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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
% NANCY DROST
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
9100 E MINERAL AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CENTENNIAL, CO80112
D Employer identification number

84-0902211
E Telephone number

G Gross receipts $ 19,026,965
F Name and address of principal officer:
ANDREW GAASCH
9100 E MINERAL AVE
CENTENNIAL,CO80112
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MOUNTAIN.COMMONSPIRIT.ORG/
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 MediumBullet0928
K Form of organization:  
L Year of formation: 1982
M State of legal domicile: CO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 4
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 4
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 23
6 Total number of volunteers (estimate if necessary) ............. 6 20
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  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 19,133,395 15,047,359
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,146,703 1,982,895
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -94,640 -176,219
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 23,185,458 16,854,035
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,187,263 11,636,638
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,895,904 2,022,467
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 4,940 855
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,103,400    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,071,552 806,003
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 17,159,659 14,465,963
19 Revenue less expenses. Subtract line 18 from line 12....... 6,025,799 2,388,072
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 84,113,830 99,737,696
21 Total liabilities (Part X, line 26)............. 12,373,433 23,699,831
22 Net assets or fund balances. Subtract line 21 from line 20..... 71,740,397 76,037,865
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
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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.
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 $ 11,656,638 including grants of $ 11,636,638 ) (Revenue $   )
SEE SCHEDULE O
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 expensesMediumBullet11,656,638
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
 
No
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 IClick to see attachment
List of Attached Documents:
// Content
.........................
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 IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
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 IVClick to see attachment
List of Attached Documents:
// Content
..............
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 VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
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. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
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 XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
Yes
 
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.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
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.....Click to see attachment
List of Attached Documents:
// Content
15
Yes
 
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...Click to see attachment
List of Attached Documents:
// Content
16
Yes
 
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. ....Click to see attachment
List of Attached Documents:
// Content
17
Yes
 
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............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
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...................Click to see attachment
List of Attached Documents:
// Content
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.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
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........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
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..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
Yes
 
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............Click to see attachment
List of Attached Documents:
// Content
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............. Click to see attachment
List of Attached Documents:
// Content
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 VIClick to see attachment
List of Attached Documents:
// Content
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
18
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
23
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
Yes
 
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
4
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
4
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
Yes
 
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
CO
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:
MediumBulletNANCY DROST9100 E MINERAL CIRCLE   CENTENNIAL,CO80112 (303) 673-7482
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) JOSH BAILEY......................................................................
VICE PRESIDENT OF PHILANTHROPY
 40.0
.................
0.0 		          X 182,076 0 23,499
(2) CARRIE BACH......................................................................
GROUP DIRECTOR OF DEVELOPMENT
 40.0
.................
0.0 		        X   147,202 0 29,729
(3) CANDY EMERSON......................................................................
DEVELOPMENT OFFICER
 40.0
.................
0.0 		        X   146,119 0 12,600
(4) ALEXANDRA STETSON-LEE......................................................................
SR. PHILANTHROPY OFFICER
 40.0
.................
0.0 		        X   114,426 0 39,543
(5) JOY HESS......................................................................
DEVELOPMENT OFFICER
 40.0
.................
0.0 		        X   128,645 0 16,629
(6) JENNIFER COOPER......................................................................
DIRECTOR OF ENGAGEMENT
 40.0
.................
0.0 		        X   111,148 0 12,970
(7) MATT LEARY......................................................................
DIRECTOR
 1.0
.................
40.0 		X           0 0 0
(8) TOM GESSEL......................................................................
PRESIDENT
 1.0
.................
40.0 		X   X       0 0 0
(9) DAN ENDERSON......................................................................
DIRECTOR
 1.0
.................
40.0 		X           0 0 0
(10) ANDREW GAASCH......................................................................
SR VP & CFO BEG 01/23
 1.0
.................
40.0 		X   X       0 0 0
(11) TADD RICHERT......................................................................
DIRECTOR
 1.0
.................
40.0 		X           0 0 0












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 829,616 0 134,970
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 MediumBullet6
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
GOBEL GROUP,
200 OLD FORGE LANE
KENNETT SQUARE,PA19348 		CONSULTING 310,000
BETH INTERACTIVE,
4541 N RAVENSWOOD AVE
CHICAGO,IL60640 		FUNDRAISE/MARKETING 288,544
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet2
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 443,375
d Related organizations1d 6,105,747
e Government grants (contributions)1e 1,104,985
f All other contributions, gifts, grants, and similar amounts not included above1f 7,393,252
g Noncash contributions included in lines 1a - 1f:$ 1g 33,323
h Total. Add lines 1a-1f.......MediumBullet 15,047,359
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 0
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,065,531     1,065,531
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(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 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   2,809,224 7a
b Less: cost or other basis and sales expenses   1,891,860 7b
c Gain or (loss)   917,364 7c
d Net gain or (loss).........MediumBullet 917,364     917,364
8a Gross income from fundraising events (not including $ 443,375of contributions reported on line 1c). See Part IV, line 18 ....
8a 100,882
b Less: direct expenses ... 8b 281,070
c Net income or (loss) from fundraising events..MediumBullet -180,188   -180,188
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a Miscellaneous 900099 3,969     3,969
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 3,969
12 Total revenue. See instructions.....MediumBullet 16,854,035     1,806,676
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 .... 10,957,162 10,957,162
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 293,294 293,294
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 386,182 386,182
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 1,659,208   1,030,610 628,598
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 65,350   40,592 24,758
9 Other employee benefits ....... 143,190   88,942 54,248
10 Payroll taxes ........... 154,719   96,103 58,616
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 0      
c Accounting ........... 82,650   82,650  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 855 855
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 375,808   131,592 244,216
12 Advertising and promotion .... 0      
13 Office expenses ....... 101,988   75,284 26,704
14 Information technology ...... 118,245   118,245  
15 Royalties .. 0      
16 Occupancy ........... 9,806   9,566 240
17 Travel ............ 17,907   7,282 10,625
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 0      
23 Insurance ... 0      
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 DONOR RECOGNITION & GIFTS 66,027   14,760 51,267
b BAD DEBT EXPENSE 20,000 20,000    
c EDUCATION 10,699   7,426 3,273
d MEMBERSHIPS & DUES 2,873   2,873  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 14,465,963 11,656,638 1,705,925 1,103,400
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 ........ 0 1 0
2 Savings and temporary cash investments ......... 4,331,707 2 4,147,715
3 Pledges and grants receivable, net ...... 1,861,908 3 1,360,808
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 ........... 0 7 25,201
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 60,613 9 63,541
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 534,624
b Less: accumulated depreciation 10b 460,742 163,882 10c 73,882
11 Investments—publicly traded securities . 4,640,194 11 4,720,059
12 Investments—other securities. See Part IV, line 11 ..... 73,044,743 12 89,344,847
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 10,783 15 1,643
16 Total assets. Add lines 1 through 15 (must equal line 33)... 84,113,830 16 99,737,696
Liabilities 17 Accounts payable and accrued expenses ..... 7,438,234 17 8,714,022
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 364,151 19 223,865
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 4,571,048 25 14,761,944
26 Total liabilities. Add lines 17 through 25.. 12,373,433 26 23,699,831
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 .......... 23,724,002 27 23,841,762
28 Net assets with donor restrictions ........... 48,016,395 28 52,196,103
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 .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 71,740,397 32 76,037,865
33 Total liabilities and net assets/fund balances ........ 84,113,830 33 99,737,696
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
16,854,035
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
14,465,963
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,388,072
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
71,740,397
5
Net unrealized gains (losses) on investments ...............
5
756,529
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
1,152,867
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
76,037,865
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:  
Software Version:  
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
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 ...............................  
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
Total
 
   
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.") .. 15,962,758 16,395,223 16,126,787 19,139,395 15,047,359 82,671,522
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 15,962,758 16,395,223 16,126,787 19,139,395 15,047,359 82,671,522
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) .. 11,439,617
6 Public support. Subtract line 5 from line 4. 71,231,905
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.. 15,962,758 16,395,223 16,126,787 19,139,395 15,047,359 82,671,522
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 1,638,128 1,444,778 1,096,914 910,668 1,065,531 6,156,019
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 7,993 2,549 1,933     12,475
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 434   5,868 3,526 3,969 13,797
11 Total support. Add lines 7 through 10 88,853,813
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
80.168 %
15
15
84.397 %
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
b
A family member of a person described on 11a above?
11b
 
 
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
 
 
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
 
 
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
 
 
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:  
Software Version:  
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION 		Employer identification number
84-0902211
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION 		Employer identification number

84-0902211
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION 		Employer identification number

84-0902211
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:  
Software Version:  
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
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 .... 14,463,126 11,144,729 9,369,485 7,990,023 7,716,813
b Contributions ... 2,505,354 5,083,593 68,877 1,764,959 27,981
c Net investment earnings, gains, and losses 808,189 -901,217 2,657,461 -194,833 368,194
d Grants or scholarships ...     216,341    
e Other expenditures for facilities
and programs ... 		392,329 863,979 734,753 190,664 122,965
f Administrative expenses ....          
g End of year balance ...... 17,384,340 14,463,126 11,144,729 9,369,485 7,990,023
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet9.200 %
b
Permanent endowment SchDMd Bullet79.700 %
c
Term endowment SchDMd Bullet11.100 %
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)
Yes
 
(ii) Related organizations .................
3a(ii)
 
No
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 ..... 33,140 0 33,140
b Buildings ....        
c Leasehold improvements        
d Equipment ....   501,484 460,742 40,742
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 73,882
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) BENEFICIAL INTERESTS IN TRUSTS		 4,179,179 F

