(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 |
630952490 | 7 | No | 0 | 0 | |
(R)
ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME |
362841358 | 9 | No | 0 | 0 | |
(S)
ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC FKA WHEATON FRANCISCAN HEALTHC ARE - ALL SAINTS FOUNDATION INC |
391570877 | 7 | No | 0 | 0 | |
(T)
ASCENSION ALL SAINTS HOSPITAL INC |
391264986 | 3 | No | 0 | 0 | |
(U)
ASCENSION ALLEGAN HOSPITAL |
381359180 | 3 | No | 0 | 0 | |
(V)
ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC |
205800012 | 3 | No | 0 | 0 | |
(W)
ASCENSION ARIZONA |
860455920 | 3 | No | 0 | 0 | |
(X)
ASCENSION BORGESS HOSPITAL |
381360526 | 3 | No | 0 | 0 | |
(Y)
ASCENSION BORGESS-LEE HOSPITAL |
381490190 | 3 | No | 0 | 0 | |
(Z)
ASCENSION BRIGHTON CENTER FOR RECOVERY |
381576680 | 3 | No | 0 | 0 | |
(AA)
ASCENSION CALUMET HOSPITAL INC |
390905385 | 3 | No | 0 | 0 | |
(AB)
ASCENSION EAGLE RIVER HOSPITAL INC |
390985690 | 3 | No | 0 | 0 | |
(AC)
ASCENSION EASTWOOD BEHAVIORAL HEALTH |
381958763 | 9 | No | 0 | 0 | |
(AD)
ASCENSION GENESYS HOSPITAL |
382377821 | 3 | No | 0 | 0 | |
(AE)
ASCENSION GOOD SAMARITAN HOSPITAL INC |
390808503 | 3 | No | 0 | 0 | |
(AF)
ASCENSION LIVING - LAKESHORE AT SIENA INC |
824710412 | 9 | No | 0 | 0 | |
(AG)
ASCENSION MACOMB OAKLAND HOSPITAL |
383322109 | 3 | No | 0 | 0 | |
(AH)
ASCENSION MEDICAL GROUP GENESYS |
831617112 | 9 | No | 0 | 0 | |
(AI)
ASCENSION MEDICAL GROUP MICHIGAN |
383494637 | 9 | No | 0 | 0 | |
(AJ)
ASCENSION MEDICAL GROUP PROMED |
383193801 | 9 | No | 0 | 0 | |
(AK)
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC |
391127163 | 3 | No | 0 | 0 | |
(AL)
ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC |
391965593 | 3 | No | 0 | 0 | |
(AM)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC |
391791586 | 3 | No | 0 | 0 | |
(AN)
ASCENSION MICHIGAN |
382631907 | 9 | No | 0 | 0 | |
(AO)
ASCENSION MICHIGAN CMG |
382601348 | 9 | No | 0 | 0 | |
(AP)
ASCENSION NE WISCONSIN INC |
390816818 | 3 | No | 0 | 0 | |
(AQ)
ASCENSION OUR LADY OF VICTORY HOSPITAL INC |
390807065 | 3 | No | 0 | 0 | |
(AR)
ASCENSION PROVIDENCE |
741109636 | 3 | No | 0 | 0 | |
(AS)
ASCENSION PROVIDENCE FOUNDATION |
383526629 | 7 | No | 0 | 0 | |
(AT)
ASCENSION PROVIDENCE HOSPITAL |
381358212 | 3 | No | 0 | 0 | |
(AU)
ASCENSION PROVIDENCE ROCHESTER HOSPITAL |
381359247 | 3 | No | 0 | 0 | |
(AV)
ASCENSION RIVER DISTRICT HOSPITAL |
383160564 | 3 | No | 0 | 0 | |
(AW)
ASCENSION SACRED HEART- STMARY'S HOSPITALS INC |
391390638 | 3 | No | 0 | 0 | |
(AX)
ASCENSION SE WISCONSIN HOSPITAL INC |
390816857 | 3 | No | 0 | 0 | |
(AY)
ASCENSION SETON |
741109643 | 3 | No | 50,000 | 0 | |
(AZ)
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH |
382262856 | 3 | No | 0 | 0 | |
(BA)
ASCENSION ST CLARE'S HOSPITAL INC |
721531917 | 3 | No | 0 | 0 | |
(BB)
ASCENSION ST ELIZABETH FOUNDATION INC FKA ST ELIZABETH HOSPITAL FOUNDATION INC |
391256677 | 7 | No | 0 | 0 | |
(BC)
ASCENSION ST FRANCIS HOSPITAL INC |
390907740 | 3 | No | 0 | 0 | |
(BD)
ASCENSION ST JOHN FOUNDATION |
202961579 | 7 | No | 0 | 0 | |
(BE)
ASCENSION ST JOHN HOSPITAL |
381359063 | 3 | No | 0 | 0 | |
(BF)
ASCENSION ST JOSEPH HOSPITAL |
381443395 | 3 | No | 0 | 0 | |
(BG)
ASCENSION ST MARY'S HOSPITAL |
