2020-07-13T16:31:59-05:00 2019-06-30 470617373 CommonSpirit Health 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2018-07-01 710236917 St Vincent Infirmary Medical Center STVI 5015523000 2 St Vincent Circle Little Rock AR 72205 Tyler Blair MKT VP OPERATIONAL FINANCE 2020-07-13 true ANGELA NOEL P01051055 3032989100 2018 2020-09-23 17:36:50Z CHAD ADUDDELL 2 St Vincent Circle Little Rock AR 72205 440794805 false 0928 X http://www.chistvincent.com/hospitals-locations/hospitals/st-vincent-infirmary X 1888 AR TO PROVIDE HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL, AND PSYCHO-SOCIAL NEEDS OF OUR PATIENTS IN A VARIETY OF SETTINGS, ALL SPRINGING FROM THE SAME MISSION AND FUNDAMENTAL PURPOSE. 19 15 3738 450 3543674 1060788 2347937 4906251 445165354 406300995 107938 55265 28102693 29532294 475723922 440794805 15414562 599758 0 203148805 212184690 0 0 294535720 352814245 513099087 565598693 -37375165 -124803888 747014410 563401878 815632371 756876464 -68617961 -193474586 See Schedule O false false 524059980 599758 402757321 SEE SCHEDULE H 524059980 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 0 0 3738 true true true false false false false false true false false false false false X 19 15 false false false false true true true true true false false false true true true true true true true true false AR X Tyler Blair 5015523000 2 St Vincent Circle Little Rock AR 72205 CHAD ADUDDELL Market CEO 55.0 5.0 X X 662506 0 40194 Baker Kurrus BOARD CHAIR 1.0 1.0 X X 0 0 0 LARRY SCHUMACHER Senior VP-Operations-CEO / BOARD MEMBER 1.0 50.0 X X 0 2126971 183226 SUSIE SMITH BOARD MEMBER 1.0 3.0 X 0 0 0 GUS BLASS III BOARD MEMBER 1.0 4.0 X 0 0 0 BILL DILLARD III Board Member 1.0 1.0 X 0 0 0 CHUCK ERWIN BOARD MEMBER 1.0 1.0 X 0 0 0 JILL FLAXMAN MD BOARD MEMBER / CHIEF OF STAFF 1.0 1.0 X 43694 0 0 Sr Gertrude Foster SCN Board Member 1.0 3.0 X 0 0 0 Eric Jackson Board Member 1.0 1.0 X 0 0 0 Charles Nabholz Board Member 1.0 1.0 X 0 0 0 JAMES NEWMAN BOARD MEMBER 1.0 2.0 X 0 0 0 SR JUDITH RALEY SCN BOARD MEMBER 1.0 6.0 X 0 0 0 FRANK D SCOTT JR BOARD MEMBER 1.0 1.0 X 0 0 0 Patty Shipp Board Member 1.0 1.0 X 0 0 0 Sayyadul Siddiqui MD BOARD MEMBER / VICE CHIEF OF STAFF 40.0 1.0 X 759147 0 40682 PHILLIP TAPPAN BOARD MEMBER 1.0 2.0 X 0 0 0 BARBARA G WILLIAMS PHD RN BOARD MEMBER 1.0 1.0 X 0 0 0 Dr Tedd Saer BOARD MEMBER 1.0 1.0 X 0 0 0 SHAWN BARNETT Mkt SVP COO CFO 40.0 20.0 X 308741 88464 22785 Laura Cook SVP Market Foundation/Marketing 40.0 1.0 X 237906 0 36444 DOUGLAS ROSS MD SVP Market CMO & President CHI St Vincent Hot Springs 40.0 20.0 X 431461 16391 41074 CHRISTOPHER STINES PRESIDENT-ST VINCENT NORTH 40.0 0 X 227491 0 25623 FRANK BAUER CARDIOTHORACIC SURGEON 40.0 0.0 X 1405011 998 26153 THURSTON BAUER CARDIOVASCULAR SURGEON 40.0 0 X 1566325 0 41098 Mangaraju Chakka ELECTRO PHYSIOLOGIST 40.0 0 X 1281309 0 41117 FREDERICK MEADORS CARDIOVASCULAR SURGEON 40.0 0.0 X 1488616 995 33320 Thomas WALLACE ELECTRO PHYSIOLOGIST 40.0 0 X 1443204 0 41034 RANDY JORDAN CHIEF MEDICAL OFFICER 40.0 0 X 695853 0 40256 DAVID FOSTER PRESIDENT PHYSICIAN ENTERPRISE 40.0 0.0 X 0 437236 39650 ANGELA LONGING CNO Conway Regional 40.0 0.0 X 141938 65394 28720 MATTHEW TROUP President Conway Regional 40.0 0 X 425632 0 56635 BRYAN WILLIAMS CHI St. Vincent VP Patient Care Services 40.0 X 0 205683 34994 MARK MCGINNIS Former Chief Financial Officer/ Treasurer 0.0 55.0 X 0 757960 70777 11118834 3700092 843782 266 true true false CROTHALL SERVICES GROUP 1500 Liberty Ridge Drive Suite 210 Wayne PA 19087 Healthcare Consulting 7440666 AMN HEALTHCARE 12400 High Bluff Drive San Diego CA 92130 Healthcare Consulting 6602224 NABHOLZ CONSTRUCTION SERVICES 110 S 129th E Ave Tulsa OK 74108 Construction Services 4920237 SOUTHERN REGIONAL ANESTHESIOLOGY 6119 MIDTOWN AVE 201 LITTLE ROCK AK 72205 MEDICAL SERVICES 4283583 CARDIOPULMONARY PERFUSION 17080 Safety Street Suite 109 Fort Meyers FL 33908 Perfusion Services and Solutions 1936805 77 X 0 0 0 4271729 630411 4111 0 4906251 Net Patient Services 900099 397833781 394290107 3543674 0 Equity changes of unconsolidated orgs 900099 698926 698926 0 0 Tuition 611600 137300 137300 0 0 Rental Income 900099 1228446 1228446 0 0 CHIPS Assessment Fee 900099 6342667 6342667 0 0 59875 59875 0 0 406300995 55265 0 0 55265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Intercompany Transactions 900099 10144206 0 0 10144206 Pharmacy Services 446110 5309235 0 0 5309235 Medical Services 621300 3563306 0 0 3563306 10515547 0 0 10515547 29532294 440794805 402757321 3543674 29587559 X 599758 599758 3030197 1818118 1212079 174885043 163810177 11074866 8228874 7589806 639068 14538233 12899540 1638693 11502343 10598474 903869 1631666 1631666 65257 65257 7968 7968 79335501 75809314 3526187 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false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $4,541 CATHOLIC HEALTH ASSOCIATION - $3,427 13646027 13646027 173642636 106622454 67020182 2731229 19443 2711786 175250532 202990853 -27740321 2173634 1031029 1142605 56780279 Intercompany Receivables 324299305 Investments in Unconsolidated Orgs - Controlling Interest 2319695 Investments in Unconsolidated Orgs - NonControlling Interest 1640964 Cash Surrender Value of Life Insurance 28899 Intercompany Acquisition Related Receivables 73568817 401857680 Intercompany Payables 181849802 Other Post Employment Benefits 1226466 Environmental Remediation Liability 1164541 Cash Mgmt Program Liabilities 376002337 CHI Debt Management Program 151307217 Deferred Gain on Sale 6415176 Other Liabilities 15295 717980834 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ST. VINCENT INFIRMARY 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, 2019, 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, 2019 and 2018, 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, 2019 and 2018. 