2022-05-16T11:46:07-05:00 2021-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2020-07-01 620532345 MEMORIAL HEALTH CARE SYSTEM INC MEMO 4234957878 2525 DESALES AVENUE CHATTANOOGA TN 37404 MICHAEL SUTTON CFO 4234957878 2022-05-16 1 MICHAEL SUTTON 999009999 HEATHER ADKINS P01725376 3032989100 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JANELLE REILLY 2525 DESALES AVENUE CHATTANOOGA TN 37404 655185676 0 0928 X WWW.MEMORIAL.ORG X 1952 TN EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES BY PROVIDING HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY FOR THOSE IN CHATTANOOGA, TN AND THE SURROUNDING AREA. 18 11 4293 258 8900817 0 14986564 28028205 523383345 590874905 10990566 20158463 15070165 16119445 564430640 655181018 1511305 625420 0 0 243786244 259379447 0 0 0 349708503 382028956 595006052 642033823 -30575412 13147195 823793355 833500042 319978967 317600980 503814388 515899062 X 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. 0 0 36311508 110191 97953453 CARDIOVASCULAR SERVICESCHI MEMORIAL'S GUERRY HEART AND VASCULAR CENTER OFFERS A TEAM OF CARDIAC SPECIALISTS WHO HAVE TRAINED AT SOME OF THE MOST RENOWNED MEDICAL PROGRAMS IN THE COUNTRY. CHI MEMORIAL AND THE CHATTANOOGA HEART INSTITUTE INTEGRATED SERVICES IN EARLY 2011. WITH 25 CARDIOLOGISTS AND TWO CARDIOTHORACIC SURGEONS, THE CHATTANOOGA HEART INSTITUTE HAS LED THE REGION'S LARGEST CENTER DEDICATED SOLELY TO CARDIOVASCULAR CARE FOR THE PAST 40 YEARS. CHI MEMORIAL HOSPITAL CHATTANOOGA AND CHI MEMORIAL HOSPITAL HIXSON EACH PROVIDE CARDIAC IMAGING SERVICES THAT INCLUDE ECHOCARDIOGRAPHY, STRESS ECHOCARDIOGRAPHY, TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND NUCLEAR CARDIOLOGY. CHI MEMORIAL HOSPITAL CHATTANOOGA HAS FIVE CARDIAC CATHETERIZATION LABORATORIES AND TWO ELECTROPHYSIOLOGY LABORATORIES FOR SPECIALIZED CARDIAC PROCEDURES. 22660954 92641 82352326 IMAGING/ DIAGNOSTIC SERVICESCHI MEMORIAL OFFERS PATIENTS THE FULL RANGE OF OUTPATIENT IMAGING SERVICES. FOR WOMEN, OUR FACILITIES INCLUDE PRIVATE MAMMOGRAPHY SUITES, "SOFT" MAMMOGRAPHY, BREAST CANCER EDUCATION AND SUPPORT SERVICES. IMAGING SERVICES ARE AVAILABLE AT CHI MEMORIAL HOSPITAL CHATTANOOGA, CHI MEMORIAL HOSPITAL HIXSON, CHI MEMORIAL HOSPITAL GEORGIA AND CHI MEMORIAL OOLTEWAH IMAGING CENTER. OUR CAPABILITIES INCLUDE CT, 3-T MRI, DEDICATED BREAST MRI, DIGITAL RADIOGRAPHY, DIGITAL FLUOROSCOPY,NUCLEAR MEDICINE, ULTRASOUND, VASCULAR STUDIES, CARDIAC STRESS TESTING, ECOCARDIOGRAPHY, BONE DENSITY, MAMMOGRAPHY, AND PET/CT. 8816714 43762 38901879 CANCERTHE REES SKILLERN CANCER INSTITUTE AT CHI MEMORIAL IS THE LEADING PROVIDER OF CANCER SERVICES IN THE CHATTANOOGA AREA. OUR COMPREHENSIVE PROGRAM INCLUDES SEVEN CENTERS OF EXCELLENCE, EACH DEDICATED TO A SPECIFIC TYPE OF CANCER AND SUPPORTED BY INTERDISCIPLINARY TUMOR BOARDS, CLINICAL TRIALS AND ADVANCED TECHNOLOGIES, SUCH AS THE DA VINCI SURGICAL SYSTEM FOR ROBOTIC-ASSISTED MINIMALLY INVASIVE TREATMENT OF PROSTATE, GYNECOLOGIC, HEAD AND NECK, COLORECTAL, LUNG AND OTHER CANCERS. THE REES SKILLERN CANCER INSTITUTE AT CHI MEMORIAL IS THE LEADING PROVIDER OF CANCER SERVICES IN THE CHATTANOOGA AREA. AT CHI MEMORIAL, WE HAVE THE MOST UP TO DATE CANCER TREATMENT MACHINES IN THE INDUSTRY. WE HAVE THE TRUE BEAM STX, NOVALIS TX AND THE SIEMEN'S PRIMUS LINEAR ACCELERATORS. THESE MACHINES USE RADIATION TO TREAT THE PATIENT'S TUMOR. 536380631 378826 371667247 CHI MEMORIAL HEALTH PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOT LIMITED TO: PRIMARY AND PREVENTIVE CARE SERVICES, SOCIAL SERVICES, NUTRITION SERVICES, PHYSICAL AND SPEECH THERAPY, RADIOLOGY, ENDOSCOPY CENTER, SLEEP DIAGNOSTIC CENTER, AND MOBILE MAMMOGRAPHY SERVICES THAT EXTENDS ACCESS TO MAMMOGRAPHY, HEALTH SCREENINGS, AND EDUCATIONAL INFORMATION TO RESIDENTS IN 35 COUNTIES ACROSS TENNESSEE, GEORGIA AND ALABAMA. 536380631 378826 371667247 604169807 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 X 0 0 4293 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 TN X MICHAEL SUTTON 4234957878 2525 DE SALES AVENUE CHATTANOOGA TN 37404 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / FORMER CEO 2.00 48.00 X 0 1962777 220294 JAMES ZELLNER MD BOARD MEMBER/CHIEF OF MEDICAL STAFF 50.00 1.00 X 1666576 0 41590 WILSON CLEMENTS MD CARDIOVASCULAR SURGEON 50.00 0.00 X 1523334 0 34493 JANELLE REILLY MARKET CEO 46.00 4.00 X X 831254 0 103531 TROY HAMMETT FORMER BOARD TREASURER/SR VP/CFO 47.00 0.00 X 752985 0 98103 ALEN SIMEONE CARDIOVASCULAR SURGEON 50.00 0.00 X 811445 0 21543 WILLIAM WARREN MD CHAIR 50.00 3.00 X X 757262 0 49460 ALLEN ATCHLEY CARDIOLOGIST-NON-INVASIVE 50.00 0.00 X 744604 0 48994 GORDON GRAHAM CARDIOLOGIST 50.00 0.00 X 752031 0 37999 CALVIN LEDFORD CARDIOLOGIST-INVASIVE-INTVL 50.00 0.00 X 748960 0 22531 ANTHONY HOUSTON CHI MEMORIAL COO 40.00 10.00 X 693213 0 50615 ARLENE DONOWITZ MD BOARD MEMBER/PHYSICIAN 2.00 48.00 X 0 466234 34576 DEBRA MOORE SVP/ADMINISTRATOR OF MEMORIAL HOSPITAL HIXSON 50.00 0.00 X 319219 0 35071 MICHAEL SUTTON BOARD TREASURER/CFO 47.00 3.00 X 305337 0 33995 AARON WEBB BOARD MEMBER 2.00 48.00 X 0 306829 2207 JOHN BOXELL MD BOARD MEMBER / PHYSICIAN 10.00 1.00 X 64435 0 2254 CORINNE ALLEN SECRETARY (PARTIAL YEAR) 2.00 1.00 X X 0 0 0 JILL APLIN VICE CHAIR 2.00 1.00 X X 0 0 0 CHRISTOPHER CRIMMINS BOARD MEMBER 2.00 1.00 X 0 0 0 DAVEY DANIEL BOARD MEMBER 2.00 1.00 X 0 0 0 MARILYN HELMS MD BOARD MEMBER 2.00 1.00 X 0 0 0 DOROTHY JACKSON SCN BOARD MEMBER 2.00 1.00 X 0 0 0 MARYSTEWART LEWIS BOARD MEMBER 2.00 1.00 X 0 0 0 JOHN NASH MD BOARD MEMBER 2.00 1.00 X 0 0 0 MARY TANNER PHD BOARD MEMBER 2.00 1.00 X 0 0 0 JEFFREY WILSON BOARD MEMBER 2.00 1.00 X 0 0 0 JUDITH JUDY RALEY SCN SECRETARY 2.00 1.00 X X 0 0 0 MICHAEL WEBB BOARD MEMBER 2.00 1.00 X 0 0 0 9970655 2735840 837256 192 1 1 0 AMERICAN ANESTHESIOLOGY OF TN 2341 MCCALLIE AVE STE 402 CHATTANOOGA TN 37404 PHYSICIAN SERVICES 3999229 MONUMENT CONSULTING INC 1800 SUMMIT AVE RICHMOND VA 23230 CONSULTING SERVICES 2841086 COMPUTER TASK GROUP INC 8801 FAST PARK DR OFFICE101 RALEIGH NC 27617 IT STAFFING 1963099 VEGA CORP OF TENNESSEE 4637 SHALLOWFORD RD CHATTANOOGA TN 37411 GENERAL CONTRACTOR 1285760 G4S SECURE SOLUTIONS 2100 HAMILTON PLACE BLVD CHATTANOOGA TN 37421 SECURITY SERVICES 1258343 62 2263713 25764492 608733 28028205 NET PATIENT SERVICES 900099 584253433 584253433 0 0 MEDICAL SERVICES 621300 3791122 3791122 0 0 RENTAL INCOME 900099 2276194 2276194 0 0 ALL OTHER PSR 900099 554156 554156 0 0 590874905 3578954 113388 3465566 3000 4658 -1658 -1658 -1658 16375977 203532 0 0 16375977 203532 16579509 16579509 PHARMACY SERVICES 446110 8762324 0 8762324 0 SERVICES SOLD 900099 3871852 0 0 3871852 LABORATORY SERVICES 621500 1481802 0 0 1481802 2005125 25105 1980020 16121103 655181018 590874905 8900817 27377091 X 559420 559420 66000 66000 5428263 3962632 1465631 199381554 190520025 8861529 8732169 8345952 386217 32134453 30564008 1570445 13703008 13017858 685150 1057793 1057793 86510 86510 93341842 88550482 4791360 2832222 2832222 890639 890639 20695767 20695767 14788504 14788504 269768 269768 50339 50339 9343409 9343409 16633988 16633988 46547923 46547923 2936962 2936962 MEDICAL SUPPLIES 138089114 138089114 0 0 STATE PROVIDER TAX 26414784 26414784 0 0 REPAIRS AND MAINTENANCE 4784198 4784198 0 0 MISCELLANEOUS EXPENSES 2150547 2150547 0 0 1114647 1114647 642033823 604169807 37864016 0 16600 16250 33105822 4506984 0 77435423 86807166 0 0 0 17958706 25307197 1998281 1942708 689572278 355647986 364357430 333924292 0 209754319 263465219 0 7042487 7042487 112124287 110487739 823793355 833500042 95751985 101217209 0 10106 10107 0 0 0 0 0 224216876 216373664 319978967 317600980 X 503814388 515899062 0 503814388 515899062 823793355 833500042 X 13147195 34241278 -35303799 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 28960 1 1451 0 1 56099 86510 0 PART II-B, LINE 1: B. PAID STAFF ATTENDED COMMUNITY EVENTS, VARIOUS COMMUNITY ACTIVITIES, STRATEGIC PLANNING SESSIONS AND ATTENDED OTHER LEGISLATIVE MEETINGS. F. THE PORTION OF THE ORGANIZATIONS' DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION(AHA) - $5,268, CATHOLIC HEALTH ASSOCIATION(CHA) -$2,802, TENNESSEE HOSPITAL ASSOCIATION - $20,890 G. ATTENDED THE TN HOSPITAL ASSOCIATION'S DAY ON THE HILL AND MET WITH TN AND GA LEGISLATIVE DELEGATIONS. I. THE INGRAM GROUP, HEALTH CARE ADVOCACY, PUBLIC RELATIONS, HEALTH COMMUNITY, AND STRATEGIC PLANNING. 