Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
St Catherine Hospital Development Foundation
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
401 East Spruce Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Garden City, KS67846
D Employer identification number

20-0598702
E Telephone number

G Gross receipts $ 87,278
F Name and address of principal officer:
ANDREW GAASCH
401 East Spruce Street
Garden City,KS67846
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
https://schdfoundation.com/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2003
M State of legal domicile: KS
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: St. Catherine Hospital Development Foundation supports St. Catherine Hospital by raising funds through its fundraising activities.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 14
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 523,542 60,453
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 63,637 26,825
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -32,680 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 554,499 87,278
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 680,301 0
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet8,055    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 30,691 9,643
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 710,992 9,643
19 Revenue less expenses. Subtract line 18 from line 12....... -156,493 77,635
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,580,201 1,430,171
21 Total liabilities (Part X, line 26)............. 451,593 185,184
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,128,608 1,244,987
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF COMMONSPIRIT HEALTH. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
ST. CATHERINE HOSPITAL DEVELOPMENT FOUNDATION WAS INCORPORATED AS A 501(C)(3), TAX-EXEMPT, CHARITABLE FOUNDATION IN 2003 TO SERVE AS THE OFFICIAL GIFT-RECEIVING AND GIFT-ADMINISTRATION AGENCY FOR ST. CATHERINE HOSPITAL. THE MISSION OF THE CORPORATION AND OF COMMON SPIRIT HEALTH IS TO NURTURE THE HEALING MINISTRY OF THE ROMAN CATHOLIC CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. TO FULFILL THE MISSION, THE CORPORATION AND COMMOMSPIRIT HEALTH, AS VALUE-BASED ORGANIZATIONS AND IN PARTNERSHIP WITH LAITY AND OTHERS, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDESERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet0
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. ...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
KS
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletShawna Roark401 East Spruce Street   Garden City,KS67846 (620) 272-2554
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Jeffrey Carrier
 
CEO / President THRU Aug 2022
1.0
.................
40.0
X   X       0 313,537 55,813
(2) Twilla Lee
 
President / CEO, SCH
1.0
.................
50.0
X   X       0 117,301 13,049
(3) Callie Dyer
 
Board Member
1.0
.................
0
X           0 0 0
(4) Dr Grant Harris
 
Board Member
1.0
.................
0
X           0 0 0
(5) Dr Thomas Koksal
 
Board Member
1.0
.................
0
X           0 0 0
(6) Jeffrey A Clarke
 
Board Member
1.0
.................
0
X           0 0 0
(7) Marvin Anliker
 
Vice Chair
1.0
.................
0
X           0 0 0
(8) Robert Morren
 
Board Member
1.0
.................
0
X           0 0 0
(9) Sr Roserita Weber OP
 
Board Member
1.0
.................
0
X           0 0 0
(10) Vivian Fankhauser
 
Chair
1.0
.................
1.0
X           0 0 0
(11) Amanda Vaughan
 
CFO/Treasurer THRU Apr 2023
1.0
.................
50.0
    X       0 280,965 48,567
(12) Shawna Roark
 
Treasurer / CFO, SCH
1.0
.................
50.0
    X       0 176,856 44,392
(13) Christine McSweeny
 
FORMER INTERIM CEO, SCH
0.0
.................
0.0
          X 0 363,620 56,692








Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 1,252,279 218,512
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 60,453
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 60,453
 Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 0
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 12,901     12,901
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   13,924 7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss) 0 13,924 7c
d Net gain or (loss).........MediumBullet 13,924     13,924
8a Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 87,278 0 0 26,825
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 0 0 0 0
12 Advertising and promotion .... 7,827     7,827
13 Office expenses ....... 489   261 228
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Other Fees 1,327   1,327  
b
c
d
e All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24e 9,643 0 1,588 8,055
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 353,379 1 236,849
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 0 4 0
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 77,815 7 2,950
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 0 9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation 10b 0 0 10c 0
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 1,149,007 12 1,190,372
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 0 15 0
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,580,201 16 1,430,171
Liabilities 17 Accounts payable and accrued expenses ..... 451,593 17 185,184
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 0 25 0
26 Total liabilities. Add lines 17 through 25.. 451,593 26 185,184
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 10,090 27 132,143
28 Net assets with donor restrictions ........... 1,118,518 28 1,112,844
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 0 31 0
32 Total net assets or fund balances ........... 1,128,608 32 1,244,987
33 Total liabilities and net assets/fund balances ........ 1,580,201 33 1,430,171
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
87,278
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
9,643
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
77,635
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,128,608
5
Net unrealized gains (losses) on investments ...............
5
14,542
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
24,202
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,244,987
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................1
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) ST CATHERINE HOSPITAL
 
480543721 3 Yes   0 0
Total
1
0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
Yes
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
St Catherine Hospital Development Foundation
 
Employer identification number
20-0598702
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet  
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) Limited Use Assets - Internally Designated
1,190,372 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,190,372
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 0
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ST. CATHERINE HOSPITAL DEVELOPMENT FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2023, READS AS FOLLOWS: CommonSpirit has established its status as an organization exempt from income taxes under Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2023 and 2022, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax expense as of June 30, 2023 and 2022. 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.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Jeffrey Carrier
 
CEO / President THRU Aug 2022
(i)

(ii)
0
-------------
207,079
0
-------------
105,425
0
-------------
1,033
0
-------------
29,736
0
-------------
26,076
0
-------------
369,349
0
-------------
0
2Christine McSweeny
 
FORMER INTERIM CEO, SCH
(i)

(ii)
0
-------------
283,869
0
-------------
78,312
0
-------------
1,440
0
-------------
10,675
0
-------------
46,017
0
-------------
420,312
0
-------------
0
3Amanda Vaughan
 
CFO/Treasurer THRU Apr 2023
(i)

(ii)
0
-------------
235,990
0
-------------
44,207
0
-------------
767
0
-------------
7,175
0
-------------
41,392
0
-------------
329,531
0
-------------
0
4Shawna Roark
 
Treasurer / CFO, SCH
(i)

(ii)
0
-------------
143,517
0
-------------
2,425
0
-------------
30,914
0
-------------
6,488
0
-------------
37,904
0
-------------
221,247
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CENTURA HEALTH CORPORATION, A RELATED TAX EXEMPT ORGANIZATION, PROVIDES SENIOR EXECUTIVES OF THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE PRESIDENT OR ABOVE AN ALLOWANCE EQUIVALENT TO 10% OF BASE SALARY TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO A DEFERRED NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ADDITION, A PENSION RESTORATION BENEFIT (PRB) IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT THAT IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THESE DEFERRED COMPENSATION PLANS HAVE A SUBSTANTIAL RISK OF FORFEITURE PROVISIONS AND AN ELECTED VESTING SCHEDULE. DURING THE CALENDAR YEAR 2022, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS: SERP & PENSION RESTORATION CREDIT: JEFFERY CARRIER - $24,173
Schedule J (Form 990) 2022

