2021-05-18T13:34:45-05:00 2020-06-30 KPMG LLP 1225 17th Street Suite 800 Denver CO 80202 990 2019-07-01 450226711 ST ALEXIUS MEDICAL CENTER % TERRI DONOVAN STAL 7015307000 900 EAST BROADWAY AVENUE BISMARCK ND 585014520 TERRI DONOVAN CFO 2021-05-15 true Mark E Shelton P01203482 3032962323 2021-05-15 2019 2022-09-23 18:48:47Z CHI ST ALEXIUS HEALTH KURT SCHLEY 900 EAST BROADWAY AVENUE BISMARCK ND 585014520 270900606 false X HTTP://WWW.CHISTALEXIUSHEALTH.ORG X 1905 ND ST. ALEXUS IS PROUD OF ITS STELLAR REPUTATION AS A CARING, HIGH QUALITY MEDICAL CENTER AND OF ITS AWARDS FOR CLINICAL EXCELLENCE, CUSTOMER SATISFACTION AND COMMUNITY SERVICE. 11 6 2036 116 4170585 816696 1874508 6802409 265421836 249516220 189983 311073 11794016 14269664 279280343 270899366 171299 586100 0 0 132192217 130810345 0 0 0 220552103 172704522 352915619 304100967 -73635276 -33201601 223658252 266454652 169303975 231659889 54354277 34794763 X AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. false false 287494350 586100 255884635 CHI ST. ALEXIUS HEALTH BISMARCK IS AN ACUTE CARE MEDICAL CENTER OFFERING A FULL LINE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES, INCLUDING PRIMARY AND SPECIALTY PHYSICIAN CLINICS, HOME HEALTH AND HOSPICE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND A FITNESS AND HUMAN PERFORMANCE CENTER. SINCE OUR FOUNDING IN 1885, CHI ST. ALEXIUS HEALTH BISMARCK HAS BEEN DEDICATED TO SERVING THE RESIDENTS OF CENTRAL AND WESTERN NORTH DAKOTA, NORTHERN SOUTH DAKOTA AND EASTERN MONTANA. CHI ST. ALEXIUS HEALTH TURTLE LAKE IS A 25 BED CRITICAL ACCESS HOSPITAL WITH A LEVEL V EMERGENCY DEPARTMENT THAT IS AVAILABLE 24 HOURS A DAY. OUR HOSPITAL HAS BEEN COMMITTED TO PROVIDING PATIENTS QUALITY MEDICAL TREATMENT IN THE TURTLE LAKE AREA AND SURROUNDING COMMUNITIES SINCE 1952. THROUGH THE YEARS, THE HOSPITAL HAS SOUGHT TO CONTINUALLY UPGRADE THE QUALITY AND NUMBERS OF SERVICES IT COMMUNITIES SINCE 1952. THE HOSPITAL'S AFFILIATION WITH MAJOR MEDICAL CENTERS AND HEALTH CARE AGENCIES HAS ALLOWED IT TO EXPAND ITS HEALTH CARE SERVICES THROUGH A NETWORK THAT BEGINS AT THE LOCAL LEVEL. WE ARE A ROMAN CATHOLIC ORGANIZATION WHOSE SPONSORS ARE THE SISTERS OF ST.BENEDICT OF THE ANNUNCIATION MONASTERY, BISMARCK, ND AND AS AN ORGANIZATION WE FOLLOW THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. WE ARE COMPRISED OF AN INTERVENTIONAL RADIOLOGIST, CARDIOLOGISTS, HEART AND VASCULAR SURGEONS AS WELL AS OTHER HIGHLY TRAINED SUPPORT PERSONNEL. SPECIALTY CLINICS: OUR SPECIALTY CLINICS ARE A UNIQUE MULTI-SPECIALTY GROUP PRACTICE LOCATED MAINLY INSIDE ST. ALEXIUS MEDICAL CENTER. PROVIDERS IN DIFFERENT SPECIALTIES WORK TOGETHER TO CARE FOR PATIENTS. SPECIALISTS MUST COMPLETE SEVEN OR MORE YEARS OF MEDICAL SCHOOL AND POST-GRADUATE TRAINING AND THEN COMPLETE FELLOWSHIPS IN THEIR CHOSEN SPECIALTIES. ALL PHYSICIANS ARE BOARD ELIGIBLE OR BOARD CERTIFIED IN ONE OR MORE SPECIALTIES. WE PROVIDE CLINIC SERVICES IN MANY OFF SITE SATELLITE CLINICS AND BRING SPECIALTY SERVICES TO THE REGION. ST. ALEXIUS OPERATES AN OUTPATIENT FAMILY SERVICE PROGRAM CALLED ARCHWAY MENTAL HEALTH SERVICES. THIS PROGRAM OFFERS SENSITIVE AND RESPONSIVE SERVICES FOR INDIVIDUAL, MARITAL AND FAMILY PROBLEMS. THIS PROGRAM IS KEEPING WITH ST. ALEXIUS MEDICAL CENTER'S PHILOSOPHY OF BEING A LEADER IN PROGRESSIVE AND QUALITY SERVICES TO THE PEOPLE OF NORTH DAKOTA. ARCHWAY SERVICES ARE ALSO PROVIDED IN HAZEN, GARRISON, AND LINTON, ND. GREAT PLAINS REHABILITATION SERVICES IS A DIVISION OF ST. ALEXIUS MEDICAL CENTER THAT PROVIDES HOME MEDICAL EQUIPMENT, ORTHOTIC & PROSTHETIC, HOME RESPIRATORY CARE, ADA ENVIRONMENTAL AND REHABILITATION TECHNOLOGY SERVICES. GREAT PLAINS PROVIDES NEEDED MEDICAL EQUIPMENT AND SUPPLIES TO HELP INDIVIDUAL LEAD ACTIVE AND INDEPENDENT LIVES. GREAT PLAINS SERVICES ALL OF NORTH DAKOTA, CENTER AND EASTERN MONTANA, AND NORTHERN SOUTH DAKOTA. OTHER: ST. ALEXIUS MEDICAL CENTER PROVIDED COMMUNITY ACTIVITIES AND SERVICES AT REDUCED OR NO COST. THOSE INCLUDED: 1. EMPLOYEE ASSISTANCE PROGRAM (EAP)- ST. ALEXIUS SERVICES EMPLOYER CONTRACTS THROUGH ITS EAP WITH EMPLOYEES BY PROVIDING PROBLEM ASSESSMENT, SHORT TERM COUNSELING AND REFERRAL TO APPROPRIATE RESOURCES FOR FOLLOW-UP CARE. EAP SERVICES ARE ONLY OPEN TO EMPLOYEES OF A PARTICIPATING COMPANY. THE SERVICE IS FREE IF YOUR EMPLOYER PAYS TO PARTICIPATE. 2. EMPLOYEE ACTIVITIES - IN KEEPING WITH THE MEDICAL CENTER COMMITMENT TO ITS EMPLOYEES: A. ACTIVELY PARTICIPATED IN THE UNITED WAY FUND CAMPAIGN. B. JOURNEY BEYOND EXCELLENCE PROGRAM - WE HAVE SEVERAL TEAMS THAT ASSIST WITH OUR JOURNEY-REWARDS AND RECOGNITION, PATIENT SATISFACTION, PHYSICIAN SATISFACTION. THESE TEAMS WORK TOGETHER WITH OUR LEADERSHIP TO RESOLVE CHALLENGES AND ENGAGE ALL IN OUR MISSION. C. THE VACATION DONATION PROGRAM ASSISTED EMPLOYEES WHO HAVE AN ILLNESS OR AN ILLNESS IN THE FAMILY ALLOWING OTHER EMPLOYEES TO DONATE VACATION HOURS TO ALLOW THE AFFECTED EMPLOYEE TIME TO HEAL OR TIME WITH A FAMILY MEMBER DURING THEIR HEALING PROCESS. D. THE EMPLOYEE EMERGENCY FUND IS FOR ANY ST. ALEXIUS EMPLOYEE WHO EXPERIENCES A CRISIS OR IS DIRECTLY AFFECTED BY A CRISIS INVOLVING A FAMILY MEMBER. THE FUNDS ARE AVAILABLE TO EMPLOYEES WHO ARE FACING PERSONAL TRAGEDIES OR HARDSHIPS FOR REASON SUCH AS A LOSS OF A SPOUSE OR CHILD, CATASTROPHIC ILLNESS, LOSS OF HOME BY FIRE OR FLOOD, OR OTHER CALAMITIES. 3. ACUTE CARE FACILITY - ST. ALEXIUS IS A PARTNER WITH ANOTHER ACUTE CARE FACILITY IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK CANCER CENTER HELPS TO ENSURE THAT PATIENTS WITH CANCER RECEIVE QUALITY CARE AND MANAGEMENT OF THEIR DISEASE WITHOUT HAVING TO DRIVE A LONG DISTANCE TO RECEIVE NECESSARY CARE. SUCH AS A LOSS OF A SPOUSE OR CHILD, CATASTROPHIC ILLNESS, LOSS OF HOME BY FIRE OR FLOOD, OR OTHER CALAMITIES. 3. ACUTE CARE FACILITY - ST. ALEXIUS IS A PARTNER WITH ANOTHER ACUTE CARE FACILITY IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK CANCER CENTER HELPS TO ENSURE THAT PATIENTS WITH CANCER RECEIVE QUALITY CARE AND MANAGEMENT OF THEIR DISEASE WITHOUT HAVING TO DRIVE A LONG DISTANCE TO RECEIVE NECESSARY CARE. 287494350 true true false true false false false false false true true false false true true true false true false false false false false false true false true true true false true false false false false false false false false true false false false true true true false false false true 235 0 true 2036 true true true false false false false true true false false false false false false X 11 6 false false false false true true true true true false false false true true true true true false true true true X TERRI DONOVAN 7015307610 900 EAST BROADWAY AVE BISMARCK ND 585014520 X CLIFF ROBERTSON MD Director 1.0 59.0 X 0 2271574 46283 DR Steven Kraljic Neurosurgeon 40.0 0.0 X 2085384 0 31840 Stephen Markewich MD - Pain Clinic 40.0 0.0 X 861766 0 50840 CAMERON Charchenko M.D. - Urology 40.0 0.0 X 807006 0 39776 Nicholas Bradbury MD - Interventional Radiology 40.0 0.0 X 739610 0 41310 Agnieszka Solberg MD - Interventional Radiology 40.0 0.0 X 709261 0 22877 KURT SCHLEY DIRECTOR & CEO 5.0 40.0 X X 0 585573 83318 Kevin Dahmen MD Secretary/Treasurer 40.0 5.0 X X 0 609968 49012 Todd Preszler MD Director 40.0 5.0 X 0 601917 34490 MICHAEL L CASSIDY MD Director THROUGH 10/30/19 1.0 44.0 X 0 465951 33734 Shiraz Hyder Director 40.0 5.0 X 0 392975 53490 TESSA MARBURGER MD Director THROUGH 10/30/19 1.0 44.0 X 0 394767 25950 JULIE WARD VP/Chief Nursing Off.