2019-05-10T20:30:15-05:00 2018-06-30 470617373 Catholic Health Initiatives 198 Inverness Drive West Englewood CO 80112 990 2017-07-01 930391614 St Anthony Hospital STAN 5412783220 2801 St Anthony Way Pendleton OR 97801 Harold Geller President 2019-05-10 true PAMELA KROHN P01210500 3032989100 2017 2019-02-21 02:37:17Z Harold Geller 2801 St Anthony Way Pendleton OR 97801 85272940 false 0928 X www.sahpendleton.org X 1901 OR St. Anthony Hospital was founded in 1901 by the Sisters of St. Francis to provide comprehensive health care to everyone in this rural community of Eastern Oregon, regardless of ability to pay or social status. The organization was, for the year ended 6/30/18, affiliated with Catholic Health Initiatives ("CHI"). Following the close of the 6/30/2018 tax year, on 2/1/19, in connection with the alignment of the Catholic ministries of CHI and Dignity Health, CHI changed its name to "CommonSpirit Health". 11 8 385 45 211946 102357 364876 183719 75849908 80232457 2551732 4154383 617967 484666 79384483 85055225 1520943 1695343 0 0 29877617 31620033 0 0 0 32723842 35784697 64122402 69100073 15262081 15955152 151310919 167446052 16502300 18368608 134808619 149077444 SEE SCHEDULE O false false 62218351 1695343 80232457 SEE SCHEDULE H 62218351 true true false true false false false false false true true false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true 0 0 385 true true true false false false false false true false false false X 11 8 false false false false true true true true true false false true true true true true true true true false OR X Harold Geller 5412783220 2801 St Anthony Way Pendleton OR 97801 Tim Hawkins CHAIR 3.0 0 X X 0 0 0 JERRY SIMPSON VICE CHAIR 3.0 0.0 X X 0 0 0 June mohrland TREASURER 3.0 0 X X 0 0 0 CHERYL DOYLE SECRETARY 3.0 1.0 X X 0 0 0 Harold Geller PRESIDENT / TRUSTEE 39.0 1.0 X X 412880 0 52550 Ketul Patel EX-OFFICIO TRUSTEE/SYS SVP MARKET CEO 3.0 57.0 X 0 2441704 199576 JOHN MCBEE MD TRUSTEE/ CHIEF OF MEDICAL STAFF 40.0 0 X 189750 0 0 BETH O'HANLON TRUSTEE 3.0 0 X 0 0 0 PATRICIA WINN MD TRUSTEE 3.0 0 X 0 0 0 Donald Benschoter DMD TRUSTEE 3.0 0 X 0 0 0 SR MARIE-MONICA BORDEN TRUSTEE 3.0 1.0 X 0 0 0 BRENT FIFE TRUSTEE (PARTIAL YEAR) 3.0 0 X 0 0 0 Scot Attridge VP OPERATIONAL FINANCE (PARTIAL YEAR) 39.0 1.0 X 0 130107 32384 JOYCE BAILEY VP-PATIENT CARE SERVICES 40.0 0 X 222605 0 27708 JANEEN REDING MKT VP HUMAN RESOURCES 40.0 0 X 169326 0 25426 Cynthia Shaw VP of Quality Management 40.0 0 X 140739 0 24463 WILLIAM BELL MD Physician 40.0 0 X 600180 0 41079 MICHAEL BRUNSMAN MD PHYSICIAN-OB-GYN GENERAL 40.0 0 X 338640 0 41079 JAMES WARD PHYSICIAN-OB-GYN GENERAL 40.0 0.0 X 376284 0 34454 MALCOLM TOWNSLEY MD PHD PHYSICIAN-INTERNAL MED-GENERAL 40.0 0 X 299363 0 40774 AIMEE ROGERS UROLOGIST 40.0 0 X 292200 0 4501 3041967 2571811 523994 52 false true false PENDLETON PHYSICIANS LLC 3001 St Anthony Way Pendleton OR 97801 PHYSICIAN SERVICES 973812 INTERPATH LABORATORY PO BOX 1208 PENDLETON OR 97801 CLINICAL LAB SERVICES 911686 INLAND NW HEALTH SERVICES PO BOX 469 SPOKANE WA 992100469 INFORMATION MANAGEMENT 516471 NORTHWEST EMERGENCY PHYSICIANS PO BOX 634850 CINCINNATI OH 452634850 PHYSICIAN SERVICES 350642 EMCARE PHYSICIAN SERVICES INC 7032 Collection Center Dr Chicago IL 60693 PATIENT CARE 335563 22 X 0 0 0 162278 3990 17451 0 183719 Patient Services 900099 80202457 80202457 0 0 Rental Income 900099 30000 30000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80232457 1442808 0 106022 1336786 0 0 0 0 0 0 0 0 26378 0 217715 0 -191337 0 -191337 0 0 -191337 2382550 329025 0 0 2382550 329025 2711575 0 0 2711575 0 0 0 0 0 0 0 0 0 0 0 0 42575 0 42575 0 0 42575 Cafeteria 722100 416317 0 0 416317 Services Sold 900099 72380 0 50774 21606 Pharmacy Services 446110 20560 0 20560 0 124171 0 34590 89581 633428 85055225 80232457 211946 4427103 X 90300 90300 1605043 1605043 0 0 0 0 1257438 588745 668693 0 0 0 0 0 23947566 22428273 1519293 0 1180710 1089829 90881 0 3482836 3263639 219197 0 1751483 1470827 280656 0 0 0 0 0 120766 0 120766 0 0 0 0 0 7196 0 7196 0 0 0 0 0 0 0 11566438 10578164 988274 0 168188 0 168188 0 1319207 984797 334410 0 2028123 933524 1094599 0 0 0 0 0 1841208 1541533 299675 0 212857 103545 109312 0 0 0 0 0 202872 411 202461 0 0 0 0 0 628776 0 628776 0 6637472 6327646 309826 0 345289 343120 2169 0 Unrelated Business Taxes -162650 0 -162650 0 Medical Supplies 7531782 7531782 0 0 Bad debts 1853463 1853463 0 0 Repairs and maintenance 487955 487955 0 0 995755 995755 0 0 69100073 62218351 6881722 0 0 0 0 0 2100 2100 13785921 12782586 0 0 10436884 10442597 0 0 0 1235269 1087536 1875642 1976236 1932 0 127598781 57819431 73995026 69779350 0 0 43787567 62967701 0 0 0 6190578 8407946 151310919 167446052 7895194 8274035 0 0 0 0 0 0 0 0 0 0 0 0 0 8607106 10094573 16502300 18368608 X 134803657 149072482 4962 4962 0 0 0 0 0 0 0 0 134808619 149077444 151310919 167446052 X 15955152 73378 -1759705 X false true X true true true X false false false false false true 9373 false false false 9373 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1F) THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,046 CATHOLIC HEALTH ASSOCIATION - $917 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS - $7,410 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1F) THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,046 CATHOLIC HEALTH ASSOCIATION - $917 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS - $7,410 1860719 1860719 84098613 32784036 51314577 1426453 46854 1379599 39120068 24316756 14803312 1092928 671785 421143 69779350 CHI OPERATING INVESTMENT PROGRAM, LP 62967701 F 62967701 INTERCOMPANY RECEIVABLES INTERCOMPANY RECEIVABLES 7207946 MODA HEALTH INC 600000 EOCCO (THE EASTERN OREGON COORDINATED CARE ORG) 600000 8407946 2992 intercompany payable Accrued Expenses Accrued grants other liabilities INTERCOMPANY PAYABLE 8032528 ACCRUED EXPENSES 1154383 ACCRUED GRANTS 154670 OTHER LIABILITIES 750000 10094573 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote financial information is included in the consolidated audited financial statements of Catholic Health Initiatives ("CHI"), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2018, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually 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 0 1456 752765 0 752765 0.0112 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 1456 752765 0 752765 0.0112 34 50866 630106 9989 620117 0.0092 10 284 215296 0 215296 0.0032 2 1250 510800 0 510800 0.0076 0 0 0 0 0 0.0 8 9305 282387 45 282342 0.0042 54 61705 1638589 10034 1628555 0.0242 54 63161 2391354 10034 2381320 0.0354 0 0 0 0 0 0.0 1 300 6594 0 6594 0.0001 4 2288 120473 0 120473 0.0018 0 0 0 0 0 0.0 0 0 0 0 0 0.0 3 743 15957 0 15957 0.0002 4 47946 10716 0 10716 0.0002 1 0 4298 0 4298 0.0001 0 0 0 0 0 0.0 13 51277 158038 0 158038 0.0024 false 1853463 0 21220805 22034919 -814114 X true true 1 1 St Anthony Hospital 2801 St Anthony Way Pendleton CO 97801 http://www.sahpendleton.org/ 14-0034 X X X X St Anthony Hospital 1 false false true X X X X X X X X X 15 true true true true X https://www.sahpendleton.org/en/about-us/community-benefit/community-health-needs-assessment.html X true 16 false true false true X 300.0 300.0 X X X X true true X X X true X https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html X https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html X https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html 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 were identified through the CHNA and included in a prioritized description of the significant health needs. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. ANTHONY HOSPITAL. The Umatilla-Morrow Counties Community Health Partnership, a collaboration of various organizations throughout Umatilla and Morrow Counties, conducted anonymous, confidential surveys of adults aged 18 years and older residing throughout Umatilla and Morrow Counties to assess health needs within the community. The members of this partnership include agencies that specialize in public health services, as well as organizations that serve medically-underserved, low-income, and minority populations. This partnership consists of the following organizations: Community Health Improvement Partnership of Morrow County Pendleton Community Health Partnership Milton-Freewater Community Health Partnership Umatilla County Community Advisory Council Morrow County Community Advisory Council Blue Mt. Early Learning Hub Umatilla County Public Health Good Shepherd Health Care System CHI St. Anthony Hospital CAPECO Morrow County Health District, InterMountain ESD Umatilla County Human Services Eastern Oregon Correctional Institute Columbia River Community Health Services Lifeways Morrow County Health Department MHP Salud Oregon Child Development Coalition Yellowhawk Tribal Health Center Oregon Department of Human Services Community Counseling Solutions ConneXions CARE Mirasol Family Health Salvation Army Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. ANTHONY HOSPITAL. Good Shepherd Health Care System Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST. ANTHONY HOSPITAL. Yellowhawk Tribal Health Clinic Greater Oregon Behavioral Health Inc Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. ANTHONY HOSPITAL. Programs and services provided by St. Anthony Hospital to address needs identified in the tax year 2015 Community Health Needs Assessment: Violence and safety: As a recipient of a Mission Ministry Fund Grant from CHI, St. Anthony Hospital will devote more than $280,000 over the course of the next three years to implement Positive Parent Training throughout Pendleton and surrounding areas. St. Anthony Hospital has teamed with Greater Oregon Behavioral Health, Inc to hire a Violence Prevention Coordinator, who is dedicated to reducing instances of child abuse and other violence through this program. Chronic Disease Prevention Management and Weight Status: St. Anthony Hospital will continue to provide diabetes and weight management support groups to reduce instances of obesity and diabetes. The Hospital is also starting a series, called Living Well with Chronic Conditions, in order to assist people with living healthier lives. In addition, the Hospital will continue to collaborate with other local entities, including the County Health Department, Pendleton Fire and Ambulance, Pendleton Parks and Recreation, and the American Red Cross, to host the annual Passport to Wellness Health Fair, where community participants learn how to live healthier lifestyles. Significant Needs Not addressed: Mental Health: St. Anthony Hospital does not currently have the resources or the personnel required to fully address mental health needs in Umatilla County. However, St. Anthony Hospital will collaborate with local organizations that specialize in addressing mental health needs in the community, including Greater Oregon Behavioral Health, Inc (Lifeways) and Blue Mountain Community College's Suicide Prevention program. Tobacco/Drug Use: St. Anthony Hospital does not currently have the resources or the personnel required to fully address issues surrounding tobacco and drug use in the community. However, St. Anthony Hospital is committed to supporting the Umatilla County Public Health Department in their efforts to reduce tobacco and drug use. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST. ANTHONY HOSPITAL. 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. 8 St Anthony Home Care & Hospice 1703 SE Court Avenue Pendleton OR 97801 home care and hospice St Anthony We Care Clinic 1312 SW 2nd Street Pendleton OR 97801 Medical Clinic St Anthony Pediatric Clinic 1514 SE Court Avenue Pendleton OR 97801 Outpatient Clinic St Anthony Hospital Cardiology Clinic 2801 St Anthony Way Pendleton OR 97801 medical clinic specializing in heart injuries and disease. St Anthony Outpatient Physical Therapy 1425 Southgate Pendleton OR 97801 outpatient clinic St Anthony Orthopedic Clinic 1600 SE Court Place Pendleton OR 97801 Physician clinic St anthony Womens Clinic 2801 St Anthony Way Pendleton OR 97801 Clinic for women who are pregnant or have GYN issues St Anthony Internal Medicine Clinic 2801 St Anthony Way Pendleton OR 97801 Clinic specializing in internal medicine Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE 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 : Needs Assessment and Community Information Design This community health assessment was cross-sectional in nature and included a written survey of adults within Umatilla County. From the beginning, community leaders were actively engaged in the planning process and helped define the content, scope, and sequence of the study. Active engagement of community members throughout the planning process is regarded as an important step in completing a valid needs assessment. Instrument Development The adult survey instrument was designed, and pilot tested for this study. As a first step in the design process, health education researchers from the University of Toledo and staff members from the Hospital Council of NW Ohio met to discuss potential sources of valid and reliable survey items that would be appropriate for assessing the health status and health needs of adults. The investigators decided to derive the majority of the adult survey items from the BRFSS. This decision was based on being able to compare local data with state and national data. The Project Coordinator from the Hospital Council of NW Ohio conducted a series of meetings with the Umatilla County Community Health Partnership (UCCHP), which St. Anthony Hospital is a member. During these meetings, banks