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". true true X true X 300 true X true true true false true true 3769 2094608 2094608 0.0037 21593 34247602 17877941 16369661 0.0289 0 0.0 0 25362 36342210 17877941 18464269 0.0326 8 17744 939662 1000 938662 0.0017 3 582064 582064 0.0010 0 0.0 0 0.0 1056186 1056186 0.0019 11 17744 2577912 1000 2576912 0.0046 11 43106 38920122 17878941 21041181 0.0372 0 0.0 0 0.0 1 179 626971 626971 0.0011 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 179 626971 0 626971 0.0011 true 25558104 0 152374437 234077542 -81703105 X true true ST VINCENT BREAST CENTER MAMMOGRAPHY CENTER 0.5 0.0 0.5 2 1 St Vincent Medical Center North 2215 Wildwood Avenue Sherwood AR 72120 http://www.chistvincent.com/ AR4197 X X X A 2 St Vincent Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 http://www.chistvincent.com/ AR4582 X X X A A false false true X X X X X X X X X 18 true true false true X http://www.chistvincent.com/health-wellness/community-needs-assessment X true 18 false true false true X 300.0 300.0 X X X X true true X X X true X http://www.chistvincent.com/patients-visitors/financial-assistance X http://www.chistvincent.com/patients-visitors/financial-assistance X http://www.chistvincent.com/patients-visitors/financial-assistance 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 are a prioritized description of the significant health needs of the community and were identified through the CHNA by means of extensive data analysis and stakeholder input. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A. In February 2019, a survey was distributed to more than 600 community agencies in the primary and secondary commitment areas including public health officials, public safety personnel, schools, churches, and medical providers. The survey assessed respondents' perspectives about the greatest health needs and most vulnerable populations in their communities. A total of 111 complete surveys were received, for a response rate of 18.5%. In February and March 2019, seven focus groups were conducted with community members of Pulaski, Garland and Conway counties including community residents and vulnerable populations. The focus groups emphasized discussions about community problems, resources and solutions. A total of 91 individuals between the ages of 18 and 84 with a diverse range of ethnicities, backgrounds and socioeconomic demographics participated in the focus groups. Individuals and organizations surveyed include Jericho Way Resource Center, Central Arkansas Water, CHI St. Vincent McAuley Senior Center, Lakeside High School, Trinity Church of Hot Springs, CHI St. Vincent Morrilton Auxiliary. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - CHI ST. VINCENT HOSPITAL HOT SPRINGS. Hospital Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - ST. ANTHONY'S HOSPITAL ASSOCIATION. Hospital Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - A. Through the most recent CHNA conducted in 2019, three primary health needs emerged: access to care, chronic disease management, and mental health. The hospital has identified several activities that can help address these needs in an organized and effective manner such as: (1) Building a community coalition for each focus area. (2) Creating a charity care clinic in the primary commitment area. (3) Partner with local senior center in offering social activities for seniors. (4) Design and implement improvement programs. These activities would eventually decrease the number of opioid prescriptions written per capita, increase the number of community members receiving primary and prenatal care, decrease years of potential life lost, increase life expectancy, and decrease infant mortality. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - A. THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. 