2021-05-12T13:25:58-05:00 2020-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2019-07-01 421470935 MERCY MEDICAL CENTER - NEWTON MERC 6417921273 204 N 4TH AVE E NEWTON IA 50208 RANDALL L RUBIN SVP, CFO 6417921273 2021-05-12 1 ANGELA NOEL P01051055 3032989100 2019 2022-09-23 18:48:47Z DBA SKIFF MEDICAL CENTER LAURIE CONNER 204 N 4TH AVE E NEWTON IA 50208 34250539 0 X WWW.MERCYONE.ORG/NEWTON/ X 1998 IA MERCY MEDICAL CENTER-NEWTON IS A NOT-FOR-PROFIT CATHOLIC HEALTH ORGANIZATION CREATING HEALTHIER COMMUNITIES BY OPERATING A 48-BED HOSPITAL. 7 5 313 75 0 0 1753095 3905765 31366435 30054948 4442 0 369499 289826 33493471 34250539 25000 500 0 0 13949815 13553997 0 0 0 20536663 21341963 34511478 34896460 -1018007 -645921 17652477 23093794 5073271 11165486 12579206 11928308 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 32386249 500 30054948 SEE SCHEDULE H 32386249 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 313 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 1 0 X RANDALL L RUBIN 5156437860 204 N 4TH AVE E NEWTON IA 50208 JOHN GACHIANI PHYSICIAN 0.00 40.00 X 0 929772 34479 MICHAEL WEGNER FORMER DIRECTOR / MARKET SVP COO 0.00 40.00 X 0 697154 31702 KARL KEELER PRESIDENT CHI IOWA CORP 1.00 50.00 X X 0 552728 48098 RANDALL RUBIN SVP, CFO CHI IOWA CORP 1.00 50.00 X 0 461117 40408 CHRIS CHRISTENSEN FORMER VICE CHAIR/VP PROFESSIONAL SERVICES 0.00 40.00 X 0 290921 25271 LAURIE ALBERT-CONNER PRESIDENT 50.00 0.00 X X 266550 0 17274 SUSAN PAIR CRNA 40.00 0.00 X 214797 0 35584 MEGAN DEPOORTER CRNA 40.00 0.00 X 194583 0 34328 COLLEEN JACOBSEN MANAGER PHARMACY 40.00 0.00 X 130766 0 16261 PHILLIP SCHIEFFER MANAGER-PHARMACY 40.00 0.00 X 116075 7231 7430 DIXIE BAKKEN CRNA 40.00 0.00 X 121926 0 8680 SONJA RANCK CHIEF NURSING OFFICER (PART YEAR) 50.00 1.00 X 110394 0 6991 MARK ALLEN DIRECTOR 1.00 0.00 X 0 0 0 JEFF KING PHD CHAIR 1.00 0.00 X X 0 0 0 ADAM OTTO DIRECTOR 1.00 0.00 X 0 0 0 DEBBY PENCE VICE CHAIR 1.00 0.00 X X 0 0 0 LOIS VOGEL SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 1155091 2938923 306506 8 1 1 0 WALDINGER CORP 2601 BELL AVE DES MOINES IA 50321 MECHANICAL CONTRACTOR 668358 DES MOINES RIVER PHYSICIANS 1111 6TH AVE DES MOINES IA 50314 PHYSICIAN STAFFING 598087 AMERICAN BLDG MAINTENANCE CO 3940 RUFFIN RD C SAN DIEGO CA 92123 FACILITY MANAGEMENT COMPANY 489220 CONTE TCV PC 4949 PLEASANT ST 200 WEST DES MOINES IA 50266 MEDICAL SERVICES 327036 AMN HEALTHCARE 3610 WOODLAND ST AMES IA 50014 HEALTHCARE CONSULTING 298028 14 400423 3505342 3905765 NET PATIENT SERVICES 900099 30029854 30029854 EQUITY CHANGES OF UNCO 900099 25094 25094 30054948 71563 0 71563 71563 71563 CAFETERIA 722100 117773 117773 MEDICAL SERVICES 621300 39538 39538 LABORATORY SERVICES 621500 5162 5162 55790 55790 218263 34250539 30054948 0 289826 X 500 500 280661 252595 28066 10437129 9393416 1043713 565628 509066 56562 1487110 1338399 148711 783469 705122 78347 5267 5267 7135701 6732196 403505 100414 90373 10041 519439 467495 51944 48323 43490 4833 735300 661770 73530 33022 29720 3302 1136 1023 113 314752 283277 31475 1573439 1416095 157344 57143 57143 MEDICAL SUPPLIES 8355636 8355636 REPAIRS AND MAINTENANCE 1312860 1181574 131286 MISCELLANEOUS EXPENSES 800341 598939 201402 UNRELATED BUSINESS TAXE 6300 5985 315 342890 257168 85722 34896460 32386249 2510211 0 300 300 766772 6730745 4997529 4131782 587355 516709 248303 152228 19482404 8167738 10944300 11314666 107918 247364 17652477 23093794 4426629 8568526 -22017 2145851 668659 451109 5073271 11165486 X 12579206 11928308 12579206 11928308 17652477 23093794 X -645921 -4977 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5267 0 0 0 5267 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $852 CATHOLIC HEALTH ASSOCIATION - $595 IOWA HOSPITAL ASSOCIATION - $3,820 184094 14125 7803 18326 187696 163250 15000 10051 4207 184094 133776 16000 14076 602 163250 107622 16000 13539 3385 133776 0 108500 878 107622 1.00000 0 1 1 1180000 1180000 8223103 2517599 5705504 8055644 5466806 2588838 2023657 183333 1840324 11314666 ACCRUED EXPENSES 333167 LEASE LIABILITY 117942 451109 PART V, LINE 4: MERCY FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENTS FUNDS ON BEHALF OF MERCY MEDICAL CENTER - NEWTON. MERCY FOUNDATION USES ENDOWMENT FUNDS AS DIRECTED BY THE ENDOWMENT DOCUMENTS. THE ENDOWMENTS FUND SCHOLARSHIPS FOR HEALTH CARE STUDENTS, EQUIPMENT PURCHASES FOR TAX-EXEMPT HEALTHCARE NEEDS AND HOSPITAL TAX-EXEMPT OPERATIONS. SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE MERCY MEDICAL CENTER - NEWTON'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S ASC 740 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX EXPENSE AS OF JUNE 30, 2020 AND 2019. 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 1 0 1 1 490 137471 137471 0.00390 147 2500000 2500000 0.07160 637 2637471 2637471 0.07550 8 2034 82584 2724 79860 0.00230 3 15 4493 4493 0.00010 11 2049 87077 2724 84353 0.00240 11 2686 2724548 2724 2721824 0.07790 1 7260 7260 0.00020 1 900 1300 1300 0.00000 1 360 360 0.00000 3 900 8920 8920 0.00020 1 2993479 0 10158920 13107616 -2948696 X 1 1 1 1 MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) 204 N 4TH AVE E NEWTON IA 50208 HTTPS://WWW.MERCYONE.ORG/NEWTON/ 500041H X X X MERCYONE NEWTON MEDICAL CENTER (FORMERLY 1 0 0 1 X X X X X X X X 18 1 0 1 1 X SEE PART V, PAGE 8 X 1 18 0 1 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 PART V, LINE 7A, CHNA WEBSITE: WWW.MERCYONE.ORG/DESMOINES/ABOUT-US/COMMUNITY-BENEFIT PART V, SECTION B, LINE 11: THE JASPER COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN APRIL OF 2019. HISTORICALLY, AT THE TIME OF THE LAST CHNA IN 2016, SKIFF MEDICAL CENTER ALSO SERVED AS THE PUBLIC HEALTH DEPARTMENT FOR JASPER COUNTY, BUT TRANSITIONED THE PUBLIC HEALTH PORTION BACK TO THE COUNTY ON MARCH 1, 2016. AT WHICH TIME, A JOINT TASKFORCE WAS ESTABLISHED BETWEEN SKIFF AND THE NEW JASPER COUNTY PUBLIC HEALTH. THIS TASKFORCE REVIEWED THE DATA, DETERMINED APPROPRIATE GOALS AND TRANSITIONED THAT PLAN TO THE NEW PUBLIC HEALTH DEPARTMENT TO PUBLISH. JASPER COUNTY HEALTH NEEDS ASSESSMENT (CHNA) 2016. IN APRIL OF 