of potential survey questions from the BRFSS survey were reviewed and discussed. Based on input from the UCCHP, the Project Coordinator composed drafts of surveys containing 115 items for the adult survey. The draft was reviewed and approved by health education researchers at the University of Toledo. A similar survey was created for the American Indian population with 117 items. Sampling Adults ages 18 and over living in Umatilla County were used as the sampling frame for the adult survey. Since U.S. Census Bureau age categories do not correspond exactly to this age parameter, the investigators calculated the population of those 18 years and over living in Umatilla County. There were 51,752 persons ages 18 and over living in Umatilla County. The investigators conducted a power analysis to determine what sample size was needed to ensure a 95% confidence level with a corresponding confidence interval of 5% (i.e., we can be 95% sure that the "true" population responses are within a 5% margin of error of the survey findings.) A sample size of at least 381 was needed to ensure this level of confidence. The random sample of mailing addresses of adults from Umatilla County was obtained from American Clearinghouse in Louisville, KY. Procedure Adult Survey Prior to mailing the survey to adults, an advance letter was mailed to 800 adults in Umatilla County. This advance letter was personalized, printed on Umatilla County Community Health Partnership stationery. The letter introduced the county health assessment project and informed the readers that they may be randomly selected to receive the survey. The letter also explained that the respondents' confidentiality would be protected and encouraged the readers to complete and return the survey promptly if they were selected. Two weeks following the advance letter, a three-wave mailing procedure was implemented to maximize the survey return rate. The initial mailing included a personalized hand signed cover letter (on Umatilla County Community Health Partnership stationery) describing the purpose of the study; a questionnaire printed on colored paper; a self-addressed stamped return envelope. Approximately two weeks after the first mailing, a second wave mailing included another personalized cover letter encouraging them to reply, another copy of the questionnaire on colored paper, and another reply envelope. A third wave postcard was sent two weeks after the second wave mailing. Surveys returned as undeliverable, were not replaced with another potential respondent. The response rate for the Umatilla County adult mailing was 45% (n=342: CI= 5.28%). This return rate and sample size means that the responses in the health assessment should be representative of the entire county. Data Analysis Individual responses were anonymous and confidential. Only group data are available. All data were analyzed by health education researchers at the University of Toledo using SPSS 17.0. Crosstabs were used to calculate descriptive statistics for the data presented in this report. To be representative of Umatilla County, the adult data collected was weighted by age, gender, race, and income using 2018 census data. Multiple weightings were created based on this information to account for different types of analyses. For more information on how the weightings were created and applied. Limitations As with all county assessments, it is important to consider the findings in light of all possible limitations. First, the Umatilla County adult assessment had a high response rate (45%). However, if any important differences existed between the respondents and the non-respondents regarding the questions asked, this would represent a threat to the external validity of the results (the generalizability of the results to the population of Umatilla County). If there were little to no differences between respondents and non-respondents, then this would not be a limitation. Second, it is important to note that, although several questions were asked using the same wording as the CDC questionnaires and the NSCH questionnaire, the adult and parent data collection method differed. CDC adult data and NSCH child data were collected using a set of questions from the total question bank and adults were asked the questions over the telephone rather than as a mail survey. The youth CDC survey was administered in schools in a similar fashion as this county health assessment. Finally, additional efforts were made to reach the American Indian population. As stated above we received 3% from the American Indian population. These results are not generalizable and should be used with caution. Health Needs of Community The health needs of Umatilla County that were examined by the needs assessment include but are not limited to: health status, health care coverage, health care access, cardiovascular health, cancer, diabetes, arthritis, asthma, weight control, tobacco use, alcohol use, substance abuse, women's health, men's health, preventive health screenings & behaviors, sexual behavior and pregnancy outcomes, quality of life and safety, social context, mental health and suicide, oral health, parenting, American Indian healthcare access, coverage and utilization, American Indian chronic disease and prevention, American Indian quality of life and safety. Survey Findings Lack of health care coverage, tobacco use, drug use, multiple sexual partners, binge drinking, lack of male and female health screenings and lack of routine dental care were all prevalent issues among those Umatilla County adults with incomes less than $25,000. The chronic disease prevalence among Umatilla County adults with incomes less than $25,000 were: high blood cholesterol (34%), high blood pressure (33%), arthritis (29%), asthma (21%) and diabetes (10%). The percentage of adults either overweight or obese was also found to be high in Umatilla County. 