2015-05-15T09:00:21-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 840405257 CATHOLIC HEALTH INITIATIVES COLORADO CATH 3032906500 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 DAN ENDERSON SVP CFO/TREASURER 2015-05-14 true MARK STOCKI P00642127 3032989100 2013 2016-04-25 22:37:26Z GARY CAMPBELL 188 INVERNESS DRIVE WEST Englewood CO 80112 1690124229 false 0928 X WWW.CENTURA.ORG X 1968 CO CATHOLIC HEALTH INITIATIVES-COLORADO IS A FAITH BASED ORGANIZATION THAT INVESTS IN CHARITY CARE, COMMUNITY PROGRAMS, AND SPONSORSHIPS DESIGNED TO NURTURE THE HEALTH OF THE PEOPLE OF COLORADO. 3 0 10741 1400 4169408 0 5713234 15528671 1582030490 1634871764 18675531 22222401 14413536 16797442 1620832791 1689420278 6463075 4082932 0 0 579021908 600940337 0 0 0 957545125 987605634 1543030108 1592628903 77802683 96791375 1682878444 1789639759 439214203 456534765 1243664241 1333104994 WE EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. false false 1308815081 4082932 1634525960 SEE SCHEDULE H 1308815081 true true false true false false false false false true true false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 10741 true true true false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true false true true false X CAROL TRAVIS 3038048108 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 DEAN SWINDLE CPA BOARD MEMBER/EVP CHI CFO 1.00 59.00 X 0 2203801 222299 JOHN DICOLA BOARD MEMBER/SVP CHI 1.00 59.00 X 0 1598991 55520 MICHAEL ROWAN FACHE BOARD MEMBER/EVP CHI COO 1.00 59.00 X 0 2769716 258055 DAN ENDERSON Treasurer/SVP Chief Finance Officer 1.00 0.00 X 0 0 0 GARY CAMPBELL CEO/PRESIDENT 1.00 0.00 X 0 0 0 KRIS ORDELHEIDE SECRETARY/SVP LEGAL SVCS 1.00 0.00 X 0 0 0 DANIEL REEVES CFO - PENROSE ST FRANCIS 40.00 0.00 X 321099 0 41341 DAVID THOMPSON CFO - ST ANTHONY CENTRAL 40.00 1.00 X 372536 0 44778 JEFFREY BRICKMAN Group Chief Executive Officer 40.00 0.00 X 899337 0 196045 MARGARET SABIN CEO - PENROSE ST FRANCIS 40.00 0.00 X 876136 0 219702 A STEWART LEVY PHYSICIAN 40.00 0 X 810037 0 51201 ALEXANDER FRALEY Physician 40.00 0 X 683223 0 43701 CAMILLE AZAR Physician 40.00 0 X 764932 0 44646 JOHN MEHALL PHYSICIAN 40.00 0 X 1006777 0 37982 MICHAEL DREWEK Physician 40.00 0 X 745536 0 46659 6479613 6572508 1261929 522 false true true COLORADO SPRINGS CARDIOLOGISTS 2222 N NEVADA AVE SUITE 4000 COLORADO SPRINGS CO 80907 MEDICAL SERVICES 7320948 ACADEMY WOMENS HEALTHCARE 6071 E WOODMEN ROAD SUITE 405 COLORADO SPRINGS CO 80923 MEDICAL SERVICES 2470974 COLORADO SPRINGS HEALTH PARTNERS PC 1633 MEDICAL CENTER POINTE COLORADO SPRINGS CO 80907 MEDICAL SERVICES 1596774 PANORAMA ORTHOPEDICS PC 660 GOLDEN RIDGE RD GOLDEN CO 804019522 MEDICAL SERVICES 1498500 VAIL VALLEY EMERGENCY PHYSICIANS 27 MAIN STREET C-301 EDWARDS CO 81632 MEDICAL SERVICES 1436035 131 13735427 592995 1200249 15528671 PATIENT SERVICES 900099 1609888950 1609543146 345804 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 19084154 19084154 RENTAL INCOME 900099 5455757 5455757 EDUCATION 611710 442211 442211 0 692 692 0 0 1634871764 12135163 -18984 12154147 0 0 299972 27287 272685 0 272685 272685 9558342 528896 9558342 528896 10087238 10087238 0 0 1237424 676664 560760 560760 CAFETERIA 722100 5639716 5639716 PHARMACY SERVICES 446110 5374045 3275436 2098609 SERVICES SOLD 900099 182590 2295 180295 4767646 0 564857 4202789 15963997 1689420278 1634525960 4169408 35196239 X 4082932 4082932 0 0 0 0 0 487258682 389806946 97451736 26349450 21079560 5269890 53195948 42556758 10639190 34136257 27309006 6827251 0 143756 143756 28710 28710 0 0 0 367402589 293916613 73485976 0 5239286 4191429 1047857 265290293 212232234 53058059 0 0 36604444 29283555 7320889 2434989 1947991 486998 0 1308816 1047053 261763 13947348 13947348 0 100071523 80057218 20014305 10497800 8398240 2099560 STATE PROVIDER TAX 79396997 79396997 BAD DEBTS 76849665 76849665 REPAIRS & MAINTENANCE 26008630 20806904 5201726 DUES & SUBSCRIPTIONS 2380788 1904632 476156 0 0 0 0 1592628903 1308815081 283813822 0 0 40511908 48783379 55668 51549 215334961 243233475 0 0 0 0 4123662 4106948 31488600 32420945 4472590 5903750 1803122380 692275638 1008571663 1110846742 185608255 163216309 25755522 0 10638321 4405144 156317294 176671518 1682878444 1789639759 173549101 210880329 19147570 17837861 0 0 0 246517532 227816575 439214203 456534765 X 1243644020 1333084773 10221 10221 10000 10000 1243664241 1333104994 1682878444 1789639759 X 96791375 13220407 -20571029 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 58819 false false false 58819 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT SHOWN IN LINE 1F REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES: AMERICAN HOSPITAL ASSOCIATION $13,097 CATHOLIC HEALTH ASSOCIATION $4,525 ADDITIONALLY, CENTURA PAID ANNUAL DUES TO COLORADO HEALTH ASSOCIATION, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT THAT REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES IS AS FOLLOWS: COLORADO HEALTH ASSOCIATION $41,197 70809263 70809263 8686856 1032746325 323631036 717802145 0 149426 489174588 355331684 133992330 201555922 13312918 188243004 1110846742 0 0 CHI OIP - FIXED INCOME 78272940 CHI OIP - EQUITY SECURITIES 83203213 SAN ESCROW-CITY OF WESTMINSTER 651073 MONEY MARKET ACCOUNT 1089083 163216309 INVESTMENT IN UNCONSOLIDATED ORGS 116476912 OCH CAPITAL LEASE 49310329 PARKING GARAGE EASEMENT 5635000 WORKERS COMPENSATION 5273 SCHCS COMMON STOCK 5244004 176671518 0 ENVIRONMENTAL REMEDIATION 3062369 LIFECARE CONTRACT TERMINATIONS 668305 INTERCOMPANY DEBT 223256976 INTERCOMPANY PAYABLES 821725 DEFERRED RENT 7200 227816575 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote CATHOLIC HEALTH INITIATIVES-COLORADO'S (CHIC) 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 true X true X true true true false true true 48242578 48242578 0.03180 88941082 88941082 0.05870 9113496 9113496 0.00600 0 0 146297156 0 146297156 0.09650 7212987 7212987 0.00480 4088360 4088360 0.00270 2246983 2246983 0.00150 4553 4553 0.00000 825296 825296 0.00050 0 0 14378179 0 14378179 0.00950 0 0 160675335 0 160675335 0.10600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 true 76849665 0 412729698 508722811 -95993113 X true true ORTHOCOLORADO LLC HOSPITAL 0.6 0 0.4 9 1 ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD CO 80228 WWW.STANTHONYHOSP.ORG X X X X 2 PENROSE HOSPITAL 2222 N NEVADA AVE COLORADO SPRINGS CO 80907 WWW.PENROSESTFRANCIS.ORG X X X X X X ICU & CCU, CANCER CENTER, IP REHAB 3 ST MARY-CORWIN MEDICAL CENTER 1008 MINNEQUA AVE PUEBLO CO 81004 WWW.STMARYCORWIN.ORG X X X X 4 MERCY REGIONAL MEDICAL CENTER 1010 THREE SPRINGS BLVD DURANGO CO 81301 WWW.MERCYDURANGO.ORG X X X 5 ST FRANCIS MEDICAL CENTER 6001 E WOODMAN RD COLORADO SPRINGS CO 80923 WWW.PENROSESTFRANCIS.ORG X X X BIRTH CENTER, NICU - IIIA, ICU 6 ST ANTHONY NORTH HOSPITAL 2551 W 84TH AVE WESTMINSTER CO 80031 WWW.STANTHONYNORTH.ORG X X X X 7 ST ANTHONY SUMMIT MEDICAL CENTER 340 PEAK ONE DRIVE FRISCO CO 80443 WWW.SUMMITMEDICALCENTER.ORG X X X 8 ORTHOCOLORADO HOSPITAL 11650 West 2nd Place LAKEWOOD CO 80255 WWW.ORTHOCOLORADO.ORG X X X 9 ST THOMAS MORE HOSPITAL 1338 PHAY AVENUE CANON CITY CO 81212 WWW.STMHOSPITAL.ORG X X X ST ANTHONY HOSPITAL 1 true X X X X X X X X X 12 true true true X www.stanthonyhosp.org X X X X X X X X false false true true 100 true 400 true X X X X X X X true true X X X X true false true X false false PENROSE HOSPITAL 2 true X X X X X X X X X 12 true true true X www.penrosestfrancis.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false ST MARY-CORWIN MEDICAL CENTER 3 true X X X X X X X X X 12 true false true X www.stmarycorwin.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false MERCY REGIONAL MEDICAL CENTER 4 true X X X X X X X X X 12 true true true X www.mercydurango.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false ST FRANCIS MEDICAL CENTER 5 true X X X X X X X X X 12 true true true X www.penrosestfrancis.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false ST ANTHONY NORTH HOSPITAL 6 true X X X X X X X X X 12 true false true X www.stanthonynorth.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false ST ANTHONY SUMMIT MEDICAL CENTER 7 true X X X X X X X X X 12 true false true X www.summitmedicalcenter.