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Return Reference Explanation
Form 990, Part III, Line 1 Part III Continued QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT THE FOUNDATION'S 9-MEMBER BOARD OF TRUSTEES RAISE FUNDS THROUGH SPECIAL EVENTS, ANNUAL GIVING, MAJOR GIFTS, PLANNED GIVING, CORPORATE/FOUNDATION GRANTS AND CAPITAL CAMPAIGNS TO HELP FUND HEALTH CARE PROJECTS AND PROGRAMS SUPPORTED BY ST. CATHERINE HOSPITAL. ST. CATHERINE HOSPITAL DEVELOPMENT FOUNDATION DISBURSES FUNDS BACK INTO THE COMMUNITY THROUGH ITS SUPPORT OF ST. CATHERINE HOSPITAL. OVER THE PAST SEVERAL YEARS, THE FOUNDATION HAS SPONSORED ANNUAL GALA FUNDRAISERS TO SUPPORT MAJOR CAPITAL PROJECTS INCLUDING THE COMPLETION OF A MASTER FACILITY PROJECT AND THE INTRODUCTION OF A CARDIOLOGY SERVICE LINE.
Form 990, Part VI, Line 15 PROCESS OF DETERMINING COMPENSATION OF CEO AND OTHER OFFICERS COMPENSATION AMOUNTS FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, WHICH ARE PAID BY CENTURA, ARE SHOWN ON PART VII DUE TO THEIR OFFICER RESPONSIBILITIES FOR THE FILING ORGANIZATION, BUT ONLY A SMALL PORTION OF THEIR TIME IS RELATED TO THE FOUNDATION. OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEO'S AND CENTURA EXECUTIVES, SUCH AS THE CFO. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS ST. CATHERINE HOSPITAL, A KANSAS NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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 board with approval of the corporate member. 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. 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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The organization's corporate member is St. Catherine Hospital. Pursuant to Section 4.4 of the organization's bylaws, both St. Catherine Hospital and COMMONSPIRIT HEALTH (St. Catherine Hospital's sole corporate member) have reserved powers as outlined in the COMMONSPIRIT HEALTH'S governance matrix. Pursuant to the governance matrix, the following rights are held by the St. Catherine Hospital's Board: *Approve members of the Foundation board *Amendment of the corporate documents of the Foundation *Approve removal of a member of the governing body of the Foundation *Adoption of long range and strategic plans for the Foundation The following rights are reserved to the COMMONSPIRIT HEALTH'S Board directly or through powers delegated to the COMMONSPIRIT HEALTH Chief Executive Officer: *Substantial change in the mission or philosophy of the Foundation *Removal of a member of the governing body of the Foundation *Approval of issuance of debt by the Foundation *Approval of participation of the Foundation in a joint venture *Approval of formation of a new corporation by the Foundation *Approval of a merger involving the Foundation *Approval of the sale of all or substantially all of the assets of the Foundation *To require the transfer of assets by the Foundation to COMMONSPIRIT HEALTH to accomplish COMMONSPIRIT HEALTH's goals and objectives, and to satisfy COMMONSPIRIT HEALTH'S debts. Pursuant to Section 4.5.2 of the organization's bylaws, St. Catherine Hospital or COMMONSPIRIT HEALTH may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Line 11b Review of form 990 by governing body A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy CENTURA HEALTH CORPORATION ("CHC") MANAGES THE DAILY ACTIVITIES OF THE ORGANIZATION UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENT HEALTHCARE SYSTEM AND COMMONSPIRIT HEALTH. THE ORGANIZATION HAS ADOPTED THE COI POLICY OF CHC. THE POLICY READS AS FOLLOWS: 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH CENTURA INTEGRITY STANDARDS, IT IS POLICY THAT EACH BOARD OF TRUSTEE MEMBER, CORPORATE OFFICER, AND KEY EMPLOYEE ACT AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CENTURA'S MISSION AND VALUES BASED SERVICE TO THE COMMUNITY AND EXERCISE CARE THAT HE OR SHE DOES NOT HAVE ANY PERSONAL INTEREST WHICH MIGHT CONFLICT WITH OR APPEAR TO CONFLICT WITH THE INTEREST OF CENTURA OR WHICH MIGHT INFLUENCE THEIR JUDGMENT OR ACTIONS IN PERFORMING THEIR DUTIES. 1.1.1 IN CONNECTION WITH AN ACTUAL OR POSSIBLE TRANSACTION OR ARRANGEMENT INVOLVING CENTURA, ANY BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE AND BE GIVEN THE OPPORTUNITY TO SHARE ALL MATERIAL FACTS WITH THE BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 1.1.2 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS ON AN ANNUAL BASIS THROUGH THE CONFLICT OF INTEREST QUESTIONNAIRE. 2. PROCEDURE FOR DISCLOSING AND REVIEWING TRANSACTION OR ARRANGEMENT CONFLICT OF INTERESTS: 2.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES THAT HAVE A FINANCIAL INTEREST IN ANY ACTUAL OR POSSIBLE TRANSACTION INVOLVING CENTURA ARE REQUIRED TO DISCLOSE THE FINANCIAL INTEREST. 2.1.1 IN ORDER TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WHO IS CONSIDERED TO HAVE A FINANCIAL INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING FOR DISCUSSION AND A VOTE ON THE ISSUE. 2.1.2 AFTER EXERCISING DUE DILIGENCE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE WHETHER CENTURA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM ANOTHER PERSON OR ENTITY. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION IS IN CENTURA'S BEST INTEREST AND IS FAIR. 3. PROCEDURE FOR DISCLOSING AND REVIEWING OTHER CONFLICT OF INTERESTS: 3.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES SHALL ALSO DISCLOSE IN ADVANCE TO CENTURA LEADERS ANY NON-TRANSACTIONAL ACTIONS OR RELATIONSHIPS THAT HAVE THE POTENTIAL TO CREATE A CONFLICT OF INTEREST. 3.1.1 THE BOARD OR BOARD COMMITTEE SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY CONFLICT OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CENTURA. 3.1.2 ON AN ANNUAL BASIS, BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES WILL ALSO BE SENT AN EMAIL REQUESTING THEY COMPLETE THE BOARD MEMBER AND CORPORATE OFFICER CONFLICT OF INTEREST QUESTIONNAIRE BY THE SPECIFIED DUE DATE IN THE EMAIL. 3.1.3 THE CORPORATE RESPONSIBILITY DEPARTMENT SHALL NOTIFY THE CHAIRPERSON OF THE BOARD OF ANY POTENTIAL CONFLICTS AND THE CHAIRPERSON, OR DESIGNEE, SHALL PERFORM FURTHER INVESTIGATION AS HE OR SHE DEEMS APPROPRIATE. 4. RECORD OF PROCEEDINGS: 4.1 THE MINUTES OF THE BOARD AND BOARD COMMITTEE SHALL CONTAIN: 4.1.1 THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST AND THE NATURE OF THE FINANCIAL INTEREST. 4.1.2 THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY FINANCIAL INTEREST, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES, AND A RECORD OF THE BOARD OR BOARD COMMITTEE DECISION. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 5.1 IF THE BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT, THE INDIVIDUAL WILL BE GIVEN A CHANCE TO EXPLAIN. 5.1.1 AFTER HEARING THE RESPONSE, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTHS' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
Form 990, Part VII, Section A, Line 5 Compensation by an unrelated organization CERTAIN BOARD MEMBERS AND OFFICERS ARE COMPENSATED BY CENTURA HEALTH CORPORATION, AN UNRELATED TAX -EXEMPT ORGANIZATION, WHO MANAGES THE DAILY ACTIVITIES OF THE FOUNDATION AND ITS SUPPORTED ORGANIZATION, ST. CATHERINE HOSPITAL, UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENT HEALTHCARE SYSTEM AND COMMONSPIRIT HEALTH. COMPENSATION AMOUNTS FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, WHICH ARE PAID BY CENTURA, ARE SHOWN ON PART VII DUE TO THEIR OFFICER RESPONSIBILITIES FOR THE FILING ORGANIZATION, BUT ONLY A SMALL PORTION OF THEIR TIME IS RELATED TO THE FOUNDATION. IN ADDITION, CENTURA EMPLOYEES MAY BE APPOINTED TO THE ORGANIZATION'S BOARD OF DIRECTORS. WHILE THEY ARE BOARD MEMBERS OR BOARD OFFICERS OF THE ORGANIZATION, A VERY SMALL PORTION OF THEIR TIME IS DIRECTLY RELATED TO THE OPERATIONS OF THE ORGANIZATION AND NO COMPENSATION IS PAID TO THESE INDIVIDUALS FOR THEIR SERVICES RENDERED AS BOARD MEMBERS OR BOARD OFFICERS. THEIR RESPECTIVE COMPENSATION IS NOT REPORTED ON THE FILING ORGANIZATION'S 990 BUT IN FACT IS REPORTED IN FULL ON PART VII AND SCHEDULE J OF CENTURA HEALTH CORPORATION'S FORM 990 (TO THE EXTENT THEY MEET THE PART VII AND SCHEDULE J REPORTING REQUIREMENTS.)
Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY TRANSFERS - 24202;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
St Catherine Hospital Development Foundation
 
Employer identification number

20-0598702
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ALEGENT CREIGHTON CLINIC
12809 W DODGE RD

OMAHA,NE68154
47-0765154
HOSPITAL NE 501(c)(3) 3 ACH
 
 
No
(2)ALEGENT CREIGHTON HEALTH
12809 W DODGE RD

OMAHA,NE68154
47-0757164
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(3)ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD

OMAHA,NE68124
47-0484764
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(4)ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-0776568
HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA
 
 
No
(5)ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST

OMAHA,NE68122
47-0376615
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(6)ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST

SCHUYLER,NE68661
47-0399853
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368

CORNING,IA50841
42-0782518
HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA
 
 
No
(8)ALVERNA APARTMENTS
300 SE 8TH AVE

LITTLE FALLS,MN56345
41-1351177
LTERM CARE MN 501(c)(3) 10 CSH
 
 
No
(9)APPLETREE COURT
601 OAK ST

BRECKENRIDGE,MN56520
41-1850500
SENIOR LIVING MN 501(c)(3) 10 SFH
 
 
No
(10)Arroyo Grande Community Hospital Foundation
345 S Halcyon Rd

Arroyo Grande,CA93420
20-3256066
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(11)Bakersfield Memorial Hospital
420 34TH Street

Bakersfield,CA93301
95-1802779
HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(12)Barrow Neurological Foundation
350 West Thomas Road