-11/29/19 40.0 0.0 X 271694 0 17029 KEITH HORNER Director 40.0 0.0 X 195279 0 31354 ANGELIA SVIHOVEC VP Outreach 40.0 0.0 X 179136 0 30309 CAROL KOLLER VP Med. Group Ent. - 4/12/19 40.0 0.0 X 196981 0 10143 ELLEN HOLT VP Human Resources 40.0 0.0 X 172998 0 15049 DEBRA MOHESKY Interim CFO THROUGH 11/30/19 40.0 0.0 X 0 185000 0 Terri Donovan Chief Financial Officer 40.0 0.0 X 0 51949 1385 TIMOTHY BOPP MD Director 3.0 5.0 X 0 0 0 JOHN GIESE Chair 3.0 6.0 X X 0 0 0 MICHAEL LEFOR Director 1.0 6.0 X 0 0 0 SR NANCY MILLER OSB Vice Chair 3.0 5.0 X X 0 0 0 JOHN MONGEON Director 1.0 5.0 X 0 0 0 PATRICK SOGARD Director through 10/30/19 1.0 5.0 X 0 0 0 JULIE TRAYNOR Director through 10/30/19 1.0 5.0 X 0 0 0 SR THOMAS WELDER Director THROUGH 6/6/20 3.0 5.0 X 0 0 0 Mike Weisbeck Director 3.0 5.0 X 0 0 0 6219115 5559674 618189 187 true true false BISMARCK RADIOLOGY ASSOCIATES 1310 E Main AVENUE BISMARCK ND 585010000 Radiology Services 5609234 MEDICAL SOLUTIONS PO BOX 310737 DES MOINES IA 503310737 Traveling Nurses 4847888 NORTHERN PLAINS LAB PO BOX 2036 BISMARCK ND 585020000 Pathology Services 4575964 WEATHERBY LOCUM INC PO BOX 972633 DALLAS TX 753972633 Locum Services 4123915 ZIMMER BIOMET 14235 COLLECTION CTR DRive CHICAGO IL 606930000 Medical Devices 4089102 161 99444 5964769 738196 99748 6802409 PATIENT SERVICES 900099 246032931 246032931 0 0 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 3099115 3099115 0 0 TUITION 611600 321578 321578 0 0 CAFETERIA 722100 62596 62596 0 0 249516220 132383 1383 131000 0 0 891015 891015 0 891015 891015 152281 26409 152281 26409 178690 178690 59479 99444 1122 58357 58357 976 118 858 858 0 0 0 PHARMACY SERVICES 446110 5418898 4815806 603092 0 LABORATORY SERVICES 621500 1148474 0 1148474 0 INTERCOMPANY TRANSACTIONS 900099 1552609 1552609 0 0 5199453 2417636 2781817 13319434 270899366 255884635 4170585 4041737 X 586100 586100 0 0 0 1125336 1125336 0 107271719 101851866 5419853 0 15464578 14691349 773229 6948712 6601277 347435 0 422138 401031 21107 0 7063 7063 0 0 72953891 67804462 5149429 1001282 951218 50064 3661039 3477987 183052 5805288 5515024 290264 0 12848101 12205696 642405 577584 548705 28879 0 0 3454014 3281314 172700 4953912 4706216 247696 9046257 8593945 452312 643635 611453 32182 UNRELATED BUSINESS TAXES 582400 553280 29120 MEDICAL SUPPLIES 50698710 48201676 2497034 REPAIRS AND MAINTENANCE 4405967 4185669 220298 DUES & SUBSCRIPTIONS 849904 807409 42495 793337 793337 304100967 287494350 16606617 0 8448 4045346 4133 0 6176 6000 34248103 32213091 0 0 0 0 557631 827708 9713913 9920979 1064876 1201508 123611571 68914358 60592388 54697213 1642167 1589922 4455209 4512979 0 0 0 0 111365208 157439906 223658252 266454652 72639643 105469749 0 0 2288672 2464160 0 0 0 0 0 0 840906 388024 0 0 93534754 123337956 169303975 231659889 X 48250725 28688902 6103552 6105861 54354277 34794763 223658252 266454652 X -33201601 -117522 13759609 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7063 false false false 7063 false SCHEDULE C, PART II-B, LINE 1F THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMGA - $1,505 American Hospital Association - $3,274 Catholic Health Association - $2,284 4455209 15000 134210 3000 76009 12431 4512979 4175493 35000 264476 19760 4455209 4916916 80000 303577 1799 1109542 13659 4175493 5031666 176232 409345 688455 11872 4916916 5511626 155866 18 623219 12625 5031666 0.82000 0.18000 0.00000 false true true 12461043 12461043 28447141 6837397 21609744 75791687 60797074 14994613 6914729 1282916 5631813 54697213 DEPOSITS 343219 OTHER ASSETS 83707 RENTAL PROPERTY LAND 5067994 INTERCOMPANY RECEIVABLES 115201072 ROU ASSET - OPERATING LEASE 36240884 ROU ASSET - FINANCE LEASE 503030 157439906 0 INTERCOMPANY PAYABLES 77547495 OPERATING LEASE LIABILITY 38479610 FINANCE LEASE LIABILITY 511669 UNCLAIMED PROPERTY 1156 OTHER PHYSICIAN GROUP PAYABLES 6798026 123337956 X SCHEDULE D, PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT IS UTILIZED TO PROVIDE FUNDING TO CONTINUE TO ADVANCE MEDICAL SERVICES AND PROGRAMS FOR THE REGION AT ST. ALEXIUS MEDICAL CENTER SET FORTH IN OUR MISSION, "LET ALL BE RECEIVED AS CHRIST." SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE ST. ALEXIUS MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S FIN 48 (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 THE 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 JUDGEMENT 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 BENEFITS 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". SAKT Sept. 2019 39048 33368 5680 0 354 216 185 0 367 Night for Stars 119875 66076 53799 0 0 0 0 0 0 0 158923 99444 59479 0 354 216 185 0 367 1122 58357 true true X true X 300. true X true true true false true true 1480671 0 1480671 0.00560 12464575 10689353 1775222 0.00670 0 0 0 0.00000 13945246 10689353 3255893 0.01230 2477 0 2477 0.00000 188946 0 188946 0.00070 15581072 3742242 11838830 0.04500 38327 35714 2613 0.00000 55650 0 55650 0.00020 15866472 3777956 12088516 0.04590 29811718 14467309 15344409 0.05820 0 0 0 0.00000 false 7599481 592760 75445623 82557980 -7112357 X true true NORTHERN PLAINS LAB LABORATORY SERVICES 0.5 0.5 2 1 ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY BISMARCK ND 585065510 HTTPS://WWW.CHISTALEXIUSHEALTH.ORG 5004 X X X X 2 TURTLE LAKE COMMUNITY MEMORIAL HOSPIT 220 5TH AVE TURTLE LAKE ND 58575 WWW.CHISTALEXIUSHEALTH.ORG/TURTLELAKE 5059 X X X X ST ALEXIUS MEDICAL CENTER 1 false false true X X X X X X X X X 19 true true true true X SEE STATEMENT X true 19 false true false true X 300. 300. X X X X true true X X X true X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X X true X false X X X X true X false false TURTLE LAKE COMMUNITY MEMORIAL HOSPIT 2 false false true X X X X X X X X 18 true false false true X SEE STATEMENT X true 18 false true false true X 300. 