2017-05-13T14:00:13-05:00 2016-06-30 470617373 Catholic Health Initiatives 198 Inverness Drive West Englewood CO 80112 990 2015-07-01 930391614 St Anthony Hospital STAN 5412783220 2801 St Anthony Way Pendleton OR 97801 Harold Geller President 2017-05-13 true Mark Stocki P00642127 3032989100 2015 2021-01-29 14:40:06Z Harold Geller 2801 St Anthony Way Pendleton OR 97801 68972070 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. 12 9 370 40 238125 133409 177196 23141 66255683 66834521 705438 1408339 650798 658312 67789115 68924313 1194726 681823 0 26983932 28064454 0 0 34284313 32116781 62462971 60863058 5326144 8061255 122032945 133203703 9482785 13850319 112550160 119353384 SEE SCHEDULE O false false 53945179 681823 66834521 SEE SCHEDULE H 53945179 true true false true false false false false false false true true false false 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 0 370 true true true false false false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true false true false OR X Harold Geller 5412783220 2801 St Anthony Way Pendleton OR 97801 BETH O'HANLON CHAIR 3.0 0 X X 0 0 0 Tim Hawkins Vice Chair 3.0 0 X X 0 0 0 June mohrland SECRETARY 3.0 0 X X 0 0 0 JERRY SIMPSON Treasurer 3.0 2.0 X X 0 0 0 Harold Geller President / TRUSTEE 3.0 1.0 X X 0 339132 54690 SR MARIE-MONICA BORDEN TRUSTEE 3.0 1.0 X 0 0 0 MICHAEL BRUNSMAN Physician 40.0 0 X 330367 0 31511 L REYBURN COLLIS Trustee 3.0 1.0 X 0 0 0 CHERYL DOYLE Trustee 3.0 1.0 X 0 0 0 Marion Green Trustee 3.0 1.0 X 0 0 0 JOHN MCBEE MD Trustee/physician 3.0 0 X 182422 0 0 Donald Benschoter Trustee 3.0 0 X 0 0 0 Scot Attridge VP - Operational Finance 39.0 1.0 X 0 90411 42614 WILLIAM BELL MD Physician 40.0 0 X 621541 0 31511 GABRIEL GARTON CRNA 40.0 0 X 210123 0 28817 JOHN POZAR CRNA 40.0 0 X 209468 0 28840 NANCY BROWN CRNA 40.0 0 X 227368 0 24432 Amber Pederson CRNA 40.0 0 X 213858 0 44982 1995147 429543 287397 40 false true false Pendleton Physicians LLC 3001 St Anthony Way Pendleton OR 97801 PHYSICIAN SERVICES 992608 INTERPATH LABORATORY PO BOX 1208 PENDLETON OR 97801 CLINICAL LAB SERVICES 929615 INLAND NW HEALTH SERVICES PO BOX 469 SPOKANE WA 992100469 INFORMATION MANAGEMENT 844652 NW DEMOLITION & DISMANTLING 422 SW 6TH STREET PENDLETON OR 97801 CONSTRUCTION SERVICES 719057 APOGEE MEDICAL MANAGEMENT 15059 North Scottsdale Road 600 Scottsdale AZ 85254 HOSPITAL MANAGEMENT SERVICES 639936 21 X 23141 23141 Patient Services 900099 66832021 66832021 Rental Income 900099 2500 2500 0 0 0 0 66834521 640397 103670 536727 26289 47757 -21468 0 -21468 -21468 517869 250073 0 0 517869 250073 767942 767942 66391 66391 66391 Cafeteria 722100 434781 434781 Services Sold 900099 89137 55075 34062 Pharmacy Services 446110 47777 47777 41694 0 31603 10091 613389 68924313 66834521 238125 1828526 X 72800 72800 609023 609023 387972 387972 21701227 19849107 1852120 1117497 1003370 114127 3261056 3014796 246260 1596702 1340848 255854 154400 154400 7196 7196 10150315 9283844 866471 0 102600 102600 1691117 1262430 428687 2418942 1113414 1305528 2065785 1765111 300674 159974 77820 82154 221292 449 220843 653328 653328 4864852 4637769 227083 247391 245837 1554 Medical Supplies 6581510 6581510 Bad debts 907717 907717 Repairs and maintenance 1000240 1000240 Unrelated Business Taxes 99000 99000 791122 791122 0 0 60863058 53945179 6917879 0 0 105339 5012739 17837627 10695519 9779616 0 0 0 1504085 1373038 2274615 1867101 143753 0 124397993 46483214 81759834 77914779 20642400 20472871 0 0 3853332 122032945 133203703 7111982 8307848 2370803 5542471 9482785 13850319 X 112545198 119348422 4962 4962 112550160 119353384 122032945 133203703 X 8061255 -1131419 -126612 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7196 false false false 7196 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 - $897 CATHOLIC HEALTH ASSOCIATION - $545 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS - $5,754 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 - $897 CATHOLIC HEALTH ASSOCIATION - $545 OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS - $5,754 1875719 1875719 84158613 27015665 57142948 31505 7876 23629 36782581 18792124 17990457 1549575 667549 882026 77914779 CHI-OIP 20472871 F 20472871 intercompany payable 4139111 Accrued Expenses 630348 Accrued grants 22402 other liabilities 750610 5542471 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote St. Anthony Hospital's 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, 2016, 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 false false true true false true true 1945 276381 276381 0.0046 2021 2930578 2086033 844545 0.0141 0 0.0 0 3966 3206959 2086033 1120926 0.0187 22 17684 451646 514 451132 0.0075 4 167 121536 121536 0.0020 0 0.0 0 0.0 4 9158 270328 270328 0.0045 30 27009 843510 514 842996 0.0141 30 30975 4050469 2086547 1963922 0.0328 0 0.0 1 330 9171 9171 0.0002 5 823 66806 66806 0.0011 0 0.0 1 31 1651 1651 0.0000 6 675 21119 21119 0.0004 1 120 900 900 0.0000 0 0.0 0 0.0 14 1979 99647 0 99647 0.0017 true 907717 0 16025674 16333964 -308290 X true true EASTERN OREGON CONTINUOUS CARE ORGANIZATION PROVIDE MANAGED CARE UNDER THE ACA 0.1 0.0 0.0 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/about-us/umatilla-county-community-health-assessment/ X true 16 true https://www.sahpendleton.org/about-us/umatilla-county-community-health-assessment/ false false true X X X X X true true X X X X true X https://www.sahpendleton.org/patients-and-visitors/financial-assistance/ X https://www.sahpendleton.org/patients-and-visitors/financial-assistance/ X https://www.sahpendleton.org/patients-and-visitors/financial-assistance/ X X X X X true X false X X X X true X false false 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. HUD LOW INCOME GUIDELINES USED. 