2019, MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) PARTNERED AGAIN WITH JASPER COUNTY PUBLIC HEALTH TO JOINTLY HOLD A CHNA. FOLLOWING THE JOINT CHNA A KEY STAKEHOLDER MEETING (TASK FORCE) WAS HELD TO REVIEW FEEDBACK, DATA, AND ESTABLISH GOALS FOR THE CHNA HEALTH IMPLEMENTATION PLAN 2019.AREA OF NEED #1:MENTAL HEALTH (DIAGNOSIS, TREATMENT, AFTERCARE)GOAL 1: INCREASE VISIBILITY AND AWARENESS OF MENTAL HEALTH SERVICES IN JASPER COUNTY. ACTION/STRATEGY 1: INCREASE VISIBILITY AND AWARENESS OF QUALIFIED LOCAL PROVIDERS IN THE COMMUNITY FOR ASSESSMENT AND TREATING CRISIS MENTAL ILLNESS - MONTHLY MEETINGS TO PLAN AND PROMOTE.HOSPITAL PROGRESS: HOSPITAL PARTICIPATING IN MONTHLY MEETINGS AND JASPER COUNTY CARES COALITION AND PLANNING; MEETING GOAL TO DATE. HANNAH MCMUNN LEADING JASPER COUNTY CARE COALITION MEETINGS MONTHLY FOR PLANNING AND PROMOTING AWARENESS AND GOAL ESTABLISHMENT. EXAMPLES: (1) CARNIVAL IN THE PARK, (2) PRINTED RESOURCE PAMPHLETS, (3) SUICIDE BEREAVEMENT SUPPORT, (4) SOCIAL MEDIA COLLABORATION ON FACEBOOK WITH THE JASPER COUNTY CARE COALITION, (5) EFR PRESENTATION ON HOW TO USE YOUR LIFE IOWA. HANNA MCMUNN PROVIDED UPDATE TO JCCC WITH ALL THAT HAS BEEN COMPLETED. ALSO, (6) ROUND TABLE WITH JASPER COUNTY SCHOOLS AND A PROVIDER FAIR INVITING SCHOOLS FROM ALL OF JASPER COUNTY. ACTION/STRATEGY 2: BRING VIRTUAL REALITY TRAINING TO MERCYONE NEWTON MEDICAL CENTER ON "WHAT IS A MENTAL HEALTH CRISIS."HOSPITAL PROGRESS: 100% MET. COMPLETED JULY 2019 AT MERCYONE NEWTON MEDICAL CENTER. TWO SESSIONS HELD AT THE HOSPITAL.ACTION/STRATEGY 3: CONDUCT A PROMOTIONAL/PR/MARKETING CAMPAIGN IDENTIFYING MENTAL HEALTH TREATMENT OPTIONS - 1 PER QUARTER.HOSPITAL PROGRESS: HOSPITAL PARTICIPATING IN MONTHLY MEETINGS AND JASPER COUNTY CARES COALITION AND PLANNING FOR ITEMS SUCH AS THIS; GOAL 50% MET THROUGH FY20 Q2. (1) CAPSTONE PROMOTED THE CONNECTION CENTER. (2) MOBILE RESPONSE HAS BEEN PROMOTED AGAIN, AS WELL. (3) THE MAILER PROJECT WENT OUT TO EVERY ADDRESS IN JASPER COUNTY AND DIRECTED TO WEBSITE WITH SERVICE LINE LISTED AS WELL AS THE CRISIS LINE NUMBER, WHICH WILL BE TRANSITIONING TO THE YOUR LIFE IOWA LINE IN JANUARY 2020.ACTION/STRATEGY 4: EDUCATE 5 NEWTON CLINIC PHYSICIANS ON MENTAL HEALTH SERVICES ON INTEGRATED CARE AND OPTIONS FOR TREATMENT AND FOLLOW UP BY 6/20/19.HOSPITAL PROGRESS: NOT COMPLETED AT THIS TIME, DIRECTOR OF PATIENT CARE SERVICES, MELISSA DOEHRMANN, TO MEET WITH EFR HANNAH MCMUNN TO DISCUSS PLAN IN UPCOMING MONTHS. GOAL 2: INCREASE OPTIONS FOR AFTER-HOURS SERVICE FOR MENTAL HEALTH. ACTION/STRATEGY 1: INVESTIGATE 23-HOUR OBSERVATION AND DEVELOP REFERRAL FORM FOR MENTAL HEALTH FOLLOW-UP CARE TO PLACE IN ED FOR PROVIDERS.HOSPITAL PROGRESS: 100% MET. INVESTIGATION COMPLETED DURING FY20 Q1. MERCYONE NEWTON MEDICAL CENTER WOULD NOT QUALIFY BY DESIGNATION TO HAVE A 23-HOUR LICENSED OBSERVATION UNIT FOR MENTAL HEALTH. THE HOSPITAL IS NOT LICENSED TO PROVIDE MENTAL HEALTH INPATIENT OR OBSERVATION PSYCHIATRIC CARE. WE WOULD HAVE TO APPLY FOR MENTAL HEALTH DESIGNATION; HOWEVER, MERCYONE CENTRAL IOWA IS BUILDING A 100-BED MENTAL/BEHAVIORAL HEALTH FACILITY TO OPEN IN 2020-21. MERCYONE NEWTON WILL BE WORKING CLOSELY WITH THEM TO ADDRESS COLLABORATING WITHIN OUR SYSTEM TO ADDRESS THIS NEED FOR JASPER COUNTY. ACTION/STRATEGY 2: EXPLORE TELE-PSYCH SERVICES AND UNDERSTAND REIMBURSEMENT. HOSPITAL PROGRESS: NOT COMPLETED AT THIS TIME.GOAL 3: INVESTIGATE SYNCHRONIZING MOBILE RESPONSE AFTER DISCHARGE FROM ED PARTICIPATION ACTION/STRATEGY 1: EDUCATE ED PHYSICIANS AND STAFF ON THE SERVICES OF MOBILE RESPONSE WITH APPROPRIATE EDUCATIONAL MATERIAL.HOSPITAL PROGRESS: A PUBLIC MEETING ON MOBILE CRISTS WAS HELD, UNKNOWN IF ED PHYSICIANS WERE PRESENT. MELISSA DOEHRMANN TO MEET WITH HANNA MCMUNN ABOUT ED PROVIDER MEETINGS COMING UP IN NEAR FUTURE. ALSO, JODY EATON TO PRESENT AT EITHER MERCYONE NEWTON MEDICAL STAFF MEETING OR ED/TRAUMA MEETING IN APRIL 2020.AREA OF NEED #2:ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD. GOAL 1: REDUCE OVER PRESCRIPTION AND UTILIZATION OF OPIOID MEDICATIONS. ACTION/STRATEGY 1: CONDUCT CLASSES TO EDUCATE EMERGENCY DEPARTMENT PHYSICIANS AND NEWTON CLINIC PHYSICIANS ON CDC GUIDELINES FOR OPIOID PRESCRIPTION AND SAMSA OPIOID OVERDOSE TOOLKIT.HOSPITAL PROGRESS: (1) E-PRESCRIPTION AT MERCYONE NEWTON WILL BE MET FOR CONTROLLED SUBSTANCES BY JANUARY 1ST, 2020. PARTNERING DR. FIRST PLATFORM. THIS ENSURES ALL OPIOD PRESCRIPTIONS WILL BE TRANSMITTED TO PHARMACIES ELECTRONICALLY, NO LONGER HAVING THE OPTION TO FAX OR PRINT PRESCRIPTIONS.(2) MELISSA DOEHRMANN TO MEET WITH HANNAH MCMUNN ON UPCOMING ED/TRAUMA PHYSICIAN MEETINGS TO COORDINATE THE EDUCATION WITH THE LOCAL PROVIDERS.ACTION/STRATEGY 2: PROVIDE ED PROVIDERS ACCESS TO PMP AND DECREASING # OF PRESCRIPTIONS; EDUCATE NEW ED MANAGER ON TRACKING.HOSPITAL PROGRESS: (1) MELISSA DOEHRMANN, DIRECTOR OF PATIENT CARE SERVICES, SCHEDULED TO MEET WITH HANNAH MCMUNN FROM EFR ON COORDINATING AN OPPORTUNITY FOR HER TO PRESENT AT UPCOMING ED/TRAUMA PHYSICIAN MEETING. (2) NUMBER OF PRESCRIBERS REGISTERED WITH PMP IN JASPER COUNTY 4/27/18: 49. AS OF 8/31/2019, THERE ARE 81 PRESCRIBERS REGISTERED WITH PMP IN JASPER COUNTY.ACTION/STRATEGY 3: HOSPITAL WILL ORCHESTRATE MEETING AND DISCUSSION BETWEEN PAIN SPECIALIST AND LOCAL NEWTON CLINIC PHYSICIANS, REGARDING ALTERNATE PAIN SERVICES AND/OR OPIOID EPIDEMIC.HOSPITAL PROGRESS: 100% MET. PAIN SPECIALISTS OF IOWA (DRS. MOYSE AND SMITH, REBEKAH ROGERS ARNP) MET WITH NEWTON CLINIC PROVIDERS IN OCTOBER 2019. PAIN CLINIC VISITS HAVE INCREASED FROM 75 PER MONTH TO 200 PER MONTH; THEREBY, OFFERING PATIENTS SAFE MEDICAL ALTERNATIVES TO HELP CONTROL PAIN.GOAL 2: PREVENTION AND EDUCATION TO COMMUNITIES AND SCHOOLS ON SUBSTANCE ABUSEACTION/STRATEGY 1: HOLD LIFE SKILLS SESSIONS FOR 9TH/10TH GRADERS (10 SESSIONS OF LIFE SKILLS AND SUBSTANCE ABUSE EDUCATION, EVIDENCE-BASED).PROGRESS: THE HOLD LIFE SKILLS SESSIONS ARE PLANNED FOR SPRING 2020 IN MIDDLE SCHOOL. EFR, HANNAH MCMUNN, IS PLANNING TO HOLD THE CLASSES AT HIGH SCHOOL IN THE SPRING 2020. OTHER EXAMPLES OF EVIDENCE-BASED SUBSTANCE ABUSE EDUCATION