2015-05-11T14:01:13-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 611345363 FLAGET HEALTHCARE INC FLAG 5023505000 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 MELINDA EVANS VP FINANCE 2015-05-06 true Pamela Krohn P01210500 3032989100 2013 2016-02-25 16:41:14Z FLAGET MEMORIAL HOSPITAL BEVERLY DOWNS 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 93729938 false 0928 X WWW.KENTUCKYONEHEALTH.ORG/FLAGET X 1951 KY THE HOSPITAL'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE. 16 12 546 112 -9149 -9149 34818 86945 80294940 78158873 4317061 15368319 180796 96364 84827615 93710501 40748 31428 0 0 23424609 19943251 0 0 0 48366636 58947213 71831993 78921892 12995622 14788609 137547515 147013909 25024196 26121991 112523319 120891918 X SEE SCHEDULE O false false 58936934 31428 78158873 SEE SCHEDULE H 58936934 true true false true false false false false false true false false true true true false true false false false true false false false false true true true false true false false false false false false false false false false false false true true true true false false true 2 0 true 546 true true true false false false false false false false false false X 16 12 false false false false true true true true true false false true true true true true true false false false KY X Colleen Holton 5025874710 539 South Fourth Street Louisville KY 40202 MELVIN ALEXANDER CFO KYOne Health, Treasurer Board 20.00 41.00 X X 0 1521368 2024 RICHARD SCHULTZ Vice Chair 1.00 5.00 X X 0 0 0 ROBERT HEWETT CHAIR 3.00 8.00 X X 0 0 0 RUTH WILLIAMS BRINKLEY DIRECTOR, PRESIDENT & CEO OF KOH 5.00 55.00 X X 0 1397702 169553 DAVID FENNELL Director 2.00 5.00 X 0 0 0 DAVID L DUNN Director 1.00 4.00 X 0 0 0 GERALD TEMES MD Director 1.00 4.00 X 0 0 0 JANE BURKS Director 1.00 4.00 X 0 0 0 JANE J CHILES Director 1.00 4.00 X 0 0 0 LOUANN ATLAS DIRECTOR 1.00 4.00 X 0 0 0 MARTHA JONES director 1.00 3.00 X 0 0 0 MICHAEL ROWAN FACHE Director, CHI President Health System Delivery & COO 2.00 68.00 X 0 2769716 258055 MIKE ADES Director 2.00 4.00 X 0 0 0 MILLER HOFFMAN DIRECTOR 2.00 4.00 X 0 0 0 ROBERT C HUGHES MD Director 1.00 5.00 X 0 0 0 SR ELIZABETH WENDELN Director 2.00 5.00 X 0 0 0 BEVERLY DOWNS PRESIDENT 50.00 1.00 X 515 253726 57986 COLLEEN HOLTON VP FIN PLANNING/INTERIM VP FIN REPORTING 40.00 16.00 X 0 193791 13954 SHARON HAGER Secretary 1.00 54.00 X 0 377027 32469 JOHN BRADFORD VICE PRESIDENT FINANCE 50.00 1.00 X 28297 166750 38968 CARRIE PADGETT PHARMACIST 36.00 0 X 119663 0 20143 JEANINE EWING PHARMACIST 35.00 0 X 108590 0 24391 MICHELLE MATTINGLY DIRECTOR, PHARMACY 40.00 0 X 138649 0 24266 MONTE MARTIN MD ONCOLOGIST 40.00 0 X 595065 0 42374 PAULA JOHNSON MD INTERNAL MED-GENERAL 30.00 0.00 X 83237 46538 824 ALAN DOSSETT FORMER CRNA 0.00 0.00 X 0 229212 13470 BRUCE KLOCKARS FORMER CHIEF EXECUTIVE OFFICER 0.00 0.00 X 0 538387 43471 GARY ERMERS Former Chief Financial Officer 0.00 0.00 X 0 462576 48868 RAZA MALIK MD FORMER INTERNAL MED-GENERAL 0.00 0 X 156204 0 37802 TAMMY HOWELL DIRECTOR OF ACCOUNTING 0.00 50.00 X 0 120166 18933 1230220 8076959 847550 9 true true false MESSER CONSTRUCTION CO 11001 PLANTSIDE DRIVE LOUISVILLE KY 40299 CONSTRUCTION 6014720 EAGLE HOSPITAL PHYSICIANS 16000 N DALLAS PKWY STE 450 DALLAS TX 75248 PHYSICIAN RECRUITING 1776009 NISC NATTIONAL INFO SOLUTIONS 3201 NYGREN DRIVE NW MANDAN ND 58554 IT SUPPORT 627756 RADIATION ONCOLOGY CARE ASSOC 1445 WIKE LANE BARDSTOWN KY 40004 RADIATION ONCOLOGY 521000 KY ORTHOPEDIC REHAB PO BOX 644709 PITTSBURG PA 15246 REHAB SERVICES 369426 15 86945 3945 86945 PATIENT SERVICES 900099 78055087 