(B) CHI OIP		 85,165,668 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 89,344,847
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 0
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 14,761,944
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 18,763,431
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 756,529
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 1,152,867
e Add lines 2a through 2d ..................... 2e 1,909,396
3 Subtract line 2e from line 1.................. 3 16,854,035
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 16,854,035
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 14,465,963
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 14,465,963
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 14,465,963
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 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2023, READS AS FOLLOWS: CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION ALSO RECEIVES A SEPARATE SET OF FINANCIAL STATEMENTS. THE FOUNDATION'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2023, READS AS FOLLOWS: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE FOUNDATION IS CLASSIFIED AS A PUBLIC CHARITY (NOT A PRIVATE FOUNDATION) UNDER SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE. HOWEVER, THE FOUNDATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME.
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO GENERATE INCOME TO SUPPORT THE ORGANIZATION'S MISSION AND TAX-EXEMPT PURPOSE.
Schedule D, Part XI, Line 2(d) Other Revenues in Audited Financial Statements Not in Form 990: Change in value of split interest Agreements 1,152,867
Schedule D (Form 990) 2021


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image 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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
South Asia     Grantmaking HEALTH SERVICES 14,587
Sub-Saharan Africa     Grantmaking HEALTH SERVICES 361,201
South America     Grantmaking HEALTH SERVICES 10,394
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ....     386,182
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     386,182
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
South Asia HEALTHCARE SERVICES 14,587 WIRE      
Sub-Saharan Africa HEALTHCARE SERVICES 8,835 WIRE      
South America HEALTHCARE SERVICES 10,394 WIRE      
Sub-Saharan Africa HEALTHCARE SERVICES 16,395 CHECK      
Sub-Saharan Africa HEALTHCARE SERVICES 49,809 WIRE      
Sub-Saharan Africa HEALTHCARE SERVICES 31,508 WIRE      
Sub-Saharan Africa HEALTHCARE SERVICES 230,448 CHECK      
Sub-Saharan Africa HEALTHCARE SERVICES 10,129 CHECK      
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
2
3 Enter total number of other organizations or entities .......................MediumBullet
6
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
INDIVIDUAL IN SUB-SAHARAN AFRICA Sub-Saharan Africa 1 12,420 CHECK      
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
SCHEDULE F, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE ORGANIZATION RECEIVES REPORTS FROM THE DONEES THAT ARE REVIEWED BY THE DISTRIBUTION COMMITTEE BEFORE TRANSFER OF FUNDS TAKES PLACE. THE DISBURSEMENT OF GRANT FUNDS ARE MADE BASED ON DISBURSEMENT REQUESTS FROM THE PERSON IN CHARGE OF THE GRANT PROJECT AND ARE APPROVED WITHIN THE ESTABLISHED DISBURSEMENT POLICIES AND PROCEDURES OF CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION (I.E. CFO APPROVAL, ADEQUATE SUPPORTING DOCUMENTATION FOR THE DISBURSEMENT). PROGRAM MANAGERS MAKE PERIODIC PROGRESS REPORTS TO LOCAL BOARDS SUPPORTING THE PROJECTS IN ORDER TO MONITOR THE PROGRESS BEING MADE.
Schedule F, Part I, Line 3 Method to Account for expenditures on Org's Financial Statements: CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL EAST ASIA AND THE PACIFIC: ACCRUAL SOUTH AMERICA: ACCRUAL SUB-SAHARAN AFRICA: ACCRUAL
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
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SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
BETH INTERACTIVE
4541 N RAVENSWOOD AVE
 
CHICAGO, IL60640 		PHILANTROPY MARKETING   No 0 434,668 0
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 0 434,668 0
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

ST. ANTHONY GOL
(event type) 		(b) Event #2

COWBOY'S KICKIN
(event type) 		(c) Other events

6
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
370,383
112,832
61,042
544,257

2
Less: Contributions . . . .
289,446
97,720
56,209
443,375
3 Gross income (line 1 minus
line 2) . . . . . .
80,937
15,112
4,833
100,882



VerticalDirectExpenses
4 Cash prizes . . . . .     750 750
5 Noncash prizes . . . . 19,311 1,823 3,682 24,816
6 Rent/facility costs . . . . 180,073   17,039 197,112
7 Food and beverages . . .   1,305 4,669 5,974
8 Entertainment . . . . 650 2,835 687 4,172
9 Other direct expenses . . . 7,665 12,294 28,287 48,246
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 281,070
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -180,188
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2022
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number
84-0902211
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) CATHOLIC HEALTH INITIATIVES COLORADO
PO BOX 912069
DENVER,CO802912069 		84-0405257 501(C)(3) 10,957,162       HOSPITAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) EMPLOYEE FINANCIAL ASSISTANCE 129 148,554      
(2) PATIENT FINANCIAL ASSISTANCE 729 144,740      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE ORGANIZATION RECEIVES REPORTS FROM THE DONEES THAT ARE REVIEWED BY THE DISTRIBUTION COMMITTEE BEFORE TRANSFER OF THE FUNDS TAKES PLACE. THE DISBURSEMENT OF GRANT FUNDS ARE MADE BASED ON DISBURSEMENT REQUESTS FROM THE PERSON IN CHARGE OF THE GRANT PROJECT AND ARE APPROVED WITHIN THE ESTABLISHED DISBURSEMENT POLICIES AND PROCEDURES OF CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION (I.E. CFO APPROVAL, ADEQUATE SUPPORTING DOCUMENTATION FOR THE DISBURSEMENT). PROGRAM MANAGERS MAKE PERIODIC PROGRESS REPORTS TO LOCAL BOARDS SUPPORTING THE PROJECTS IN ORDER TO MONITOR THE PROGRESS BEING MADE.
Schedule I (Form 990) 2022



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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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
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
Yes
 
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
1JOSH BAILEY
VICE PRESIDENT OF PHILANTHROPY 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		182,076
-------------
0 		0
-------------
0 		23,499
-------------
0 		205,575
-------------
0 		 
-------------
 
2CARRIE BACH
GROUP DIRECTOR OF DEVELOPMENT 		(i)

(ii)		 127,173
-------------
0 		19,931
-------------
0 		98
-------------
0 		0
-------------
0 		29,729
-------------
0 		176,931
-------------
0 		 
-------------
 
3CANDY EMERSON
DEVELOPMENT OFFICER 		(i)

(ii)		 125,764
-------------
0 		18,945
-------------
0 		1,410
-------------
0 		2,946
-------------
0 		9,654
-------------
0 		158,719
-------------
0 		 
-------------
 
4ALEXANDRA STETSON-LEE
SR. PHILANTHROPY OFFICER 		(i)

(ii)		 97,982
-------------
0 		16,380
-------------
0 		64
-------------
0 		4,422
-------------
0 		35,121
-------------
0 		153,969
-------------
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 4a DURING THE CALENDAR YEAR REPORTED ON THIS RETURN, THE PERSONS BELOW EACH RECEIVED QUALIFYING PAYMENTS SUMMING TO THE AMOUNTS REPORTED BELOW. ALL QUALIFYING PAYMENTS ARE APPROPRIATELY INCLUDED IN COMPENSATION ON 990 PART VII, SECTION A, AND SCHEDULE J, PART II. *JOSH BAILEY - $182,076 *JOY HESS - $24,720
Schedule J, Part I, Line 4b Supplemental Nonqualified Retirement Plan: CENTURA HEALTH CORPORATION (CENTURA) OFFERS A NON-QUALIFIED RETIREMENT PLAN IN WHICH SENIOR EXECUTIVES (SENIOR VPS AND ABOVE) ARE PROVIDED A 10% OF SALARY ALLOWANCE TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO THE DEFERRED COMPENSATION PLAN. IN ADDITION, A PENSION RESTORATION BENEFIT IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT WHICH 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. THIS DEFERRED COMPENSATION PLAN HAS A SUBSTANTIAL RISK OF FORFEITURE PROVISION AND AN ELECTED VESTING SCHEDULE. NO REPORTABLE INDIVIDUALS PARTICIPATED IN THE PLAN DURING CALENDAR YEAR 2022.
Schedule J (Form 990) 2022

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 5,000 FMV
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 1,642 FMV
5 Clothing and household
goods ....... 		X   FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 2 24,000 FMV
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( STUFFED ANIMALS ) X 1 1,055 FMV
26 Other Right pointing arrow large image ( TOOLS ) X 1 1,626 FMV
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2022)
Schedule M (Form 990) (2022)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I, Column B Number of Contributions: The numbers of contributions reported on Schedule M, Part I, in column B are the number of individual contributions received, and not the number of contributed items received.
Schedule M (Form 990) (2022)