32% were found to be obese and 35% overweight. Over 10 percent of Umatilla County adults were uninsured at the time of the survey. Umatilla County adults who were uninsured reported that the reason they were without health care coverage was that they could not afford to pay the out-of-pocket expenses or pay the insurance premiums. Key Informant Focus Groups There were over 160 key leaders from the community that represented public health, law enforcement, schools, churches, local officials, social service agencies and other various community members in attendance at the public release of the community health needs assessment. At the event, participants participated in focus groups and priorities were chosen for Umatilla County to focus on. Feedback from these groups identified the following needs for focus: Obesity, Tobacco, Diabetes, Asthma, Addition, Mental Health and Access to Care (low income/underinsured). This feedback along with the survey report will be reviewed by a work group made up of members representing hospitals that serve this county. This work group will complete the assessment process by prioritizing the top three focus areas, conduct gap analysis/key informant meeting, identify best practice programs and write up strategic implementation plan. Schedule H, Part VI Lines 2,4 : Needs Assessment and Community Information QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor Pharmacy Indigent Care Program SAH provides prescription medications to persons who do not have the means to purchase them. Provisions of these medications helps the recipients to recover more quickly from their illnesses and better manage chronic conditions and avoid costly hospitalizations. Care Rides SAH provides transportation (with Elite Taxi Service) for low-income patients in the community, as well as sharing the expense with the City of Pendleton on a quarterly basis. This will help to ensure this population has easy access to health care. Without it over six thousand rides would have not been provided and many may have hesitated to address their needs in a timely manner, increasing the cost of care for all. Salvation Army Meals SAH helps provide meals weekly for the poor at the Salvation Army. The demand for this service continues to increase. This year the hospital provided almost ten percent mores meals over the prior year. Over 6,600 meals were served. This was at a cost of $145,860. St. Anthony Hospital continues to work collaboratively with our community to provide support during these difficult economic times. Pioneer Relief Nursery SAH provides supplies, utilities and free space for Pioneer Relief Nursery. The nursery provides respite childcare and training to parents who have challenges with childcare; which is a chronic unmet need. Its goal is to prevent child abuse and neglect in Umatilla County through intensive family support. They address the cycle of child abuse and neglect by providing therapeutic early childhood classrooms, parenting education, planned respite and comprehensive family support. PRN utilizes research-based strategies to help families build skills to cope with the stresses of raising children in families with risk factors such as poverty, substance abuse, domestic violence and isolation. Project Community Connect SAH is a part of a Coalition called A Home for Hope. Its mission is to twofold. One is to help those who are homeless or on the verge of homelessness connect with federal, state and local services. Second, is to work together to end homelessness in our community in ten-year time. St. Anthony Hospital, on its part provided volunteers, meals, and flu shots. Community Outreach for the Broader Community Hospice Care St. Anthony Hospice, as a part of its care of the terminally ill and their families, provides training and support of hospice volunteers. It also provides bereavement follow up and grief support groups for those grieving the loss of a loved one. Flu Shot Clinic SAH provides flu shots free to the public each fall. This year over 1,600 people were served at a cost to the hospital of $42,474. This service helps prevent possible flu epidemics, which could lead to compromised health problems and or death. Childbirth Class Series SAH provide five-week series, offered six times a year. These classes cover all kinds of issues surrounding childbirth including breathing techniques, pain management, vaginal birth, and cesarean birth. They can help prepare parents for many aspects of childbirth: for the changes that pregnancy brings, for labor and delivery, and for parenting once your baby is born. These are the only classes of this kind offered in the area. Participants often come from outside the immediate area to take the classes. This year over 1,540 people were served. Domestic Violence Services This is a private non-profit agency. It provides emergency services to victims of domestic violence and sexual assault. Its mission is to work toward ending this type of violence within the community. SAH supports this service through donations and volunteer hours. This year 106 adults and children were provided food and shelter. This service also provided crisis calls, counseling and education. Collaborative Efforts to Improve Community Health School Based Health Center We collaborate with the local school district in providing access to health care in the school setting. SAH provides the salary and for a full-time nurse practitioner who provides support for the high school and middle school clinic. The hospital also supports the clinic's advisory committee with membership representation and space for their meetings to take place. The services provided are what would be found in a local pediatrician's office or family practice office. Services include the diagnosis and treatment (including prescriptions) for acute and chronic illnesses. It also provides the treatment of and injuries, immunizations, sport physicals and well-child checks. In essence, SBHCs bring the medical clinic into the school so school staff can refer students immediately for the care they need regardless of their ability to pay. Plus, they miss less class time! The total cost is $40,000. Over 500 services were through this program this year. Ninety-nine percent of the students are able to be seen and treated without being referred to their Primary Care Physician. The lack of availability of the nurse practitioner would hinder the ability to address health concerns early, before they become critical or chronic leading to poor school attendance. Athletic Trainer SAH supports the athletic programs of both Blue Mountain Community College and Pendleton High School by providing an athletic trainer for their athletes. This service supports the promotion of healthier life styles, quicker access to health care and the prevention of server injuries. Without SAH support for this service these institutions would either have to limit their athletic programs they offer or jeopardize the health of the athletes. Breast Cancer Fund/Cancer Renewal Project These programs help address an important unmet need of those who battle with breast cancer. The Breast Cancer Fund helps support women who are being treated for breast cancer. Its main purpose is to provide immediate emergency relief money to breast cancer patients with emergent and/or special needs; such as mastectomy products and transportation assistance. The Cancer Renewal Project helps support survivors of cancer by offering them services that help in their recovery. These services include yoga, exercise classes and messages. SAH helps these programs by supporting the fundraising event "Tough Enough to Wear Pink," with both volunteer support and cash donations. Health Professions Education Health