Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ALABAMA PROVIDENCE HEALTHCARE SERVICES |
462847744 | 9 | No | 0 | 0 | |
| (B)
ALEXIAN BROTHERS AMBULATORY GROUP |
364336931 | 3 | No | 0 | 0 | |
| (C)
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL |
364251848 | 3 | No | 0 | 0 | |
| (D)
ALEXIAN BROTHERS BONAVENTURE HOUSE |
363527899 | 9 | No | 0 | 0 | |
| (E)
ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH |
363045007 | 9 | No | 0 | 0 | |
| (F)
ALEXIAN BROTHERS COMMUNITY SERVICES |
364344423 | 9 | No | 0 | 0 | |
| (G)
ALEXIAN BROTHERS LANSDOWNE VILLAGE |
431470362 | 9 | No | 0 | 0 | |
| (H)
ALEXIAN BROTHERS MEDICAL CARE GROUP NFP |
471930457 | 3 | No | 0 | 0 | |
| (I)
ALEXIAN BROTHERS MEDICAL CENTER |
362596381 | 3 | No | 0 | 0 | |
| (J)
ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE |
811110738 | 3 | No | 0 | 0 | |
| (K)
ALEXIAN BROTHERS SERVICES INC |
431295333 | 9 | No | 0 | 0 | |
| (L)
ALEXIAN BROTHERS SHERBROOKE VILLAGE |
431592502 | 9 | No | 0 | 0 | |
| (M)
ALEXIAN BROTHERS SPECIALTY GROUP |
800710751 | 3 | No | 0 | 0 | |
| (N)
ALEXIAN VILLAGE OF MILWAUKEE INC |
391351584 | 9 | No | 0 | 0 | |
| (O)
ALEXIAN VILLAGE OF TENNESSEE |
621136742 | 9 | No | 0 | 0 | |
| (P)
ALVERNO PROVENA HOSPITAL LABORATORIES INC |
203238867 | 3 | No | 0 | 0 | |
| (Q)
AMERICAN SPORTS MEDICINE INSTITUTE INC |
630952490 | 7 | No | 0 | 0 | |
| (R)
ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME |
362841358 | 9 | No | 0 | 0 | |
| (S)
ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC |
391570877 | 7 | No | 0 | 0 | |
| (T)
ASCENSION ALL SAINTS HOSPITAL INC |
391264986 | 3 | No | 0 | 0 | |
| (U)
ASCENSION ARIZONA |
860455920 | 3 | No | 0 | 0 | |
| (V)
ASCENSION BORGESS ALLEGAN HOSPITAL |
381359180 | 3 | No | 0 | 0 | |
| (W)
ASCENSION BORGESS HOSPITAL |
381360526 | 3 | No | 0 | 0 | |
| (X)
ASCENSION BORGESS-LEE HOSPITAL |
381490190 | 3 | No | 0 | 0 | |
| (Y)
ASCENSION BRIGHTON CENTER FOR RECOVERY |
381576680 | 3 | No | 0 | 0 | |
| (Z)
ASCENSION CALUMET HOSPITAL INC |
390905385 | 3 | No | 0 | 0 | |
| (AA)
ASCENSION EASTWOOD BEHAVIORAL HEALTH |
381958763 | 7 | No | 0 | 0 | |
| (AB)
ASCENSION GENESYS HOSPITAL |
382377821 | 3 | No | 0 | 0 | |
| (AC)
ASCENSION LIVING - LAKESHORE AT SIENA INC |
824710412 | 9 | No | 0 | 0 | |
| (AD)
ASCENSION LIVING ST VINCENT PACE INC |
872516723 | 9 | No | 0 | 0 | |
| (AE)
ASCENSION MACOMB OAKLAND HOSPITAL |
383322109 | 3 | No | 0 | 0 | |
| (AF)
ASCENSION MEDICAL GROUP GENESYS |
831617112 | 9 | No | 0 | 0 | |
| (AG)
ASCENSION MEDICAL GROUP MICHIGAN |
383494637 | 9 | No | 0 | 0 | |
| (AH)
ASCENSION MEDICAL GROUP PROMED |
383193801 | 9 | No | 0 | 0 | |
| (AI)
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC |
391127163 | 3 | No | 0 | 0 | |
| (AJ)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC |
391791586 | 3 | No | 0 | 0 | |
| (AK)
ASCENSION MICHIGAN CMG |
382601348 | 9 | No | 0 | 0 | |
| (AL)
ASCENSION NE WISCONSIN INC |
390816818 | 3 | No | 0 | 0 | |
| (AM)
ASCENSION PROVIDENCE |
741109636 | 3 | No | 0 | 0 | |
| (AN)
ASCENSION PROVIDENCE FOUNDATION |
383526629 | 7 | No | 0 | 0 | |
| (AO)
ASCENSION PROVIDENCE HOSPITAL |
381358212 | 3 | No | 0 | 0 | |
| (AP)
ASCENSION PROVIDENCE ROCHESTER HOSPITAL |