Additional Data


Software ID:  
Software Version:  
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
Return Reference Explanation
FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION SOLICITS AND ADMINISTERS DONATIONS THAT BENEFITS THE CHARITABLE HEALTH CARE, AND RETIREMENT HOME SERVICES PROVIDED BY CATHOLIC HEALTH INITIATIVES FACILITIES IN COLORADO.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION SOLICITS AND ADMINISTERS DONATIONS THAT BENEFIT THE CHARITABLE, HEALTH CARE, AND RETIREMENT HOME SERVICES PROVIDED BY CATHOLIC HEALTH INITIATIVES FACILITIES LOCATED IN THE STATE OF COLORADO. - COLORADO SPRINGS, FACILITIES SERVED INCLUDE PENROSE-ST. FRANCIS HEALTH SERVICES. - IN DENVER, FACILITIES SERVED INCLUDE ST. ANTHONY HOSPITAL, AND ST. ANTHONY HOSPICE. - IN PUEBLO, FACILITIES SER INCLUDE ST. MARY-CORWIN MEDICAL CENTER AND VILLA PUEBLO RETIREMENT RESIDENCE. - IN CANON CITY, FACILITIES SERVED INCLUDE ST. THOMAS MOORE HOSPITAL AND THE PROGRESSIVE CARE CENTER. - IN DURANGO, FACILITIES SERVED INCLUDE MERCY REGIONAL MEDICAL CENTER. - IN FRISCO AND THE SURROUNDING AREA, FACILITIES SERVED INCLUDE SUMMIT MEDICAL CENTER, BRISTLE GRANBY MEDICAL CENTER, AND 7 MILE CLINIC. ALL DONATIONS AND GRANTS MADE TO THE FOUNDATION ARE ADMINISTERED UNDER THE AUTHORITY OF THE LOCAL FOUNDATION BO EACH LOCAL FOUNDATION BOARD IS COMPRISED OF REPRESENTATIVES FROM LOCAL COMMUNITIES, AS SELECTED BY REPRESENTATIVES FROM EACH COMMUNITY. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: THE FOUNDATION RAISED APPROXIMATELY $15 MILLION DURING THE YEAR ENDED JUNE 30 2023, THROUGH FUNDRAISING CAMPAIGNS, ANNUAL GIVING, MAJOR GIFTS, CORPORATE AND FOUNDATION GRANTS, AND PLANNED GIVING. THE FOUNDATION HAS RAISED OVER $82 MILLION OVER THE LAST 5 YEARS IN SUPPORT OF THE CATHOLIC HEALTH INITIATIVE FACILITIES IN THE STATE OF COLORADO.
FORM 990, PART VI, SECTION A, LINE 1A Delegate Broad Authority to a Committee: PURSUANT TO SECTION 6.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH, PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST THREE DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. NO COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD IN REFERENCE TO ELECTING, APPOINTING, OR REMOVING ANY MEMBER OF ANY BOARD COMMITTEE OR OFFICER OF THE CORPORATION; REMOVING A DIRECTOR, AMENDING OR RESTATING THE BYLAWS OR ARTICLES OF INCORPORATION; ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZING THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZING THE DISSOLUTION OF THE CORPORATION OR REVOKING PROCEEDING THEREFORE; ADOPTING A PLAN FOR THE DISTRIBUTION OF ASSETS OF THE CORPORATION; OR AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD. THE DESIGNATION AND APPOINTMENT OF AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM BY LAW.
FORM 990, PART VI, SECTION A, LINE 3 CENTURA HEALTH IS AN AFFILIATED COMPANY WHICH PROVIDES CERTAIN MANAGEMENT SERVICES TO CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION. NO PERSONS LISTED ON 990 PART VII, SECTION A, ARE DIRECTLY COMPENSATED BY CENTURA HEALTH FOR PERFORMING THESE MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - COLORADO, A COLORADO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY: PURSUANT TO SECTION 4.1.3 OF THE FOUNDATION'S BYLAWS, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CHI COLORADO OR HIS DESIGNEE SHALL NOMINATE INDIVIDUALS TO SERVE AS DIRECTORS OF THE CORPORATION. SUCH NOMINATIONS SHALL BE SUBMITTED TO THE MEMBER FOR ELECTION TO THE BOARD. PURSUANT TO SECTION 4.2 OF THE FOUNDATION'S BYLAWS, DIRECTORS SHALL BE ELECTED BY THE MEMBER. VACANCIES DUE TO DEATH, RESIGNATION, REMOVAL OR OTHERWISE SHALL BE FILLED IN THE SAME MANNER. A DIRECTOR ELECTED TO FILL A VACANCY SHALL BE ELECTED FOR THE UNEXPIRED TERM OF HIS OR HER PREDECESSOR IN OFFICE. IN ADDITION, PURSUANT TO SECTION 4.3 OF THE FOUNDATION'S BYLAWS, DIRECTORS MAY BE REMOVED FROM THE BOARD, WITH OR WITHOUT CAUSE, AT ANY TIME BY THE MEMBER. IN ADDITION, A DIRECTOR MAY ALSO BE REMOVED FROM THE BOARD WITH OR WITHOUT CAUSE BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE MEMBERS OF THE BOARD PRESENT AT A MEETING DULY CALLED FOR SUCH PURPOSE WITH THE APPROVAL OF THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION'S (CHICF) SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - COLORADO (CHIC). PURSUANT TO SECTION 3.2 OF THE ORGANIZATION'S BYLAWS, CHIC SHALL: (A) APPOINT AND REMOVE THE BOARD OF DIRECTORS OF CHICF; (B) APPROVE THE APPOINTMENT OF THE PRESIDENT OF CHICF; (C) APPROVE ANY PROMISSORY NOTE OR DEBT INSTRUMENT OR GUARANTY ANY INDEBTEDNESS BY OR ON BEHALF OF CHICF IN EXCESS OF $250,000 OR ANY CAPITAL LEASE WITH FUTURE PAYMENTS IN EXCESS OF $250,000; (D) ALTER, AMEND, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION, BYLAWS OR MISSION STATEMENT OF CHICF; (E) APPROVE A PLAN OF MERGER, DISSOLUTION, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING CHICF; (F) APPROVE THE TRANSFER OF ASSETS TO ENTITIES OTHER THAN CHIC OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH CHIC, EXCEPT FOR TRANSFERS OF ASSETS OF CHICF PREVIOUSLY APPROVED BY CHIC;AND (G) CARRY OUT ALL RIGHTS CONFERRED BY LAW UPON THE MEMBER OF A NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: ONCE THE RETURN IS PREPARED, THE STEWARDSHIP COMMITTEE OVERSEES THE REVIEW OF THE FORM 990, AFTER WHICH IT IS THEN PRESENTED TO THE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: CENTURA'S LEGAL/COMPLIANCE TEAM SENDS OUT A QUESTIONNAIRE YEARLY AND MONITORS COMPLIANCE. 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH CENTURA'S 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 ORGANIZATION'S CONFLICT 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.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B PROCESS USED TO ESTABLISH COMPENSATION OF OFFICERS: COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY AN AFFILIATED ORGANIZATION, CENTURA HEALTH CORPORATION, WHICH PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION EMPLOYEES. THESE RANGES ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATIONS FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT COMMONSPIRIT.ORG/ OR AT WWW.DACBOND.ORG. IN ADDITION, THE ORGANIZATION HAD A SEPARATE INDEPENDENT FINANCIAL STATEMENT AUDIT; THESE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,152,867
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:  
Software Version:  
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
CATHOLIC HEALTH INITIATIVES COLORADO
FOUNDATION
Employer identification number

84-0902211
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 SYS
7500 MERCY RD

OMAHA,NE68124
47-0484764 		HOSPITAL NE 501(C)(3) 3 CHI NEBRASKA
 
 
No
(4)ALEGENT HEALTH - COMM MEM HOSPITAL OF MO
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 SCHUY
104 W 17TH ST

SCHUYLER,NE68661
47-0399853 		HOSPITAL NE 501(C)(3) 3 CHI NEBRASKA
 
 
No
(7)ALEGENT HEALTH - MERCY HOSPITAL CORNING
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 Foundat
345 S Halcyon Rd

Arroyo Grande,CA93420
20-3256066 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(11)Bakersfield Memorial Hospital
420 34TH st

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

Phoenix,AZ85013
86-0174371 		FUNDRAISING 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) 12, Type 1 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 dr WEST

ENGLEWOOD,CO80112
23-2187242 		INACTIVE CO 501(C)(3) 12, Type 1 CSH
 
 
No
(16)BRAZOSPORT HEALTH FOUNDATION INC
100 MEDICAL dr

LAKE JACKSON,TX77566
76-0080110 		FUNDRAISING TX 501(C)(3) 12, Type 1 TCHB
 
 
No
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL dr

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

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

BRYAN,TX77802
74-2913931 		rehabilitatio TX 501(C)(3) 10 SJSC
 
 
No
(20)California Hospital Medical Center Found
1401 South Grand ave

Los Angeles,CA90015
95-4000909 		FUNDRAISING CA 501(C)(3) 12, Type 1 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 FOU
9100 East Mineral Ave

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

CO SPGS,CO80920
27-0930004 		FUNDRAISING CO 501(C)(3) 12, Type 1 CSH
 
 
No
(26)CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
46-0992796 		Telehealth CO 501(C)(3) 12, Type 1 CSH
 
 
No
(27)CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

ROSEBURG,OR97471
26-3946191 		SURGERY CENTE OR 501(C)(3) 10 MMC - Rosebu
 
 
No
(28)CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER rd 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 CO 501(C)(3) 3 CSH
 
 
No
(30)CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

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

OMAHA,NE68154
47-0648586 		FUNDRAISING 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) 12, Type 1 CSH
 
 
No
(33)CHI LIVING COMMUNITIES
930 S Wynn rd

Oregon,OH43616
34-1892096 		Senior Living OH 501(C)(3) 12, Type 1 SFH-OH
 
 
No
(34)CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE

FT OGLETHORPE,GA30742
82-2748395 		HOSPITAL GA 501(C)(3) 3 MHCS
 
 
No
(35)CHI NATIONAL HOME CARE
198 INVERNESS dr WEST

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

ENGLEWOOD,CO80112
45-2532084 		HOLDING CO CO 501(C)(3) 12, Type 1 CSH
 
 
No
(37)CHI NEBRASKA
12809 West Dodge rd

Omaha,NE68510
36-3233121 		HOLDING CO NE 501(C)(3) 12, Type 1 CSH
 
 
No
(38)CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
23-2342997 		HEALTHCARE PA 501(C)(3) 12, Type 1 CSH
 
