Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
ST DOMINIC OF ONTARIO OREGON
F/K/A HOLY ROSARY MEDICAL CENTER
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
198 INVERNESS DRIVE WEST
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ENGLEWOOD, CO80112
D Employer identification number

93-0433692
E Telephone number

G Gross receipts $ 0
F Name and address of principal officer:
BENJIE LOANZON
198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1911
M State of legal domicile: OR
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: ST. DOMINIC OF ONTARIO, OREGON CEASED CONDUCTING BUSINESS, EFFECTIVE MARCH 31, 2010. ACCORDINGLY, THE INFORMATION CONTAINED IN THIS FORM 990 REPRESENTS ST. DOMINIC OF ONTARIO, OREGON'S WIND-UP PERIOD.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 0
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 0 0
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
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) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 104,514 53,223
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 104,514 53,223
19 Revenue less expenses. Subtract line 18 from line 12....... -104,514 -53,223
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,616,934 9,729,100
21 Total liabilities (Part X, line 26)............. 181,743 363,352
22 Net assets or fund balances. Subtract line 21 from line 20..... 9,435,191 9,365,748
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
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
ST. DOMINIC OF ONTARIO, OREGON CEASED CONDUCTING BUSINESS EFFECTIVE MARCH 31, 2010.
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 expensesMediumBullet  
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 A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
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
 
 
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 V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. 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
 
No
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
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
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
0
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
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
0
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
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
OR
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:
MediumBulletJERRY FRANCIS198 INVERNESS DRIVE WEST   ENGLEWOOD,CO80112 (303) 298-9100
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) BENJIE LOANZON......................................................................
SYS SVP FINANCE & CORPORATE CONTROLLER
 1.00
.................
50.00 		    X       0 1,245,214 142,988
(2) MARK PARRINGTON......................................................................
SECRETARY/DIRECTOR, SVP CSH
 1.00
.................
10.00 		          X 0 1,208,454 13,621






























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


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 2,453,668 156,609
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet  
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 0 0 0 0
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 53,073   53,073  
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a STATE TAXES 150 0 150 0
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 53,223 0 53,223 0
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 ........   1 0
2 Savings and temporary cash investments ......... 8,361,819 2 8,527,060
3 Pledges and grants receivable, net ......   3 0
4 Accounts receivable, net .............   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 .......
  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) ...
  6 0
7 Notes and loans receivable, net ...........   7 0
8 Inventories for sale or use ............   8 0
9 Prepaid expenses and deferred charges ......   9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,771,190
b Less: accumulated depreciation 10b 569,150 1,255,115 10c 1,202,040
11 Investments—publicly traded securities .   11 0
12 Investments—other securities. See Part IV, line 11 .....   12 0
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets ...............   14 0
15 Other assets. See Part IV, line 11 ...........   15 0
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,616,934 16 9,729,100
Liabilities 17 Accounts payable and accrued expenses ..... 65,340 17 65,340
18 Grants payable ...   18 0
19 Deferred revenue .........   19 0
20 Tax-exempt bond liabilities .........   20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D   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 .........
  22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23 0
24 Unsecured notes and loans payable to unrelated third parties ..   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 116,403 25 298,012
26 Total liabilities. Add lines 17 through 25.. 181,743 26 363,352
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 .......... 9,435,191 27 9,365,748
28 Net assets with donor restrictions ...........   28 0
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 ........... 9,435,191 32 9,365,748
33 Total liabilities and net assets/fund balances ........ 9,616,934 33 9,729,100
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
0
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
53,223
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-53,223
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
9,435,191
5
Net unrealized gains (losses) on investments ...............
5
 
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
-16,220
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
9,365,748
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 D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
ST DOMINIC OF ONTARIO OREGON
F/K/A HOLY ROSARY MEDICAL CENTER
Employer identification number

93-0433692
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

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

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   544,632 544,632
b Buildings ....   1,201,776 544,368 657,408
c Leasehold improvements        
d Equipment ....   2,994 2,994 0
e Other .....   21,788 21,788 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,202,040
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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 298,012
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: ST. DOMINIC OF ONTARIO, OREGON'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
ST DOMINIC OF ONTARIO OREGON
F/K/A HOLY ROSARY MEDICAL CENTER
Employer identification number

93-0433692
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
 
No
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
1BENJIE LOANZON
SYS SVP FINANCE & CORPORATE CONTROLL 		(i)

(ii)		 0
-------------
671,924 		0
-------------
561,938 		0
-------------
11,352 		0
-------------
76,068 		0
-------------
66,920 		0
-------------
1,388,202 		0
-------------
0
2MARK PARRINGTON
SECRETARY/DIRECTOR, SVP CSH 		(i)

(ii)		 0
-------------
17,684 		0
-------------
223,084 		0
-------------
967,686 		0
-------------
11,945 		0
-------------
1,676 		0
-------------
1,222,075 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 DURING THE CALENDAR YEAR 2022, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY DIGNITY HEALTH, A RELATED ORGANIZATION. DIGNITY HEALTH USED ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART 1, LINE 4A: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2022 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): MARK PARRINGTON $967,347.
PART II ST. DOMINIC OF ONTARIO, OREGON FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2022.
Schedule J (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
ST DOMINIC OF ONTARIO OREGON
F/K/A HOLY ROSARY MEDICAL CENTER
Employer identification number