381359247 | 3 | No | 0 | 0 | |
| (AQ)
ASCENSION RIVER DISTRICT HOSPITAL |
383160564 | 3 | No | 0 | 0 | |
| (AR)
ASCENSION SE WISCONSIN HOSPITAL INC |
390816857 | 3 | No | 0 | 0 | |
| (AS)
ASCENSION SETON |
741109643 | 3 | No | 0 | 0 | |
| (AT)
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH |
382262856 | 3 | No | 0 | 0 | |
| (AU)
ASCENSION ST CLARE'S HOSPITAL INC |
721531917 | 3 | No | 0 | 0 | |
| (AV)
ASCENSION ST ELIZABETH FOUNDATION INC |
391256677 | 7 | No | 0 | 0 | |
| (AW)
ASCENSION ST FRANCIS HOSPITAL INC |
390907740 | 3 | No | 0 | 0 | |
| (AX)
ASCENSION ST JOHN FOUNDATION |
202961579 | 7 | No | 0 | 0 | |
| (AY)
ASCENSION ST JOHN HOSPITAL |
381359063 | 3 | No | 0 | 0 | |
| (AZ)
ASCENSION ST JOSEPH HOSPITAL |
381443395 | 3 | No | 0 | 0 | |
| (BA)
ASCENSION ST MARY'S HOSPITAL |
380997730 | 3 | No | 0 | 0 | |
| (BB)
ASCENSION STANDISH HOSPITAL |
381671120 | 3 | No | 0 | 0 | |
| (BC)
ASCENSION VIA CHRISTI HEALTH PARTNERS INC |
480958974 | 9 | No | 0 | 0 | |
| (BD)
ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC |
481186704 | 3 | No | 0 | 0 | |
| (BE)
ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC |
480543778 | 3 | No | 0 | 0 | |
| (BF)
ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC |
271965272 | 3 | No | 0 | 0 | |
| (BG)
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC |
481172106 | 3 | No | 0 | 0 | |
| (BH)
ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC |
481158274 | 3 | No | 0 | 0 | |
| (BI)
ASCENSION WISCONSIN FOUNDATION INC |
391494981 | 7 | No | 0 | 0 | |
| (BJ)
ASCENSION WISCONSIN LABORATORIES INC |
391701402 | 9 | No | 0 | 0 | |
| (BK)
ASCENSION WISCONSIN PHARMACY INC |
391613624 | 9 | No | 0 | 0 | |
| (BL)
BINGHAMTON HEALTH CORPORATION |
881655027 | 9 | No | 0 | 0 | |
| (BM)
BORGESS AMBULATORY CARE CORPORATION |
382468823 | 3 | No | 0 | 0 | |
| (BN)
BORGESS HEALTH ALLIANCE INC |
382335286 | 9 | No | 0 | 0 | |
| (BO)
BORGESS NURSING HOME INC |
382555589 | 3 | No | 0 | 0 | |
| (BP)
CARONDELET LONG-TERM CARE FACILITIES INC |
742505427 | 9 | No | 0 | 0 | |
| (BQ)
CARROLL MANOR |
832068871 | 9 | No | 0 | 0 | |
| (BR)
CATALPA HEALTH INC |
454681563 | 3 | No | 0 | 0 | |
| (BS)
COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC |
390806315 | 3 | No | 0 | 0 | |
| (BT)
CORNERSTONE ASSISTED LIVING INC |
481241079 | 9 | No | 0 | 0 | |
| (BU)
DELL CHILDREN'S MEDICAL GROUP |
742800601 | 9 | No | 0 | 0 | |
| (BV)
HAVEN OF OUR LADY OF PEACE INC |
593620346 | 9 | No | 0 | 0 | |
| (BW)
HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC |
261861676 | 3 | No | 0 | 0 | |
| (BX)
JANE PHILLIPS MEMORIAL MEDICAL CENTER INC |
730606129 | 3 | No | 0 | 0 | |
| (BY)
JANE PHILLIPS NOWATA HOSPITAL INC |
731440267 | 3 | No | 0 | 0 | |
| (BZ)
LAVERNA TERRACE HOUSING CORPORATION |
363438977 | 9 | No | 0 | 0 | |
| (CA)
MEDICARE VALUE PARTNERS |
363495969 | 9 | No | 0 | 0 | |
| (CB)
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
150532221 | 3 | No | 0 | 0 | |
| (CC)
OUR LADY OF PEACE INC |
161608735 | 3 | No | 0 | 0 | |
| (CD)
OWASSO MEDICAL FACILITY INC |
203700131 | 3 | No | 0 | 0 | |
| (CE)
PRESENCE AMBULATORY SERVICES |
364286236 | 9 | No | 0 | 0 | |
| (CF)
PRESENCE BEHAVIORAL HEALTH |