Care Professionals Training This year we assisted in the training and education of future health care professionals. We do this to help address the need for better health care access in rural communities. We subsidized the salary of a nurse educator for the Blue Mountain Nursing Program as well as providing a clinical cite and supervision for its nursing students. In addition, we provided a clinical site and supervision for students of a number of other health professions education programs: OHSU Nursing, LBCC Diagnostic Imaging and Pacific University Pharmacy This ensures the availability of health care professionals our rural community. Cancer Conference St. Anthony Hospital sponsors this monthly conference. It is an essential forum to provide multidisciplinary consultative services for patients, as well as to offer education to physicians and allied health professionals. This is the only forum of this kind in the area. Community Building Activities St. Anthony Hospital is very active in community building and leadership activities. SAH sees this as an essential part of its community benefit activities. They may not necessarily be seen as healthcare related, but since almost 90% of what causes individuals to need healthcare is life style related the hospital sees its involvement in these activities key to promoting healthy communities. The programs that hospital supports focus on the support and collaboration with community groups and organizations that seek to address identified needs in the community such as affordable healthcare, nurturing healthy activities that help prevent obesity and diabetes, and participation in coalitions that seek to address the needs of the homeless, housing and job shortages. Umatilla County Community Health Partnership St. Anthony Hospital is an active member of this county wide coalition. The purpose of the coalition is as follows: (1) Complete a Comprehensive County-Wide Community Health Assessment and Report; (2) Collaboratively work with the Partners to develop a 3-Year strategic plan based on the assessment. (3) Participate in the Healthy Communities Partnership in a coordinated effort to address community health needs. Schedule H, Part VI Lines 2,4 : Needs Assessment and Community Information Pendleton Progress Board Pendleton, like many communities, has been hit hard during this economic downturn. Hundreds of individuals have lost their jobs and with it their ability to pay for basic needs such as healthcare. This is reflected both in the results of the community needs assessment and in the continued demands on the hospital's charity care. For this reason, St. Anthony Hospital has several members of the Hospital Leadership participating on the Pendleton Progress Board. The Progress Board works on an advisory capacity to the City Mayor. They are committed to making the community an enjoyable and rewarding place to live and work. This includes retention and recruitment of business employers and addressing the community's housing shortage. Community Service Groups Service groups provide a variety of support to the Pendleton Community and surrounding area. This includes education, support groups, scholarships, healthcare and leadership training. Many of the groups St. Anthony sponsors and collaborates with in the service they provide. For others, the support for them comes by providing space and complementary meals for their meetings. In a small community like Pendleton, resources are limited. SAH support of these groups helps the health of the community as a whole and nurture future collaborative work. Community information. Service is delivered primarily to residences of Pendleton (16,834) and the surrounding area of Umatilla County with a population of 75,889. It also serves a secondary service area of over 44,586 residents in Union, Morrow and Grant counties. These counties are primarily made of rural agricultural communities in Northeastern Oregon. Umatilla County vast majority of the population is Caucasian, with Hispanics making up most of the minority population at around 26%. SAH also serves a significant Native American population of just over 3,000 who reside on the reservation of the Confederated Tribes of the Umatilla, Cayuse and Walla Walla. The city of Pendleton shares a border with this reservation, which has the designation of being medically underserved. The medium age of the county is 35.9 and the medium household income is $49,287. The unemployment rate is 4.0% (Jun 2018). The percentage of residents living in poverty in 2018 is 15.6%. Schedule H, Part VI, Line 7 State filing of community benefit report St Anthony Hospital files a community benefit report in the State of Oregon. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1853463 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE. RATHER, COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TOCHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDING 6/30/2018 AS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, THIS RESULTS IN A 45.56% COST-TO-CHARGE RATIO. Schedule H, Part II Community Building Activities Community Building Activities St. Anthony Hospital is very active in community building and leadership activities. SAH sees this as an essential part of its community benefit activities. They may not necessarily be seen as healthcare related, but since almost 90% of what causes individuals to need healthcare is life style related the hospital sees its involvement in these activities key to promoting healthy communities. The programs that hospital supports focus on the support and collaboration with community groups and organizations that seek to address identified needs in the community such as affordable healthcare, nurturing healthy activities that help prevent obesity and diabetes, and participation in coalitions that seek to address the needs of the homeless, housing and job shortages. Umatilla County Community Health Partnership (UCCUP) St. Anthony Hospital is an active member of this county wide coalition. The purpose of the coalition is as follows: (1) Complete a Comprehensive County-Wide Community Health Assessment and Report; (2) Collaboratively work with the Partners to develop a 3-Year strategic plan based on the assessment. (3) Participate in the Healthy Communities Partnership in a coordinated effort to address community health needs. The local representations of this partnership is: Health Communities of Hermiston, Milton-Freewater Community Health Partnership and Pendleton Community Health Partnership. Since the Pendleton Area is SAH's primary service area it focuses the majority of its resources on the latter local coalition. However, it also continues to collaborate and support activities of the UCCUP. Umatilla County Early Childhood Partnership Team (ECPT) St. Anthony Hospital