300. X X X X true true X X X true X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E - THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 - INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED FACILITY NAME: ST. ALEXIUS MEDICAL CENTER AN ONLINE SURVEY WAS CONDUCTED WITH IDENTIFIED COMMUNITY KEY STAKEHOLDERS. THE STUDY CONCENTRATED ON THE STAKEHOLDERS' CONCERNS FOR THE COMMUNITY SPECIFIC TO ECONOMIC WELLBEING, TRANSPORTATION, CHILDREN AND YOUTH, THE AGING POPULATION, SAFETY, HEALTH CARE AND WELLNESS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE STUDY WAS CONDUCTED THROUGH A PARTNERSHIP WITH CENTER FOR SOCIAL RESEARCH (CSR) AT NORTH DAKOTA STATE UNIVERSITY. THE CSR DEVELOPED AND MAINTAINED LINKS TO THE ONLINE SURVEY TOOL. BISMARCK-BURLEIGH PUBLIC HEALTH DISTRIBUTED THE SURVEY LINK VIA EMAIL TO STAKEHOLDERS AND KEY LEADERS LOCATED WITHIN THE BISMARCK/MANDAN COMMUNITY AND BURLEIGH AND MORTON COUNTIES. A TOTAL OF 68 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE SURVEY. RESIDENT SURVEY THE RESIDENT SURVEY TOOL INCLUDED QUESTIONS ABOUT THE RESPONDENT'S PERSONAL HEALTH. AN ONLINE SURVEY WAS DEVELOPED IN PARTNERSHIP WITH PUBLIC HEALTH EXPERTS. THE MINNESOTA. HEALTH DEPARTMENT REVIEWED THE SURVEY AND ADVISED TO INCLUDE KEY QUESTIONS USED IN THE STATE HEALTH IMPROVEMENT PROGRAM (SHIP) SURVEYS AND THOSE QUESTIONS WERE INCLUDED IN THIS SURVEY. THE NORTH DAKOTA PUBLIC HEALTH ASSOCIATION DEVELOPED AN ADDENDUM TO THE SURVEY WITH QUESTIONS SPECIFIC TO THE AMERICAN INDIAN POPULATION. THE SURVEY WAS SENT TO A REPRESENTATIVE SAMPLE OF THE BURLEIGH COUNTY AND MORTON COUNTY POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR. A TOTAL OF 645 COMMUNITY RESIDENTS PARTICIPATED IN THE RESIDENT SURVEY. COMMUNITY ASSET MAPPING ASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS. COMMUNITY STAKEHOLDERS MEETING COMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. ON THURSDAY, APRIL 5, 2018, THE COMMUNITY HEALTH COLLABORATIVE CORE GROUP HOSTED A COMMUNITY HEALTH STAKEHOLDERS MEETING. COMMUNITY PROFILE INFORMATION FOR BURLEIGH AND MORTON COUNTIES WERE PRESENTED TO ATTENDEES IN ADDITION TO SURVEY FINDINGS FROM NDSU CENTER FOR SOCIAL RESEARCH. A TOTAL OF 61 STAKEHOLDERS WERE PRESENT FOR THE COMMUNITY HEALTH STAKEHOLDERS MEETING REPRESENTING THE FOLLOWING AGENCIES: *AARP; BISMARCK CITY COMMISSION; BISMARCK PARKS & RECREATION; BISMARCK POLICE DEPARTMENT; BISMARCK-BURLEIGH PUBLIC HEALTH; BISMARCK-MANDAN CHAMBER OF COMMERCE; BRIDGING THE DENTAL GAP; BURLEIGH COUNTY COMMISSION; BURLEIGH COUNTY HOUSING AUTHORITY; CHARLES HALL YOUTH SERVICES; CHI ST. ALEXIUS HEALTH; CITY OF BISMARCK ADMINISTRATION; COMMUNITY HEALTHCARE ASSOCIATION OF THE DAKOTAS; COMMUNITY OPTIONS; GO! BISMARCK MANDAN; HEARTVIEW FOUNDATION; LUTHERAN SOCIAL SERVICES; MANDAN POLICE DEPARTMENT; MENTAL HEALTH AMERICA OF ND; MISSOURI VALLEY HOMELESS COALITION; ND DEPARTMENT OF HEALTH; RUTH MEIERS HOSPITALITY HOUSE; SANFORD HEALTH; STATE LEGISLATORS; UND CENTER FOR FAMILY MEDICINE; UNITED TRIBES TECHNICAL COLLEGE; UNITED WAY; UNIVERSITY OF MARY; VULNERABLE ADULT PROTECTIVE SERVICES; WEST CENTRAL HUMAN SERVICE CENTER; and YMCA. FOLLOWING THE PRESENTATIONS, FACILITATED ROUND TABLE DISCUSSIONS TOOK PLACE WHERE ATTENDEES PROVIDED FEEDBACK ON THE SURVEY RESULTS AND SHARED IDEAS ON HOW THEIR ORGANIZATIONS COULD ASSIST WITH THE NEEDS IDENTIFIED. FACILITATORS CAPTURED THE DISCUSSIONS AND FEEDBACK FROM ATTENDEES. FACILITY NAME: TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL CHI ST. ALEXIUS HEALTH TURTLE LAKE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY COLLECTING DATA FROM 1. A SURVEY SOLICITED FEEDBACK FROM AREA RESIDENTS; 2. COMMUNITY LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TOOK PART IN ONE-ON-ONE KEY INFORMANT INTERVIEWS; 3. THE COMMUNITY GROUP, COMPRISED OF COMMUNITY LEADERS AND AREA RESIDENTS, WAS CONVENED TO DISCUSS AREA HEALTH NEEDS AND INFORM THE ASSESSMENT PROCESS; 4. A RANGE OF SECONDARY SOURCES OF DATA WERE EXAMINED, PROVIDING INFORMATION ON A MULTITUDE OF MEASURES INCLUDING DEMOGRAPHICS; HEALTH CONDITIONS, INDICATORS, AND OUTCOMES; RATES OF PREVENTIVE MEASURES; RATES OF DISEASE; AND AT-RISK BEHAVIOR. ONE-ON-ONE INTERVIEWS, WITH KEY INFORMANTS, WERE CONDUCTED IN PERSON IN TURTLE LAKE ON AUGUST 22, 2018. ONE ADDITIONAL KEY INFORMANT INTERVIEW WAS CONDUCTED OVER THE PHONE ON AUGUST 23, 2018. A REPRESENTATIVE FROM THE CENTER FOR RURAL HEALTH CONDUCTED THE INTERVIEWS. INTERVIEWS WERE HELD WITH SELECTED MEMBERS OF THE COMMUNITY WHO COULD PROVIDE INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. INCLUDED AMONG THE INFORMANTS WERE PUBLIC HEALTH PROFESSIONALS WITH SEVERAL YEARS OF DIRECT EXPERIENCE IN THE COMMUNITY, INCLUDING WORKING WITH MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AS WELL AS WITH POPULATIONS WITH CHRONIC DISEASES. SCHEDULE H, PART V, SECTION B, LINE 6A (St. Alexius Medical Center) FACILITY NAME: SANFORD HEALTH SCHEDULE H, PART V, SECTION B, LINE 6B (St. Alexius Medical Center) FACILITY NAME: BURLEIGH PUBLIC HEALTH FACILITY NAME: CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY SCHEDULE H, PART V, SECTION B, LINE 7 - CHNA REPORT ON FACILITIES WEBSITE LIST URL) Both facilities can be found here: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTS SCHEDULE H, PART V, SECTION B, LINE 11 - HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA FACILITY NAME: ST. ALEXIUS MEDICAL CENTER DESCRIPTION: THE SIGNIFICANT COMMUNITY HEALTH NEEDS THAT THE HOSPITAL WILL ADDRESS: OPIOID ABUSE *REVIEW CURRENT TAKEBACK POLICY *ASSESS PRESCRIPTION USAGE *REVIEW LITERATURE ON OTHER PROGRAMS *PLAN PROVIDER EDUCATION PROGRAMS *EDUCATE PATIENTS FOOD INSECURITY *ASSESS FOOD HUNGER AMONG DIALYSIS PATIENTS *EDUCATE NURSES AND PHYSICIANS ON ASSESSMENT OF FOOD INSECURITY *WORK WITH DIETARY, FOOD PANTRIES AND FAMILIES TO SIMPLIFY THE PROCESS OF OBTAINING APPROPRIATE FOODS. DOMESTIC VIOLENCE *EXPLORE OPPORTUNITIES TO EDUCATE HEALTH PROFESSIONALS ABOUT DOMESTIC VIOLENCE - ASSESS FOR DOMESTIC VIOLENCE *APPRECIATE SELECTED INTERVENTIONAL SKILLS IN DOMESTIC VIOLENCE SITUATIONS. SIGNIFICANT NEEDS THE HOSPITAL DOES NOT INTEND TO ADDRESS THE HOSPITAL INTENDS TO TAKE ACTIONS TO ADDRESS ALL OF THE PRIORITIZED SIGNIFICANT HEALTH NEEDS IN THE CHNA REPORT, BOTH THROUGH ITS OWN PROGRAMS AND SERVICES AND IN COLLABORATION WITH COMMUNITY PARTNERS. HOMELESSNESS: CHI ST. ALEXIUS HEALTH WORKS COLLABORATIVELY WITH INSTITUTIONS WHO ARE PROVIDING HOUSING FOR HOMELESS AND THOSE WHO ARE IMPLEMENTING HOUSING FOR THOSE WHO ARE IMPAIRED. WE PAY PARTICULAR ATTENTION TO OUR SISTER INSTITUTION, MINISTRY ON THE MARGIN. ANOTHER CONCERN IS DISCHARGE OF HOMELESS PERSONS. CHILDREN AND YOUTH: WE WILL CONTINUE TO WORK WITH OUR PROGRAMS WITH NUTRITION AND DIABETES WITH CHILDREN. SAFETY: VIOLENCE PREVENTION PROGRAMS; DOMESTIC VIOLENCE AND SEX TRAFFICKING - ACTIVE PLAN FOR VIOLENCE PREVENTION. WELLNESS: CLINICS ABUSE OF PRESCRIPTION DRUGS - INCLUDED IN OPIOID PLAN, AND ALL "TAKE BACK" DRUG PROGRAMS. FACILITY NAME: TURTLE LAKE COMMUNITY MEMORIAL HOSPITAL DESCRIPTION: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS, AVAILABILITY OF RESOURCES TO HELP THE ELDERLY STAY IN THEIR HOMES, JOBS WITH LIVABLE WAGES AND ACCESS TO EXERCISE AND WELLNESS ACTIVITIES. ABILITY TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS. GOAL: ENSURE ALL COMMUNITY MEMBERS, INCLUDING THE UNINSURED AND WORKING POOR HAVE ACCESS TO PRIMARY CARE PROVIDERS IN ORDER TO IMPROVE OVERALL HEALTH MAINTENANCE AND AVOID COSTLY TRIPS TO THE EMERGENCY ROOM. KEY OBJECTIVES: 1.RETAIN THE NUMBER OF PRACTICING PRIMARY CARE PROVIDERS. 