362709982 | 9 | No | 0 | 0 | |
| (CG)
PRESENCE CARE HOME |
460483587 | 9 | No | 0 | 0 | |
| (CH)
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK |
364195126 | 3 | No | 0 | 0 | |
| (CI)
PRESENCE CHICAGO HOSPITALS NETWORK |
362235165 | 3 | No | 0 | 0 | |
| (CJ)
PRESENCE HEALTHCARE SERVICES |
363330928 | 3 | No | 0 | 0 | |
| (CK)
PRESENCE HOME CARE |
460483581 | 9 | No | 0 | 0 | |
| (CL)
PRESENCE LIFE CONNECTIONS |
371127787 | 9 | No | 0 | 0 | |
| (CM)
PRESENCE SENIOR SERVICES CHICAGOLAND |
237061646 | 9 | No | 0 | 0 | |
| (CN)
PROVIDENCE FOUNDATION |
630915493 | 7 | No | 0 | 0 | |
| (CO)
PROVIDENCE HEALTH ALLIANCE |
742696970 | 3 | No | 0 | 0 | |
| (CP)
PROVIDENCE HOSPITAL |
530196636 | 3 | No | 0 | 0 | |
| (CQ)
PROVIDENCE HOSPITAL |
630288861 | 3 | No | 0 | 0 | |
| (CR)
PROVIDENCE PARK INC |
611759304 | 3 | No | 0 | 0 | |
| (CS)
RAINBOW HOSPICE AND PALLIATIVE CARE |
363296367 | 7 | No | 0 | 0 | |
| (CT)
SACRED HEART FOUNDATION INC |
592436597 | 7 | No | 0 | 0 | |
| (CU)
SACRED HEART HEALTH SYSTEM INC |
590634434 | 3 | No | 0 | 0 | |
| (CV)
SACRED HEART REHABILITATION INSTITUTE Inc |
390902199 | 3 | No | 0 | 0 | |
| (CW)
SAINT THOMAS HEALTH FOUNDATIONS |
581663055 | 7 | No | 0 | 0 | |
| (CX)
SAINT THOMAS HICKMAN HOSPITAL |
581737573 | 3 | No | 0 | 0 | |
| (CY)
SAINT THOMAS HOME HEALTH |
621836937 | 9 | No | 0 | 0 | |
| (CZ)
SAINT THOMAS MEDICAL PARTNERS |
621529858 | 9 | No | 0 | 0 | |
| (DA)
SAINT THOMAS NETWORK |
621284994 | 9 | No | 0 | 0 | |
| (DB)
SAINT THOMAS REGIONAL HOSPITALS |
474063046 | 3 | No | 0 | 0 | |
| (DC)
SAINT THOMAS RUTHERFORD HOSPITAL |
620475842 | 3 | No | 0 | 0 | |
| (DD)
SAINT THOMAS WEST HOSPITAL |
620347580 | 3 | No | 0 | 0 | |
| (DE)
SALINA REGIONAL HOME MEDICAL SERVICES LLC |
431948057 | 9 | No | 0 | 0 | |
| (DF)
SETON FAMILY OF DOCTORS |
264562522 | 9 | No | 0 | 0 | |
| (DG)
SETON FAMILY OF PEDIATRIC SURGEONS |
271311790 | 9 | No | 0 | 0 | |
| (DH)
SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN |
382820107 | 9 | No | 0 | 0 | |
| (DI)
SETON MANOR INC |
232960726 | 9 | No | 0 | 0 | |
| (DJ)
SETON MEDICAL GROUP INC |
392064992 | 9 | No | 0 | 0 | |
| (DK)
SETON ORAL & MAXILLOFACIAL SURGERY |
421670843 | 9 | No | 0 | 0 | |
| (DL)
SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP |
742869762 | 9 | No | 0 | 0 | |
| (DM)
SJRMC INC |
820204264 | 3 | No | 0 | 0 | |
| (DN)
SOUTHERN TIER MEDICAL CARE - NY PC |
821103087 | 3 | No | 0 | 0 | |
| (DO)
ST AGNES HEALTHCARE INC |
520591657 | 3 | No | 0 | 0 | |
| (DP)
ST ALEXIUS MEDICAL CENTER |
364251846 | 3 | No | 0 | 0 | |
| (DQ)
ST CATHERINE LABOURE MANOR INC |
591878316 | 3 | No | 0 | 0 | |
| (DR)
ST JOHN AUXILIARY INC |
730999759 | 9 | No | 0 | 0 | |
| (DS)
ST JOHN BROKEN ARROW INC |
383833117 | 3 | No | 0 | 0 | |
| (DT)
ST JOHN MEDICAL CENTER INC |
730579286 | 3 | No | 0 | 0 | |
| (DU)
ST JOHN SAPULPA INC |
730662663 | 3 | No | 0 | 0 | |
| (DV)
ST JOSEPH HOSPITAL & HEALTH CENTER INC |
350992717 | 3 | No | 0 | 0 | |
| (DW)
ST JOSEPH'S MINISTRIES INC |
521835288 | 9 | No | 0 | 0 | |
| (DX)
ST LUKE'S-ST VINCENT'S HEALTHCARE INC |
260479484 | 3 | No | 0 | 0 | |
| (DY)
ST MARY'S HEALTH INC |
350869065 | 3 | No | 0 | 0 | |
| (DZ)