380997730 | 3 | No | 0 | 0 | |
(BH)
ASCENSION ST MICHAEL'S HOSPITAL INC |
390808443 | 3 | No | 0 | 0 | |
(BI)
ASCENSION STANDISH HOSPITAL |
381671120 | 3 | No | 0 | 0 | |
(BJ)
ASCENSION VIA CHRISTI HEALTH PARTNERS INC |
480958974 | 9 | No | 0 | 0 | |
(BK)
ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC |
481186704 | 3 | No | 0 | 0 | |
(BL)
ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC |
480543778 | 3 | No | 0 | 0 | |
(BM)
ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC |
271965272 | 3 | No | 0 | 0 | |
(BN)
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC |
481172106 | 3 | No | 0 | 0 | |
(BO)
ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC |
481158274 | 3 | No | 0 | 0 | |
(BP)
ASCENSION WISCONSIN FOUNDATION INC FKA COLUMBIA ST MARY'S FOUNDATION INC |
391494981 | 7 | No | 0 | 0 | |
(BQ)
ASCENSION WISCONSIN LABORATORIES INC |
391701402 | 9 | No | 0 | 0 | |
(BR)
ASCENSION WISCONSIN PHARMACY INC |
391613624 | 9 | No | 0 | 0 | |
(BS)
BORGESS AMBULATORY CARE CORPORATION |
382468823 | 3 | No | 0 | 0 | |
(BT)
BORGESS NURSING HOME INC |
382555589 | 3 | No | 0 | 0 | |
(BU)
CARONDELET LONG-TERM CARE FACILITIES INC |
742505427 | 9 | No | 0 | 0 | |
(BV)
CARONDELET REGIONAL MEDICAL PC |
814769136 | 3 | No | 0 | 0 | |
(BW)
CARROLL MANOR |
832068871 | 9 | No | 0 | 0 | |
(BX)
CATALPA HEALTH INC |
454681563 | 3 | No | 0 | 0 | |
(BY)
COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC |
390806315 | 3 | No | 0 | 0 | |
(BZ)
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC |
390807063 | 3 | No | 0 | 0 | |
(CA)
CORNERSTONE ASSISTED LIVING INC |
481241079 | 9 | No | 0 | 0 | |
(CB)
DELL CHILDREN'S MEDICAL GROUP |
742800601 | 9 | No | 0 | 0 | |
(CC)
DR KATE NEWCOMB CONVALESCENT CENTER INC |
391357365 | 9 | No | 0 | 0 | |
(CD)
FIELD NEUROSCIENCES INSTITUTE |
382790703 | 9 | No | 0 | 0 | |
(CE)
GENESYS CONVALESCENT CENTER |
382317364 | 3 | No | 0 | 0 | |
(CF)
HAVEN OF OUR LADY OF PEACE INC |
593620346 | 9 | No | 0 | 0 | |
(CG)
HEALTHCARE COLLABORATIVE |
273220767 | 9 | No | 0 | 0 | |
(CH)
JANE PHILLIPS MEMORIAL MEDICAL CENTER |
730606129 | 3 | No | 0 | 0 | |
(CI)
JANE PHILLIPS NOWATA HOSPITAL INC |
731440267 | 3 | No | 0 | 0 | |
(CJ)
LaVerna Terrace Housing Corporation |
363438977 | 9 | No | 0 | 0 | |
(CK)
MEDICARE VALUE PARTNERS |
363495969 | 9 | No | 0 | 0 | |
(CL)
MERCY HEALTH FOUNDATION INC |
237140261 | 9 | No | 0 | 0 | |
(CM)
METRO PHYSICIANS INC |
943436893 | 3 | No | 0 | 0 | |
(CN)
OUR LADY OF LOURDES HOSPITAL AT PASCO |
910349750 | 3 | No | 0 | 0 | |
(CO)
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
150532221 | 3 | No | 0 | 0 | |
(CP)
OUR LADY OF PEACE INC |
161608735 | 3 | No | 0 | 0 | |
(CQ)
OWASSO MEDICAL FACILITY INC |
203700131 | 3 | No | 0 | 0 | |
(CR)
PRESENCE AMBULATORY SERVICES |
364286236 | 9 | No | 0 | 0 | |
(CS)
PRESENCE BEHAVIORAL HEALTH |
362709982 | 9 | No | 0 | 0 | |
(CT)
PRESENCE CARE HOME |
460483587 | 9 | No | 0 | 0 | |
(CU)
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK |
364195126 | 3 | No | 0 | 0 | |
(CV)
PRESENCE CHICAGO HOSPITALS NETWORK |
362235165 | 3 | No | 0 | 0 | |
(CW)
PRESENCE HEALTHCARE SERVICES |
363330928 | 3 | No | 0 | 0 | |
(CX)
PRESENCE HOME CARE |
460483581 | 9 | No | 0 | 0 | |
(CY)
PRESENCE LIFE CONNECTIONS |