2.ACTIVELY RECRUIT PRIMARY CARE PROVIDERS TO WORK IN THE RURAL SETTING. IMPLEMENTATION STRATEGIES: 1. MAINTAIN CHI ST. ALEXIUS HEALTH TURTLE LAKE AND THE WASHBURN FAMILY CLINIC DESIGNATIONS AS NATIONAL HEALTH SERVICE CORE SITES. THIS ALLOWS OUR PRIMARY CARE PROVIDERS ACCESS TO LOAN REPAYMENT ON STUDENT LOANS ALONG WITH A COMMITMENT OF SERVICE. 2. WORK WITH THE STATE OF NORTH DAKOTA ON LOAN REPAYMENT IN THE EVENT PROVIDERS DO NOT QUALIFY FOR NATIONAL HEALTH SERVICE CORE REPAYMENT. 3. ENCOURAGE JOB SHADOWING WITH MEDICAL PROVIDER STUDENTS INTERESTED IN RURAL HEATH. 4. ATTEND JOB FAIRS AS NEEDED. 5. MONITOR CURRENT STAFF JOB SATISFACTION. 6. REMAIN COMPETITIVE IN SALARY AND BENEFITS. 7. OFFER CONTINUING EDUCATION OPPORTUNITIES TO CURRENT STAFF. AVAILABILITY OF RESOURCES TO HELP ELDERLY STAY IN THEIR HOMES. GOAL: INCREASE THE AWARENESS OF RESOURCES AVAILABLE IN SURROUNDING AREA TO ALLOW ELDERLY PATIENTS TO REMAIN IN THEIR HOMES. KEY OBJECTIVES: 1. INVESTIGATE EXISTING RESOURCES AVAILABLE WITHIN THE COUNTY THAT PROVIDE ASSISTANCE TO THE ELDERLY POPULATION. 2. BECOME AN ADVOCATE TO OUR ELDERLY POPULATION BY MAKING AVAILABLE INFORMATION ABOUT AVAILABILITY OF RESOURCES EITHER WITHIN THE COUNTY OR OUR OWN HOSPITAL SERVICES. IMPLEMENTATION STRATEGIES: 1. WORK IN PARTNERSHIP WITH CHI ST. ALEXIUS HEALTH AT HOME FOR PATIENTS NEEDING MEDICAL ASSISTANCE AT HOME. 2. HOLD A FALL PREVENTION PROGRAM ON A YEARLY BASIS FOR THE PUBLIC. 3. PROVIDE INFORMATION REGARDING MEALS ON WHEELS, MEDICALERT SYSTEMS, VETERAN SERVICES AND MCLEAN OR SHERIDAN COUNTY PROVIDED PROGRAMS TO THE ELDERLY POPULATION. 4. MARKET THE AVAILABILITY OF DAY CARE AND RESPITE SERVICES AVAILABLE AT CHI ST. ALEXIUS HEALTH TURTLE LAKE FOR CARE-GIVERS NEEDING TIME AWAY FROM ELDERLY FAMILY. 5. PARTICIPATE WITH HOSPITAL AUXILIARY DURING THEIR PUBLIC PROGRAMS WITH GUEST SPEAKERS ON ISSUES INVOLVING THE ELDERLY. ACCESS TO EXERCISE AND WELLNESS ACTIVITIES GOAL: INCREASE THE AWARENESS OF RESOURCES AND PROGRAMS AVAILABLE TO THE GENERAL PUBLIC TO IMPROVE THE POPULATION'S OVERALL GENERAL HEALTH. KEY OBJECTIVES: 1. WORK WITH SUPPORTING HOSPITAL BOARDS TO PROVIDE ACTIVITIES THAT ENCOURAGE WELLNESS. 2. WORK WITH HOSPITAL DEPARTMENT HEADS AND STAFF TO PROVIDE OPPORTUNITIES FOR INCREASED WELLNESS AND EXERCISE OPPORTUNITIES. IMPLEMENTATION STRATEGIES: 1. MAKE HEALTH FAIRS AN ANNUAL EVENT IN CONJUNCTION WITH THE DAKOTA FEEDER CALF SHOW (AN ANNUAL EVENT THAT BRINGS SURROUNDING COMMUNITY RESIDENTS INTO AREA) 2. OFFER YEARLY WELLNESS CHALLENGES FOR THE GENERAL PUBLIC TO PARTICIPATE IN AND PROVIDE EDUCATIONAL OPPORTUNITIES IN AREAS OF NUTRITION, EXERCISE, ETC. DURING CHALLENGE. 3. OFFER ADULT FITNESS PROGRAM AND MAKE EXERCISE EQUIPMENT AVAILABLE TO THE GENERAL PUBLIC. OTHER NEEDS IDENTIFIED IN THE CHNA BUT NOT ADDRESSED IN THIS PLAN EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THE HOSPITAL, OTHER ORGANIZATIONS WITHIN THE HOSPITAL SYSTEM, AND OTHER COMMUNITY PARTNERS OF THE HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN. JOBS WITH LIVABLE WAGE OUR FACILITY CURRENTLY PUBLISHES AVAILABLE JOBS IN THE COUNTY PAPERS AND POSTS ON FACEBOOK ANY JOB OPPORTUNITIES WE HAVE AVAILABLE. OUR FACILITY PARTICIPATES IN THE DAKOTA NURSING PROGRAM WHICH ALLOWS STUDENTS TO FURTHER THEIR EDUCATION IN THE NURSING FIELD AT A LOCAL LOCATION WHILE MAINTAINING THEIR EMPLOYMENT. OUR HOSPITAL ASSOCIATION WILL ASSIST WITH SCHOLARSHIPS FOR THESE STUDENTS. OUR HOSPITAL STAFF EVERY YEAR ALSO AWARDS THREE $500.00 SCHOLARSHIPS TO COLLEGE STUDENTS PURSUING CAREERS IN A HEALTH CARE FIELD. SCHEDULE H, PART V, SECTION B, LINE 13H - OTHER ELIGIBILITY CRITERIA FOR APPLIES TO BOTH FACILITIES: FINANCIAL ASSISTANCE FACILITY NAME: ST. ALEXIUS MEDICAL CENTER DESCRIPTION: 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. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP AVAILABLE WEBSITE BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION FORM WEBSITE BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIA L-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C-PLAIN LANGUAGE FAP SUMMARY WEBSITE BOTH FACILITIES CAN BE FOUND HERE: HTTPS://WWW.CHISTALEXIUSHEALTH.ORG/PATIENTS-VISITORS/OUR-PATIENTS/FINANCIA L-ASSISTANCE 7 ST ALEXIUS HEART & LUNG CLINIC 310 NORTH 10TH STREET BISMARCK ND 58501 HEART, LUNG & PERIPHERAL VASCULAR DISEASE CLINIC GREAT PLAINS REHABILITATION SERVICES 1212 EAST MAIN BISMARCK ND 58501 PROVIDE HOME MEDICAL PRODUCTS TO GENERAL PUBLIC ST ALEXIUS MINOT CLINIC 2700 8TH ST NW MINOT ND 58701 FAMILY MEDICINE CLINIC ST ALEXIUS MANDAN CLINIC NORTH 2500 SUNSET DR NW MANDAN ND 58554 FAMILY MEDICINE CLINIC URGENT CARE ON 43RD 4315 OTTAWA STREET BISMARCK ND 58503 URGENT CARE URGENT CARE PINEHURST 921 W INTERSTATE AVE BISMARCK ND 58503 URGENT CARE URGENT CARE ON MAIN 807 E MAIN SUITE A BISMARCK ND 58501 URGENT CARE SCHEDULE H, PART I, LINE 3C - FINANCIAL ASSISTANCE ELIGIBILITY 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. SCHEDULE H, PART I, LINE 7 - DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM PHYSICIAN CLINIC ON LINE 7G SUBSIDIZED HEALTH SERVICES DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. SCHEDULE H, PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT THE AMOUNT REPORTED AS BAD DEBT EXPENSE REPRESENTS TOTAL CHARGES WRITTEN OFF TO BAD DEBT. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 - FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY ST. ALEXIUS MEDICAL CENTER 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. SCHEDULE H, PART III, LINE 4 - FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT ST. ALEXIUS MEDICAL CENTER 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. SCHEDULE H, PART III, LINE 8 - DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED 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. ST. ALEXIUS MEDICAL CENTER'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. 