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 VI Lines 2,4 & 5: Needs Assessment, Community Information, and Promotion of Health 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. These are the organizations who participated in the health assessment, strategic planning process: Art Hill, Blue Mountain Community College; Herb Bitting, Cancer Community Renewal Partnership; Marci McMurphy, CAPECO; Darrin Umbarger, Clearview Mediation; Shelly Ena, Commission on Children and Family; Havarilli Marta, Domestic Violence Services Inc.; Colin Dumont; Eastern Oregon Alcoholism Foundation; John Breanne, Foster Grandparents/Senior Companions; Mark Ettesvold, Good Shepherd Health Systems; Starla Halverson, Head Start of Umatilla and Morrow Counties; Juli Gregory, Healthy Communities Coalition; Micheal Gregory, Lifeways Mental Health Services; David Marshall, Milton-Freewater School District; Brian Williams, Mirasol Family Health Center; Nora Karamer, Oregon Child Development Coalition; Ivonne Lopez, Oregon Department of Human Services; Sandra Kimbrow,Pendleton Ministerial Fellowship; Jon Pederson, Pendleton School District; Carmen Requa, Pioneer Relief Nursery; Susan Lamb, Salvation Army; Rod Harwood,St. Anthony Hospital; Umatilla County Emergency Management; Genni Lehnert-Beers, Umatilla County Public Health; Kricket Nicholson, United Way; Karen Cook, Yellowhawk Tribal Health Clinic 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 55,689 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 and was signed by Jim Schlenker, Interim President/CEO, St. Anthony Hospital, Dennis Burke, President/CEO, Good Shepherd Health Care System, Brian Williams, Clinical Manager, Mirasol Family Health Center, Tim Gilbert, CEO, Yellowhawk Tribal Health Center, and Genni Lehnert-Beers, Administrator, Umatilla County Public Health Department. 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; and a $2 incentive. 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 2010 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 and only 139 surveys were returned from this 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. Schedule H, Part I, Line 6a Community Benefit Report ST. ANTHONY HOSPITAL PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. Schedule H, Part VI Lines 2,4 & 5: Needs Assessment, Community Information, and Promotion of Health 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. Sixteen 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. The majority (79%) of the population were Caucasian. Hispanics (24%), African Americans (1%), Asian (1%) and two or more races (3%) comprise the rest of the population. (Source: Census, 2010) 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 workgroup made up of members representing hospitals that serve this county (Rod Harwood, St. Anthony Hospital; Juli Gregory, Good Shepherd Health Systems and Susan Leathers, Providence St. Mary Medical Center); Brian Williams, Yakima Valley Migrant Health Clinic (Marisol); Karen Cook, Yellowhawk Tribal Health Clinic; Michael Gregory, Lifeways (Mental Health) and Genni Lehnert-Beers, Umatilla County Public Health. This workgroup 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. A strategic planning work group representing the broad interests of the community than began the process of the surveillance of data to determine the priorities of community health needs. This group included the following members: Genni Lehnert-Beers (MPH)- Umatilla County PHD; Brian Williams - Yakima Valley Farm Workers Clinic (Mirasol); Janet Jones - Umatilla County Public Health Department; Lindsay Holmes - Lifeways (Mental Health); Cristina Cuevas - Lifeways (Mental Health); Michael Gregory - Lifeways (Mental Health); Rod Harwood - St. Anthony Hospital; Mark Ettesvold - Good Shepherd Health Systems; Karen Cook - Yellowhawk Tribal Clinic; Dolores Jimerson - Yellowhawk Tribal Clinic; Susan Leathers - Providence St. Mary Medical Center; Harvey Crowder - Walla Walla County Public Health Department; Juli Gregory - Good Shepherd Health Systems. Major Needs and How Priorities were established The Partnership formed a strategic planning group after the presentation of the results of the general adult survey of the county CHNA for the purpose of developing a 3 year (FY14-16) community health improvement plan (CHIP). This group reviewed feedback from the community events and the results of the survey of the adults of the households throughout Umatilla County. Each one then listed their top five priorities using the "Identifying Key Issues and Concerns Worksheet." Participants made their choices based the following criteria: * Percentage of Population Most at Risk * Age Group Most at Risk * Gender Most at Risk A master list of key issues and concerns were then complied. Members of the Strategic Planning Group were then asked to rank them using the "Ranking of Key Concerns Worksheet." Each issue was given a score of 1-10 in three areas by the group. The maximum score being 30: 10 = greatest magnitude 10 = most serious consequences 10 = most feasible to correct The averages of the scores were as follows: * Obesity: 28.4 * Tobacco: 26.8 * Diabetes/Asthma-Chronic Disease: 26.4 * Addiction: 26.25 * Mental Health: 24.2 * Access to Care: 23.4 They recognized that although each of these areas are important they would set as a priority the top