5 St Vincent Diabetes and Endocrinology Center Two Shackleford West Blvd Little Rock AR 72211 facility-based clinic St Vincent Health Clinic East 2500 East 6th Street Little Rock AR 72202 sliding fee scale clinic St Vincent Medical Clinic Midtowne 1100 North University Suite 1 Little Rock AR 72207 facility-based clinic North River Surgery Center 2209 Wildwood Avenue Sherwood AR 72120 ambulatory surgery center St Vincent Breast Center 500 S University Ave Suite 114 Little Rock AR 72205 mammography center Schedule H, Part I, Line 3c Financial 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 VI LINES 2 & 4 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION Our primary tax-exempt purpose St. Vincent Infirmary Medical Center (SVIMC) is a tax-exempt organization and is included in a group ruling issued in 2003 to the United States Conference of Catholic Bishops which applied for recognition of exemption on behalf of subordinate organizations. Our mission, vision and primary tax-exempt purpose are fulfilled through a comprehensive network of health services that address the needs of citizens residing in the greater Little Rock metropolitan area, central Arkansas and beyond. St. Vincent has been in the Little Rock community since 1888 and has compiled a distinguished record of service throughout this 131-year period. SVIMC operates its facilities, programs, and services on a non-discriminatory basis. Its emergency department is open to all people, regardless of their ability to pay. It has a board of directors on which community representatives serve with energy and commitment. It supports the training and education of various health professionals. It participates in government-sponsored health care programs. The organization provides a significant amount of charity care each year and is known for its community outreach to those in need. Community benefit approach: The 2019 CHNA defines its primary commitment areas per IRS guidelines as the demographic zones from which the majority of hospital admissions originate. Demographic zones are identified by zip codes for unique patient medical records. Zip codes are then plotted by county to identify primary commitment areas. Secondary commitment areas are those counties immediately adjacent to primary commitment areas or those from which the largest number of hospital inpatient patient admissions originate. Although CHI ST. Vincent Infirmary and CHI St. Vincent North community benefit activities may reach beyond these demographic zones, efforts will be focused in these areas. Through this methodology, CHI St. Vincent Infirmary identified Pulaski County as the Primary Service Area, and Faulkner, Lonoke, Jefferson, Grant, Saline and Perry Counties as Secondary Service Area. Several findings are notable in the demographic information for Pulaski County. While the population of Black/African Americans across the state varies only slightly from the national average, this population in Pulaski county is more than 177% higher than the national average. At the same time, the total population living below the poverty line is 22% higher than the national average while the median household income is 15% lower. The organization completed a formal community health needs assessment for each of our three hospitals in FY 2019. This was a process using primary and secondary data. Focus groups were held with community members and leaders from around our primary service area. The final phases of the assessment were completed and presented to the SVIMC Board of Directors in FY 2019. Following the community health needs assessment, a health implementation plan was created to focus improvement on several areas such as: Access to care (primary care and chronic disease management), mental health (substance abuse and opioids, domestic violence and violent crime). St. Vincent has strong collaborative relationships with many organizations in the community. These include, but are not limited to, the Arkansas Department of Health, the Little Rock School District, the Little Rock Chamber of Commerce, Easter Seals-Arkansas and City Connections, an organization intent on mobilizing the faith community to assist the city of Little Rock in addressing pressing social challenges. St. Vincent leaders serve on a variety of community boards and consistently attend community events designed to strengthen local programs and services. A concerted effort is made to be a very good corporate citizen and to give back to the community. Also, with respect to community benefit at St. Vincent, mission and finance work closely together and see its oversight as a shared responsibility. St. Vincent maintains and administers its charity care and self-pay policies. It communicates the content of these policies through a variety of methods that include visible signage, as well as information delivered face-to-face and by telephone to the general public by trained staff. It maintains a community health worker program in its emergency department through which it tries to connect repeat non-emergent patients with sources of primary care in the community. Qualitative description of community benefit Community outreach for the poor St. Vincent continues to sponsor its volunteers-in-medicine program through which it provides primary care to those without health insurance at three clinic locations in greater Little Rock. It uses the services of volunteer, retired St. Vincent physicians to deliver these services and it maintains a network of physician specialists to whom it can also