93-0433692
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF ST. DOMINIC OF ONTARIO, OREGON THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ST. DOMINIC OF ONTARIO, OREGON -AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ST. DOMINIC OF ONTARIO, OREGON -APPROVE MEMBERS OF THE ST. DOMINIC OF ONTARIO, OREGON BOARD -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ST. DOMINIC OF ONTARIO, OREGON -APPROVAL OF ISSUANCE OF DEBT BY ST. DOMINIC OF ONTARIO, OREGON -APPROVAL OF PARTICIPATION OF ST. DOMINIC OF ONTARIO, OREGON IN A JOINT VENTURE -APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. DOMINIC OF ONTARIO, OREGON -APPROVAL OF A MERGER INVOLVING THE ST. DOMINIC OF ONTARIO, OREGON -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ST. DOMINIC OF ONTARIO, OREGON -TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. DOMINIC OF ONTARIO, OREGON TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. DOMINIC OF ONTARIO, OREGON PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
FORM 990, PART XI, LINE 9: GRANT REVERSAL -16,220.
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
ST DOMINIC OF ONTARIO OREGON
F/K/A HOLY ROSARY MEDICAL CENTER
Employer identification number

93-0433692
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
(1) ST DOMINIC MRI HOLDING CO
1999 BROADWAY NO 4000
DENVER,CO80202
27-3078768 		MRI SERVICES CO   3,545,941 ST DOMINIC OF ONTARIO OREGON
 










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) LINE 3 ACH
 
 
No
(2)ALEGENT CREIGHTON HEALTH
12809 W DODGE RD

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

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

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

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

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

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

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

BRECKENRIDGE,MN56520
41-1850500 		SENIOR LIVING MN 501(C)(3) LINE 10 SFH
 
 
No
(10)ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD

ARROYO GRANDE,CA93420
20-3256066 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(11)BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET

BAKERSFIELD,CA93301
95-1802779 		HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(12)BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROAD

PHOENIX,AZ85013
86-0174371 		FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 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) LINE 12A, I SLHS
 
 
No
(14)BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100

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

ENGLEWOOD,CO80112
23-2187242 		INACTIVE PA 501(C)(3) LINE 12A, I CSH
 
 
No
(16)BRAZOSPORT HEALTH FOUNDATION INC
100 MEDICAL DRIVE

LAKE JACKSON,TX77566
76-0080110 		FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I TCHB
 
 
No
(17)BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE

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

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

BRYAN,TX77802
74-2913931 		REHABILITATION TX 501(C)(3) LINE 10 SJSC
 
 
No
(20)CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUE

LOS ANGELES,CA90015
95-4000909 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(21)CARRINGTON HEALTH CENTER
800 N 4TH ST

CARRINGTON,ND58421
45-0227311 		HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(22)CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLE

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

DES MOINES,IA50314
42-0680448 		HOSPITAL IA 501(C)(3) LINE 3 CSH
 
 
No
(24)CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL AVE

CENTENNIAL,CO80112
84-0902211 		FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC
 
 
No
(25)CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204

COLORADO SPRINGS,CO80920
27-0930004 		FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH
 
 
No
(26)CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
46-0992796 		TELEHEALTH CO 501(C)(3) LINE 12A, I CHI NS
 
 
No
(27)CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

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

BAKERSFIELD,CA93311
84-4171789 		CLINIC CA 501(C)(3) LINE 3 DCC
 
 
No
(29)CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY

GREAT BEND,KS67530
48-0543724 		INACTIVE KS 501(C)(3) LINE 3 CSH
 
 
No
(30)CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

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

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

ERLANGER,KY41018
20-2741651 		INVESTMENTS KY 501(C)(3) LINE 12A, I CSH
 
 
No
(33)CHI LIVING COMMUNITIES
930 S WYNN ROAD

OREGON,OH43616
34-1892096 		SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH
 
 
No
(34)CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLE

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

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

ENGLEWOOD,CO80112
45-2532084 		HOLDING CO CO 501(C)(3) LINE 12A, I CSH
 
 
No
(37)CHI NEBRASKA
12809 WEST DODGE ROAD

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

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

ALBUQUERQUE,NM87102
71-0897107 		COMMUNITY NM 501(C)(3) LINE 12A, I CSH
 
 
No
(40)CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST

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

HOT SPRINGS,AR71913
26-1125064 		HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC
 
 
No
(42)CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST

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

ENGLEWOOD,CO80112
47-0617373 		HEALTHCARE CO 501(C)(3) LINE 12A, I N/A
 
No
(44)COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WEST

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

SAN FRANCISCO,CA94107
85-0919176 		OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH
 
 
No
(46)COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
27-1050565 		RESEARCH CO 501(C)(3) LINE 12A, I CSH
 
 
No
(47)COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVE

SAN BERNARDINO,CA92411
95-1643373 		HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(48)COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR

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

MISSOURI VALLEY,IA51555
42-1294399 		FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV
 
 
No
(50)CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVE

LEXINGTON,KY40504
61-1400619 		HOSPITAL KY 501(C)(3) LINE 3 SJHS
 
 
No
(51)DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
81-5009488 		HOSPITAL CO 501(C)(3) LINE 3 CSH
 
 
No
(52)DIGNITY HEALTH
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
94-1196203 		HOSPITAL CA 501(C)(3) LINE 3 CSH
 
 
No
(53)DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE

REDDING,CA96003
23-7115371 		SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DH
 
 
No
(54)DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200

SAN FRANCISCO,CA94107
46-2037641 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(55)DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUE

SAN BERNARDINO,CA92404
23-7440086 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(56)DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROAD

CHANDLER,AZ85224
74-2418514 		FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH
 
 
No
(57)DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE

RANCHO CORDOVA,CA95670
68-0220314 		MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC
 
 
No
(58)DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
77-0056778 		COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH
 
 
No
(59)DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
94-2450442 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(60)DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVE

SANTA CRUZ,CA95065
77-0127719 		OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS
 
 
No
(61)EAST TEXAS CLINICAL SERVICES
101 VISION PARK SUITE 100

SHENANDOAH,TX77384
45-4736213 		HEALTHCARE TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(62)ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE

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

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

BARDSTOWN,KY40004
56-2351341 		FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH
 
 
No
(65)FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

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

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

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

TACOMA,WA98402
91-1939739 		PHYSICIANS WA 501(C)(3) LINE 10 FHS
 
 
No
(69)FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUE

SAN LUIS OBISPO,CA93401
20-3256125 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(70)GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST

GARRISON,ND58540
45-0227752 		HOSPITAL ND 501(C)(3) LINE 3 SAMC
 
 
No
(71)GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUE

GLENDALE,CA91204
95-3625651 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(72)GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
20-1536108 		INACTIVE CO 501(C)(3) LINE 12A, I CSH
 
 
No
(73)GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR

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

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

KEARNEY,NE68847
47-0659443 		FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN
 
 
No
(76)GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOOR

CINCINNATI,OH45202
31-1206047 		FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH
 
 
No
(77)HARRISON MEDICAL CENTER
2520 CHERRY AVE

BREMERTON,WA98310
91-0565546 		HOSPITAL WA 501(C)(3) LINE 3 FHS
 
 
No
(78)HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
76-0761782 		FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN
 
 
No
(79)HOUSE OF MERCY
1111 6TH AVE

DES MOINES,IA50314
42-1323808 		ASSISTED LIVING IA 501(C)(3) LINE 7 CHI-IA CORP
 
 
No
(80)JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVE

LEXINGTON,KY40504
61-1029768 		HOSPITAL KY 501(C)(3) LINE 3 KOH
 
 
No
(81)KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800

LOUISVILLE,KY40202
61-1352729 		PHYSICIANS KY 501(C)(3) LINE 10 JHSMH
 
 
No
(82)KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVE

LEXINGTON,KY40504
61-1029769 		HEALTHCARE KY 501(C)(3) LINE 12A, I CSH
 
 
No
(83)LAKEWOOD HEALTH CENTER
600 MAIN AVE S

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

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

LEXINGTON,KY40504
83-2170324 		FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH
 
 
No
(86)LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836 		HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(87)LUFKIN VISION ACQUISITIONS
PO BOX 1447

LUFKIN,TX75901
82-0563768 		PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(88)MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

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

VILLA HILLS,KY51017
61-0654635 		ASSISTED LIVING KY 501(C)(3) LINE 10 CHILC
 
 
No
(90)MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET

SANTA MARIA,CA93454
95-3818027 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(91)MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROAD

SAN ANDREAS,CA95249
68-0127677 		HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(92)MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE

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

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

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

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

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

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

LUFKIN,TX75904
75-2721155 		PHYSICIANS TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(99)MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

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

DES MOINES,IA50314
42-6076069 		AUXILIARY IA 501(C)(3) LINE 12A, I MF-DM IA
 
 
No
(101)MERCY CLINICS INC
1111 6TH AVE

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

DES MOINES,IA50314
42-1511682 		EDUCATION IA 501(C)(3) LINE 2 CHI-IA CORP
 
 
No
(103)MERCY FOUNDATION BAKERSFIELD
PO BOX 119

BAKERSFIELD,CA93302
77-0201321 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(104)MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

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

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

CORNING,IA50841
42-1461064 		FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING
 
 
No
(107)MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338 		FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC
 
 
No
(108)MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR

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

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

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

VALLEY CITY,ND58072
45-0226553 		HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(112)MERCY MCMAHON TERRACE
3865 J STREET

SACRAMENTO,CA95816
68-0117340 		SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DH
 
 
No
(113)MERCY MEDICAL CENTER
1301 15TH AVE WEST

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

CENTERVILLE,IA52544
42-0680308 		HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP
 
 
No
(115)MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE E

NEWTON,IA50314
42-1470935 		HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP
 
 
No
(116)MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET

MERCED,CA95340
77-0035928 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(117)MERCY MEDICAL CENTER INC
2700 STEWART PKWY

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

WILLISTON,ND58801
45-0381803 		FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC WILLISTON
 
 
No
(119)NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968 		HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(120)NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUE

BISMARCK,ND58501
91-1845296 		MANAGEMENT ND 501(C)(3) LINE 7 SAMC
 
 
No
(121)NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVD

NORTHRIDGE,CA91328
23-7444901 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC
 
 
No
(122)OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

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

OAKES,ND58474
71-0966606 		FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH
 
 
No
(124)PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREET

SANTA MARIA,CA93454
77-0447575 		CLINIC CA 501(C)(3) LINE 3 DCC
 
 
No
(125)PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116 		PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET
 
 
No
(126)PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE

RANCHO CORDOVA,CA95670
46-5322209 		HOSPITAL CA 501(C)(3) LINE 3 DH
 
 
No
(127)PROVIDENCE CARE CENTER
2025 HAYES AVENUE

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

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

ENGLEWOOD,CO80112
22-2876836 		INACTIVE NJ 501(C)(3) LINE 12B, II SCHS
 
 
No
(130)SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WEST

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

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

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

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

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

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

GRAND ISLAND,NE68802
47-0630267 		FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE
 
 
No
(137)SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREET

SAN FRANCISCO,CA94109
94-1156295 		HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(138)SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST

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

LEXINGTON,KY40504
61-1334601 		HOSPITAL KY 501(C)(3) LINE 3 KOH
 
 
No
(140)SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200

LEXINGTON,KY40504
61-1159649 		FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS
 
 
No
(141)SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE

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

MOUNT STERLING,KY40353
27-2884584 		FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS
 
 
No
(143)SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREET

DICKINSON,ND58601
36-3418207 		FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC
 
 
No
(144)SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVE

SAN GABRIEL,CA91776
95-3430341 		INACTIVE CA 501(C)(3) LINE 12A, I DH
 
 
No
(145)SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST

SCHUYLER,NE68661
36-3630014 		FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS
 
 
No
(146)SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAY

GRASS VALLEY,CA95945
94-1439787 		HOSPITAL CA 501(C)(3) LINE 3 DCC
 
 
No
(147)SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
44-0545809 		INACTIVE MO 501(C)(3) LINE 3 CSH
 
