2014-05-12T14:00:13-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 410758434 LAKEWOOD HEALTH CENTER LAKE 2186342120 600 Main Avenue South Baudette MN 56623 JAY ROSS 2015-05-12 true Mark Stocki P00642127 3032989100 2012 2015-11-30 17:44:51Z JASON BREUER 600 Main Avenue South Baudette MN 56623 16288696 false 0928 X WWW.LAKEWOODHEALTHCENTER.ORG X 1959 MN LAKEWOOD HEALTH CENTER IS A SMALL FACILITY LOCATED IN A RURAL AND ISOLATED SETTING. THE CONTINUUM OF CARE INCLUDES PHYSICIAN CLINIC, ACUTE CARE, RESIDENTIAL CARE, AND LONG TERM CARE. 10 8 212 65 945 -1116 97027 682843 14544679 14413403 244482 528807 392392 649067 15278580 16274120 19149 21049 0 0 7537284 7451556 0 0 77530 6022865 7485326 13579298 14957931 1699282 1316189 19801548 17465248 7520511 3640619 12281037 13824629 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. true false 11594690 21049 14413403 SEE SCHEDULE H 11594690 true true false true false false false true false true true false false true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true false false false false true 18 0 true 212 true false false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true false true false MN X Jay Ross 2186163525 600 Main Avenue South Baudette MN 56623 BRUCE BURTON 4.00 1.00 X X 0 0 0 JASON BREUER 50.00 0 X X 0 215492 52497 PHILIP MILLER 1.00 0 X X 0 0 0 ROBYN SONSTEGARD 1.00 0 X X 0 0 0 ANN ELLIS 1.00 0 X 0 0 0 JEFFREY DROP 1.00 59.00 X 0 606104 98488 JOE BRUCCIANI 1.00 0 X 0 0 0 PASTOR HARALD BRINGSJORD 1.00 0 X 0 0 0 RALPH CHRISTOFFERSON 1.00 0 X 0 0 0 ROBERT DAYER 44.00 0 X 214538 0 33115 SISTER REBECCA METZGER 1.00 0 X 0 0 0 LYNNETTE ELLIS 44.00 0 X 84646 0 15320 CHRISTOPHER MCGRAW 40.00 0 X 251514 0 42056 MOHAN BANGALORE-PUTTAIAH 40.00 0 X 172911 0 24545 REBECCA POOLMAN 40.00 0 X 102177 0 27384 THOMAS MIO 48.00 0 X 117547 0 24812 943333 821596 318217 5 false true false WAPITI MEDICAL GROUP - LYFJABERG LLC 603 S DAKOTA ST PO BOX 523 MILBANK SD 57252 MEDICAL SERVICES 149156 NATIONAL INFORMATION SOLUTIONS COOPERATIVE 3201 NYGREN DRIVE MANDAN ND 58554 MANAGEMENT UTILITIES IT 139938 CENTRAL MINNESOTA DIAGNOSTIC INC PO BOX 158 MILACA MN 56353 CT SCANS, ULTRASOUNDS 133575 LIFECARE MEDICAL CENTER 715 DELMORE DRIVE ROSEAU MN 56751 MEDICAL SERVICES 100469 4 11955 280699 390189 682843 PATIENT SERVICES 900099 14410122 14410122 RENTAL INCOME 900099 3281 3281 0 0 0 0 0 0 0 14413403 213511 -51 213562 0 0 0 0 0 0 0 291697 38175 14576 291697 23599 315296 315296 0 0 0 PRODUCT SALES 446110 376250 376250 SERVICES SOLD 900099 192923 996 191927 INTERCOMPANY SALARY REIMBURSEMENTS 900099 46673 46673 33221 0 0 33221 649067 16274120 14413403 945 1176929 21049 21049 0 0 0 313662 225106 87693 863 0 5371238 4676761 657830 36647 302234 260605 39635 1994 1055612 910213 138434 6965 408810 348252 57856 2702 0 25225 25225 0 0 0 0 2049059 1548701 481369 18989 52763 1090 51279 394 652399 534277 116607 1515 1722437 467477 1254960 0 290752 242738 47881 133 90384 63738 22923 3723 0 5545 902 3755 888 122785 122785 466969 339271 125113 2585 637874 549202 88578 94 19239 18436 765 38 BUSINESS TAXES 282925 282925 SUPPLIES 