THAT HAS HAPPENED: (1) 4TH GRADERS, TOO GOOD FOR DRUGS; (2) SHERIFF'S DEPARTMENT HAS DARE PROGRAM; (3) ANTI-BULLYING AND CHARACTER BUILDING IN ALL OF THE JASPER COUNTY SCHOOLS; THESE HAVE ALL BEEN COMPLETED. OTHER EXAMPLES OF IN-PROGRESS EVENTS: (1) STRENGTHENING FAMILIES, THROUGH SUBSTANCE ABUSE COALITION, STARTED IN SEPT-OCT FOR FIRST FAMILIES GOING THROUGH PROGRAM AND WILL RESUME IN SPRING 2020 (5 FAMILIES) (SEE APPENDIX C); (2) BAXTER SCHOOLS WILL START LIFE SKILLS ALSO.ACTION/STRATEGY 2: CARRY OUT SPECIALIZED PRESENTATION(S) TO ALL SCHOOL DISTRICTS IN THE COUNTY.PROGRESS: SEE ABOVE. IN ADDITION, (1) SHERIFFS DEPARTMENT PLANNING ON EDUCATIONAL SESSION FOR DRUNK DRIVING IN SCHOOLS AROUND PROM TIME. (2) GREEN BANDANA EDUCATION PERFORMED TO PROMOTE SUICIDE AWARENESS.ACTION/STRATEGY 3: IMPLEMENT AND CARRY OUT JASPER COUNTY SAFE KIDS PROGRAM.PROGRESS: GOAL MET. PROGRAM IMPLEMENTED TO (1) PROMOTE CAR SEATS, (2) TRUNK OR TREAT SAFE KIDS ACTIVITY, (3) SCHOOL WALK IN OCTOBER, (4) PROMOTE BIKE HELMETS.GOAL 3: MERGE THE SUBSTANCE ABUSE COALITION GROUP INTO THE MENTAL HEALTH COALITION GROUP AND CONTINUE TO HOLD JOINT MONTHLY MEETINGS BY 6/30/20.PROGRESS: THESE COALITIONS WERE MERGED TO FORM JASPER COUNTY CARES COALITION IN JULY 2020. GOAL MET.AREA OF NEED #3: OBESITY (NUTRITION / EXERCISE) - PARTNERED WITH OTHER COMMUNITY GROUPS AS NEEDED. GOAL 1: ENCOURAGE EXERCISE PARTICIPATION IN COMMUNITY TO IMPROVE MENTAL HEALTH. ACTION/STRATEGY 1: IMPLEMENT (AND EDUCATE) FINANCIAL ASSISTANCE PROGRAM TO CAPSTONE, OPTIMAE, PROGRESS INDUSTRIES CLIENTS TO HELP LOWER INCOME INDIVIDUALS HAVE ACCESS TO EXERCISE OPPORTUNITIES.PROGRESS: THIS PROGRAM WITH YMCA HAS BEEN CREATED AND IMPLEMENTED AND IS GOING STRONG. THESE ENTITIES - CAPSTONE, OPTIMAE, PROGRESS INDUSTRIES - BRING IN THEIR CLIENTS AT 9:00AM EVERY MORNING. A YEAR AGO THERE WERE ZERO (0) CLIENTS, AND TODAY ESTIMATED AT ABOUT FIFTY (50) DAILY CLIENTS. OFFERING REDUCED RATE MEMBERSHIPS. ALSO, YMCA IS INVESTIGATING HAVING ADAPTIVE SPORTS BY SPRING 2020.(CONTINUED BELOW) PART V, SECTION B, LINE 11 (CONTINUED): ACTION/STRATEGY 2: PROMOTE AND PROVIDE HEALTHY FOOD AND EXERCISE PREVENTION OPTIONS AND PROGRAMS (I.E. SUMMER FOOD PROGRAM, AFTERSCHOOL ACTIVITIES, EDUCATION).HOSPITAL PROGRESS: (1) HOSPITAL NUTRITIONIST AND CERTIFIED DIABETIC EDUCATOR WITH MERCYONE NEWTON/HYVEE, IS WORKING ON DIABETES PREVENTION APP AND SCREENING (PARK OF ROCKEFELLER GRANT). (2) CITY OF NEWTON IS FOCUSING ON IMPROVING WALKABILITY AND IMPROVING SIDEWALKS. (3) BACKPACKS WITH FOOD BEING OFFERED TO KIDS IN NEED. (4) FARM TO TABLE APP.ACTION/STRATEGY 3: INVESTIGATE DIABETES PREVENTION PROGRAM (DPP).PROGRESS: INVESTIGATION COMPELTE. YMCA HAS INVESTIGATED AND UNABLE TO MOVE FORWARD AT THIS TIME DUE TO LIMITED RESOURCES. DPP PROGRAMS INVOLVE HEAVY ADMINISTRATIVE SUPPORT.ACTION/STRATEGY 4: INVESTIGATE A LIVE WELL CENTER.PROGRESS: NOT MET. THE BOARD OF SUPERVISORS HAVE PURCHASED A BUILDING BUT MORE LIKELY FOR BUSINESS AND ADMINISTRATIVE SERVICES.GOAL 2: INCREASE HEALTHY FOOD SELECTION AND EXERCISE PREVENTION OPTIONS/PROGRAMS TO INDIVIDUALS OF ALL AGES, BUT ESPECIALLY THE YOUTH.ACTION/STRATEGY 1: HOSPITAL WILL PARTICIPATE IN MEETINGS AROUND NEWTON COMMUNITY HEALTH PARTNERSHIP - QUARTERLY MEETINGSHOSPITAL PROGRESS: GOAL MET. (1) MELISSA DOEHRMANN, DIRECTOR OF PATIENT CARE SERVICES WITH MERCYONE NEWTON, AND THE ED MANAGER, LEASHA TREASE, HAVE BEEN ATTENDING JCCC MEETINGS. (2) LEISA ZYLSTRA, FOUNDATION MANAGER AT MERCYONE NEWTON, AND JENNY THOMPSON HAVE BEEN ATTENDING THE COMMUNITY HEALTH PARTNERSHIP MEETINGS (ROCKEFELLER GRANT) ON BEHALF OF MERCYONE NEWTON MEDICAL CENTER. (3) MERCYONE NEWTON MEDICAL CENTER CONTINUES TO HOST THE COMMUNITY COALITION MEETINGS LEAD BY CARE COORDINATION TEAM WITH LOCAL NURSING HOMES AND HOSPITAL REPRESENTATIVES.AREA OF NEED #4: PRIMARY CARE / VISITING SPECIALISTS (FP/IM, PEDS, NEU, NEP, GI/LIVER)GOAL 1: INCREASE PRIMARY CARE AVAILABILITY, AND ULTIMATELY ACCESS FOR NEW PATIENTS SEEKING TO ESTABLISH CARE.ACTION/STRATEGY 1: MERCYONE NEWTON WILL COLLABORATE TO JOINTLY RECRUIT FAMILY PRACTICE/INTERNAL MEDICINE PHYSICIANS TO NEWTON (ALONG WITH NEWTON CLINIC). HOSPITAL PROGRESS: PARTIALLY MET, IN PROGRESS. (1) INTERVIEWED ONE FEMALE FP/OB IN AUGUST 2019; (2) INTERVIEWED ONE FEMALE FP IN OCTOBER 2019; (3) INTERVIEWED ONE MALE FP IN OCTOBER 2019; (4) INTERVIEWED ONE MALE FP/OB IN NOVEMBER 2019.ACTION/STRATEGY 2: MERCYONE NEWTON WILL DEVELOP AND OPEN AN OCCUPATIONAL MEDICINE CLINIC WITH BOARD CERTIFIED PHYSICIANS IN OCCUPATIONAL HEALTH AND MEDICINE TO SERVE LOCAL EMPLOYERS/STAFF; WILL HOLD MONTHLY MEETINGS FOR PLANNING AND OPERATIONS MANAGEMENT. HOSPITAL PROGRESS: PARTIALLY MET, IN PROGRESS. MONTHLY MEETINGS FOR PLANNING HAVE BEEN MET. CHAD KELLEY, DIRECTOR OF ANCILLARY SERVICES, IS MEETING WITH MERCYONE PHYSICIAN GROUP DIRECTOR'S ON PLANNING; THE MERGER OF CHI WITH DIGNITY HEALTH TO FORM COMMON SPIRIT HEALTH HALTED PROGRESS DURING Q1-Q2 AS NEW CONTRACTS AND CAPITAL FREEZE TOOK PLACE. CURRENT PROGRESS AND MEETINGS ARE PLANNING FOR OPENING SUMMER OF 2020.ACTION/STRATEGY 3: EXPAND FREQUENCY OF NEUROLOGY SPECIALTY COVERAGE IN NEWTON; HOLD BIMONTHLY MEETINGS FOR PLANNING AND ADMINISTRATIVE FOLLOW UP AFTER IMPLEMENTED. HOSPITAL PROGRESS: GOAL MET. 100% MET. DR. ADELMAN, NEUROLOGIST WITH MERCYONE RUAN NEUROLOGY CLINIC IN DES MOINES, IS NOW COMING TO NEWTON 2X/MONTH. HE IS SEEING 10-15 PATIENTS EACH CLINIC DAY. THIS HAS SHORTED THE WAIT TIME FOR PATIENT VISITS. ACTION/STRATEGY 4: EXPAND FREQUENCY OF PAIN SPECIALTY COVERAGE IN NEWTON BY ADDING APC PROVIDER; HOLD MONTHLY MEETINGS FOR PLANNING AND ADMINISTRATIVE FOLLOW UP AFTER IMPLEMENTED.HOSPITAL PROGRESS: 100% MET. (1) THE HOSPITAL HAS EXPANDED OPERATING ROOM BLOCK TIME FOR THE PAIN SPECIALIST PROVIDERS. (2) HIRED ARNP, REBEKAH ROGERS, AND SHE IS COMING MONDAY AND WEDNESDAY WEEKLY AND THE PAIN SPECIALIST OF IOWA GROUP HAVE THEREBY INCREASED OFFICE VISITS FROM 75/MONTH TO 200/MONTH AS OF FY20 Q2.ACTION/STRATEGY 5: INVEST IN HOSPITALIST PROGRAM STAFFING MATRIX AT THE HOSPITAL TO HELP CREATE DOWNSTREAM AVAILABILITY OF LOCAL FAMILY