 
No
(39)CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW

ALBUQUERQUE,NM87102
71-0897107 		COMMUNITY NM 501(C)(3) 12, Type 1 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) 12, Type 1 SVIMC
 
 
No
(42)CHI ST VINCENT MEDICAL GROUP HOT SPRING
300 WERNER ST

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

ENGLEWOOD,CO80112
47-0617373 		HEALTHCARE CO 501(C)(3) 12, Type 1 NA
 
 
No
(44)CommonSpirit Health Foundation
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
85-3374038 		FUNDRAISING CO 501(C)(3) 7 CSH
 
 
No
(45)COMMONSPIRIT HEALTH OPERATING INVESTMENT
185 BERRY st STE 200

SAN FRANCISCO,CA94107
85-0919176 		HEALTHCARE CA 501(C)(3) 12, Type 1 CSH
 
 
No
(46)COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
27-1050565 		Research CO 501(C)(3) 12, Type 1 CSH
 
 
No
(47)Community Hospital of San Bernardino
1805 Medical Center dr

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

CINCINNATI,OH45202
23-7419853 		HOLDING CO OH 501(C)(3)   GSH
 
 
No
(49)COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-1294399 		FUNDRAISING IA 501(C)(3)   AH-CMHMV
 
 
No
(50)CONTINUING CARE HOSPITAL
One Saint Joseph dr

LEXINGTON,KY40504
61-1400619 		HOSPITAL KY 501(C)(3) 12, Type 1 SJHS
 
 
No
(51)Dignity Community Care
185 BERRY st STE 200

San Francisco,CA94107
81-5009488 		HOSPITAL CA 501(C)(3) 3 CSH
 
 
No
(52)DIGNITY HEALTH
185 BERRY st STE 200

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

Redding,CA96003
23-7115371 		SENIOR CENTER CA 501(C)(3) 3 DH
 
 
No
(54)Dignity Health Foundation
185 BERRY st STE 200

San Francisco,CA94107
46-2037641 		FUNDRAISING CA 501(C)(3) 7 DH
 
 
No
(55)Dignity Health Foundation - Inland Empir
2101 N Waterman ave

San Bernardino,CA92404
23-7440086 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(56)Dignity Health Foundation East Valley
475 South Dobson rd

Chandler,AZ85224
74-2418514 		FUNDRAISING AZ 501(C)(3) 12, Type 1 DH
 
 
No
(57)Dignity Health Medical Foundation
3400 Data dr

Rancho Cordova,CA95670
68-0220314 		OP MED CLINIC CA 501(C)(3) 12, Type 1 DCC
 
 
No
(58)Dominican Health Services
1555 Soquel dr

Santa Cruz,CA95065
77-0056778 		Community Hea CA 501(C)(3) 12, Type 1 DH
 
 
No
(59)Dominican Hospital Foundation
1555 Soquel dr

Santa Cruz,CA95065
94-2450442 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(60)Dominican Oaks Corporation
1555 Soquel dr

Santa Cruz,CA95065
77-0127719 		management CA 501(C)(3) 12, Type 1 DHS
 
 
No
(61)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE

ENUMCLAW,WA98022
91-0715805 		HOSPITAL WA 501(C)(3) 10 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 KY 501(C)(3) 3 FH
 
 
No
(64)FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

TOLEDO,OH43623
34-1931806 		HEALTHCARE OH 501(C)(3) 12, Type 1 CHILC
 
 
No
(65)FRANCISCAN FOUNDATION
1717 SOUTH J ST

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

TACOMA,WA98405
91-0564491 		HOSPITAL WA 501(C)(3) 10 CSH
 
 
No
(67)FRANCISCAN MEDICAL GROUP
1313 BrdWAY STE 200

TACOMA,WA98402
91-1939739 		PHYSICIANS WA 501(C)(3) 3 FHS
 
 
No
(68)French Hospital Medical Center Foundatio
1911 Johnson ave

San Luis Obispo,CA93401
20-3256125 		FUNDRAISING CA 501(C)(3) 10 DCC
 
 
No
(69)GARRISON MEMORIAL HOSPITAL
407 THIRD ave SOUTHEAST

GARRISON,ND58540
45-0227752 		HOSPITAL ND 501(C)(3) 12, Type 1 SAMC
 
 
No
(70)Glendale Memorial Health Foundation
1420 South Central ave

Glendale,CA91204
95-3625651 		FUNDRAISING CA 501(C)(3) 3 DCC
 
 
No
(71)GLOBAL HEALTH INITIATIVES
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
20-1536108 		INACTIVE CO 501(C)(3) 12, Type 1 CSH
 
 
No
(72)GOOD SAMARITAN COLLEGE OF NURSING & HEAL
625 Eden Park dr 7th Floor

CINCINNATI,OH45202
31-1778403 		EDUCATION OH 501(C)(3) 12, Type 1 GSH
 
 
No
(73)GOOD SAMARITAN HOSPITAL
PO BOX 1990

KEARNEY,NE68848
47-0379755 		HOSPITAL NE 501(C)(3) 2 CHI NEBRASKA
 
 
No
(74)GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST

KEARNEY,NE68847
47-0659443 		FUNDRAISING NE 501(C)(3) 3 GSH-KN
 
 
No
(75)GOOD SAMARITAN HOSPITAL FOUNDATION OF CI
625 Eden Park dr 7th Floor

CINCINNATI,OH45202
31-1206047 		FUNDRAISING OH 501(C)(3) 7 GSH
 
 
No
(76)HARRISON MEDICAL CENTER
1800 NW Myhre Rd

Silverdale,WA98383
91-0565546 		HOSPITAL WA 501(C)(3) 12, Type 1 FHS
 
 
No
(77)HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

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

DES MOINES,IA50314
42-1323808 		ASSISTED LIVI IA 501(C)(3) 12, Type 1 CHI-IA CORP
 
 
No
(79)JEWISH HOSPITAL AND ST MARY'S HEALTHCAR
One Saint Joseph dr

LEXINGTON,KY40504
61-1029768 		HOSPITAL KY 501(C)(3) 7 KOH
 
 
No
(80)KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800

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

LEXINGTON,KY40504
61-1029769 		HEALTHCARE KY 501(C)(3) 10 CSH
 
 
No
(82)LAKEWOOD HEALTH CENTER
600 MAIN AVE S

BAUDETTE,MN56623
41-0758434 		HOSPITAL MN 501(C)(3) 12, Type 1 CSH
 
 
No
(83)LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S

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

LEXINGTON,KY40504
83-2170324 		FUNDRAISING KY 501(C)(3) 7 KOH
 
 
No
(85)LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836 		HOSPITAL ND 501(C)(3) 12, Type 1 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) 3 MHSET
 
 
No
(88)MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN dr

BRYAN,TX77802
74-2761145 		HOSPITAL TX 501(C)(3) 12, Type 1 SLH-CO
 
 
No
(89)MADONNA MANOR INC
2344 AMSTERDAM rd

VILLA HILLS,KY51017
61-0654635 		ASSISTED LIVI KY 501(C)(3) 3 CHILC
 
 
No
(90)Marian Regional Medical Center Foundatio
1400 E Church st

Santa Maria,CA93454
95-3818027 		FUNDRAISING CA 501(C)(3) 10 DH
 
 
No
(91)Mark Twain Medical Center
768 Mountain Ranch rd

San Andreas,CA95249
68-0127677 		HOSPITAL CA 501(C)(3) 12, Type 1 DCC
 
 
No
(92)MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVE

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

CHATTANOOGA,TN37404
62-0532345 		HOSPITAL TN 501(C)(3) 7 CSH
 
 
No
(94)MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500

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

LUFKIN,TX75902
75-0755367 		HOSPITAL TX 501(C)(3) 10 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) 3 MHSET
 
 
No
(99)MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

LUFKIN,TX75902
75-2492741 		INACTIVE TX 501(C)(3) 12, Type 1 MHSET
 
 
No
(100)MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE

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

DES MOINES,IA50314
42-1193699 		PHYSICIANS IA 501(C)(3) 12, Type 1 CHI-IA CORP
 
 
No
(102)MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE

DES MOINES,IA50314
42-1511682 		EDUCATION IA 501(C)(3) 10 CHI-IA CORP
 
 
No
(103)Mercy Foundation Bakersfield
PO Box 119

Bakersfield,CA93302
77-0201321 		FUNDRAISING CA 501(C)(3) 2 DH
 
 
No
(104)MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

DES MOINES,IA50314
23-7358794 		FUNDRAISING IA 501(C)(3) 12, Type 1 CHI-IA CORP
 
 
No
(105)MERCY FOUNDATION INC
2700 STEWART PKWY

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

CORNING,IA50841
42-1461064 		FUNDRAISING IA 501(C)(3) 7 AHMH-Corning
 
 
No
(107)MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338 		FUNDRAISING ND 501(C)(3) 12, Type 1 MHVC
 