371127787 | 9 | No | 0 | 0 | |
(CZ)
PRESENCE SENIOR SERVICES CHICAGOLAND |
237061646 | 9 | No | 0 | 0 | |
(DA)
PRIMARY PHYSICIAN NETWORK LLC |
208775914 | 9 | No | 0 | 0 | |
(DB)
PROVIDENCE FOUNDATION |
630915493 | 7 | No | 0 | 0 | |
(DC)
PROVIDENCE HEALTH ALLIANCE |
742696970 | 3 | No | 0 | 0 | |
(DD)
PROVIDENCE HOSPITAL |
630288861 | 3 | No | 0 | 0 | |
(DE)
PROVIDENCE HOSPITAL |
530196636 | 3 | No | 0 | 0 | |
(DF)
PROVIDENCE PARK INC |
611759304 | 3 | No | 0 | 0 | |
(DG)
RAINBOW HOSPICE AND PALLIATIVE CARE |
363296367 | 9 | No | 0 | 0 | |
(DH)
SACRED HEART FOUNDATION INC |
592436597 | 7 | No | 0 | 0 | |
(DI)
SACRED HEART HEALTH SYSTEM INC |
590634434 | 3 | No | 0 | 0 | |
(DJ)
SACRED HEART REHABILITATION INSTITUTE Inc |
390902199 | 3 | No | 0 | 0 | |
(DK)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC |
410693877 | 3 | No | 0 | 0 | |
(DL)
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC |
390847631 | 3 | No | 0 | 0 | |
(DM)
SAINT THOMAS HEALTH FOUNDATIONS |
581663055 | 7 | No | 0 | 0 | |
(DN)
SAINT THOMAS HICKMAN HOSPITAL |
581737573 | 3 | No | 0 | 0 | |
(DO)
SAINT THOMAS HOME HEALTH |
621836937 | 9 | No | 0 | 0 | |
(DP)
SAINT THOMAS MEDICAL PARTNERS |
621529858 | 9 | No | 0 | 0 | |
(DQ)
SAINT THOMAS MIDTOWN HOSPITAL |
621869474 | 3 | No | 0 | 0 | |
(DR)
SAINT THOMAS NETWORK |
621284994 | 9 | No | 0 | 0 | |
(DS)
SAINT THOMAS REGIONAL HOSPITALS |
474063046 | 3 | No | 0 | 0 | |
(DT)
SAINT THOMAS RUTHERFORD HOSPITAL |
620475842 | 3 | No | 0 | 0 | |
(DU)
SAINT THOMAS WEST HOSPITAL |
620347580 | 3 | No | 0 | 0 | |
(DV)
SALINA REGIONAL HOME MEDICAL SERVICES LLC |
431948057 | 9 | No | 0 | 0 | |
(DW)
SETON FAMILY OF DOCTORS |
264562522 | 9 | No | 0 | 0 | |
(DX)
SETON FAMILY OF PEDIATRIC SURGEONS |
271311790 | 9 | No | 0 | 0 | |
(DY)
SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN |
382820107 | 9 | No | 0 | 0 | |
(DZ)
SETON HOSPITALIST SERVICE |
452498998 | 9 | No | 0 | 0 | |
(EA)
SETON MANOR INC |
232960726 | 9 | No | 0 | 0 | |
(EB)
SETON MEDICAL GROUP INC |
392064992 | 9 | No | 0 | 0 | |
(EC)
SETON ORAL & MAXILLOFACIAL SURGERY |
421670843 | 9 | No | 0 | 0 | |
(ED)
SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP |
742869762 | 9 | No | 0 | 0 | |
(EE)
SJRMC INC |
820204264 | 3 | No | 0 | 0 | |
(EF)
SOUTHERN TIER MEDICAL CARE - NY PC |
821103087 | 3 | No | 0 | 0 | |
(EG)
ST AGNES HEALTHCARE INC |
520591657 | 3 | No | 0 | 0 | |
(EH)
St Alexius Medical Center |
364251846 | 3 | No | 0 | 0 | |
(EI)
ST CATHERINE LABOURE MANOR INC |
591878316 | 3 | No | 0 | 0 | |
(EJ)
ST JOHN AUXILIARY INC |
730999759 | 9 | No | 0 | 0 | |
(EK)
ST JOHN BROKEN ARROW INC |
383833117 | 3 | No | 0 | 0 | |
(EL)
ST JOHN HEALTH SYSTEM FOUNDATION INC |
731133139 | 7 | No | 0 | 0 | |
(EM)
ST JOHN MEDICAL CENTER INC |
730579286 | 3 | No | 0 | 0 | |
(EN)
ST JOHN SAPULPA INC |
730662663 | 3 | No | 0 | 0 | |
(EO)
ST JOHN VILLAS INC |
731077367 | 9 | No | 0 | 0 | |
(EP)
ST JOSEPH HOSPITAL & HEALTH CENTER INC |
350992717 | 3 | No | 0 | 0 | |
(EQ)
ST JOSEPH'S MINISTRIES INC |
521835288 | 9 | No | 0 | 0 | |
(ER)
ST LUKE'S-ST VINCENT'S HEALTHCARE INC |
260479484 | 3 | No | 0 | 0 | |
(ES)
ST MARY'S HEALTH INC |
350869065 | 3 | No | 0 | 0 | |
(ET)
ST MARY'S HEALTHCARE |
141347719 | 3 | No | 0 | 0 | |
(EU)