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 PAYMENT 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. SCHEDULE H, PART III, LINE 9B - DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE 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. SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENT THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR 2019. SCHEDULE H, PART VI, LINE 3 - PATIENT EDUCATION 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. SCHEDULE H, PART VI, LINE 4 - COMMUNITY INFORMATION ST. ALEXIUS PROVIDES OUTREACH SERVICES ACROSS ITS SERVICE OF CENTRAL AND WESTERN NORTH DAKOTA. ST. ALEXIUS OPERATES THE GARRISON MEMORIAL HOSPITAL IN GARRISON, NORTH DAKOTA AND MANAGES THE COMMUNITY MEMORIAL HOSPITAL IN TURTLE LAKE. ST. ALEXIUS OWNS AND OPERATES CLINICS IN MANDAN, MINOT, GARRISON, AND WASHBURN. NORTH DAKOTA'S POPULATION IS 790,701 OF WHICH 75,858 RESIDE IN THE CITY OF BISMARCK. THE POPULATION IS 92.1% WHITE, 4.5% NATIVE AMERICAN, AND THE REMAINING 3.4% BEING AFRICAN AMERICAN, ASIAN, AND HISPANIC. BY THE YEAR 2020, 450 OF THE 53 COUNTIES WILL HAVE MORE THAN 22% OF THEIR POPULATION AGE 65 OR OLDER. FROM 2000-2005 OUR STATE HAD A 15% DECREASE IN THE NUMBER OF YOUTH AND A 13.8% INCREASE IN THE MINORITY POPULATION WHICH WAS PRIMARILY NATIVE AMERICAN RESERVATIONS. NORTH DAKOTA HAS 12% OF THEIR POPULATION LIVING POVERTY. THE LEADING CAUSES OF DEATH IN BURLEIGH COUNTY RANKED IN ORDER ARE DISEASES OF THE HEART, ALZHEIMER'S, RESPIRATORY CANCER, ACCIDENTAL, CEREBROVASCULAR DISEASE, COPD, DIABETES, BREAST CANCER, AND COLORECTAL CANCER. HEALTH RELATED BEHAVIORS INFLUENCE CARDIOVASCULAR DISEASES SUCH AS SMOKING, PHYSICAL INACTIVITY, POOR NUTRITION, AND UNHEALTHY WEIGHT STATUS. HYPERTENSION IS A CHRONIC DISEASE ASSOCIATED WITH AGING THAT HAS A HIGH RISK FACTOR FOR HEART DISEASE AND STROKE. IN NORTH DAKOTA, 26% OF ADULTS HAVE HIGH BLOOD PRESSURE. NORTH DAKOTA ADULTS ARE A PART OF THE NATIONAL TREND TOWARDS INCREASED OBESITY. 63% OF THE ADULTS HERE HAVE AN UNHEALTHY WEIGHT/BMI. SOME OF THE HEALTH SCREENINGS THAT ST. ALEXIUS IS CONDUCTING THROUGHOUT THE SERVICE REGION ARE VASCULAR, WELLNESS, MEMORY, SLEEP APNEA, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THOSE INDIVIDUALS THAT ARE BEING SCREENED AT NO OR MINIMAL COSTS ARE BEING ALERTED OF HEALTH RISKS THAT MIGHT GO UNDETECTED. THROUGH SCREENINGS, IT IS OUR HOPE THAT THESE INDIVIDUALS SEEK FURTHER TREATMENT AND ARE EMPOWERED TO MAKE HEALTHIER LIFESTYLE CHOICES. McLean County's population from 2010 to 2017 increased 8.1%. The average of residents under age 18 (21.3%) for McLean County is lower than the state average (23.3%). The percentage of residents ages 65 and older is about 7.8% higher for McLean County (22.8%) than the North Dakota average (15.0%), and the rates of education are slightly lower for McLean County (91.5%) than the North Dakota average (92.0%). The median household income in McLean County ($59,976/2016) slightly below the state average for North Dakota ($60,656/2016). Compared to the median United States household income, North Dakota median household income is $3,039 higher. Data compiled by County Health Rankings show McLean County is doing better than North Dakota in six health outcomes, better than the national levels in four factors and tied with the national levels in two factors. McLean County, according to County Health Rankings data, is performing poorly relative to the rest of the state in 12 factors and is not meeting the U.S. Top 10% performers in 25 factors. SCHEDULE H, PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION'S HOSPITAL FACILITY PROMOTES 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 HAS 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 TREATS 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. SCHEDULE H, PART VI, LINE 6 - DESCRIPTION OF AFFILIATED GROUP 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. SCHEDULE H, PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT ND true AMERICAN HEART ASSOCIATION 2750 BLUE WATER ROAD SUITE 250 EAGAN MN 55121 135613797 501(C)(3) 25000 BISMARCK CANCER CENTER FOUNDATION 500 N 8TH STREET BISMARCK ND 58501 260466647 501(C)(3) 7500 BISMARCK LARKS BASEBALL 300 N 4TH STREET 103 BISMARCK ND 58501 813163412 LLC, NON-PROFIT 21500 LIGHT OF CHRIST SCHOOL 1025 N 2ND STREET BISMARCK ND 58501 460581758 501(C)(3) 50000 SCHAUMBERG ICE EXPANSION 400 E FRONT AVENUE BISMARCK ND 58504 450384442 501(C)(3) 8333 Bis-Man Chamber of Commerce 1640 Burnt Boat Drive BISMARCK ND 58503 450116753 501(C)(6) 11000 4 2 SCHEDULE I, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS. ST. ALEXIUS MAKES DONATIONS TO ENTITIES WITH CHARITABLE MISSIONS TO ENSURE THAT OUR DONATIONS ARE USED FOR THE PURPOSES INTENDED. false true false false false false false true false MICHAEL L CASSIDY MD Director THROUGH 10/30/19 0 454407 0 0 0 11544 0 16066 0 17668 0 499685 0 0 CAMERON Charchenko M.D. - Urology 596472 0 155593 0 54941 0 30200 0 11832 0 849038 0 0 0 Kevin Dahmen MD Secretary/Treasurer 0 538026 0 69320 0 2622 0 26200 0 25068 0 661236 0 0 ELLEN HOLT VP Human Resources 168125 0 2500 0 2373 0 6895 0 9204 0 189097 0 0 0 KEITH HORNER Director 194280 0 0 0 999 0 8064 0 24535 0 227878 0 0 0 Shiraz Hyder Director 0 368041 0 17410 0 7524 0 30200 0 24324 0 447499 0 0 CAROL KOLLER VP Med. Group Ent. - 4/12/19 58771 0 0 0 138210 0 2448 0 8105 0 207534 0 0 0 DR Steven Kraljic Neurosurgeon 1293809 0 789865 0 1710 0 11200 0 22896 0 2119480 0 0 0 TESSA MARBURGER MD Director THROUGH 10/30/19 0 382945 0 0 0 11822 0 16072 0 9878 0 420717 0 0 DEBRA MOHESKY Interim CFO THROUGH 11/30/19 0 185000 0 0 0 0 0 0 0 0 0 185000 0 0 Todd Preszler MD Director 0 534680 0 62335 0 4902 0 11200 0 25546 0 638663 0 0 CLIFF ROBERTSON MD Director 0 1062248 0 848919 0 360407 0 16675 0 29608 0 2317857 0 136676 KURT SCHLEY DIRECTOR & CEO 0 441481 0 123160 0 20932 0 57065 0 26253 0 668891 0 0 ANGELIA SVIHOVEC VP Outreach 172238 0 2500 0 4398 0 7395 0 24042 0 210573 0 0 0 JULIE WARD VP/Chief Nursing Off.-11/29/19 250592 0 0 0 21102 0 7633 0 10927 0 290254 0 0 0 Stephen Markewich MD - Pain Clinic 445158 0 415468 0 1140 0 30200 0 22896 0 914862 0 0 0 Nicholas Bradbury MD - Interventional Radiology 313365 0 392246 0 33999 0 29270 0 13307 0 782187 0 0 0 Agnieszka Solberg MD - Interventional Radiology 308644 0 330434 0 70183 0 11200 0 12944 0 733405 0 0 0 SCHEDULE J, PART I, LINE 3 - METHODS USED TO ESTABLISH CEO DURING THE CALENDAR YEAR 2019, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON, $139,927. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: CLIFF ROBERTSON, $182,082. SCHEDULE J, PART I, LINE 7 - NON-FIXED PAYMENTS AT THE BEGINNING OF EACH FISCAL YEAR, THE COMPENSATION COMMITTEE ESTABLISHES A FINANCIAL THRESHOLD WHICH MUST BE MET BEFORE ANY AWARDS ARE PAID AND ESTABLISHES GUIDELINES DEFINING THE SIZE OF ANY AWARDS AVAILABLE TO PARTICIPANTS. AT THE END OF THE PLAN YEAR, THE COMMITTEE DECIDES WHETHER TO MAKE ANY AWARDS TO PARTICIPANTS AND HOW LARGE ANY AWARD SHALL BE, IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED AT THE BEGINNING OF THE PLAN YEAR. INCENTIVE COMPENSATION IS EARNED AS A PERCENT OF BASE SALARY. BASE SALARY IS DEFINED AS THE ANNUALIZED RATE OF PAY (SUMMATION OF MONTHLY BASE SALARY FOR THE PLAN YEAR). X 346 1672 FMV X OTHER 67 61290 FMV X Gift cards 385 19573 COST X Equipment 5518 15640 FMV X Supplies 4343 1573 FMV 0 false false false FORM 990, PART VI, LINE 1A - DELEGATE BROAD AUTHORITY TO A COMMITTEE PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. 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, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS ACCORDING TO THE BYLAWS OF ST. ALEXIUS MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS COMMONSPIRIT HEALTH, A COLORADO NONPROFIT ORGANIZATION. FORM 990, PART VI, LINE 7A - MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY 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, LINE 7B - DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S CORPORATE MEMBER IS COMMONSPIRIT HEALTH. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE ORGANIZATION *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ORGANIZATION *APPROVE MEMBERS OF THE ORGANIZATION'S BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION *APPROVAL OF ISSUANCE OF DEBT BY THE ORGANIZATION *APPROVAL OF PARTICIPATION OF THE ORGANIZATION IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY THE ORGANIZATION *APPROVAL OF A MERGER INVOLVING THE ORGANIZATION *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION *TO REQUIRE THE TRANSFER OF ASSETS BY THE ORGANIZATION TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ORGANIZATION. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, COMMONSPIRIT HEALTH MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY ONCE THE RETURN IS PREPARED, THE FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO THE IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES' REVIEW BEFORE THE FINAL FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO THE IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR EXTERNAL TAX RETURN PREPARERS IF REQUESTED BY THE TRUSTEES. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE EXTERNAL PREPARER FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY 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, LINE 15A - TOP MANAGEMENT OFFICIAL COMPENSATION THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, LINE 15B - PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION IS REVIEWED ANNUALLY BY AN INDEPENDENT GROUP USING COMPARABILITY DATA AND RECOMMENDATIONS ARE PRESENTED TO THE PRESIDENT/CEO AND/OR BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, LINE 19 - REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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 OR WWW.CATHOLICHEALTHINITIATIVES.ORG. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS NET ASSET TRANSFER - $ 13,759,670 OTHER - $(61) ________________ TOTAL $13,759,609 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:8983997 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:283419 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:30168887 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:17628654 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:15888934 ST ALEXIUS HEART & LUNG CLINIC LLC 900 EAST BROADWAY AVENUE BISMARCK ND 58501 861123162 SPECIALITY CL ND -27190562 0 ST ALEXIUS ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - CMH OF MISSOURI VALLEY 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MED CTR 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSP SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSP CORNING IA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false Arroyo Grande Community Hospital FDN 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUND. FDN CA 501(c)(3) 12 Type 1 DH false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 DCC false Barrow Neurological FDN 350 West Thomas Rd Phoenix AZ 85013 860174371 FUND. FDN AZ 501(c)(3) 7 DH false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) 12 Type 1 SLCHS false BAYLOR ST LUKE'S MEDGROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DR WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) 12 Type 1 CSH false BRAZOSPORT HEALTH FDN INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUND. FDN TX 501(c)(3) 12 Type 1 BRHS false BRAZOSPORT REGIONAL PHYSICIAN SRVS 100 MEDICAL DR LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CTR 2801 FRANCISCAN DR BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DR BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false California Hospital MED CTR FDN 1401 South Grand AVE Los Angeles CA 90015 954000909 FUND. FDN CA 501(c)(3) 12 Type 1 DCC false CARRINGTON HEALTH CTR 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HOSPITAL CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FDN 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUND. FDN CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FDN 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 HEALTHCARE CO 501(c)(3) 12 Type 1 CSH false CHI VIRTUAL HEALTH SERVICES 198 INVERNESS DR WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(c)(3) 12 Type 1 CHINS false CENTENNIAL MEDGROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTE OR 501(c)(3) 10 MMC false CENTRAL CALIFORNIA HEALTH CTRS 300 OLD RIVER Rd STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(c)(3) 3 DCC false CENTRAL KANSAS MED CTR 3515 BRdWAY GREAT BEND KS 67530 480543724 HOSPITAL KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 FUND. FDN MN 501(c)(3) 10 CSH false CHI HEALTH FDN 12809 W DODGE RD OMAHA NE 68154 470648586 FUND. FDN NE 501(c)(3) 7 ACH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) 12 Type 1 CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) 12 Type 1 SFH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DR WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DR WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) 12 Type 1 CSH false CHI NEBRASKA 12809 West Dodge Rd Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) 12 Type 1 CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) 12 Type 1 CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) 12 Type 1 CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(c)(3) 3 CHISVHS false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) 12 Type 1 SVIMC false CHI ST VINCENT MED GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(c)(3) 3 CHISVHS false COMMONSPIRIT HEALTH 198 INVERNESS DR WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) 12 Type 1 NA false COMMONSPIRIT HEALTH OPER INV POOL LLC 