Phoenix,AZ85013
86-0174371
FUNDRAISING FOUNDATION AZ 501(c)(3) 7 DH
 
 
No
(13)BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170

THE WOODLANDS,TX77384
27-4499340
PHYSICIANS TX 501(c)(3) Type I SLHS
 
 
No
(14)BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0458535
PHYSICIANS TX 501(c)(3) 3 BSLHV
 
 
No
(15)BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
23-2187242
INACTIVE PA 501(c)(3) Type I CSH
 
 
No
(16)BRAZOSPORT HEALTH FOUNDATION INC
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
76-0080110
FUNDRAISING FOUNDATION TX 501(c)(3) Type I TCHB
 
 
No
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
80-0240261
PHYSICIANS TX 501(c)(3) 3 TCHB
 
 
No
(18)BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2759890
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(19)BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2913931
rehabilitation TX 501(c)(3) 10 SJSC
 
 
No
(20)California Hospital Medical Center Foundation
1401 South Grand Avenue

Los Angeles,CA90015
95-4000909
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(21)CARRINGTON HEALTH CENTER
800 N 4TH ST

CARRINGTON,ND58421
45-0227311
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(22)CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral Circle

Centennial,CO80112
84-0405257
HOSPITAL CO 501(c)(3) 3 CSH
 
 
No
(23)CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE

DES MOINES,IA50314
42-0680448
HOSPITAL IA 501(c)(3) 3 CSH
 
 
No
(24)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 East Mineral Ave

Centennial,CO80112
84-0902211
FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC
 
 
No
(25)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 Kelly Johnson Blvd 204

COLORADO SPRINGS,CO80920
27-0930004
FUNDRAISING FOUNDATION CO 501(c)(3) Type I CSH
 
 
No
(26)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
46-0992796
Telehealth CO 501(c)(3) Type I CSH
 
 
No
(27)CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

ROSEBURG,OR97471
26-3946191
SURGERY CENTER OR 501(c)(3) 10 MMC - Roseburg
 
 
No
(28)CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200

BAKERSFIELD,CA93311
84-4171789
CLINIC CA 501(c)(3) 3 DCC
 
 
No
(29)CENTRAL KANSAS MEDICAL CENTER
9100 E Mineral Circle

Centennial,CO80112
48-0543724
INACTIVE KS 501(c)(3) 3 CSH
 
 
No
(30)CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

FARGO,ND58104
27-1966847
SENIOR LIVING MN 501(c)(3) 10 CSH
 
 
No
(31)CHI HEALTH FOUNDATION
12809 W DODGE RD

OMAHA,NE68154
47-0648586
FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH
 
 
No
(32)CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400

ERLANGER,KY41018
20-2741651
Investments KY 501(c)(3) Type I CSH
 
 
No
(33)CHI LIVING COMMUNITIES
930 S Wynn Road

Oregon,OH43616
34-1892096
Senior Living OH 501(c)(3) Type I SFH-OH
 
 
No
(34)CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE

FORT OGLETHORPE,GA30742
82-2748395
HOSPITAL GA 501(c)(3) 3 MHCS
 
 
No
(35)CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-1261716
HOME HEALTH CO 501(c)(3) 10 CSH NS
 
 
No
(36)CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-2532084
HOLDING CO CO 501(c)(3) Type I CSH
 
 
No
(37)CHI NEBRASKA
12809 West Dodge Road

Omaha,NE68510
36-3233121
HOLDING CO NE 501(c)(3) Type I CSH
 
 
No
(38)CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
23-2342997
HEALTHCARE PA 501(c)(3) Type I CSH
 
 
No
(39)CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW

ALBUQUERQUE,NM87102
71-0897107
COMMUNITY NM 501(c)(3) Type I CSH
 
 
No
(40)CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
71-0236913
HOSPITAL AR 501(c)(3) 3 CHI-SVHS
 
 
No
(41)CHI ST VINCENT HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125064
HOLDING CO AR 501(c)(3) Type I SVIMC
 
 
No
(42)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125131
PHYSICIANS AR 501(c)(3) 3 CHI-SVHS
 
 
No
(43)COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
47-0617373
HEALTHCARE CO 501(c)(3) Type I NA
 
 
No
(44)CommonSpirit Health Foundation
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
85-3374038
FUNDRAISING FOUNDATION CO 501(c)(3) 7 CSH
 
 
No
(45)COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
85-0919176
Operating Investments DE 501(c)(3) Type I CSH
 
 
No
(46)COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
27-1050565
Research CO 501(c)(3) Type I CSH
 
 
No
(47)Community Hospital of San Bernardino
1805 Medical Center Drive

San Bernardino,CA92411
95-1643373
HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(48)COMMUNITY LIMITED CARE DIALYSIS CENTER
625 Eden Park Drive 7th Floor

CINCINNATI,OH45202
23-7419853
HOLDING CO OH 501(c)(2)   GSH
 
 
No
(49)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-1294399
FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV
 
 
No
(50)CONTINUING CARE HOSPITAL
One Saint Joseph Drive

LEXINGTON,KY40504
61-1400619
HOSPITAL KY 501(c)(3) 3 SJHS
 
 
No
(51)Dignity Community Care
185 BERRY STREET STE 200

San Francisco,CA94107
81-5009488
HOSPITAL CO 501(c)(3) 3 CSH
 
 
No
(52)DIGNITY HEALTH
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
94-1196203
HOSPITAL CA 501(c)(3) 3 CSH
 
 
No
(53)Dignity Health Connected Living
200 Mercy Oaks Drive

Redding,CA96003
23-7115371
Senior Center Services CA 501(c)(3) 7 DH
 
 
No
(54)Dignity Health Foundation
185 BERRY STREET STE 200

San Francisco,CA94107
46-2037641
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(55)Dignity Health Foundation - Inland Empire
2101 N Waterman Avenue

San Bernardino,CA92404
23-7440086
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(56)Dignity Health Foundation East Valley
475 South Dobson Road

Chandler,AZ85224
74-2418514
FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH
 
 
No
(57)Dignity Health Medical Foundation
3400 Data Drive

Rancho Cordova,CA95670
68-0220314
MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC
 
 
No
(58)Dominican Health Services
1555 Soquel Drive

Santa Cruz,CA95065
77-0056778
Community Health System CA 501(c)(3) Type I DH
 
 
No
(59)Dominican Hospital Foundation
1555 Soquel Drive

Santa Cruz,CA95065
94-2450442
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(60)Dominican Oaks Corporation
1555 Soquel Drive

Santa Cruz,CA95065
77-0127719
Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS
 
 
No
(61)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE

ENUMCLAW,WA98022
91-0715805
HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(62)FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
61-1345363
HOSPITAL KY 501(c)(3) 3 KOH
 
 
No
(63)FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
56-2351341
FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH
 
 
No
(64)FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

TOLEDO,OH43623
34-1931806
HEALTHCARE OH 501(c)(3) 10 CHILC
 
 
No
(65)FRANCISCAN FOUNDATION
1717 SOUTH J ST

TACOMA,WA98405
91-1145592
FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS
 
 
No
(66)FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST

TACOMA,WA98405
91-0564491
HOSPITAL WA 501(c)(3) 3 CSH
 
 
No
(67)FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200

TACOMA,WA98402
91-1939739
PHYSICIANS WA 501(c)(3) 10 FHS
 
 
No
(68)French Hospital Medical Center Foundation
1911 Johnson Avenue

San Luis Obispo,CA93401
20-3256125
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(69)GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST

GARRISON,ND58540
45-0227752
HOSPITAL ND 501(c)(3) 3 SAMC
 
 
No
(70)Glendale Memorial Health Foundation
1420 South Central Avenue

Glendale,CA91204
95-3625651
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(71)GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
20-1536108
INACTIVE CO 501(c)(3) Type I CSH
 
 
No
(72)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 Eden Park Drive 7th Floor

CINCINNATI,OH45202
31-1778403
EDUCATION OH 501(c)(3) 2 GSH
 
 
No
(73)GOOD SAMARITAN HOSPITAL
PO BOX 1990

KEARNEY,NE68848
47-0379755
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(74)GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST

KEARNEY,NE68847
47-0659443
FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH-KN
 
 
No
(75)GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 Eden Park Drive 7th Floor

CINCINNATI,OH45202
31-1206047
FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH
 
 
No
(76)HARRISON MEDICAL CENTER
1800 NW Myhre Rd

Silverdale,WA98383
91-0565546
HOSPITAL WA 501(c)(3) 3 FHS
 
 
No
(77)HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
76-0761782
FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC-MN
 
 
No
(78)HOUSE OF MERCY
1111 6TH AVE

DES MOINES,IA50314
42-1323808
ASSISTED LIVING IA 501(c)(3) 7 CHI-IA CORP
 
 
No
(79)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
One Saint Joseph Drive

