALTH OH N/A N/A 0 0 ST JOSEPH'S SURGERY CENTER LP 14201 DALLAS PARKWAY DALLAS TX 75254 201019390 SURGERY TX N/A N/A 0 0 ST ELIZABETH HOME CARE SERVICES LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND OH 45150 261236191 HOME HEALTH KY N/A N/A 0 0 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO N/A N/A 0 0 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTIC SERVICES TX N/A N/A 0 0 ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX N/A N/A 0 0 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC PO BOX 4717 HOUSTON TX 77210 462795726 DIAGNOSTIC SERVICES TX N/A N/A 0 0 THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD CA 93030 770332349 REAL ESTATE CA N/A N/A 0 0 THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO CO 81301 813571570 HEALTHCARE SERVICES CO N/A N/A 0 0 TIA ARIZONA LLC 15051 N KIERLAND BLVD SUITE 200 SCOTTSDALE AZ 85254 863158670 CLINIC AZ N/A N/A 0 0 TOPTOLIFE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 872868634 RETAIL CO N/A N/A 0 0 UCSF HEALTH- GOHEALTH URGENT CARE MGMT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA GA 30342 352548698 MANAGEMENT SERVICES DE N/A N/A 0 0 VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE CA 91328 800864336 SURGERY CA N/A N/A 0 0 ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC 12809 WEST DODGE RD OMAHA NE 68154 470802396 MANAGED CARE NE N/A C 0 ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 HEALTHCARE TX N/A C 0 ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 841112049 MANAGEMENT SERVICES CO N/A C 0 BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 INACTIVE KY N/A C 0 BRAZOSPORT HEALTH ALLIANCE 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760518376 HEALTHCARE TX N/A C 0 CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 3033 N 3RD AVE PHOENIX AZ 85013 272269511 LAB SERVICES CO N/A C 0 CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON PC 1100 9TH AVE SEATTLE WA 98101 831583223 MEDICAL SERVICES WA N/A C 0 CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN TX 75904 834184717 CONDO ASSOC TX N/A C 0 COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH CA 93449 743000596 AMBULATORY SURGERY CENTER CA N/A S 0 DIGNITY HEALTH HOLDING CORPORATION 3033 N 3RD AVENUE PHOENIX AZ 85013 460675371 HOLDING CO NV N/A C 0 DIGNITY HEALTH PROVIDER RESOURCES INC 3033 N 3RD AVENUE PHOENIX AZ 85013 473366764 HEALTH PLAN CA N/A C 0 DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 HEALTHCARE TX N/A C 0 FRANCISCAN SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 232487967 HOLDING CO CO N/A C 0 GALLERIA PAVILION OWNERS' ASSOCIATION 800 N GIBSON RD HENDERSON NV 89011 824275367 REAL ESTATE NV N/A C 0 GOOD SAMARITAN OUTREACH SERVICES 3033 N 3RD AVE PHOENIX AZ 85013 470659440 MEDICAL CLINIC NE N/A C 0 HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473451750 INACTIVE WA N/A C 0 HEALTH AT HOME BLOCKER LLC 6281 TRI RIDGE BLVD STE 300 LOVELAND DE 45150 884220080 HOME HEALTH CO N/A C 0 HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA OH 93454 770074057 HEALTH SERVICES DE N/A C 0 HEALTH SYSTEMS ENTERPRISES INC 3033 N 3RD AVE PHOENIX AZ 85013 470664558 INACTIVE NE N/A C 0 HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA WA 98402 911865474 INACTIVE WA N/A C 0 HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA WA 98405 911407026 MEDICAL SERVICES WA N/A C 0 MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS AR 71913 710720429 REAL ESTATE AR N/A C 0 MEDQUEST 1602 11TH ST W WILLISTON ND 58801 450392137 SALE OF DME ND N/A C 0 MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN TX 75904 463622849 INACTIVE TX N/A C 0 MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG OR 97471 930824308 INACTIVE OR N/A C 0 MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN TX 75904 461967952 HEALTHCARE TX N/A C 0 MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD CA 93311 770513445 OUTPATIENT SURGERY SERVICES CA N/A S 0 MOUNTAIN MANAGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 621570739 MANAGEMENT SERVICES TN N/A C 0 NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK ND 58506 450439894 HEALTHCARE ND N/A C 0 NORTHLAND MANAGEMENT SERVICES INC 2223 EAST ROSSER AVENUE BISMARCK ND 58501 450452840 MEDICAL EQUIPMENT ND N/A C 0 QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461224037 ADMIN SERVICES CO N/A C 0 QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461222808 HOLDING CO CO N/A C 0 RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464380824 INSURANCE OH N/A C 0 ROSS PARK PHARMACY INC 3033 N 3RD AVE PHOENIX AZ 85013 341832654 PHARMACY OH N/A C 0 SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222441202 INACTIVE NJ N/A C 0 SJH SERVICES CORPORATION 3033 N 3RD AVE PHOENIX AZ 85013 232307408 INACTIVE CO N/A C 0 SJL PHYSICIAN MANANGEMENT SERVICES INC 3033 N 3RD AVE PHOENIX AZ 85013 270164198 INACTIVE KY N/A C 0 ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH CA 90813 951912528 RETAIL PHARMACY CA N/A C 0 ST ANTHONY DEVELOPMENT COMPANY 3033 N 3RD AVE PHOENIX AZ 85013 931216943 ATHLETIC CLUB OR N/A C 0 ST JOSEPH DEVELOPMENT COMPANY INC 3033 N 3RD AVE PHOENIX AZ 85013 911480569 RENTAL WA N/A C 0 ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON TX 77030 760637138 HOLDING CO TX N/A C 0 ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710710785 HEALTHCARE AR N/A C 0 STE HOLDINGS 3033 N 3RD AVE PHOENIX AZ 85013 822383629 HOLDING CO NE N/A C 0 STRATEGIC AND PHYSICIANS INSURANCE LTD PO BOX 1051 GRAND CAYMAN ISL GRAND CAYMAN ISL CJ 981065338 CAPTIVE INSURANCE CJ N/A C 0 TOWSON MANAGEMENT INC 3033 N 3RD AVE PHOENIX AZ 85013 521710750 INACTIVE MD N/A C 0 TRINITY MANAGEMENT SERVICES ORGANIZATION 3033 N 3RD AVE PHOENIX AZ 85013 341471026 MGMT SERVICES OH N/A C 0 UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION 1950 MOUNTAIN VIEW AVE LONGMONT CO 80501 841526130 REAL ESTATE CO N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1