185 BERRY STREET STE 300 SAN FRANCISCO CA 94107 850919176 INVESTMENTS CA 501(c)(3) 12 Type 1 CSH false COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DR WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) 12 Type 1 CSH false Community Hospital of San Bernardino 1805 Medical CTR DR San Bernardino CA 92411 951643373 HOSPITAL CA 501(c)(3) 3 DCC false COMMUNITY LIMITED CARE DIALYSIS CTR 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH false COMMUNITY MEMORIAL HPL MED SERVICE FDN 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUND. FDN IA 501(c)(3) AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph DR LEXINGTON KY 40504 611400619 HOSPITAL KY 501(c)(3) 3 SJHS false Dignity Community Care 185 Berry Street Ste 300 San Francisco CA 94107 815009488 HOSPITAL CO 501(c)(3) 3 CSH false DIGNITY HEALTH 185 BERRY STREET STE 300 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks DR Redding CA 96003 237115371 Senior Center CA 501(c)(3) 3 DH false Dignity Health FDN 185 Berry Street San Francisco CA 94107 462037641 FUND. FDN CA 501(c)(3) 7 DH false Dignity Health FDN - Inland Empire 2101 N Waterman AVE San Bernardino CA 92404 237440086 FUND. FDN CA 501(c)(3) 12 Type 1 DH false Dignity Health FDN East Valley 475 South Dobson Rd Chandler AZ 85224 742418514 FUND. FDN AZ 501(c)(3) 12 Type 1 DH false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Self Insuranc CA 501(c)(3) 12 Type 1 DH false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Insuranc NV 501(c)(3) 12 Type 1 DH false Dignity Health MEDFDN 3400 Data DR Rancho Cordova CA 95670 680220314 MULTI-SPECIAL CA 501(c)(3) 12 Type 1 DCC false DH Workers's Comp Self-Insurance Trust 185 Berry Street San Francisco CA 94107 946612446 Self Insuranc CA 501(c)(3) 12 Type 1 DH false Dominican Health Services 1555 Soquel DR Santa Cruz CA 95065 770056778 Community Hea CA 501(c)(3) 12 Type 1 DH false Dominican Hospital FDN 1555 Soquel DR Santa Cruz CA 95065 942450442 FUND. FDN CA 501(c)(3) 12 Type 1 DH false Dominican Oaks Corporation 1555 Soquel DR Santa Cruz CA 95065 770127719 Operation and CA 501(c)(3) 12 Type 1 DHS false East Texas Clinical Services 2801 VIA FORTUNA Ste 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) 10 SLHS false ENUMCLAW REGIONAL HOSPITAL ASSN 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 12 Type 1 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FDN INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUND. FDN KY 501(c)(3) 3 FH false FRANCISCAN CARE CTR 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 12 Type 1 CHILC false FRANCISCAN FDN 1717 SOUTH J ST TACOMA WA 98405 911145592 FUND. FDN WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(c)(3) 10 CSH false FH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BRdWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 3 CSH false FRANCISCAN MEDGROUP 1313 BRdWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF S MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false French Hospital MED CTR FDN 1911 Johnson AVE San Luis Obispo CA 93401 203256125 FUND. FDN CA 501(c)(3) 10 DCC false GARRISON MEMORIAL HOSPITAL 407 THIRD AVE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(c)(3) 12 Type 1 SAMC true Glendale Memorial Health FDN 1420 South Central AVE Glendale CA 91204 953625651 FUND. FDN CA 501(c)(3) 3 DCC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DR WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) 12 Type 1 CSH false GSC OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 12 Type 1 GSH false GOOD SAMARITAN FDN OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUND. FDN OH 501(c)(3) 2 GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(c)(3) 12 Type 1 CHI NEBRASKA false GOOD SAMARITAN HOSP FDN 111 W 31ST ST KEARNEY NE 68847 470659443 FUND. FDN NE 501(c)(3) 3 GSH false HARRISON MED CTR 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(c)(3) 7 FHS false HARRISON MED CTR FDN 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUND. FDN WA 501(c)(3) 3 HMC false HEALTH FDN OF KY ONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUND. FDN KY 501(c)(3) 7 KOH false HEALTHCARE AND WELLNESS FDN 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUND. FDN MN 501(c)(3) 12 Type 1 SFMC false HIGHLINE MED CTR 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(c)(3) 12 Type 1 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 3 CHI-IA CORP false JEWISH HOSP& ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HOSPITAL KY 501(c)(3) 7 KOH false KENTUCKYONE HEALTH MEDGROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 3 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) 10 CSH false LAKEWOOD HEALTH CTR 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(c)(3) 12 Type 1 CSH false LAKEWOOD REGIONAL HEALTHCARE FDN 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUND. FDN ND 501(c)(3) 3 LHC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(c)(3) 7 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) 3 MHSET false MADISON ST JOSEPH HEALTH CTR 2801 FRANCISCAN DR BRYAN TX 77802 742761145 HOSPITAL TX 501(c)(3) 12 Type 1 SJSC false MADONNA MANOR INC 2344 AMSTERDAM Rd VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 3 CHILC false Marian Regional MED CTR FDN 1400 E Church Street Santa Maria CA 93454 953818027 FUND. FDN CA 501(c)(3) 10 DH false Mark Twain MED CTR 768 Mountain Ranch Rd San Andreas CA 95249 680127677 HOSPITAL CA 501(c)(3) 12 Type 1 DCC false MEMORIAL HEALTH CARE SYSTEM FDN INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUND. FDN TN 501(c)(3) 3 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(c)(3) 7 CSH false MEMORIAL HEALTH PARTNERS FDN INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 3 MHCS false MEMORIAL HEALTH SYS OF EAST TX PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(c)(3) 10 SLHS false MEMORIAL MED CTR - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MED CTR - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) 3 MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HOSPITAL TX 501(c)(3) 12 Type 1 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) 3 MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 12 Type 1 CHI-IA CORP false MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 10 CHI-IA CORP false Mercy FDN Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FUND. FDN CA 501(c)(3) 2 DH false MERCY FDN OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUND. FDN IA 501(c)(3) 12 Type 1 CHI-IA CORP false MERCY FDN INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUND. FDN OR 501(c)(3) 7 MMC false MERCY HEALTH CARE FDN PO BOX 368 CORNING IA 50841 421461064 FUND. FDN IA 501(c)(3) 7 AHMH-Corning false MERCY HEALTHCARE FDN 