 
No
(108)MERCY HOSPITAL FOUNDATION COUNCIL BLUFF
800 MERCY DR

COUNCIL BLUFFS,IA51503
42-1178204 		FUNDRAISING IA 501(C)(3) 12, Type 1 AHBMHS
 
 
No
(109)MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE

DEVILS LAKE,ND58301
45-0227012 		HOSPITAL ND 501(C)(3) 12, Type 1 CSH
 
 
No
(110)MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE

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

VALLEY CITY,ND58072
45-0226553 		HOSPITAL ND 501(C)(3) 7 CSH
 
 
No
(112)Mercy McMahon Terrace
3865 J st

Sacramento,CA95816
68-0117340 		SENIOR LIVING CA 501(C)(3) 3 DH
 
 
No
(113)MERCY MEDICAL CENTER
1301 15TH AVE WEST

WILLISTON,ND58801
45-0231183 		HOSPITAL ND 501(C)(3) 10 CSH
 
 
No
(114)MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS dr

CENTERVILLE,IA52544
42-0680308 		HOSPITAL IA 501(C)(3) 3 CHI-IA CORP
 
 
No
(115)MERCY MEDICAL CENTER - NEWTON DBA SKIFF
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 st

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

ROSEBURG,OR97471
93-0386868 		HOSPITAL OR 501(C)(3) 12, Type 1 CSH
 
 
No
(118)MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST

WILLISTON,ND58801
45-0381803 		FUNDRAISING ND 501(C)(3) 3 MMC Willisto
 
 
No
(119)NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968 		HOSPITAL NE 501(C)(3) 12, Type 1 CHI NEBRASKA
 
 
No
(120)Northland Healthcare Alliance
2223 East Rosser ave

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

Bismarck,ND58501
26-1689193 		HEALTHCARE ND 501(C)(3) 7 NHA
 
 
No
(122)Northridge Hospital Foundation
18300 Roscoe Blvd

Northridge,CA91328
23-7444901 		FUNDRAISING CA 501(C)(3) 10 DCC
 
 
No
(123)OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

OAKES,ND58474
45-0231675 		HOSPITAL ND 501(C)(3) 12, Type 1 CSH
 
 
No
(124)OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST

OAKES,ND58474
71-0966606 		FUNDRAISING ND 501(C)(3) 3 OCH
 
 
No
(125)Pacific Central Coast Health Centers
1400 E Church st

Santa Maria,CA93454
77-0447575 		Clinic CA 501(C)(3) 12, Type 1 DCC
 
 
No
(126)PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116 		PROPERTY MGMT TX 501(C)(3) 3 MHSET
 
 
No
(127)Port City Operating Company LLC
3400 Data dr

Rancho Cordova,CA95670
46-5322209 		HOSPITAL CA 501(C)(3) 12, Type 1 DH
 
 
No
(128)PROVIDENCE CARE CENTER
2025 HAYES ave

SANDUSKY,OH44870
34-1658625 		LTERM CARE OH 501(C)(3) 3 CHILC
 
 
No
(129)PROVIDENCE RESIDENTIAL COMMUNITY CORPORA
5055 PROVIDENCE dr

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

ENGLEWOOD,CO80112
22-2876836 		INACTIVE CO 501(C)(3) 10 SCHS
 
 
No
(131)SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
22-3639733 		INACTIVE CO 501(C)(3) 12, Type 2 CSH
 
 
No
(132)SAINT CLARE'S HOSPITAL INC
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
22-3319886 		INACTIVE CO 501(C)(3) 10 SCHS
 
 
No
(133)SAINT ELIZABETH FOUNDATION
555 S 70TH ST

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

LINCOLN,NE68510
36-3233120 		INACTIVE NE 501(C)(3) 7 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 NE 501(C)(3) 3 SFMC-NE
 
 
No
(138)Saint Francis Memorial Hospital
900 Hyde st

San Francisco,CA94109
94-1156295 		HOSPITAL CA 501(C)(3) 7 DCC
 
 
No
(139)SAINT JOSEPH BEREA HOSPITAL FOUNDATION
305 ESTILL ST

BEREA,KY40403
26-0152877 		FUNDRAISING KY 501(C)(3) 3 SJHS
 
 
No
(140)SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS dr

LEXINGTON,KY40504
61-1334601 		HOSPITAL KY 501(C)(3) 7 KOH
 
 
No
(141)SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200

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

LONDON,KY40741
26-0438748 		FUNDRAISING KY 501(C)(3) 12, Type 1 SJHS
 
 
No
(143)SAINT JOSEPH MOUNT STERLING FOUNDATION
225 FALCON DR

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

DICKINSON,ND58601
36-3418207 		FUNDRAISING ND 501(C)(3) 7 SJHHC
 
 
No
(145)San Gabriel Valley Medical Center Founda
438 West Las Tunas dr

San Gabriel,CA91776
95-3430341 		INACTIVE CA 501(C)(3) 12, Type 1 DH
 
 
No
(146)SCHUYLER MEMORIAL HOSPITAL FOUNDATION I
104 W 17TH ST

SCHUYLER,NE68661
36-3630014 		FUNDRAISING NE 501(C)(3) 12, Type 1 AHMHS
 
 
No
(147)Sierra Nevada Memorial-Miners Hospital
155 Glasson Way

Grass Valley,CA95945
94-1439787 		HOSPITAL CA 501(C)(3) 12, Type 1 DCC
 
 
No
(148)SJRMC JOPLIN MISSOURI
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
44-0545809 		INACTIVE CO 501(C)(3) 3 CSH
 
 
No
(149)St Francis Hospital Support Corporation
601 E Micheltorena st

Santa Barbara,CA93103
77-0022302 		INACTIVE CA 501(C)(3) 3 DH
 
 
No
(150)St Johns Healthcare Foundation
1600 North Rose ave

Oxnard,CA93030
20-2865781 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(151)St Josephs Foundation (Phoenix)
350 West Thomas rd

Phoenix,AZ85013
94-2941245 		FUNDRAISING AZ 501(C)(3) 12, Type 1 DH
 
 
No
(152)St Josephs Foundation of San Joaquin
1800 N California st

Stockton,CA95204
51-0432777 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(153)St Mary Medical Center Foundation
1050 Linden ave

Long Beach,CA90813
23-7153876 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(154)St Mary Professional Building Inc
1050 Linden ave

Long Beach,CA90813
23-7373088 		INACTIVE CA 501(C)(3) 12, Type 1 DH
 
 
No
(155)St Marys Medical Center Foundation
450 Stanyan st

San Francisco,CA94117
94-3336143 		FUNDRAISING CA 501(C)(3) 12, Type 1 DH
 
 
No
(156)St Rose Dominican Health Foundation
3001 St Rose Parkway

Henderson,NV89052
88-0349432 		FUNDRAISING NV 501(C)(3) 12, Type 1 DH
 
 
No
(157)ST ALEXIUS MEDICAL CENTER
900 EAST BrdWAY ave

BISMARCK,ND58501
45-0226711 		HOSPITAL ND 501(C)(3) 12, Type 1 CSH
 
 
No
(158)St Anne OC
1145 Brdway Plaza STE 1200

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

PENDLETON,OR97801
93-0391614 		HOSPITAL OR 501(C)(3) 10 CSH
 
 
No
(160)ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony Way

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

MORRILTON,AR72110
71-0245507 		HOSPITAL AR 501(C)(3) 12, Type 1 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 CATHERINE HOSPITAL DEVELOPMENT FOUND
401 EAST SPRUCE ST

GARDEN CITY,KS67846
20-0598702 		FUNDRAISING KS 501(C)(3) 3 SCH
 
 
No
(164)ST CLARE COMMONS
12469 Five Point rd

TOLEDO,OH43551
27-0163752 		LIVING COMM OH 501(C)(3) 12, Type 1 CHILC
 
 
No
(165)ST DOMINIC OF ONTARIO OREGON
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
93-0433692 		INVESTMENTS CO 501(C)(3) 10 CSH
 
 
No
(166)ST FRANCIS HOME
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0729978 		LTERM CARE MN 501(C)(3)   CSH
 
 
No
(167)ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
22-2536017 		INACTIVE CO 501(C)(3) 10 SCHS
 
 
No
(168)ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0695598 		HOSPITAL MN 501(C)(3) 8 CSH
 
 
No
(169)ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN dr

BRYAN,TX77802
74-2351158 		FUNDRAISING TX 501(C)(3) 3 SJSC
 
 
No
(170)ST JOSEPH MANOR
2801 FRANCISCAN dr

BRYAN,TX77802
74-2847594 		LTERM CARE TX 501(C)(3) 12, Type 1 SJSC
 
 
No
(171)ST JOSEPH MEDICAL CENTER INC
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
52-0591461 		INACTIVE CO 501(C)(3) 10 CSH
 
 
No
(172)ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN dr

BRYAN,TX77802
20-3159302 		PHYSICIANS TX 501(C)(3) 3 SJSC
 
 
No
(173)ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
52-1311775 		INACTIVE CO 501(C)(3) 3 SJMC
 
 
No
(174)ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN dr

BRYAN,TX77802
74-1282696 		HOSPITAL TX 501(C)(3) 12, Type 1 SLH-CO
 
 
No
(175)ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN dr

BRYAN,TX77802
45-4088170 		HOSPITAL TX 501(C)(3) 3 SJSC
 
 
No
(176)ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN dr

BRYAN,TX77802
46-3265423 		HEALTHCARE TX 501(C)(3) 3 SJSC
 
 
No
(177)ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN dr

BRYAN,TX77802
74-2455161 		MANAGEMENT TX 501(C)(3) 10 SLHS
 
 
No
(178)ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603 		HOSPITAL MN 501(C)(3) 12, Type 1 CSH
 