555180 554299 881 REPAIRS AND MAINTENANCE 163398 135694 27704 BAD DEBTS 245189 245189 103203 45980 57223 0 14957931 11594690 3285711 77530 0 798 850 667630 1100129 6415900 2196831 0 0 1170 18615 167075 92231 7707 10026 13795604 9535964 4333366 4259640 0 0 8207902 9786926 0 0 0 0 19801548 17465248 4760211 1124455 8399 9253 0 0 2751901 2506911 7520511 3640619 X 12156790 13805641 124247 18988 12281037 13824629 19801548 17465248 X 1316189 376628 -149225 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 1049 false true 556 true 930 false false 2535 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINES 1B, 1D, & 1G: THE ADMINISTRATOR AND VP OF HEALTH SERVICES CONTACTED LEGISLATORS REGARDING HEALTH CARE ISSUES. THE ADMINISTRATOR ALSO ATTENDED A MEETING IN WASHINGTON, D.C., REGARDING MINNESOTA HEALTH CARE ISSUES. A LEGISLATOR VISITED THE HOSPITAL AND SPOKE WITH APPROXIMATELY 12 EMPLOYEES ABOUT STAFF OPINIONS, FROM HEALTH CARE TO ECONOMIC CONCERNS. LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: MINNESOTA HOSPITAL ASSOCIATION - $155 AMERICAN HOSPITAL ASSOCIATION - $289 CATHOLIC HEALTH ASSOCIATION - $112 false true X 103424 103424 9758482 6599743 3158739 22825 7608 15217 3641646 2690109 951537 269227 238504 30723 4259640 0 0 CHI OIP - FIXED INCOME 4832330 CHI OIP - EQUITY SECURITIES 4954596 9786926 0 INTERCOMPANY PAYABLES 66721 RELATED PARTY NOTE PAYABLE 2440190 2506911 X Explanation of escrow agreement Schedule D, Part IV, Line 2b FUNDS ARE HELD ON BEHALF OF RESIDENTS IN LONG TERM CARE. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 LAKEWOOD HEALTH CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true true X false false true true false true true 425 131886 0 131886 0.00900 849 2584909 1700678 884231 0.06010 0 0.00000 0 1274 2716795 1700678 1016117 0.06910 9 300 66938 9594 57344 0.00390 3 17194 0 17194 0.00120 0 0.00000 0 0.00000 14 47335 0 47335 0.00320 26 300 131467 9594 121873 0.00830 26 1574 2848262 1710272 1137990 0.07740 0 0.00000 1 9109 0 9109 0.00060 3 397 0 397 0.00000 0 0.00000 0 0.00000 4 20980 0 20980 0.00140 2 2581 0 2581 0.00020 0 0.00000 0 0.00000 10 0 33067 0 33067 0.00220 true 245189 0 6006219 5957285 48934 X true true 1 1 LAKEWOOD HEALTH CENTER

600 MAIN AVENUE SOUTH BAUDETTE MN 56623

WWW.LAKEWOODHEALTHCENTER.ORG X X LAKEWOOD HEALTH CENTER 1 true X X X X X X X X X 12 true false true X X X X X X X X X X true false true false false true X X X X X X X true true X X X X X X true false true X false false Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (CHI) (THE ULTIMATE PARENT ORGANIZATION TO LAKEWOOD HEALTH CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES (FPG), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. LAKEWOOD HEALTH CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE APPROACH TAKEN FOR THE COMMUNITY BENEFIT CALCULATION WAS AS FOLLOWS: AN APPROACH OF INCLUDING ASSIGNED INDIRECT OVERHEAD BASED ON MEDICARE COST REPORT METHODOLOGY WAS UTILIZED. MEDICAID COMMUNITY BENEFIT WAS CALCULATED BASED UPON USING THE MEDICAID ESTIMATED INPATIENT, OUTPATIENT, AND LONG TERM CARE COST TO CHARGE RATIOS OF 