ST MARY'S MEDICAL GROUP LLC |
261356310 | 9 | No | 0 | 0 | |
(EV)
ST MARY'S WARRICK HOSPITAL INC |
351343019 | 3 | No | 0 | 0 | |
(EW)
ST VINCENT ANDERSON REGIONAL HOSPITAL INC |
460877261 | 3 | No | 0 | 0 | |
(EX)
ST VINCENT CARMEL HOSPITAL INC |
743107055 | 3 | No | 0 | 0 | |
(EY)
ST VINCENT CLAY HOSPITAL INC |
352112529 | 3 | No | 0 | 0 | |
(EZ)
ST VINCENT DUNN HOSPITAL INC |
272192831 | 3 | No | 0 | 0 | |
(FA)
ST VINCENT FISHERS HOSPITAL INC |
454243702 | 3 | No | 0 | 0 | |
(FB)
ST VINCENT FRANKFORT HOSPITAL INC |
352099320 | 3 | No | 0 | 0 | |
(FC)
ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC |
461227327 | 9 | No | 0 | 0 | |
(FD)
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC |
350869066 | 3 | No | 0 | 0 | |
(FE)
ST VINCENT JENNINGS HOSPITAL FOUNDATION INC |
841703732 | 1 | No | 0 | 0 | |
(FF)
ST VINCENT JENNINGS HOSPITAL INC |
351841606 | 3 | No | 0 | 0 | |
(FG)
ST VINCENT MADISON COUNTY HEALTH SYSTEM INC |
350876389 | 3 | No | 0 | 0 | |
(FH)
ST VINCENT MEDICAL GROUP INC |
272039417 | 9 | No | 0 | 0 | |
(FI)
ST VINCENT RANDOLPH HOSPITAL INC |
352103153 | 3 | No | 0 | 0 | |
(FJ)
ST VINCENT RAS INC |
471289091 | 9 | No | 0 | 0 | |
(FK)
ST VINCENT SALEM HOSPITAL INC |
270847538 | 3 | No | 0 | 0 | |
(FL)
ST VINCENT SETON SPECIALTY HOSPITAL INC |
351712001 | 3 | No | 0 | 0 | |
(FM)
ST VINCENT WILLIAMSPORT HOSPITAL INC |
350784551 | 3 | No | 0 | 0 | |
(FN)
ST VINCENT'S AMBULATORY CARE INC |
592292041 | 9 | No | 0 | 0 | |
(FO)
ST VINCENT'S BIRMINGHAM |
630288864 | 3 | No | 0 | 0 | |
(FP)
ST VINCENT'S BLOUNT |
630909073 | 3 | No | 0 | 0 | |
(FQ)
ST VINCENT'S EAST |
630578923 | 3 | No | 0 | 0 | |
(FR)
ST VINCENT'S FOUNDATION OF ALABAMA INC |
630868066 | 7 | No | 0 | 0 | |
(FS)
ST VINCENT'S FOUNDATION INC |
592219923 | 7 | No | 0 | 0 | |
(FT)
ST VINCENT'S MEDICAL CENTER |
060646886 | 3 | No | 0 | 0 | |
(FU)
ST VINCENT'S MEDICAL CENTER FOUNDATION INC |
222558132 | 7 | No | 0 | 0 | |
(FV)
ST VINCENT'S MEDICAL CENTER INC |
590624449 | 3 | No | 0 | 0 | |
(FW)
ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC |
461523194 | 3 | No | 0 | 0 | |
(FX)
ST VINCENT'S SPECIAL NEEDS CENTER INC |
060702617 | 9 | No | 0 | 0 | |
(FY)
THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE |
362976619 | 1 | No | 0 | 0 | |
(FZ)
THE CONGREGATION OF ST JOSEPH |
830481134 | 1 | No | 0 | 0 | |
(GA)
THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET |
431296364 | 1 | No | 0 | 0 | |
(GB)
THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUI S |
430653298 | 1 | No | 0 | 0 | |
(GC)
THE HOWARD YOUNG MEDICAL CENTER INC |
390873606 | 3 | No | 0 | 0 | |
(GD)
THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST FRANCIS OF ASS ISI US CARIBBEAN PROVINCE |
731419335 | 1 | No | 0 | 0 | |
(GE)
TRI-COUNTY CLINICAL |
264562712 | 9 | No | 0 | 0 | |
(GF)
VIA CHRISTI FOUNDATION INC |
364943550 | 7 | No | 50,000 | 0 | |
(GG)
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC |
481236589 | 9 | No | 0 | 0 | |
(GH)
VIA CHRISTI VILLAGE GEORGETOWN INC |
481129325 | 9 | No | 0 | 0 | |
(GI)
VIA CHRISTI VILLAGE HAYS INC |
202828680 | 9 | No | 0 | 0 | |
(GJ)
VIA CHRISTI VILLAGE MANHATTAN INC |
481078862 | 9 | No | 0 | 0 | |
(GK)
VIA CHRISTI VILLAGE MCLEAN INC |
481247723 | 9 | No | 0 | 0 | |
(GL)