 
No
(179)ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway St

DICKINSON,ND58601
45-0226429 		HOSPITAL ND 501(C)(3) 3 CSH
 
 
No
(180)ST LEONARD
8100 CLYO rd

CENTERVILLE,OH45458
34-1940863 		LIVING COMM OH 501(C)(3) 3 CHILC
 
 
No
(181)ST LUKE'S COMMUNITY DEVELOPMENT CORPORA
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-1947374 		HOSPITAL TX 501(C)(3) 10 SLH-CO
 
 
No
(182)ST LUKE'S COMMUNITY DEVELOPMENT CORPORA
6624 FANNIN ST STE 2505

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

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

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

HOUSTON,TX77030
27-3733278 		HOSPITAL TX 501(C)(3) 7 SLHS
 
 
No
(186)ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269

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

HOUSTON,TX77030
26-3734606 		HOSPITAL TX 501(C)(3) 12, Type 1 SLH-CO
 
 
No
(188)ST LUKE'S PROPERTIES CORPORATION
1213 Hermann dr Ste 855

HOUSTON,TX77004
76-0531716 		PROPERTY MGMT TX 501(C)(3) 3 SLHS
 
 
No
(189)ST LUKE'S SUGAR LAND PROPERTIES CORPORA
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549 		PROPERTY MGMT TX 501(C)(3) 12, Type 1 SLCDC-SL
 
 
No
(190)ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard

NEBRASKA CITY,NE68410
47-0443636 		HOSPITAL NE 501(C)(3) 12, Type 1 CHI NEBRASKA
 
 
No
(191)ST MARY'S HOSPITAL FOUNDATION
1301 Grundman Blvd

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

LITTLE ROCK,AR72205
51-0169537 		FUNDRAISING AR 501(C)(3) 7 SVIMC
 
 
No
(193)ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0236917 		HOSPITAL AR 501(C)(3) 12, Type 1 CSH
 
 
No
(194)ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0830696 		PHYSICIANS AR 501(C)(3) 3 SVIMC
 
 
No
(195)SYLVANIA FRANCISCAN HEALTH
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
34-1412964 		HOLDING CO CO 501(C)(3) 10 CSH
 
 
No
(196)SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
45-5357161 		INACTIVE CO 501(C)(3) 12, Type 1 SFH-OH
 
 
No
(197)THE COMMONS OF PROVIDENCE
5000 PROVIDENCE dr

SANDUSKY,OH44870
34-1826097 		ASSISTED LIVI OH 501(C)(3) 12, Type 1 CHILC
 
 
No
(198)THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL dr

LAKE JACKSON,TX77566
74-1385192 		HOSPITAL TX 501(C)(3) 10 SLH-CO
 
 
No
(199)THE GOOD SAMARITAN HOSPITAL OF CINCINNAT
625 Eden Park dr 7th Floor

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

LINCOLN,NE68503
47-0780857 		PHYSICIANS NE 501(C)(3) 3 CHI NEBRASKA
 
 
No
(201)TOTAL HEALTHCARE
9100 E Mineral Circle

Centennial,CO80112
84-0927232 		INACTIVE CO 501(C)(3) 12, Type 1 CHIC
 
 
No
(202)TRINITY HEALTH FOUNDATION
380 SUMMIT ave

STEUBENVILLE,OH43952
31-1329423 		FUNDRAISING OH 501(C)(3) 3 THS
 
 
No
(203)TRINITY HEALTH SYSTEM
380 SUMMIT ave

STEUBENVILLE,OH43952
34-1818681 		HEALTHCARE OH 501(C)(3) 12, Type 1 NA
 
 
No
(204)TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST st

DENNISON,OH44621
27-5401105 		HOSPITAL OH 501(C)(3) 12, Type 1 THS
 
 
No
(205)TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD

STEUBENVILLE,OH43952
34-1522484 		ASSISTED LIVI OH 501(C)(3) 3 THS
 
 
No
(206)UNITY FAMILY HEALTHCARE
815 SE 2ND ST

LITTLE FALLS,MN56345
41-0721642 		HOSPITAL MN 501(C)(3) 7 CSH
 
 
No
(207)VILLA NAZARETH INC
801 PAGE DR

FARGO,ND58103
45-0226714 		LTERM CARE ND 501(C)(3) 3 CSH
 
 
No
(208)VISITING NURSE ASSOCIATION OF ST CLARE'
198 INVERNESS dr WEST

ENGLEWOOD,CO80112
22-1768334 		INACTIVE CO 501(C)(3) 10 SCHS
 
 
No
(209)Yavapai Community Hospital Association
1003 Willow Creek rd

Prescott,AZ86301
86-0098923 		Hospital AZ 501(C)(3) 10 DCC
 
 
No
(210)Yavapai Regional Medical Center Foundati
1003 Willow Creek rd

Prescott,AZ86301
86-1038463 		FUNDRAISING AZ 501(C)(3) 3 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 NA
  		N/A         0      
(2) ARIZONA CARE NETWORK - NEXT LLC

4222 E THOMAS RD STE 400
Phoenix,AZ85018
47-4696671 		Care Network AZ NA
  		N/A         0      
(3) Arizona Care Network LLC (ACN LLC)

4222 E THOMAS RD STE 400
Phoenix,AZ85013
45-4494682 		Care Network AZ NA
  		N/A         0      
(4) Arizona Diagnostic Radiology Group LLC

1510 Cotner AVE
Los Angeles,CA90025
85-1067265 		Diagnostic SVCS CA NA
  		N/A         0      
(5) Arizona Diagnostic Radiology Group LLC

1510 Cotner AVE
Los Angeles,CA90025
85-1067265 		Diagnostic SVCS CA NA
  		N/A         0      
(6) Audubon Land Company LLC

630 Southpointe Court 200
CO SPGS,CO80906
84-1513085 		Real Estate CO NA
  		N/A         0      
(7) BAYLOR CHI ST LUKES HEALTH SERVICES LLC

3100 Main Ste 566
HOUSTON,TX77002
47-2079184 		HEALTHCARE SRVC TX NA
  		N/A         0      
(8) BERGAN MERCY SURGERY CENTER LLC

7500 Mercy Rd Ste 4300
OMAHA,NE68124
20-8671994 		AMBUL SURG CTR NE NA
  		N/A         0      
(9) BERYWOOD OFFICE PROPERTIES LLC

2501 Citico AVE
CHATTANOOGA,TN37404
62-1875199 		PHYS OFFICE TN NA
  		N/A         0      
(10) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

 
 
Health SVCS   NA
  		N/A         0      
(11) BLUEGRASS REGIONAL IMAGING CENTER

 
 
DIAGNOSTIC IMAGIN   NA
  		N/A         0      
(12) CBCC Outsmarting Cancer LLC

6501 Truxtun AVE
Bakersfield,KY40504
61-1386736 		Radiation/Oncolog KY NA
  		N/A         0      
(13) CENTRAL NEBRASKA REHABILITATION SVCS LL

3004 W FAIDLEY AVE
GRAND ISLAND,CA93309
46-1602286 		Physical Therapy CA NA
  		N/A         0      
(14) Centura Summit Orthopedics LLC

68 School Rd
Frisco,NE68803
81-0653461 		HEALTHCARE SRVC NE NA
  		N/A         0      
(15) CHICAMSURG Surgery Centers LLC

1A Burton Hills Blvd
Nashville,CO80443
87-1308304 		SURGERY CENTER CO NA
  		N/A         0      
(16) Colorado Springs CK Leasing LLC

630 Southpointe Court 200
CO SPGS,TN37215
46-5683027 		REAL ESTATE TN NA
  		N/A         0      
(17) Community Mercy Home Care of Springfld

6281 Tri Ridge Blvd 300
Loveland,CO80906
26-2982714 		HOME HEALTH CO NA
  		N/A         0      
(18) DE JV LLC

8686 New Trails DR
The Woodlands,OH45150
31-1746556 		Emergency Care OH NA
  		N/A         0      
(19) DHHP Surgery Centers LLC

1513 S Grand AVE Ste 350
Los Angeles,TX77381
32-0496548 		SURGERY TX NA
  		N/A         0      
(20) DHRT Holdings LLC

185 Berry Street STE 200
San Francisco,CA90015
83-1847466 		Holding Company CA NA
  		N/A         0      
(21) Dignity- GoHealthUrgent Care Management

5555 Glenridge Connector STE 700
Atlanta,CA94107
35-2484591 		Management SVCS CA NA
  		N/A         0      
(22) Dignity Health at Home LLC

6281 Tri Ridge Blvd Ste 300
Loveland,GA30342
35-2548698 		HEALTHCARE SRVC GA NA
  		N/A         0      
(23) Dignity Health Specialty Pharmacy LLC

185 Berry Street STE 200
San Francisco,OH45150
82-4674115 		Pharmacy SVCS OH NA
  		N/A         0      
(24) Dignity Home Recovery Care LLC

3854 American Way STE A
Baton Rouge,CA94107
32-0589462 		RECOVERY CA NA
  		N/A         0      
(25) DIGNITYUSP LAS VEGAS SURGERY CENTERS L

14201 Dallas Parkway
Dallas,LA70816
83-2832522 		Surgery LA NA
  		N/A         0      
(26) DignityUSP NorCal Surgery Centers LLC

14201 Dallas Parkway
Dallas,TX75254
20-2999237 		SURGERY TX NA
  		N/A         0      
(27) DIGNITYUSP PHOENIX SURGERY CENTERS LLC

14201 Dallas Parkway
Dallas,TX75254
20-2468509 		Surgery TX NA
  		N/A         0      
(28) DignityUSPJohn Muir East Bay Surg Ctrs