1362974 219078 1582052 1344652 250 18072 1362974 1305012 39640 1344652 1256793 48219 1305012 1207563 49230 1256793 0.50000 0.25000 0.25000 0 1 1 14525628 14525628 432746867 182274618 250472249 3192102 2276825 915277 220698758 160678335 60020423 18408923 10418208 7990715 333924292 CSH OPERATING INVESTMENT POOL 263465219 F 263465219 INTERCOMPANY RECEIVABLES 81407909 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 840405 INVESTMENTS IN UNCONSOLIDATED ORGS - NONCONTROLLING INTEREST 343978 RIGHT-OF-USE OPERATING LEASE 26384654 RIGHT-OF-USE FINANCE LEASE 1359794 OTHER ASSETS 150999 110487739 ENVIRONMENTAL REMEDIATION LIABILITY 456209 INTERCOMPANY NOTES PAYABLE 170698795 FINANCE LEASE LIABILITY 1384784 OPERATING LEASE LIABILITY 27815107 OTHER CURRENT LIABILITIES 16018769 216373664 X PART V, LINE 4: THE ENDOWMENT, HELD BY THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION, INC., WILL SECURE LONG-TERM ADVANCEMENT AND EXCELLENCE FOR MEMORIAL HEALTH CARE SYSTEM, INC.'S MINISTRY OF HEALING AS WE MOVE OUR MISSION FORWARD. CURRENTLY, THE FOUNDATION BOARD HAS MADE THE DECISION TO ALLOW THE ENDOWMENT TO CONTINUE TO GROW FOR THE FORESEEABLE FUTURE UNTIL IT REACHES A SIZE WHERE INVESTMENT INCOME WILL MAKE A SIGNIFICANT DIFFERENCE IN FUNDING FOR NEEDS AT MHCS. PART X, LINE 2: MEMORIAL HEALTH CARE SYSTEM'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. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 16250 9912155 0 9912155 0.01540 12473 26331285 15852307 10478978 0.01630 0 0 0 28723 36243440 15852307 20391133 0.03170 8 5087 3506649 144114 3362535 0.00520 5 150 3797227 1936477 1860750 0.00290 2 3108 785783 126822 658961 0.00100 0 0 0 0 4 1158 614559 7784 606775 0.00090 19 9503 8704218 2215197 6489021 0.01000 19 38226 44947658 18067504 26880154 0.04170 0 0 3 1109871 1109871 0.00170 3 1109871 1109871 0.00170 1 28127215 0 138806151 162684409 -23878258 X 1 1 1 BERYWOOD OFFICE PROPERTIES PHYSICIAN OFFICE BUILDING 0.63000 0.37000 2 1 CH MEMORIAL HOSPITAL 2525 DESALES AVENUE CHATTANOOGA TN 37404 WWW.MEMORIAL.ORG 0000000071 X X X A 2 CHI MEMORIAL HOSPITAL HIXSON 2051 HAMILL ROAD HIXSON TN 37343 WWW.MEMORIAL.ORG 0000000071 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 0 0 1 X WWW.MEMORIAL.ORG/COMMUNITY-BENEFIT X 1 19 1 HTTPS://WWW.MEMORIAL.ORG/EN/ABOUT-US/COMMUNITY-BENEFIT.HTML 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X WWW.MEMORIAL.ORG/FINANCIAL-ASSISTANCE-DISCOUNT X WWW.MEMORIAL.ORG/FINANCIAL-ASSISTANCE-DISCOUNT X WWW.MEMORIAL.ORG/FINANCIAL-ASSISTANCE-DISCOUNT X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CH MEMORIAL HOSPITAL, - FACILITY 2: CHI MEMORIAL HOSPITAL HIXSON FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: CHI MEMORIAL CHATTANOOGA AND CHI MEMORIAL HIXSON AS THE SPONSORS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, ENGAGED NATIONAL LEADERS IN COMMUNITY HEALTH NEEDS ASSESSMENTS TO ASSIST IN THE PROJECT. STRATASAN, A HEALTHCARE ANALYTICS AND FACILITATION COMPANY BASED OUT OF NASHVILLE, TENNESSEE, PROVIDED THE ANALYSIS OF COMMUNITY HEALTH DATA, FACILITATED THE FOCUS GROUP, CONDUCTED THE INTERVIEWS AND FACILITATED A COMMUNITY HEALTH SUMMIT TO RECEIVE COMMUNITY INPUT INTO THE PRIORITIES AND BRAINSTORM GOALS AND ACTIONS THE COMMUNITY COULD TAKE TO IMPROVE HEALTH.PROCESS:23 COMMUNITY MEMBERS, NOT-FOR-PROFIT ORGANIZATIONS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND THE ELDERLY (HOUSING AUTHORITY, GLASS HOUSE COLLECTIVE, AMERICAN RED CROSS, CHATTANOOGA AREA FOOD BANK), CEMPA COMMUNITY CARE, HEALTH PROVIDERS (HOSPITALS, HEALTH DEPARTMENT, MEDICAL SOCIETY, SUSAN G. KOMEN), EDUCATION PROVIDERS (BRADLEY COUNTY SCHOOLS, CLEVELAND CITY SCHOOLS, UNIVERSITY OF TENNESSEE-CHATTANOOGA), AND THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS PARTICIPATED IN A FOCUS GROUP AND INDIVIDUAL INTERVIEWS FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES ON FEBRUARY 8, 2019.A COMMUNITY HEALTH SUMMIT WAS CONDUCTED ON FEBRUARY 21, 2019 WITH 47 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, BUSINESS LEADERS, GOVERNMENT REPRESENTATIVES, SCHOOLS, NOT-FOR-PROFIT ORGANIZATIONS, EMPLOYERS AND OTHER COMMUNITY MEMBERS.REPRESENTATIVES OF THE HAMILTON COUNTY HEALTH DEPARTMENT PARTICIPATED IN THE INTERVIEWS AS WELL AS ATTENDING THE SUMMIT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: IN THE INTEREST OF WORKING TO ADDRESS COMMUNITY HEALTH ISSUES RELATED TO ITS 2019 CHNA KEY FINDINGS/ COMMUNITY-DEFINED PRIORITIES, CHI MEMORIAL IS COMMITTED TO ENGAGING IN THE FOLLOWING INITIATIVES, WHICH REQUIRE EITHER (1) ESTABLISHING A NEW PROJECT, PROGRAM, OR PARTNERSHIP AND/OR (2) ENHANCING THE OPERATION OF AN EXISTING PROJECT, PROGRAM, OR PARTNERSHIP.-ENHANCE THE ALIGNMENT AND ALLOCATION OF CHI MEMORIAL COMMUNITY GRANT FUNDING TO SUPPORT ORGANIZATIONS ADDRESSING THESE CHNA PRIORITIES.-EXPAND MARKETING TRADITIONAL AND SOCIAL MEDIA TO PROMOTE CHI MEMORIAL AND PARTNER EFFORTS ASSOCIATED WITH THESE CHNA PRIORITIES.-ENHANCE CHI MEMORIAL PARTNERSHIP WITH THE HAMILTON COUNTY (TN) FUSE PROGRAM BY DEDICATING NEW IN-KIND RESOURCES AND SEEKING NEW FUNDING/PARTNERS.-EXPLORE AND/OR ESTABLISH NEW CHI MEMORIAL PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO SERVE POOR AND VULNERABLE POPULATIONS.-EXPAND OPERATIONS OF THE CHI MEMORIAL CENTER FOR HEALTHY AGING - BOYNTON TERRACE COMMUNITY HEALTH CLINIC BY INCREMENTALLY ASSESSING UNIQUE PATIENT NEEDS AND DEVELOPING THE CLINIC ACCORDINGLY.-EXPAND THE CHI MEMORIAL MOBILE SCREENING PROGRAM BY INCREASING THE NUMBER OF SCREENINGS ADMINISTERED TO INDIGENT OR UNDERSERVED PATIENTS AND BY ENLARGING THE GEOGRAPHIC AREA COVERED.-ENHANCE CHI MEMORIAL PARTNERSHIPS WITH THE CHATTANOOGA TUMOR CLINIC (CTC) AND OTHER COMMUNITY ORGANIZATIONS BY ASSISTING THE CTC WITH HPV SCREENINGS, ASSESSING PATIENTS FOR SUICIDAL IDEATION (CHI MEMORIAL CANCER RESOURCE CENTER), AND SUPPORTING REMOTE AREA MEDICAL (RAM) CLINICS.-EXPAND THE CHI MEMORIAL CARDIAC OUTREACH PROGRAM BY INCREASING THE NUMBER OF VISITS AT OUTREACH CLINICS (PARTICULARLY CHARITY CARE VISITS).-ENHANCE CHI MEMORIAL EDUCATIONAL PROGRAMS SUPPORTING CARDIOVASCULAR HEALTH.-EXPAND THE CHI MEMORIAL-SUPPORTED MENTAL HEALTH FIRST-AID BEHAVIORAL HEALTH PROGRAM BY INCREASING THE NUMBER OF TRAININGS OFFERED.-EXPLORE OPPORTUNITY FOR CHI MEMORIAL TO PARTNER WITH ORGANIZATIONS TO ADDRESS TOBACCO/VAPE USE THROUGH EDUCATION AND OUTREACH.-EXPLORE OPPORTUNITY TO PARTNER WITH AN ADDICTION SPECIALIST TO TREAT PATIENTS HOSPITALIZED IN A CHI MEMORIAL FACILITY FOR AN EXTENDED PERIOD OF TIME.-ESTABLISH THE CHI MEMORIAL INSTITUTE FOR HEALTH CAREERS AND MEDICAL ADVANCEMENT AT HIXSON HIGH SCHOOL AS A COMPONENT OF THE HAMILTON COUNTY (TN) FUTURE READY INSTITUTE (STARTING 2019-20). FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. 5 1 - MEMORIAL HEART INSTITUTE 2501 CITICO AVE CHATTANOOGA TN 37404 CARDIAC PHYSICIAN PRACTICE 2 - MEMORIAL HEART INSTITUTE 2051 HAMILL ROAD HIXSON TN 37343 CARDIAC PHYSICIAN PRACTICE 3 - MEMORIAL OOLTEWAH IMAGING CENTER 6401 MOUNTAIN VIEW ROAD OOLTEWAH TN 37363 OUTPATIENT IMAGING CENTER 4 - MEMORIAL HEART INSTITUTE 400 BERRYWOOD TRAIL SUITE A CLEVELAND TN 37312 CARDIAC PHYSICIAN PRACTICE 5 - BERYWOOD OFFICE PROPERTIES 2501 CITICO AVENUE CHATTANOOGA TN 37404 PHYSICIAN OFFICE BUILDING PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: - THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. - THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. - THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. - THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: - RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; - HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; - PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY; - SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); - LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR - PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART I, LINE 7: THE COST TO CHARGE RATIO FOR THE YEAR ENDED 6/30/2021 WAS COMPUTED USING A COST REPORT METHODOLOGY. THIS RESULTED IN AN OVERALL COST TO CHARGE RATIO OF 20.58%. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST TO CHARGE RATIO. PART II, COMMUNITY BUILDING ACTIVITIES: IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, MEMORIAL HEALTH CARE SYSTEM IS ABLE TO SUPPORT PROGRAMS THAT BENEFIT MOST VULNERABLE MEMBERS OF OUR SOCIETY AND PROMOTE HEALTHY COMMUNITIES THROUGH FUNDRAISING ACTIVITIES. THE NET COST OF FUNDRAISING THAT BENEFITS THE COMMUNITY IS COUNTED AS A COMMUNITY BUILDING ACTIVITY. EMPLOYEES WHO VOLUNTEER IN COMMUNITY NONPROFIT ORGANIZATIONS WHILE BEING PAID ARE ALSO RECORDED HERE. ORGANIZATIONS BEING HELPED INCLUDE UNITED WAY, CHATTANOOGA AREA FOOD BANK, GREENWOOD TERRACE, COMMUNITY KITCHEN, RONALD MCDONALD HOUSE. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE THE COST OF PROVIDING PROGRAMS AND SERVICES TO INDIVIDUALS WHO ARE UNABLE TO AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR THOSE THAT ARE UNINSURED OR UNDERINSURED. PART III, LINE 2: BAD DEBT EXPENSE REPORTED ON THE MHCS UNAUDITED FINANCIAL STATEMENTS REPRESENTS AN ESTIMATE OF BAD DEBTS BASED ON HISTORICAL COLLECTION RESULTS. IT DOES NOT REPRESENT ACTUAL WRITE-OFFS INCURRED DURING THE PERIOD. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TOTHE ABILITY TO PAY.WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. ALL PATIENTS THAT DO NOT HAVE INSURANCE RECEIVE A DISCOUNT THAT IS CALCULATED EACH YEAR AS 150% OF THE COST TO CHARGE RATIO IN ACCORDANCE WITH TENNESSEE STATE CODE. THIS DISCOUNT IS APPLIED TO THE PATIENTS ACCOUNT PRIOR TO BILLING AND IS TREATED AS AN ADJUSTMENT TO NET PATIENT REVENUE IN THE SAME MANNER AS A MANAGED CARE DISCOUNT. THE PROVISION OF THIS DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE LOWERS THE AMOUNT THAT IS BILLED TO THE PATIENT AND REDUCES THE AMOUNT OF ANY SUBSEQUENT BAD DEBT EXPENSE. IN FISCAL YEAR 2021, SELF PAY DISCOUNTS WERE $ $34.4 MILLION REPRESENTING $ 7.1 MILLION AT COST. PART III, LINE 3: MEMORIAL HEALTH CARE SYSTEM, INC. DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: MEMORIAL HEALTH CARE SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 AND 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. MEMORIAL HEALTH CARE SYSTEM INC'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $23.9 MILLION REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. PART VI, LINE 2: WE ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE THROUGH THE COMMUNITY BENEFIT GRANTS THAT WE PROVIDE TO COMMUNITY PARTNERS. WHEN THE PARTNERS WRITE THEIR APPLICATIONS FOR ADDRESSING COMMUNITY HEALTH ISSUES, THEY SHARE APPROPRIATE COMMUNITY HEALTH DATA DESCRIBING THE HEALTH CARE NEEDS OF THE CLIENTS WITH WHICH THEY WORK. IN TURN, THESE APPLICATIONS ALONG WITH SUBSEQUENT CONVERSATIONS AND REPORTING PROVIDE TO US A SNAPSHOT OF THE CURRENT STATE OF HEALTH IN OUR COMMUNITY FROM A VARIETY OF VIEWPOINTS. WE ALSO LEARN OF HEALTH CARE NEEDS WHEN WE DO THE RESEARCH NEEDED TO WRITE OUR OWN GRANT APPLICATIONS SUBMITTED TO OTHER FOUNDATIONS AND AGENCIES. OFTEN, THIS RESEARCH DEMONSTRATES ADDITIONAL INFORMATION ABOUT COMMUNITY HEALTH CARE NEEDS. ANOTHER SOURCE OF INFORMATION IS THE WORK OF OUR EXECUTIVE LEADERSHIP TEAM MEMBERS WHO ACTIVELY SERVE ON A NUMBER OF COMMUNITY-BASED BOARDS FOR NOT-FOR-PROFIT AGENCIES. THEIR PARTICIPATION ALLOWS THEM TO BE INTIMATELY AWARE OF THE NEEDS AND CONCERNS OF THE CONSTITUENTS OF THESE AGENCIES. PART VI, LINE 3: NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: O HAMILTON AND BRADLEY COUNTIES WERE THE PRIMARY FOCUS OF THE CHNA DUE TO THE SERVICE AREA OF CHI MEMORIAL CHATTANOOGA AND CHI MEMORIAL HIXSON. USED AS THE STUDY AREA, HAMILTON AND BRADLEY COUNTIES PROVIDED 60% OF INPATIENT DISCHARGES FOR THE TWO HOSPITALS. 54.6% OF MEMORIAL INPATIENTS CAME FROM THE TWO COUNTIES IN 2018 AND 86% OF HIXSON'S PATIENTS CAME FROM THE TWO COUNTIES. THE COMMUNITY INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH CHI MEMORIAL CHATTANOOGA AND HIXSON DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHI MEMORIAL CHATTANOOGA'S FINANCIAL ASSISTANCE POLICY.O HAMILTON COUNTY (TN)- THE POPULATION OF HAMILTON COUNTY IS PROJECTED TO INCREASE FROM 2018 TO 2023 (1.03% PER YEAR). TENNESSEE IS PROJECTED TO INCREASE .89% PER YEAR. THE U.S. IS PROJECTED TO INCREASE .83% PER YEAR.- HAMILTON COUNTY HAD A HIGHER MEDIAN AGE (40.8 MEDIAN AGE) THAN TN 39.4 AND THE U.S. 38.3. HAMILTON COUNTY PERCENTAGE OF THE POPULATION 65 AND OVER WAS 18.3%, HIGHER THAN THE US POPULATION 65 AND OVER AT 16%.- HAMILTON COUNTY HAD HIGHER MEDIAN HOUSEHOLD INCOME AT $51,711 THAN TN ($49,776) BUT LOWER THAN THE U.S. ($58,100). THE RATE OF POVERTY IN HAMILTON COUNTY WAS 13.5% WHICH WAS LOWER THAN TN (15.8%) AND THE U.S. (14.0%). A HIGHER PERCENTAGE OF BLACKS AS A PERCENT OF TOTAL POPULATION WERE IN POVERTY THAN THE WHITE POPULATION.- THE HOUSEHOLD INCOME DISTRIBUTION OF HAMILTON COUNTY WAS 22% HIGHER INCOME (OVER $100,000), 55% MIDDLE INCOME AND 24% LOWER INCOME (UNDER $24,999).- THE MEDICAL CARE INDEX MEASURES HOW MUCH THE POPULATIONS SPENT OUT-OF-POCKET ON MEDICAL CARE SERVICES. THE U.S. INDEX WAS 100. HAMILTON COUNTY WAS 90, INDICATING 10% LESS SPENT OUT OF POCKET THAN THE AVERAGE U.S. HOUSEHOLD ON MEDICAL CARE (DOCTOR'S OFFICE VISITS, PRESCRIPTIONS, HOSPITAL VISITS).- THE RACIAL AND ETHNIC MAKE-UP OF HAMILTON COUNTY WAS 74% WHITE, 19% BLACK, 2% MIXED RACE, 2% ASIAN/PACIFIC ISLANDER, 3% OTHER, AND 6% HISPANIC ORIGIN. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.) O BRADLEY COUNTY (TN)- THE POPULATION OF BRADLEY COUNTY IS PROJECTED TO INCREASE FROM 2018 TO 2023 (.90% PER YEAR). TENNESSEE IS PROJECTED TO INCREASE .89% PER YEAR, AND THE U.S. .83% PER YEAR.- BRADLEY COUNTY HAD A HIGHER MEDIAN AGE (40.1 MEDIAN AGE) THAN TN, 39.4 AND THE U.S. 38.3. BRADLEY COUNTY PERCENTAGE OF THE POPULATION 65 AND OVER WAS 17.5%, HIGHER THAN THE US POPULATION 65 AND OVER AT 16%.- BRADLEY COUNTY HAD LOWER MEDIAN HOUSEHOLD INCOME AT $44,812 THAN TN ($49,776) AND THE U.S. ($58,100). THE RATE OF POVERTY IN BRADLEY COUNTY WAS 14.2% WHICH WAS LOWER THAN TN (15.8%) BUT HIGHER THAN THE U.S. (14.0%). A HIGHER PERCENTAGE OF HISPANIC AS A PERCENT OF TOTAL POPULATION WERE IN POVERTY THAN THE WHITE POPULATION.- THE HOUSEHOLD INCOME DISTRIBUTION OF BRADLEY COUNTY WAS 14% HIGHER INCOME (OVER $100,000), 60% MIDDLE INCOME AND 26% LOWER INCOME (UNDER $24,999).- THE MEDICAL CARE INDEX MEASURES HOW MUCH THE POPULATIONS SPENT OUT-OF-POCKET ON MEDICAL CARE SERVICES. THE U.S. INDEX WAS 100. BRADLEY COUNTY WAS 79, INDICATING 21% LESS SPENT OUT OF POCKET THAN THE AVERAGE U.S. HOUSEHOLD ON MEDICAL CARE (DOCTOR'S OFFICE VISITS, PRESCRIPTIONS, HOSPITAL VISITS).- THE RACIAL AND ETHNIC MAKE-UP OF BRADLEY COUNTY WAS 88% WHITE, 5% BLACK, 2% MIXED RACE, 2% ASIAN/PACIFIC ISLANDER, 3% OTHER, AND 7% HISPANIC ORIGIN. (THESE PERCENTAGES TOTAL TO OVER 100% BECAUSE HISPANIC IS AN ETHNICITY, NOT A RACE.) PART VI, LINE 5: MEMORIAL HEALTH CARE SYSTEM (MHCS) IS A FAITH BASED, TAX-EXEMPT 501(C)(3) ORGANIZATION THAT PROVIDES MEDICAL CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. OUR TAX EXEMPT STATUS IS SUBSTANTIATED BY ITS INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY SERVICES HAVE ALWAYS BEEN A SIGNIFICANT PART OF MHCS. EACH YEAR, SERVICES AND PROGRAMS OFFERED TO THE COMMUNITY ARE EVALUATED AND EXPANDED TO PROMOTE INCREASED ACCESS TO HEALTHCARE AND HEALTHIER COMMUNITIES THAT TARGETS CHRONIC DISEASE PREVENTION AND MANAGEMENT FOR VULNERABLE AND UNDERSERVED POPULATIONS. TO ENHANCE THE HEALTH STATUS OF CHATTANOOGANS, MHCS FOCUSES ON THE WHOLE PERSON INCLUDING THE PERSON'S SPIRITUAL, EMOTIONAL, AND PHYSICAL WELL-BEING.IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, MHCS COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE POOR AS WELL AS THE BROADER COMMUNITY. BENEFITS FOR THE POOR INCLUDE THE COST OF PROVIDING SERVICES TO INDIVIDUALS WHO ARE UNABLE TO AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR THOSE THAT ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE POOR INCLUDE TRADITIONAL CHARITY CARE, UNPAID COSTS OF MEDICAID, SUBSIDIZED OR FREE HEALTH SERVICES, AND CASH AND IN-KIND DONATIONS TO ORGANIZATIONS THAT SERVE THE POOR. THE AMOUNTS REPORTED REFLECT THE COSTS OF THESE SERVICES, NET OF CONTRIBUTIONS, GOVERNMENT PAYMENTS AND OTHER REVENUES RECEIVED AS DIRECT ASSISTANCE.COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDES THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS POOR BUT MAY NEED SPECIAL SERVICES AND SUPPORT. BENEFITS TO THE BROADER COMMUNITY INCLUDE: HEALTH PROMOTION AND EDUCATION; HEALTH FAIRS AND SCREENINGS; UNPAID COSTS OF TRAINING HEALTH PROFESSIONALS; CASH AND INKIND DONATIONS TO ORGANIZATIONS THAT SERVE THE BROADER COMMUNITY; AND THE UNPAID COSTS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS.IN FISCAL YEAR 2021, MHCS PROVIDED COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES TO APPROXIMATELY 38,226 PEOPLE AT A TOTAL COST OF $46,057,529. DONATIONS, GRANTS, AND OTHER RECEIPTS TOTALING $18,067,504 WERE AVAILABLE AS DIRECT OFFSETS TO THESE COSTS.EMERGENCY ROOMMHCS OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR AT BOTH MEMORIAL AND MEMORIAL HIXSON HOSPITALS. BOTH EMERGENCY ROOMS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MHCS HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. DURING FY 2021, 64,085 PATIENTS VISITED ONE OF THESE EMERGENCY ROOMS. MEMORIAL HOSPITAL'S EMERGENCY ROOM IS A LEVEL 3 CERTIFIED CHEST PAIN CENTER. THIS IS IMPORTANT FOR A HOSPITAL THAT FOCUSES ON CARDIAC CARE WHERE EVERY MINUTE COUNTS WHEN PATIENTS ARE EXPERIENCING CHEST PAIN.UNCOMPENSATED CARECHARITY CARE IS THE COST OF CARE OF UNINSURED OR UNDERINSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME RELATED SCALE. THOSE RECEIVING CHARITY CARE ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS TENNCARE.MHCS HAS A CHARITY CARE POLICY, WHICH ASSURES THAT ALL PERSONS RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MHCS PROVIDES A SIGNIFICANT LEVEL OF CHARITY CARE EACH YEAR. IN FY 2021, THE COST OF CHARITY CARE WAS $9,912,155. ADDITIONALLY, MHCS PROVIDED UNREIMBURSED COSTS IN THE AMOUNT OF $10,478,978 FOR PATIENTS WHO QUALIFIED FOR THE TENNCARE PROGRAM. IN FY 2021, MHCS CLASSIFIED CHARITY AND UNREIMBURSED TENNCARE COSTS FOR REPORTING PURPOSES IN A MANNER CONSISTENT WITH A STANDARDIZED APPROACH DEVELOPED BY CHI FOR REPORTING AND BUDGETING BENEFITS PROVIDED TO THE COMMUNITY.PRESCRIPTION DRUG PROGRAMMHCS PROVIDES PRESCRIPTION DRUGS TO THOSE WHO CANNOT AFFORD TO PURCHASE THEM. IN FY 2021 MHCS PROVIDED $69,571.72 IN FREE PRESCRIPTION DRUGS.PHARMACEUTICAL ASSISTANCE PROGRAMSMHCS HAS PARTNERED WITH DISPENSARY OF HOPE, A NATIONAL ORGANIZATION THAT HELPS QUALIFYING UNINSURED PATIENTS OBTAIN NECESSARY MEDICATIONS AND OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS. MHCS IS ONE OF 80 DISPENSARY OF HOPE SITES THAT REDISTRIBUTE PHARMACEUTICALS THAT HAVE BEEN RECEIVED AS A DONATION FROM PHYSICIANS, DISTRIBUTORS, AND MANUFACTURERS. PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH PHYSICIANS, CASE MANAGERS, NURSES AND OTHER CAREGIVERS. MHCS WAS ABLE TO ASSIST 1,158 INDIVIDUALS RECEIVE THEIR PRESCRIPTION DRUGS THROUGH DISPENSARY OF HOPE AND OTHER PROGRAMS. MHCS INCURRED $183,362.80 IN EXPENSES RELATED TO THIS PROGRAM.HOMELESS HEALTH CARE CLINICTHE HOMELESS HEALTH CARE CLINIC PROVIDES COMPREHENSIVE HEALTH CARE TO HOMELESS MEN, WOMEN, AND CHILDREN. THE CLINIC STAFF GOES TO ABANDONED BUILDINGS, CAMPSITES AND SHELTERS LOOKING FOR HOMELESS PEOPLE WHO MAY NEED MEDICAL ATTENTION. MANY HOMELESS PEOPLE ARE AFRAID TO TALK TO PEOPLE OR LEAVE THEIR FAMILIAR SURROUNDINGS. THE CLINIC PROVIDES THEM WITH BLANKETS AND WARM CLOTHES IN THE WINTER AND WATER IN THE SUMMER. MEMORIAL HOSPITAL ASSISTS THE HOMELESS BY PROVIDING FREE LAB TESTS AND FUNDS A NURSING POSITION IN THE AMOUNT OF $40,000.FREE LABORATORY TESTSMHCS PROVIDES FREE LAB TESTS TO THE SAMARITAN CENTER, HOMELESS HEALTH CARE CLINIC, VOLUNTEERS IN MEDICINE, PROJECT ACCESS, NORTHSHORE CLINIC, AND WESTSIDE CLINIC FOR THOSE PATIENTS WITHOUT INSURANCE OR ADEQUATE MEANS TO PAY. LAB TESTS PROVIDED IN FY 21 TOTALED $405,492 AND SERVED 1762 PEOPLE. PROJECT ACCESSPROJECT ACCESS IS A REFERRAL NETWORK THAT OFFERS ACCESS TO MEDICAL CARE FOR LOW-INCOME RESIDENTS OF HAMILTON COUNTY WHO DO NOT HAVE INSURANCE. PATIENTS ENROLLED IN THIS PROGRAM MUST BE BELOW 150% OF THE POVERTY LEVEL AND CANNOT BE ELIGIBLE FOR HEALTH INSURANCE OR OTHER MEDICAL BENEFITS SUCH AS MEDICARE OR TENNCARE. PROJECT ACCESS HELPS PATIENTS GET SPECIALTY HEALTH CARE THAT PRIMARY CLINICS MAY NOT BE ABLE TO PROVIDE. INDIVIDUALS THAT QUALIFY ARE ELIGIBLE FOR SPECIALTY CARE FOR THREE MONTHS AND PRIMARY CARE FOR SIX MONTHS. PATIENTS ARE ALSO PROVIDED A PRESCRIPTION CARD THAT WILL ALLOW THEM TO GET THEIR MEDICATION WITH A $5.00 CO-PAY. MEMORIAL HOSPITAL PARTICIPATES AS A PROVIDER IN THIS NETWORK. COSTS ASSOCIATED WITH THIS PROGRAM ARE REPORTED IN THE PRESCRIPTION DRUG PROGRAM, FREE LABORATORY TESTS AND THE COST OF CHARITY CARE.EMERGENCY SITTING SERVICESMHCS PROVIDES EMERGENCY SITTING SERVICES AT NO COST TO FAMILIES OF PATIENTS WHO ARE UNABLE TO AFFORD TO HAVE SOMEONE STAY WITH THE PATIENT. THIS SERVICE IS AVAILABLE WHEN IT HAS BEEN DETERMINED THAT THE PATIENT DOES NOT NEED TO BE LEFT ALONE FOR SAFETY REASONS. IN FY2021 COSTS ASSOCIATED WITH PROVIDING THIS SERVICE WERE $578,317.NURSE NAVIGATIONMHCS HAS A NURSE NAVIGATION PROGRAM FOR ONCOLOGY PATIENTS AND CONGESTIVE HEART FAILURE PATIENTS. NURSES HELP THESE PATIENTS NAVIGATE THROUGH THEIR DIAGNOSIS AND TREATMENT BY HELPING THE PATIENT ACCESS SERVICES IN A TIMELY MANNER, OVERCOME BARRIERS TO QUALITY CARE, PROVIDE EDUCATION AND KNOWLEDGE TO THE PATIENT ABOUT THEIR ILLNESS, ANSWER QUESTIONS THE PATIENT HAS, SERVE AS A LIAISON BETWEEN THE PHYSICIAN AND PATIENT. NURSE NAVIGATORS WORK WITHIN THE MULTIDISCIPLINARY CANCER TEAM AS A PATIENT ADVOCATE, CARE PROVIDER, EDUCATOR, COUNSELOR, AND FACILITATOR. IN FY 21, THE CARDIAC NURSE NAVIGATOR PROGRAM COST $560,487DIABETES NUTRITION CENTERTHE DIABETES NUTRITION CENTER AT MEMORIAL HOSPITAL PROVIDES MANY SERVICES TO PEOPLE WITH DIABETES THAT ARE NOT COVERED BY INSURANCE. THIS CENTER FOCUSES ON SELF-MANAGEMENT AND PROVIDING EDUCATION TO PATIENTS ON DIET AND NUTRITION AND OTHER SKILLS TO HELP THE PATIENT BETTER MANAGE THEIR DISEASE. IN FY 2021, THIS PROGRAM INCURRED $253,468 IN UNREIMBURSED COSTS FOR 1,346 PATIENTS.CANCER RESOURCE CENTERMHCS HAS DEVELOPED A PROGRAM TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE, OFFERING THEM THE LATEST INFORMATION ABOUT CANCER CARE. WHETHER AN INDIVIDUAL HAS JUST BEEN DIAGNOSED OR HAS A FAMILY MEMBER WITH CANCER, THE ONCOLOGY PROFESSIONALS AT THE CANCER RESOURCE CENTER CAN ANSWER QUESTIONS OR HELP INDIVIDUALS UNDERSTAND THEIR OPTIONS REGARDLESS OF WHERE THEY GO FOR TREATMENT. THE CANCER RESOURCE CENTER ALSO OFFERS HEALING ARTS PROGRAM TO ENHANCE THE HEALING AND PROVIDE ALTERNATIVE APPROACHES TO COPING. NONE OF THE SERVICES ARE BILLED TO THE PATIENT AND FEW QUALIFY FOR INSURANCE REIMBURSEMENT. IN FY 2021 THE COST OF THIS PROGRAM WAS $1,365,621. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF MORE THAN 1,500 CARE SITES, CONSISTING OF 140 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2021, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.5 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.25 BILLION IN FISCAL YEAR 2021, HAS TOTAL ASSETS OF APPROXIMATELY $54.87 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES TN PART VI, LINE 5 CONTINUED MOBILE MAMMOGRAPHY COACHMHCS OPERATES TWO MOBILE MAMMOGRAPHY COACH THAT SERVICES 31 COUNTIES IN SOUTHEAST TENNESSEE, NORTHWEST GEORGIA AND NORTHEAST ALABAMA. IN THESE COUNTIES MINORITIES, UNINSURED, UNDERINSURED, HOMELESS AND SHELTERED WOMEN ARE GIVEN THE OPPORTUNITY TO RECEIVE BOTH BREAST AND CERVICAL SERVICES THAT WOULD NORMALLY NOT BE AVAILABLE. MHCS SEEKS DIFFERENT SOURCES OF GRANTS TO HELP OFFSET THIS COST. IN FY2021 3,354 PATIENTS RECEIVED MAMMOGRAMS ON THE MOBILE COACH AND MANY WERE PROVIDED THIS SERVICE THROUGH A GRANT WITH NO OUT OF POCKET COSTS. UNITED WAYMHCS HAS AN ANNUAL CAMPAIGN FOR UNITED WAY WHICH CONSISTS OF SEVERAL EVENTS FOR ASSOCIATES DURING THE FISCAL YEAR. THE STAFF COST TO PUT ON THESE EVENTS IS APPROXIMATELY $2,500. THE DONATIONS MADE BY ASSOCIATES TO THE UNITED WAY HELP FUND LOCAL COMMUNITY ORGANIZATIONS. IN ADDITION TO THE EMPLOYEE CAMPAIGN, MEMORIAL HOSPITAL ALSO PROVIDES SUPPORT THROUGH A CORPORATE DONATION TOTALING $26,080 SUPPORT GROUPSMHCS OFFERS A WIDE VARIETY OF SUPPORT GROUPS FOR PATIENTS AND THE BROADER COMMUNITY. SUPPORT GROUPS MEETING AT MHCS INCLUDE GROUPS DEALING WITH VARIOUS CANCER DIAGNOSIS, CAREGIVERS FOR ALZHEIMER'S FAMILY MEMBERS, WEIGHT MANAGEMENT AND BARIATRICS, DIABETES, OSTOMY PATIENTS, NICOTINE ANONYMOUS, AND GRIEF SUPPORT. SOME OF THESE GROUPS HAVE A STAFF MEMBER WHO LEADS THE GROUPS AND OTHERS ARE SELF-LED. HEALTH CARE STUDENT EDUCATIONMHCS SERVES AS A CLINICAL EDUCATION SITE FOR HEALTH CARE STUDENTS BY PROVIDING HANDS ON TRAINING IN NURSING, PHYSICAL THERAPY, PHARMACY, LAB AND SURGERY. WITH NURSING SHORTAGES PROJECTED TO INCREASE WITH AGING BABY BOOM POPULATION, MHCS FEELS VERY STRONGLY ABOUT EDUCATING OUR FUTURE HEALTHCARE PROFESSIONALS. MEMORIAL ALSO PROVIDES A PROGRAM FOR EMPLOYEES TO FURTHER THEIR EDUCATION AND RECEIVE TUITION REIMBURSEMENT. EXPENSES RELATED TO STUDENT EDUCATION AND TUITION REIMBURSEMENT WERE $1,860,750 DURING FY 2021. COVID 19 VACCINE FAIRSMHCS REACHED OUT TO VULNERABLE POPULATIONS TO PROVIDE ACCESS TO COVID19 VACCINATIONS. IN FY 2021, TEN VACCINATION FAIRS WERE HELD AND 3,766 PEOPLE WERE VACCINATED. STAFF THAT WERE PAID FOR THESE FAIRS TOTALLED $107,836.CONTRIBUTIONS MHCS RECEIVES SOME COMMUNITY SUPPORT FROM DONATIONS THAT HELPS FUND RESEARCH AND EDUCATION, CAPITAL EXPANSION AND RENOVATION, INDIGENT CARE, NEW EQUIPMENT AND OPERATING COST. THE VALUE OF THIS COMMUNITY SUPPORT IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE PROGRAMS AND COMMUNITY SERVICES DESCRIBED THROUGHOUT THIS DOCUMENT. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501C3 68750 COMMUNITY SUPPORT TOP OF GEORGIA ECONOMIC DEVELOPMENT INITIATIVE 10052 N HWY 27 22D ROCK SPRING GA 30739 264715037 501C3 15000 COMMUNITY SUPPORT UNITED WAY CHATTANOOGA 630 MARKET ST CHATTANOOGA TN 37405 620565962 501C3 27861 COMMUNITY SUPPORT UNIVERSITY OF CHATTANOOGA FOUNDATION 615 MCCALLIE AVE CHATTANOOGA TN 37403 620476521 501C3 52000 COMMUNITY SUPPORT NOTRE DAME HIGH SCHOOL 2701 VERMONT AVE CHATTANOOGA TN 37404 431694323 GOVT 30000 COMMUNITY SUPPORT AMERICAN RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501C3 10000 COMMUNITY SUPPORT SOUTHERN ADVENTIST UNIVERSITY PO BOX 370 COLLEGEDALE TN 37315 620536733 501C3 12500 COMMUNITY SUPPORT CHATTANOOGA AREA CHAMBER OF COMMERCE 811 BROAD STREET CHATTANOOGA TN 37402 620154480 501C3 50000 COMMUNITY SUPPORT CFC ACADEMY PO BOX 22373 CHATTANOOGA TN 37422 463083492 501C3 5000 COMMUNITY SUPPORT SCENIC CITY MULTISPORT LLC 7403 HYDRUS DR HARRISON TN 37341 452449701 N/A 15000 COMMUNITY SUPPORT GREATER NASHVILLE SUSAN G KOMEN CHAPTER 4009 HILLSBORO PIKE SUITE 209 NASHVILLE TN 37215 621671774 501C3 6500 COMMUNITY SUPPORT 9 2 SCHOLARSHIPS 25 66000 FMV PAYMENTS TO UNIVERSITIES FOR SCHOLARSHIP RECIPIENTS PART I, LINE 2: GRANT REQUESTS ARE COORDINATED THROUGH THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION. THE BENEFICIARY OF THE GRANT IS RESPONSIBLE FOR USING THE FUNDS IN ACCORDANCE WITH THE GRANT REQUIREMENTS. ALL GRANT SPENDING IS REVIEWED BY FISCAL SERVICES AND THE FOUNDATION BEFORE GRANT SPENDING IS REIMBURSED THROUGH THE FOUNDATION. PERIODIC REPORTING IS COORDINATED BETWEEN THE BENEFICIARY, FISCAL SERVICES, AND THE FOUNDATION. X X X X X 0 1 0 0 0 0 0 1 0 LARRY SCHUMACHER SR. VP OF OPERATIONS, SE DIVISION / 0 1053841 0 748629 0 160307 0 197895 0 22399 0 2183071 0 140400 JAMES ZELLNER MD BOARD MEMBER/CHIEF OF MEDICAL STAFF 1280112 0 378797 0 7667 0 16577 0 25013 0 1708166 0 0 0 WILSON CLEMENTS MD CARDIOVASCULAR SURGEON 1121651 0 398490 0 3193 0 17485 0 17008 0 1557827 0 0 0 JANELLE REILLY MARKET CEO 562233 0 211170 0 57851 0 71163 0 32368 0 934785 0 45002 0 TROY HAMMETT FORMER BOARD TREASURER/SR VP/CFO 544077 0 203065 0 5843 0 69019 0 29084 0 851088 0 0 0 ALEN SIMEONE CARDIOVASCULAR SURGEON 805810 0 0 0 5635 0 16975 0 4568 0 832988 0 0 0 WILLIAM WARREN MD CHAIR 666520 0 86877 0 3865 0 18547 0 30913 0 806722 0 0 0 ALLEN ATCHLEY CARDIOLOGIST-NON-INVASIVE 654970 0 86877 0 2757 0 17662 0 31332 0 793598 0 0 0 GORDON GRAHAM CARDIOLOGIST 652191 0 86877 0 12963 0 19749 0 18250 0 790030 0 0 0 CALVIN LEDFORD CARDIOLOGIST-INVASIVE-INTVL 656448 0 86877 0 5635 0 19769 0 2762 0 771491 0 0 0 ANTHONY HOUSTON CHI MEMORIAL COO 445570 0 167960 0 79683 0 15531 0 16748 18336 725492 18336 20344 0 ARLENE DONOWITZ MD BOARD MEMBER/PHYSICIAN 0 408951 0 45110 0 12173 0 17150 0 17426 0 500810 0 0 DEBRA MOORE SVP/ADMINISTRATOR OF MEMORIAL HOSPIT 280017 0 18397 0 20805 0 16743 0 18328 0 354290 0 0 0 MICHAEL SUTTON BOARD TREASURER/CFO 284669 0 18714 0 1954 0 20493 0 13502 0 339332 0 0 0 AARON WEBB BOARD MEMBER 0 281199 0 25000 0 630 0 707 0 1500 0 309036 0 0 PART I, LINE 4B DURING THE 2020 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2020 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: LAWRENCE SCHUMACHER - $142,711; JANELLE REILLY - $52,000; DEBRA MOORE - $16,680; ANTHONY HOUSTON - $24,187 DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2020 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2020, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: LAWRENCE SCHUMACHER - $51,727 PART I, LINE 7 MEMORIAL HEALTH CARE SYSTEM (MHCS) ISSUED BONUSES BASED ON INDIVIDUAL PERFORMANCE AND SPECIFIED EVENTS. BONUSES ARE SUBJECT TO MANAGEMENT AND BOARD APPROVAL. PART I, LINE 4A FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY THE COMMONSPIRIT HEALTH EXECUTIVE SEVERANCE POLICY. THIS POLICY PROVIDES FOR SEVERANCE PAY WHICH VARIES BASED UPON THE EXECUTIVE'S POSITION LEVEL, IN THE EVENT OF A POSITION ELIMINATION OR OTHER QUALIFYING EVENT, IN ACCORDANCE WITH THE GUIDELINES OF THE EXECUTIVE SEVERANCE POLICY. AN EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT SHALL CONTROL WHERE THE SEVERANCE PAY AMOUNTS IN THE POLICY CONFLICT WITH THE EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT. IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT OF CLAIMS. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. X PERSONAL PROTECTIVE EQUIPMENT 1 608733 FMV 0 0 0 FORM 990, PART V, LINE 1C PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI) ARE MADE BY CHI. CHI FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CHI ON BEHALF OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1 DELEGATED BROAD AUTHORITY TO A COMMITTEE PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE SECRETARY, WITH ONE (1) OR TWO (2) OTHER DIRECTORS; PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL INCLUDE: (1) TO THE EXTENT POSSIBLE, AT LEAST ONE MEMBER OF A PARTICIPATING CONGREGATION OR OTHER RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH, AND (2) AT LEAST ONE DIRECTOR WHO IS A PHYSICIAN MEMBER OF THE MEDICAL STAFF. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. PURSUANT TO SECTION 8.1 OF THE CORPORATIONS BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) BOARD MEMBERS. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. COMMITTEE MEMBERS SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL THEIR SUCCESSORS ARE DULY APPOINTED AND QUALIFIED. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDER SELECTING MEMBERS OF GOVERNING BODY ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30TH 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 AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS MEMORIAL HEALTH CARE SYSTEM'S ("MHCS"), CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF MHCS'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 CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MHCS * AMENDMENT OF THE CORPORATE DOCUMENTS OF MHCS * APPROVE MEMBERS OF THE MHCS BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MHCS * APPROVAL OF ISSUANCE OF DEBT BY MHCS * APPROVAL OF PARTICIPATION OF MHCS IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MHCS * APPROVAL OF A MERGER INVOLVING MHCS * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MHCS * TO REQUIRE THE TRANSFER OF ASSETS BY MHCS TO CSH TO ACCOMPLISH CSH'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MHCS. IN ADDITION, PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI 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. FORM 990, PART VI, SECTION B, LINE 11B MHCS'S FORM 990 IS PREPARED AND REVIEWED BY THE INTERNAL TAX DEPARTMENT OF ITS PARENT ORGANIZATION, COMMONSPIRIT HEALTH. THE RETURN IS THEN REVIEWED BY MHCS'S FISCAL SERVICES DEPARTMENT AND ITS CHIEF FINANCIAL OFFICER. PRIOR TO FILING, A COPY OF THE RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD ELECTRONICALLY. SUBSEQUENT TO PRESENTATION TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. 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. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. 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 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 (WHICH INCLUDES 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). 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 B, LINE 15 ON AN ANNUAL BASIS MHCS ENGAGES AN EXTERNAL CONSULTANT TO REVIEW THE COMPENSATION OF ITS EXECUTIVES. THE REVIEW IS PERFORMED TO ENSURE THAT EXECUTIVE SALARIES ARE WITHIN COMPARABLE MARKET RANGES FOR THAT POSITION. THE RESULTS OF THE REVIEW ARE PRESENTED TO THE EXECUTIVE COMPENSATION HUMAN RESOURCES COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. 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 VI, LINE 14 DOCUMENT RETENTION POLICY WHILE THE ORGANIZATION DOES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY IT HAS NOT BEEN FORMALLY ADOPTED BY THE BOARD. FORM 990, PART VI, LINE 16B JOINT VENTURE POLICY MHCS HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 88,550,482. MANAGEMENT AND GENERAL EXPENSES 4,791,360. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,341,842. FORM 990, PART XI, LINE 9: CENTRALIZED TRANSACTIONS -72,104. NON-CONTROLLING INTEREST -61,800. OTHER CHANGES IN NET ASSETS -2,380. CAPITAL TRANSFERS -35,292,708. EQUITY CHANGES IN UNCONSOLIDATED ORGS 125,193. FORM 990, PART XI, LINE 9 CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR. MEMORIAL HEALTH PARTNERS 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621784262 CONTRACT SERVICES TN 0 0 MHCS MEMORIAL HEART INSTITUTE LLC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 PHYSICIAN SERVICES TN 33698839 43695368 MHCS MISSION HEALTH CARE NETWORK 2525 DE SALES AVENUE CHATTANOOGA TN 37404 464236212 CLINICALLY INTEGRATED NETWORK TN 1529212 372338 MHCS ORTHOPEDIC SERVICE LINE MANAGEMENT LLC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 ORTHOPEDIC MANAGEMENT TN 0 0 MHCS ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 DH 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT HEALTH FOUNDATION INC 1 WEST WAY CT LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I TCHB 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CHI NS 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC - ROSEBURG 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DCC 0 CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 1 CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HOME HEALTH CO 501(C)(3) LINE 10 CHI NS 0 CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HOLDING CO CO 501(C)(3) LINE 12A, I CSH 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(4) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING CA 96003 237115371 SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DH 0 DIGNITY HEALTH FOUNDATION 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH HPL SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 943006034 SELF INSURANCE CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH INSURANCE NEVADA LTD 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 813800752 SELF INSURANCE NV 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC 0 DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 946612446 SELF INSURANCE CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 EAST TEXAS CLINICAL SERVICES 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(C)(3) LINE 12A, I SLHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN HEALTH VENTURES TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 INACTIVE MO 501(C)(3) LINE 10 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 INACTIVE WI 501(C)(3) LINE 10 CSH 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN 0 HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 7 HMC 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN 0 HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 ASSIST LIVING IA 501(C)(3) LINE 7 CHI-IA CORP 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029768 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(C)(3) LINE 10 JHSMH 0 KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSIST LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 1 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(C)(3) LINE 3 MHSET 0 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(C)(3) LINE 3 MHSET 0 MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(C)(3) LINE 12A, I MHSET 0 MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 INACTIVE TX 501(C)(3) LINE 3 MHSET 0 MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(C)(3) LINE 12A, I MF-DM IA 0 MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(C)(3) LINE 10 CHI-IA CORP 0 MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(C)(3) LINE 2 CHI-IA CORP 0 MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 7 CHI-IA CORP 0 MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 7 MMC - ROSEBURG 0 MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING 0 MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC 0 MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHBMHS 0 MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 MHDL 0 MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO CA 95816 680117340 SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DH 0 MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP 0 MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4TH AVE E NEWTON IA 50314 421470935 HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP 0 MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC WILLISTON 0 NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK ND 58501 911845296 MANAGEMENT ND 501(C)(3) LINE 7 SAMC 0 NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH 0 PACIFIC CENTRAL COAST HEALTH CENTERS 1400 E CHURCH STREET SANTA MARIA CA 93454 770447575 CLINIC CA 501(C)(3) LINE 3 DCC 0 PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 465322209 HOSPITAL CA 501(C)(3) LINE 3 DH 0 PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 LTERM CARE OH 501(C)(3) LINE 10 CHILC 0 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) LINE 7 CHIC 0 SET OF COLORADO SPRINGS INC 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 841183335 SENIOR CENTER SERVICES CO 501(C)(3) LINE 7 CHIC 0 SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222876836 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223639733 INACTIVE NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223319886 INACTIVE NJ 501(C)(3) LINE 3 SCHS 0 SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC 0 SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 INACTIVE NE 501(C)(3) LINE 3 SERMC 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE 0 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO CA 94109 941156295 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON KY 40504 611334601 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS 0 SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC 0 SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION 438 WEST LAS TUNAS DRIVE SAN GABRIEL CA 91776 953430341 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS 0 SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY CA 95945 941439787 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HOSPITAL MO 501(C)(3) LINE 3 CSH 0 ST FRANCIS FOUNDATION OF SANTA BARBARA 2323 DE LA VINA ST SUITE 104 SANTA BARBARA CA 93105 237137119 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA CA 93103 770022302 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST JOHNS HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST JOSEPHS FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 ST JOSEPHS FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH CA 90813 237373088 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST MARYS MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO CA 94117 943336143 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON NV 89052 880349432 FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DH 0 ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 863590968 INACTIVE WA 501(C)(3) LINE 10 FHS 0 ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON OR 97801 930391614 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON OR 97801 930992727 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH 0 ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(C)(3) LINE 3 SVIMC 0 ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I SCH 0 ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO OH 43551 270163752 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 INVESTMENTS OR 501(C)(4) CSH 0 ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222536017 INACTIVE NJ 501(C)(3) LINE 8 SCHS 0 ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I SJSC 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 LTERM CARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 520591461 INACTIVE MD 501(C)(3) LINE 3 CSH 0 ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIANS TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521311775 INACTIVE MD 501(C)(3) LINE 12A, I SJMC 0 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS 0 ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY ST DICKINSON ND 58601 450226429 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS 0 ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON TX 77225 760536232 MANAGEMENT TX 501(C)(3) LINE 12A, I CSH 0 ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 760531716 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS 0 ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL 0 ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY NE 68410 470443636 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SMCH 0 ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC 0 ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HOSPITAL AR 501(C)(3) LINE 3 CSH 0 ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 PHYSICIANS AR 501(C)(3) LINE 10 SVIMC 0 SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 341412964 HOLDING CO OH 501(C)(3) LINE 12A, I CSH 0 SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 455357161 INACTIVE OH 501(C)(3) LINE 12A, I SFH-OH 0 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSIST LIVING OH 501(C)(3) LINE 10 CHILC 0 THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 HOSPITAL OH 501(C)(3) LINE 3 CSH 0 THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA 0 TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840927232 INACTIVE CO 501(C)(3) LINE 3 CHIC 0 TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS 0 TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(C)(3) LINE 12A, I N/A 0 TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HOSPITAL OH 501(C)(3) LINE 3 THS 0 TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSIST LIVING OH 501(C)(3) LINE 7 THS 0 UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(C)(3) LINE 10 CSH 0 VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 221768334 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 YAVAPAI COMMUNITY HOSPITAL ASSOCIATION DBA YAVAPAI REGIONAL MEDICAL CENTER 1003 WILLO CREEK ROAD PRESCOTT AZ 86301 860098923 HOSPITAL AZ 501(C)(3) LINE 3 DCC 0 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLO CREEK ROAD PRESCOTT AZ 86301 861038463 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I YRMC 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 1 AMERICAN MERCY HOME CARE LLC 1700 EDISON DR MILFORD OH 45150 830486150 HOME HEALTH OH N/A N/A 0 0 ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 474696671 CARE NETWORK AZ N/A N/A 0 0 ARIZONA CARE NETWORK LLC (ACN LLC) 4222 E THOMAS RD STE 400 PHOENIX AZ 85013 454494682 CARE NETWORK AZ N/A N/A 0 0 ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES CA 90025 851067265 DIAGNOSTIC SERVICES CA N/A N/A 0 0 AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 841513085 REAL ESTATE CO N/A N/A 0 0 BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 FANNIN ST STE 1100 HOUSTON TX 77030 472079184 HEALTHCARE SRVC TX N/A N/A 0 0 BERGAN MERCY SURGERY CENTER LLC 7710 MERCY RD STE 200 OMAHA NE 68124 208671994 AMBUL SURG CTR NE N/A N/A 0 0 BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOGA TN 37404 621875199 PHYS OFFICE TN MHCS RELATED 130206 820798 0 65710 1 0.63000 BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC IMAGING KY N/A N/A 0 0 CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD CA 93309 461602286 RADIATION / ONCOLOGY CA N/A N/A 0 0 CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 PHYSICAL THERAPY NE N/A N/A 0 0 CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM AL 35209 474823023 OP SURGERY CENTER AL N/A N/A 0 0 CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470727942 INVESTMENTS CO N/A UNRELATED 7058332 0 47678 1 CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 465683027 SURGERY CENTER CO N/A N/A 0 0 COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO N/A N/A 0 0 COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC 1700 EDISON DR MILFORD OH 45150 311746556 HOME HEALTH OH N/A N/A 0 0 DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 320496548 EMERGENCY CARE NV N/A N/A 0 0 DHHP SURGERY CENTERS LLC 1513 S GRAND AVENUE STE 350 LOS ANGELES CA 90015 831847466 SURGERY DE N/A N/A 0 0 DHRT HOLDINGS LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 352484591 HOLDING COMPANY DE N/A N/A 0 0 DIGNITY- GOHEALTHURGENT CARE MANAGEMENT LLC 5555 GLENRIDGE CONNECTOR SUITE 700 ATLANTA GA 30342 352548698 MANAGEMENT SERVICES DE N/A N/A 0 0 DIGNITY HEALTH AT HOME LLC 1700 EDISON DR MILFORD OH 45150 824674115 HEALTHCARE SRVC DE N/A N/A 0 0 DIGNITY HEALTH SPECIALTY PHARMACY LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 320589462 SPECIALTY PHARMACY SERVICES DE N/A N/A 0 0 DIGNITY HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE TN 37203 832832522 HOME RECOVERY PROGRAM DE N/A N/A 0 0 DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202999237 SURGERY TX N/A N/A 0 0 DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202468509 SURGERY TX N/A N/A 0 0 DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 134248908 SURGERY TX N/A N/A 0 0 DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 352584991 SURGERY TX N/A N/A 0 0 DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 465477985 MANAGEMENT SERVICES AZ N/A N/A 0 0 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER 1545 SOQUEL DRIVE SANTA CRUZ CA 94065 770095477 IMAGING CENTER CA N/A N/A 0 0 ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS CO 80909 352656413 AMBUL SURG CTR CO N/A N/A 0 0 ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK AR 72207 201337002 DIAGNOSTIC SERVICES AR N/A N/A 0 0 FOLSOM SIERRA ENDOSCOPY CENTER LP 1671 CREEKSIDE DRIVE SUITE 100 FOLSOM CA 95630 680482416 ENDOSCOPY CA N/A N/A 0 0 FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR WA 98335 463494108 REAL ESTATE WA N/A N/A 0 0 FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 813725123 HEALTHCARE SRVC WA N/A N/A 0 0 GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC 1700 EDISON DR MILFORD OH 45150 201792869 HOME HEALTH OH N/A N/A 0 0 HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD WI 53045 270453767 PROPERTY HOLDING WI N/A N/A 0 0 HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 LAUNDRY NE N/A N/A 0 0 HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA KS 67401 464265403 ONCOLOGY KS N/A N/A 0 0 LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA NE 68130 204267902 AMBUL SURG CTR NE N/A N/A 0 0 LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY SRVC NE N/A N/A 0 0 LEXINGTON MBO PARTNERS LTD 5050 SOUTH SYRACUSE ST STE 800 DENVER CO 80237 651132855 REAL ESTATE CO N/A N/A 0 0 LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN NE 68510 262496856 REAL ESTATE NE N/A N/A 0 0 MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD CA 93301 364510880 REAL ESTATE CA N/A N/A 0 0 MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC 2740 M STREET MERCED CA 95340 943358445 MANAGEMENT OF CANCER CENTER CA N/A N/A 0 0 MERCY REHABILITATION HOSPITAL LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 814437201 HEALTHCARE SRVC TX N/A N/A 0 0 MILITARY ROAD PROPERTIES LLC 181 S 333RD STREET STE 250 FEDERAL WAY WA 98003 912067879 REAL ESTATE WA N/A N/A 0 0 NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE N/A N/A 0 0 NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 460502935 NEONATAL HEALTHCARE CA N/A N/A 0 0 NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR N/A N/A 0 0 NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK ND 58501 841641341 DIAGNOSTIC SERVICES ND N/A N/A 0 0 NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 770409291 AMBULATORY SURGICAL CENTER CA N/A N/A 0 0 ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80228 371577105 ORTHO HOSPITAL CO N/A N/A 0 0 PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS MN 56470 204926259 HEALTHCARE SRVC MN N/A N/A 0 0 PATIENT TRANSPORT SERVICES OF COLUMBUS INC 1700 EDISON DR MILFORD OH 45150 264601285 AMBULANCE OH N/A N/A 0 0 PENINSULA RADIATION ONCOLOGY CENTER LLC 314 MLK JR WAY STE 11 TACOMA WA 98405 870808610 HEALTHCARE SRVC WA N/A N/A 0 0 PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO 80920 841072619 MEDICAL IMAGING CO N/A N/A 0 0 PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SVSC LLC 19625 62ND AVENUE SOUTH STE 101 KENT WA 98032 452901632 HOLDING COMPANY WA N/A N/A 0 0 PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA CA 93454 770573567 SURGERY CA N/A N/A 0 0 PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON TX 77002 273280598 HOSPITAL TX N/A N/A 0 0 PRECISION MEDICINE ALLIANCE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 352569159 DIAGNOSTIC SERVICES CO N/A N/A 0 0 RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA N/A N/A 0 0 RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON NV 89074 271466450 AMBULANCE NV N/A N/A 0 0 REID-ANC HOME CARE SERVICES LLC 1700 EDISON DR MILFORD OH 45150 371454747 HOME HEALTH IN N/A