VIA CHRISTI VILLAGE PITTSBURG INC |
743070971 | 9 | No | 0 | 0 | |
(GM)
VIA CHRISTI VILLAGE PONCA CITY INC |
731153337 | 9 | No | 0 | 0 | |
(GN)
VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC |
930838390 | 9 | No | 0 | 0 | |
(GO)
WAMEGO HOSPITAL ASSOCIATION INC |
721526400 | 3 | No | 0 | 0 | |
(GP)
WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC |
391486775 | 9 | No | 0 | 0 | |
Total 198
|
100,000 | 0 |
Calendar year (or fiscal year beginning in) | (a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 in 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) |
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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) |
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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): |
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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 1-1/2% 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 .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 | |
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1 Amounts paid to supported organizations to accomplish exempt purposes | ||
2
Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity |
||
3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
4 Amounts paid to acquire exempt-use assets | ||
5 Qualified set-aside amounts (prior IRS approval required) | ||
6 Other distributions (describe in Part VI). See instructions | ||
7Total annual distributions. Add lines 1 through 6. | ||
8
Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions |
||
9 Distributable amount for 2019 from Section C, line 6 | ||
10 Line 8 amount divided by Line 9 amount |
Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
---|---|---|---|---|
1 Distributable amount for 2019 from Section C, line 6 | ||||
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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3 Excess distributions carryover, if any, to 2019: | ||||
a From 2014....... | ||||
b From 2015....... | ||||
c From 2016....... | ||||
d From 2017....... | ||||
e From 2018....... | ||||
fTotal of lines 3a through e | ||||
g Applied to underdistributions of prior years | ||||
h Applied to 2019 distributable amount | ||||
i
Carryover from 2014 not applied (see instructions) |
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j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
4Distributions for 2019 from Section D, line 7: | ||||
$ | ||||
a Applied to underdistributions of prior years | ||||
b Applied to 2019 distributable amount | ||||
c Remainder. Subtract lines 4a and 4b from 4. | ||||
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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8 Breakdown of line 7: | ||||
a Excess from 2015..... | ||||
b Excess from 2016..... | ||||
c Excess from 2017..... | ||||
d Excess from 2018..... | ||||
e Excess from 2019..... |
Facts And Circumstances Test |
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Return Reference | Explanation |
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Schedule A, Part I Line 12(g)(vi)-Amount of Other Support | ASCENSION HEALTH ALLIANCE PROVIDES A VARIETY OF NONCASH CENTRALIZED SYSTEM OFFICE SUPPORT IN FURTHERANCE OF THE MISSION OF THE ASCENSION SPONSOR AND THE OTHER SUPPORTED ORGANIZATIONS LISTED IN PART I. |