PRACTICE/INTERNAL MED CLINICS TO IMPROVE ACCESS TO FP/IM (I.E. REDUCES FP/IM PHYSICIAN ROUNDING COMMITMENTS AND COVERAGE TO INPATIENTS WHICH PROVIDES GREATER CLINIC AVAILABILITY FOR APPOINTMENTS AND ALSO IMPROVES RECRUITMENT POTENTIAL OF NEW PHYSICIANS HAVING LESS ON-CALL); HOLD MONTHLY MEETINGS FOR PLANNING AND OPERATIONS.HOSPITAL PROGRESS: PARTIALLY MET, IN PROGRESS. HAVE HIRED A PRN HOSPITALIST. MERCYONE NEWTON IS WORKING ON UPDATING CREDENTIALING PROGRAM WHICH WILL ALLOW MERCYONE DES MOINES HOSPITALISTS TO HELP COVER NEWTON. POTENTIAL OF 3RD FULL TIME HOSPITALIST. GOAL 2: INCREASE SPECIALTY SERVICE OPTIONS AND FREQUENCY OF VISITING PROVIDERS. ACTION/STRATEGY: INVESTIGATE ADDING PALLIATIVE CARE PROVIDERS TO THE SPECIALTY CLINIC; HOLD QUARTERLY MEETINGS FOR PLANNING AND IMPLEMENTATION.HOSPITAL PROGRESS: PARTIALLY MET, IN PROGRESS. (1) MERCYONE PALLIATIVE CARE COORDINATED SENDING DR. GOLDMANN AND JENNIFER LOHMAN TO MEET WITH NEWTON CLINIC PROVIDER GROUP ON 12/3/2019. (2) STRONG POTENTIAL EXISTS TO INCORPORATE AN OUTREACH PALLIATIVE CARE CLINIC AT MERCYONE NEWTON DURING END OF FY20, CURRENTLY WORKING ON THE CONTRACT FOR THIS SERVICE.AREA OF NEED #5:DOMESTIC VIOLENCE / SEXUAL ASSAULT - THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON HOSPITAL DID NOT ADDRESS: (1) NOT PART OF MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES.GOAL 1: INCREASE AWARENESS OF RESOURCES FOR HELP.ACTION/STRATEGY 1: PROMOTE AWARENESS OF DOMESTIC ABUSE/SEXUAL ASSAULT HOTLINE TELEPHONE NUMBER.HOSPITAL PROGRESS: NOT YET MET, NEW CRISIS INTERVENTION SERVICES (CIS) LEAD IN PLACE. HOSPITAL ADMINISTRATION TO WORK WITH NEW EMPLOYEE AT CIS TO HELP ACCOMPLISH GOAL. ACTION/STRATEGY 2: PROVIDE DOMESTIC ABUSE/SEXUAL ASSAULT PROMOTION AND RESOURCE MATERIALS IN WAITING ROOMS.HOSPITAL PROGRESS: NOT YET MET, NEW CRISIS INTERVENTION SERVICES (CIS) LEAD IN PLACE. HOSPITAL ADMINISTRATION TO WORK WITH NEW EMPLOYEE AT CIS TO HELP ACCOMPLISH GOAL. ACTION/STRATEGY 3: MERCYONE NEWTON WILL CREATE A DESIGNATED OFFICE SPACE FOR VISITING CIS LEADER TO INCREASE PRESENCE IN JASPER COUNTY (TO HELP WORK WITH ED SERT TEAM) HOSPITAL PROGRESS: NOT YET MET, NEW CRISIS INTERVENTION SERVICES (CIS) LEAD IN PLACE. HOSPITAL ADMINISTRATION TO WORK WITH NEW EMPLOYEE AT CIS TO HELP ACCOMPLISH GOAL.AREA OF NEED #6:HEALTHCARE TRANSPORTATION - THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON HOSPITAL DID NOT ADDRESS: (1) NOT PART OF MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES. GOAL 1: INCREASE AWARENESS OF RESOURCES FOR HELP.ACTION/STRATEGY 1: EVALUATE AVAILABLE HEALTHCARE TRANSPORTATION SERVICES. PROGRESS: (1) HEALTHCARE TRANSPORTATION HAS SEEN INCREASED CHALLENGES IN NEWTON/JASPER COUNTY DURING FIRST PART OF FY20 WITH FUNDING TO HIRTA CUT AND CAUSING DECREASED WEEKEND SERVICES AND RAISED RATES. PROGRESS INDUSTRIES HAS TAKEN ON PROVIDING TRANSPORTATION THEMSELVES FOR THEIR CLIENTS. (2) RETIRED SENIOR VOLUNTEER PROGRAM IS AN OPTION FOR SOME.ACTION/STRATEGY 2: BUDGET FOR CAB VOUCHER PROGRAM FROM ED DEPARTMENT.HOSPITAL PROGRESS: MET. ALSO, CICS HAS HELPED WITH VOLUNTARY TRANSPORTATION FROM ED TO OTHER INPATIENT UNITS, CRISIS STABILIZATION, SUBACUTE.ACTION/STRATEGY 3: UTILIZE VOLUNTEER SERVICES TO OFFER HEALTHCARE TRANSPORTATION PROGRAMHOSPITAL PROGRESS: PROGRAM RSVP IS CURRENTLY STILL BEING UTILIZED. MERCYONE NEWTON MEDICAL CENTER DOES COLLABORATE AND DONATES TO THIS PROGRAM ANNUALLY.AREA OF NEED #7:CHILD CARE SERVICES - THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS.WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON NOT ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES. GOAL 1: EXPLORE AVAILABLE RESOURCES AND CHILD CARE SERVICE NEEDS.ACTION/STRATEGY 1: COLLABORATE WITH CHILD CARE RESOURCE AND REFERRAL (JASPER COUNTY) MONTHLY AT PROVIDER MEETING TO EVALUATE AVAILABLE RESOURCES.PROGRESS: PARTIALLY MET, IN PROGRESS. SUE GIENGER OF CHILD CARE RESOURCE AND REFERRAL (CCR&R) DOES ATTEND THE SYNAC (SUPPORTING YOUTH HROUGH NURTURING ACTIVITIES COALITION) MEETINGS.ACTION/STRATEGY 2: ESTABLISH A LIST OF CHILD CARE PROVIDERS AND THEIR HOURS OF OPERATIONS. PROGRESS: GOAL MET. A GLOBAL LIST OF CHILD CARE SERVICE HIGHLIGHTS PROVIDED BY CCR&R.AREA OF NEED #8:SENIOR LIVING / CARE - THIS HEALTH NEED IS NOT PART OF HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE. REASON NOT ADDRESSED: (1) NOT PART OF HOSPITAL MISSION, (2) OTHER COMMUNITY PARTNERS TO TAKE LEAD, (3) OTHER TOP PRIORITIES. (CONTINUED BELOW) PART V, SECTION B, LINE 11 (CONTINUED): GOAL 1: BRING AWARENESS TO AFFORDABLE HOUSING NEED FOR SENIORS IN COMMUNITY. ACTION/STRATEGY 2: EXPLORE AFFORDABLE HOUSING OPTIONS FOR SENIORS AND DISCUSS AT MONTHLY MEETINGS (NEWTON COMMUNITY HEALTH COALITION MEETINGS).PROGRESS: NOT MET. BAXTER IS CLOSING THEIR LONG TERM CARE FACILITY (ACCURA HEALTHCARE OF BAXTER).GOAL 2: PROVIDE QUALITY SENIOR HEALTH CARE CLOSER TO HOME FOR SNF/SKILLED SERVICES. ACTION/STRATEGY 1: INCREASE SWING BED/SNF BED UTILIZATION AT LOCAL HOSPITAL (AND NURSING HOMES) BY STRENGTHENING RELATIONSHIP AND ALIGNMENT WITH MERCYONE CONNECT; GOAL > 36. HOSPITAL PROGRESS: IN PROGRESS, YTD 9 SWING BED TRANSFERS BACK VIA MERCYONE CONNECT THROUGH DEC 2019. 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. PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: MERCYONE NEWTON MEDICAL CENTER COLLABORATED WITH JASPER COUNTY PUBLIC HEALTH TO JOINTLY PERFORM THE CHNA/HIP PROCESS.THE PROCESSES FOR DATA COLLECTION BEGAN IN JANUARY 2019 WITH KICK-OFF CONFERENCE CALL WITH THE HOSPITAL AND JASPER COUNTY BOARD OF HEALTH. A COLLABORATIVE DATA COLLECTION BEGAN IN JANUARY 2019 VIA PRESS RELEASE AND ONLINE SURVEY TO STAKEHOLDERS AND COMMUNITY MEMBERS.SUMMARY DATA INPUTS WERE SUBMITTED USING VARIOUS METHODS SUCH AS INDIVIDUAL THE AFOREMENTIONED ONLINE SURVEY ASSESSMENT WHICH RECEIVED FEEDBACK TO SPECIFIC QUESTIONS AND ALLOWED FOR GENERAL COMMENTS TO BE SUBMITTED, COMMUNITY FOCUS GROUPS AT THE TOWN HALL IN MARCH 2019, AND ACCESS TO IDPH METRICS FOR JASPER COUNTY THROUGHOUT JAN-MARCH 2019.A COMMUNITY TOWN HALL WAS HELD AT NEWTON DMACC FACILITY FOLLOWING SURVEY COMPLETION FOR