2015-05-15T11:00:18-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 710245507 ST ANTHONY'S HOSPITAL ASSOCIATION STAN 5019772300 4 HOSPITAL DRIVE MORRILTON AR 72110 TADD RICHERT SVIMC CFO 2015-05-15 true Pamela Krohn P01210500 3032989100 2013 2016-03-07 17:11:31Z ST VINCENT MORRILTON LESLIE ARNOLD 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 21807474 false 0928 X WWW.STVINCENTHEALTH.COM/MORRILTON X 1925 AR THE ORGANIZATION PROVIDES HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL, AND PSYCHO-SOCIAL NEEDS OF PATIENTS. THESE ACTIVITIES ALL SPRING FROM THE SAME MISSION AND FUNDAMENTAL PURPOSE. 11 8 235 42 4856 193 1268335 1271079 16888620 20465424 64 315 125156 70656 18282175 21807474 0 1320 0 0 7767067 7956395 0 0 0 10320861 10754568 18087928 18712283 194247 3095191 11243723 14863009 1211623 2294539 10032100 12568470 X SEE SCHEDULE O. false false 14054279 1320 20465424 SEE SCHEDULE H 14054279 true true false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false false true 0 0 235 true true true false false false false false false false false false X 11 8 true false false false true true true true true false false true true true true true true false false false AR X MARK MCGINNIS 5015523912 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 CHARLES PENICK CHAIR 1.00 2.00 X X 0 0 0 LESLIE ARNOLD Chief Executive Officer 40.00 0.00 X X 1616 228640 62807 PATTY SHIPP SECRETARY 1.00 0 X X 0 0 0 RAYMOND CHAMBERS VICE CHAIR 1.00 0 X X 0 0 0 ANGELA LONGING BOARD MEMBER/CNO 40.00 0 X 73673 55023 31645 JACK HARRIS BOARD MEMBER 1.00 0 X 0 0 0 JAMES NOLEN MD Board Member/PHYSICIAN 40.00 0.00 X 161056 10400 29626 KAREN CREE BOARD MEMBER 1.00 0 X 0 0 0 LARRY DAVIS MD BOARD MEMBER 1.00 0 X 0 0 0 MARLIN BOYLE BOARD MEMBER 1.00 0 X 0 0 0 PETER POST MD BOARD MEMBER 1.00 0 X 0 0 0 MARK MCGINNIS Treasurer/CFO - SVIMC 4.00 45.00 X 0 448915 43021 JEROMY TEAGUE Nurse Anesthetist 40.00 0 X 104635 0 26772 LAWANA BRADLEY RN 40.00 0 X 78632 41679 8878 LYDIA TEAGUE CRNA 40.00 0 X 171398 0 30381 PETER BANKO Former PRESIDENT/CEO 0.00 47.00 X 0 861168 91477 591010 1645825 324607 3 true true false HIGHMARK MEDICARE SERVICES INC 1800 CENTER ST CAMP HILL PA 17089 MEDICAL SERVICES 895232 ARKANSAS EMERGENCY GROUP LLC PO BOX 100343 ATLANTA GA 303840343 MEDICAL SERVICES 734243 CPP WOUND CARE LLC 3445 N CAUSEWAY BLVD STE 600 METAIRIE LA 70002 WOUND CARE 370239 IMAGING RESOURCES GROUP LLC 136 ARKOTA SHRS HOT SPRINGS AR 719138181 IMAGING SERVICES 204050 SIEMENS HEALTHCARE DIAGNOSTICS 1717 DEERFIELD RD DEERFIELD IL 600150776 MEDICAL DIAGNOSTICS 114808 5 50000 1211591 9488 1271079 PATIENT SERVICES 900099 20432192 20432192 RENTAL INCOME 900099 33232 33232 0 0 0 0 0 0 0 20465424 315 315 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA 722100 25188 25188 REIMBURSEMENT OF EXPENSES 900099 40612 40612 LABORATORY SERVICES 621500 4856 4856 0 0 0 0 70656 21807474 20465424 4856 66115 X 1320 1320 0 0 0 208193 158800 49393 0 5946318 5574975 371343 485467 485467 860829 835238 25591 455588 455588 0 0 236 236 0 0 0 2596113 443772 2152341 0 46789 46789 560625 522460 38165 40765 40765 0 311831 311831 64834 54170 10664 0 329 329 0 192480 192480 285893 285893 36700 36700 BAD DEBTS 3006000 3006000 INTERCOMPANY ALLOCATIONS 1771002 1771002 REPAIRS AND MAINTENANCE 304864 304864 MEDICAL SUPPLIES 1400137 1400137 135970 135970 0 0 18712283 14054279 4658004 0 0 1144 1143 62232 50320 4633104 5816133 0 0 0 0 363879 306949 4400 10041477 8185246 2144010 1856231 0 0 0 0 4034954 6832233 11243723 14863009 802112 1316138 0 0 409511 978401 1211623 2294539 X 10032100 12568470 0 10032100 12568470 11243723 14863009 X 3095191 -558821 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 164 false false false 164 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $122 CATHOLIC HEALTH ASSOCIATION - $42 0 3769316 2769765 999551 188382 188382 0 5690273 4851824 838449 393506 375275 18231 1856231 INTERCOMPANY RECEIVABLES 6832233 6832233 0 POST EMPLOYMENT BENEFITS 978401 978401 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote ST. ANTHONY'S HOSPITAL ASSOCIATION'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, 2014, 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 52972 0 52972 0.00340 0 0 0 0.00000 0 0 0 0.00000 0 0 52972 0 52972 0.00340 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 52972 0 52972 0.00340 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 3006000 0 5215290 5185888 29402 X true true 1 1 ST ANTHONY'S HOSPITAL ASSOCIATION 4 HOSPITAL DRIVE MORRILTON AR 72110 AR4733 X X X X ST ANTHONY'S HOSPITAL ASSOCIATION 1 true X X X X X X X X X 12 true false true X X X X X X X X X true false true false false true X X X X X X X true true X X X X true false true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - ST. ANTHONY'S HOSPITAL ASSOCIATION: INTERVIEWS WERE CONDUCTED WITH SEVERAL COMMUNITY MEMBERS HAVING A BACKGROUND IN PUBLIC HEALTH RELATED AREAS, INCLUDING PHYSICIANS, UNIVERSITY PROFESSORS, AND MEMBERS OF THE NATIONAL ASSOCIATION OF MEDICAID DIRECTORS, THE ARKANSAS DEPARTMENT OF HEALTH, AND THE AMERICAN ACADEMY OF FAMILY PHYSICIANS.; Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility (1) - ST. ANTHONY'S HOSPITAL ASSOCIATION: HUD LOW INCOME GUIDELINES USED; Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care (1) - ST. ANTHONY'S HOSPITAL ASSOCIATION: HUD LOW INCOME GUIDELINES USED; ST VINCENT MORRILTON CLINIC 1711 East Harding Street MORRILTON AR 72110 CLINIC 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 ASSOCIATION) 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 THE 69 URBAN AND RURAL COMMUNITIES IN 19 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 ASSOCIATION 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 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 ENDED 6/30/14 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT, AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 3,006,000 Schedule H, Part I, Line 7g, Subsidized Health Services THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount THE COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 31.26%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Schedule H, Part III, Line 3, Bad Debt Expense Methodology ST. ANTHONY HOSPITAL ASSOCIATION 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 ASSOCIATION 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. ST. ANTHONY HOSPITAL ASSOCIATION 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 CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY." Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs ST. ANTHONY HOSPITAL ASSOCIATION IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL (CAH). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, ST. ANTHONY HOSPITAL ASSOCIATION, DUE TO THEIR DESIGNATION AS A CAH, RECEIVES COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES AND WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. 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: $5,215,290 TOTAL MEDICARE COSTS: $5,185,888 SURPLUS OR SHORTFALL: $29,402 ST. ANTHONY HOSPITAL ASSOCIATION 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 ASSOCIATION'S (SAHA) DEBT COLLECTION POLICY PROVIDES THAT SAHA WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT 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 SAHA'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE SAHA COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SAHA FOR APPROPRIATE FOLLOW-UP. SAHA 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. ST. ANTHONY HOSPITAL ASSOCIATION, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). 