109.53%, 53.08%, AND 131.81%, RESPECTIVELY, TIMES THE CHARGES FOR INPATIENT, OUTPATIENT, AND LONG TERM CARE MEDICAID PATIENTS. ADDITIONALLY, MINNESOTA CARE TAX AND MA SURCHARGE TAXES TOTALING $282,926 WERE INCLUDED IN THE COSTS FOR MEDICAID. THIS WAS THEN COMPARED TO PROJECTED REIMBURSEMENT FOR MEDICAID SERVICES. THE TOTAL COMMUNITY BENEFIT IS ESTIMATED AT $884,231. THE REMAINING COMMUNITY BENEFIT WAS TAKEN BY COMPILING THE COST OF TRADITIONAL CHARITY CARE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BUILDING ACTIVITIES. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2013 WAS COMPUTED USING THE FOLLOWING FORMULA: MEDICARE ALLOWABLE COSTS DIVIDED BY REVENUES FOR EACH SERVICE LINE TYPE. BASED ON THAT FORMULA: INPATIENT - $3,348,308 / $3,667,551 = 109.53% COST-TO-CHARGE RATIO OUTPATIENT - $6,288,195 / $11,846,871 = 53.08% COST TO CHARGE RATIO LONG-TERM CARE - $2,400,307 / $3,163,964 = 131.81% COST TO CHARGE RATIO WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 245,189 Subsidized Health Services Schedule H, Part I, Line 7g THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2013 WAS COMPUTED USING THE FOLLOWING FORMULA: MEDICARE ALLOWABLE COSTS DIVIDED BY REVENUES FOR EACH SERVICE LINE TYPE (INPATIENT, OUTPATIENT, AND LONG TERM CARE). BASED ON THAT FORMULA: INPATIENT - $3,348,308 / $3,667,551 = 109.53% COST-TO-CHARGE RATIO OUTPATIENT - $6,288,195 / $11,846,871 = 53.08% COST TO CHARGE RATIO LONG TERM CARE - $2,400,307 / $3,163,964 = 131.81% COST TO CHARGE RATIO WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 LAKEWOOD HEALTH CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 LAKEWOOD HEALTH CENTER 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 ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 LAKEWOOD HEALTH CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL (CAH). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, LAKEWOOD HEALTH CENTER, DUE TO DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES AND WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $6,006,219 TOTAL MEDICARE COSTS: $5,957,285 SURPLUS OR SHORTFALL $48,934 LAKEWOOD HEALTH CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b LAKEWOOD HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY * TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: A. NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; B. REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR C. REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. * COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. * OTHER IMPERMISSIBLE COLLECTION TACTICS. A. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; B. NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS (RECOURSE INDEBTEDNESS); AND C. NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES, AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) LAKEWOOD HEALTH CENTER - A GROUP CONSISTING OF NEARLY 60 COMMUNITY MEMBERS WAS CONVENED IN A SINGLE SESSION ON SEPTEMBER 25, 2012. MEMBERS OF THE COMMUNITY GROUP REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY LAKEWOOD HEALTH