ACTIVE PARTICIPATION FORM COMMUNITY MEMBERS AND ALL KEY STAKEHOLDERS IN MARCH 2019. ALL OF THE DATA WAS ANALYZED AND COMPLETED FOR THE FULL REPORT BY THE END OF APRIL 2019. KEY STAKEHOLDERS MET TO DETERMINE GOALS AND STRATEGIES FOR THE HEALTH IMPLEMENTATION AND ACTION PLAN IN MAY -JUNE 2019 AND THE HEALTH IMPLEMENTATION PLAN WAS APPROVED AND ADOPTED BY THE BOARD OF DIRECTORS AT MERCYONE NEWTON MEDICAL CENTER DURING THIS TIMEFRAME AS WELL.THE NAMES OF ORGANIZATIONS THAT PROVIDED INPUT INCLUDE, BUT IS NOT LIMITED TO, MERCYONE NEWTON MEDICAL CENTER, NEWTON YMCA, JASPER COUNTY PUBLIC HEALTH, NEWTON POLICE DEPARTMENT, NEWTON FIRE DEPARTMENT, NEWTON VILLAGE, PARK CENTER, JASPER COUNTY BOARD OF SUPERVISORS, PROGRESS INDUSTRIES, CAREMORE, SALVATION ARMY, HIRRTA, ACURA, NEWTON DAILY NEWS, THE DENTAL PRACTICE, DMACC, NEWTON HEALTHCARE CENTER, KEYSTONE LABORATORIES, NEWTON CLINIC, MARION COUNTY PUBLIC HEALTH, PREGNANCY CENTER OF CENTRAL IOWA, GENERAL COMMUNITY MEMBERS, AND MORE.THE MEDICALLY UNDERSERVED OR LOW INCOME, MINORITY POPULATIONS BEING REPRESENTED WERE THE HOMELESS, INDIVIDUALS WITH BEHAVIORAL AND MENTAL HEALTH ISSUES, UNEMPLOYED AND UNINSURED INDIVIDUALS, COMMUNITY MEMBERS BELOW POVERTY LINE, MINORITY GROUPS INCLUDING HISPANIC, LATINO, ETC., SINGLE PARENTS, GERIATRIC POPULATION, RETIRED POPULATION, AND MORE. PART V, SECTION B, LINE 6B: JASPER COUNTY PUBLIC HEALTH DEPARTMENT PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 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 6/30/20 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE.BASED ON THAT FORMULA, $30,527,716/109,638,334 RESULTS IN A 27.84% COST-TO-CHARGE RATIO.WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. PART II, COMMUNITY BUILDING ACTIVITIES: MERCYONE NEWTON PARTNERS WITH NUMEROUS ORGANIZATIONS WITHIN THE COMMUNITY TO PROMOTE THE HEALTH AND WELL-BEING OF THE ORGANIZATION'S EMPLOYEES AND THE COMMUNITY IN GENERAL. THIS IS DONE THROUGH PARTICIPATION ON LOCAL ORGANIZATION BOARDS AND IN PARTNERING TO HOST AND SUPPORT COMMUNITY EVENTS WHICH RAISE AWARENESS TO COMMUNITY HEALTH NEEDS. PART III, LINE 2: COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 27.84%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: MERCY MEDICAL CENTER - NEWTON 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: MERCY MEDICAL CENTER - NEWTON 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 IS 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 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 CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. MERCY MEDICAL CENTER - NEWTON'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY:TOTAL MEDICARE REVENUE: $10,158,920TOTAL MEDICARE COSTS: $13,107,616SURPLUS OR SHORTFALL ($2,948,696)MERCY MEDICAL CENTER - NEWTON BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENTS AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. 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: MERCYONE NEWTON MEDICAL CENTER (FORMERLY SKIFF) HAS PROVIDED NEWTON AND THE PEOPLE OF JASPER COUNTY WITH MANY ONGOING COMMUNITY BENEFITS SINCE ITS BEGINNING. SKIFF MEDICAL CENTER HAS MADE A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BEFORE THEY BECOME ILL. THE HOSPITAL HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW-INCOME PERSONS LIKE THE UNINSURED/UNDERINSURED PATIENT DISCOUNT POLICY AND THE SELF-PAY AND THIRD-PARTY DISCOUNTS POLICY. THIS PAST YEAR, MANY LOWER INCOME, POOR AND INDIGENT INDIVIDUALS AND FAMILIES WERE SERVED BY SKIFF MEDICAL CENTER, AND A TOTAL OF $2,574,867 MILLION IN COMMUNITY BENEFITS, CHARITY CARE COST, ADMINISTRATIVE ADJUSTMENTS, EXCLUDING MEDICARE IN FISCAL YEAR 2019.WORKING WITH THE JASPER COUNTY PUBLIC HEALTH DEPARTMENT, MERCYONE NEWTON MEDICAL CENTER JOINED IN AN IN-DEPTH EVALUATION OF THE HEALTH OF OUR COMMUNITY BY ENGAGING FEEDBACK FROM REPRESENATIVES OF OVER 25 COMMUNITY ORGANIZATIONS. DESIGNED TO IDENTIFY NEEDS AND DEVELOP IMPROVEMENT STRATEGIES, THE CHNA SURVEY PROCESS RECEIVED RESPONSES FROM 200 RESIDENTS AND VESTED LEADERS IN THIS VALUABLE DISCUSSION AT THE TOWN HALL. AT THE TOWN HALL, 67 PARTICIPANTS ATTENDED FOR DISCUSSION, RANKING, ETC.MANY SERVICES PROVIDED BY MERCYONE NEWTON MEDICAL CENTER CONTINUE TO SURFACE ARE AREAS OF GREATEST NEED. ACCESS TO QUALITY HEALTH CARE IN OUR RURAL SETTING, AS WELL AS ACCESS TO QUALITY EMERGENCY CARE AND COORDINATED EFFORTS FOR MENTAL AND BEHAVIORAL HEALTH FOLLOW UP, AND THE NEED FOR IMPROVED RURAL ACCESS TO SPECIALTY CARE AND FINANCIAL ASSISTANCE FOR THE UNINSURED AND UNDERSERVED WERE IDENTIFIED BY THE PARTICIPANTS. THESE BARRIERS, COMPOUNDED BY THE CHALLENGES OF PROVIDING QUALITY HEALTH CARE IN A RURAL SETTING, COMBINED WITH NEEDED ACCESS TO HEALTHY FOOD, SAFE HOUSING AND PUBLIC TRANSPORTATION, HAVE GUIDED THE COMMUNITY-BASED ACTIVITIES FOR MERCYONE NEWTON MEDICAL CENTER. 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: MERCYONE NEWTON MEDICAL CENTER (SKIFF) IS A RURAL HOSPITAL IN JASPER COUNTY THAT SERVES PRIMARILY THE RESIDENTS OF JASPER COUNTY, BUT ALSO SOME OF THE SURROUNDING COUNTIES SUCH AS POWESHIEK, MARION, AND MARSHALL COUNTIES, OF WHICH EACH SURROUNDING COUNTY ALSO HAS AT LEAST ONE RURAL HOSPITAL. JASPER COUNTY IS LOCATED 35 MILES EAST OF DES MOINES, IT IS THE 18TH MOST POPULOUS COUNTY OF IOWA'S 99 TOTAL COUNTIES, IN THE 2010 CENSUS. THE COUNTY SEAT IS NEWTON. IN TOTAL, JASPER COUNTY HAS A LAND AREA OF 729.99 SQ. MILES.ACCORDING TO THE 2018 ROBERT WOODS JOHNSON COUNTY HEALTH RANKINGS, JASPER COUNTY IA WAS RANKED 68TH IN HEALTH OUTCOMES, 40TH IN HEALTH FACTORS, AND 75TH IN PHYSICAL ENVIRONMENTAL QUALITY OUT OF THE 99 COUNTIES.JASPER COUNTY'S POPULATION IS 36,966 (BASED ON 2017), WITH A POPULATION PER SQUARE MILE (BASED ON 2010) OF 50.4 PERSONS. SIX PERCENT (5.8%) OF THE POPULATION IS UNDER THE AGE OF 5 AND 19% IS OVER 65 YEARS OLD. FORTY-NINE PERCENT (48.8%) OF JASPER COUNTY IS FEMALE. HISPANIC OR LATINOS MAKE UP 2.2% OF THE POPULATION AND THERE ARE 2.2% OF JASPER COUNTY CITIZENS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. IN JASPER COUNTY, CHILDREN IN SINGLE PARENT HOUSEHOLDS MAKE