14201 Dallas Parkway
Dallas,TX75254
13-4248908 		SURGERY TX NA
  		N/A         0      
(29) Dignity-Abrazo Health Network LLC

4222 E THOMAS RD STE 400
PHOENIX,TX75254
35-2584991 		Management SVCS TX NA
  		N/A         0      
(30) Dominican Magnetic Resonance Imaging Cen

1545 Soquel DR
Santa Cruz,AZ85018
46-5477985 		Imaging Center AZ NA
  		N/A         0      
(31) ECCS ACQUISITION COMPANY LLC

2940 NORTH CIRCLE DR
CO SPGS,CA94065
77-0095477 		AMBUL SURG CTR CA NA
  		N/A         0      
(32) Endoscopy Center of Arkansas

1024 North University Ave
Little Rock,CO80909
35-2656413 		Diagnostic SVCS CO NA
  		N/A         0      
(33) Folsom Sierra Endoscopy Center LP

1671 Creekside DR STE 100
Folsom,AR72207
20-1337002 		Endoscopy AR NA
  		N/A         0      
(34) Franciscan Medical Pavilion Bonney Lake

6622 Wollochet Dr NW
Gig Harbor,CA95630
68-0482416 		Real Estate CA NA
  		N/A         0      
(35) FRANCISCAN SPECIALTY CARE LLC

330 Seven Springs Way
Brentwood,WA98335
46-3494108 		HEALTHCARE SRVC WA NA
  		N/A         0      
(36) Good Samaritan Home Care Svcs of Vincenn

6281 Tri Ridge Blvd 300
Loveland,TN37027
81-3725123 		HOME HEALTH TN NA
  		N/A         0      
(37) HC SL VINTAGE I LLC

1400 N Water St Ste 500
Milwaukee,OH45150
20-1792869 		PROPERTY HOLDING OH NA
  		N/A         0      
(38) Health at Home Holdco LLC

6281 Tri Ridge Blvd 300
Loveland,WI53202
27-0453767 		HOME HEALTH WI NA
  		N/A         0      
(39) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,OH45140
92-0827634 		LAUNDRY OH NA
  		N/A         0      
(40) Heartland Oncology LLC

2337 E Crawford St
Salina,NE68802
72-1546196 		ONCOLOGY NE NA
  		N/A         0      
(41) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17030 LAKESIDE HILLS Plaza Ste 110
OMAHA,KS67402
46-4265403 		AMBUL SURG CTR KS NA
  		N/A         0      
(42) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-4267902 		ENDOSCOPY SRVC NE NA
  		N/A         0      
(43) Lexington MBO Partners Ltd

5050 South Syracuse St Ste 800
Denver,NE68130
20-5544496 		Real Estate NE NA
  		N/A         0      
(44) LINCOLN CK LEASING LLC

555 SOUTH 70TH STREET
Lincoln,CO80237
65-1132855 		Real Estate CO NA
  		N/A         0      
(45) Memorial Medical Plaza

3838 San Dimas STE B 201
Bakersfield,NE68510
26-2496856 		Real estate NE NA
  		N/A         0      
(46) Mercy Davis Cancer Center Management Co

2740 M Street
Merced,CA93301
36-4510880 		MGMT Cancer Cente CA NA
  		N/A         0      
(47) Mercy Rehabilitation Hospital LLC

330 Seven Springs Way
Brentwood,CA95340
94-3358445 		HEALTHCARE SRVC CA NA
  		N/A         0      
(48) Military Road Properties LLC

18229 Terrace Court SW
Normandy Park,TN37027
81-4437201 		Real Estate TN NA
  		N/A         0      
(49) Mountain Medical Imaging LLC

1900 N Pearl St Ste 2400
Dallas,WA98166
91-2067879 		Medical Imaging WA NA
  		N/A         0      
(50) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST STE 20300
OMAHA,TX75201
87-0687391 		SPINE HOSPITAL TX NA
  		N/A         0      
(51) NICU Operating CO of Santa Cruz LLC

1555 Soquel DR
Santa Cruz,NE68122
27-0263191 		Neonatal Healthca NE NA
  		N/A         0      
(52) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,CA95065
46-0502935 		AMBUL SURG CTR CA NA
  		N/A         0      
(53) NORTHERN PLAINS LABORATORY LLC

401 N 9 STREET
BISMARK,AR72120
71-0799771 		Diagnostic SVCS AR NA
  		N/A         0      
(54) NSC Channel Islands LLC

569 Brookwood Village STE 901
Birmingham,ND58501
84-1641341 		AMBUL SURG CTR ND NA
  		N/A         0      
(55) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,AL35209
77-0409291 		ORTHO HOSPITAL AL NA
  		N/A         0      
(56) Park Rapids Area Health Care

600 Pleasant AVE S
Park Rapids,CO80228
37-1577105 		HEALTHCARE SRVC CO NA
  		N/A         0      
(57) PENINSULA RADIATION ONCOLOGY CENTER LLC

4230 Bridgeport Way W Ste B
University Place,MN56470
20-4926259 		HEALTHCARE SRVC MN NA
  		N/A         0      
(58) Penrad Imaging LLC

1390 Kelly Johnson Blvd
CO SPGS,WA98466
87-0808610 		Medical Imaging WA NA
  		N/A         0      
(59) Performance Med Equip & Respir Svsc LLC

19625 62nd Ave South 101
Kent,CO80920
84-1072619 		Holding Company CO NA
  		N/A         0      
(60) Plaza Surgery Center LP

525 E Plaza DR STE 100
Santa Maria,WA98032
45-2901632 		Surgery WA NA
  		N/A         0      
(61) Plaza Surgery Center LP

525 E Plaza DR STE 100
Santa Maria,CA93454
77-0573567 		Surgery CA NA
  		N/A         0      
(62) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,CA93454
77-0573567 		HOSPITAL CA NA
  		N/A         0      
(63) Precision Medicine Alliance LLC

198 INVERNESS DR WEST
ENGLEWOOD,TX77002
27-3280598 		Diagnostic SVCS TX NA
  		N/A         0      
(64) Radiation Oncology Centers of Ventura Co

1700 N ROSE AVE STE 120
OXNARD,CO80112
35-2569159 		IMAGING CO NA
  		N/A         0      
(65) RBR Management LLC

91 Corporate Park DR STE 120
Henderson,CA93030
77-0191706 		Ambulance CA NA
  		N/A         0      
(66) Reid-ANC Home Care Services LLC

6281 Tri Ridge Blvd Ste 300
Loveland,NV89074
27-1466450 		HOME HEALTH NV NA
  		N/A         0      
(67) SAINT JOSEPH - SCA HOLDINGS LLC

1451 Harrodsburg RD
LEXINGTON,OH45150
37-1454747 		Inactive OH NA
  		N/A         0      
(68) Saint Joseph Health ASC LLC

One Saint Joseph DR
Lexington,KY40503
45-3801157 		Surgery KY NA
  		N/A         0      
(69) SAINT JOSEPH-ANC HOME CARE SERVICES

6281 Tri Ridge Blvd Ste 300
Loveland,KY40504
85-2155230 		HOME HEALTH KY NA
  		N/A         0      
(70) Santa Cruz Comprehensive Imaging LLC

1661 Soquel DR STE G
Santa Cruz,OH45150
26-3330545 		Imaging OH NA
  		N/A         0      
(71) Santa Cruz Land & Building LP

1555 Soquel DR
Santa Cruz,CA95065
01-0550623 		REAL ESTATE CA NA
  		N/A         0      
(72) Santa Cruz Surgery Center LLC

3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
77-0285236 		SURGERY CA NA
  		N/A         0      
(73) Seven Oaks Surgery Center LLC

1801 Orange Tree Lane STE 200
Redlands,CA95065
77-0194916 		Surgery CA NA
  		N/A         0      
(74) Southeastern Home Care LLC

6281 Tri Ridge Blvd Ste 300
Loveland,CA92374
85-1559544 		HOME HEALTH CA NA
  		N/A         0      
(75) St Joseph's Surgery Center LP

15305 Dallas Parkway STE 1600 LB 28
Addison,OH45150
27-1219638 		Surgery OH NA
  		N/A         0      
(76) St Elizabeth Home Care Services LLC

6281 Tri Ridge Blvd Ste 300
Loveland,TX75001
20-1019390 		HOME HEALTH TX NA
  		N/A         0      
(77) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
CO SPGS,OH45150
26-1236191 		REAL ESTATE OH NA
  		N/A         0      
(78) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,CO80918
26-3134100 		Diagnostic SVCS CO NA
  		N/A         0      
(79) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
71-0959365 		HOSPITAL TX NA
  		N/A         0      
(80) ST LUKE'S THE WOODLANDS SLEEP CENTER L

PO Box 4717
HOUSTON,TX77030
30-0427437 		Diagnostic SVCS TX NA
  		N/A         0      
(81) Templeton Surgery Center LLC

1310 Las Tablas Road STE 104
Templeton,TX77210
46-2795726 		Surgery TX NA
  		N/A         0      
(82) The Medical Pavilion at St John's

1600 Rose AVE
Oxnard,CA94365
20-2246616 		Real Estate CA NA
  		N/A         0      
(83) The Vascular Center of Colorado LLC

2222 N Nevada Ave Ste 3000
CO SPGS,CA93030
77-0332349 		Medical Servcs CA NA
  		N/A         0      
(84) THREE SPRING IMAGING LLC