LEXINGTON,KY40504
61-1029768
HOSPITAL KY 501(c)(3) 3 KOH
 
 
No
(80)KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800

LOUISVILLE,KY40202
61-1352729
PHYSICIANS KY 501(c)(3) 10 JHSMH
 
 
No
(81)KENTUCKYONE HEALTH INC
One Saint Joseph Drive

LEXINGTON,KY40504
61-1029769
HEALTHCARE KY 501(c)(3) Type I CSH
 
 
No
(82)LAKEWOOD HEALTH CENTER
600 MAIN AVE S

BAUDETTE,MN56623
41-0758434
HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(83)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S

BAUDETTE,MN56623
41-1893795
FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC
 
 
No
(84)LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308

LEXINGTON,KY40504
83-2170324
FUNDRAISING FOUNDATION KY 501(c)(3) Type I KOH
 
 
No
(85)LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(86)Longmont United Hospital
1950 Mountain View Ave

Longmont,CO80501
84-0460697
Hospital CO 501(c)(3) 3 CHIC
 
 
No
(87)LUFKIN VISION ACQUISITIONS
PO BOX 1447

LUFKIN,TX75901
82-0563768
PROPERTY MGMT TX 501(c)(3) Type I MHSET
 
 
No
(88)MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2761145
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(89)MADONNA MANOR INC
2344 AMSTERDAM ROAD

VILLA HILLS,KY51017
61-0654635
ASSISTED LIVING KY 501(c)(3) 10 CHILC
 
 
No
(90)Marian Regional Medical Center Foundation
1400 E Church Street

Santa Maria,CA93454
95-3818027
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(91)Mark Twain Medical Center
768 Mountain Ranch Road

San Andreas,CA95249
68-0127677
HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(92)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-1839548
FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS
 
 
No
(93)MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-0532345
HOSPITAL TN 501(c)(3) 3 CSH
 
 
No
(94)MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500

CHATTANOOGA,TN37411
03-0417049
HEALTHCARE TN 501(c)(3) 10 MHCS
 
 
No
(95)MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447

LUFKIN,TX75902
75-0755367
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(96)MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447

LUFKIN,TX75902
76-0436439
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(97)MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447

LUFKIN,TX75902
75-2663904
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(98)MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE

LUFKIN,TX75904
75-2721155
PHYSICIANS TX 501(c)(3) Type I MHSET
 
 
No
(99)MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

LUFKIN,TX75902
75-2492741
INACTIVE TX 501(c)(3) 3 MHSET
 
 
No
(100)MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE

DES MOINES,IA50314
42-6076069
AUXILIARY IA 501(c)(3) Type I MF-DM IA
 
 
No
(101)MERCY CLINICS INC
1111 6TH AVE

DES MOINES,IA50314
42-1193699
PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP
 
 
No
(102)MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE

DES MOINES,IA50314
42-1511682
EDUCATION IA 501(c)(3) 2 CHI-IA CORP
 
 
No
(103)Mercy Foundation Bakersfield
PO Box 119

Bakersfield,CA93302
77-0201321
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(104)MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

DES MOINES,IA50314
23-7358794
FUNDRAISING FOUNDATION IA 501(c)(3) 7 CHI-IA CORP
 
 
No
(105)MERCY FOUNDATION INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-6088946
FUNDRAISING FOUNDATION OR 501(c)(3) 7 MMC - Roseburg
 
 
No
(106)MERCY HEALTH CARE FOUNDATION
PO BOX 368

CORNING,IA50841
42-1461064
FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHMH-Corning
 
 
No
(107)MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338
FUNDRAISING FOUNDATION ND 501(c)(3) Type I MHVC
 
 
No
(108)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR

COUNCIL BLUFFS,IA51503
42-1178204
FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHBMHS
 
 
No
(109)MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE

DEVILS LAKE,ND58301
45-0227012
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(110)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE

DEVILS LAKE,ND58301
35-2367360
FUNDRAISING FOUNDATION ND 501(c)(3) 7 MHDL
 
 
No
(111)MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0226553
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(112)Mercy McMahon Terrace
3865 J Street

Sacramento,CA95816
68-0117340
Senior Citizen's Housing/Retirement Communities CA 501(c)(3) 10 DH
 
 
No
(113)MERCY MEDICAL CENTER
1301 15TH AVE WEST

WILLISTON,ND58801
45-0231183
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(114)MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE

CENTERVILLE,IA52544
42-0680308
HOSPITAL IA 501(c)(3) 3 CHI-IA CORP
 
 
No
(115)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4th Ave E

Newton,IA50314
42-1470935
HOSPITAL IA 501(c)(3) 3 CHI-IA CORP
 
 
No
(116)Mercy Medical Center Merced Foundation
301 E 13th Street

Merced,CA95340
77-0035928
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(117)MERCY MEDICAL CENTER INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0386868
HOSPITAL OR 501(c)(3) 3 CSH
 
 
No
(118)MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST

WILLISTON,ND58801
45-0381803
FUNDRAISING FOUNDATION ND 501(c)(3) Type I MMC Williston
 
 
No
(119)NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(120)Northland Healthcare Alliance
2223 East Rosser Avenue

Bismarck,ND58501
91-1845296
MANAGEMENT ND 501(c)(3) 7 SAMC
 
 
No
(121)Northland PACE Program
2223 East Rosser Avenue

Bismarck,ND58501
26-1689193
HEALTHCARE ND 501(c)(3) 10 NHA
 
 
No
(122)Northridge Hospital Foundation
18300 Roscoe Blvd

Northridge,CA91328
23-7444901
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC
 
 
No
(123)OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

OAKES,ND58474
45-0231675
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(124)OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST

OAKES,ND58474
71-0966606
FUNDRAISING FOUNDATION ND 501(c)(3) Type I OCH
 
 
No
(125)Pacific Central Coast Health Centers
1400 E Church Street

Santa Maria,CA93454
77-0447575
Clinic CA 501(c)(3) 3 DCC
 
 
No
(126)PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116
PROPERTY MGMT TX 501(c)(3) Type I MHSET
 
 
No
(127)Port City Operating Company LLC
3400 Data Drive

Rancho Cordova,CA95670
46-5322209
HOSPITAL CA 501(c)(3) 3 DH
 
 
No
(128)PROVIDENCE CARE CENTER
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1658625
LTERM CARE OH 501(c)(3) 10 CHILC
 
 
No
(129)PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1896807
LIVING COMM OH 501(c)(3) 10 CHILC
 
 
No
(130)SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
22-2876836
INACTIVE NJ 501(c)(3) Type II SCHS
 
 
No
(131)SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
22-3639733
INACTIVE NJ 501(c)(3) 10 CSH
 
 
No
(132)SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
22-3319886
INACTIVE NJ 501(c)(3) 3 SCHS
 
 
No
(133)SAINT ELIZABETH FOUNDATION
555 S 70TH ST

LINCOLN,NE68510
47-0625523
FUNDRAISING FOUNDATION NE 501(c)(3) 7 SERMC
 
 
No
(134)SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST

LINCOLN,NE68510
36-3233120
INACTIVE NE 501(c)(3) 3 SERMC
 
 
No
(135)SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST

LINCOLN,NE68510
47-0379836
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(136)SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY

GRAND ISLAND,NE68803
47-0376601
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(137)SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804

GRAND ISLAND,NE68802
47-0630267
FUNDRAISING FOUNDATION NE 501(c)(3) 7 SFMC-NE
 
 
No
(138)Saint Francis Memorial Hospital
900 Hyde Street

San Francisco,CA94109
94-1156295
HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(139)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST

BEREA,KY40403
26-0152877
FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
 
No
(140)SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVE

LEXINGTON,KY40504
61-1334601
HOSPITAL KY 501(c)(3) 3 KOH
 
 
No
(141)SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200

LEXINGTON,KY40504
61-1159649
FUNDRAISING FOUNDATION KY 501(c)(3) Type I SJHS
 
 
No
(142)SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE

LONDON,KY40741
26-0438748
FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
 
No
(143)SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR

MOUNT STERLING,KY40353
27-2884584
FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS
 
 
No
(144)SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway Street

DICKINSON,ND58601
36-3418207
FUNDRAISING FOUNDATION ND 501(c)(3) Type I SJHHC
 
 
No
(145)San Gabriel Valley Medical Center Foundation
438 West Las Tunas Drive

San Gabriel,CA91776
95-3430341
INACTIVE CA 501(c)(3) Type I DH
 
 
No
(146)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST

SCHUYLER,NE68661
36-3630014
FUNDRAISING FOUNDATION NE 501(c)(3) Type I AHMHS
 
 
No
(147)Sierra Nevada Memorial-Miners Hospital
155 Glasson Way

Grass Valley,CA95945
94-1439787
HOSPITAL CA 501(c)(3) 3 DCC
 
 
No
(148)SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
44-0545809
INACTIVE MO 501(c)(3) 3 CSH
 