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X X X X true false true X false false ORTHOCOLORADO HOSPITAL 8 true X X X X X X X X X 12 true true true X www.orthocolorado.org X X X X X X X X false false true true 100 true 400 true X X X X X X true true X true false true X false false ST THOMAS MORE HOSPITAL 9 true X X X X X X X X X 12 true false true X www.stmhospital.org X X X X X X X X false false true true 100 true 400 true 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 HOSPITAL: COMMUNITY MEMBERS WERE INTERVIEWED FOR THEIR PERSPECTIVES ON THE PREDOMINANT HEALTH ISSUES IN THEIR COMMUNITIES. THEY WERE INTERVIEWED IN EITHER A ONE-ON-ONE INTERVIEW FORMAT OR A FOCUS GROUP. THE INTERVIEWEES WERE COMPRISED OF REPRESENTATIVES FROM THE FOLLOWING GROUPS: * JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT * HEALTH CONSULTING * LAW ENFORCEMENT * JEFFERSON COUNTY SCHOOL DISTRICT * FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER * SENIOR HEALTH SERVICES/JEWISH FAMILY SERVICES * HOME HEALTH/HOSPICE * MINISTERIAL ASSOCIATIONS * EMERGENCY MEDICAL SERVICE * LOW INCOME POPULATION REPRESENTATIVES (METRO COMMUNITY PROVIDER NETWORK AND THE ACTION CENTER) * SENIOR-AGED HEALTH FAIR PARTICIPANTS * AMERICAN LUNG ASSOCIATION * AMERICAN CANCER SOCIETY * DONOR ALLIANCE, TISSUE AND ORGAN RECOVERY ORGANIZATION FOR COLORADO AND WYOMING ; (1) - PENROSE HOSPITAL: FOCUS GROUPS MADE UP OF COMMUNITY LEADERS MET AND RESPONDED TO A CONSISTENT SET OF QUESTIONS. INVITEES WERE CHOSEN BASED UPON THE AREA OF EXPERTISE OR INTEREST IN RELATIONSHIP TO COMMUNITY HEALTH. THE FOCUS GROUPS WERE ASKED TO: 1) REVIEW COMPILATION OF EXISTING DATA, AND 2) TO HELP TRANSLATE THAT DATA TO THEIR OWN EXPERIENCE AS A LEADER IN THE COMMUNITY AND TO PROVIDE THEIR PERSPECTIVES ON THE PREDOMINANT HEALTH ISSUES IN THEIR COMMUNITIES. THERE WERE THREE FOCUS GROUPS MEETINGS THAT TOOK PLACE IN APRIL 2012 AND EACH MEETING LASTED SEVERAL HOURS.; (1) - ST. MARY-CORWIN MEDICAL CENTER: COMMUNITY MEMBERS WERE INTERVIEWED IN EITHER A ONE-ON-ONE INTERVIEW FORMAT, FOCUS GROUP, OR AS PART OF A COMMITTEE FOR THEIR PERSPECTIVES ON THE PREDOMINANT HEALTH ISSUES IN THEIR COMMUNITIES. DATA WAS COLLECTED OVER THE PERIOD FROM MARCH TO APRIL 2012. THREE HUNDRED AND EIGHTY-TWO (382) COMMUNITY RESIDENTS, ALL PATIENTS OF ST. MARY-CORWIN MEDICAL CENTER OR PATIENTS OF TOUCHSTONE HEALTH, AN AFFILIATED PRIMARY CARE CLINIC OF ST. MARY-CORWIN, FILLED OUT A HEALTH ISSUE RANKING SURVEY. EILEEN AIRE, ASSOCIATE DIRECTOR, AND ERIKA HENRY, RESEARCH ASSISTANT FOR THE CENTER FOR HEALTH ADMINISTRATION AT THE UNIVERSITY OF COLORADO-DENVER BUSINESS SCHOOL AND HEALTH SCIENCE CENTER, COMPILED RESULTS OF THE SURVEY AND VERIFIED THE VALIDITY AND RELEVANCE OF THE SURVEY RESULTS. ST. MARY-CORWIN MEDICAL CENTER DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT RANKING QUESTIONNAIRE TO COLLECT ADDITIONAL DATA. THOSE SURVEYED WERE ASKED TO RANK 34 HEALTH ISSUES USING A SCALE OF 1 TO 5, WITH 1 MEANING "NOT A CRITICAL ISSUE" AND 5 MEANING A "VERY CRITICAL ISSUE." THE QUESTIONNAIRES WERE DISSEMINATED TO A VARIETY OF INTERNAL AND COMMUNITY GROUPS. DATA WAS COLLECTED IN MARCH AND APRIL OF 2012. THE GOAL WAS TO REACH THE BROADEST NUMBER OF CONSTITUENTS POSSIBLE IN PUEBLO COUNTY. THE QUESTIONNAIRES WERE TARGETED TO REACH SPECIFIC CONSTITUENT GROUPS INCLUDING, UNDER OR UNINSURED, FAITH-BASED, BUSINESS, NON-PROFIT COMMUNITY ORGANIZATIONS, SENIORS, STUDENTS, PRIMARY CARE PHYSICIANS, FIRST RESPONDERS, AND HOSPITAL LEADERSHIP, INCLUDING COMMUNITY BOARD MEMBERS. SURVEYS WERE DISTRIBUTED TO INDIVIDUALS THROUGH THE FOLLOWING ORGANIZATIONS: * SOUTHERN COLORADO FAMILY MEDICINE CLINIC * TOUCHSTONE HEALTH * PUEBLO COUNTY UNITED WAY * GREATER PUEBLO CHAMBER OF COMMERCE * CENTURA HEALTH AT HOME * LONG TERM CARE OMBUDSMAN * SENIOR RESOURCE DEVELOPMENT AGENCY * ST. MARY-CORWIN MEDICAL CENTER EMPLOYED PHYSICIAN GROUP * COLORADO STATE UNIVERSITY (PUEBLO) SOCIAL WORK STUDENTS * WILZ TRAUMA SYMPOSIUM * DIOCESE OF PUEBLO FINANCE COUNCIL * ST. MARY-CORWIN MEDICAL CENTER COMMUNITY BOARD * PUEBLO STEP-UP * PATIENT FAMILY ADVISORY COUNCIL AT ST. MARY-CORWIN MEDICAL CENTER * DIABETES EDUCATION CLASSES AT ST. MARY-CORWIN MEDICAL CENTER * CATHOLIC CHARITIES FAMILY OUTREACH; (1) - MERCY REGIONAL MEDICAL CENTER: DATA WAS COLLECTED FROM A SERIES OF TWO COMMUNITY STAKEHOLDER MEETINGS IN EACH COUNTY DURING JANUARY 2012 - APRIL 2012. TWO MEETINGS EACH IN LA PLATA COUNTY AND ARCHULETA COUNTY WERE WELL PUBLICIZED THROUGH NEWSPAPER NOTICES, INDIVIDUAL MAILINGS, AND PERSONAL CONTACTS. ATTENDEES INCLUDED A BROAD CROSS-SECTION OF THE PUBLIC INCLUDING LOCAL AND REGIONAL PUBLIC HEALTH REPRESENTATIVES, SOUTHERN UTE INDIAN HEALTH AND COMMUNITY ACTION PROGRAM, A VARIETY OF LOW-INCOME CONSUMER ADVOCATES, NON-PROFIT ORGANIZATIONS, ACADEMIC EXPERTS, LOCAL GOVERNMENT OFFICIALS, COMMUNITY-BASED ORGANIZATIONS SUCH AS CITIZENS HEALTHCARE ALLIANCE, AND HEALTH CARE PROVIDERS INCLUDING THOSE FOCUSING ON PATIENTS WITH CHRONIC DISEASE AND PRIVATE BUSINESSES. ; (1) - ST. FRANCIS MEDICAL CENTER: FOCUS GROUPS MADE UP OF COMMUNITY LEADERS MET AND RESPONDED TO A CONSISTENT SET OF QUESTIONS. INVITEES WERE CHOSEN BASED UPON THEIR AREAS OF EXPERTISE OR INTEREST IN RELATIONSHIP TO COMMUNITY HEALTH. THE FOCUS GROUPS WERE ASKED TO: 1) REVIEW COMPILATION OF EXISTING DATA, AND 2) HELP TRANSLATE THAT DATA TO THEIR OWN EXPERIENCE AS A LEADER IN THE COMMUNITY AND PROVIDE THEIR PERSPECTIVES ON THE PREDOMINANT HEALTH ISSUES IN THEIR COMMUNITIES. THERE WERE THREE FOCUS GROUPS MEETINGS THAT TOOK PLACE IN APRIL 2012 AND EACH MEETING LASTED SEVERAL HOURS.; (1) - ST. ANTHONY NORTH HOSPITAL: ONE COMMUNITY PHONE INTERVIEW AND MULTIPLE SURVEYS WERE DONE IN A VARIETY OF SETTINGS AND WITH VARIOUS INDIVIDUALS IN OUR SERVICE AREA. TRI-COUNTY HEALTH DEPARTMENT PROGRAM MANAGER ALLISON HAWKES, MD, MS, WAS INTERVIEWED BY PHONE IN MARCH 2012 PROVIDING HER PERSPECTIVE ON HEALTH ISSUES IN ADAMS COUNTY VIA AN INDIVIDUAL INTERVIEW AND WAS AVAILABLE ON A LIMITED CONSULTING BASIS. THE PATIENT POPULATION THAT IS FREQUENTLY SEEN BY THE HEALTH DEPARTMENT IS ALSO SERVED BY ST. ANTHONY NORTH HOSPITAL. A WRITTEN RANKING QUESTIONNAIRE WAS USED TO HELP PRIORITIZE THE HEALTH CARE NEEDS IN OUR COMMUNITY. EACH PARTICIPANT WAS ASKED TO RANK HEALTH ISSUES USING A SCALE OF 1 TO 5, WITH 1 MEANING "NOT A CRITICAL ISSUE" AND 5 MEANING A "VERY CRITICAL ISSUE." OVER 350 SURVEYS WERE COMPLETED IN SETTINGS THAT MADE TAKING THE SURVEY COMFORTABLE FOR THE PARTICIPANTS; THEY WERE ST. ANTHONY NORTH'S 9 HEALTH FAIR, APRIL 22, 2012; ST. ANTHONY NORTH'S FAMILY MEDICINE CLINIC, MARCH 2012; COMMUNITY REACH, MARCH 2012; ARAPAHOE HOUSE, MARCH 2012; AND VILLAS OF SUNNY ACRES, FEBRUARY 2012. THE RESULTS OF THE SURVEYS WERE AVERAGED TO PROVIDE A QUANTITATIVE MEASURE THAT WAS USED IN THE PRIORITIZATION PROCESS.; (1) - ST. ANTHONY SUMMIT MEDICAL CENTER: ST. ANTHONY SUMMIT MEDICAL CENTER RETAINED CORONA INSIGHTS RESEARCH COMPANY TO CONDUCT THREE FOCUS GROUPS IN JUNE OF 2012. TWO FOCUS GROUP SESSIONS WERE CONDUCTED WITH MEMBERS OF THE GENERAL PUBLIC WHILE ONE FOCUS GROUP WAS CONDUCTED WITH SPANISH-SPEAKING RESIDENTS. THE FOCUS GROUPS REVIEWED DATA RELEVANT TO THE COUNTY AND THEIR OPINIONS HELPED THE HOSPITAL TO IDENTIFY WHETHER THERE WERE SIGNIFICANT DIFFERENCES IN THE OPINION, PERCEPTIONS, OR EXPERIENCE OF THE RESIDENTS ON HEALTH NEEDS. THE SUMMIT COUNTY PUBLIC HEALTH DIRECTOR, PHYSICIANS, BOARD MEMBERS, CITY OFFICIALS, SUBJECT MATTER EXPERTS, AND THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WERE ASKED TO RANK SEVERAL HEALTH ISSUES USING A SCALE OF 1 TO 5, WITH 1 MEANING "NOT A CRITICAL ISSUE" AND 5 MEANING A "VERY CRITICAL ISSUE." THE RESULTS OF THE SURVEYS WERE AVERAGED TO PROVIDE A QUANTITATIVE MEASURE THAT WAS USED IN THE PRIORITIZATION PROCESS.; (1) - ORTHOCOLORADO HOSPITAL: COMMUNITY MEMBERS WERE INTERVIEWED FOR THEIR PERSPECTIVES ON THE PREDOMINANT HEALTH ISSUES IN THEIR COMMUNITIES. THEY WERE INTERVIEWED IN EITHER A ONE-ON-ONE INTERVIEW FORMAT OR A FOCUS GROUP. THE INTERVIEWEES WERE COMPRISED OF REPRESENTATIVES FROM THE FOLLOWING GROUPS: * JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT * HEALTH CONSULTING AGENCY * LAW ENFORCEMENT * JEFFERSON COUNTY SCHOOL DISTRICT * FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER * SENIOR HEALTH SERVICES/JEWISH FAMILY SERVICES * HOME HEALTH/HOSPICE * MINISTERIAL ASSOCIATIONS * EMERGENCY MEDICAL SERVICE * LOW INCOME POPULATION REPRESENTATIVES (METRO COMMUNITY PROVIDER NETWORK AND THE ACTION CENTER * SENIOR-AGED HEALTH FAIR PARTICIPANTS * AMERICAN LUNG ASSOCIATION * AMERICAN CANCER SOCIETY * DONOR ALLIANCE, TISSUE AND ORGAN RECOVERY ORGANIZATION FOR COLORADO AND WYOMING; (1) - ST. THOMAS MORE HOSPITAL: ST. THOMAS MORE HOSPITAL CONDUCTED COMMUNITY LEADER INTERVIEWS WITH CARLA DIONNE, DIRECTOR, FREMONT COUNTY PUBLIC HEALTH AND JAMES BERG, COLORADO MEDICAL ASSISTANCE PROGRAM, STATE OF COLORADO. THE HOSPITAL ALSO DEVELOPED A HEALTH NEEDS RANKING QUESTIONNAIRE. THOSE SURVEYED WERE ASKED TO RANK 34 HEALTH ISSUES USING A SCALE OF 1 TO 5, WITH 1 MEANING "NOT A CRITICAL ISSUE" AND 5 MEANING A "VERY CRITICAL ISSUE." THE QUESTIONNAIRES WERE DISSEMINATED TO A VARIETY OF INTERNAL AND COMMUNITY GROUPS. THE GOAL WAS TO REACH THE BROADEST NUMBER OF CONSTITUENTS