CENTER. INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING THE SCHOOL DISTRICT, COUNTY SOCIAL SERVICES, OCCUPATIONAL AND DEVELOPMENT OFFICE, MINISTERIUM, CITY AND COUNTY GOVERNMENT, LOCAL BUSINESS OWNERS, HEALTH CARE WORKERS/LEADERS, AND THE PUBLIC HEALTH DIRECTOR. IN ADDITION, THE MEETING WAS ANNOUNCED ON THE LOCAL RADIO STATION AND POSTED IN THE LOCAL NEWSPAPERS. THE SESSION WAS FACILITATED BY THE VP OF MISSION, CATHOLIC HEALTH INITIATIVES, FARGO DIVISION. THE ASSESSMENT INCLUDED AREAS OF HEALTH, SAFETY, VIOLENCE PREVENTION, NUTRITION, PHYSICAL ACTIVITY, AND QUALITY OF LIFE. EACH TABLE OF 6-8 PARTICIPANTS COMBINED THEIR INDIVIDUAL INPUT BY FINDING OVERLAPPING, COMMON THEMES WITH OTHERS AT THE TABLE. ALL OF THE INDIVIDUAL NOTES WERE COLLECTED TO RECORD THE STRONG RECURRING THEMES. NEAR THE CLOSE OF THE MEETING, EACH PARTICIPANT WAS PROVIDED THREE DOTS TO MARK THEIR PERCEPTION OF WHAT RESOURCES ARE NEEDED TO ADDRESS THE ISSUES AFTER HEARING THE PERSPECTIVES OF OTHERS. THIS PROCESS WAS NOT INTENDED TO BE SCIENTIFIC OR STATISTICALLY VALID. IT WAS DESIGNED TO COLLECT QUALITATIVE DATA AND QUANTITATIVE DATA FROM THE COMMUNITY, SPECIFICALLY RELATED TO COMMUNITY-PERCEIVED HEALTH NEEDS AND WHAT RESOURCES ARE NEEDED. ; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) LAKEWOOD HEALTH CENTER - HUD LOW INCOME GUIDELINES USED; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) LAKEWOOD HEALTH CENTER - HUD LOW INCOME GUIDELINES USED; LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE INTRODUCTION: I. THE MISSION OF LAKEWOOD HEALTH CENTER AND CATHOLIC HEALTH INITIATIVES IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. THE VISION OF LAKEWOOD HEALTH CENTER AND CATHOLIC HEALTH INITIATIVES IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY LAKEWOOD HEALTH CENTER, LOCATED IN BAUDETTE, MINNESOTA, IS A CATHOLIC, NOT-FOR-PROFIT CARE ORGANIZATION SPONSORED BY CATHOLIC HEALTH INITIATIVES (CHI), ONE OF THE LARGEST CATHOLIC, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN AMERICA. LAKEWOOD HEALTH CENTER IS DEDICATED TO THE HEALTH AND WELL-BEING OF THE COMMUNITY AND TO PROVIDING QUALITY, HOLISTIC HEALTH CARE SERVICES AND FACILITIES FOR THE RESIDENTS OF BAUDETTE, LAKE OF THE WOODS COUNTY, AND SURROUNDING COMMUNITIES OF THE LAKE OF THE WOODS REGION. LAKEWOOD HEALTH CENTER IS LOCATED IN A RURAL AND ISOLATED AREA OF NORTHERN MINNESOTA, SERVING LAKE OF THE WOODS COUNTY AND SURROUNDING COUNTIES OF ROSEAU, KOOCHICHING, BELTRAMI, AND, ON OCCASION, RESIDENTS OF CANADA. LAKEWOOD HEALTH CENTER IS FEDERALLY DESIGNATED, 15-BED CRITICAL ACCESS HOSPITAL. LAKEWOOD HEALTH CENTER OFFERS A CONTINUUM OF CARE INCLUDING LONG TERM CARE, ASSISTED RESIDENTIAL COMMUNITY (BOARD AND LODGING WITH SERVICES), HOSPITAL CARE, AND SERVICES TO INCLUDE CLINIC OFFICE VISITS. LAKEWOOD HEALTH CENTER CLOSED OB SERVICES IN SEPTEMBER 2009. THE CLINIC IS STAFFED WITH THREE FAMILY PRACTICE PHYSICIANS AND ONE FAMILY PRACTICE NURSE PRACTITIONER; HOWEVER, THERE HAS BEEN A VACANCY DURING RECRUITMENT FOR ONE FAMILY PRACTICE PHYSICIAN. LAKEWOOD NURSING SERVICE, WHICH INCLUDED HOME CARE, HOSPICE, PUBLIC HEALTH, AND