refer as needs arise. Beyond the direct care provided at these clinics, St. Vincent has donated medical supplies in several instances where needed, as well as medications that patients otherwise could not afford. In terms of primary care clinics, we also maintain our 40+ year partnership with the city of Little Rock at St. Vincent Health Clinic - East where dental services have been restored and help to meet a significant need in our community. This clinic also provides free school physicals to many children in greater Little Rock each summer. St. Vincent also has a program that specifically provides financial counseling and services to Medicaid patients. In fiscal year 2016, we acquired another clinic in Conway Arkansas which serves the needs of the uninsured and underinsured. The St. Vincent Conway Interfaith Clinic provides medical and dental services to low income persons in Faulkner County. In FY 2019, the Conway Interfaith Dental Clinic provided free blood pressure screenings, dental screenings and fluoride treatments for the homeless community through Project Homeless Connect. This is an event that CAPCA does annually to provide free services to the homeless community. Community outreach for the broader community St. Vincent continues to be one of the largest providers of inpatient behavioral health services to Medicaid patients in the state of Arkansas. In this service line, it accepts a significant number of referrals from different parts of Arkansas that are outside its primary service area. If St. Vincent did not offer this service, inpatient behavioral health resources for Medicaid patients would be significantly diminished in the broader community. St. Vincent also added an inpatient geriatric-psychiatric unit in FY 2019 in order to serve the mental health needs of the senior population. Similarly, St. Vincent maintains emergency departments at both its infirmary and north campuses. Under the state's new trauma system, the Infirmary emergency department has been designated a Trauma 2 location and North a Trauma 3 site. In addition, St. Vincent provides community education and awareness on several topics surrounding mental health such as signs to recognize suicidal ideation and how to deal with trauma. St. Vincent continues to be an engaged community partner engaging in health promotion activities including health fair screening for low income communities like the Latino community (in conjunction with the Mexican embassy) and a minority health fair. St. Vincent's also provides medical services, screenings, educational materials and aid stations at the Little Rock marathon, Heart Walk, several employers around the state such as Southwest Power Pool, Camp Aldersgate, L'oreal, several school districts and Arkansas Department of Health. These screening events provide an opportunity for people to learn more about healthy eating, meal planning, and encourages heart healthy lifestyles. New Outlook women's cancer recovery program St. Vincent continues to sponsor its New Outlook women's cancer recovery program. This effort provides needed supplies and emotional support to women across Arkansas recovering from various forms and stages of cancer. It does so at no cost to these recipients. The purpose of this program is to offer all Arkansas women diagnosed with cancer a full range of supportive, non-medical services to strengthen the whole woman (body, mind and spirit) regardless of her economic situation or where she is receiving treatment. New Outlook services reach into every county in Arkansas, and even other states when women seek treatment in Arkansas. New Outlook also assists children and men undergoing cancer treatment. Services provided by New Outlook include counseling, regular support group meetings at multiple locations, wigs and headwear, cosmetic makeovers, access to a medical library, stress management classes, mastectomy and lymphedema services, and referrals to physicians for various services. Schedule H, Part VI LINES 2 & 4 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION Intern Training Site St. Vincent serves as a training site for nursing interns as well as students pursuing various allied health fields such as radiology, nuclear medicine, ultrasound, and respiratory services, allowing first and second year students from various educational programs around the Greater Little rock area complete their clinical training at St. Vincent. These students give back to the community by volunteering at the ALS Walk, Susan G. Komen Walk, and with the Arkansas Food Bank. In addition to serving as a training site for future health care professionals, St. Vincent also donates free meeting spaces for various student associations, professional associations, local support groups and several clinical organizations. These meeting spaces help host a variety of educational and community events that bring together people of all ages for professional and personal growth. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO REPORT FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS IN PART I, LINE 7. THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSES ALL OF THE PATIENTS SERVED BY ST. VINCENT INFIRMARY MEDICAL CENTER. Schedule H, Part II Community Building Activities In FY 2019, ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC) carried out various community building activities in line with the community health needs assessment that helped support the community. Free clinics: - SVIMC operates free clinics in low-income areas of Central Arkansas that provide free primary care services, dental services, and basic screenings, thus serving vulnerable populations in line with the organization's mission. CHI St. Vincent Pharmacy purchased medications for all the free clinics operated by CHI St. Vincent. Without these medications, mortality rates among low-income population may be higher. SVIMC also provided free food, clothing, supplies, and transportation for patients how live in rural areas and followed up on their hospital visit. Without a follow-up visit, readmission rates would be much higher. Additionally, SVIMC provided access to medical and other services for persons living in remote areas with no access. In terms of primary care clinics, we also maintain our 40+ year partnership with the city of Little Rock at St. Vincent Health Clinic - East where dental services have been restored and help to meet a significant need in our community. This clinic also provides free school physicals to many children in greater Little Rock each summer. Medicaid Counseling: SVIMC provides free Medicaid counseling for Medicaid patients in order to enable them to utilize required medical services. Mental Health Services - St. Vincent continues to be one of the largest providers of inpatient behavioral health services to Medicaid patients in the state of Arkansas. In this service line, it accepts a significant number of referrals from different parts of Arkansas that are outside its primary service area. If St. Vincent did not offer this service, inpatient behavioral health resources for Medicaid patients would be significantly diminished in the broader community. St. Vincent also added an inpatient geriatric-psychiatric unit in FY 2019 in order to serve the mental health needs for the senior population. Similarly, St. Vincent maintains emergency departments at both its infirmary and north campuses. Under the state's new trauma system, the Infirmary emergency department has been designated a Trauma 2 location and North a Trauma 3 site. In addition, St. Vincent provides community education and awareness on several topics surrounding mental health such as signs to recognize suicidal ideation and how to deal with trauma. Health outreach for Latino Community: St. Vincent continues to be an engaged community partner engaging in health promotion activities including health fair screening for low income communities like the Latino community (in conjunction with the Mexican embassy) and a minority health fair. St. Vincent's also provides medical services, screenings, educational materials and aid stations at the Little Rock marathon, Heart Walk, several employers around the state such as Southwest Power Pool, Camp Aldersgate, L'oreal, several school districts and Arkansas Department of Health. These screening events provide an opportunity for Latino people to be able to access basic primary care services and help them learn more about healthy eating, meal planning, and encourages heart healthy lifestyles. New Outlook Cancer Recovery Program: This is a unique women's cancer recovery program provided by SVIMC to support women living with and recovering from cancer. The Center provided the following services from Apr - Jun 2019 for the community that were not provided by or could be easily accessed from other organizations. This does not reflect the full continuum or impact of services provided by the Center and only reflects a snapshot of activities carried out over three months. New Outlook continues to facilitate cancer support groups in Sherwood and Southwest Little Rock with 36 attendees this quarter, and a network of Young Women Breast Cancer Survivors that connect through a private Facebook page. New Outlook navigates survivors to support groups in their communities statewide and to private counseling if requested. New Outlook facilitates therapeutic massages to oncology inpatients and outpatients funded by the Taylor Foundation. There were 156 massages given this quarter. New Outlook assisted 21 breast cancer survivors with arm lymphedema evaluation, treatment and supplies and 3 survivors with prosthesis/mastectomy bras. New Outlook mailed cancer information to 658 survivors and families as well as mailing 50 wigs and 90 scarves to survivors representing other areas of Arkansas outside central Arkansas. New Outlook provided 4 You Look Marvelous makeovers for Survivors. New Outlook assisted 82 newly diagnosed cancer survivors, 78 returning survivors for additional services, and 5 men, and 3 children. New Outlook gifted 63 wigs, 301 scarves, 40 port pillows, 2 knitted prosthesis, 2 mastectomy camisole, 3 surgical drain pockets. New Outlook distributed cancer information and talked concerning the importance of Advanced Directives to Park Hill Baptist Church Caregiver support group on May 16. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology ST. VINCENT INFIRMARY 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 Bad debt expense - financial statement footnote ST. VINCENT INFIRMARY 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 2019 was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. VINCENT INFIRMARY 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. 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: $152,374,437 Total Medicare costs: $234,077,542 Surplus or Shortfall ($81,703,105) ST. VINCENT INFIRMARY MEDICAL CENTER 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 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 Collection practices for patients eligible for financial 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 V, Section B, Line 16a FAP website A - St. Vincent Medical Center North: Line 16a URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - St. Vincent Medical Center North: Line 16b URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - St. Vincent Medical Center North: Line 16c URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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, www.catholichealth.net, 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 5 Promotion of community health 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. Schedule H, Part VI, Line 6 Affiliated health care system 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 comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 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 2019, CommonSpirit Health provided more than $2.1 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 $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share 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 AR true UNIVERSITY OF ARKANSAS FOUNDATION INC 2801 S University Little Rock AR 72204 716056774 501(C)(3) 335833 Pledge Sponsorship ARKANSAS DEMOCRAT GAZETTE PO BOX 2221 Little Rock AR 72203 710450019 45000 Platinum Sponsorship MOUNT ST MARY ACADEMY 3224 Kavanaugh Blvd Little Rock AR 72205 710261083 501(C)(3) 25000 11250 FMV Contribution for Mt. St. Mary Tees and Rocket Tees Annual Gold Sponsorship DIOCESE OF LITTLE ROCK 2500 N Taylor St Little Rock AR 72217 710236871 501(C)(3) 15000 Golf Classic Sponsorship ARKANSAS UNITED SOCCER CLUB PO BOX 7685 Little Rock AR 72217 710594414 501(C)(3) 15000 Annual Sponsorship AMERICAN HEART ASSOCIATION 7272 Greenville Ave Dallas TX 75231 135613797 501(C)(3) 14000 Gala Pledge D1 SPORTS TRAINING LITTLE ROCK 10 Viewpointe Cove Little Rock AR 72223 205179734 11000 Sponsorship Fee ARKANSAS UROLOGY 1300 Centerview Drive Little Rock AR 72211 710782429 501(C)(3) 10000 Sponsorship- Kick off to Men's Health ARKANSAS BLACK HALL OF FAME FOUNDATION PO Box 1042 Little Rock AR 72203 542116967 501(C)(3) 10000 Diamond Sponsorship CATHOLIC HIGH SCHOOL FDTN 6300 Father Tribou St Little Rock AR 72205 710422983 501(C)(3) 10000 Rocket 5K - Presenting Sponsor Women & Children First the Center Against Family Violence PO BOX 1954 Little Rock AR 72203 710513011 501(C)(3) 10000 Woman of the Year Gala Sponsorship Congress of Neurological Surgeons Inc 10 N Martingale Road Schaumgurg IL 60173 521660107 501(C)(3) 5400 CNS Sponsorship GO RUNNING 1819 N Grant St Little Rock AR 72207 270960993 501(C)(3) 5255 Premiere Title Sponsorship St Vincent Foundation 2 St Vincent Circle Little Rock AR 72205 510169537 501(C)(3) 42535 Annual Sponsorship 11 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ST. VINCENT INFIRMARY MEDICAL CENTER USES MINIMAL FUNDS TO GIVE SPONSORSHIPS TO CERTAIN EVENTS. ST. VINCENT INFIRMARY MEDICAL CENTER'S CEO APPROVES ALL SPONSORSHIPS, AND THEY ARE PRIMARILY PROVIDED TO CHARITABLE ORGANIZATIONS OR TO EVENTS THAT PROMOTE COMMUNITY HEALTH. X X false true false false false false false true false CHAD ADUDDELL Market CEO 550871 0 0 0 111635 0 15080 0 25114 0 702700 0 41672 0 LARRY SCHUMACHER Senior VP-Operations-CEO / BOARD MEMBER 0 1086890 0 682996 0 357085 0 156836 0 26390 0 2310197 0 104000 Sayyadul Siddiqui MD BOARD MEMBER / VICE CHIEF OF STAFF 713319 0 42281 0 3547 0 16375 0 24307 0 799829 0 0 0 MARK MCGINNIS Former Chief Financial Officer/ Treasurer 0 549815 0 127460 0 80685 0 41025 0 29752 0 828737 0 0 SHAWN BARNETT Mkt SVP COO CFO 263082 88464 10000 0 35659 0 2887 720 12887 6291 324515 95475 0 0 DAVID FOSTER PRESIDENT PHYSICIAN ENTERPRISE 0 421300 0 30 0 15906 0 17360 0 22290 0 476886 0 0 ANGELA LONGING CNO Conway Regional 114357 65394 27000 0 581 0 13257 0 13778 1685 168973 67079 0 0 MATTHEW TROUP President Conway Regional 304519 0 90531 0 30582 0 31465 0 25170 0 482267 0 0 0 BRYAN WILLIAMS CHI St. Vincent VP Patient Care Services 0 205008 0 0 0 675 0 12659 0 22335 0 240677 0 0 Laura Cook SVP Market Foundation/Marketing 221778 0 0 0 16128 0 14625 0 21819 0 274350 0 0 0 DOUGLAS ROSS MD SVP Market CMO & President