POSSIBLE. SURVEYS WERE DISTRIBUTED TO INDIVIDUALS BETWEEN JANUARY 2012 AND MAY 2012 THROUGH SEVERAL COMMUNITY ORGANIZATIONS.; Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) - ST. ANTHONY HOSPITAL: ORTHOCOLORADO HOSPITAL EXEMPLA LUTHERAN MEDICAL CENTER ; (1) - PENROSE HOSPITAL: ST FRANCIS MEDICAL CENTER; (1) - MERCY REGIONAL MEDICAL CENTER: PAGOSA SPRINGS MEDICAL CENTER; (1) - ST. FRANCIS MEDICAL CENTER: PENROSE HOSPITAL; (1) - ORTHOCOLORADO HOSPITAL: ST. ANTHONY HOSPITAL EXEMPLA LUTHERAN MEDICAL CENTER ; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) - ST. ANTHONY HOSPITAL: KEY HEALTH NEEDS FOR ST. ANTHONY WERE IDENTIFIED AS ACCESS TO HEALTH SERVICES, CANCER, DIABETES, HEART DISEASE, INJURY, MENTAL HEALTH, OBESITY, COMMUNICABLE DISEASE, ORAL HEALTH, SEXUAL HEALTH, SUBSTANCE ABUSE, AND TOBACCO USE. AFTER DOING AN ASSESSMENT OF EXISTING CAPACITY AND COMMUNITY EFFORTS, ST. ANTHONY HOSPITAL DECIDED TO FOCUS ON OBESITY AND INJURY PREVENTION. THE NEEDS NOT ADDRESSED WERE ALREADY BEING ADDRESSED BY STRONG COMMUNITY ORGANIZATIONS, AND HOSPITAL RESOURCES WERE BETTER USED TOWARDS CREATING TARGETED STRATEGIES TO IMPACT THE PRIORITIZED NEEDS. EFFORTS WERE STRATEGICALLY TARGETED TOWARDS AREAS WHERE THE LARGEST NEED EXISTED, AND WHERE ST. ANTHONY COULD HAVE THE GREATEST IMPACT.; (1) - PENROSE HOSPITAL: THERE WERE A FEW HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSED BY PENROSE HOSPITAL. SEVERAL STRONG COMMUNITY GROUPS WERE ALREADY SUCCESSFULLY WORKING ON THESE ISSUES. INSTEAD OF UTILIZING RESOURCES TO CREATE A NEW STRATEGY, PENROSE DECIDED TO SUPPORT AND PARTNER WITH SUCCESSFUL GROUPS ALREADY WORKING IN THE COMMUNITY. TO HAVE THE GREATEST IMPACT ON THE NEEDS THAT WE DID IDENTIFY, COMMUNITY BENEFIT RESOURCES WERE CAREFULLY PLANNED AND ALLOCATED TOWARDS TARGETED EVIDENCE BASED STRATEGIES KNOWN TO DIRECTLY IMPACT AND IMPROVE THE IDENTIFIED NEEDS.; (1) - ST. MARY-CORWIN MEDICAL CENTER: THERE WERE SOME HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSED BY ST. MARY CORWIN HOSPITAL. SEVERAL STRONG COMMUNITY GROUPS WERE ALREADY SUCCESSFULLY WORKING ON THESE ISSUES. AN INTERNAL CAPACITY ASSESSMENT CONCLUDED THAT IT WOULD BE MORE FORTUITOUS TO SUPPORT AND PARTNER WITH SUCCESSFUL GROUPS ALREADY WORKING IN THE COMMUNITY, INSTEAD OF USING RESOURCES TO CREATE NEW STRATEGIES, WHEN SUCCESS PROGRAMS AND STRATEGIES ALREADY EXISTED. TO HAVE THE GREATEST IMPACT ON THE NEEDS THAT WE DID IDENTIFY, COMMUNITY BENEFIT RESOURCES WERE CAREFULLY PLANNED AND ALLOCATED TOWARDS TARGETED EVIDENCE BASED STRATEGIES KNOWN TO DIRECTLY IMPACT AND IMPROVE THE IDENTIFIED NEEDS. ; (1) - MERCY REGIONAL MEDICAL CENTER: MERCY REGIONAL MEDICAL CENTER IDENTIFIED BUT DID NOT ADDRESS OBESITY, TOBACCO USE, MOTOR VEHICLE ACCIDENTS, COLORECTAL AND BREAST CANCER. HEALTHY LIFESTYLE LA PLATA, A LOCAL COMMUNITY GROUP, IS ALREADY ADDRESSING OBESITY. MERCY DECIDED TO PARTNER AND ALIGN WITH THIS GROUP TO REDUCE DUPLICATION OF EFFORTS. THEY DID NOT ADDRESS TOBACCO USE BECAUSE THEY ARE WORKING WITH THEIR LOCAL HEALTH DEPARTMENT TO ALIGN WITH THEIR PROGRAMMING AND PLAN. THEY DID NOT ADDRESS MOTOR VEHICLE ACCIDENTS DUE TO A LACK OF CAPACITY TO ADDRESS THIS ISSUE FROM THEIR HEALTH SYSTEM PERSPECTIVE. LASTLY, THEY DID NOT ADDRESS COLORECTAL AND BREAST CANCER SCREENING RATES BECAUSE UPON CLOSER EXAMINATION, THESE WERE ACTUALLY NOT HIGH PRIORITY NEEDS IN THEIR COMMUNITY.; (1) - ST. FRANCIS MEDICAL CENTER: THERE WERE SOME HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSED BY ST. FRANCIS HOSPITAL. SEVERAL STRONG COMMUNITY GROUPS WERE ALREADY SUCCESSFULLY WORKING ON THESE ISSUES. AN INTERNAL CAPACITY ASSESSMENT CONCLUDED THAT IT WOULD BE MORE FORTUITOUS TO SUPPORT AND PARTNER WITH SUCCESSFUL GROUPS ALREADY WORKING IN THE COMMUNITY, INSTEAD OF USING RESOURCES TO CREATE NEW STRATEGIES, WHEN SUCCESS PROGRAMS AND STRATEGIES ALREADY EXISTED. TO HAVE THE GREATEST IMPACT ON THE NEEDS WERE IDENTIFIED, COMMUNITY BENEFIT RESOURCES WERE CAREFULLY PLANNED AND ALLOCATED TOWARDS TARGETED EVIDENCE BASED STRATEGIES KNOWN TO DIRECTLY IMPACT AND IMPROVE THE IDENTIFIED NEEDS.; (1) - ST. ANTHONY NORTH HOSPITAL: KEY HEALTH NEEDS FOR ST. ANTHONY NORTH WERE IDENTIFIED AS ACCESS TO HEALTH SERVICES, CANCER, MENTAL HEALTH/SUBSTANCE ABUSE, OBESITY, SMOKING, GENERAL HEALTH, HIV/AIDS/HEP B. ST. ANTHONY NORTH PRIORITIZED ACCESS TO HEALTH SERVICES AND MENTAL HEALTH SUBSTANCE ABUSE. AFTER DOING A CAPACITY ASSESSMENT AND LITERATURE REVIEW OF EVIDENCE BASED STRATEGIES, ST. ANTHONY NORTH DETERMINED THEY WOULD HAVE THE GREATEST IMPACT ADDRESSING ACCESS TO CARE AND MENTAL HEALTH/SUBSTANCE ABUSE ISSUES. THE NEEDS NOT ADDRESSED WERE ALREADY BEING ADDRESSED BY STRONG COMMUNITY ORGANIZATIONS, AND HOSPITAL RESOURCES WERE BETTER USED TOWARDS CREATING TARGETED STRATEGIES TO IMPACT THE PRIORITIZED NEEDS. EFFORTS WERE STRATEGICALLY TARGETED TOWARDS AREAS WHERE THE LARGEST NEED EXISTED, AND WHERE ST. ANTHONY NORTH COULD HAVE THE GREATEST IMPACT.; (1) - ST. ANTHONY SUMMIT MEDICAL CENTER: KEY HEALTH NEEDS FOR ST. ANTHONY SUMIT HOSPITAL WERE IDENTIFIED AS ACCESS TO HEALTH SERVICES, INJURY PREVENTION, CANCER, FLU SHOT/PNEUMONIA, MENTAL HEALTH, OBESITY, ORAL HEALTH, SEXUAL HEALTH, HIV/AIDS, AND SUBSTANCE ABUSE. AFTER DOING AN ASSESSMENT OF EXISTING CAPACITY AND COMMUNITY EFFORTS, ORTHOCOLORADO HOSPITAL DECIDED TO FOCUS ON ACCESS TO CARE AND INJURY PREVENTION. THE NEEDS NOT ADDRESSED WERE ALREADY BEING ADDRESSED BY STRONG COMMUNITY ORGANIZATIONS, AND HOSPITAL RESOURCES WERE BETTER USED TOWARDS CREATING TARGETED STRATEGIES TO IMPACT THE PRIORITIZED NEEDS. EFFORTS WERE STRATEGICALLY TARGETED TOWARDS AREAS WHERE THE LARGEST NEED EXISTED, AND WHERE ST. ANTHONY COULD HAVE THE GREATEST IMPACT, AND WOULD NOT BE DUPLICATING EXISTING PROGRAMS.; (1) - ORTHOCOLORADO HOSPITAL: KEY HEALTH NEEDS FOR ORTHOCOLORADO HOSPITAL WERE IDENTIFIED AS ACCESS TO HEALTH SERVICES, CANCER, DIABETES, HEART DISEASE, INJURY, MENTAL HEALTH, OBESITY, COMMUNICABLE DISEASE, ORAL HEALTH, SEXUAL HEALTH, SUBSTANCE ABUSE, AND TOBACCO USE. AFTER DOING AN ASSESSMENT OF EXISTING CAPACITY AND COMMUNITY EFFORTS, ORTHOCOLORADO HOSPITAL DECIDED TO FOCUS ON OBESITY AND INJURY PREVENTION. THE NEEDS NOT ADDRESSED WERE ALREADY BEING ADDRESSED BY STRONG COMMUNITY ORGANIZATIONS, AND HOSPITAL RESOURCES WERE BETTER USED TOWARDS CREATING TARGETED STRATEGIES TO IMPACT THE PRIORITIZED NEEDS. EFFORTS WERE STRATEGICALLY TARGETED TOWARDS AREAS WHERE THE LARGEST NEED EXISTED, AND WHERE ST. ANTHONY COULD HAVE THE GREATEST IMPACT.; (1) - ST. THOMAS MORE HOSPITAL: THERE WERE SOME HEALTH NEEDS IDENTIFIED BUT NOT ADDRESSED BY ST. THOMAS MORE. SEVERAL STRONG COMMUNITY GROUPS WERE ALREADY SUCCESSFULLY WORKING ON THESE ISSUES. AN INTERNAL CAPACITY ASSESSMENT CONCLUDED THAT IT WOULD BE MORE FORTUITOUS TO SUPPORT AND PARTNER WITH SUCCESSFUL GROUPS ALREADY WORKING IN THE COMMUNITY, INSTEAD OF USING RESOURCES TO CREATE NEW STRATEGIES, WHEN SUCCESS PROGRAMS AND STRATEGIES ALREADY EXISTED. TO HAVE THE GREATEST IMPACT ON THE NEEDS THAT WE DID IDENTIFY, COMMUNITY BENEFIT RESOURCES WERE CAREFULLY PLANNED AND ALLOCATED TOWARDS TARGETED EVIDENCE BASED STRATEGIES KNOWN TO DIRECTLY IMPACT AND IMPROVE THE IDENTIFIED NEEDS. ; Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - ST. ANTHONY HOSPITAL: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - PENROSE HOSPITAL: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ST. MARY-CORWIN MEDICAL CENTER: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - MERCY REGIONAL MEDICAL CENTER: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ST. FRANCIS MEDICAL CENTER: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ST. ANTHONY NORTH HOSPITAL: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ST. ANTHONY SUMMIT MEDICAL CENTER: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ORTHOCOLORADO HOSPITAL: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; (1) - ST. THOMAS MORE HOSPITAL: CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A 10% PROMPT PAY DISCOUNT. THE TOTAL DISCOUNT OF 40% APPROXIMATES CHIC'S CONTRACTED RATES.; 68 SYNERGY ORTHOPEDICS 8510 Bryant St Suite 320 WESTMINSTER CO 80031 PHYSICIAN CLINIC VILLAS AT SUNNY ACRES 2501 EAST 104TH AVE THORNTON CO 80233 SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING SMC GASTROENTEROLOGY 1925 E ORMAN PUEBLO CO 81004 GASTROENTEROLOGY PRACTICE WOMEN'S HEALTH SPECIALISTS 13691 Colorado Blvd Suite 106 THORNTON CO 80602 WOMEN'S CARE CLINIC DURANGO URGENT CARE AT DMR 1 SKIER PLACE DURANGO CO 81301 URGENT CARE PSF PRIMARY CARE HEALTH CARE SERVICES 2960 N Circle Dr Suite 100 COLORADO SPRINGS CO 80909 PHYSCIAN OFFICE GARDENS AT ST ELIZABETH 2835 WEST 32ND AVE DENVER CO 80211 ASSISTED LIVING INDEPENDENT LIVING NORTH METRO INTERNAL MEDICINE 8300 Alcott St Suite 