three as the Partnership's primary focus for strategic plan. Community Resources We have had various meetings in Hermiston, Milton-Freewater. Mission, and Pendleton . Participates were members of the same organizations that had also participated in the community meetings. During these meetings representatives were asked to give input on the resources and gaps in services addressing prioritized health needs. The list of resources that the UCCHP has begun to compile can be seen in the Partnership's CHIP. This inventory will continue to be reviewed and updated by its members. Community Health Coalitions A key part of the implantation strategy for the Umatilla County Community Health Partnership is the local community health coalitions. Hermiston, which is on the west end of the county, has had an active coalition for a number of years called the Healthy Communities Coalition. Pendleton has just started a local coalition called the Pendleton Community Health Partnership. Milton-Freewater plans on starting their own coalition in the next few months. The Umatilla County Community Health Partnership will work with its partners in each part of county to develop and strengthen coalition development. It will also seek ways in which the partners through the coalition can collaborate together. It was decided to effectively address the needs in each part of the county local community health coalitions would need to develop implementation strategy plans for their part of the county. Key partners in each of these local coalitions are listed below: Communities Coalition (Westside) Good Shepherd Health Systems Marisol-Yakima Valley Farm Worker Clinic Umatilla County Public Health Lifeways (Mental Health) CAPECO OCDC Pendleton Community Health Partnership (Eastside) St. Anthony Hospital Yellowhawk Tribal Clinic Umatilla County Public Health Lifeways (Mental Health) CAPECO Milton-Freewater Community Health Partnership (Northside) Providence St. Mary Medical Center Walla Walla General Hospital Family Care Clinic- Yakima Valley Farm Workers Clinic Umatilla County Public Health Walla Walla County Public Health CAPECO Pendleton Community Health Partnership (Eastside) has three working groups that focused on the top three priorities: Obesity, Tobacco/Asthma and Diabetes. These work groups were given the task of developing goals and action steps for the next three years. St. Anthony Hospital Plan in Addressing Community Needs St. Anthony Hospital will continue to collaborate closely and support the Pendleton Community Health Partnership (PCHP) in implantation of its CHIP. Action Plans St. Anthony Hospital's Community Benefits Advisory Council and Admin Council reviewed the CHIP, and in what ways the hospital was already addressing the prioritized community health needs. The following are the programs and services identified as part of its current action plans: Program/Strategy/Service: Nutrition Services-Provide one-on-one medical nutrition therapy for various health conditions Responsible Department: Nutrition Services Population(s) Served: Age 5 through adults Continuum of Care (prevention, early intervention, or treatment): Prevention, early intervention, and treatment Key Health Priority: Obesity, Diabetes Program/Strategy/Service: Healthy Communities Class Offerings - Heart Healthy Eating Class, Grocery Store Tour, and others Responsible Department: St Anthony Hospital Population(s) Served: All ages, income, and ethnicities Continuum of Care (prevention, early intervention, or treatment): Prevention, early intervention Key Health Priority: Obesity, Diabetes Program/Strategy/Service: Healthy Communities Spring Health Fair -Complete Blood Draw Panel & PSA for Men Responsible Department: St Anthony Hospital Population(s) Served: All ages (free) Continuum of Care (prevention, early intervention, or treatment): Prevention, early intervention, and treatment Key Health Priority: Obesity, Diabetes Program/Strategy/Service: Diabetes Services - Provide individual and group diabetes self-management education and support group Responsible Department: Nutrition Services Population(s) Served: Adolescents and Adults Continuum of Care (prevention, early intervention, or treatment): Prevention, early intervention, and treatment Key Health Priority: Diabetes Schedule H, Part VI Lines 2,4 & 5: Needs Assessment, Community Information, and Promotion of Health Next Steps for Addressing Health Priorities For each of the priorities listed above, St. Anthony Hospital will continue to promote healthier communities by: -The SAH Board of Trustees has integrated the Community Health Needs Assessment Implementation Strategy into the SAH Strategic Plan. -Identifying any related activities being conducted by others that show evidence of best practice and integrating them into the plan where possible. -Continue to build a community of collaboration across our county and the region of northeastern Oregon. This will involve collaboration with the following partners: >Pendleton Community Health Partners >Umatilla County Community Health Partnership >Eastern Oregon Coordinated Care Organization -Regularly review, evaluate and update the CHIP as needed Informing and Educating Patients on Eligibility for Assistance Patients receiving emergency services shall be treated in accordance with the hospital's emergency services policy, developed in accordance with EMTALA and other requirements. Reasonable registration processes shall include asking whether an individual is insured and, if so, the name of the insurance program, if