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 IV, LINES 2, 4, & 5 - NEEDS ASSESSMENT AND COMMUNITY INFORMATION ST. VINCENT MORRILTON COMMUNITY BENEFIT NARRATIVE MISSION VISION, AND TAX-EXEMPT PURPOSE ST. ANTHONY HOSPITAL ASSOCIATION D/B/A ST. VINCENT MORRILTON CELEBRATES 87 YEARS OF MINISTRY THIS YEAR. THE BENEDICTINE SISTERS OF ST. SCHOLASTICA, JOINED BY A SISTER OF CHARITY OF NAZARETH FROM ST. VINCENT INFIRMARY, MEMBERS OF SACRED HEART CATHOLIC CHURCH AND OTHER CONCERNED CITIZENS, CAME TOGETHER TO FORM THE ORIGINAL MINISTRY IN 1925. SIXTY NINE YEARS LATER IN 1994, ST. VINCENT MORRILTON BECAME PART OF THE ST. VINCENT HEALTH SYSTEM AND IN 1996 BECAME A MEMBER OF CATHOLIC HEALTH INITIATIVES. ST. VINCENT MORRILTON, A 25-BED CRITICAL ACCESS FACILITY, IS THE PRIMARY SOURCE OF HEALTH CARE FOR THE RESIDENTS OF CONWAY AND PERRY COUNTIES. ST. VINCENT MORRILTON IS LED BY A VOLUNTEER ADVISORY BOARD COMPRISED OF PROFESSIONALS WHO ARE EITHER ACTIVE IN THE LOCAL COMMUNITY OR ARE MEMBERS OF THE ST. VINCENT PRESIDENT'S COUNCIL. THE BOARD SERVES IN AN ADVISORY CAPACITY, AND ITS CHAIRPERSON REPRESENTS THE LOCAL COMMUNITY AS A MEMBER OF THE ST. VINCENT HEALTH SYSTEM BOARD OF DIRECTORS. SERVICES AVAILABLE AT ST. VINCENT MORRILTON INCLUDE OUTPATIENT/SAME-DAY SURGERY, AN INTENSIVE CARE UNIT, MEDICAL/SURGICAL UNIT, 24-HOUR EMERGENCY ROOM, ORTHOPEDIC SERVICES, CARDIOLOGY SERVICES, SENIOR DAY CARE, REHABILITATION SERVICES, IMAGING SERVICES, SLEEP MEDICINE, WOUND CARE, AND LABORATORY SERVICES. AN OUTPATIENT SPECIALTY CLINIC OFFERS CARDIOLOGY, ORTHOPEDICS, ONCOLOGY, NEUROLOGY, GASTROENTEROLOGY, EAR, NOSE, AND THROAT, PODIATRY, AND NEPHROLOGY SPECIALTIES. ST. VINCENT MORRILTON PETIT JEAN HOME HEALTH SERVICES PROVIDE HOME HEALTH CARE FOR RESIDENTS OF THE SERVICE AREA. ST. VINCENT MEDICAL CLINIC - MORRILTON PROVIDES PATIENT ACCESS TO HEALTH CARE, SERVING AS A RURAL HEALTH CLINIC REACHING MORE THAN 12,710 PATIENTS THIS YEAR. COMMUNITY BENEFIT APPROACH THE POPULATION IN THE ST. VINCENT MORRILTON PRIMARY AND SECONDARY SERVICE AREAS IS 34,000. THESE PEOPLE LIVE IN THE GREATER MORRILTON AREA, COMPRISING CONWAY, PERRY VAN BUREN, AND A PORTION OF POPE COUNTIES. ST. VINCENT MORRILTON SERVES A SIGNIFICANT INDIGENT POPULATION: 15.0% OF THE POPULATION IN THIS SERVICE AREA (CONWAY, PERRY, POPE, AND VAN BUREN COUNTIES) LIVE BELOW THE POVERTY LEVEL-HIGHER THAN THE STATE AVERAGE OF 13.6% (2004 SMALL AREA INCOME AND POVERTY ESTIMATES, U.S. CENSUS BUREAU). ST. VINCENT MORRILTON IS THE ONLY FULL-SERVICE HOSPITAL WITHIN A 20-MILE RADIUS, AND IS THEREFORE THE PRIMARY SOURCE OF HEALTH CARE IN THE AREA. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR DONATION OF SUPPLIES: THE CONWAY COUNTY CHRISTIAN CLINIC OFFERS FREE HEALTHCARE TO MANY RESIDENTS OF CONWAY COUNTY AND PARTNERS WITH ST. VINCENT MORRILTON TO PROVIDE SERVICES THROUGH GRANT FUNDING OBTAINED BY THE CLINIC. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. VINCENT MORRILTON SERVICE EXCELLENCE EMPLOYEE COUNCIL RAISED 170 SCHOOL SUPPLY ITEMS FOR THE LOCAL MORRILTON ELEMENTARY SCHOOL. COMMUNITY OUTREACH HEALTH FAIRS: ST. VINCENT MORRILTON PARTICIPATED IN TWO COMMUNITY OUTREACH HEALTH FAIRS FOR LOCAL BUSINESSES IN THE AREA. THE UNIVERSITY OF ARKANSAS COMMUNITY COLLEGE OF MORRILTON (UACCM) ALSO HELD A HEALTH FAIR FOR ITS EMPLOYEES. ST. VINCENT MORRILTON PROVIDED CHOLESTEROL SCREENINGS, BLOOD PRESSURE CHECKS, AND BODY MASS INDEX ANALYSIS. ON THIS OCCASION, ST. VINCENT MORRILTON WAS ABLE TO SERVE 175 EMPLOYEES WHO WORK FOR THE COLLEGE. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH BODY, MIND & SOUL: ST. VINCENT MORRILTON, IN CONJUNCTION WITH THE WINTHROP ROCKEFELLER INSTITUTE, AN AFFILIATED OUTREACH CAMPUS OF THE UNIVERSITY OF ARKANSAS SYSTEM, HOSTS AN ANNUAL "LADIES NIGHT OUT" WHICH FEATURES HEALTH AND WELLNESS TOPICS THAT IMPACT A WOMAN'S BODY, MIND, AND SOUL. DEVELOPED BY A GROUP OF WOMEN FROM THE LOCAL COMMUNITY, THIS EVENT CONSISTS OF VARIOUS REPRESENTATIVES FROM THE COMMUNITY PROVIDING INFORMATION ON DIABETIC EDUCATION, CANCER, EXERCISE TECHNIQUES, WEIGHT MANAGEMENT, OSTEOPOROSIS, HEART HEALTH/STROKE, STRESS MANAGEMENT, MENTAL HEALTH/DEPRESSION, MENOPAUSE, SLEEP DISORDERS, AND SPIRITUALITY/REJUVENATION. DR. BRENT SCROGGINS, FAMILY PRACTICE PHYSICIAN, SPOKE AND ANSWERED QUESTIONS ON TOPICS OF INTEREST TO ALL WOMEN SUCH AS MANAGING YOUR WEIGHT, HEALTHY FOOD CHOICES, AND BALANCING YOUR DIET WITH PROPER EXERCISE. OVER 140 WOMEN ATTENDED THE EVENT. THIS ANNUAL EVENT WAS CREATED TO OFFER EDUCATIONAL PROGRAMS THAT WILL HELP ENCOURAGE HEALTHIER LIFESTYLE CHOICES FOR INDIVIDUALS AND FAMILIES ACROSS CENTRAL ARKANSAS. THE TOTAL QUANTIFIABLE COMMUNITY BENEFIT PROVIDED FOR THE YEAR ENDING JUNE 30, 2014 IS 69,722. THE SYSTEM CONTINUES TO SEE THE AFFECTS OF THE CHANGE IN CHARITY CARE POLICY IN FY14. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. ST. ANTHONY HOSPITAL ASSOCIATION (SAHA) INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SAHA 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 SAHA OUTPATIENT FACILITIES. A FINANCIAL ASSISTANCE BROCHURE IS ALSO PRESENTED TO EACH PATIENT AT REGISTRATION. SAHA 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 SAHA'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. SAHA 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. SAHA'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 ASSOCIATION, 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 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 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 $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 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. Schedule H, Part VI, Line 7, State filing of community benefit report AR false true false true false false false false false PETER BANKO FORMER PRESIDENT/CEO 0 504581 0 296468 0 60119 0 69005 0 22472 0 952645 0 37353 LESLIE ARNOLD CHIEF EXECUTIVE OFFICER 1616 178861 0 26748 0 23031 0 45108 0 17699 1616 291447 0 0 ANGELA LONGING BOARD MEMBER/CNO 63993 55023 9591 0 89 0 0 13044 18601 0 92274 68067 0 0 JAMES NOLEN MD BOARD MEMBER/PHYSICIAN 160225 10400 0 0 831 0 10952 0 18674 0 190682 10400 0 0 MARK MCGINNIS TREASURER/CFO - SVIMC 0 379399 0 47243 0 22273 0 20952 0 22069 0 491936 0 0 LYDIA TEAGUE CRNA 170400 0 0 0 998 0 16503 0 13878 0 201779 0 0 0 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 2013 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: PETER BANKO LESLIE ARNOLD DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PETER BANKO - $45,503 LESLIE ARNOLD - $16,380 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: PETER BANKO - $37,353 Schedule J, Part I, Line 5a, Compensation contingent on revenues of the organization ST. ANTHONY'S HOSPITAL ASSOCIATION PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET COLLECTED REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET COLLECTED REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET COLLECTED REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN. PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS, FOLLOWING INTERNAL REVENUE CODE SECTION 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES COMPENSATION IS AT FAIR MARKET VALUE. 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, Sec A, Line 1a, Delegate broad authority to a committee PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. ANTHONY'S HOSPITAL ASSOCIATION, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE SECRETARY, EACH OF WHOM SERVES 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. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS, THE CORPORATE MEMBER, THE PARENT CORPORATION OR WITH APPLICABLE LAW. Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons LYDIA TEAGUE AND JEROMY TEAGUE - FAMILY RELATIONSHIP Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders ACCORDING TO THE BYLAWS OF ST. ANTHONY'S HOSPITAL ASSOCIATION, THE ENTITY'S SOLE MEMBER IS ST. VINCENT INFIRMARY MEDICAL CENTER D/B/A ST. VINCENT HEALTH SYSTEM, AN ARKANSAS NONPROFIT CORPORATION. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT, REPLACE, OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS ST. VINCENT INFIRMARY MEDICAL CENTER D/B/A ST. VINCENT HEALTH SYSTEM (SVHS). PURSUANT TO ARTICLE V, SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH SVHS AND CATHOLIC HEALTH INITIATIVES (CHI) (SVHS' SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE HELD BY THE SVHS BOARD: - APPROVE MEMBERS OF THE ST. ANTHONY'S HOSPITAL ASSOCIATION BOARD; - AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. ANTHONY'S HOSPITAL ASSOCIATION; - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. ANTHONY'S HOSPITAL ASSOCIATION; - ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR ST. ANTHONY'S HOSPITAL ASSOCIATION. 