N/A 0 0 SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON KY 40503 453801157 INACTIVE DE N/A N/A 0 0 SAINT JOSEPH HEALTH ASC LLC 1 SAINT JOSEPH DRIVE LEXINGTON KY 40504 852155230 SURGERY KY N/A N/A 0 0 SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD OH 45150 263330545 HOME HEALTH KY N/A N/A 0 0 SANTA CRUZ COMPREHENSIVE IMAGING LLC 1661 SOQUEL DRIVE SUITE G SANTA CRUZ CA 95065 010550623 IMAGING CA N/A N/A 0 0 SANTA CRUZ LAND & BUILDING LP 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770285236 REAL ESTATE CA N/A N/A 0 0 SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA N/A N/A 0 0 SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS CA 92374 851559544 SURGERY CA N/A N/A 0 0 SOUTHEASTERN HOME CARE LLC 1700 EDISON DR MILFORD OH 45150 271219638 HOME HEALTH OH N/A N/A 0 0 ST JOSEPH'S SURGERY CENTER LP 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 201019390 SURGERY TX N/A N/A 0 0 ST ELIZABETH HOME CARE SERVICES LLC 1700 EDISON DR MILFORD OH 45150 261236191 HOME HEALTH KY N/A N/A 0 0 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO N/A N/A 0 0 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTIC SERVICES TX N/A N/A 0 0 ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX N/A N/A 0 0 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON TX 77030 462795726 DIAGNOSTIC SERVICES TX N/A N/A 0 0 TEMPLETON SURGERY CENTER LLC 1310 LAS TABLAS ROAD SUITE 104 TEMPLETON CA 94365 202246616 SURGERY CA N/A N/A 0 0 THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD CA 93030 770332349 REAL ESTATE CA N/A N/A 0 0 THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO CO 81301 813571570 HEALTHCARE SRVC CO N/A N/A 0 0 TIA ARIZONA LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX AZ 85012 863158670 CLINIC AZ N/A N/A 0 0 VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE CA 91328 800864336 SURGERY CA N/A N/A 0 0 ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC 12809 WEST DODGE RD OMAHA NE 68154 470802396 MANAGED CARE NE N/A C 0 ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 10073 APO GEORGETOWN GRAND CAYMAN CJ 980556913 INSURANCE CJ N/A C 0 ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 HEALTHCARE TX N/A C 0 ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 841112049 MANAGEMENT SERVICES CO N/A C 0 AMERICAN NURSING CARE INC 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH N/A C 0 AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH N/A C 0 BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 INACTIVE KY N/A C 0 BRAZOSPORT HEALTH ALLIANCE 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 HEALTH CARE TX N/A C 0 CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD STE 500 CHATTANOOGA TN 37411 621570736 HEALTHCARE TN MHCS C 1008 1.00000 1 CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 272269511 RESEARCH CO N/A C 0 CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN TX 75904 834184717 CONDO ASSOC TX N/A C 0 CLEARRIVER HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464495960 INSURANCE TN N/A C 0 COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH CA 93449 743000596 AMBULATORY SURGERY CENTER CA N/A S 0 COMCARE SERVICES INC 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840904813 INACTIVE CO N/A C 0 CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH N/A C 0 DES MOINES MEDICAL CENTER INC 1111 6TH AVE DES MOINES IA 50314 420837382 REAL ESTATE IA N/A C 0 DIGNITY HEALTH HOLDING CORPORATION 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 460675371 HOLDING CO NV N/A C 0 DIGNITY HEALTH INSURANCE LTD (CAYMAN ISLAND CORPORATION) PO BOX 1051 GRAND CAYMAN ISLANDS GRAND CAYMAN ISLANDS GRAND CAYMAN CJ 981065338 CAPTIVE INSURANCE CJ N/A C 0 DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 473366764 HEALTH PLAN CA N/A C 0 DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 HEALTH CARE TX N/A C 0 FRANCISCAN CITY URGENT CARE SERVICES PS DBA CITY MD - FRANCISCAN URGENT C C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK NY 10105 812174959 INACTIVE NY N/A C 0 FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232487967 HOLDING CO CO N/A C 0 GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY NE 68848 470659440 MEDICAL CLINIC NE N/A C 0 HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473451750 INSURANCE WA N/A C 0 HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA CA 93454 770074057 HEALTHCARE CA N/A C 0 HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY NE 68848 470664558 MGMT NE N/A C 0 HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA WA 98402 911865474 INACTIVE WA N/A C 0 HEARTLANDPLAINS HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464368223 INSURANCE NE N/A C 0 HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA WA 98405 911407026 MEDICAL SERVICES WA N/A C 0 INTEGRATED MEDICAL SERVICES 9250 N 3RD STREET SUITE 4010 PHOENIX AZ 85020 860783428 MULTI-SPECIALTY PHYSICIANS GROUP AZ N/A C 0 KOMG-LOUISVILLE REGION INC 201 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 832481198 HEALTHCARE KY N/A C 0 MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS AR 71913 710720429 REAL ESTATE AR N/A C 0 MEDQUEST 1301 15TH AVENUE WEST WILLISTON ND 58801 450392137 SALE OF DME ND N/A C 0 MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN TX 75904 463622849 INACTIVE TX N/A C 0 MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES IA 50314 421202422 INACTIVE IA N/A C 0 MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG OR 97471 930824308 RETAIL SALES OR N/A C 0 MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN TX 75904 461967952 HEALTHCARE TX N/A C 0 MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD CA 93311 770513445 HEALTHCARE CA N/A S 0 MOUNTAIN MANAGEMENT SERVICES INC 6028 SHALLOWFORD RD CHATTANOOGA TN 37421 621570739 MGMT SVC ORG TN MHCS C 21317117 15586651 1.00000 1 NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK ND 58506 450439894 HEALTHCARE ND N/A C 0 PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH N/A C 0 QUALCHOICE ADVANTAGE 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 INSURANCE WA N/A C 0 QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461224037 ADMIN SERVICES CO N/A C 0 QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461222808 HOLDING CO CO N/A C 0 QUALCHOICE HOLDINGS INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 274075520 HOLDING CO AR N/A C 0 QUALCHOICE OF NEBRASKA 2401 S 73RD ST OMAHA NE 68124 810738827 INACTIVE NE N/A C 0 RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464380824 INSURANCE OH N/A C 0 RIVERLINK HEALTH OF KENTUCKY INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464828332 INSURANCE KY N/A C 0 ROSS PARK PHARMACY INC 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 PHARMACY OH N/A C 0 SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222441202 INACTIVE NJ N/A C 0 SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232307408 INACTIVE CO N/A C 0 SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON KY 40503 270164198 INACTIVE KY N/A C 0 SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 421720801 INSURANCE WA N/A C 0 ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH CA 90813 951912528 RETAIL PHARMACY CA N/A C 0 ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON OR 97801 931216943 ATHLETIC CLUB OR N/A C 0 ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J ST TACOMA WA 98405 911480569 RENTAL WA N/A C 0 ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON TX 77030 760637138 HOLDING CO TX N/A C 0 ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710710785 HEALTHCARE AR N/A C 0 STE HOLDINGS 12809 WEST DODGE RD OMAHA NE 68154 822383629 HOLDING CO NE N/A C 0 SUGAR LAND DOCTOR GROUP 1317 LAKE POINT PARKWAY SUGAR LAND TX 77478 454270163 INACTIVE TX N/A C 0 TOWSON MANAGEMENT INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521710750 INACTIVE MD N/A C 0 TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 MGMT SERVICES OH N/A C 0 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION C 2261423 FMV MEMORIAL HEALTH CARE SYSTEM FOUNDATION M 157856 FMV MEMORIAL HEALTH CARE SYSTEM FOUNDATION N 65474 FMV MEMORIAL HEALTH CARE SYSTEM FOUNDATION Q 944710 FMV MEMORIAL HEALTH PARTNERS FOUNDATION A 445437 FMV MEMORIAL HEALTH PARTNERS FOUNDATION B 28331557 FMV MEMORIAL HEALTH PARTNERS FOUNDATION J 1481802 FMV MEMORIAL HEALTH PARTNERS FOUNDATION Q 74250936 FMV MOUNTAIN MANAGEMENT SERVICES B 970412 FMV CHI MEMORIAL HOSPITAL - GEORGIA B 5485370 FMV