such inquiry does not delay screening or treatment. The registration process shall not discourage patients, from remaining for further evaluation. Financial issues will only be discussed after the patient has been screened and stabilized. Once EMTALA requirements are met, patients identified through the registration process as being without Medicare/Medicaid, other local health care financial assistance or adequate health insurance shall receive a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or immediate financial counseling from staff including the presentation of the application for financial assistance. In addition to the financial packet, emergency and inpatient admissions will be assisted by the Medical Eligibility & Counseling Service (MECS). They will screen for possible OHP. If they meet the requirement MECS will submit application to OHP. If approved, it will be made retro to the Date of Service of the service date. The non-emergency patient scheduling an admission or other procedure shall receive a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or financial counseling assistance from staff, including the application for financial assistance, if they are without Medicare/Medicaid, other local health care financial assistance or adequate health insurance. In both instances, the packet of information clearly indicates that St Anthony Hospital provides care, without regard to ability to pay, to individuals with limited financial resources, and explains how patients can apply for financial assistance. Assistance is available for patients not proficient in reading, writing or speaking English. St Anthony Hospital clearly posts signage in English and Spanish to advise patients of the availability of financial assistance. Signs will be posted in other languages in instances where 10% or more of the local population speaks a foreign language to be determined by Administration. Staff members shall communicate the contents of signs to people who do not appear able to read. St Anthony Hospital identifies the availability of financial assistance in information booklets provided to patients and in general information provided on the St Anthony Hospital website. Physician practices or clinics that are an integral part of St Anthony Hospital or its non-profit subsidiaries shall adopt this charity care policy. These organizations shall comply with the same charity care policy and procedures adopted by the St Anthony Hospital board of trustees for the tax-exempt healthcare provider. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor Care Rides SAH collaborates with the City of Pendleton by paying for one quarter of the cost of transportation for low-income patients in the community. This is to help ensure that this population has easy access to health care. Without it over five thousand rides would have not been provided and many may have hesitated addressing 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 more meals over the prior year. 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. Pendleton School District Children's Needs Fund The Pendleton School District Team identifies children in the district who are in need that they serve. The percentage of students in the district on free or reduced lunches is 48%. There are 2,224 students in the K-8. The monies will be used on a variety of items including: birth certificates, clothing, alarm clocks, power bills, rental assistance, medications, medical expenses and other items that parents aren't able to provide and help students be more successful at school. St. Anthony Hospital donates $7,000 annually to this fund. 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 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. Participants often come from outside the immediate area to take the classes. 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 service also provided crisis calls, counseling and education. Schedule H, Part VI Lines 2,4 & 5: Needs Assessment, Community Information, and Promotion of Health 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! 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. One hundred forty-three women with breast cancer have benefited from these in this last year. Health Professions Education Health Care Professionals Training This past year we assisted in the training and education of future health care professionals. We do this to help address the need for better healthcare access in rural communities. We subsidized the salary of a nurse educator for the Blue Mountain Community College 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: Diagnostic Imaging, Pharmacy and Physical Therapy. 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 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 whole community as a whole and nurture future collaborative work. Schedule H, Part VI Lines 2,4 & 5: Needs Assessment, Community Information, and Promotion of Health Community information St. Anthony Hospital (SAH) in 1902 was founded by the Sisters of St. Francis to provide healthcare to the rural farming and ranching community of Pendleton in Eastern Oregon. It has an open medical staff with privileges available to all qualified physicians in the area. Its Board of Trustees is comprised of independent community representatives. SAH was granted tax exempt status on July 23, 1937 as a hospital. It is also qualified as a Critical Access Hospital. In addition, it provides services through our federally qualified Rural Health clinic, called the Urgent Care Center and