78055087 RENTAL INCOME 900099 103786 103786 0 0 0 0 0 0 0 78158873 1406327 -18298 1424625 0 0 0 0 0 13981429 0 19437 13981429 -19437 13961992 13961992 0 0 0 MEDICAL RECORDS REVENUE/TRANSCRIPTION 541200 20063 20063 CAFETERIA 624210 40867 40867 SERVICES SOLD 900099 6006 6006 29428 0 9149 20279 96364 93710501 78158873 -9149 15473832 X 31428 31428 0 0 0 0 0 15340298 14292380 1047918 401646 388971 12675 3122563 2872066 250497 1078744 982520 96224 0 149697 149697 0 0 0 0 17038664 11926498 5112166 0 29563 734 28829 1533720 993533 540187 2786774 2118241 668533 0 1529022 1157644 371378 46256 31972 14284 0 1863 483 1380 654112 654112 1721172 1721172 2509514 975532 1533982 588681 36729 551952 UNRELATED BUSINESS TAXES 81 81 MEDICAL SUPPLIES 11365548 11365548 BAD DEBTS 9603818 9603818 INTERCOMPANY ALLOCATIONS 3684975 3684975 5703753 1504644 4199109 0 78921892 58936934 19984958 0 0 1525 1125 72154 6290290 10164062 10812777 0 0 0 0 139015 128885 1379567 1233086 169039 48964 58880968 23710456 36841693 35170512 85877326 0 0 0 2903134 93328270 137547515 147013909 3768654 5082132 413931 349695 0 0 0 20841611 20690164 25024196 26121991 X 112523319 120891918 0 0 112523319 120891918 137547515 147013909 X 14788609 -6659049 239039 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5800 false false false 5800 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: KENTUCKY HOSPITAL ASSOCIATION - $4,330 AMERICAN HOSPITAL ASSOCIATION - $1,093 CATHOLIC HEALTH ASSOCIATION - $ 377 2846461 2846461 22475539 4260726 18214813 1057847 370118 687729 29576831 17838086 11738745 2924290 1241526 1682764 35170512 INTERCOMPANY RECEIVABLES 93328270 93328270 0 RENTAL DEPOSITS 9044 INTERCOMPANY PAYABLES 7854914 CHI DEBT MANAGEMENT PROGRAM 12826206 20690164 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote FLAGET HEALTHCARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF KENTUCKYONE HEALTH, INC. (KOH), A RELATED ORGANIZATION. KOH'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014, READS AS FOLLOWS: "THE MAJORITY OF THE SYSTEM'S INCOME AND MOST OF THE ENTITIES THAT IT OWNS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES AS NOT-FOR-PROFIT CORPORATIONS THAT ARE RECOGNIZED BY THE IRS AS DEFINED IN SECTION 501(C)(3) OF THE IRC AND APPLICABLE STATE STATUTES." FLAGET HEALTHCARE, INC.'S FINANCIAL INFORMATION IS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI). 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." SUB-SAHARAN AFRICA PROGRAM SUPPORT 16148 HOSPITAL EQUIPMENT & SUPPLIES BOOK 1 0 false false false false false false true true X false false true true true false true true 2739956 1461952 1278004 0.01840 0 0.00000 0 0.00000 0 0 2739956 1461952 1278004 0.01840 21 66380 149007 149007 0.00210 3 88 12111 12111 0.00020 0 0.00000 0 0.00000 8 7667 57458 57458 0.00080 32 74135 218576 0 218576 0.00310 32 74135 2958532 1461952 1496580 0.02150 0 0.00000 0 0.00000 1 43 26004 26004 0.00030 0 0.00000 0 0.00000 0 0.00000 1 2 576 576 0.00000 0 0.00000 2 10860 3724 3724 0.00000 4 10905 30304 0 30304 0.00040 true 9603818 0 17060590 22429877 -5369287 X true true 1 1 FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 WWW.KENTUCKYONEHEALTH.ORG/FLAGET X X X FLAGET MEMORIAL HOSPITAL 1 true X X X X X X X X X 12 true false true X www.kentuckyonehealth.org/flaget X www.kentuckyonehealth.org/healthycommunities X X X X X X X X false false true false false true X X X X X X true true X X X X X true false true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - : IN CONDUCTING ITS MOST RECENT CHNA, FLAGET MEMORIAL HOSPITAL: - PARTNERED WITH THE LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, WHICH CONDUCTED SURVEYS OF THE COMMUNITY - HELD TWO COMMUNITY FORUMS - CONDUCTED TWO PHYSICIAN FOCUS GROUPS - CONDUCTED 15 KEY INFORMANT INTERVIEWS - ENGAGED BKD, LLP TO ASSIST WITH COMPILING SECONDARY DATA AND PRIORITIZING IDENTIFIED HEALTH NEEDS; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) - : THE HOSPITAL DID NOT ADDRESS ALL THE NEEDS IDENTIFIED IN THE CHNA GIVEN THE HOSPITAL'S RESOURCES AND SCOPE OF EXPERTISE. THE METHODICAL PROCESS USED BY THE HOSPITAL TO IDENTIFY COMMUNITY HEALTH NEEDS REVEALED FIFTEEN HEALTH ISSUES, WHICH ARE OUTLINED IN THEIR CHNA. AMONG THE LIST OF FIFTEEN HEALTH ISSUES, AND IN LIGHT OF THE HOSPITAL'S RESOURCES AND SCOPE OF EXPERTISE, THE HOSPITAL CHOSE TO ADDRESS THREE "PRIORITY" HEALTH NEEDS: CANCER, PHYSICAL INACTIVITY/ADULT OBESITY, AND ADULT SMOKING. THE HOSPITAL IS COMMITTED TO ADDRESSING THESE NEEDS AS THEY ARE AMONG THE MOST PRESSING. MENTAL HEALTH AND ADDICTION/SUBSTANCE ABUSE ALSO EMERGED AS COMMUNITY CONCERNS, BUT CURRENTLY FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF FLAGET MEMORIAL HOSPITAL.; Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility (1) - FLAGET MEMORIAL HOSPITAL: HUD LOW INCOME GUIDELINES USED.; Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care (1) - FLAGET MEMORIAL HOSPITAL: HUD LOW INCOME GUIDELINES USED.; 0 Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO FLAGET HEALTHCARE, INC.) 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. FLAGET HEALTHCARE, INC. 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 6a, Community benefit report prepared by related organization FLAGET HEALTHCARE, INC. DOES NOT PREPARE ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. HOWEVER, ITS COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION; KENTUCKYONE HEALTH, INC., EIN: 61-1029769 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 FY 2014 COST REPORT. 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. BASED ON THAT FORMULA, $1,841,537/$7,168,303 RESULTS IN A 25.69% COST-TO-CHARGE RATIO. 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 9,603,818 Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 25.69%. 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 FLAGET HEALTHCARE, INC. 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 FLAGET HEALTHCARE, INC. DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF KENTUCKYONE HEALTH, INC. (KOH). THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "MANAGEMENT MAINTAINS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO RESERVE FOR ESTIMATED LOSSES BASED ON THE LENGTH OF TIME THE ACCOUNT HAS BEEN PAST DUE AND HISTORICAL COLLECTION EXPERIENCE. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE THE SYSTEM ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." THE ORGANIZATION IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI). 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 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 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. FLAGET HEALTHCARE INC.'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $17,060,590 TOTAL MEDICARE COSTS: $22,429,877 SURPLUS OR SHORTFALL ($5,369,287) FLAGET HEALTHCARE INC. 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 FLAGET HEALTHCARE INC.'S DEBT COLLECTION POLICY PROVIDES THAT FLAGET HEALTHCARE INC. 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 FLAGET HEALTHCARE INC.'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 FLAGET HEALTHCARE INC.'S COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO FLAGET HEALTHCARE INC. FOR APPROPRIATE FOLLOW-UP. FLAGET HEALTHCARE INC. 