CHI St Vincent Hot Springs 391391 16286 25205 74 14865 31 15912 0 24808 354 472181 16745 0 0 CHRISTOPHER STINES PRESIDENT-ST VINCENT NORTH 226404 0 0 0 1087 0 16448 0 9175 0 253114 0 0 0 RANDY JORDAN CHIEF MEDICAL OFFICER 664241 0 22807 0 8805 0 17409 0 22847 0 736109 0 0 0 FRANK BAUER CARDIOTHORACIC SURGEON 1382854 998 16613 0 5544 0 16375 0 9776 2 1431162 1000 0 0 THURSTON BAUER CARDIOVASCULAR SURGEON 1550140 0 0 0 16185 0 16791 0 24307 0 1607423 0 0 0 Mangaraju Chakka ELECTRO PHYSIOLOGIST 1207700 0 71703 0 1906 0 16375 0 24742 0 1322426 0 0 0 FREDERICK MEADORS CARDIOVASCULAR SURGEON 1377057 995 106015 0 5544 0 16198 0 17117 5 1521931 1000 0 0 Thomas WALLACE ELECTRO PHYSIOLOGIST 1314744 0 127620 0 840 0 16727 0 24307 0 1484238 0 0 0 Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT During the calendar year 2018, post-termination payments were addressed in executive employment agreements for Catholic Health Initiatives and related organizations' employees at the level of Vice President and above, including the MBO CEOs. 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Chad Aduddell - $41,694 Matthew E. Troup - $15,534 Lawrence P. Schumacher - $86,358 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Chad Aduddell - $49,681 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION MAINTAINS A VARIABLE PAY PROGRAM FOR CERTAIN ELIGIBLE EMPLOYEES THAT PUTS A PORTION OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION ARE MADE BASED UPON CERTAIN CRITERIA INCLUDING WORK HISTORY, KEY ROLE, EXECUTIVE TURNOVER AND FUTURE NEEDS. Form 990, Part III, Line 1 ORGANIZATION'S MISSION 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. Form 990, Part VI, Line 16b POLICY ON JOINT VENTURE ARRANGEMENTS ST. VINCENT INFIRMARY MEDICAL CENTER 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, Line 12c Conflict of Interest Policy c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, AND FIVE VOTING MEMBERS OF THE BOARD APPOINTED BY THE CHAIRPERSON, 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 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. VINCENT INFIRMARY 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 ST. VINCENT INFIRMARY MEDICAL CENTER * Amendment of the corporate documents of the ST. VINCENT INFIRMARY MEDICAL CENTER * Approve members of the ST. VINCENT INFIRMARY MEDICAL CENTER board * Removal of a member of the governing body of the ST. VINCENT INFIRMARY MEDICAL CENTER * Approval of issuance of debt by ST. VINCENT INFIRMARY MEDICAL CENTER * Approval of participation of ST. VINCENT INFIRMARY MEDICAL CENTER in a joint venture * Approval of formation of a new corporation by ST. VINCENT INFIRMARY MEDICAL CENTER * Approval of a merger involving the ST. VINCENT INFIRMARY MEDICAL CENTER * Approval of the sale of all or substantially all of the assets of the ST. VINCENT INFIRMARY MEDICAL CENTER * To require the transfer of assets by the ST. VINCENT INFIRMARY MEDICAL CENTER 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 ST. VINCENT INFIRMARY MEDICAL CENTER Pursuant to Section 5.5.2 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 RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. AFTER THE RETURN IS REVIEWED BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE CFO. 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. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. 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. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. (CONTINUED ON SCHEDULE O) Form 990, Part VI, Line 15a Process to establish compensation of top management official St. Vincent Infirmary Med Center used Gallagher as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Gallagher reviewed both market data and total compensation for overall reasonableness and for comparability to the not-for-profit healthcare market. This independent review was delivered by Gallagher to the St. Vincent Board committee at their December 2019 meeting. Form 990, Part VI, Line 15b Process to establish compensation of other employees EXECUTIVE COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL SALARY LEVELS AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS USING DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED JUNE 30, 2019. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. 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 VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 59875, Related or Exempt Function Revenue: 59875, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 10515547, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10515547; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 28943769, Program Service Expense: 28943769, Management and General Expenses: 0, Fundraising Expenses: 0; Contract Labor - Total Expense: 28047015, Program Service Expense: 28047015, Management and General Expenses: 0, Fundraising Expenses: 0; Other Fees for Services - Total Expense: 15645902, Program Service Expense: 13502635, Management and General Expenses: 2143267, Fundraising Expenses: 0; Contract Services - Total Expense: 