UP 29%. THERE ARE 2,693 VETERANS LIVING IN JASPER COUNTY.THE PER CAPITA INCOME IN JASPER COUNTY IS $27,214, AND 9% OF THE POPULATION IN POVERTY. THERE IS A SEVERE HOUSING PROBLEM OF 12%. THERE ARE 2,857 TOTAL FIRMS (BASED ON 2012) IN JASPER COUNTY AND AN UNEMPLOYMENT RATE OF 3.6%. FOOD INSECURITY IS AT 12%, AND LIMITED ACCESS TO A STORE (HEALTHY FOODS) AT 4%. THIRTY-FOUR PERCENT OF INDIVIDUALS HAVE A LONG COMMUTE TO WORK.CHILDREN ELIGIBLE FOR A FREE OR REDUCED-PRICE LUNCH IS AT 40% AND 93.1% OF STUDENTS GRADUATE HIGH SCHOOL WHILE 18.1% OF STUDENTS GET THEIR BACHELOR'S DEGREE OR HIGHER IN JASPER COUNTY. THERE IS ONE FULL-TIME SCHOOL NURSE IN EACH SCHOOL DISTRICT: NEWTON, LYNNVILLE-SULLY AND COLFAX-MINGO.THE PERCENT OF BIRTHS WHERE PRENATAL CARE STARTED IN THE FIRST TRIMESTER IS 84% AND 8.3% OF BIRTHS ARE PREMATURE. THIRTY-THREE PERCENT OF BIRTHS IN JASPER COUNTY OCCUR TO UNMARRIED WOMEN. BIRTHS WHERE MOTHERS HAVE SMOKED DURING THE PREGNANCY IS AT HIGH AT 25.6% AND THE PERCENT OF BABIES UP TO 2 YEARS OLD THAT RECEIVE VACCINES IS 64%.THERE IS ONE PRIMARY CARE PHYSICIAN PER 2,460 PEOPLE IN JASPER COUNTY. PATIENTS WHO GAVE THEIR HOSPITAL A RATING OF 9 OR 10 OUT 10 ARE 76% AND THE AVERAGE TIME SPENT IN THE ER IS 48 MINUTES.MEDICARE POPULATION GETTING TREATED FOR DEPRESSION IN JASPER COUNTY IS 14%. THERE ARE 3.2 DAYS OUT OF THE YEAR THAT ARE POOR MENTAL HEALTH DAYS. THE AGE-ADJUSTED SUICIDE MORTALITY RATE (PER 100K) IS 15.6. JASPER COUNTY HAS A 60.2 OPIOID PRESCRIPTION RATE OUT OF 100 PRESCRIPTIONS WRITTEN IN 2017.THIRTY-TWO PERCENT OF ADULTS IN JASPER COUNTY ARE OBESE (BASED ON 2014), WITH 27% OF THE POPULATION PHYSICALLY INACTIVE. 20% OF ADULTS DRINK EXCESSIVELY AND 15% SMOKE. HYPERTENSION RISK IS AT 46.7%, WHILE HYPERLIPIDEMIA IS AT 39.9%. OSTEOPOROSIS IS 5.1% WHILE HEART FAILURE (9.8%) AND CHRONIC KIDNEY DISEASE (12.4%) ARE LOWER THAN THE COMPARATIVE NORM.THE ADULT UNINSURED RATE FOR JASPER COUNTY IS 5%.THE LIFE EXPECTANCY RATE IN JASPER COUNTY IS 77.7 FOR MALES AND 81.9 FOR FEMALES. HEART DISEASE MORTALITY RATE (PER 100K) IS 156.6 AND THE CANCER MORTALITY RATE IS AT 175.8. THE AGE ADJUSTED CHRONIC LOWER RESPIRATORY MORALITY RATE IS AT 43.8, AND ALCOHOL-IMPAIRED DRIVING DEATHS ARE LOWER THAN THE NORM, AT 12% IN JASPER COUNTY.EIGHTY-ONE PERCENT OF JASPER COUNTY HAS ACCESS TO EXERCISE OPPORTUNITIES AND AS HIGH AS 91% MONITOR DIABETES. 66% OF WOMEN IN JASPER COUNTY GET ANNUAL MAMMOGRAPHY SCREENINGS (BASED ON 2014). PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL FACILITY(IES) PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITY(IES) HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITY(IES) TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.SKIFF MEDICAL CENTER HAS PROVIDED NEWTON AND THE PEOPLE OF JASPER COUNTY WITH MANY ONGOING COMMUNITY BENEFITS SINCE ITS BEGINNING. SKIFF MEDICAL CENTER HAS MADE A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BEFORE THEY BECOME ILL. THE HOSPITAL HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW-INCOME PERSONS LIKE THE UNINSURED/UNDERINSURED PATIENT DISCOUNT POLICY AND THE SELF-PAY AND THIRD-PARTY DISCOUNTS POLICY. THIS PAST YEAR, MANY LOWER INCOME, POOR AND INDIGENT INDIVIDUALS AND FAMILIES WERE SERVED BY SKIFF MEDICAL CENTER, AND A TOTAL OF $3.0 MILLION IN COMMUNITY BENEFITS, CHARITY CARE COST, ADMINISTRATIVE ADJUSTMENTS, EXCLUDING MEDICARE IN FISCAL YEAR 2019. 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 AS A SINGLE MINISTRY 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 OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF 137 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 2020, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.2 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 $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $29.57 BILLION IN FISCAL YEAR 2020, HAS TOTAL ASSETS OF APPROXIMATELY $46.77 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. X X X 1 0 0 0 0 0 0 0 0 JOHN GACHIANI PHYSICIAN 0 928932 0 0 0 840 0 13738 0 20741 0 964251 0 0 MICHAEL WEGNER FORMER DIRECTOR / MARKET SVP COO 0 676222 0 0 0 20932 0 16675 0 15027 0 728856 0 0 KARL KEELER PRESIDENT CHI IOWA CORP 0 514855 0 0 0 37873 0 24125 0 23973 0 600826 0 0 RANDALL RUBIN SVP, CFO CHI IOWA CORP 0 440185 0 0 0 20932 0 16675 0 23733 0 501525 0 0 CHRIS CHRISTENSEN FORMER VICE CHAIR/VP PROFESSIONAL SE 0 180628 0 21283 0 89010 0 15500 0 9771 0 316192 0 0 LAURIE ALBERT-CONNER PRESIDENT 249813 0 0 0 16737 0 16002 0 1272 0 283824 0 0 0 SUSAN PAIR CRNA 214028 0 0 0 769 0 13272 0 22312 0 250381 0 0 0 MEGAN DEPOORTER CRNA 194195 0 0 0 388 0 11747 0 22581 0 228911 0 0 0 SONJA RANCK CHIEF NURSING OFFICER (PART YEAR) 30547 0 0 0 79847 0 5201 0 1790 0 117385 0 0 0 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 A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COMMONSPIRIT HEALTH (A RELATED ORGANIZATION) DURING THE 2019 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): CHRIS CHRISTENSEN, $81,856, SONJA RANCK, $79,778. FORM 990, PART VI, SECTION A, LINE 1 PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MERCY MEDICAL CENTER - NEWTON, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. 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 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH CATHOLIC HEALTH INITIATIVES - IOWA, CORP AND COMMONSPIRIT HEALTH (CATHOLIC HEALTH INITIATIVES - IOWA, CORP'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CATHOLIC HEALTH INITIATIVES - IOWA, CORP BOARD: *APPROVE MEMBERS OF THE MERCY MEDICAL CENTER - NEWTON BOARD *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE MERCY MEDICAL CENTER - NEWTON *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE MERCY MEDICAL CENTER - NEWTON *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE MERCY MEDICAL CENTER - NEWTON THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE MERCY MEDICAL CENTER - NEWTON *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE MERCY MEDICAL CENTER - NEWTON *APPROVAL OF ISSUANCE OF DEBT BY MERCY MEDICAL CENTER - NEWTON *APPROVAL OF PARTICIPATION OF MERCY MEDICAL CENTER - NEWTON IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY MERCY MEDICAL CENTER - NEWTON *APPROVAL OF A MERGER INVOLVING THE MERCY MEDICAL CENTER - NEWTON *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE MERCY MEDICAL CENTER - NEWTON *TO REQUIRE THE TRANSFER OF ASSETS BY THE MERCY MEDICAL CENTER - NEWTON TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, CATHOLIC HEALTH INITIATIVES - IOWA, CORP OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE." (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, THE CFO REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE CHIEF FINANCIAL OFFICER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. SUBSEQUENT TO E-FILING, THE FINAL E-FILED FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, LINE 16B MERCY MEDICAL CENTER - NEWTON 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 VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND TO RECOMMEND COMPENSATION RANGES FOR THE CEO. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2019 FOR CALENDAR 2020. 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 IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,891,243. MANAGEMENT AND GENERAL EXPENSES 99,539. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,990,782. CONSULTING: PROGRAM SERVICE EXPENSES 9,775. MANAGEMENT AND GENERAL EXPENSES 514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,289. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 840,981. MANAGEMENT AND GENERAL EXPENSES 93,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 934,423. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,042,844. MANAGEMENT AND GENERAL EXPENSES 107,518. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,150,362. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,947,353. MANAGEMENT AND GENERAL EXPENSES 102,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,049,845. FORM 990, PART XI, LINE 9: ASC 842 ADJUSTMENT -4,977. 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 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 SLCHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 SLHS 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE 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 BRHS 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 BRHS 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 HEALTHCARE 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 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 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 HEALTHCARE CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(C)(3) LINE 12A, I CHINS 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC 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 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 FUNDRAISING FOUNDATION 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 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) LINE 12A, I CSH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(C)(3) LINE 12B, II SFH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) LINE 10 CHI NS 0 CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) LINE 12A, I CSH 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HEALTHCARE 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 CHISVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12B, II SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHISVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 300 SAN FRANCISCO CA 94107 850919176 INVESTMENTS CA 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 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(C)(4) LINE 3 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 SUITE 300 SAN FRANCISCO CA 94107 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 185 BERRY STREET STE 300 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 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 SAN FRANCISCO CA 94107 943006034 SELF INSURANCE CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH INSURANCE NEVADA LTD 185 BERRY STREET SAN FRANCISCO NV 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 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 FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(C)(3) LINE 10 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE 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 MINISTRIES CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 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 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 HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12B, II KOH 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC 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 SHELTER IA 501(C)(3) LINE 7 CHI-IA CORP 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E LIBERTY ST STE 500 LOUISVILLE KY 40202 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 HEALTHCARE KY 501(C)(3) LINE 10 JHSMH 0 KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(C)(3) LINE 12B, II 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 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 LIVING ASSIST 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 0 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 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 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 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 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 NCHA 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 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(C)(3) LINE 12B, II 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 REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 SYLVESTER ROAD SW BURIEN WA 98166 911170040 HOSPITAL WA 501(C)(3) LINE 3 FHS 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 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) LINE 10 SCHS 0 SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING FOUNDATION NJ 501(C)(3) LINE 3 CSH 0 SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(C)(3) LINE 2 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 HOSPITAL 