SCHOOL NURSING, FORMED A NEW DIVISION WITHIN CATHOLIC HEALTH INITIATIVES, AND THESE SERVICES TRANSFERRED OUT OF LAKEWOOD HEALTH CENTER OPERATIONS IN DECEMBER OF 2010. LAKEWOOD NURSING SERVICE WAS CLOSED IN 2012, DISCONTINUING HOSPICE AND HOME CARE SERVICES. PUBLIC HEALTH AND SCHOOL NURSING RETURNED TO LAKEWOOD HEALTH CENTER CAMPUS UNDER THE NAME OF LAKEWOOD PUBLIC HEALTH. A NEW PROGRAM WAS DEVELOPED THROUGH THE RURAL HEALTH CLINIC AND APPROVED IN AUGUST 2012 (RURAL HEALTH CLINIC VISITING NURSE PROGRAM). LAKEWOOD HEALTH CENTER SERVES ALL PERSONS IN THE COMMUNITY ON A NONDISCRIMINATORY BASIS, PARTICIPATES IN MEDICAID AND MEDICARE PROGRAMS, AND HAS AN ACTIVE CHARITY CARE PROGRAM. THE EMERGENCY ROOM IS AVAILABLE 24 HOURS A DAY, 365 DAYS PER YEAR, AND IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. LAKEWOOD HEALTH CENTER COLLABORATED WITH RAINY RIVER COMMUNITY COLLEGE TO BRING THE PRACTICAL NURSING PROGRAM TO BAUDETTE FOR ANOTHER COHORT OF STUDENTS, WHO BEGAN IN THE FALL OF 2011 AND COMPLETED THE FORMAL COURSE WORK IN THE SPRING OF 2013. LAKEWOOD HEALTH CENTER PROVIDES CLASSROOM SPACE, ITV EQUIPMENT, CLINICAL EXPERIENCE, AND CLINICAL INSTRUCTORS FOR THE NURSING PROGRAMS. THE GOAL IS TO MAKE NURSING EDUCATION ACCESSIBLE AND TO ADDRESS POTENTIAL NURSING SHORTAGE ISSUES IN THIS AGING COMMUNITY. LAKEWOOD HEALTH CENTER HAS A GOVERNING BODY (BOARD OF DIRECTORS) THAT IS LARGELY COMPRISED OF INDEPENDENT PERSONS WHO ARE REPRESENTATIVE OF THE COMMUNITY, ALONG WITH THREE BOARD MEMBERS FROM WITHIN THE ORGANIZATION. HISTORY LAKEWOOD HEALTH CENTER OPENED IN MARCH 1950 AS BAUDETTE COMMUNITY HOSPITAL. IT WAS OWNED BY THE COMMUNITY AND OPERATED BY THE SISTERS OF ST. JOSEPH OUT OF CROOKSTON. THE HOSPITAL WAS LEASED TO THE SISTERS OF ST. JOSEPH IN 1954 AND IN 1957 THE SISTERS PURCHASED THE HOSPITAL AND CHANGED THE NAME TO "TRINITY HOSPITAL". IN 1982, THE SISTERS ENTERED INTO A MANAGEMENT CONTRACT WITH UNITED HEALTH RESOURCES OF GRAND FORKS, NORTH DAKOTA, UNTIL THEY SOLD THE HOSPITAL TO FRANCISCAN SISTERS HEALTH CARE, INCORPORATED IN 1985. DURING THIS TIME, TRINITY HOSPITAL TOOK OVER MANAGEMENT OF THE PIONEER NURSING HOME, THE LONG-TERM TERM CARE FACILITY LOCATED ONE MILE EAST OF THE HOSPITAL. IN 1986, THE HOSPITAL ACQUIRED THE COUNTY-OWNED PUBLIC HEALTH SERVICE. TRINITY HOSPITAL BOUGHT THE PIONEER NURSING HOME IN 1990, AND THE NAME WAS CHANGED TO "LAKEWOOD HEALTH CENTER" TO REFLECT THE COMING TOGETHER OF ACUTE CARE, LONG-TERM CARE (LAKEWOOD CARE CENTER), AND HOME HEALTH/PUBLIC HEALTH (LAKEWOOD NURSING SERVICE) UNDER ONE UMBRELLA. CATHOLIC HEALTH CORPORATION OF OMAHA, NEBRASKA, TOOK OVER SPONSORSHIP OF LAKEWOOD HEALTH CENTER IN 1993. TWO YEARS LATER, THEY MERGED WITH TWO OTHER LARGE CATHOLIC HEALTH CARE SYSTEMS TO FORM CATHOLIC HEALTH INITIATIVES (CHI), OUR CURRENT SPONSOR, BASED IN ENGLEWOOD, COLORADO. LAKEWOOD HEALTH CENTER COMPLETED A BUILDING AND RENOVATION PROJECT IN 2000 THAT RESULTED IN ALL HEALTH CARE SERVICES BEING AVAILABLE ON ONE CAMPUS. LAKEWOOD NURSING SERVICE TRANSFERRED TO CATHOLIC HEALTH INITIATIVES HEALTH CONNECT AT HOME. THE OPERATION MOVED OFF