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. Ascension Health Alliance carries out the purposes of the Ascension Sponsor by supporting the 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. Ascension Health Alliance carries out the purposes of the Ascension Sponsor by supporting the 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 I, Line 12g(iv) MONETARY SUPPORT | ASCENSION HEALTH ALLIANCE PROVIDES A NUMBER OF CHARITABLE GRANTS (IDENTIFIED IN SCHEDULE I), IN FURTHERANCE OF THE MISSION OF THE ASCENSION SPONSOR AND THE OTHER SUPPORTED ORGANIZATIONS LISTED IN PART I. |
Schedule A, Part IV, Section A, Line 6 SUPPORT TO OTHER ORGANIZATIONS | ASCENSION HEALTH ALLIANCE PROVIDES SUPPORT TO ORGANIZATIONS OTHER THAN THOSE IT SUPPORTS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. ALL GRANTS THAT ARE MADE THROUGH ASCENSION HEALTH ALLIANCE ARE DONE SO TO CARRY OUT THE ACTIVITIES AND PURPOSES OF ITS SUPPORTED ORGANIZATIONS. |
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | ASCENSION HEALTH ALLIANCE 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 DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL IN THE UNITED STATES, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE, AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE BY AND THROUGH ASCENSION HEALTH MINISTRIES (ASCENSION SPONSOR), AND, PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE AFFILIATED ORGANIZATIONS PROVIDED THAT SUCH ORGANIZATIONS ARE DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) AND 509(A)(2) OF THE CODE. SUCH SUPPORTED ORGANIZATIONS ARE LISTED AT PART I. THE ORGANIZATION ALSO SUPPORTS ASCENSION SPONSOR, THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING 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. |
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. |
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. | (I)/(II) THE ORGANIZATION ADDED SUPPORTED ORGANIZATIONS, AS FOLLOWS: ASCENSION ALLEGAN HOSPITAL, EIN 38-1359180, JOINED SYSTEM 9/2019 ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES, INC., EIN 20-5800012, JOINED SYSTEM 9/2019 ASCENSION MEDICAL GROUP GENESYS, EIN 83-1617112, FORMED 8/2018 ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC., EIN 39-1965593, INADVERTENTLY EXCLUDED FROM SCHEDULE A IN PRIOR YEAR ASCENSION PROVIDENCE FOUNDATION, EIN 38-3526629, INADVERTENTLY EXCLUDED FROM SCHEDULE A IN PRIOR YEAR CARROLL MANOR, EIN 83-2068871, WAS PART OF PROVIDENCE HOSPITAL IN DC, NOW A SEPARATE LEGAL ENTITY VIA CHRISTI FOUNDATION, INC., EIN 36-4943550, CREATED 5/2019 THE ORGANIZATION REMOVED SUPPORTED ORGANIZATIONS, AS FOLLOWS: AGAPE COMMUNITY CENTER OF MILWAUKEE, INC., EIN 39-1641846, DISSOLVED 12/2018 CRITTENTON CANCER CENTER, EIN 38-3239057, FILED FINAL RETURN IN TAX YEAR 2018 HOWARD YOUNG FOUNDATION INC., EIN 39-1521169, NO LONGER A RELATED ENTITY MINISTRY WEIGHT MANAGEMENT, INC., EIN 39-1829015, DISSOLVED 12/2018 PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES, EIN 36-3330929, FILED FINAL RETURN IN TAX YEAR 2018 (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: | 19010655 |
Software Version: | 2019v5.0 |