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 VI, LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION ORGANIZATION'S MISSION, VISION & TAX-EXEMPT PURPOSE FLAGET HEALTHCARE, INC. (FHC) WAS OPENED IN 1951 AS A RESULT OF THE DETERMINATION OF THE SISTERS OF CHARITY OF NAZARETH WHO PIONEERED THE DEVELOPMENT OF HEALTH CARE INSTITUTIONS IN KENTUCKY. TODAY, IT IS A 52-BED HOSPITAL LOCATED IN BARDSTOWN, OFFERING A FULL RANGE OF SERVICES INCLUDING CANCER CARE, ORTHOPEDICS, WOMEN'S CARE, WEIGHT LOSS SURGERY, OUTPATIENT, AND PRIMARY CARE. SINCE ITS INCEPTION, FHC HAS BEEN COMMITTED TO SERVING THE POOR AND DISADVANTAGED. FLAGET'S COLLABORATIVE EFFORTS WITH THE COMMUNITY WORK TO CREATE HEALTHIER COMMUNITIES. FHC IS PART OF KENTUCKYONE HEALTH, INC., THE LARGEST HEALTH SYSTEM IN KENTUCKY WITH MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, OUTPATIENT FACILITIES, AND PHYSICIAN OFFICES, AND MORE THAN 3,100 LICENSED BEDS. A VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, INC.'S FACILITIES AND OPERATIONS WITH THIS MISSION: OUR IDENTITY: WE ARE A COMPREHENSIVE HEALTH SYSTEM STRENGTHENED BY OUR CATHOLIC, JEWISH, AND ACADEMIC HERITAGES AND INSPIRED BY OUR SHARED VALUES. OUR PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED OUR FUTURE: TO TRANSFORM THE HEALTH CARE COMMUNITIES, CARE DELIVERY, AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELL-BEING WE BRING HOPE, IMPROVE HEALTH, AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE: - SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION - TRANSFORM HEALTH CARE DELIVERY - PARTNER TO CREATE HEALTHY COMMUNITIES - ADVOCATE FOR A JUST HEALTH SYSTEM FHC OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. FHC HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. FHC IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY BENEFIT APPROACH LOCATED IN BARDSTOWN, KENTUCKY, FHC SERVES THOSE PRIMARILY FROM NELSON, WASHINGTON, MARION, BULLITT, SPENCER, AND LARUE COUNTIES. HOWEVER, 74.6% OF THE HOSPITAL'S DISCHARGES IN 2014 WERE RESIDENTS OF NELSON COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, THE MEDIAN HOUSEHOLD INCOME IS $43,833, WHICH IS JUST ABOVE THE STATE'S MEDIAN INCOME OF $43,036, AND BELOW THE NATION'S INCOME OF $51,939. THE U.S. CENSUS BUREAU ALSO REPORTS THAT 18.2% OF THE RESIDENTS OF NELSON COUNTY LIVE BELOW THE POVERTY LEVEL, COMPARABLE TO THE NATIONAL AVERAGE OF 15.9%. IN ADDITION, 24% OF NELSON COUNTY'S CHILDREN LIVE IN POVERTY. THE RACE/ETHNICITY OF NELSON COUNTY IS 90.7% WHITE NON-HISPANIC. THE UNEMPLOYMENT RATE IN NELSON COUNTY IN 2014 WAS 6.6%, BELOW THE STATE'S AVERAGE OF 7.8%. COMMUNITY OUTREACH FOR THE POOR MEDICAL ELIGIBILITY COUNSELORS - INSURANCE ENROLLMENT: FHC EMPLOYS MEDICAL ELIGIBILITY COUNSELORS TO ASSIST INDIVIDUALS WHO NEED HELP ENROLLING IN KENTUCKY'S STATE-WIDE EXPANSION OF MEDICAID AND THE STATE'S HEALTH BENEFIT EXCHANGE. INDIVIDUALS WHO OTHERWISE MAY NOT ENROLL FOR INSURANCE COVERAGE ARE NOW BEING HELPED BY FHC TO OBTAIN COVERAGE. PRESCRIPTION ASSISTANCE PROGRAM: FHC PARTNERS WITH THE NELSON COUNTY COMMUNITY CLINIC (NCCC) TO HELP PEOPLE WHO OTHERWISE COULD NOT AFFORD TO PAY FOR THEIR PRESCRIPTION MEDICATIONS. BY UTILIZING THE ASSISTANCE OPTIONS THROUGH PHARMACEUTICAL COMPANIES, THE PROGRAM IS ABLE TO ENSURE PATIENTS GET THE MEDICATIONS THEY NEED AT NO COST. THIS ENABLES THE PATIENTS TO BETTER MANAGE THEIR HEALTH AND AVOIDS UNNECESSARY UTILIZATION OF HIGH COST EMERGENCY DEPARTMENT SERVICES. FHC SUPPORTS THE PRESCRIPTION ASSISTANCE PROGRAM BY CONTRIBUTING $2,500 PER YEAR TO