5315895, Program Service Expense: 5315895, Management and General Expenses: 0, Fundraising Expenses: 0; Consulting - Total Expense: 1382920, Program Service Expense: 0, Management and General Expenses: 1382920, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other Changes in Net Assets - -235486; JACK STEPHENS HEART INSTITUTE LLC Two St Vincent Circle LITTLE ROCK AR 72205 452460570 CARDIOLOGY AR 4064074 0 SVIMC ARKANSAS HEALTH NETWORK LLC Two St Vincent Circle LITTLE ROCK AR 72205 462817911 HEALTHCARE AR 3069318 600977 SVIMC St Vincent Physician Clinics LLC Two St Vincent Circle Little Rock AR 72205 PHYSICIAN SERVICES AR 0 527806 SVIMC 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 SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA 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 Foundation 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 DCC false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FUNDRAISING 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) Type I SLCHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) Type I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(c)(3) Type I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false CARRINGTON HEALTH CENTER 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 FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 HEALTHCARE CO 501(c)(3) Type I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(c)(3) Type I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(c)(3) 10 MMC false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY 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 FUNDRAISING FOUNDATION MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH false CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CSH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II 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 DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(c)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(c)(3) 3 CHISVHS true COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 HOSPITAL CA 501(c)(3) 3 DCC false COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 HOSPITAL KY 501(c)(3) 3 SJHS false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 HOSPITAL CO 501(c)(3) 3 NA 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 Drive Redding CA 96003 237115371 Senior Center Services CA 501(c)(3) 7 DH false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation - Inland Empire 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Self Insurance CA 501(c)(3) Type I DH false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Insurance NV 501(c)(3) Type I DH false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC false Dignity Health Workers Comp Self-Insurance Trust 185 Berry Street San Francisco CA 94107 946612446 Self Insurance CA 501(c)(3) Type I DH false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Health System CA 501(c)(3) Type I DH false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(c)(3) 3 CSH false FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false French Hospital Medical Center Foundation 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(c)(3) 3 SAMC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH false HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(c)(3) 3 FHS false HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING FOUNDATION WA 501(c)(3) 7 HMC false HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(c)(3) Type II KOH false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC false HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(c)(3) 3 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HOSPITAL KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC false LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(c)(3) 3 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(c)(3) 3 SJSC false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC false Marian Regional Medical Center Foundation 1400 E Church Street Santa Maria CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 HOSPITAL CA 501(c)(3) 3 NA false MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(c)(3) 3 SLHS false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MEDICAL CENTER - 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) Type I MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HOSPITAL TX 501(c)(3) 3 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP false MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP false Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING FOUNDATION IA 501(c)(3) 7 CHI-IA CORP false MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(c)(3) 7 MMC false MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHMH-Corning false MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(c)(3) Type I MHVC false MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHBMHS false MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(c)(3) 3 CSH false MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING 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