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUND. FDN ND 501(c)(3) 12 Type 1 MHVC false MERCY HOSPITAL FDN COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUND. FDN IA 501(c)(3) 12 Type 1 AHBMHS false MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(c)(3) 12 Type 1 CSH false MERCY HOSPITAL OF DEVILS LAKE FDN 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUND. FDN ND 501(c)(3) 3 MHDL false MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(c)(3) 7 CSH false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 Senior Citize CA 501(c)(3) 3 DH false MERCY MED CTR 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(c)(3) 10 CSH false MERCY MED CTR - CTRVILLE ONE ST JOSEPHS DR CTRVILLE IA 52544 420680308 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false MERCY MED CTR - NEWTON DBA SKIFF MED CTR 204 N 4th Ave E Newton IA 50314 421470935 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false Mercy MED CTR Merced FDN 301 E 13th Street Merced CA 95340 770035928 FUND. FDN CA 501(c)(3) 3 DH false MERCY MED CTR INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(c)(3) 12 Type 1 CSH false MERCY MED FDN 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUND. FDN ND 501(c)(3) 3 MMC false NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(c)(3) 12 Type 1 CHI NEBRASKA false Northland Healthcare Alliance 2223 East Rosser AVE Bismarck ND 58501 911845296 MANAGEMENT ND 501(c)(3) 3 NCHA false Northridge Hospital FDN 18300 Roscoe Blvd Northridge CA 91328 237444901 FUND. FDN CA 501(c)(3) 7 DCC false OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(c)(3) 12 Type 1 CSH false OAKES COMMUNITY HOSPITAL FDN 1200 N 7TH ST OAKES ND 58474 710966606 FUND. FDN ND 501(c)(3) 3 OCH false Pacific Central Coast Health CTRs 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 12 Type 1 DCC false PINEYWOODS MEDDEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) 3 MHSET false Port City Operating Company LLC 3400 Data DR Rancho Cordova CA 95670 465322209 HOSPITAL CA 501(c)(3) 12 Type 1 DH false PROVIDENCE CARE CTR 2025 HAYES AVE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 3 CHILC false PROVIDENCE CARE CTRS 2025 HAYES AVE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) 10 CHILC false PROVIDENCE RESIDENTIAL COMMUNITY CORP 5055 PROVIDENCE DR SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 12 Type 1 CHILC false PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 10 CHIC false REGIONAL HPL FOR RESP & COMPLEX CARE 16251 Sylvester Rd SW Burien WA 98166 911170040 HOSPITAL WA 501(c)(3) 7 FHS false SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 Senior Center CO 501(c)(3) 3 CHIC false SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 7 SCHS false SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CSH false SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 10 SCHS false SAINT ELIZABETH FDN 555 S 70TH ST LINCOLN NE 68510 470625523 FUND. FDN NE 501(c)(3) 2 SERMC false SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HOSPITAL NE 501(c)(3) 7 SERMC false SAINT ELIZABETH REGIONAL MED CTR 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false SAINT FRANCIS MED CTR 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false SAINT FRANCIS MED CTR FDN PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUND. FDN NE 501(c)(3) 3 SFMC false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 HOSPITAL CA 501(c)(3) 7 DCC false SAINT JOSEPH BEREA HOSPITAL FDN INC 305 ESTILL ST BEREA KY 40403 260152877 FUND. FDN KY 501(c)(3) 3 SJHS false SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HOSPITAL KY 501(c)(3) 7 KOH false SAINT JOSEPH HOSPITAL FDN INC 701 Bob Olink Dr 200 LEXINGTON KY 40504 611159649 FUND. FDN KY 501(c)(3) 3 SJHS false SAINT JOSEPH LONDON FDN INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUND. FDN KY 501(c)(3) 12 Type 1 SJHS false SAINT JOSEPH MOUNT STERLING FDN INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUND. FDN KY 501(c)(3) 7 SJHS false SAINT JOSEPH'S HOSPITAL FDN 2500 Fairway Street DICKINSON ND 58601 363418207 FUND. FDN ND 501(c)(3) 7 SJHHC false San Gabriel Valley MED CTR FDN 438 West Las Tunas DR San Gabriel CA 91776 953430341 INACTIVE CA 501(c)(3) 12 Type 1 DH false SCHUYLER MEMORIAL HOSPITAL FDN INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUND. FDN NE 501(c)(3) 12 Type 1 AHMHS false Sierra Nevada Memorial-Miners Hosp 155 Glasson Way Grass Valley CA 95945 941439787 HOSPITAL CA 501(c)(3) 12 Type 1 DCC false SJRMC JOPLIN MISSOURI 198 INVERNESS DR WEST ENGLEWOOD CO 80112 440545809 HOSPITAL MO 501(c)(3) 3 CSH false St Francis FDN of Santa Barbara 2323 De La Vina St Ste 104 Santa Barbara CA 93105 237137119 FUND. FDN CA 501(c)(3) 3 DH false St Francis Hospital Support Corp 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) 12 Type 1 DH false St John's Healthcare FDN 1600 North Rose AVE Oxnard CA 93030 202865781 FUND. FDN CA 501(c)(3) 12 Type 1 DH false St Joseph's FDN (Phoenix) 350 West Thomas Rd Phoenix AZ 85013 942941245 FUND. FDN AZ 501(c)(3) 12 Type 1 DH false St Joseph's FDN of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FUND. FDN CA 501(c)(3) 12 Type 1 DH false St Mary MED CTR FDN 1050 Linden AVE Long Beach CA 90813 237153876 FUND. FDN CA 501(c)(3) 12 Type 1 DH false St Mary Professional Building Inc 1050 Linden AVE Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) 12 Type 1 DH false St Mary's MED CTR FDN 450 Stanyan Street San Francisco CA 94117 943336143 FUND. FDN CA 501(c)(3) 12 Type 1 DH false St Rose Dominican Health FDN 3001 St Rose Parkway Henderson NV 89052 880349432 FUND. FDN NV 501(c)(3) 12 Type 1 DH false ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON OR 97801 930391614 HOSPITAL OR 501(c)(3) 3 CSH false ST ANTHONY HOSPITAL FDN 2801 St Anthony Way PENDLETON OR 97801 930992727 FUND. FDN OR 501(c)(3) 3 SAH false ST ANTHONY'S HOSPITAL ASSN FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(c)(3) 12 Type 1 SVIMC false ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(c)(3) 3 CSH false ST CATHERINE HOSP DEVELOPMENT FDN 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUND. FDN KS 501(c)(3) 3 SCH false ST CLARE COMMONS 12469 Five Point Rd TOLEDO OH 43551 270163752 LIVING COMM OH 501(c)(3) 12 Type 1 CHILC false ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DR WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 501(c)(4) 10 CSH false ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3) CSH false ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3) 10 SCHS false ST FRANCIS MED CTR 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(c)(3) 8 CSH false ST JOSEPH FDN OF BRYAN TEXAS 2801 FRANCISCAN DR BRYAN TX 77802 742351158 FUND. 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