THE NCCC TO COVER OVERHEAD COST. NELSON COUNTY COMMUNITY CLINIC (NCCC): THE NCCC IS A VITAL SAFETY NET FOR NELSON COUNTY RESIDENTS WHO ARE EMPLOYED BUT HAVE NO HEALTH INSURANCE. INCOME-ELIGIBLE RESIDENTS HAVE ACCESS TO AN ARRAY OF FREE SERVICES, INCLUDING MEDICAL CARE, BASIC DENTAL CARE, LAB TESTS, EYE EXAMS, AND FREE MEDICATIONS. HALF OF THE APPROXIMATELY 110 VOLUNTEERS WHO STAFF THE CLINIC ARE FHC EMPLOYEES. THE CLINIC WAS STARTED IN 2006 WITH A $278,000 GRANT FROM FHC'S SPONSOR ORGANIZATION, CATHOLIC HEALTH INITIATIVES. FHC DONATED $10,000 TO THE NCCC IN FY 2014. DONATION OF SUPPLIES AND EQUIPMENT: FHC PARTNERS WITH SUPPLIES OVER SEAS (SOS), WHICH OFFERS AN ENVIRONMENTALLY-FRIENDLY AND COST-EFFECTIVE WAY OF DEALING WITH SURPLUS MEDICAL PRODUCTS WHILE SIMULTANEOUSLY HELPING PEOPLE IN DESPERATE NEED. SOS RELIES ON THESE PRODUCT DONATIONS TO SUPPLY THEIR QUALIFIED RECIPIENT INSTITUTIONS IN THE ECONOMICALLY DEVELOPING WORLD WITH A WIDE VARIETY OF EQUIPMENT AND SUPPLIES. SCHEDULE H, PART VI, LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION COMMUNITY OUTREACH FOR THE BROADER COMMUNITY CANCER CENTER FREE SCREENINGS AND EDUCATION: THE FHC CANCER CENTER OFFERS STATE-OF-THE-ART RADIATION AND MEDICAL ONCOLOGY FROM PROFESSIONAL, COMPASSIONATE PHYSICIANS AND A FULL SUPPORT TEAM. THROUGH PARTNERS SUCH AS THE SUSAN G. KOMEN FOUNDATION, THE CANCER CENTER OFFERS A VARIETY OF FREE AND/OR REDUCED-COST SCREENINGS THROUGHOUT THE YEAR TO PROMOTE COMMUNITY EDUCATION AND EARLY DETECTION AND TREATMENT OF LUNG, COLON, BREAST, SKIN, AND OTHER TYPES OF CANCERS. COMMUNITY HEALTH AND WELLNESS FAIRS: FHC'S HEALTH AND WELLNESS FAIR BROUGHT TOGETHER 35 COMMUNITY HEALTH ORGANIZATIONS AND SERVED OVER 500 PEOPLE IN 2014. THE HOSPITAL HAD OVER 20 PROGRAMS REPRESENTED AT THE FAIR. SCREENINGS WERE OFFERED SUCH AS BLOOD PRESSURE, CHOLESTEROL, BLOOD SUGAR, EYE, AND DENTAL, AS WERE SPINAL ASSESSMENTS AND BMI CALCULATIONS. FHC ALSO PARTICIPATED IN OTHER HEALTH FAIRS OFFERED THROUGHOUT NELSON AND CONTIGUOUS COUNTIES OFFERING COMMUNITY EDUCATION AND SELECT SCREENINGS. BABY FAIR: THE ANNUAL BABY FAIR IS ORGANIZED BY FHC EMPLOYEES WITH THE SUPPORT OF LOCAL COMMUNITY PARTNERS. THE PROGRAM IS DESIGNED TO EMPOWER MOTHERS WITH THE KNOWLEDGE AND RESOURCES THEY NEED FOR THE CARE OF THEIR NEWBORNS, INFANTS, AND TODDLERS. THE FAIR INCLUDED EDUCATIONAL OPPORTUNITIES ON TOPICS SUCH AS BREASTFEEDING, EPIDURALS, POST-PARTUM BLUES, CHILDBIRTH WITH CONFIDENCE, AND KANGAROO CARE. TRIM DOWN BARDSTOWN: FHC HOSTED A FREE 12 WEEK WEIGHT LOSS SUPPORT GROUP STARTING IN JANUARY 2014. THE CLASS WAS OFFERED AT THE NELSON COUNTY PUBLIC LIBRARY AND WAS TAUGHT BY AN FHC REGISTERED DIETICIAN AND ASSISTANT. THE 12-WEEK COURSE FOCUSED ON HEALTHY EATING, EXERCISE, WEIGHT LOSS, AND SOCIAL SUPPORT. WALK WITH A DOC: EACH MONTH FHC HOSTS WALK WITH A DOC IN DOWNTOWN BARDSTOWN. THE GOAL OF WALK WITH A DOC IS TO PROMOTE WALKING AND HEALTH EDUCATION. IT OCCURS ON SATURDAYS FOR ONE HOUR. A DOCTOR STARTS THE PROGRAM BY SPEAKING ON A TOPIC OF INTEREST FOR 3-8 MINUTES, THEN S/HE WALKS WITH THOSE GATHERED FOR THE REMAINING HOUR. COOPER CLAYTON SMOKING CESSATION: FHC HAS TRAINED A STAFF PERSON TO BE A CERTIFIED COOPER CLAYTON SMOKING CESSATION INSTRUCTOR. SMOKING CESSATION COURSES ARE OFFERED BOTH AT THE HOSPITAL AND IN THE COMMUNITY AS NEEDS ARISE. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS: FHC PROVIDES A CLINICAL SITE FOR HEALTH CARE PROFESSIONALS, INCLUDING STUDENTS PURSUING CAREERS IN NURSING, PHARMACY, SURGICAL, AND IMAGING SERVICES. THE HOSPITAL ALSO PROVIDED ANNUAL PHYSICALS FREE OF CHARGE TO THE NELSON COUNTY FIRE DEPARTMENT IN 2014. SUPPORT GROUPS: THE FHC CANCER CENTER AND THE FHC WEIGHT LOSS SURGERY CENTER OFFER SUPPORT GROUPS THROUGHOUT THE YEAR. THE SUPPORT GROUPS ARE FOR SURVIVORS OF CANCER AND THEIR FAMILY MEMBERS AS WELL AS FOR THOSE CONSIDERING (OR WHO HAVE HAD) WEIGHT LOSS SURGERY. COLLABORATION EFFORTS TO IMPROVE COMMUNITY HEALTH: FHC PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, LOCAL PARISHES/CHURCHES AND THE BARDSTOWN/NELSON COUNTY MINISTERIAL ASSOCIATION, NELSON COUNTY MENTAL HEALTH COALITION, BARDSTOWN CHAMBER OF COMMERCE, BARDSTOWN AT HOME, AREA SCHOOLS, ST. VINCENT DE PAUL SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, COMMUNITY ACTION, AND MARCH OF DIMES. FHC HAS PARTNERED WITH TWO AREA SCHOOLS (PER REQUEST) TO PROMOTE HEALTH EDUCATION AMONG YOUTH THROUGHOUT THE YEAR. HOSPITAL STAFF PRESENT TO ELEMENTARY AND MIDDLE SCHOOL AGED CHILDREN ABOUT TOPICS RANGING FROM EXERCISE AND HEALTHY EATIBNG TO DIALING 911 IN CASE OF MEDICAL EMERGENCIES. FHC DONATED $5,000 TO THE AMERICAN HEART ASSOCIATION, $2,500 TO RELAY FOR LIFE, AND $1,500 TO MARCH FOR DIMES. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. FLAGET HEALTHCARE, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, FLAGET HEALTHCARE, INC. 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 FLAGET HEALTHCARE, INC. OUTPATIENT FACILITIES. IN ADDITION, FLAGET HEALTHCARE, INC. 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 FLAGET HEALTHCARE, INC.'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. FLAGET HEALTHCARE, INC. 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. FLAGET HEALTHCARE, INC.'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 FLAGET HEALTHCARE, INC., 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. FLAGET HEALTHCARE, INC. OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE FLAGET MEMORIAL HOSPITAL FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE BARDSTOWN, KENTUCKY COMMUNITIES. Schedule H, Part VI, Line 7, State filing of community benefit report KY true NELSON CO COMMUNITY CLINIC 138 ROBIN DRIVE BARDSTOWN KY 40004 204876401 501(C)(3) 10000 PROGRAM SUPPORT 1 0 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds THE ORGANIZATION ONLY MADE GRANTS TO 501(C)(3) ORGANIZATIONS. UPON PROVIDING SATISFACTORY WRITTEN EVIDENCE THAT THE FUNDS WERE USED FOR THE PUPOSE THE GRANT WAS MADE, THE HOSPITAL RELEASES THE RESTRICTION AND THE FUNDS ARE TRANSFERRED. true true false false false false false false false BRUCE KLOCKARS FORMER CHIEF EXECUTIVE OFFICER 0 78775 0 0 0 459612 0 31152 0 12319 0 581858 0 0 MELVIN ALEXANDER CFO KYONE HEALTH, TREASURER BOARD 0 402823 0 0 0 1118545 0 0 0 2024 0 1523392 0 38251 RUTH WILLIAMS BRINKLEY DIRECTOR, PRESIDENT & CEO OF KOH 0 843588 0 505731 0 48383 0 161273 0 8280 0 1567255 0 0 MICHAEL ROWAN FACHE DIRECTOR, CHI PRESIDENT HEALTH SYSTEM DELIVERY & COO 0 1098277 0 1471311 0 200128 0 238353 0 19702 0 3027771 0 175028 TAMMY HOWELL DIRECTOR OF ACCOUNTING 0 119966 0 0 0 200 0 0 0 18933 0 139099 0 0 GARY ERMERS FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 0 462576 0 28602 0 20266 0 511444 0 86753 BEVERLY DOWNS PRESIDENT 515 194007 0 35579 0 24140 0 44862 124 13000 639 311588 0 0 SHARON HAGER SECRETARY 0 311659 0 44776 0 20592 0 23502 0 8967 0 409496 0 0 COLLEEN HOLTON VP FIN PLANNING/INTERIM VP FIN REPORTING 0 169714 0 7451 0 16626 0 13369 0 585 0 207745 0 0 JOHN BRADFORD VICE PRESIDENT FINANCE 28297 163926 0 0 0 2824 0 21082 17069 817 45366 188649 0 0 RAZA MALIK MD FORMER INTERNAL MED-GENERAL 145752 0 10000 0 452 0 16520 0 21282 0 194006 0 0 0 ALAN