ST MARY'S MEDICAL GROUP LLC |
261356310 | 9 | No | 0 | 0 | |
| (EA)
ST MARY'S WARRICK HOSPITAL INC |
351343019 | 3 | No | 0 | 0 | |
| (EB)
ST VINCENT ANDERSON REGIONAL HOSPITAL INC |
460877261 | 3 | No | 0 | 0 | |
| (EC)
ST VINCENT CARMEL HOSPITAL INC |
743107055 | 3 | No | 0 | 0 | |
| (ED)
ST VINCENT CLAY HOSPITAL INC |
352112529 | 3 | No | 0 | 0 | |
| (EE)
ST VINCENT DUNN HOSPITAL INC |
272192831 | 3 | No | 0 | 0 | |
| (EF)
ST VINCENT FISHERS HOSPITAL INC |
454243702 | 3 | No | 0 | 0 | |
| (EG)
ST VINCENT FRANKFORT HOSPITAL INC |
352099320 | 3 | No | 0 | 0 | |
| (EH)
ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC |
461227327 | 9 | No | 0 | 0 | |
| (EI)
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC |
350869066 | 3 | No | 0 | 0 | |
| (EJ)
ST VINCENT JENNINGS HOSPITAL FOUNDATION INC |
841703732 | 1 | No | 0 | 0 | |
| (EK)
ST VINCENT JENNINGS HOSPITAL INC |
351841606 | 3 | No | 0 | 0 | |
| (EL)
ST VINCENT MADISON COUNTY HEALTH SYSTEM INC |
350876389 | 3 | No | 0 | 0 | |
| (EM)
ST VINCENT MEDICAL GROUP INC |
272039417 | 9 | No | 0 | 0 | |
| (EN)
ST VINCENT RANDOLPH HOSPITAL INC |
352103153 | 3 | No | 0 | 0 | |
| (EO)
ST VINCENT RAS INC |
471289091 | 9 | No | 0 | 0 | |
| (EP)
ST VINCENT SALEM HOSPITAL INC |
270847538 | 3 | No | 0 | 0 | |
| (EQ)
ST VINCENT SETON SPECIALTY HOSPITAL INC |
351712001 | 3 | No | 0 | 0 | |
| (ER)
ST VINCENT WILLIAMSPORT HOSPITAL INC |
350784551 | 3 | No | 0 | 0 | |
| (ES)
ST VINCENT'S AMBULATORY CARE INC |
592292041 | 9 | No | 0 | 0 | |
| (ET)
ST VINCENT'S BIRMINGHAM |
630288864 | 3 | No | 0 | 0 | |
| (EU)
ST VINCENT'S BLOUNT |
630909073 | 3 | No | 0 | 0 | |
| (EV)
ST VINCENT'S EAST |
630578923 | 3 | No | 0 | 0 | |
| (EW)
ST VINCENT'S FOUNDATION OF ALABAMA INC |
630868066 | 7 | No | 0 | 0 | |
| (EX)
ST VINCENT'S FOUNDATION INC |
592219923 | 7 | No | 0 | 0 | |
| (EY)
ST VINCENT'S MEDICAL CENTER INC |
590624449 | 3 | No | 0 | 0 | |
| (EZ)
ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC |
461523194 | 3 | No | 0 | 0 | |
| (FA)
THE CONGREGATION OF ALEXIAN BROTHERS OF IMMACULATE CONCEPTION PROVINCE INC - AMERICAN PROVINCE |
362976619 | 1 | No | 0 | 0 | |
| (FB)
THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET |
431296364 | 1 | No | 0 | 0 | |
| (FC)
THE CONGREGATION OF THE SISTERS OF ST JOSEPH INC |
830481134 | 1 | No | 0 | 0 | |
| (FD)
THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUI SE PROVINCE |
430653298 | 1 | No | 0 | 0 | |
| (FE)
THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST FRANCIS OF ASS ISI USCARIBBEAN PROVINCE |
731419335 | 1 | No | 0 | 0 | |
| (FF)
TRI-COUNTY CLINICAL |
264562712 | 9 | No | 0 | 0 | |
| (FG)
VIA CHRISTI FOUNDATION INC |
364943550 | 7 | No | 0 | 0 | |
| (FH)
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC |
481236589 | 9 | No | 0 | 0 | |
| (FI)
VIA CHRISTI VILLAGE GEORGETOWN INC |
481129325 | 9 | No | 0 | 0 | |
| (FJ)
VIA CHRISTI VILLAGE HAYS INC |
202828680 | 9 | No | 0 | 0 | |
| (FK)
VIA CHRISTI VILLAGE MANHATTAN INC |
481078862 | 9 | No | 0 | 0 | |
| (FL)
VIA CHRISTI VILLAGE MCLEAN INC |
481247723 | 9 | No | 0 | 0 | |
| (FM)
VIA CHRISTI VILLAGE PITTSBURG INC |
743070971 | 9 | No | 0 | 0 | |
| (FN)
VIA CHRISTI VILLAGE PONCA CITY INC |