302 WESTMINSTER CO 80031 OUTPATIENT CLINIC SUMMIT CARDIOLOGY 360 PEAK ONE DR Suite 390 FRISCO CO 80443 CARDIOLOGY PRACTICE PENROSE HOME CARE 7015 TALL OAKS DRIVE COLORADO SPRINGS CO 80919 HOME HOSPICE SMC SURGICAL PHYSICIANS 1925 E ORMAN PUEBLO CO 81004 GENERAL SURGERY DIMENSION PAIN MANAGEMENT 400 W 144th Suite 240 WESTMINSTER CO 80031 PHYSICIAN PRACTICE PENROSE COMMUNITY HOSPITAL 3205 N CASCADE AVE COLORADO SPRINGS CO 80917 OP CLINIC URGENT CARE NO IP SERVICES SURGERY SERVICES & THE MEDICAL HOME 1339 PHAY AVE CANON CITY CO 81212 SURGERY PRACTICE FAMILY PRACTICE VASCULAR & ENDOVASCULAR SPECIALIST OF COLORADO 11700 W 2nd Place Suite 210 LAKEWOOD CO 80228 SPECIALTY SURGERY SMC PHYSICIAN PARTNERS-REHAB 1925 E ORMAN PUEBLO CO 81004 REHAB PHYSICIAN BRECKENRIDGE MEDICAL CLINIC 555 S PARK AVE PLAZA II PO BOX 6909 BRECKENRIDGE CO 80424 PRIMARY CARE/URGENT CARE/ER TOUCHSTONE PUEBLO WEST CLINIC 141 S PURCELL BLVD SuiTE 106 PUEBLO WEST CO 81007 FAMILY PRACTICE PSYCHIATRIC SERVICES 11600 W 2nd Place LAKEWOOD CO 80228 OUTPATIENT CLINIC MEDALION RETIREMENT COMMUNITY 1719 EAST BIJOU ST COLORADO SPRINGS CO 80909 SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING ST ANTHONY HEALTH CENTER EVERGREEN 1520 EVERGREEN PKWY EVERGREEN CO 80439 PHYSICIAN PRACTICE MERCY HEALTH SERVICES CLINIC 1800 E THIRD AVE DURANGO CO 81301 HEALTH SERVICES CENTURA HEALTH URGENT CARE CANON CITY 3245 E US Hwy 50 CANON CITY CO 81212 URGENT CARE CLINIC ROCKY MOUNTAIN SPORTS AND FAMILY MEDICINE 1315 Fortino Blvd W PUEBLO CO 81008 PHYSICIAN CLINIC AZTEC DIAGNOSTIC LAB 604 S RIO GRANDE AZTEC NM 87410 MDS SERVICES MERCY HOME HEALTH ONE MERCADO STREET suite 270 DURANGO CO 81301 HOMECARE SENIOR HEALTH CENTER WEST 11700 W 2nd Place LAKEWOOD CO 80228 PRIMARY CARE GERIATRICS ENDOCRINOLOGY DIABETES & THYROID SPECIALISTS OF COLORADO 11700 W 2nd Place Suite 210 LAKEWOOD CO 80228 PHYSICIAN CLINIC PHYSICIAN PARTNERS ORTHOPAEDIC SURGERY 4112 OUTLOOK BLVD PUEBLO CO 81008 ORTHOPAEDIC SURGERY ASSOCIATED SURGEONS 11700 W 2nd Place Suite 210 LAKEWOOD CO 80228 GENERAL SURGERY SOUTHERN COLORADO GYNOCOLOGY ONCOLOGY 2222 N Nevada Ave Suite 2025 COLORADO SPRINGS CO 80907 PHYSICIAN OFFICE PENROSE URGENT CARE AT CRIPPLE CREEK 1101 TELLER COUNTY ROAD 1 CRIPPLE CREEK CO 80813 URGENT CARE MERCY DIAGNOSTIC LAB 2577 N MAIN AVE DURANGO CO 81301 MDS SERVICES CENTURA HOME OXYGEN-PUEBLO 4025 CLUB MANOR DRIVE PUEBLO CO 81008 HOME MEDICAL EQUIP. PSF PRIMARY CARE HEALTH CARE SERVICES 6011 E Woodmen Suite 100 COLORADO SPRINGS CO 80923 PHYSICIAN OFFICE SOUTHERN COLORADO BREAST CARE SPECIALISTS 2312 N Nevada Ave Suite 235 COLORADO SPRINGS CO 80907 PHYSICIAN OFFICE PROGRESSIVE CARE CENTER 1338 PHAY AVE CANON CITY CO 81212 SKILLED NURSING RESPITE CARE ST ANTHONY HOSPICE 1391 SPEER BLVD Suite 600 DENVER CO 80204 HOME HOSPICE NAMASTE ALZHEIMER CENTER 2 PENROSE BOULEVARD COLORADO SPRINGS CO 80906 ALZHEIMER'S CARE ADULT DAY CARE SENIOR HEALTH CENTER NORTH 8510 BRYANT ST SUITE 250 WESTMINSTER CO 80031 PRIMARY CARE GERIATRICS VILLA PUEBLO SENIOR LIVING COMMUNITY 1111 BONFORTE BLVD PUEBLO CO 81001 SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING CARDIAC AND THORACIC SURGERY ASSOCIATES PC 2222 N Nevada Ave Suite 5011 COLORADO SPRINGS CO 80907 PHYSICIANS CHAMBERS SPECIALTY SURGICAL CARE 11700 W 2nd Place Suite 210 LAKEWOOD CO 80228 GENERAL SURGERY ST ANTHONY KEYSTONE MEDICAL CLINIC 1252 COUNTY ROAD 8 KEYSTONE CO 80435 PRIMARY CARE/URGENT CARE/ER NORTH RIDGE MEDICAL PRACTICE 13691 COLORADO BLVD SUITE 106 THORNTON CO 80602 PRIMARY CARE CENTURA HOME OXYGEN-COLORADO SPRINGS 4260 BUCKINGHAM DR suite 100 COLORADO SPRINGS CO 80907 HOME MEDICAL EQUIP. TOUCHSTONE 1925 E ORMAN PUEBLO CO 81004 FAMILY PRACTICE INTERNAL MEDICINE 614 YALE CANON CITY CO 81212 INTERNAL MEDICINE SOUTHERN COLORADO VASCULAR SURGERY 2222 N Nevada Ave Suite 5011 COLORADO SPRINGS CO 80907 PHYSICIAN OFFICE INTERMOUNTAIN NEURO PHYSICIANS 11750 W 2nd Place Suite 255 LAKEWOOD CO 80228 OUTPATIENT NEURO REHABILITATIONCCOM 1338 PHAY AVE CANON CITY CO 81212 REHAB CLINIC ORTHOPAEDIC CLINIC CCOM FAMILY MEDICINE CLINIC NORTH 8510 BRYANT ST SUITE 210 WESTMINSTER CO 80031 PRIMARY CARE CLINIC RESIDENCY FACILITY CENTURA FAMILY CARE CENTER 916 Indiana Ave PUEBLO CO 81004 PHYSICIAN CLINIC PENROSE MOUNTAIN URGENT CARE CLINIC 41 STATE HIGHWAY 67 WOODLAND PARK CO 80863 URGENT CARE OP REHAB ADVANCED CARE IN ENDOCRINOLOGY AND DIABETES 3207 North Academy Blvd Suite 1300 COLORADO SPRINGS CO 80917 PHYSICIAN PRACTICE SOUTHERN COLORADO FAMILY MEDICINE 1008 MINNEQUA AVE PUEBLO CO 81004 FAMILY PRACTICE HOSPICE OF MERCY ONE MERCADO STREET suite 270 DURANGO CO 81301 HOMECARE MERCY CARDIOLOGY ASSOCIATES 1 Mercado Street DURANGO CO 81301 OUTPATIENT CARE CLINIC CHPG WESTMINSTER INTERNAL & FAMILY MEDICINE 400 W 144th Suite 260A WESTMINSTER CO 80023 PHYSICIAN PRACTICE ASPEN RIDGE ENT 11700 2nd Place Suite 210 LAKEWOOD CO 80228 OUTPATIENT CLINIC ST MARY CORWIN HOME SERVICES 4025 CLUB MANOR DRIVE PUEBLO CO 81003 HOMECARE PRIMARY CARE SERVICES 4231 W 16TH AVE DENVER CO 80204 PRIMARY CARE CLINIC CENTURA HOME OXYGEN-DENVER 2590 W 2ND AVE SUITE 5 DENVER CO 80219 HOME MEDICAL EQUIP. ST ANTHONY COPPER MOUNTAIN CLINIC 860 COPPER RD COPPER MOUNTAIN CO 80443 PRIMARY CARE URGENT CARE URGENT CARE OF GOLDEN 1030 Johnson Rd Suite 200 GOLDEN CO 80401 OP URGENT CARE OBGYN SERVICES 1335 PHAY AVE SUITE B CANON CITY CO 81212 OB/GYN SASMC AMBULATORY SURGERY CENTER 340 PEAK ONE DRIVE FRISCO CO 80443 AMBULATORY SURGERY CENTER DURANGO CANCER CENTER 1 Mercado Street Suite 100 DURANGO CO 81301 RADIATION AND FOLLOW UP CARE FOR CANCER PATIENTS SCHEDULE H, PART I, LINE 3C, ELIGIBILITY CRITERIA CHI COLORADO HAS AN ESTABLISHED CHARITY CARE POLICY BASED ON THE FEDERAL POVERTY LEVEL. CHARITY IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE THAT CONSIDERS THE PATIENT'S FAMILY SIZE AND INCOME LEVEL. THE CHARITY PROVIDED RANGES FROM 100% OF THE PATIENT'S BILL FOR INDIVIDUALS WHOSE HOUSEHOLD INCOME IS AT 100% OR LESS OF THE FEDERAL POVERTY LEVEL, TO A 60% DEDUCTION FOR INDIVIDUALS WHOSE INCOME IS AT 400% OF THE FEDERAL POVERTY LEVEL. CHI COLORADO TAKES INTO ACCOUNT SPECIFIC FACTS AND CIRCUMSTANCES IN GRANTING CHARITY IN SITUATIONS SUCH AS A CATASTROPHIC ILLNESS WHERE THE PATIENT DOES NOT HAVE LIQUID ASSETS. SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORT CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED BY CENTURA HEALTH CORPORATION (CHC). CHC PREPARES ITS OWN WRITTEN COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF CHIC AND OTHER ENTITIES MANAGED BY CHC. THE ANNUAL REPORT IS PUBLISHED ON CENTURA'S WEBSITE AND AVAILABLE TO ANYONE INTERESTED. Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT USE A COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARITY CARE PROVIDED. THE ESTIMATED COST OF CARE IS CALCULATED BY APPLYING THE RATIO OF EACH FACILITY'S TOTAL EXPENSES TO TOTAL GROSS REVENUE. WORKSHEET 2 WAS NOT USED TO DEVELOP THE COST TO CHARGE RATIO. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 76,849,665 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 CATHOLIC HEALTH INITIATIVES COLORADO USES THE OVERALL COST TO GROSS CHARGE RATIO APPLICABLE TO EACH FACILITY TO DETERMINE THE COSTS IN PART III, LINES 2 AND 3. CATHOLIC HEALTH INITIATIVES COLORADO AUTOMATICALLY DISCOUNTS ALL SELF-PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT. THIS ALLOWANCE IS NOT INCLUDED IN THE CALCULATION OF THE COST OF BAD DEBTS IN INSTANCES WHERE A PATIENT DOES NOT PAY HIS OR HER BILL. Schedule H, Part III, Line 3, Bad Debt Expense Methodology CATHOLIC HEALTH INITIATIVES COLORADO DOES NOT INCLUDE ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS 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 COST FOR EACH HOSPITAL'S COST REPORT IS PULLED FROM YEAR END TRIAL BALANCES. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. CHIC'S POSITION IS CONSISTENT WITH THAT OF CATHOLIC HEALTH INITIATIVES (CHI), ITS SPONSOR. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS; FOR-PROFIT HOSPITALS TREAT AND ATTEMPT TO ATTRACT MEDICARE BENEFICIARIES. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance CATHOLIC HEALTH INITIATIVES COLORADO'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH CATHOLIC HEALTH INITIATIVES COLORADO'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). CATHOLIC HEALTH INITIATIVES COLORADO REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER CATHOLIC HEALTH INITIATIVES COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CATHOLIC HEALTH INITIATIVES COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES COLORADO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. SCHEDULE H, PART VI, LINES 2, 4, & 5: COMMUNITY NEEDS, INFORMATION, AND BENEFIT COMMUNITY NEEDS, INFORMATION, AND PROMOTION OF COMMUNITY HEALTH ACROSS COLORADO, ALMOST 9,000 ASSOCIATES OF CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) ARE CHANGING LIVES IN THE HOSPITALS, SENIOR LIVING COMMUNITIES, CLINICS, AND HOMES IN WHICH THEY WORK. THROUGH THE MANY COMMUNITY PROGRAMS AND THE CHARITY CARE THEY PROVIDE FOR PEOPLE THROUGHOUT COLORADO, CHIC ASSOCIATES RECEIVE GREAT SATISFACTION FROM FULFILLING A MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST. THE COMMUNITY BENEFIT REPORT IS A COLLECTIVE LIST OF VARIOUS ACTIVITIES THROUGH WHICH CHIC SUPPORTS ITS NEIGHBORS THROUGHOUT THE STATE. COMMUNITY BENEFITS ARE OFFERED IN THE FORM OF OUTREACH, EDUCATION, SUPPORT GROUPS, ACTIVITIES, AND CLINICS, AS WELL AS CHARITY CARE. AS A NONPROFIT, FAITH-BASED ORGANIZATION, CHIC IS COMMITTED TO PROVIDING SUPPORT AND PROGRAMS FOR THOSE LESS FORTUNATE IN OUR COMMUNITIES. IN HARD TIMES THOSE NUMBERS GROW, WHILE RESOURCES SHRINK. IN RESPONSE TO THIS, WE SEEK HOW TO MAKE THE MOST IMPACT IN EVERY COMMUNITY WE TOUCH. IN THE MOST RECENT FISCAL YEAR CHIC INVESTED THE FOLLOWING IN ITS COMMUNITIES: COMMUNITY BENEFIT ANNUAL REPORT FY 2014 SUMMARY INTRODUCTION CATHOLIC HEALTH INITIATIVES COLORADO, A FAITH-BASED, NONPROFIT HEALTH CARE ENTITY, SINCE THEIR EARLIEST DAYS, HAS PLACED AN EMPHASIS ON WHOLE PERSON CARE AND ON ILLNESS PREVENTION AND HAS PRESERVED AN UNWAVERING COMMITMENT TO THEIR VALUES AND AN UNDERSTANDING OF THE VITAL ROLE THAT MINISTERING TO SPIRITUAL NEEDS CAN PLAY IN HEALTH CARE. COMMITTED TO THE MISSION OF CONTINUING THE HEALING MINISTRY OF CHRIST, CHIC BUILDS UPON ITS UNIQUE HISTORY, HERITAGE, AND TRADITIONS TO CREATE A FAITH-BASED ENTITY DESIGNED TO ADVANCE THE MISSION OF THEIR INDIVIDUAL ORGANIZATIONS. TODAY, CHIC OPERATES 9 HOSPITAL CAMPUSES: ST. ANTHONY HOSPITAL, ST. ANTHONY NORTH HOSPITAL, ST. ANTHONY SUMMIT MEDICAL CENTER, PENROSE HOSPITAL, ST. FRANCIS MEDICAL CENTER, MERCY REGIONAL MEDICAL CENTER, ST. MARY CORWIN MEDICAL CENTER, ST. THOMAS MORE HOSPITAL, AND ORTHOCOLORADO HOSPITAL. IN KEEPING WITH OUR MISSION, CHIC PROVIDES CARE FOR ALL REGARDLESS OF ABILITY TO PAY. IN FISCAL YEAR 2014, CHIC PROVIDED OVER $160.6 MILLION TO UNDERPRIVILEGED INDIVIDUALS AND THE BROADER COMMUNITY IN CHARITY CARE, COMMUNITY EDUCATION AND OUTREACH, AND UNPAID COSTS OF MEDICAID. QUALITY HEALTH CARE IS DELIVERED IN THE SERVICE AREAS OF METRO DENVER, COLORADO SPRINGS, PUEBLO, CANON CITY, FRISCO, BRECKENRIDGE, DURANGO, AND THEIR SURROUNDING COMMUNITIES WITHIN THE STATE OF COLORADO. UNCOMPENSATED CARE CATHOLIC HEALTH INITIATIVES COLORADO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE EACH YEAR. THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TABLE INDICATES THAT IN FISCAL YEAR 2014, THE COST OF TRADITIONAL CHARITY CARE PROVIDED WAS $48.2 MILLION. CHIC ALSO INCURRED $88.9 MILLION IN UNREIMBURSED COSTS FOR SERVICES PROVIDED TO MEDICAID PATIENTS. FREQUENTLY, THE COSTS OF PROVIDING SERVICES TO PARTICIPANTS OF MEDICAID ARE GREATER THAN THE PAYMENTS RECEIVED FROM THE PROGRAM. THE SAME IS TRUE FOR MEDICARE. CHIC INCURRED $95.9 MILLION IN UNREIMBURSED COSTS FOR MEDICARE. SCHEDULE H, PART VI, LINES 2, 4, & 5: COMMUNITY NEEDS, INFORMATION, AND BENEFIT COMMUNITY NEEDS, INFORMATION, AND PROMOTION OF COMMUNITY HEALTH (CONTINUED) COMMUNITY OUTREACH PROVIDED TO THE LOW INCOME POPULATION MEDICAID PROGRAM ENROLLMENT SCREENING UNINSURED PATIENTS TO DETERMINE ELIGIBILITY AND FACILITATES ENROLLMENT IN MEDICAID, MEDICARE, OR CHARITY PROGRAMS NURSEFAMILY PARTNERSHIP PROGRAM HOME VISITS TO PREGNANT AND PARENTING PATIENTS TO ENSURE A GOOD PREGNANCY AND APPROPRIATE EARLY CHILDHOOD DEVELOPMENT THROUGH BABY'S THIRD YEAR PASTORAL NURSE PROGRAM HEALTH EDUCATION AND PREVENTIVE CARE TO LOW-INCOME, UNINSURED, AND UNDERSERVED POPULATIONS RX ASSIST - BEN CHECKUP - PRESCRIPTION AND BENEFITS ASSISTANCE PHARMACEUTICAL DISCOUNT COUNSELING FOR SENIORS SCHOOL BASED HEALTH CENTER CLINIC WITHIN DENVER PUBLIC SCHOOLS, PROVIDING PHYSICAL AND MENTAL HEALTH CARE TO THE STUDENTS OF LAKE MIDDLE SCHOOL AND FIVE FEEDER ELEMENTARY SCHOOLS MISSION OUTREACH COMMITTEE PROJECTS VARIOUS CASH AND IN KIND DONATION PROJECTS CONDUCTED TO ASSIST COMMUNITY MEMBERS PHARMACEUTICAL SUPPLIES DONATION DONATIONS OF PHARMACEUTICAL AND MEDICAL SUPPLIES FOR THE UNDERPRIVILEGED PHARMACY DISCOUNTED PRESCRIPTION PROGRAM DISCOUNT PRICING FOR UNINSURED/UNDERINSURED COMMUNITY MEMBERS COMPENSATED ROOMS FOR BOARDER MOTHERS OF NEWBORNS OVERNIGHT STAYS, WITHOUT CHARGE, FOR MOTHERS WHO NEED TO BE NEAR HOSPITALIZED INFANTS DIABETES EDUCATION PROVIDE DIABETES EDUCATION TO PATIENTS OF THE FAMILY MEDICINE RESIDENCY PROGRAM DOULA PROGRAM PROVIDES BIRTH COACHES FOR SPANISH SPEAKING WOMEN TO FACILITATE THE BIRTH PROCESS IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER, MINIMIZING COMPLICATIONS COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ASK-A NURSE CALLS FREE HEALTH INFORMATION AND PHYSICIAN REFERRAL SERVICE FOR OUR COMMUNITY; NURSES ALSO ASSESS HEALTH CONDITIONS FROM NECK PAIN TO A FEVER, AND GIVE FREE PROFESSIONAL ADVICE ON WHAT ACTION TO TAKE NEXT; THIS PROGRAM PROVIDES INFORMATION AND REGISTRATION FOR HOSPITAL CLASSES AND EVENTS CANCER CENTER COMMUNITY BENEFIT PROVIDE PATIENTS/SIGNIFICANT OTHERS AND POTENTIAL PATIENTS WITH INFORMATION ON CANCER, CANCER TREATMENT AND COPING SKILLS; PROVIDE EDUCATION FOR PHYSICIANS, NURSES, TECHNICIANS AND STUDENTS ON CANCER-RELATED TOPICS; ANNUAL FREE CANCER SCREENINGS (BREAST, PROSTATE, AND SKIN); SUPPORT GROUPS FOR PATIENTS, FAMILY MEMBERS, AND SIGNIFICANT OTHERS SINCE 1976, CANCER CENTER'S TUMOR REGISTRY HAS COLLECTED CANCER DATA WHICH ENABLES PHYSICIANS TO EVALUATE PATIENT TREATMENT PROGRESS AND PROVIDES INFORMATION TO STATE OF COLORADO FOR TREND ANALYSES OF CANCER INCIDENCE AND DISTRIBUTION. CAR SEAT FIT STATIONS INSPECT CAR SEAT INSTALLATIONS AND EDUCATE PARENTS REGARDING COLORADO CAR SEAT LAWS; CAR SEATS ARE PROVIDED FOR A MINIMUM DONATION CAREER EXPOS INTRODUCE STUDENTS TO THE OPPORTUNITIES IN HEALTH CARE AND EXPLAIN REQUIREMENTS FOR THOSE POSITIONS CPR EDUCATION PROGRAM PREPARE STUDENTS FOR POTENTIAL LIFE THREATENING SITUATIONS IN PUBLIC, HOME, OR BABY-SITTING SITUATIONS EDUCATION - WOMEN'S SERVICES CLASSES RELATED TO CHILDBIRTH PREPARATION AND CARING FOR A NEW BABY FLIGHT FOR LIFE AIR AMBULANCE COMMUNITY EDUCATION AND TRAINING HEALTH FAIRS FOR THE COMMUNITY HOSPITAL STAFF PROVIDE SCREENINGS AND OTHER HEALTH EDUCATIONAL OPPORTUNITIES HEALTH PASSPORT PROVIDES HEALTH AND WELLNESS INFORMATION TO THE COMMUNITY TO IMPROVE THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS PROJECT CURE COLLECTION OF MEDICAL SUPPLIES AND EQUIPMENT IS PALLETIZED AND SHRINK WRAPPED FOR DONATION SANE PROGRAM CLINICAL EXAMINATIONS AND FORENSIC EVIDENCE COLLECTION FOR VICTIMS OF SEXUAL ASSAULT BLOOD DRIVES HOSPITAL EMPLOYEES DONATE THEIR BLOOD TO THE BONFILS BLOOD CENTER ADVANCE MEDICAL DIRECTIVE EDUCATION PROVIDE LITERATURE AND FORMS TO EDUCATE THE PUBLIC REGARDING THEIR OPTIONS FOR END OF LIFE MEDICAL CARE PASTORAL/SPIRITUAL CARE SERVICES PROVIDE SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES STUDENT PRECEPTING PROVIDE A CLINICAL SETTING AND SUPERVISION BY LICENSED STAFF FOR STUDENTS OF VARIOUS HEALTH CARE POSITIONS (I.E. NURSING, EMT, THERAPISTS) TO COMPLETE THEIR REQUIRED CLINICAL EXPERIENCE FIRST AID SERVICES AT COMMUNITY EVENTS PROVIDE FIRST AID SERVICES THROUGHOUT THE COMMUNITY TRANSPORTATION SERVICES PROVIDE TRANSPORTATION TO PATIENTS AND PATIENT FAMILIES YAFFEE HOUSE/JOHN ZAY HOUSE PROVIDE LODGING, AT NO COST, FOR OUT OF AREA PATIENTS RECEIVING OUT-PATIENT CARE AND FOR FAMILY MEMBERS OF HOSPITALIZED PATIENTS VARIOUS HEALTH SCREENING, COUNSELING, AND EDUCATION ACTIVITIES CHIC HOSPITALS CONDUCT NUMEROUS EVENTS AND HEALTH SCREENINGS THROUGHOUT THE COMMUNITIES THEY SERVE TO PROMOTE HEALTH AWARENESS AND ENCOURAGE INDIVIDUALS TO ASSUME A PARTNERSHIP ROLE IN RESPONSIBILITY FOR MAINTAINING HEALTH. THESE EVENTS INCLUDE SPORTS PHYSICALS, BEHAVIORAL HEALTH EDUCATION, FLU SHOT CLINICS, CANCER RISK ASSESSMENTS, NUTRITION SERVICES, BLOOD PRESSURE CHECKS, CHILD SAFETY, MANAGING DIABETES, AND DISCOUNTED MAMMOGRAPHY SCREENINGS. SCHEDULE H, PART VI, LINES 2, 4, & 5: COMMUNITY NEEDS, INFORMATION, AND BENEFIT COMMUNITY NEEDS, INFORMATION, AND PROMOTION OF COMMUNITY HEALTH (CONTINUED) DEMOGRAPHIC DATA ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL: BOTH ST. ANTHONY AND ORTHOCOLORADO HAVE A PRIMARY SERVICE AREA THAT INCLUDES JEFFERSON COUNTY, DENVER COUNTY, AND CLEAR CREEK COUNTY. AS OF 2010 JEFFERSON COUNTY'S POPULATION WAS 534,543, DENVER COUNTY'S WAS 600,158, AND CLEAR CREEK COUNTY'S WAS 9,088. THE POPULATION IN JEFFERSON, DENVER, AND CLEAR CREEK COUNTIES IS PREDOMINANTLY WHITE. JEFFERSON AND CLEAR CREEK COUNTIES HAVE RELATIVELY SMALL PERCENTAGES OF OTHER RACES (6.4% AND 