DOSSETT FORMER CRNA 0 188356 0 40341 0 515 0 0 0 13470 0 242682 0 0 MONTE MARTIN MD ONCOLOGIST 449317 0 144488 0 1260 0 20952 0 21422 0 637439 0 0 0 MICHELLE MATTINGLY DIRECTOR, PHARMACY 138489 0 0 0 160 0 12611 0 11655 0 162915 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 4a, Severance or change-of-control payment 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2013 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: GARY ERMERS $382,899 BRUCE KLOCKARS $352,591 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: MELVIN ALEXANDER, BEVERLY DOWNS, PAUL EDGETT, MICHAEL ROWAN, BEVERLY WEBER, RUTH WILLIAMS-BRINKLEY DURING 2013, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: BEVERLY DOWNS - $17,789 PAUL EDGETT - $43,590 MICHAEL ROWAN - $214,851 RUTH WILLIAMS-BRINKLEY - $135,221 DURING 2013, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MELVIN ALEXANDER - $38,251 PAUL EDGETT - $92,265 MICHAEL ROWAN - $175,028 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2013 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2013, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: BRUCE KLOCKARS - $6,517 BEVERLY WEBER - $58,967 FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION 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 7.1 OF THE BYLAWS OF FLAGET HEALTHCARE, INC., THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS KENTUCKYONE HEALTH INC., A KENTUCKY NONPROFIT CORPORATION. Form 990, Part VI, Sec A, 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. 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, Sec A, Line 7b, Decisions requiring approval by members or stockholders FLAGET HEALTHCARE, INC'S CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, 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, THE RETURN IS REVIEWED BY THE VP FINANCE AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD. AFTER THE RETURN IS REVIEWED BY THE VP FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. SUBSEQUENT TO THE RETURN BEING FILED, THE PRESIDENT/CEO OF KENTUCKYONE HEALTH, INC., THE SOLE MEMBER OF THE ORGANIZATION, PRESENTS THE RETURN AT A FLAGET HEALTHCARE, INC. BOARD MEETING. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE FACILITY PRESIDENT AND THEN PRESENTED TO THE BOARD CHAIR FOR DIRECTORS AND BOARD MEMBERS. THE PROCESS OF RESOLVING POTENTIAL CONFLICTS BEGINS WHEN THE PRESIDENT PRESENTS THE INFORMATION TO THE BOARD CHAIR. THE BOARD CHAIR FURTHER INVESTIGATES AND REPORTS TO THE EXECUTIVE COMMITTEE OF THE BOARD FOR FINAL DETERMINATION. FOR EMPLOYEES, CONFLICT DISCLOSURE STATEMENTS ARE REVIEWED BY HUMAN RESOURCES AND THE PRESIDENT IF THERE ARE POTENTIAL CONFLICTS. FORM 990, PART VI, LINE 15A, COMPENSATION PROCESS FOR TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CEO'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, LINE 15B, COMPENSATION PROCESS FOR OTHER EMPLOYEES DURING THE TAX YEAR ENDED 6/30/2014, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. Form 990, Part IX, Line 11g, Other Expenses CONTRACT LABOR - TOTAL EXPENSE: 2301085, PROGRAM SERVICE EXPENSE: 2274201, MANAGEMENT AND GENERAL EXPENSES: 26884, FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 14706359, PROGRAM SERVICE EXPENSE: 9621077, MANAGEMENT AND GENERAL EXPENSES: 5085282, FUNDRAISING EXPENSES: ; MEDICAL DIRECTOR FEES - TOTAL EXPENSE: 31220, PROGRAM SERVICE EXPENSE: 31220, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances TRANSFERS FROM AFFILIATES - 239039; FLAGET RADIATION ONCOLOGY LLC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 ONCOLOGY KY 0 0 FH 