 
No
(149)St Francis Hospital Support Corporation
601 E Micheltorena Street

Santa Barbara,CA93103
77-0022302
INACTIVE CA 501(c)(3) Type I DH
 
 
No
(150)St Johns Healthcare Foundation
1600 North Rose Avenue

Oxnard,CA93030
20-2865781
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(151)St Josephs Foundation (Phoenix)
350 West Thomas Road

Phoenix,AZ85013
94-2941245
FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH
 
 
No
(152)St Josephs Foundation of San Joaquin
1800 N California Street

Stockton,CA95204
51-0432777
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(153)St Mary Medical Center Foundation
1050 Linden Avenue

Long Beach,CA90813
23-7153876
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(154)St Mary Professional Building Inc
1050 Linden Avenue

Long Beach,CA90813
23-7373088
INACTIVE CA 501(c)(3) Type I DH
 
 
No
(155)St Marys Medical Center Foundation
450 Stanyan Street

San Francisco,CA94117
94-3336143
FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH
 
 
No
(156)St Rose Dominican Health Foundation
3001 St Rose Parkway

Henderson,NV89052
88-0349432
FUNDRAISING FOUNDATION NV 501(c)(3) Type I DH
 
 
No
(157)ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE

BISMARCK,ND58501
45-0226711
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(158)St Anne OC
1145 Broadway Plaza STE 1200

TACOMA,WA98402
86-3590968
INACTIVE WA 501(c)(3) 10 FHS
 
 
No
(159)ST ANTHONY HOSPITAL
2801 St Anthony Way

PENDLETON,OR97801
93-0391614
HOSPITAL OR 501(c)(3) 3 CSH
 
 
No
(160)ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony Way

PENDLETON,OR97801
93-0992727
FUNDRAISING FOUNDATION OR 501(c)(3) Type I SAH
 
 
No
(161)ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR

MORRILTON,AR72110
71-0245507
HOSPITAL AR 501(c)(3) 3 SVIMC
 
 
No
(162)ST CATHERINE HOSPITAL
401 EAST SPRUCE ST

GARDEN CITY,KS67846
48-0543721
HOSPITAL KS 501(c)(3) 3 CSH
 
 
No
(163)ST CLARE COMMONS
12469 Five Point Road

TOLEDO,OH43551
27-0163752
LIVING COMM OH 501(c)(3) 10 CHILC
 
 
No
(164)ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
93-0433692
INVESTMENTS OR 501(c)(4)   CSH
 
 
No
(165)ST FRANCIS HOME
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0729978
LTERM CARE MN 501(c)(3) 10 CSH
 
 
No
(166)ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
22-2536017
INACTIVE NJ 501(c)(3) 8 SCHS
 
 
No
(167)ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0695598
HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(168)ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2351158
FUNDRAISING FOUNDATION TX 501(c)(3) Type I SJSC
 
 
No
(169)ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2847594
LTERM CARE TX 501(c)(3) 10 SJSC
 
 
No
(170)ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
52-0591461
INACTIVE MD 501(c)(3) 3 CSH
 
 
No
(171)ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE

BRYAN,TX77802
20-3159302
PHYSICIANS TX 501(c)(3) 3 SJSC
 
 
No
(172)ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
52-1311775
INACTIVE MD 501(c)(3) Type I SJMC
 
 
No
(173)ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-1282696
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(174)ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
45-4088170
HOSPITAL TX 501(c)(3) 3 SJSC
 
 
No
(175)ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE

BRYAN,TX77802
46-3265423
HEALTHCARE TX 501(c)(3) 10 SJSC
 
 
No
(176)ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2455161
MANAGEMENT TX 501(c)(3) Type I SLHS
 
 
No
(177)ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603
HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(178)ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway St

DICKINSON,ND58601
45-0226429
HOSPITAL ND 501(c)(3) 3 CSH
 
 
No
(179)ST LEONARD
8100 CLYO ROAD

CENTERVILLE,OH45458
34-1940863
LIVING COMM OH 501(c)(3) 10 CHILC
 
 
No
(180)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-1947374
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(181)ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-0335902
HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(182)ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0536234
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(183)ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
45-3811485
FUNDRAISING FOUNDATION TX 501(c)(3) 7 SLHS
 
 
No
(184)St Luke's Health Clinical Operations
6624 FANNIN ST STE 2505

HOUSTON,TX77030
27-3733278
HOSPITAL TX 501(c)(3) 3 SLHS
 
 
No
(185)ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269

HOUSTON,TX77225
76-0536232
MANAGEMENT TX 501(c)(3) Type I CSH
 
 
No
(186)ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-3734606
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(187)ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855

HOUSTON,TX77004
76-0531716
PROPERTY MGMT TX 501(c)(3) Type I SLHS
 
 
No
(188)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549
PROPERTY MGMT TX 501(c)(3) Type I SLCDC-SL
 
 
No
(189)ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard

NEBRASKA CITY,NE68410
47-0443636
HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA
 
 
No
(190)ST MARY'S HOSPITAL FOUNDATION
1301 Grundman Blvd

NEBRASKA CITY,NE68410
47-0707604
FUNDRAISING FOUNDATION NE 501(c)(3) 7 SMCH
 
 
No
(191)ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
51-0169537
FUNDRAISING FOUNDATION AR 501(c)(3) Type I SVIMC
 
 
No
(192)ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0236917
HOSPITAL AR 501(c)(3) 3 CSH
 
 
No
(193)ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0830696
PHYSICIANS AR 501(c)(3) 10 SVIMC
 
 
No
(194)SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
34-1412964
HOLDING CO OH 501(c)(3) Type I CSH
 
 
No
(195)SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-5357161
INACTIVE OH 501(c)(3) Type I SFH-OH
 
 
No
(196)THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1826097
ASSISTED LIVING OH 501(c)(3) 10 CHILC
 
 
No
(197)THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
74-1385192
HOSPITAL TX 501(c)(3) 3 SLH-CO
 
 
No
(198)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 Eden Park Drive 7th Floor

CINCINNATI,OH45202
31-0537486
HOSPITAL OH 501(c)(3) 3 CSH
 
 
No
(199)THE PHYSICIAN NETWORK
2000 Q ST STE 500

LINCOLN,NE68503
47-0780857
PHYSICIANS NE 501(c)(3) Type I CHI NEBRASKA
 
 
No
(200)TOTAL HEALTHCARE
9100 E Mineral Circle

Centennial,CO80112
84-0927232
INACTIVE CO 501(c)(3) 3 CHIC
 
 
No
(201)TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
31-1329423
FUNDRAISING FOUNDATION OH 501(c)(3) Type I THS
 
 
No
(202)TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
34-1818681
HEALTHCARE OH 501(c)(3) Type I NA
 
 
No
(203)TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET

DENNISON,OH44621
27-5401105
HOSPITAL OH 501(c)(3) 3 THS
 
 
No
(204)TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD

STEUBENVILLE,OH43952
34-1522484
ASSISTED LIVING OH 501(c)(3) 7 THS
 
 
No
(205)UNITY FAMILY HEALTHCARE
815 SE 2ND ST

LITTLE FALLS,MN56345
41-0721642
HOSPITAL MN 501(c)(3) 3 CSH
 
 
No
(206)VILLA NAZARETH INC
801 PAGE DR

FARGO,ND58103
45-0226714
LTERM CARE ND 501(c)(3) 10 CSH
 
 
No
(207)VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
22-1768334
INACTIVE NJ 501(c)(3) 10 SCHS
 
 
No
(208)Yavapai Community Hospital Association
1003 Willow Creek Road

Prescott,AZ86301
86-0098923
Hospital AZ 501(c)(3) 3 DCC
 
 
No
(209)Yavapai Regional Medical Center Foundation
1003 Willow Creek Road

Prescott,AZ86301
86-1038463
FUNDRAISING FOUNDATION AZ 501(c)(3) Type I YRMC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) American Mercy Home Care LLC

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
83-0486150
HOME HEALTH OH HAHH
 
Related 2,224,574 3,499,523   No   Yes   50 %
(2) ARIZONA CARE NETWORK - NEXT LLC

4222 E THOMAS RD STE 400
Phoenix,AZ85018
47-4696671
Care Network AZ DCC
 
Related 1,670,996 14,841,163   No   Yes   50 %
(3) Arizona Care Network LLC (ACN LLC)

4222 E THOMAS RD STE 400
Phoenix,AZ85013
45-4494682
Care Network AZ DCC
 
Related -727,889 11,258,846   No   Yes   50 %
(4) Arizona Diagnostic Radiology Group LLC