 
No
(148)ST FRANCIS FOUNDATION OF SANTA BARBARA
2323 DE LA VINA ST SUITE 104

SANTA BARBARA,CA93105
23-7137119 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(149)ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREET

SANTA BARBARA,CA93103
77-0022302 		INACTIVE CA 501(C)(3) LINE 12A, I DH
 
 
No
(150)ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE

OXNARD,CA93030
20-2865781 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(151)ST JOSEPHS FOUNDATION (PHOENIX)
350 WEST THOMAS ROAD

PHOENIX,AZ85013
94-2941245 		FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH
 
 
No
(152)ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET

STOCKTON,CA95204
51-0432777 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(153)ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE

LONG BEACH,CA90813
23-7153876 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(154)ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUE

LONG BEACH,CA90813
23-7373088 		INACTIVE CA 501(C)(3) LINE 12A, I DH
 
 
No
(155)ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREET

SAN FRANCISCO,CA94117
94-3336143 		FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH
 
 
No
(156)ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY

HENDERSON,NV89052
88-0349432 		FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DH
 
 
No
(157)ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE

BISMARCK,ND58501
45-0226711 		HOSPITAL ND 501(C)(3) LINE 3 CSH
 
 
No
(158)ST ANNE OC
1145 BROADWAY PLAZA STE 1200

TACOMA,WA98402
86-3590968 		INACTIVE WA 501(C)(3) LINE 10 FHS
 
 
No
(159)ST ANTHONY HOSPITAL
2801 ST ANTHONY WAY

PENDLETON,OR97801
93-0391614 		HOSPITAL OR 501(C)(3) LINE 3 CSH
 
 
No
(160)ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAY

PENDLETON,OR97801
93-0992727 		FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH
 
 
No
(161)ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR

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

GARDEN CITY,KS67846
48-0543721 		HOSPITAL KS 501(C)(3) LINE 3 CSH
 
 
No
(163)ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST

GARDEN CITY,KS67846
20-0598702 		FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I SCH
 
 
No
(164)ST CLARE COMMONS
12469 FIVE POINT ROAD

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

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

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

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

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

BRYAN,TX77802
74-2351158 		FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I SJSC
 
 
No
(170)ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

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

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

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

ENGLEWOOD,CO80112
52-1311775 		INACTIVE MD 501(C)(3) LINE 12A, I SJMC
 
 
No
(174)ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE

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

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

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

BRYAN,TX77802
74-2455161 		MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(178)ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603 		HOSPITAL MN 501(C)(3) LINE 3 CSH
 
 
No
(179)ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY ST

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

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

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

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

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

HOUSTON,TX77004
45-3811485 		FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS
 
 
No
(185)ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505

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

HOUSTON,TX77225
76-0536232 		MANAGEMENT TX 501(C)(3) LINE 12A, I CSH
 
 
No
(187)ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-3734606 		HOSPITAL TX 501(C)(3) LINE 3 SLH-CO
 
 
No
(188)ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
76-0531716 		PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS
 
 
No
(189)ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549 		PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL
 
 
No
(190)ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD

NEBRASKA CITY,NE68410
47-0443636 		HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA
 
 
No
(191)ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVD

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

LITTLE ROCK,AR72205
51-0169537 		FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC
 
 
No
(193)ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

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

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

ENGLEWOOD,CO80112
34-1412964 		HOLDING CO OH 501(C)(3) LINE 12A, I CSH
 
 
No
(196)SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-5357161 		INACTIVE OH 501(C)(3) LINE 12A, I SFH-OH
 
 
No
(197)THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE

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

LAKE JACKSON,TX77566
74-1385192 		HOSPITAL TX 501(C)(3) LINE 3 SLH-CO
 
 
No
(199)THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR

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

LINCOLN,NE68503
47-0780857 		PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA
 
 
No
(201)TOTAL HEALTHCARE
9100 E MINERAL CIRCLE

CENTENNIAL,CO80112
84-0927232 		INACTIVE CO 501(C)(3) LINE 3 CHIC
 
 
No
(202)TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
31-1329423 		FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS
 
 
No
(203)TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE

STEUBENVILLE,OH43952
34-1818681 		HEALTHCARE OH 501(C)(3) LINE 12A, I N/A
 
No
(204)TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET

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

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

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

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

ENGLEWOOD,CO80112
22-1768334 		INACTIVE NJ 501(C)(3) LINE 10 SCHS
 
 
No
(209)YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
1003 WILLOW CREEK ROAD

PRESCOTT,AZ86301
86-0098923 		HOSPITAL AZ 501(C)(3) LINE 3 DCC
 
 
No
(210)YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROAD

PRESCOTT,AZ86301
86-1038463 		FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I YRMC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) AMERICAN MERCY HOME CARE LLC

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
83-0486150 		HOME HEALTH OH N/A
 N/A       No     No  
(2) ARIZONA CARE NETWORK - NEXT LLC

4222 E THOMAS RD STE 400
PHOENIX,AZ85018
47-4696671 		CARE NETWORK AZ N/A
 N/A       No     No  
(3) ARIZONA CARE NETWORK LLC (ACN LLC)

4222 E THOMAS RD STE 400
PHOENIX,AZ85013
45-4494682 		CARE NETWORK AZ N/A
 N/A       No     No  
(4) ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC

1510 COTNER AVENUE
LOS ANGELES,CA90025
85-1067265 		DIAGNOSTIC SERVICES CA N/A
 N/A       No     No  
(5) AUDUBON LAND COMPANY LLC

630 SOUTHPOINTE COURT 200
COLORADO SPRINGS,CO80906
84-1513085 		REAL ESTATE CO N/A
 N/A       No     No  
(6) BAYLOR CHI ST LUKES HEALTH SERVICES LLC

3100 MAIN STE 566
HOUSTON,TX77002
47-2079184 		HEALTHCARE SRVC TX N/A
 N/A       No     No  
(7) BERGAN MERCY SURGERY CENTER LLC