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'S HOSPITAL ASSOCIATION; - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. ANTHONY'S HOSPITAL ASSOCIATION; - APPROVAL OF ISSUANCE OF DEBT BY ST. ANTHONY'S HOSPITAL ASSOCIATION; - APPROVAL OF PARTICIPATION OF ST. ANTHONY'S HOSPITAL ASSOCIATION IN A JOINT VENTURE; - APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. ANTHONY'S HOSPITAL ASSOCIATION; - APPROVAL OF A MERGER INVOLVING ST. ANTHONY'S HOSPITAL ASSOCIATION; - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. ANTHONY'S HOSPITAL ASSOCIATION; - TO REQUIRE THE TRANSFER OF ASSETS BY ST. ANTHONY'S HOSPITAL ASSOCIATION TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SVHS OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body ONCE THE RETURN IS PREPARED, IT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE FINANCE COMMITTEE AND TO THE ST. ANTHONY'S HOSPITAL ASSOCIATION BOARD, EITHER AT A BOARD MEETING OR ELECTRONICALLY. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, 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 BOARD. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy ST. ANTHONY'S HOSPITAL ASSOCIATION, DOING BUSINESS AS ST. VINCENT MORRILTON, FOLLOWS THESE GUIDELINES TO MONITOR AND ENFORCE ITS CONFLICT OF INTEREST POLICY: EACH OF THE CORPORATION'S OFFICERS AND DIRECTORS SHALL ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND SHALL EXERCISE CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES. A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL, ON BEHALF OF THE CORPORATION, ALSO INVOLVE THE OBTAINING OF A DIRECT OR INDIRECT PERSONAL GAIN OR ADVANTAGE, OR AN ADVERSE OR POTENTIALLY ADVERSE EFFECT ON THE INTEREST OF THE CORPORATION. THE CORPORATION'S OFFICERS AND DIRECTORS SHALL AVOID CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSE TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST OF THE CORPORATION. THE CORPORATION AND ALL ITS OFFICERS AND DIRECTORS SHALL COMPLY WITH ANY POLICIES OF THE CORPORATION AND ALL ITS OFFICERS AND DIRECTORS SHALL COMPLY WITH ANY POLICIES OF THE CORPORATION AND ANY POLICIES OF THE CORPORATE MEMBER REGARDING CONFLICTS OF INTEREST, AS WELL AS ALL REQUIREMENTS OF STATE LAW REGARDING SUCH CONFLICTS, AND SHALL COMPLETE ANY AND ALL SUCH DISCLOSURE FORMS AS MAY BE DEEMED NECESSARY OR USEFUL BY THE CORPORATION FOR IDENTIFYING POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, LINE 15A, PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 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 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 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 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE 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, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS 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.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. Form 990, Part IX, Line 11g, Other Expenses CONTRACT LABOR AND CONSULTING FEES - TOTAL EXPENSE: 2596113, PROGRAM SERVICE EXPENSE: 443772, MANAGEMENT AND GENERAL EXPENSES: 2152341, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances PENSION ADJUSTMENT - -558821; ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 470765154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 470757164 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 470648586 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 470376615 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET 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) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 263946191 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 237419853 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 611400619 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232018429 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - 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