1510 Cotner Avenue
Los Angeles,CA90025
85-1067265
Diagnostic Services CA DH
 
Related -1,699,273 3,490,832   No     No 51 %
(5) Audubon Land Company LLC

630 Southpointe Court 200
COLORADO SPRINGS,CO80906
84-1513085
Real Estate CO CHIC
 
Related 250,266 8,758,182   No     No 73 %
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC

3100 Main Ste 566
HOUSTON,TX77002
47-2079184
HEALTHCARE SRVC TX SLHS
 
Related 0 3,250,000   No   Yes   65 %
(7) BERGAN MERCY SURGERY CENTER LLC

7500 Mercy Rd Ste 4300
OMAHA,NE68124
20-8671994
AMBUL SURG CTR NE ACH
 
Related 1,324,114 3,998,613   No     No 63 %
(8) BERYWOOD OFFICE PROPERTIES LLC

2501 Citico Avenue
CHATTANOOGA,TN37404
62-1875199
PHYS OFFICE TN MHCS
 
Related 156,566 795,622   No     No 63 %
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

 
 
Health Services HK DHI LLC
 
Related 0 0   No   Yes   50 %
(10) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY STE 310
LEXINGTON,KY40504
61-1386736
DIAGNOSTIC IMAGING KY SJHS
 
Related 107,330 3,007,832   No     No 65 %
(11) CBCC Outsmarting Cancer LLC

6501 Truxtun Avenue
Bakersfield,CA93309
46-1602286
Radiation / Oncology CA DH
 
Related -971,848 6,755,019   No   Yes   51 %
(12) CENTRAL NEBRASKA REHABILITATION SVCS LLC

3004 W FAIDLEY AVENUE
GRAND ISLAND,NE68803
81-0653461
Physical Therapy NE SFMC-NE
 
Related 5,101,701 6,361,124   No   Yes   51 %
(13) Centura Summit Orthopedics LLC

68 School Rd
Frisco,CO80443
87-1308304
HEALTHCARE SRVC CO CHIC
 
Related -1,513,296 426,408   No     No 65 %
(14) CHICAMSURG Surgery Centers LLC

1A Burton Hills Blvd
Nashville,TN37215
46-5683027
SURGERY CENTER CO CHIC
 
Related 75,200 655,719   No     No 51 %
(15) Colorado Springs CK Leasing LLC

630 Southpointe Court 200
COLORADO SPRINGS,CO80906
26-2982714
REAL ESTATE CO CHIC
 
Related 643,365 -121,284   No     No 52 %
(16) Community Mercy Home Care of Springfld LLC

6281 Tri Ridge Blvd 300
Loveland,OH45150
31-1746556
HOME HEALTH OH HAHH
 
Related 963,359 1,028,380   No   Yes   33 %
(17) DE JV LLC

8686 New Trails Drive
The Woodlands,TX77381
32-0496548
Emergency Care NV DH
 
Related 3,875,953 15,894,538   No     No 51 %
(18) DHHP Surgery Centers LLC

1513 S Grand Avenue Ste 350
Los Angeles,CA90015
83-1847466
SURGERY DE DCC
 
Related -520,207 1,186,257   No   Yes   51 %
(19) DHRT Holdings LLC

185 Berry Street Suite 200
San Francisco,CA94107
35-2484591
Holding Company DE DHHC
 
Related 5,574,502 46,627,436   No   Yes   69 %
(20) Dignity- GoHealthUrgent Care Management LLC

5555 Glenridge Connector Suite 700
Atlanta,GA30342
35-2548698
Management Services DE DCC
 
Related 1,672,155 19,707,889   No     No 50 %
(21) Dignity Health at Home LLC

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
82-4674115
HEALTHCARE SRVC DE NA
 
Related -581,919 1,433,713   No     No 100 %
(22) Dignity Health Specialty Pharmacy LLC

185 Berry Street Suite 200
San Francisco,CA94107
32-0589462
Specialty Pharmacy Services DE DCC
 
Related -42,524 21,158   No   Yes   67 %
(23) Dignity Home Recovery Care LLC

3854 American Way Suite A
Baton Rouge,LA70816
83-2832522
Home Recovery Program DE DCC
 
Related -207,945 432,933   No     No 50 %
(24) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

14201 Dallas Parkway
Dallas,TX75254
20-2999237
Surgery TX DCC
 
Related 1,792,277 12,436,243   No     No 50 %
(25) DignityUSP NorCal Surgery Centers LLC

14201 Dallas Parkway
Dallas,TX75254
20-2468509
SURGERY TX DHMF
 
Related 5,526,022 45,011,677   No     No 50 %
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC

14201 Dallas Parkway
Dallas,TX75254
13-4248908
Surgery TX DCC
 
Related -403,167 1,975,044   No     No 50 %
(27) DignityUSPJohn Muir East Bay Surg Ctrs LLC

14201 Dallas Parkway
Dallas,TX75254
35-2584991
SURGERY TX DHMF
 
Related 1,417,122 6,559,792   No     No 50 %
(28) Dignity-Abrazo Health Network LLC

4222 E THOMAS RD STE 400
PHOENIX,AZ85018
46-5477985
Management Services AZ DCC
 
Related -329,733 9,859,233   No     No 50 %
(29) Dominican Magnetic Resonance Imaging Center

1545 Soquel Drive
Santa Cruz,CA94065
77-0095477
Imaging Center CA DH
 
Related -299,690 163,655   No   Yes   80 %
(30) ECCS ACQUISITION COMPANY LLC

2940 NORTH CIRCLE DRIVE
COLORADO SPRINGS,CO80909
35-2656413
AMBUL SURG CTR CO CHIC
 
Related 2,570,418 6,849,549   No     No 51 %
(31) Endoscopy Center of Arkansas

1024 North University Ave
Little Rock,AR72207
20-1337002
Diagnostic Services AR SVIMC
 
Related 562,807 1,259,445   No     No 68 %
(32) Folsom Sierra Endoscopy Center LP

1671 Creekside Drive Suite 100
Folsom,CA95630
68-0482416
Endoscopy CA DH
 
Related -6,919 339,421   No   Yes   51 %
(33) Franciscan Medical Pavilion Bonney Lake LLC

6622 Wollochet Dr NW
Gig Harbor,WA98335
46-3494108
Real Estate WA FHS
 
Related 337,435 7,897,471   No   Yes   50 %
(34) FRANCISCAN SPECIALTY CARE LLC

330 Seven Springs Way
Brentwood,TN37027
81-3725123
HEALTHCARE SRVC WA FHS
 
Related 4,511,497 12,582,195   No     No 51 %
(35) Good Samaritan Home Care Svcs of Vincenne LLC

6281 Tri Ridge Blvd 300
Loveland,OH45150
20-1792869
HOME HEALTH OH HAHH
 
Related 600,828 844,201   No   Yes   50 %
(36) HC SL VINTAGE I LLC

1400 N Water St Ste 500
Milwaukee,WI53202
27-0453767
PROPERTY HOLDING WI SL HOSP-VINTAGE
 
Related 2,659,923 37,574,320   No     No 51 %
(37) Health at Home Holdco LLC

6281 Tri Ridge Blvd 300
Loveland,OH45140
92-0827634
HOME HEALTH CO HAHB
 
Related 2,841,249 196,021,421   No   Yes   100 %
(38) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196
LAUNDRY NE na
 
Related 0 1,365   No     No 100 %
(39) Heartland Oncology LLC

2337 E Crawford St
Salina,KS67402
46-4265403
ONCOLOGY KS SCH
 
Related 346,014 5,126,136   No     No 51 %
(40) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17030 LAKESIDE HILLS Plaza Ste 110
OMAHA,NE68130
20-4267902
AMBUL SURG CTR NE ACH
 
Related 2,169,196 5,838,840   No     No 61 %
(41) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496
ENDOSCOPY SRVC NE ACH
 
Related 730,330 95,238   No     No 51 %
(42) Lexington MBO Partners Ltd

5050 South Syracuse St Ste 800
Denver,CO80237
65-1132855
Real Estate CO SJHS
 
Unrelated 186,127 545,928   No     No 78 %
(43) LINCOLN CK LEASING LLC

555 SOUTH 70TH STREET
Lincoln,NE68510
26-2496856
Real Estate NE SERMC
 
Related 238,896 -37,535   No   Yes   54 %
(44) Memorial Medical Plaza

3838 San Dimas Suite B 201
Bakersfield,CA93301
36-4510880
Real estate CA BMH
 
Related 186,166 3,253,462   No   Yes   21 %
(45) Mercy Davis Cancer Center Management Co LLC

2740 M Street
Merced,CA95340
94-3358445
Management of Cancer Center CA DH
 
Related 2,237,825 10,940,722   No   Yes   50 %
(46) Mercy Rehabilitation Hospital LLC