2.3%) WHILE DENVER COUNTY'S PERCENTAGE OF OTHER RACES IS MUCH HIGHER AT 17.7%. HOSPITAL EXPERIENCE SUGGESTS THAT THE TWO ZIP CODES OF DENVER COUNTY WHICH HAS POPULATIONS MOST SERVED BY ST. ANTHONY HOSPITAL HAVE A HIGH PERCENTAGE OF HISPANICS/LATINOS. WITH REGARD TO MEDIAN HOUSEHOLD INCOMES, JEFFERSON AND CLEAR CREEK COUNTIES EXCEED THE STATE AVERAGE OF APPROXIMATELY $55,000 ($66,059 AND $64,241 RESPECTIVELY) WHILE DENVER COUNTY FALLS BELOW THE STATE AVERAGE AT $46,693. WITH REGARD TO PERSONS LIVING BELOW POVERTY LEVEL, DENVER COUNTY EXCEEDS THE STATE AVERAGE OF APPROXIMATELY 12% BY MEASURING AT 18.8%. BOTH JEFFERSON AND CLEAR CREEK COUNTIES HAVE PERCENTAGES THAT ARE WELL BELOW THE STATE AVERAGE (8.1% FOR BOTH JEFFERSON AND CLEAR CREEK COUNTIES). THE UNEMPLOYMENT RATES FOR EACH COUNTY ARE AS FOLLOWS: DENVER - 9.7%, JEFFERSON - 8.6%, AND CLEAR CREEK - 8.5%. ST. FRANCIS MEDICAL CENTER AND PENROSE HOSPITAL: BOTH ST. FRANCIS MEDICAL CENTER AND PENROSE HOSPITAL ARE LOCATED IN EL PASO COUNTY. THE PRIMARY SERVICE AREA INCLUDES ALL THE ZIP CODES WITHIN EL PASO COUNTY. AS A FEEDER HOSPITAL FOR OTHER FACILITIES, ST. FRANCIS AND PENROSE REGULARLY SERVE TRANSFERS FROM PUEBLO, TELLER, AND FREMONT COUNTIES AS WELL. AS OF JULY 2010, THE COUNTY HAD AN ESTIMATED 627,096 RESIDENTS AND THE POPULATION IS PROJECTED TO REACH NEARLY 1 MILLION OVER THE NEXT THREE DECADES. EL PASO COUNTY IS A MIX OF URBAN, SUBURBAN, AND RURAL COMMUNITIES WITH ABOUT TWO-THIRDS (419,353) OF THE POPULATION RESIDING WITHIN THE CITY OF COLORADO SPRINGS. EL PASO COUNTY'S POPULATION IS 73.9% WHITE, NON-HISPANIC, 15% HISPANIC, AND OTHER NON-HISPANIC RACES COMPRISE 6.3% AND 4.8% OF THE TOTAL PERCENT OF THE TOTAL POPULATION, RESPECTIVELY. THE MEDIAN HOUSEHOLD INCOME WAS $51,548 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 10.4% OF FAMILIES IN EL PASO COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 9.5%. MERCY REGIONAL MEDICAL CENTER: THE PRIMARY SERVICE AREA FOR MERCY IS LA PLATA AND ARCHULETA COUNTIES. THESE TWO COUNTIES ACCOUNT FOR 76% OF INPATIENT DISCHARGES FROM MERCY AND COINCIDE WITH THE SERVICE AREA OF THE SAN JUAN BASIN HEALTH DEPARTMENT - FACILITATING COLLABORATION BETWEEN MERCY REGIONAL MEDICAL CENTER, PAGOSA SPRINGS MEDICAL CENTER, AND SAN JUAN BASIN HEALTH DEPARTMENT. ACCORDING TO THE 2010 U.S. CENSUS BUREAU, THE TOTAL POPULATIONS FOR LA PLATA AND ARCHULETA COUNTIES WERE 51,334 AND 12,084 RESPECTIVELY. LA PLATA COUNTY'S POPULATION IS 80.3% WHITE, NON-HISPANIC AND 11.8% HISPANIC/LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $56,422 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 10.2% OF FAMILIES IN LA PLATA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 5.3%. ARCHULETA COUNTY'S POPULATION IS 78.2% WHITE, NON-HISPANIC AND 17.8% HISPANIC/LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $56,068 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 8.5% OF FAMILIES IN LA PLATA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 11.1%. ST. ANTHONY NORTH HOSPITAL: THE PRIMARY SERVICE AREA FOR ST. ANTHONY NORTH HOSPITAL INCLUDES ADAMS COUNTY AND PARTS OF BROOMFIELD COUNTY, INCLUDING THE CITIES OF WESTMINSTER, FEDERAL HEIGHTS, THORNTON, NORTHGLENN, COMMERCE CITY, AND PORTIONS OF ARVADA, BROOMFIELD, AND UNINCORPORATED ADAMS COUNTY. THE TOTAL POPULATION OF ADAMS COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU WAS 441,603 RESIDENTS WITH ANOTHER 55,889 RESIDENTS IN BROOMFIELD COUNTY. ADAMS AND BROOMFIELD COUNTIES ARE PREDOMINATELY OF WHITE RACE, WHICH INCLUDES HISPANICS. ADAMS COUNTY PERSONS OF HISPANIC OR LATINO ORIGIN IS 38%. BROOMFIELD AND ADAMS COUNTIES BOTH HAVE ASIAN POPULATIONS GREATER THAN THE STATE AVERAGE. ADAMS COUNTY HAS A MEDIAN HOUSEHOLD INCOME OF $53,779, WHILE BROOMFIELD COUNTY MEDIAN INCOME IS $77,606. ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 13.3% AND BROOMFIELD IS ONE OF THE LOWEST LEVELS IN THE STATE AT 4.9%. THE UNEMPLOYMENT RATE IN ADAMS COUNTY IS 10.2%, WHICH IS HIGHER THAN THE STATE AVERAGE OF 8.9%. BROOMFIELD IS 7.9%, LOWER THAN THE STATE AVERAGE. ST. ANTHONY SUMMIT MEDICAL CENTER: SUMMIT COUNTY IS LOCATED 75 MILES WEST OF THE DENVER METRO AREA AND COVERS APPROXIMATELY 600 SQUARE MILES. SUMMIT COUNTY INCLUDES THE CITIES OF BRECKENRIDGE, BLUE RIVER, DILLON, FRISCO, MONTEZUMA, SILVERTHORNE, AND THE UNINCORPORATED AREAS OF LOWER BLUE BASIN, SNAKE RIVER BASIN, TEN MILE BASIN, AND UPPER BLUE BASIN. THE PERMANENT POPULATION OF SUMMIT COUNTY IS APPROXIMATELY 30,000 PEOPLE. DURING PEAK HOLIDAY SEASONS, DESTINATION VISITORS NUMBERS CAN REACH 131,000, BRINGING THE COUNTY'S SHORT TERM POPULATION TO 160,000 PEOPLE. IN GENERAL, THE POPULATION IN SUMMIT COUNTY IS PREDOMINANTLY OF WHITE RACE WHICH INCLUDES HISPANICS SELF-IDENTIFYING WHITE RACE ON THE 2010 CENSUS. THE HISPANIC POPULATION HOVERS AT ABOUT 14% OF THE TOTAL POPULATION. OVER 2,435 SUMMIT COUNTY RESIDENTS LIVE BELOW FEDERAL POVERTY LEVELS. ST. THOMAS MORE HOSPITAL: ST. THOMAS MORE SERVICE AREA IS DEFINED AS FREMONT COUNTY. FREMONT COUNTY INCLUDES THE CITIES OF CANON CITY AND FLORENCE, THE TOWNS OF BROOKSIDE, COAL CREEK, ROCKVALE, AND WILLIAMSBURG, AND THE UNINCORPORATED COMMUNITIES OF COTOPAXI AND PENROSE. THE DEMOGRAPHIC DATA IN FREMONT COUNTY IS SKEWED DUE IN PART TO A LARGE PRISON POPULATION. IN 2009, FREMONT COUNTY HAD A POVERTY RATE OF 18.1%, WHICH EXCEEDED THE STATE RATE. ST. MARY-CORWIN MEDICAL CENTER: ST. MARY-CORWIN MEDICAL CENTER IS LOCATED IN PUEBLO, COLORADO, AND ITS SERVICE AREA REACHES INTO SOUTHEASTERN COLORADO TO THE KANSAS AND NEW MEXICO BORDERS. PUEBLO SERVES AS AN ECONOMIC AND HEALTH CARE HUB FOR OTHER COUNTIES LOCATED IN SOUTHEAST COLORADO. ONCE THE BORDER BETWEEN MEXICO AND THE UNITED STATES, PUEBLO IS NOW HOME TO 159,063 RESIDENTS, AND THE COUNTY HAS A RICH HERITAGE OF EASTERN EUROPEAN, HISPANIC, AND ITALIAN ROOTS. PUEBLO ALSO HAS ONE OF THE HIGHEST CONCENTRATIONS OF MIGRANT WORKERS IN THE STATE. WITH 35% OF HOUSEHOLDS EARNING $25,000 OR LESS ANNUALLY, THE WORKING POOR ARE HEAVILY REPRESENTED IN THE WORKFORCE. THE MEDIAN HOUSEHOLD INCOME IS $40,699 COMPARED TO THE STATE MEDIAN INCOME OF $56,456. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). INFORMATION CONCERNING FINANCIAL ASSISTANCE IS INCLUDED ON CENTURA'S WEBSITE. THE WEBSITE NOT ONLY LISTS PHONE NUMBERS FOR PATIENTS TO CALL TO DISCUSS FINANCIAL ASSISTANCE, BUT ALSO INCLUDES CENTURA'S POLICY FOR CHARITY CARE AND ITS POLICIES RELATED TO UNINSURED PATIENTS. IN ADDITION, AT THE TIME OF REGISTRATION, UNINSURED PATIENTS ARE SCREENED TO DETERMINE IF THE PATIENTS QUALIFY FOR ANY FEDERAL, STATE OR COUNTY PROGRAMS. UNINSURED PATIENTS ARE ALSO SENT A LETTER REQUESTING THAT THE PATIENT CALL TO DETERMINE ELIGIBILITY FOR VARIOUS ASSISTANCE PROGRAMS, INCLUDING CHARITY. Schedule H, Part VI, Line 6, Affiliated health care system CATHOLIC HEALTH INITIATIVES COLORADO (CHIC) IS OPERATED AS PART OF CENTURA HEALTH CORPORATION (CENTURA). CENTURA AND ITS AFFILIATED ORGANIZATIONS ARE DEDICATED TO EXTENDING THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SPECIFICALLY, CENTURA HAS LAUNCHED A SYSTEM-WIDE STRATEGIC PLAN TO IMPROVE THE QUALITY, CONSISTENCY, AVAILABILITY, AND AFFORDABILITY OF HEALTHCARE TO COMMUNITIES THROUGHOUT COLORADO. THE THREE MAIN COMPONENTS OF THIS STRATEGY ARE (1) TO CONTINUE INVESTING IN TECHNOLOGY ADVANCEMENTS THAT IMPROVE THE QUALITY, COSTS, AND COORDINATION OF CARE INCLUDING THE ESTABLISHMENT OF ELECTRONIC HEALTH RECORDS LINKING OUR PHYSICIANS, CLINICS, HOSPITALS, LONG-TERM FACILITIES AND HOME CARE SERVICES; (2) PROVIDING WELLNESS CARE, THEREBY POTENTIALLY REDUCING HEALTH CARE COSTS BY HELPING PATIENTS TO MAINTAIN GOOD HEALTH, GROWING THE LEVEL OF SUPPORT AND OUTREACH PROVIDED TO RURAL COMMUNITIES, AND INCREASING ACCESS, AFFORDABILITY AND QUALITY OF HEALTH CARE; AND (3) COORDINATE AND DEVELOP SYSTEMS OF CARE, LOOKING TO EACH FACILITY AND ENTITY IN CENTURA TO SHARE BEST PRACTICES AND IMPROVE OVERALL EFFICIENCY AND COMMUNICATION SYSTEM-WIDE FROM BIRTH TO HOME CARE. Schedule H, Part VI, Line 7, State filing of community benefit report CO true CATHOLIC HEALTH INITIATIVE COLORADO FOUNDATION 6385 CORPORATE DRIVE SUITE 301 COLORADO SPRINGS CO 80919 840902211 501(C)3 277778 PROGRAM SUPPORT CATHOLIC CHARITIES OF COLORADO 29 W KIOWA STREET COLORADO SPRINGS CO 80903 840586169 501(C)3 15000 PROGRAM SUPPORT RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CO 311 NORTH LOGAN COLORADO SPRINGS CO 80909 841013843 501(C)3 7500 SPONSORSHIP NEWBORN HOPE INC P O BOX 2515 COLORADO SPRINGS CO 80901 841093905 501(C)3 10000 PROGRAM SUPPORT AMERICAN HEART ASSOCIATIONSO CENTRAL AFFILIATE 10900-B STONELAKE BLVD 320 AUSTIN TX 78759 135613797 501(C)3 18000 SPONSORSHIP ROCKY MOUNTAIN WOMEN'S FILM FESTIVAL 421 S TEJON ST 333 COLORADO