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 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) 11 - Type I CHI 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) 9 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) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(C)(3) 11 - 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) 11 - Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 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 NS 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 ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type III - FI 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) 11 - 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) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(C)(3) 11 - 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) 11 - 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) 11 - Type I FH 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 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 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(C)(3) 11 - 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) 11 - 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 HEALTH SET 2420 W 26TH AVE STE 460D DENVER CO 80211 841102943 LOW INC CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(C)(3) 11 - 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 539 S 4TH ST LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(C)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 539 S 4TH ST 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 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) 11 - Type III - FI MHSET 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) 11 - 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) 11 - 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) 11 - Type I AHMH-CORNING true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(C)(3) 11 - 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 INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(C)(3) 9 CHI-IA CORP true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(C)(3) 11 - Type III - FI MHSET true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(C)(3) 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 841183335 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(C)(3) 11 - Type II CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON KY 40503 611334601 HEALTHCARE KY 501(C)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 311539059 PHYSICIANS KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 020633634 HEALTHCARE OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 760226623 TITLE HOLDING TX 501(C)(2) N/A SLPC true ST ANTHONY HOSPITAL 1601 SE COURT AVE PENDLETON OR 97801 930391614 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVE PENDLETON OR 97801 930992727 FUNDRAISING OR 501(C)(3) 11 - Type I SAH true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HEALTHCARE AR 501(C)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HEALTHCARE KS 501(C)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING KS 501(C)(3) 11 - Type I SCH true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 501(C)(4) N/A CHI true ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(C)(3) 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(C)(3) 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(C)(3) 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930412495 HEALTHCARE OR 501(C)(3) 3 CHI true ST JOSEPH COMMUNITY HEALTH 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) 11 - 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