330 Seven Springs Way
Brentwood,TN37027
81-4437201
HEALTHCARE SRVC TX CHI-IA Corp
 
Related 2,223,222 7,794,388   No     No 51 %
(47) Military Road Properties LLC

18229 Terrace Court SW
Normandy Park,WA98166
91-2067879
Real Estate WA FHS
 
Related 66,874 254,748   No   Yes   50 %
(48) Mountain Medical Imaging LLC

1900 N Pearl St Ste 2400
Dallas,TX75201
87-0687391
Medical Imaging TX CHIC
 
Related 0 0   No     No 1 %
(49) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST STE 20300
OMAHA,NE68122
27-0263191
SPINE HOSPITAL NE ACH
 
Related 14,201,069 18,372,245   No     No 51 %
(50) NICU Operating CO of Santa Cruz LLC

1555 Soquel Drive
Santa Cruz,CA95065
46-0502935
Neonatal Healthcare CA DH
 
Related 2,767,625 21,086,203   No     No 51 %
(51) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,AR72120
71-0799771
AMBUL SURG CTR AR SVIMC
 
Related 168,699 993,480   No     No 73 %
(52) NORTHERN PLAINS LABORATORY LLC

401 N 9 STREET
BISMARK,ND58501
84-1641341
Diagnostic Services ND SAMC
 
Unrelated 2,437,478 3,434,151   No   Yes   50 %
(53) NSC Channel Islands LLC

569 Brookwood Village Suite 901
Birmingham,AL35209
77-0409291
Ambulatory surgical center CA DH
 
Related 382,556 709,782   No   Yes   51 %
(54) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80228
37-1577105
ORTHO HOSPITAL CO CHIC
 
Related 18,141,828 14,080,083   No     No 60 %
(55) Park Rapids Area Health Care

600 Pleasant Avenue S
Park Rapids,MN56470
20-4926259
HEALTHCARE SRVC MN SJAHS
 
Related 245,479 4,424,583   No   Yes   50 %
(56) PENINSULA RADIATION ONCOLOGY CENTER LLC

4230 Bridgeport Way W Ste B
University Place,WA98466
87-0808610
HEALTHCARE SRVC WA FHS
 
Related 322,978 3,336,308   No     No 60 %
(57) Penrad Imaging LLC

1390 Kelly Johnson Blvd
COLORADO SPRINGS,CO80920
84-1072619
Medical Imaging CO CHIC
 
Related 1,135,776 2,931,194   No     No 70 %
(58) Performance Med Equip & Respir Svsc LLC

19625 62nd Ave South 101
Kent,WA98032
45-2901632
Holding Company WA FHS
 
Related 600,000 610,115   No   Yes   50 %
(59) Plaza Surgery Center LP

525 E Plaza Drive Suite 100
Santa Maria,CA93454
77-0573567
Surgery CA DH
 
Related 368,867 2,484,019   No   Yes   53 %
(60) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,TX77002
27-3280598
HOSPITAL TX SLHS
 
Related 3,457,815 74,516,007   No     No 51 %
(61) Precision Medicine Alliance LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
35-2569159
Diagnostic Services CO NA
 
Related -175,312 73,104   No     No 100 %
(62) Radiation Oncology Centers of Ventura County

1700 N ROSE AVENUE SUITE 120
OXNARD,CA93030
77-0191706
IMAGING CA DH
 
Related 321,857 461,745   No   Yes   50 %
(63) RBR Management LLC

91 Corporate Park Drive Suite 120
Henderson,NV89074
27-1466450
Ambulance NV DH
 
Related -2,763,594 5,837,701   No     No 50 %
(64) Reid-ANC Home Care Services LLC

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
37-1454747
HOME HEALTH IN HAHH
 
Related 571,590 917,323   No   Yes   50 %
(65) SAINT JOSEPH - SCA HOLDINGS LLC

1451 Harrodsburg RD
LEXINGTON,KY40503
45-3801157
Inactive DE SJHS
 
Related 0 0   No   Yes   51 %
(66) Saint Joseph Health ASC LLC

One Saint Joseph Drive
Lexington,KY40504
85-2155230
Surgery KY SJHS
 
Related -671,450 6,640,185   No   Yes   90 %
(67) SAINT JOSEPH-ANC HOME CARE SERVICES

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
26-3330545
HOME HEALTH KY HAHH
 
Related 0 0   No   Yes   100 %
(68) Santa Cruz Comprehensive Imaging LLC

1661 Soquel Drive Suite G
Santa Cruz,CA95065
01-0550623
Imaging CA DH
 
Related 85,048 287,145   No   Yes   50 %
(69) Santa Cruz Land & Building LP

1555 Soquel Drive
Santa Cruz,CA95065
77-0285236
REAL ESTATE CA DHS
 
Related 59,081 0   No   Yes   0 %
(70) Santa Cruz Surgery Center LLC

3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
77-0194916
SURGERY CA DH
 
Related 323,767 335,889   No   Yes   50 %
(71) Seven Oaks Surgery Center LLC

1801 Orange Tree Lane Suite 200
Redlands,CA92374
85-1559544
Surgery CA DH
 
Related 267,452 423,073   No   Yes   25 %
(72) Southeastern Home Care LLC

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
27-1219638
HOME HEALTH OH HAHH
 
Related 269,535 47,489   No   Yes   60 %
(73) St Joseph's Surgery Center LP

15305 Dallas Parkway
Suite 1600 LB 28
Addison,TX75001
20-1019390
Surgery TX Port City
 
Related -63,850 3,448,388   No   Yes   68 %
(74) St Elizabeth Home Care Services LLC

6281 Tri Ridge Blvd Ste 300
Loveland,OH45150
26-1236191
HOME HEALTH KY HAHH
 
Related 2,605,123 3,358,159   No   Yes   50 %
(75) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
COLORADO SPRINGS,CO80918
26-3134100
REAL ESTATE CO CHIC
 
Related 219,414 11,986,354   No     No 59 %
(76) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,TX77030
71-0959365
Diagnostic Services TX SLHS HOLDINGS
 
Related 83,697 857,098   No   Yes   50 %
(77) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
30-0427437
HOSPITAL TX SL CDC-W
 
Related 2,917,500 45,365,528   No   Yes   51 %
(78) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

PO Box 4717
HOUSTON,TX77210
46-2795726
Diagnostic Services TX SLHS HOLDINGS
 
Related -70,017 637,396   No   Yes   51 %
(79) Templeton Surgery Center LLC

1310 Las Tablas Road Suite 104
Templeton,CA94365
20-2246616
Surgery CA DCC
 
Related -971,658 0   No   Yes   63 %
(80) The Medical Pavilion at St John's

1600 Rose Avenue
Oxnard,CA93030
77-0332349
Real Estate CA DH
 
Related 25,152 1,697,793   No   Yes   25 %
(81) The Vascular Center of Colorado LLC

2222 N Nevada Ave Ste 3000
COLORADO SPRINGS,CO80907
75-3193527
Medical Servcs CO CHIC
 
Related 4,774,057 3,741,184   No     No 1 %
(82) THREE SPRING IMAGING LLC

1 Mercado St STE 200A
DURANGO,CO81301
81-3571570
HEALTHCARE SRVC CO CHIC
 
Related 276,796 273,433   No     No 1 %
(83) Tia Arizona LLC

3030 N Central Avenue Suite 1402
Phoenix,AZ85012
86-3158670
Clinic AZ DCC
 
Related -855,735 3,385,628   No   Yes   65 %
(84) ToptoLife LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
87-2868634
Retail CO CSH
 
Unrelated -69,136 5,095,382   No   Yes   50 %
(85) Valley Physicians Surgery Center At Northridge LLC

18330 Roscoe Blvd
Northridge,CA91328
80-0864336
Surgery CA DCC
 
Related 2,243,533 2,159,714   No   Yes   96 %
(86) West Lakes Surgery Center LLC

12499 University Ave Ste 100
Clive,IA50325
20-5345295
HEALTHCARE SRVC IA CHI-IA Corp
 
Related 1,264,763 3,424,926   No     No 51 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Alegent HealthCreighton St Joseph Managed Care Svcs Inc

12809 West Dodge Rd
Omaha,NE68154
47-0802396
Managed Care NE CHI Nebraska
 
C Corporation 17,475,864 47,315,052 100 %   No
(2) ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc

2801 FRANCISCAN DRIVE
BRYAN,TX77802
74-2466914
Healthcare TX SJSC
 
C Corporation 269,698 1,165,299 100 %   No
(3) Alternative Insurance Management Service Inc

198 Inverness Drive West
Englewood,CO80112
84-1112049
Management Services CO CSH
 
C Corporation 2,964 12,148,010 100 %   No
(4) AMERICAN NURSING CARE Inc

1700 EDISON DR
MILFORD,OH45150
31-1085414
HOME HEALTH OH CHS
 
C Corporation 0 0 100 %   No
(5) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699
HOME HEALTH OH ANC
 