7500 MERCY RD STE 4300
OMAHA,NE68124
20-8671994 		AMBUL SURG CTR NE N/A
 N/A       No     No  
(8) BERYWOOD OFFICE PROPERTIES LLC

2501 CITICO AVENUE
CHATTANOGA,TN37404
62-1875199 		PHYS OFFICE TN N/A
 N/A       No     No  
(9) BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

709 WING ON PLAZA 62 MODY ROAD TS
HONG KONG    
CH
HEALTH SERVICES CH N/A
 N/A       No     No  
(10) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY STE 310
LEXINGTON,KY40504
61-1386736 		DIAGNOSTIC IMAGING KY N/A
 N/A       No     No  
(11) CBCC OUTSMARTING CANCER LLC

6501 TRUXTUN AVENUE
BAKERSFIELD,CA93309
46-1602286 		RADIATION / ONCOLOGY CA N/A
 N/A       No     No  
(12) CENTRAL NEBRASKA REHABILITATION SVCS LLC

3004 W FAIDLEY AVE
GRAND ISLAND,NE68803
81-0653461 		PHYSICAL THERAPY NE N/A
 N/A       No     No  
(13) CENTURA SUMMIT ORTHOPEDICS LLC

68 SCHOOL RD
FRISCO,CO80443
87-1308304 		HEALTHCARE SRVC CO N/A
 N/A       No     No  
(14) CHICAMSURG SURGERY CENTERS LLC

1A BURTON HILLS BLVD
NASHVILLE,TN37215
46-5683027 		SURGERY CENTER CO N/A
 N/A       No     No  
(15) COLORADO SPRINGS CK LEASING LLC

630 SOUTHPOINTE COURT 200
COLORADO SPRINGS,CO80906
26-2982714 		REAL ESTATE CO N/A
 N/A       No     No  
(16) COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC

6281 TRI RIDGE BLVD 300
LOVELAND,OH45150
31-1746556 		HOME HEALTH OH N/A
 N/A       No     No  
(17) DE JV LLC

8686 NEW TRAILS DRIVE
THE WOODLANDS,TX77381
32-0496548 		EMERGENCY CARE NV N/A
 N/A       No     No  
(18) DHHP SURGERY CENTERS LLC

1513 S GRAND AVENUE STE 350
LOS ANGELES,CA90015
83-1847466 		SURGERY DE N/A
 N/A       No     No  
(19) DHRT HOLDINGS LLC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
35-2484591 		HOLDING COMPANY DE N/A
 N/A       No     No  
(20) DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC

5555 GLENRIDGE CONNECTOR SUITE 700
ATLANTA,GA30342
35-2548698 		MANAGEMENT SERVICES DE N/A
 N/A       No     No  
(21) DIGNITY HEALTH AT HOME LLC

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
82-4674115 		HEALTHCARE SRVC DE N/A
 N/A       No     No  
(22) DIGNITY HEALTH SPECIALTY PHARMACY LLC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
32-0589462 		SPECIALTY PHARMACY SERVICES DE N/A
 N/A       No     No  
(23) DIGNITY HOME RECOVERY CARE LLC

49 MUSIC SQUARE WEST SUITE 401
NASHVILLE,TN37203
83-2832522 		HOME RECOVERY PROGRAM DE N/A
 N/A       No     No  
(24) DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
20-2999237 		SURGERY TX N/A
 N/A       No     No  
(25) DIGNITYUSP NORCAL SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
20-2468509 		SURGERY TX N/A
 N/A       No     No  
(26) DIGNITYUSP PHOENIX SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
13-4248908 		SURGERY TX N/A
 N/A       No     No  
(27) DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
35-2584991 		SURGERY TX N/A
 N/A       No     No  
(28) DIGNITY-ABRAZO HEALTH NETWORK LLC

4222 E THOMAS RD STE 400
PHOENIX,AZ85018
46-5477985 		MANAGEMENT SERVICES AZ N/A
 N/A       No     No  
(29) DOMINICAN MAGNETIC RESONANCE IMAGING CENTER

1545 SOQUEL DRIVE
SANTA CRUZ,CA94065
77-0095477 		IMAGING CENTER CA N/A
 N/A       No     No  
(30) ECCS ACQUISITION COMPANY LLC

2940 NORTH CIRCLE DRIVE
COLORADO SPRINGS,CO80909
35-2656413 		AMBUL SURG CTR CO N/A
 N/A       No     No  
(31) ENDOSCOPY CENTER OF ARKANSAS

1024 NORTH UNIVERSITY AVE
LITTLE ROCK,AR72207
20-1337002 		DIAGNOSTIC SERVICES AR N/A
 N/A       No     No  
(32) FOLSOM SIERRA ENDOSCOPY CENTER LP

1671 CREEKSIDE DRIVE SUITE 100
FOLSOM,CA95630
68-0482416 		ENDOSCOPY CA N/A
 N/A       No     No  
(33) FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC

6622 WOLLOCHET DR NW
GIG HARBOR,WA98335
46-3494108 		REAL ESTATE WA N/A
 N/A       No     No  
(34) FRANCISCAN SPECIALTY CARE LLC

330 SEVEN SPRINGS WAY
BRENTWOOD,TN37027
81-3725123 		HEALTHCARE SRVC WA N/A
 N/A       No     No  
(35) GOLDEN RIDGE SURGERY CENTER LLC

660 GOLDEN RIDGE RD 100
GOLDEN,CO80401
84-1498087 		HEALTHCARE SRVC CO N/A
 N/A       No     No  
(36) GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC

6281 TRI RIDGE BLVD 300
LOVELAND,OH45150
20-1792869 		HOME HEALTH OH N/A
 N/A       No     No  
(37) HC SL VINTAGE I LLC

1400 N WATER ST STE 500
MILWAUKEE,WI53202
27-0453767 		PROPERTY HOLDING WI N/A
 N/A       No     No  
(38) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196 		LAUNDRY NE N/A
 N/A       No     No  
(39) HEARTLAND ONCOLOGY LLC