Home Health & Hospice. In 1997, St. Anthony joined Catholic Health Initiatives as a market-based organization. This was a blending of the health care ministries of multiple congregations of women religious. While each congregation had carried out the health care ministry of Jesus for many decades, they did so in different locations and in accordance with different traditions. Still, they shared a commitment to building healthy communities in which everyone, especially the poor and vulnerable, would have access to services needed for healthy minds, bodies and spirits. For this reason, it is also committed to serve all persons in the community on a non-discriminatory basis. It operates a 24-hour emergency room 365 days per year that is open to all persons regardless of ability to pay. Community service has always been at the core of St. Anthony Hospital's activities. Each year, services and programs are expanded to promote a healthy community. The programs and services described throughout this report not only serve the community, but also reduce the burdens on the government. This commitment is so essential to SAH that it anchors the organization's mission and vision statements which it shares with CHI: To nurture the healing ministry of the Church by bringing it new life, energy, and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we continue to move toward the creation of healthier communities for persons of all ages. St. Anthony Hospital, working as a member of the Umatilla County Community Health Partnership (UCCHP) assessed the needs of those we serve. We decided to survey the needs of residences in Umatilla County even though our primary service area was only the east side. We did this for several reasons. First, many of our community health partners serve the residences for the entire county. If we wanted their collaboration in having an effective assessment we needed to make sure the assessment report would provide the information they needed as well. Second, any opportunities for grant funding of programs that serves the needs of our community depends heavily of data that is county wide and shows that we are addressing them collaboratively. After completing the assessment of the overall adult population of county the Partnership recognized an information gap. The Hispanic population health care needs of the county were not well represented in the report. Feedback from the community re-enforced the fact that we needed to complete an additional survey of this population. This was completed in the winter 2012. This along with this implementation strategy report was approved by the hospital's governing Board of Trustees in the same fiscal year in June of 2013. Both can be found on the hospital's website: sahpendleton.org. St. Anthony Hospital and its clinics deliver healthcare primarily to residents in the east end of Umatilla County. This includes the Pendleton community (16,612) and the surrounding area (4448). This includes the communities of Athena, Adams, Helix, Mission, Meacham, Ukiah and Pilot Rock. This is a combined population of this primary service area is 21,060. Our primary service area is determined both by proximity of the residents serviced and the fact the majority of these residents come to St. Anthony Hospital for their health care needs. The majority of the population are Caucasian (79%), with the remaining population made mostly of Native American (3%), Hispanic (23%). (Source: Census, 2016). Our secondary service area includes the rest of Umatilla County with a population of 76,531 and the surrounding Oregon counties of Union, Morrow and Grant with a population of 44,165 residents. However, it the residences of Umatilla County that make up the vast majority of those are served by St. Anthony Hospital. Good Shepherd Health Systems in Hermiston is the primary health care provider for the west end of Umatilla County. Providence- St. Mary Medical Center and Walla Walla General Hospital, both are the primary health care providers for the Walla Walla Valley, which straddles the Washington-Oregon state boarder. The Milton-Freewater area is also located in this valley on the north end of the Umatilla County. Umatilla County, Oregon is home to 76,531 residents, of which, (72%) of residents were adults over the age of 19, 15% were youth ages 12-18 years, and 15% were adolescents under the age of 11. The median household income in Umatilla County (Source: Census 2016-2017) is $46,980. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care When Catholic Health Initiatives (the ultimate parent organization to ST. ANTHONY HOSPITAL) established its financial assistance policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among urban and rural communities in 18 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (FPG), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. ST. ANTHONY HOSPITAL bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for financial assistance. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. Schedule H, Part I, Line 7g Subsidized Health Services THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 907717 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-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ending 6/30/2016 was computed using the following formula: operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $58,749,304/$124,684,786 results in a 47.1% 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 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 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 whole community as a whole and nurture future collaborative work. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount St. Anthony Hospital follows Catholic Health Initiatives policy in offering a self-pay discount of 26%. Bad debt is estimated using the Crowe Horwath revenue cycle analytics on a monthly basis. 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 allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain 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 on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats substantially all patients without regard 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 reimbursements that CAHS receive are 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 payment that is less than the cost of caring for program beneficiaries. Shortfalls are based on costs, not charges. St. Anthony Hospital, due to its designation as a CAH, would normally receive full cost-based reimbursement for Medicare purposes, but due to a sequestration reduction that is not fully the case. St. Anthony Hospital, in FY 16 experienced a shortfall of $308,290 in Medicare costs. 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: $16,025,674 TOTAL MEDICARE COSTS: $16,333,964 SURPLUS OR SHORTFALL -$308,290 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 ST. ANTHONY HOSPITAL's debt collection policy provides that ST. ANTHONY HOSPITAL will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through ST. ANTHONY HOSPITAL community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the ST. ANTHONY HOSPITAL community assistance policy is required to be returned immediately by the third-party collection agent to ST. ANTHONY HOSPITAL for appropriate follow-up. ST. ANTHONY HOSPITAL requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: * Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. Schedule H, Part V, Section B, Line 16a FAP website - St. Anthony Hospital: Line 16a URL: https://www.sahpendleton.org/patients-and-visitors/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Anthony Hospital: Line 16b URL: https://www.sahpendleton.org/patients-and-visitors/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Anthony Hospital: Line 16c URL: https://www.sahpendleton.org/patients-and-visitors/financial-assistance/; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. ANTHONY HOSPITAL includes information concerning its financial assistance policy on its website. In addition, ST. ANTHONY HOSPITAL prominently displays its financial assistance policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in ST. ANTHONY HOSPITAL outpatient facilities. In addition, ST. ANTHONY 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 financial assistance under ST. ANTHONY HOSPITAL's financial assistance policy. 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 and procedures including an application for assistance. ST. ANTHONY 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. ST. ANTHONY HOSPITAL's staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Schedule H, Part VI, Line 6 Affiliated health care system ST. ANTHONY HOSPITAL, along with its affiliated outpatient facilities, are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 104 hospitals, including four academic medical centers, and 30 critical access facilities; community health service organizations; accredited nursing colleges; home health agencies; and other facilities that span the inpatient and outpatient continuum of care. Together, these facilities provided $1.1 billion in financial assistance and community benefit in the 2016 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared 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. ST. ANTHONY HOSPITAL operates with its wholly owned affiliates and community partners, along with its fundraising arm, the ST. ANTHONY HOSPITAL FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF PENDLETON, OREGON AND THE SURROUNDING COMMUNITIES. Schedule H, Part VI, Line 7 State filing of community benefit report OR true Blue Mountain Community College PO Box 100 Pendleton OR 97801 930506536 115(1) 20000 0 N/A N/A COLLEGE PROGRAMS UMATILLA COUNTY PUBLIC HEALTH 200 SE 3RD STREET PENDLETON OR 97801 936001993 Umatilla County 52800 0 n/a n/a PROGRAM SUPPORT 2 0 FINANCIAL ASSISTANCE 1945 0 609023 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. false true false false false false false true false Harold Geller President / TRUSTEE 0 235975 0 39482 0 63675 0 36798 0 17892 0 393822 0 0 MICHAEL BRUNSMAN Physician 325533 0 0 0 4834 0 15775 0 15736 0 361878 0 0 0 JOHN MCBEE MD Trustee/physician 182422 0 0 0 0 0 0 0 0 0 182422 0 0 0 WILLIAM BELL MD Physician 615997 0 0 0 5544 0 15775 0 15736 0 653052 0 0 0 GABRIEL GARTON CRNA 209963 0 0 0 160 0 13035 0 15782 0 238940 0 0 0 JOHN POZAR CRNA 209202 0 0 0 266 0 13106 0 15734 0 238308 0 0 0 NANCY BROWN CRNA 226552 0 0 0 816 0 14036 0 10396 0 251800 0 0 0 Amber Pederson CRNA 213700 0 0 0 158 0 12722 0 32260 0 258840 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 2015 CALENDAR YEAR. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2015 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 During 2015 the following contributions were made by CHI to the deferred compensation plan: HAROLD GELLER - $21,786 Schedule J, Part I, Line 7 Non-fixed payments 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 15a PROCESS FOR DETERMINING CEOS COMPENSATION The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable. 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. 