731153337 | 9 | No | 0 | 0 | |
| (FO)
VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC |
930838390 | 9 | No | 0 | 0 | |
| (FP)
WAMEGO HOSPITAL ASSOCIATION INC |
721526400 | 3 | No | 0 | 0 | |
| (FQ)
WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC |
391486775 | 9 | No | 0 | 0 | |
|
Total 173
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part IV, Section B, Line 1 POWER TO APPOINT DIRECTORS | THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND APPOINTS THE BOARD FOR ASCENSION HEALTH ALLIANCE, DELEGATING THAT APPOINTMENT POWER WITHIN THE SYSTEM, WITH THE ASCENSION SPONSOR RETAINING ULTIMATE CONTROL OVER GOVERNANCE MATTERS. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES. |
| Schedule A, Part IV, Section B, Line 2 CONTROL BY SUPPORTED ORGANIZATIONS | THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND, AS APPLIED WITHIN A FRAMEWORK OF DELEGATION, RETAINS ULTIMATE CONTROL OF GOVERNANCE WITHIN THE SYSTEM. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES. IN ANSWERING "NO" TO PART IV, SECTION B, LINE 2, THE ORGANIZATION IS CONSIDERING THE ASCENSION SPONSOR'S DIRECT CONTROL AS WELL AS ITS ULTIMATE CONTROL OVER THE OTHER SUPPORTED ORGANIZATIONS THROUGHOUT THE SYSTEM. |
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF ASCENSION SPONSOR AND SUCH OTHER OF ITS SUBSIDIARY ORGANIZATIONS THAT QUALIFY UNDER SECTION 501(C)(3) AND UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION'S PURPOSES SHALL BE CONSISTENT WITH AND SUPPORTIVE OF THE CORPORATE PURPOSES OF ASCENSION HEALTH AND ASCENSION HEALTH ALLIANCE. |
| Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) | SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509 (A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. IN ADDITION, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS A 501(c)(4), BUT SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(a)(2). |
| Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6) | STARTING IN TAX YEAR 2014 (FISCAL YEAR ENDING JUNE 30, 2015) THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) AS REPORTED IN FORM 990, SCHEDULE A, PART III HAS BEEN COMPLETED TO CONFIRM THAT SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). |
| Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes | SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES AND ITS PURPOSES ARE CONSISTENT WITH AND SUPPORTIVE OF THE CORPORATE PURPOSES OF ASCENSION HEALTH AND ASCENSION HEALTH ALLIANCE. IN FURTHERANCE OF ITS MISSION AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN PROVIDES ESSENTIAL HEALTH CARE SERVICES, SUCH AS PRIMARY CARE, SPECIALTY CARE AND DIAGNOSTIC IMAGING FACILITIES THAT SERVE LOW-INCOME PATIENTS AS WELL AS COMMUNITY SERVICES. A REVIEW IS DONE ANNUALLY TO CONFIRM THAT THE ACTIVITIES OF SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN ARE IN LINE WITH THEIR MISSION AND THAT SUPPORT PROVIDED IS USED SOLELY FOR CHARITABLE PURPOSES. AS PART OF THIS REVIEW, REVENUE STREAMS AND EXPENSES ARE REVIEWED AND THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) IS CALCULATED TO CONFIRM THAT THIS TEST IS SATISFIED. |
| Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. | (I)/(II) THE ORGANIZATION ADDED SUPPORTED ORGANIZATIONS, AS FOLLOWS: BORGESS HEALTH ALLIANCE, INC., EIN 38-2335286, STATUS CHANGED TO PUBLICLY SUPPORTED IN FY21 THE ORGANIZATION REMOVED SUPPORTED ORGANIZATIONS, AS FOLLOWS: ASCENSION EAGLE RIVER HOSPITAL, INC., EIN 39-0985690, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION GOOD SAMARITAN HOSPITAL, INC., EIN 39-0808503, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC., EIN 39-1965593, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION OUR LADY OF VICTORY HOSPITAL, INC., EIN 39-0807065, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC., EIN 39-1390638, NO LONGER A RELATED PARTY AS OF 08/21 ASCENSION ST. MICHAEL'S HOSPITAL, INC., EIN 39-0808443, NO LONGER A RELATED PARTY AS OF 08/21 COLUMBIA ST. MARY'S HOSPITAL OZAUKEE, INC., EIN 39-0807063, DISSOLVED 03/22 DR. KATE NEWCOMB CONVALESCENT CENTER, INC., EIN 39-1357365, DISSOLVED 12/21 METRO PHYSICIANS, INC., EIN 94-3436893, DISSOLVED 01/22 SAINT JOSEPH'S HOSPITAL OF MARSHFIELD, INC., EIN 39-0847631, DISSOLVED 12/21 SETON HOSPITALIST SERVICE, EIN 45-2498998, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY23 THE HOWARD YOUNG MEDICAL CENTER, INC., EIN 39-0873606, NO LONGER A RELATED PARTY AS OF 08/21 GENESYS CONVALESCENT CENTER, EIN 38-2317364, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY20 MERCY HEALTH FOUNDATION, INC., EIN 23-7140261, STATUS CHANGED TO SUPPORTING ORGANIZATION IN FY22 (III)/(IV) THE ORGANIZING/GOVERNING DOCUMENTS OF THE ORGANIZATION PROVIDE THAT THE ORGANIZATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE ASCENSION AND FOUNDING RELIGIOUS SPONSORS, IN SUPPORT OF THOSE ORGANIZATIONS AND AFFILIATED ORGANIZATIONS CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) OR 509(A)(2) OF THE CODE. THAT DIRECTION PROVIDES THE AUTHORITY FOR THE CHANGES DESCRIBED ABOVE, WHICH WERE ACCOMPLISHED ACCORDING TO THE FORM OF TRANSACTION THAT EITHER ADDED THE ORGANIZATION TO THE ASCENSION SYSTEM OR CAUSED ITS REMOVAL OR ANY CHANGES THAT AFFECT AN ENTITY'S REPORTING STATUS FOR THIS PURPOSE. |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 15a & 15b - PROCESS FOR DETERMINING COMPENSATION | THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Our lady of Lourdes Hospital at Pasco has a single corporate member, Ascension Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | OUR LADY OF LOURDES HOSPITAL AT PASCO HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF OUR LADY OF LOURDES HOSPITAL AT PASCO. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations and major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic and financial plans; assets; system policies and procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section A Related Entities | The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with Affiliates - 296724; |
| Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS | THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. |
| Form 990, Part XII, Line 2c AUDIT COMMITTEE | THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. |
| FORM 990, PAGE 1 PHYSICAL ADDRESS | THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. |
| Software ID: | 22016089 |
| Software Version: | 2022v5.0 |