C Corporation 0 0 100 %   No
(6) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851
Inactive KY JHSMH
 
C Corporation 0 0 100 %   No
(7) BrazoSport Health Alliance

100 MEDICAL DRIVE
LAKE JACKSON,TX77566
76-0518376
Healthcare TX TCHB
 
C Corporation 103,195 164,342 100 %   No
(8) Catholic Health Initiatives Center for Translational Research

198 INVERNESS DRIVE WEST
Englewood,CO80112
27-2269511
Lab Services CO CSHRI
 
C Corporation 531,073 439,395 100 %   No
(9) CHI St Luke's Health - Memorial Condominium Association Inc

1201 W Frank Ave
Lufkin,TX75904
83-4184717
Condo Assoc TX MHSET
 
C Corporation 0 0 100 %   No
(10) Coastal Surgical Specialists Inc

921 Oak Park Blvd Suite 101
Pismo Beach,CA93449
74-3000596
Ambulatory Surgery Center CA DH
 
C Corporation 2,230,136 1,967,277 51 %   No
(11) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212
HOME HEALTH OH CSH
 
C Corporation 0 0 100 %   No
(12) Des Moines Medical Center Inc

1111 6TH AVE
Des Moines,IA50314
42-0837382
Real Estate IA CHI-IA Corp
 
C Corporation 44,370 849,389 93 %   No
(13) Dignity Health Holding Corporation

185 Berry Street Suite 200
San Francisco,CA94107
46-0675371
Holding Co NV DCC
 
C Corporation 10,314,551 207,391,745 100 %   No
(14) Dignity Health Insurance Ltd

PO Box 1051 Grand Cayman Isl
Grand Cayman Isl,GRAND CAYMANKY11001
CJ
98-1065338
Captive Insurance CJ DH
 
C Corporation 6,559,155 63,925,190 100 %   No
(15) Dignity Health Provider Resources Inc

185 Berry Street Suite 200
San Francisco,CA94107
47-3366764
Health Plan CA DCC
 
C Corporation 0 0 100 %   No
(16) Diversified Health Resources Inc

100 MEDICAL DRIVE
LAKE JACKSON,TX77566
76-0222679
Healthcare TX TCHB
 
C Corporation 0 216,555 100 %   No
(17) Franciscan Services Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2487967
Holding Co CO CSH
 
C Corporation 0 8,462,900 100 %   No
(18) Galleria Pavilion Owners'Association

800 N Gibson Rd
Henderson,NV89011
82-4275367
Real Estate NV DH
 
C Corporation 90,103 73,138 65 %   No
(19) Good Samaritan Outreach Services

PO Box 1990
Kearney,NE68848
47-0659440
Medical Clinic NE CHI Nebraska
 
C Corporation 0 143,249 100 %   No
(20) HarvestPlains Health of Iowa

32129 Weyerhaeuser Way S STE 201
FEDERAL WAY,WA98001
47-3451750
Insurance WA QCHPS
 
C Corporation 32,975 3,355,943 100 %   No
(21) Health at Home Blocker LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
88-4220080
HOME HEALTH CO CSH
 
C Corporation 0 0 100 %   No
(22) Health Services of the Pacific Central Coast Inc

1400 E Church Street
Santa Maria,CA93454
77-0074057
Health Services CA DCC
 
C Corporation 325,546 0 100 %   No
(23) Health Systems Enterprises Inc

PO BOX 1990
Kearney,NE68848
47-0664558
MGMT NE GSH-KH
 
C Corporation 0 236,305 100 %   No
(24) Healthcare MGMT Services Organization INC

1149 MARKET ST
Tacoma,WA98402
91-1865474
Inactive WA FHS
 
C Corporation 0 0 100 %   No
(25) HeartlandPlains Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4368223
Insurance NE QCHPS
 
C Corporation 40,314 0 100 %   No
(26) Highline Medical Group

1717 S J Street
Tacoma,WA98405
91-1407026
Medical Services WA FHS
 
C Corporation 0 0 100 %   No
(27) Integrated Medical Services

9250 N 3rd Street Suite 4010
Phoenix,AZ85020
86-0783428
Multi-specialty physicians group AZ DCC
 
C Corporation 0 0 0 %   No
(28) Medical Office Building Horizontal Property Regime Inc

300 Werner St
Hot Springs,AR71913
71-0720429
Real Estate AR CHI-SVHS
 
C Corporation 312,880 164,583 77 %   No
(29) Medquest

1602 11th St W
Williston,ND58801
45-0392137
Sale of DME ND MMC Williston
 
C Corporation 667,458 977,891 100 %   No
(30) Memorial CV Service Line Management Company LLC

1201 W Frank Ave
Lufkin,TX75904
46-3622849
Inactive TX MHSET
 
C Corporation 256,466 0 100 %   No
(31) Mercy Services Corp

2700 STEWART PARKWAY
Roseburg,OR97471
93-0824308
Retail Sales OR MMC - Roseburg
 
C Corporation 43,010 18,776 100 %   No
(32) MHI Clinical Services

1201 W Frank Ave
Lufkin,TX75904
46-1967952
Healthcare TX MHSET
 
C Corporation 0 18,677 100 %   No
(33) Millennium Surgery Center Inc

9300 Stockdale Hwy 200
Bakersfield,CA93311
77-0513445
Outpatient Surgery Services CA BMH
 
C Corporation 1,048,135 5,760,595 57 %   No
(34) Mountain Management Services Inc

5600 Brainerd Rd Ste 500
Chattanooga,TN37411
62-1570739
MGMT SVC ORG TN MHCS
 
C Corporation 27,720,396 4,973,469 100 %   No
(35) North Central Health Care Alliance

PO Box 5538
Bismark,ND58506
45-0439894
Healthcare ND SAMC
 
C Corporation 4,649 303,794 75 %   No
(36) QualChoice Health Plan Services Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1224037
Admin Services CO QCHI
 
C Corporation 2,768,928 223,095,882 100 %   No
(37) QualChoice Health Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1222808
Holding Co CO CSH
 
C Corporation 3,546,879 -136,573,066 100 %   No
(38) QualChoice Holdings Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
27-4075520
Holding Co AR QCHPS
 
C Corporation 0 5,041,137 100 %   No
(39) RiverLink Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4380824
Insurance OH QCHPS
 
C Corporation 43,412 5,429,939 100 %   No
(40) Ross Park Pharmacy Inc

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1832654
Pharmacy OH TSHS
 
C Corporation 447,901 1,807,794 100 %   No
(41) Saint Clare's Primary Care Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
22-2441202
Inactive NJ SCCC
 
C Corporation 0 0 100 %   No
(42) SJH Services Corporation

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2307408
Inactive CO FSI
 
C Corporation 0 1,598,610 100 %   No
(43) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR STE 160
Lexington,KY40503
27-0164198
Inactive KY SJHS
 
C Corporation 0 0 100 %   No
(44) SoundPath Health Inc

32129 Weyerhaeuser Way S STE 201
Federal Way,WA98001
42-1720801
Insurance WA QCHPS
 
C Corporation 430,188 39,985,383 100 %   No
(45) St Mary Health Ventures Inc

1050 Linden Avenue
Long Beach,CA90813
95-1912528
Retail Pharmacy CA DH
 
C Corporation 717,349 3,711,942 100 %   No
(46) St Anthony Development Company

1415 Southgate
Pendleton,OR97801
93-1216943
Athletic Club OR SAH
 
C Corporation 1,614,938 1,576,435 100 %   No
(47) St Joseph Development Company Inc

1717 SOUTH J ST
Tacoma,WA98405
91-1480569
Rental WA FSI
 
C Corporation 697,055 13,897,351 100 %   No
(48) St Luke's Health System Holdings Inc

6624 Fannin STE 800
Houston,TX77030
76-0637138
Holding Co TX SLHS
 
C Corporation 2,443,653 23,310,378 100 %   No
(49) St Vincent Community Health Services Inc

TWO ST VINCENT CIRCLE
Little Rock,AR72205
71-0710785
Healthcare AR SVIMC
 
C Corporation 8,583,720 53,603,238 100 %   No
(50) STE Holdings

12809 West Dodge Rd
Omaha,NE68154
82-2383629
Holding Co NE SERMC
 
C Corporation 4,442,312 9,057,049 100 %   No
(51) Towson Management Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
52-1710750
Inactive MD FSI
 
C Corporation 0 0 100 %   No
(52) TRINITY MANAGEMENT SERVICES ORGANIZATION

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1471026
Mgmt Services OH THS
 
C Corporation 0 104,113 100 %   No
(53) United Medical Building Condominium Association

1950 Mountain View Ave
Longmont,CO80501
84-1526130
Real Estate CO LUH
 
C Corporation 685,290 2,178,207 89 %   No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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