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. 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 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 board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); 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 process. Each person has a general ongoing obligation to promptly and fully report 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 report 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. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be 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 COI. If the C-CIRC determines that there is a potential or actual conflict of interest 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 the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. 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). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. 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. 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. 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. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. 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 will act as it would in reviewing transactions with unrelated third parties. The transaction is not to be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. 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. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. 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 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT www.catholichealthinitiatives.org OR AT WWW.DACBOND.COM. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 41694, Related or Exempt Function Revenue: , Unrelated Business Revenue: 31603, Revenue Excluded from Tax Under Sections 512, 513, or 514: 10091; Form 990, Part IX, Line 11g Other Fees Medical director fees - Total Expense: 189000, Program Service Expense: 189000, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 45653, Program Service Expense: 45653, Management and General Expenses: , Fundraising Expenses: ; Revenue Cycle Services - Total Expense: 2306744, Program Service Expense: 2306744, Management and General Expenses: , Fundraising Expenses: ; Contract Labor-Nursing - Total Expense: 601965, Program Service Expense: 601965, Management and General Expenses: , Fundraising Expenses: ; Contract Labor-Other - Total Expense: 924664, Program Service Expense: 924664, Management and General Expenses: , Fundraising Expenses: ; Contract Services - Total Expense: 1709353, Program Service Expense: 1709353, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Total Expense: 4372936, Program Service Expense: 3506465, Management and General Expenses: 866471, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CAPITAL RESOURCE CONTRIBUTION - -126612; 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 9 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3 9 SFH true BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3 9 SLCHS 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 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501(c)(3 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(c)(3 Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 129 CIRCLE WAY STE 102 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 9 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3 Type I NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD 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 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(c)(3 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 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 9 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 MN 501(c)(3 9 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 NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3 9 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 6940 O ST STE 200 LINCOLN 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 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 1 MERCY LANE STE 201 HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3 3 CHISVHS true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(2 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 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(c)(3 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(c)(3 Type II CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 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 9 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3 9 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 MO 501(c)(3 9 CHI true FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3 Type I SFH true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3 9 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 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 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3 9 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3 9 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 ND 501(c)(3 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3 9 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 III-FI 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 1 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 9 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 III-FI 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 9 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 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(c)(3 9 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 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