1 Mercado St STE 200A
DURANGO,CO80907
75-3193527 		HEALTHCARE SRVC CO NA
  		N/A         0      
(85) Tia Arizona LLC

3030 N Central AVE STE 1402
Phoenix,CO81301
81-3571570 		Clinic CO NA
  		N/A         0      
(86) ToptoLife LLC

198 INVERNESS DR WEST
ENGLEWOOD,AZ85012
86-3158670 		Retail AZ NA
  		N/A         0      
(87) Valley Physicians Surgery Center At Nort

18330 Roscoe Blvd
Northridge,CO80112
87-2868634 		Surgery CO NA
  		N/A         0      
(88) West Lakes Surgery Center LLC

12499 University Ave Ste 100
Clive,CA91328
80-0864336 		HEALTHCARE SRVC CA NA
  		N/A         0      
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 Mana

12809 West Dodge Rd
Omaha,NE68154
47-0802396 		Managed Care NE NA
  		C CORPORATION          
(2) ALLIANCE HEALTH PROVIDERS OF BRAZOS Vall

2801 FRANCISCAN DR
BRYAN,TX77802
74-2466914 		Healthcare TX NA
  		C CORPORATION          
(3) Alternative Insurance Management Service

198 Inverness DR West
Englewood,CO80112
84-1112049 		Management SVCS CO NA
  		C CORPORATION          
(4) AMERICAN NURSING CARE Inc

1700 EDISON DR
MILFORD,OH45150
31-1085414 		HOME HEALTH OH NA
  		C CORPORATION          
(5) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699 		HOME HEALTH OH NA
  		C CORPORATION          
(6) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851 		Inactive KY NA
  		C CORPORATION          
(7) BrazoSport Health Alliance

100 MEDICAL DR
LAKE JACKSON,TX77566
76-0518376 		Healthcare TX NA
  		C CORPORATION          
(8) Catholic Health Initiatives Center for T

198 INVERNESS DR WEST
Englewood,CO80112
27-2269511 		Lab SVCS CO NA
  		C CORPORATION          
(9) CHI St Luke's Health - Memorial Condomi

1201 W Frank Ave
Lufkin,TX75904
83-4184717 		Condo Assoc TX NA
  		C CORPORATION          
(10) Coastal Surgical Specialists Inc

921 Oak Park Blvd Suite 101
Pismo Beach,CA93449
74-3000596 		Ambulatory Surger CA NA
  		C CORPORATION          
(11) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212 		HOME HEALTH OH NA
  		C CORPORATION          
(12) Des Moines Medical Center Inc

1111 6TH AVE
Des Moines,IA50314
42-0837382 		Real Estate IA NA
  		C CORPORATION          
(13) Dignity Health Holding Corporation

185 Berry Street Suite 200
San Francisco,CA94107
46-0675371 		Holding Co CA NA
  		C CORPORATION          
(14) Dignity Health Insurance Ltd

 
 
98-1065338 		Captive Insurance   NA
  		C CORPORATION          
(15) Dignity Health Provider Resources Inc

 
 
47-3366764 		Health Plan   NA
  		C CORPORATION          
(16) Diversified Health Resources Inc

100 MEDICAL DR
LAKE JACKSON,CA94107
76-0222679 		Healthcare CA NA
  		C CORPORATION          
(17) Franciscan Services Inc

198 INVERNESS DR WEST
Englewood,TX77566
23-2487967 		Holding Co TX NA
  		C CORPORATION          
(18) Galleria Pavilion Owners'Association

800 N Gibson Rd
Henderson,CO80112
82-4275367 		Real Estate CO NA
  		C CORPORATION          
(19) Good Samaritan Outreach Services

PO Box 1990
Kearney,NV89011
47-0659440 		Medical Clinic NV NA
  		C CORPORATION          
(20) HarvestPlains Health of Iowa

32129 Weyerhaeuser Way S STE 201
FEDERAL WAY,NE68848
47-3451750 		Insurance NE NA
  		C CORPORATION          
(21) Health at Home Blocker LLC

198 INVERNESS DR WEST
ENGLEWOOD,WA98001
88-4220080 		HOME HEALTH WA NA
  		C CORPORATION          
(22) Health Services of the Pacific Central C

1400 E Church Street
Santa Maria,CO80112
77-0074057 		Health SVCS CO NA
  		C CORPORATION          
(23) Health Systems Enterprises Inc

PO BOX 1990
Kearney,CA93454
47-0664558 		MGMT CA NA
  		C CORPORATION          
(24) Healthcare MGMT Services Organization I

1149 MARKET ST
Tacoma,NE68848
91-1865474 		Inactive NE NA
  		C CORPORATION          
(25) HeartlandPlains Health

198 INVERNESS DR WEST
Englewood,WA98402
46-4368223 		Insurance WA NA
  		C CORPORATION          
(26) Highline Medical Group

1717 S J Street
Tacoma,CO80112
91-1407026 		Medical SVCS CO NA
  		C CORPORATION          
(27) Integrated Medical Services

9250 N 3rd Street Suite 4010
Phoenix,WA98405
86-0783428 		Multi-specialty p WA NA
  		C CORPORATION          
(28) Medical Office Building Horizontal Prope

300 Werner St
Hot Springs,AZ85020
71-0720429 		Real Estate AZ NA
  		C CORPORATION          
(29) Medquest

1602 11th St W
Williston,AR71913
45-0392137 		Sale of DME AR NA
  		C CORPORATION          
(30) Memorial CV Service Line Management Comp

1201 W Frank Ave
Lufkin,ND58801
46-3622849 		Inactive ND NA
  		C CORPORATION          
(31) Mercy Services Corp

2700 STEWART PARKWAY
Roseburg,TX75904
93-0824308 		Retail Sales TX NA
  		C CORPORATION          
(32) MHI Clinical Services

1201 W Frank Ave
Lufkin,OR97471
46-1967952 		Healthcare OR NA
  		C CORPORATION          
(33) Millennium Surgery Center Inc

9300 Stockdale Hwy 200
Bakersfield,TX75904
77-0513445 		Outpatient Surger TX NA
  		C CORPORATION          
(34) Mountain Management Services Inc

5600 Brainerd Rd Ste 500
Chattanooga,CA93311
62-1570739 		MGMT SVC ORG CA NA
  		C CORPORATION          
(35) North Central Health Care Alliance

PO Box 5538
Bismark,TN37411
45-0439894 		Healthcare TN NA
  		C CORPORATION          
(36) QualChoice Health Plan Services Inc

198 INVERNESS DR WEST
Englewood,ND58506
46-1224037 		Admin SVCS ND NA
  		C CORPORATION          
(37) QualChoice Health Inc

198 INVERNESS DR WEST
Englewood,CO80112
46-1222808 		Holding Co CO NA
  		C CORPORATION          
(38) QualChoice Holdings Inc

198 INVERNESS DR WEST
Englewood,CO80112
27-4075520 		Holding Co CO NA
  		C CORPORATION          
(39) RiverLink Health

198 INVERNESS DR WEST
Englewood,CO80112
46-4380824 		Insurance CO NA
  		C CORPORATION          
(40) Ross Park Pharmacy Inc

380 SUMMIT AVE
STEUBENVILLE,CO80112
34-1832654 		Pharmacy CO NA
  		C CORPORATION          
(41) Saint Clare's Primary Care Inc

198 INVERNESS DR WEST
Englewood,OH43952
22-2441202 		Inactive OH NA
  		C CORPORATION          
(42) SJH Services Corporation

198 INVERNESS DR WEST
Englewood,CO80112
23-2307408 		Inactive CO NA
  		C CORPORATION          
(43) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR STE 160
Lexington,CO80112
27-0164198 		Inactive CO NA
  		C CORPORATION          
(44) SoundPath Health Inc

32129 Weyerhaeuser Way S STE 201
Federal Way,KY40503
42-1720801 		Insurance KY NA
  		C CORPORATION          
(45) St Mary Health Ventures Inc

1050 Linden Avenue
Long Beach,WA98001
95-1912528 		Retail Pharmacy WA NA
  		C CORPORATION          
(46) St Anthony Development Company

1415 Southgate
Pendleton,CA90813
93-1216943 		Athletic Club CA NA
  		C CORPORATION          
(47) St Joseph Development Company Inc

1717 SOUTH J ST
Tacoma,OR97801
91-1480569 		Rental OR NA
  		C CORPORATION          
(48) St Luke's Health System Holdings Inc

6624 Fannin STE 800
Houston,WA98405
76-0637138 		Holding Co WA NA
  		C CORPORATION          
(49) St Vincent Community Health Services I

TWO ST VINCENT CIRCLE
Little Rock,TX77030
71-0710785 		Healthcare TX NA
  		C CORPORATION          
(50) STE Holdings

12809 West Dodge Rd
Omaha,AR72205
82-2383629 		Holding Co AR NA
  		C CORPORATION          
(51) Towson Management Inc

198 INVERNESS DR WEST
Englewood,NE68154
52-1710750 		Inactive NE NA
  		C CORPORATION          
(52) TRINITY MANAGEMENT SERVICES ORGANIZATION

380 SUMMIT AVE
STEUBENVILLE,CO80112
34-1471026 		Mgmt SVCS CO NA
  		C CORPORATION          
(53) United Medical Building Condominium Asso

1950 Mountain View Ave
Longmont,OH43952
84-1526130 		Real Estate OH NA
  		C CORPORATION          
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
 
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
 
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
 
h Purchase of assets from related organization(s) ............................
1h
 
 
i Exchange of assets with related organization(s) ............................
1i
 
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
 
o Sharing of paid employees with related organization(s) ............................
1o
 
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
 
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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