2337 E CRAWFORD ST
SALINA,KS67402
46-4265403 		ONCOLOGY KS N/A
 N/A       No     No  
(40) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17030 LAKESIDE HILLS PLAZA STE 110
OMAHA,NE68130
20-4267902 		AMBUL SURG CTR NE N/A
 N/A       No     No  
(41) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496 		ENDOSCOPY SRVC NE N/A
 N/A       No     No  
(42) LEXINGTON MBO PARTNERS LTD

5050 SOUTH SYRACUSE ST STE 800
DENVER,CO80237
65-1132855 		REAL ESTATE CO N/A
 N/A       No     No  
(43) LINCOLN CK LEASING LLC

555 SOUTH 70TH STREET
LINCOLN,NE68510
26-2496856 		REAL ESTATE NE N/A
 N/A       No     No  
(44) MEMORIAL MEDICAL PLAZA

3838 SAN DIMAS SUITE B 201
BAKERSFIELD,CA93301
36-4510880 		REAL ESTATE CA N/A
 N/A       No     No  
(45) MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC

2740 M STREET
MERCED,CA95340
94-3358445 		MANAGEMENT OF CANCER CENTER CA N/A
 N/A       No     No  
(46) MERCY REHABILITATION HOSPITAL LLC

330 SEVEN SPRINGS WAY
BRENTWOOD,TN37027
81-4437201 		HEALTHCARE SRVC TX N/A
 N/A       No     No  
(47) MILITARY ROAD PROPERTIES LLC

18229 TERRACE COURT SW
NORMANDY PARK,WA98166
91-2067879 		REAL ESTATE WA N/A
 N/A       No     No  
(48) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST STE 20300
OMAHA,NE68122
27-0263191 		SPINE HOSPITAL NE N/A
 N/A       No     No  
(49) NICU OPERATING CO OF SANTA CRUZ LLC

1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
46-0502935 		NEONATAL HEALTHCARE CA N/A
 N/A       No     No  
(50) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,AR72120
71-0799771 		AMBUL SURG CTR AR N/A
 N/A       No     No  
(51) NORTHERN PLAINS LABORATORY LLC

401 N 9 STREET
BISMARK,ND58501
84-1641341 		DIAGNOSTIC SERVICES ND N/A
 N/A       No     No  
(52) NSC CHANNEL ISLANDS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
77-0409291 		AMBULATORY SURGICAL CENTER CA N/A
 N/A       No     No  
(53) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80228
37-1577105 		ORTHO HOSPITAL CO N/A
 N/A       No     No  
(54) PARK RAPIDS AREA HEALTH CARE

600 PLEASANT AVENUE S
PARK RAPIDS,MN56470
20-4926259 		HEALTHCARE SRVC MN N/A
 N/A       No     No  
(55) PENINSULA RADIATION ONCOLOGY CENTER LLC

4230 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE,WA98466
87-0808610 		HEALTHCARE SRVC WA N/A
 N/A       No     No  
(56) PENRAD IMAGING LLC

1390 KELLY JOHNSON BLVD
COLORADO SPRINGS,CO80920
84-1072619 		MEDICAL IMAGING CO N/A
 N/A       No     No  
(57) PERFORMANCE MED EQUIP & RESPIR SVSC LLC

19625 62ND AVE SOUTH 101
KENT,WA98032
45-2901632 		HOLDING COMPANY WA N/A
 N/A       No     No  
(58) PLAZA SURGERY CENTER LP

525 E PLAZA DRIVE SUITE 100
SANTA MARIA,CA93454
77-0573567 		SURGERY CA N/A
 N/A       No     No  
(59) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,TX77002
27-3280598 		HOSPITAL TX N/A
 N/A       No     No  
(60) PRECISION MEDICINE ALLIANCE LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
35-2569159 		DIAGNOSTIC SERVICES CO N/A
 N/A       No     No  
(61) RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY

1700 N ROSE AVENUE SUITE 120
OXNARD,CA93030
77-0191706 		IMAGING CA N/A
 N/A       No     No  
(62) RBR MANAGEMENT LLC

91 CORPORATE PARK DRIVE SUITE 120
HENDERSON,NV89074
27-1466450 		AMBULANCE NV N/A
 N/A       No     No  
(63) REID-ANC HOME CARE SERVICES LLC

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
37-1454747 		HOME HEALTH IN N/A
 N/A       No     No  
(64) SAINT JOSEPH - SCA HOLDINGS LLC

1451 HARRODSBURG RD
LEXINGTON,KY40503
45-3801157 		INACTIVE DE N/A
 N/A       No     No  
(65) SAINT JOSEPH HEALTH ASC LLC

ONE SAINT JOSEPH DRIVE
LEXINGTON,KY40504
85-2155230 		SURGERY KY N/A
 N/A       No     No  
(66) SAINT JOSEPH-ANC HOME CARE SERVICES

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
26-3330545 		HOME HEALTH KY N/A
 N/A       No     No  
(67) SANTA CRUZ COMPREHENSIVE IMAGING LLC

1661 SOQUEL DRIVE SUITE G
SANTA CRUZ,CA95065
01-0550623 		IMAGING CA N/A
 N/A       No     No  
(68) SANTA CRUZ LAND & BUILDING LP

1555 SOQUEL DRIVE
SANTA CRUZ,CA95065
77-0285236 		REAL ESTATE CA N/A
 N/A       No     No  
(69) SANTA CRUZ SURGERY CENTER LLC

3003 PAUL SWEET ROAD
SANTA CRUZ,CA95065
77-0194916 		SURGERY CA N/A
 N/A       No     No  
(70) SEVEN OAKS SURGERY CENTER LLC

1801 ORANGE TREE LANE SUITE 200
REDLANDS,CA92374
85-1559544 		SURGERY CA N/A
 N/A       No     No  
(71) SOUTHEASTERN HOME CARE LLC