SPRINGS CO 80903 841097818 501(C)3 10000 SPONSORSHIP COLORADO SPRINGS RODEO ASSOCIATION 104 S CASCADE AVE 2003 COLORADO SPRINGS CO 80903 840473034 501(C)3 16000 SPONSORSHIP PROJECT CURE 10377 E GEDDAS AVE STE 200 CENTENNIAL CO 80112 841568566 501(C)3 35335 BOOK SUPPLIES PROGRAM SUPPORT ARRUPE JESUIT HIGH SCHOOL 4343 UTICA ST DENVER CO 80204 020628872 501(C)3 11500 PROGRAM SUPPORT JEFFCO EDC 1667 COLE BLVD STE 400 GOLDEN CO 80401 840447505 501(C)3 45000 PROGRAM SUPPORT COMPANEROS FOUR CORNERS IMMIGRANT RESOURCE CENTER 701 CAMINO DEL RIO 309 DURANGO CO 81301 371640345 501(C)3 10000 PROGRAM SUPPORT FORT LEWIS COLLEGE FOUNDATION 1000 RIM DR DURANGO CO 81301 237122114 501(C)3 12750 SPONSORSHIP CROSSROADS TURNING POINTS 509 E 13TH STREET PUEBLO CO 81001 840810723 501(C)3 24000 PROGRAM SUPPORT COLORADO STATE UNIVERSITY FOUNDATION 2200 BONFORTE BLVD 187 PUEBLO CO 81001 237098397 501(C)3 30839 SPONSORSHIP CATHOLIC CHARITIES OF THE DIOCESE OF PUEBLO 429 W 19TH STREET STE 101 PUEBLO CO 81003 840471001 501(C)3 19375 SPONSORSHIP PUEBLO SYMPHONY ASSOCIATION 301 NORTH MAIN STREET PUEBLO CO 81003 840580443 501(C)3 6563 SPONSORSHIP SANGRE DE CRISTO ARTS 210 N SANTA FE AVE PUEBLO CO 81003 840624551 501(C)3 8688 SPONSORSHIP HISTORIC ARKANSAS RIVERWALK OF PUEBLO FOUNDATION 125 RIVERWALK PLACE PUEBLO CO 81003 841308918 501(C)3 14375 SPONSORSHIP JUNIOR LEAGUE OF PUEBLO 421 N MAIN ST SUITE 415 PUEBLO CO 81003 840739613 501(C)3 5500 SPONSORSHIP CENTER FOR AMERICAN VALUES 101 S MAIN ST 100 PUEBLO CO 81003 272779073 501(C)3 6000 SPONSORSHIP YOUNG WOMENS CHRISTIAN ASSOCIATION OF PUEBLO 801 N SANTA FE AVENUE PUEBLO CO 81003 840402720 501(C)3 15000 PROGRAM SUPPORT FOUR CORNERS HEALTH CARE 2911 JUNCTION STREET DURANGO CO 81301 201420109 501(C)3 61521 CHARITY CARE DURANGO DEVO INC 10 TOWN PLAZA 110 DURANGO CO 81301 640959974 501(C)3 7000 PROGRAM SUPPORT 23 0 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds GRANTS ARE GIVEN AT THE DISCRETION OF THE CATHOLIC HEALTH INITIATIVES COLORADO CEO. THE CEO MAKES REQUESTS FOR FUNDING, WHICH IS PAID OUT IN THE FORM OF A DONATION TO THE ENTITY OR USED TO REIMBURSE AN INVOICE SUBMITTED FOR AN EXPENSE FOR A SPECIFIC PURPOSE. THE MAJORITY OF THE DONEES ARE 501(C)(3) ORGANIZATIONS THAT ASSUME RESPONSIBILITY FOR ENSURING THAT THE FUNDS ARE USED IN FURTHERANCE OF THE PURPOSE OF THE GRANT. X X X X true true false true false false false false false true false JOHN DICOLA BOARD MEMBER/SVP CHI 0 684855 0 690423 0 223713 0 33702 0 21818 0 1654511 0 86866 MICHAEL ROWAN FACHE BOARD MEMBER/EVP CHI COO 0 1098277 0 1471311 0 200128 0 238353 0 19702 0 3027771 0 175028 DEAN SWINDLE CPA BOARD MEMBER/EVP CHI CFO 0 897093 0 1213319 0 93389 0 200481 0 21818 0 2426100 0 70057 MARGARET SABIN CEO - PENROSE ST FRANCIS 505492 0 230223 0 140421 0 190970 0 28732 0 1095838 0 110015 0 DANIEL REEVES CFO - PENROSE ST FRANCIS 250870 0 69418 0 811 0 22227 0 19114 0 362440 0 0 0 DAVID THOMPSON CFO - ST ANTHONY CENTRAL 286065 0 85590 0 881 0 37177 0 7601 0 417314 0 0 0 JEFFREY BRICKMAN GROUP CHIEF EXECUTIVE OFFICER 590128 0 271398 0 37811 0 176569 0 19476 0 1095382 0 18338 0 A STEWART LEVY PHYSICIAN 807744 0 0 0 2293 0 27327 0 23874 0 861238 0 0 0 JOHN MEHALL PHYSICIAN 731392 0 274780 0 605 0 23502 0 14480 0 1044759 0 0 0 CAMILLE AZAR PHYSICIAN 612582 0 148661 0 3689 0 23502 0 21144 0 809578 0 0 0 MICHAEL DREWEK PHYSICIAN 744155 0 0 0 1381 0 24777 0 21882 0 792195 0 0 0 ALEXANDER FRALEY PHYSICIAN 682401 0 0 0 822 0 20952 0 22749 0 726924 0 0 0 Schedule J, Part I, Line 1a, Travel for companions SENIOR VICE PRESIDENTS AND HOSPITAL CEOS ARE PAID THROUGH CENTURA HEALTH CORPORATION AND ARE ELIGIBLE FOR THE FOLLOWING BENEFITS: TRAVEL FOR COMPANIONS, HEALTH OR SOCIAL CLUB DUES, AND REIMBURSEMENT UP TO $10,000 FOR PERSONAL SERVICES SUCH AS TAX, FINANCIAL, AND ESTATE PLANNING SERVICES, ALONG WITH TAX GROSS-UP PAYMENTS FOR ANY REIMBURSEMENTS INCLUDED IN TAXABLE COMPENSATION. ALL BENEFITS ARE PROVIDED PURSUANT TO A WRITTEN POLICY GOVERNING PAYMENT AND REIMBURSEMENT, SUBSTANTIATION IS REQUIRED FOR ALL EXPENSES SUBMITTED FOR REIMBURSEMENT, AND REIMBURSEMENTS ARE INCLUDED IN TAXABLE COMPENSATION WHERE APPROPRIATE. Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE Schedule J, Part I, Line 1a, Health or social club dues or initiation fees SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE Schedule J, Part I, Line 1a, Personal services SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE SCHEDULE J, PART I, LINE 3, METHODS USED TO ESTABLISH CEO COMPENSATION CATHOLIC HEALTH INITIATIVES-COLORADO'S CEO IS PAID BY CENTURA HEALTH CORPORATION (CENTURA). OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE 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: JOHN DICOLA, MICHAEL ROWAN AND JAMES SWINDLE . DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MICHAEL ROWAN $214,851 JOHN DICOLA $0 JAMES SWINDLE $179,529 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MICHAEL ROWAN $175,028 JOHN DICOLA $86,866 JAMES SWINDLE $70,057 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: JOHN DICOLA $109,903 IN ADDITION, CENTURA OFFERS A NON-QUALIFIED RETIREMENT PLAN IN WHICH SENIOR EXECUTIVES (SENIOR VPS AND ABOVE) ARE PROVIDED A 10% OF SALARY ALLOWANCE TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO THE DEFERRED COMPENSATION PLAN. IN ADDITION, A PENSION RESTORATION BENEFIT IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT WHICH IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THIS DEFERRED COMPENSATION PLAN HAS A SUBSTANTIAL RISK OF FORFEITURE PROVISION AND AN ELECTED VESTING SCHEDULE. THE FOLLOWING INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN AND RECEIVED CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2013: MARGARET SABIN $116,223 JEFFREY BRICKMAN $65,646 DURING THE CALENDAR YEAR 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CENTURA FROM THE DEFERRED COMPENSATION PLAN: JEFFREY BRICKMAN $18,338 MARGARET SABIN $110,015 Schedule J, Part I, Line 7, Non-fixed payments PARTICIPANTS IN CENTURA'S INCENTIVE COMPENSATION PLANS INCLUDE DIRECTORS AND ABOVE. PAYOUTS ARE BASED ON METRICS ESTABLISHED AND APPROVED BY CENTURA'S COMPENSATION COMMITTEE. THE METRICS INCLUDE QUANTIFIABLE MEASURES PERTAINING TO FINANCIAL PERFORMANCE, SAFETY AND QUALITY AND ASSOCIATE SATISFACTION WITH EACH METRIC WEIGHTED IN DETERMINING THE OVERALL SCORE. THE INCENTIVE COMPENSATION PAYOUT IS CALCULATED BASED ON THE CUMULATIVE SCORE FOR ALL METRICS AND THE PAYOUT IS BASED ON A COMBINATION OF THE SCORE, THE INDIVIDUAL'S BASE COMPENSATION AMOUNT AND POSITION (E.G. DIRECTOR, VICE PRESIDENT). SCHEDULE J, PART II, REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONS ALL KEY EMPLOYEES AND HOSPITAL CEOS ARE COMPENSATED BY CENTURA HEALTH CORPORATION, WHO MANAGES THE DAILY ACTIVITIES OF THE CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) HOSPITALS UNDER A JOINT OPERATING AGREEMENT DATED DECEMBER 8, 1995 BETWEEN THE ADVENTIST HEALTHCARE SYSTEM AND CATHOLIC HEALTH INITIATIVES. AS SUCH, THEIR SALARIES ARE PAID TO THEM BY CENTURA, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED IN THEIR CAPACITY AS KEY EMPLOYEES OR OFFICERS OF CHIC. ALL OF THEIR REPORTABLE COMPENSATION IS DISCLOSED ON FORM 990, SCHEDULE J, PART II, ROW (I) AND 990, PART VII, COLUMN (D) AS REPORTING ORGANIZATION COMPENSATION. IN ADDITION, THE CEO AND CFO OF CHIC WERE APPOINTED AS SUCH BY THE CHIC BOARD OF DIRECTORS. WHILE THEY ARE OFFICERS OF THESE ENTITIES, A VERY SMALL PORTION OF THEIR TIME IS DIRECTLY RELATED TO THE OPERATIONS OF CHIC. THEY ARE COMPENSATED BY CENTURA, WHICH IS CHARGED WITH MANAGING THE FACILITIES. THEIR RESPECTIVE COMPENSATION IS NOT REPORTED ON THE FILING ORGANIZATION'S 990 BUT IN FACT IS REPORTED IN FULL ON PART VII AND SCHEDULE J OF CENTURA HEALTH CORPORATION'S FORM 990. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES-COLORADO, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders CATHOLIC HEALTH INITIATIVES-COLORADO'S ("CHIC") CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX EXCEPT TO THE EXTENT OTHERWISE PROVIDED IN ORGANIZATION'S ARTICLES AND BYLAWS. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHIC BOARD: - APPROVE MEMBERS OF THE CHIC BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF CHIC - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHIC - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CHIC THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - APPROVAL OF ISSUANCE OF DEBT BY CHIC - APPROVAL OF PARTICIPATION OF CHIC IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY CHIC - APPROVAL OF A MERGER INVOLVING CHIC - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHIC - TO REQUIRE THE TRANSFER OF ASSETS BY CHIC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. IN ADDITION, PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN CHI, CHIC, CENTURA HEALTH CORPORATION, AND PORTERCARE ADVENTIST HEALTH SYSTEM, CERTAIN MATTERS AFFECTING CHIC MUST BE APPROVED BY BOTH PORTERCARE AND CHI. THOSE ITEMS INCLUDE: - THE TRANSFER OF ASSETS VALUED AT OVER $1,000,000 - THE ISSUANCE OF A DEBT INSTRUMENT IN EXCESS OF $250,000 - THE AMENDMENT OF THE ORGANIZING DOCUMENTS - THE ADMISSION OF A NEW SPONSOR - A MERGER OR DISSOLUTION OR REORGANIZATION - SETTLEMENT OF LEGAL PROCEEDINGS IN EXCESS OF $2,000,000 - CAPITAL EXPENDITURES IN EXCESS OF $2,000,000 Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body ONCE THE RETURN IS PREPARED, A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT, INCLUDING THE CFO, FOR REVIEW. THE RETURN IS E-MAILED TO THE ENTIRE BOARD FOR REVIEW PRIOR TO FILING. 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 PROCEDURE: 1. PROCEDURE FOR CONFLICT OF INTEREST REPORTING 1.1. THE CATHOLIC HEALTH INITIATIVES-COLORADO ("CHIC") COMPLIANCE DEPARTMENT ADMINISTERS AN ANNUAL CONFLICT OF INTEREST PROCESS (USUALLY STARTING IN NOVEMBER) COLLECTING AND ASSESSING ANY POTENTIAL CONFLICTS BOARD MEMBERS AND RELATED BOARD COMMITTEE MEMBERS, MATERIALS MANAGEMENT/SUPPLY CHAIN AS WELL AS CHIC MANAGEMENT MAY HAVE. THE FOLLOWING PROCESS IS FOLLOWED: 1.1.1. A COVER LETTER ALONG WITH THE CONFLICTS OF INTEREST POLICY AND THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT ARE AUTOMATICALLY GENERATED AND DISTRIBUTED VIA EMAIL UTILIZING THE COMPLY TRACK SURVEY MANAGER TOOL. FOR THOSE WITHOUT EMAIL ADDRESSES, THE DOCUMENTS ARE SENT VIA US MAIL. 1.1.2. A REQUEST IS MADE TO COMPLETE THE DISCLOSURE STATEMENT FROM ONLINE AND SUBMIT AN ELECTRONIC SIGNATURE USING THE SURVEY TOOL. FOR THOSE WITHOUT AN EMAIL ADDRESS, A REQUEST IS MADE TO FAX OR MAIL ORIGINALS TO THE COMPLIANCE DEPARTMENT. 1.1.3. A REPORT IS COMPILED IDENTIFYING ALL REPORTED POTENTIAL CONFLICTS, NO RESPONSES AND NO NOTED CONFLICTS. 1.1.4. THE REPORT IS REVIEWED FOR POTENTIAL CONFLICTS AND CATEGORIZED BY TYPE OF CONFLICT. 1.1.5. A MEMO IS DISTRIBUTED TO EACH FACILITY CEO AND CFO ALONG WITH REPORTED CONFLICTS FOR PROCESSING AND RELEVANT ACTION OR FOLLOW UP. THE CEO OR CFO, ON BEHALF OF THE CEO, WILL DISTRIBUTE INFORMATION ABOUT SPECIFIC CONFLICTS TO RELEVANT DEPARTMENT MANAGEMENT FOR CONSIDERATION IN FUTURE BUSINESS DEALINGS/NEGOTIATIONS. 1.1.6. THE REPORT IS SHARED WITH THE CHIC BOARD FOR INFORMATION, DISCUSSION, AND POSSIBLE ACTION RELATIVE TO SPECIFIC CONFLICTIVE SITUATIONS. 2. PROCEDURE FOR DISCLOSURE 2.1. WHENEVER ANY MATTER COMES BEFORE A MEETING OF THE BOARD, A BOARD COMMITTEE MANAGEMENT OR MATERIALS MANAGEMENT/SUPPLY CHAIN THAT GIVES RISE TO A POTENTIAL CONFLICT OF INTEREST, THE FOLLOWING PROCEDURES SHALL APPLY: 2.1.1. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD, COMMITTEE MEETING OR MANAGEMENT MEETING BUT AFTER SUCH PRESENTATION, HE/SHE SHALL, IF REQUESTED BY THE BOARD OR COMMITTEE, LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. 2.1.2. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. 2.1.3. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER CHIC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 2.1.4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN CHIC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO CHIC AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 2.1.5. FOR TRANSACTIONS THAT ARE NEGOTIATED BY CHIC MANAGEMENT AND MATERIALS MANAGEMENT/SUPPLY CHAIN AND WHICH ARE NOT REQUIRED TO BE REPORTED TO THE BOARD, EACH MANAGER WILL TAKE PRECAUTIONS TO ENSURE THERE IS NO CONFLICT OR THE APPEARANCE OF A CONFLICT RELATIVE TO THE BUSINESS NEGOTIATIONS AND TRANSACTION. IF A CONFLICT, OR THE APPEARANCE OF A CONFLICT EXISTS, THE INTERESTED PERSON WILL REMOVE HIMSELF/HERSELF OR OTHER INTERESTED PARTY FROM THE NEGOTIATION/TRANSACTION. 3. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 3.1. IF THE BOARD, COMMITTEE OR CHIC MANAGEMENT HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INTERESTED PERSON TO DISCLOSE. 3.2. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD, COMMITTEE OR CHIC MANAGEMENT DETERMINES THAT THE INTERESTED PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. 4. RECORDS OF PROCEEDINGS 4.1. THE MINUTES OF THE BOARD AND ANY COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN: 4.1.1. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. 4.1.2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH AND A RECORD THAT THE PERSON(S) WITH A CONFLICT OF INTEREST DID NOT PARTICIPATE IN THE VOTE. 4.1.3. FOR BUSINESS TRANSACTIONS BEING NEGOTIATED OUTSIDE OF THOSE REQUIRED TO BE REPORTED TO THE BOARD AND ANY COMMITTEES, THE COMPLIANCE DEPARTMENT SHALL MAINTAIN DOCUMENTATION AS TO THE RESOLUTION AND APPROPRIATENESS OF ANY POTENTIAL CONFLICT RELATIVE TO MANAGEMENT AND MATERIALS MANAGEMENT/SUPPLY CHAIN ASSOCIATES CONDUCTING BUSINESS ON BEHALF OF CHIC. 5. COMPENSATION 5.1. A VOTING MEMBER OF A BOARD OR A BOARD COMMITTEE WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM CHIC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 5.2. A PHYSICIAN WHO IS A VOTING MEMBER OF A BOARD OR BOARD COMMITTEE AND RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM CHIC FOR SERVICES IS PRECLUDED FROM DISCUSSING AND VOTING ON MATTERS PERTAINING TO THAT MEMBER AND OTHER PHYSICIANS' COMPENSATION. NO PHYSICIAN OR PHYSICIAN BOARD MEMBER OR COMMITTEE MEMBER, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO THE BOARD OR BOARD COMMITTEE REGARDING PHYSICIAN COMPENSATION. 6. ANNUAL STATEMENTS 6.1. ALL INTERESTED PERSONS MUST COMPLETE A DISCLOSURE STATEMENT ANNUALLY. THIS DISCLOSURE STATEMENT MAY BE MODIFIED FROM TIME TO TIME AS DEEMED APPROPRIATE. THE VICE PRESIDENT OF CHIC COMPLIANCE IS RESPONSIBLE FOR CIRCULATING, ENSURING COMPLETION OF THE DISCLOSURE STATEMENT BY ALL INTERESTED PERSONS OF CHIC, AND REPORTING THE RESULTS TO THE CHIC HEALTH BOARD. 7. PERIODIC REVIEWS 7.1. ANNUALLY, INTERNAL AUDIT WILL REVIEW COMPENSATION AND FINANCIAL ARRANGEMENTS FOR POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, LINE 15, PROCESS USED TO ESTABLISH COMP THE ORGANIZATION'S CEO AND OFFICERS ARE EMPLOYED BY CENTURA HEALTH CORPORATION ("CENTURA"). OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS ANALYSES OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP. FOR THOSE REPORTABLE INDIVIDUALS (I.E. BOARD MEMBERS) WHOSE COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES ("CHI"), THEIR COMPENSATION WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION AMOUNTS THAT WERE BOARD APPROVED AND PAID TO THEM IN ACCORDANCE WITH A WRITTEN CONTRACT. Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees SEE ABOVE FORM 990, PART VI, LINE 16B, EVAL OF PARTICIPATION IN JV ARRANGEMENTS CATHOLIC HEALTH INITIATIVES-COLORADO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT: (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE'S WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. Form 990, Part IX, Line 11g, Other Expenses OTHER FEES FOR SERVICES - TOTAL EXPENSE: 36270872, PROGRAM SERVICE EXPENSE: 29011241, MANAGEMENT AND GENERAL EXPENSES: 7259631, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: 99784549, MANAGEMENT AND GENERAL EXPENSES: 24946137, FUNDRAISING EXPENSES: ; MANAGEMENT FEES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: 82666585, MANAGEMENT AND GENERAL EXPENSES: 20666647, FUNDRAISING EXPENSES: ; PHYSICIAN FEES - TOTAL EXPENSE: 62297046, PROGRAM SERVICE EXPENSE: 49837636, MANAGEMENT AND GENERAL EXPENSES: 12459410, FUNDRAISING EXPENSES: ; LAB SERVICES - TOTAL EXPENSE: 40770753, PROGRAM SERVICE EXPENSE: 32616602, MANAGEMENT AND GENERAL EXPENSES: 8154151, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances CAPITAL RESOURCE POOL CONTRIBUTIONS - -11431848; MINORITY INTEREST - -10089696; JOINT VENTURE - 950515; 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 - Type I CHI true ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232649362 FUNDRAISING PA 501(C)(3) 11 - Type I SJRHN true ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HEALTHCARE MD 501(C)(3) 3 CHI true ST JOSEPH MEDICAL GROUP 2500 BERNVILLE RD PO BOX 316 READING PA 19603 208544021 HEALTHCARE PA 501(C)(3) 9 BHC true ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(C)(3) 11 - Type I SJMC true ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE RD PO BOX 316 READING PA 19603 231352211 HEALTHCARE PA 501(C)(3) 3 CHI true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(C)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH ST DICKINSON ND 58601 450226429 HEALTHCARE ND 501(C)(3) 3 CHI true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260274448 MANAGEMENT TX 501(C)(3) 11 - 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