is an active member. This council acts in an advisory role to the Early Learning Hub for Umatilla, Morrow, and Union counties. The Hub has three areas in which to focus: Health, Safety and Education. By focusing on these three areas, the group will work to make sure kids are ready to go to kindergarten. Measurable outcomes for each area have been selected for different age ranges. The overall goal is to improve 3rd grade reading level. Umatilla County Behavioral Health Advisory Committee (UBCHAC) St. Anthony Hospital is an active member. This committee serves as an advisory council to the county commissioners and those agencies in the county who provide mental health and drug & alcohol treatment services. They are appointed by the Umatilla County Commissioners. Pendleton Progress Board Pendleton, like many communities, has been hit hard during this economic downturn. Hundreds of individuals have lost their jobs and with it their ability to pay for basic needs such as healthcare. This is reflected both in the results of the community needs assessment and in the continued demands on the hospital's charity care. For this reason, St. Anthony Hospital has several members of the Hospital Leadership participating on the Pendleton Progress Board. The Progress Board works on an advisory capacity to the City Mayor. They are committed to making the community an enjoyable and rewarding place to live and work. This includes retention and recruitment of business employers and addressing the community's housing shortage. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 45.56 % (updated annually). 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 Bad Debt Expense Methodology St. Anthony Hospital 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. Anthony Hospital does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented in the consolidated statement of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats all patients without regard to the ability to pay." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs St. Anthony Hospital is designated as a Critical Access Hospital (CAH). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. The shortfalls are based on costs, not charges, and St. Anthony Hospital, due to their designation as a CAH, received cost-based reimbursement for Medicare purposes. 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: $21,220,805 Total Medicare costs: $22,034,919 Surplus or Shortfall $(814,114) St. Anthony Hospital 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 - St. Anthony Hospital: Line 16a URL: https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Anthony Hospital: Line 16b URL: https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Anthony Hospital: Line 16c URL: https://www.sahpendleton.org/en/patients-and-visitors/financial-assistance.html; 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 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 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 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 was, for the year ended 6/30/18, affiliated with Catholic Health Initiatives ("CHI"). Following the close of the 6/30/2018 tax year, on 2/1/19, in connection with the alignment of the Catholic ministries of CHI and Dignity Health, CHI changed its name to "CommonSpirit Health". The narrative below reflects the activities of the organization's affiliate, CHI, as of and for the year ended 6/30/18: CHI, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation's largest nonprofit health systems, Englewood, Colorado-based CHI serves as the Parent company of the system. It operates in 18 states and comprises 100 hospitals, including two academic health centers, major teaching hospitals as well as 29 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2018, CHI provided more than $1.1 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 $2.0 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $14.98 billion in fiscal year 2018, has total assets of approximately $20.6 billion. CHI provides strategic planning and management services as well as centralized "share services" for the MBOs. 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 MBOs. The cost savings achieved through CHI's centralization enable MBOS to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. true UMATILLA COUNTY PUBLIC HEALTH 200 SE 3RD STREET PENDLETON OR 97801 936001993 UMATILLA COUNTY 52800 0 N/A N/A PROGRAM SUPPORT ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON OR 97801 930992727 501(c)(3) 33000 0 N/A N/A PROGRAM SUPPORT 2 0 FINANCIAL ASSISTANCE 1456 0 1605043 BOOK FINANCIAL ASSISTANCE Schedule I, Part III Financial Assistance St Anthony Hospital RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. CHARITY CARE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS' ACCOUNTS RECEIVABLE. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THESE ARE DONATIONS DEEMED TO BE MADE BY HOSPITAL ADMINISTRATION WITH THE BACKING OF THE BOARD OF DIRECTORS. EACH DONATION IS BROUGHT TO THE ATTENTION OF THE BOARD PRIOR TO BEING DISPENSED. THE ORGANIZATION DOES NOT MONITOR THE USE OF GRANT FUNDS AFTER THEY ARE GRANTED. X X X false true false false false false false false true false Harold Geller PRESIDENT / TRUSTEE 252244 0 98439 0 62197 0 29038 0 23512 0 465430 0 21786 0 Ketul Patel EX-OFFICIO TRUSTEE/SYS SVP MARKET CEO 0 1052551 0 1196130 0 193023 0 182223 0 17353 0 2641280 0 133333 JOHN MCBEE MD TRUSTEE/ CHIEF OF MEDICAL STAFF 0 0 0 0 189750 0 0 0 0 0 189750 0 0 0 Scot Attridge VP OPERATIONAL FINANCE (PARTIAL YEAR) 0 129477 0 0 0 630 0 8694 0 23690 0 162491 0 0 JOYCE BAILEY VP-PATIENT CARE SERVICES 176090 0 44909 0 1606 0 11265 0 16443 0 250313 0 0 0 JANEEN REDING MKT VP HUMAN RESOURCES 130299 0 33634 0 5393 0 2227 0 23199 0 194752 0 0 0 Cynthia Shaw VP of Quality Management 123568 0 16755 0 416 0 8740 0 15723 0 165202 0 0 0 WILLIAM BELL MD Physician 594636 0 0 0 5544 0 16075 0 25004 0 641259 0 0 0 MICHAEL BRUNSMAN MD PHYSICIAN-OB-GYN GENERAL 333287 0 0 0 5353 0 16075 0 25004 0 379719 0 0 0 JAMES WARD PHYSICIAN-OB-GYN GENERAL 317636 0 0 0 58648 0 9450 0 25004 0 410738 0 0 0 MALCOLM TOWNSLEY MD PHD PHYSICIAN-INTERNAL MED-GENERAL 283952 0 0 0 15411 0 16086 0 24688 0 340137 0 0 0 AIMEE ROGERS UROLOGIST 190970 0 50000 0 51230 0 0 0 4501 0 296701 0 0 0 Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE FILING ORGANIZATION OR A RELATED ORGANIZATION DURING THE 2017 CALENDAR YEAR. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2017 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. The following reportable individuals were eligible to participate in that plan: HAROLD GELLER KETUL PATEL During 2017 the following contributions were made by CHI to the deferred compensation plan: HAROLD GELLER - $13,126 KETUL PATEL - $167,190 During 2017 the following distributions were made by CHI from the deferred compensation plan: HAROLD GELLER - $21,754 KETUL PATEL - $162,167 Schedule J, Part I, Line 8 Payments on contract that is subject to the initial contract exception Some physicians receive incentive compensation payments that are based on a percentage of net collected revenue from services performed by that physician specifically. Form 990, Part III, Line 1 MISSION STATEMENT The mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization. Form 990, Part VI, Line 12c Conflict of Interest Policy The Board Chair or designee shall make such 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 will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make 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, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such 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 within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize 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 Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. 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 shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize 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.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the 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 of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: 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. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict as required by the COI Policy, the Trustee or Corporate Officer will be given an opportunity to explain such alleged failure to disclose. After hearing the response of the Trustee or Corporate Officer, the Board will conduct such additional investigation as may be appropriate. If the Board determines that the Trustee or Corporate Officer has in fact failed to disclose as required by the COI Policy, the Board shall take appropriate disciplinary or corrective action. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 1a Delegate broad authority to a committee Pursuant to Section 8.6 of the Bylaws of St. Anthony Hospital, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, and at least one (1) member of the Sisters of St. Francis of Philadelphia 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. The Executive Committee shall consist of only directors of the Corporation. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER OF ST. ANTHONY HOSPITAL IS CATHOLIC HEALTH INITIATIVES (CHI), A COLORADO NON-PROFIT CORPORATION. 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 CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4.1 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 CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. ANTHONY HOSPITAL *AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. ANTHONY HOSPITAL *APPROVE MEMBERS OF ST. ANTHONY HOSPITAL'S BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. ANTHONY HOSPITAL *APPROVAL OF ISSUANCE OF DEBT BY ST. ANTHONY HOSPITAL *APPROVAL OF PARTICIPATION OF ST. ANTHONY HOSPITAL IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. ANTHONY HOSPITAL *APPROVAL OF A MERGER INVOLVING ST. ANTHONY HOSPITAL *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. ANTHONY HOSPITAL *TO REQUIRE THE TRANSFER OF ASSETS BY ST. ANTHONY HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. ANTHONY HOSPITAL PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (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 CEO. A COPY OF THE RETURN WILL BE PROVIDED TO THE ST. ANTHONY BOARD BEFORE THE RETURN IS FILED. SUBSEQUENT TO REVIEW BY THE CEO 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 CEO. Form 990, Part VI, Line 12c Conflict of interest policy Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy (the "Policy") in place to maintain the integrity of all of its activities. The Policy applies to CHI Board of Stewardship Trustees and members of its committees; all CHI Entity board and board committee members; all CHI employees; and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. Each Person must 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 where the Person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers; * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership; Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG staff, as appropriate. This plan will include documentation of the C-CIRC's determinations and recommendations. As necessary, reports to an appropriate governmental agency or sponsor will be made according to the relevant appendices to this Policy to provide required information regarding how the conflict of interest will be managed, reduced, or eliminated. Designated CHI Entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI 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. The C-CIRC will determine whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a potential or actual conflict of interest exists that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing Person be allowed to participate in the activity or transaction subject to restrictions as outlined in a written COI management plan. All determinations of conflicts of interest will be reported as required by law, regulations, and CHI policy. If a Person, other than a board or board committee member or corporate officer, required to complete a COI disclosure 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 following steps should be followed. Within a reasonable period of time after receiving notice of the C-CIRC's decision, the Person must present the matter to the Person's immediate direct manager or supervisor (or in the case of a Researcher, to [fill in the title or position to whom Researchers report]) and request reconsideration, submitting at that time any new or additional information that may support or recommend reconsideration. If the Person's manager individually or in consultation with the manager's Vice President (or higher if the manager is a Vice President) finds that new information supporting reconsideration has been presented, the manager will contact local or National CRP staff, as appropriate, and request that the matter be re-presented to the C-CIRC. The C-CIRC will be reconvened for this purpose and, following such reconsideration, issue a final determination. This appeals process is intended to be narrowly applied, as Persons seeking conflict of interest exemptions or exceptions are expected to offer all available information supporting an exemption or exception at the time the matter is first presented to the C-CIRC. Management of actual or potential conflicts of interest of board or board committee members and corporate officers will be determined by the appropriate board, as reflected in the Policy. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Each Trustee and Corporate Officer must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. In any situation when a Trustee or Corporate Officer is in doubt, full disclosure should be made to permit an impartial and objective determination. A written record of the disclosure will be made. In addition to the ongoing disclosure obligation, all Trustees and Corporate Officers shall complete a COI disclosure questionnaire on an annual basis. A copy of the COI Policy shall be available to Trustees and Corporate Officers. Definitions of terms used in the disclosure questionnaire/form shall also be included. Each Trustee and Corporate Officer must promptly complete the COI disclosure. COI disclosures that involve no disclosures of conflicts of interest will not require review. Disclosures of perceived, potential or actual conflicts of interest on the COI questionnaire involving financial interests will be reviewed by National or Regional LSG. (Continued on Schedule O) Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization's top management official's compensation is paid by St. Anthony Hospital. St. Anthony Hospital utilizes market compensation ranges from market surveys, comparability studies and board approval to set executive compensation under the organization's compensation philosophy. Special consideration is made for high performers and those with specialized skills or experience. This process is used not only for new hires but for annual market adjustments as well. The process and decisions are discussed and reviewed with a regional Compensation review team for final approval and documented in each employee's electronic file in the HRIS system. St. Anthony Hospital works in conjunction with the regional Compensation Center who uses a mix of regional and national survey data to determine and review senior Executive pay was in line with the Regional Market. Form 990, Part VI, Line 15b Process to establish compensation of other employees St. Anthony Hospital utilizes market compensation ranges from market surveys, comparability studies and board approval to set executive compensation under the organization's compensation philosophy. Special consideration is made for high performers and those with specialized skills or experience. This process is used not only for new hires but for annual market adjustments as well. The process and decisions are discussed and reviewed with a regional Compensation review team for final approval and documented in each employee's electronic file in the HRIS system. St. Anthony Hospital works in conjunction with the regional Compensation Center who uses a mix of regional and national survey data to determine and review senior Executive pay was in line with the Regional Market. 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 Catholic Health Initiatives's consolidated audited financial statements that are available at www.catholichealthinitiatives.org. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 124171, Related or Exempt Function Revenue: , Unrelated Business Revenue: 34590, Revenue Excluded from Tax Under Sections 512, 513, or 514: 89581; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 2352892, Program Service Expense: 2193837, Management and General Expenses: 159055, Fundraising Expenses: 0; Consulting - Total Expense: 783, Program Service Expense: 713, Management and General Expenses: 71, Fundraising Expenses: ; Contract Services - Total Expense: 4313095, Program Service Expense: 3924917, Management and General Expenses: 388179, Fundraising Expenses: ; Contract Labor - Total Expense: 988535, Program Service Expense: 899567, Management and General Expenses: 88968, Fundraising Expenses: ; Purchased Services - Total Expense: 3911132, Program Service Expense: 3559130, Management and General Expenses: 352002, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CAPITAL RESOURCE CONTRIBUTION - -1759705; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH true 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 true BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 5837 Winwood Dr Johnston IA 50131 420725196 LTERM CARE IA 501(c)(3) 10 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE CO 501(c)(3) Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) Type I BRHS true BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3) 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING CO 501(c)(3) Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE ND 501(c)(3) 10 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CHI true CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH true CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HEALTHCARE GA 501(c)(3) 3 MHCS true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CHI true CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CHI true CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST 1100 HOUSTON TX 77030 741161938 HEALTHCARE TX 501(c)(3) 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE 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 HEALTHCARE 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 true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3) Type I AH-CMHMV true CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 LT ACH KY 501(c)(3) 3 SJHS true East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I MHSET true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS WA 501(c)(3) 10 CHI true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CHI true GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3) Type I GSH true GOOD SAMARITAN HOSPITAL 110 N MAIN ST STE 500 DAYTON OH 45402 310536981 HEALTHCARE OH 501(c)(3) 3 SHP true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CHI true LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING MN 501(c)(3) 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC true MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3) Type I AHMH-Corning true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3) Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3) Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton IA 50314 421470935 PHYSICIANS IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3) Type I MMC true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true North Central Health Care Alliance dba PrimeCare Health Group 401 N 9th St BISMARCK ND 585014507 450439894 HEALTHCARE ND 501(c)(3) 7 NHCA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3) Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC true PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 Sylvester Road SW Burien WA 98166 911170040 HEALTHCARE WA 501(c)(3) 3 FHS true SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 LTERM CARE CO 501(c)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 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