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 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 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 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 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 HEALTHCARE OR 501(C)(4) LINE 3 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 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE 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 12B, II SJSC 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HOSPITAL 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 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS 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 HEALTHCARE AR 501(C)(3) LINE 10 SVIMC 0 SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 341412964 HEALTHCARE OH 501(C)(3) LINE 12A, I CSH 0 SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 455357161 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I SFH 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 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 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 HOSPITAL 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 191 WOODPORT RD SPARTA NJ 07871 221768334 HOME HEALTH NJ 501(C)(3) LINE 10 SCHS 0 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 350 W THOMAS RD PHOENIX AZ 85018 474696671 CARE NETWORK AZ N/A N/A 0 0 ARIZONA CARE NETWORK LLC (ACN LLC) 350 W THOMAS RD PHOENIX AZ 85013 454494682 CARE NETWORK AZ 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 AVON EMERGENCY AND URGENT CARE CENTER LLC 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 811727282 HEALTHCARE SRVC 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 N/A N/A 0 0 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 INCLUDING CYBERKNIFE 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 N/A 0 0 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 CA N/A N/A 0 0 DHRT HOLDINGS LLC 185 BERRY STREET SUITE 300 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 300 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 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 202999237 SURGERY TX N/A N/A 0 0 DIGNITYUSP NORCAL SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 202468509 SURGERY TX N/A N/A 0 0 DIGNITYUSP PHOENIX SURGERY CENTERS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 134248908 SURGERY TX N/A N/A 0 0 DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 352584991 SURGERY TX N/A N/A 0 0 DIGNITY-ABRAZO HEALTH NETWORK LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX AZ 85012 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 FOLSOM SIERRA ENDOSCOPY CENTER LP 1650 CREEKSIDE DRIVE 1600 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 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 3000 RIVERCHASE GALLERIA SUITE 500 BIRMINGHAM AL 35244 770418197 AMBULATORY SURGICAL CENTER CA N/A N/A 0 0 OMG ARIZONA LLC 130 SUTTER STREET 2ND FLR SAN FRANCISCO CA 94104 471708588 MEDICAL OFFICE AZ 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 PASADENA URGENCY CENTER LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA TX 77505 812482854 URGENT CARE TX 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 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 PUEBLO AMBULATORY SURGERY CENTER LLC 25 MONTEBELLO RD PUEBLO CO 81003 621488737 SURGERY CENTER 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 OP SURGERY DE 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 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 DIAGNOSTICS 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 DIAGNOSTICS 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 1700 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 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 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 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 FITNESS CLUB 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 N/A C 0 CAPTIVE MANAGEMENT INITIATIVES LTD PO BOX 10073 APO GEORGETOWN GRAND CAYMAN CJ 980663022 CAPTIVE MANAGEMENT CJ N/A C 0 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 HEALTHCARE CA N/A S 0 COMCARE SERVICES INC 5570 DTC PARKWAY ENGLEWOOD CO 80111 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 300 SAN FRANCISCO CA 94107 460675371 HOLDING CO NV N/A C 0 DIGNITY HEALTH INSURANCE LTD (CAYMAN ISLAND CORPORATION) PO BOX 1051 KY1-1102 GRAND CAYMAN ISLANDS GRAND CAYMAN CJ 981065338 INSURANCE CJ N/A C 0 DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 300 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 FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN GRAND CAYMAN CJ 980203038 INSURANCE CJ 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 HEALTHCARE NY N/A C 0 FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232487967 HEALTHCARE 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 HEALTH ORG. 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 MANAGEMENT SERVICES ORGANIZATION OF SANTA MARIA INC 1400 E CHURCH STREET SANTA MARIA CA 93454 770318135 HEALTH CARE MGMT CA 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 HEATH CARE TX N/A C 0 MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES IA 50314 421202422 HOUSING 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 N/A C 0 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 (FKA COLLABHEALTH PLAN SERVICES INC) 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461224037 ADMIN SERVICES CO N/A C 0 QUALCHOICE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS 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 BILLING SERVICES NJ N/A C 0 SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232307408 HEALTHCARE CO N/A C 0 SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON KY 40503 270164198 MGMT 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 MEDICAL CLINIC TX N/A C 0 TOWSON MANAGEMENT INC 7601 OSLER DR TOWSON MD 21204 521710750 MGMT SERVICES MD N/A C 0 TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 MGMT SERVICES OH N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0