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
27-1219638 		HOME HEALTH OH N/A
 N/A       No     No  
(72) ST JOSEPH'S SURGERY CENTER LP

15305 DALLAS PARKWAY SUITE 1600 LB
ADDISON,TX75001
20-1019390 		SURGERY TX N/A
 N/A       No     No  
(73) ST ELIZABETH HOME CARE SERVICES LLC

6281 TRI RIDGE BLVD STE 300
LOVELAND,OH45150
26-1236191 		HOME HEALTH KY N/A
 N/A       No     No  
(74) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
COLORADO SPRINGS,CO80918
26-3134100 		REAL ESTATE CO N/A
 N/A       No     No  
(75) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,TX77030
71-0959365 		DIAGNOSTIC SERVICES TX N/A
 N/A       No     No  
(76) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
30-0427437 		HOSPITAL TX N/A
 N/A       No     No  
(77) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

6624 FANNIN STE 800
HOUSTON,TX77030
46-2795726 		DIAGNOSTIC SERVICES TX N/A
 N/A       No     No  
(78) TEMPLETON SURGERY CENTER LLC

1310 LAS TABLAS ROAD SUITE 104
TEMPLETON,CA94365
20-2246616 		SURGERY CA N/A
 N/A       No     No  
(79) THE MEDICAL PAVILION AT ST JOHN'S

1600 ROSE AVENUE
OXNARD,CA93030
77-0332349 		REAL ESTATE CA N/A
 N/A       No     No  
(80) THREE SPRING IMAGING LLC

1 MERCADO ST STE 200A
DURANGO,CO81301
81-3571570 		HEALTHCARE SRVC CO N/A
 N/A       No     No  
(81) TIA ARIZONA LLC

3030 N CENTRAL AVENUE SUITE 1402
PHOENIX,AZ85012
86-3158670 		CLINIC AZ N/A
 N/A       No     No  
(82) VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC

18330 ROSCOE BLVD
NORTHRIDGE,CA91328
80-0864336 		SURGERY CA N/A
 N/A       No     No  
(83) WEST LAKES SURGERY CENTER LLC

12499 UNIVERSITY AVE STE 100
CLIVE,IA50325
20-5345295 		HEALTHCARE SRVC IA N/A
 N/A       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC

12809 WEST DODGE RD
OMAHA,NE68154
47-0802396 		MANAGED CARE NE N/A
 C         No
(2) ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC

2801 FRANCISCAN DRIVE
BRYAN,TX77802
74-2466914 		HEALTHCARE TX N/A
 C         No
(3) ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
84-1112049 		MANAGEMENT SERVICES CO N/A
 C         No
(4) AMERICAN NURSING CARE INC

1700 EDISON DR
MILFORD,OH45150
31-1085414 		HOME HEALTH OH N/A
 C         No
(5) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699 		HOME HEALTH OH N/A
 C         No
(6) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851 		INACTIVE KY N/A
 C         No
(7) BRAZOSPORT HEALTH ALLIANCE

1 WEST WAY COURT
LAKE JACKSON,TX77566
76-0518376 		HEALTHCARE TX N/A
 C         No
(8) CADUCEUS MEDICAL ASSOCIATES INC

5600 BRAINERD ROAD STE 500
CHATTANOOGA,TN37411
62-1570736 		HEALTHCARE TN N/A
 C         No
(9) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
27-2269511 		INACTIVE CO N/A
 C         No
(10) CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC

1201 W FRANK AVE
LUFKIN,TX75904
83-4184717 		CONDO ASSOC TX N/A
 C         No
(11) COASTAL SURGICAL SPECIALISTS INC

921 OAK PARK BLVD SUITE 101
PISMO BEACH,CA93449
74-3000596 		AMBULATORY SURGERY CENTER CA N/A
 S         No
(12) COMCARE SERVICES INC

9100 E MINERAL CIRCLE
CENTENNIAL,CO80112
84-0904813 		INACTIVE CO N/A
 C         No
(13) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212 		HOME HEALTH OH N/A
 C         No
(14) DES MOINES MEDICAL CENTER INC

1111 6TH AVE
DES MOINES,IA50314
42-0837382 		REAL ESTATE IA N/A
 C         No
(15) DIGNITY HEALTH HOLDING CORPORATION

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
46-0675371 		HOLDING CO NV N/A
 C         No
(16) DIGNITY HEALTH INSURANCE LTD

PO BOX 1051 GRAND CAYMAN ISL
GRAND CAYMAN ISL    
CJ
98-1065338 		CAPTIVE INSURANCE CJ N/A
 C         No
(17) DIGNITY HEALTH PROVIDER RESOURCES INC

185 BERRY STREET SUITE 200
SAN FRANCISCO,CA94107
47-3366764 		HEALTH PLAN CA N/A
 C         No
(18) DIVERSIFIED HEALTH RESOURCES INC

100 MEDICAL DRIVE
LAKE JACKSON,TX77566
76-0222679 		HEALTHCARE TX N/A
 C         No
(19) FRANCISCAN CITY URGENT CARE SERVICES PS

C/O CPGUSA 1345 AVE OF THE AMERICAS
NEW YORK,NY10105
81-2174959 		INACTIVE NY N/A
 C         No
(20) FRANCISCAN SERVICES INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2487967 		HOLDING CO CO N/A
 C         No
(21) GALLERIA PAVILION OWNERS'ASSOCIATION

800 N GIBSON RD
HENDERSON,NV89011
82-4275367 		REAL ESTATE NV N/A
 C         No
(22) GOOD SAMARITAN OUTREACH SERVICES

PO BOX 1990
KEARNEY,NE68848
47-0659440 		MEDICAL CLINIC NE N/A
 C         No
(23) HARVESTPLAINS HEALTH OF IOWA

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
47-3451750 		INSURANCE WA N/A
 C         No
(24) HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC

1400 E CHURCH STREET
SANTA MARIA,CA93454
77-0074057 		HEALTH SERVICES CA N/A
 C         No
(25) HEALTH SYSTEMS ENTERPRISES INC

PO BOX 1990
KEARNEY,NE68848
47-0664558 		MGMT NE N/A
 C         No
(26) HEALTHCARE MGMT SERVICES ORGANIZATION INC

1149 MARKET ST
TACOMA,WA98402
91-1865474 		INACTIVE WA N/A
 C         No
(27) HEARTLANDPLAINS HEALTH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4368223 		INSURANCE NE N/A
 C         No
(28) HIGHLINE MEDICAL GROUP

1717 S J STREET
TACOMA,WA98405
91-1407026 		MEDICAL SERVICES WA N/A
 C         No
(29) INTEGRATED MEDICAL SERVICES

9250 N 3RD STREET SUITE 4010
PHOENIX,AZ85020
86-0783428 		MULTI-SPECIALTY PHYSICIANS GROUP AZ N/A
 C         No
(30) MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC

300 WERNER ST
HOT SPRINGS,AR71913
71-0720429 		REAL ESTATE AR N/A
 C         No
(31) MEDQUEST

1301 15TH AVENUE WEST
WILLISTON,ND58801
45-0392137 		SALE OF DME ND N/A
 C         No
(32) MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC

1201 W FRANK AVE
LUFKIN,TX75904
46-3622849 		INACTIVE TX N/A
 C         No
(33) MERCY PARK APARTMENTS LTD

1111 6TH AVE
DES MOINES,IA50314
42-1202422 		INACTIVE IA N/A
 C         No
(34) MERCY SERVICES CORP

2700 STEWART PARKWAY
ROSEBURG,OR97471
93-0824308 		RETAIL SALES OR N/A
 C         No
(35) MHI CLINICAL SERVICES

1201 W FRANK AVE
LUFKIN,TX75904
46-1967952 		HEALTHCARE TX N/A
 C         No
(36) MILLENNIUM SURGERY CENTER INC

9300 STOCKDALE HWY 200
BAKERSFIELD,CA93311
77-0513445 		OUTPAITENT SURGERY SERVICES CA N/A
 S         No
(37) MOUNTAIN MANAGEMENT SERVICES INC

6028 SHALLOWFORD RD
CHATTANOOGA,TN37421
62-1570739 		MGMT SVC ORG TN N/A
 C         No
(38) NORTH CENTRAL HEALTH CARE ALLIANCE

PO BOX 5538
BISMARK,ND58506
45-0439894 		HEALTHCARE ND N/A
 C         No
(39) QUALCHOICE ADVANTAGE

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
47-3433912 		INSURANCE WA N/A
 C         No
(40) QUALCHOICE HEALTH PLAN SERVICES INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1224037 		ADMIN SERVICES CO N/A
 C         No
(41) QUALCHOICE HEALTH INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-1222808 		HOLDING CO CO N/A
 C         No
(42) QUALCHOICE HOLDINGS INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
27-4075520 		HOLDING CO AR N/A
 C         No
(43) QUALCHOICE OF NEBRASKA

2401 S 73RD ST
OMAHA,NE68124
81-0738827 		INACTIVE NE N/A
 C         No
(44) RIVERLINK HEALTH

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4380824 		INSURANCE OH N/A
 C         No
(45) RIVERLINK HEALTH OF KENTUCKY INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-4828332 		INSURANCE KY N/A
 C         No
(46) ROSS PARK PHARMACY INC

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1832654 		PHARMACY OH N/A
 C         No
(47) SAINT CLARE'S PRIMARY CARE INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
22-2441202 		INACTIVE NJ N/A
 C         No
(48) SJH SERVICES CORPORATION

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
23-2307408 		INACTIVE CO N/A
 C         No
(49) SJL PHYSICIAN MANAGEMENT SERVICES INC

424 LEWIS HARGETT CR STE 160
LEXINGTON,KY40503
27-0164198 		INACTIVE KY N/A
 C         No
(50) SOUNDPATH HEALTH INC

32129 WEYERHAEUSER WAY S STE 201
FEDERAL WAY,WA98001
42-1720801 		INSURANCE WA N/A
 C         No
(51) ST MARY HEALTH VENTURES INC

1050 LINDEN AVENUE
LONG BEACH,CA90813
95-1912528 		RETAIL PHARMACY CA N/A
 C         No
(52) ST ANTHONY DEVELOPMENT COMPANY

1415 SOUTHGATE
PENDLETON,OR97801
93-1216943 		ATHLETIC CLUB OR N/A
 C         No
(53) ST JOSEPH DEVELOPMENT COMPANY INC

1717 SOUTH J ST
TACOMA,WA98405
91-1480569 		RENTAL WA N/A
 C         No
(54) ST LUKE'S HEALTH SYSTEM HOLDINGS INC

6624 FANNIN STE 800
HOUSTON,TX77030
76-0637138 		HOLDING CO TX N/A
 C         No
(55) ST VINCENT COMMUNITY HEALTH SERVICES INC

TWO ST VINCENT CIRCLE
LITTLE ROCK,AR72205
71-0710785 		HEALTHCARE AR N/A
 C         No
(56) STE HOLDINGS

12809 WEST DODGE RD
OMAHA,NE68154
82-2383629 		HOLDING CO NE N/A
 C         No
(57) SUGAR LAND DOCTOR GROUP

1317 LAKE POINT PARKWAY
SUGAR LAND,TX77478
45-4270163 		INACTIVE TX N/A
 C         No
(58) TOWSON MANAGEMENT INC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
52-1710750 		INACTIVE MD N/A
 C         No
(59) TRINITY MANAGEMENT SERVICES ORGANIZATION

380 SUMMIT AVE
STEUBENVILLE,OH43952
34-1471026 		MGMT SERVICES OH N/A
 C         No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





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

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




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























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

Additional Data


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