SITE IN JUNE 2010, AND THE FINANCIAL OPERATIONS WERE SEPARATED IN DECEMBER OF 2010. CATHOLIC HEALTH INITIATIVES AT HOME DISCONTINUED HOME HEALTH SERVICES IN LAKE OF THE WOODS COUNTY AND PUBLIC HEALTH, SCHOOL NURSING, AND PARKER'S ARC TRANSFERRED BACK TO LAKEWOOD HEALTH CENTER BY JULY OF 2012. LAKEWOOD HEALTH CENTER IS THE ONLY HOSPITAL, CLINIC, AND LICENSED LONG TERM CARE PROVIDER IN LAKE OF THE WOODS COUNTY. LAKEWOOD HEALTH CENTER IS COMMITTED TO THE PROMOTION OF HEALTHIER COMMUNITIES. LAKEWOOD HEALTH CENTER IS PROUD OF ITS CATHOLIC HERITAGE AND ITS ABILITY TO PROVIDE DIRECT AND INDIRECT SUPPORT TO THE COMMUNITIES IT SERVES. LAKEWOOD HEALTH CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI (CONTINUED) COMMUNITY BENEFIT APPROACH LAKEWOOD HEALTH CENTER IS LOCATED IN BAUDETTE, MINNESOTA, A RURAL AND ISOLATED AREA OF NORTHERN MINNESOTA, SERVING LAKE OF THE WOODS COUNTY AND SURROUNDING COUNTIES OF ROSEAU, KOOCHICHING, BELTRAMI, AND, ON OCCASION, RESIDENTS OF CANADA. ACCORDING TO THE 2010 US CENSUS BUREAU, THE CITY OF BAUDETTE POPULATION IS 1,106 AND LAKE OF THE WOODS COUNTY CENSUS IS 4,045. THIS REPRESENTS A DECLINE OF 10.5% IN POPULATION IN THE COUNTY SINCE THE YEAR 2000. THE DECLINE IN POPULATION IS THOUGHT TO BE RELATED TO THE ECONOMIC DOWNTURN AND LOSS OF YOUNG FAMILIES FROM THE AREA. PERSONS 65 YEARS AND OVER MAKE UP 20.3 % OF LAKE OF THE WOODS COUNTY POPULATION AND THE MEDIAN AGE IS 48.7. THE MEDIAN HOUSEHOLD INCOME IS $40,118 AND 11.7% OF PERSONS IN LAKE OF THE WOODS COUNTY ARE BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE FOR LAKE OF THE WOODS COUNTY WAS RECORDED AT 5.5% IN APRIL OF 2010. THERE ARE 3.3 PERSONS PER SQUARE MILE IN LAKE OF THE WOODS COUNTY. LAKEWOOD HEALTH CENTER IS THE LARGEST EMPLOYER IN THE COUNTY WITH AN ECONOMIC IMPACT OF ABOUT 18.3 MILLION DOLLARS ACCORDING TO A STUDY DONE IN 2005 BY MINNESOTA RURAL HEALTH RESOURCE CENTER. THE MISSION LEADER AND CHIEF FINANCIAL OFFICER GATHER AND TRACK THE COMMUNITY BENEFIT DATA. THE BOARD OF DIRECTORS AND SENIOR LEADERSHIP TEAM ALONG WITH DEPARTMENT HEADS COLLABORATE THROUGHOUT THE YEAR ON HOW TO MAKE A DIFFERENCE IN THE COMMUNITY WE SERVE. A COST-TO-CHARGE RATIO IS USED DETERMINED USING A WORKSHEET PROVIDED BY CATHOLIC HEALTH INITIATIVES, ENGLEWOOD, COLORADO. COMMUNITY FOCUS GROUPS WERE HELD IN 2009 TO ASSESS THE NEEDS OF THE COMMUNITY. AT THIS FORUM, NEEDS IDENTIFIED WERE WELLNESS EDUCATION, VARIOUS SUPPORT GROUP NEEDS, NUTRITION (WITH A FOCUS ON PLANS TO ASSIST WITH PLANNED WEIGHT LOSS), IMPROVED DENTAL CARE, INCREASED PUBLIC TRANSPORTATION, AND INCREASED ACCESS TO PSYCHIATRY, PODIATRY, OPHTHALMOLOGY, AUDIOLOGY, AND OBTAINING DIALYSIS SERVICES CLOSER TO HOME. THE COMMUNITY IS INTERESTED IN HOW TECHNOLOGY CAN BE UTILIZED IN THIS AREA AS ADVANCES ARE MADE IN TELEMEDICINE. A COMMUNITY FORUM WAS HELD IN JANUARY 2010 TO OBTAIN THE COMMUNITY'S PERCEPTION OF VIOLENCE ISSUES IN LAKE OF THE WOODS COUNTY. A COALITION FOR VIOLENCE PREVENTION WAS FORMED IN 2010 TO IDENTIFY A PRIORITY FOCUS AND DEVELOP AN ACTION PLAN TO PREVENT AT LEAST ONE FORM OF VIOLENCE IN LAKE OF THE WOODS COUNTY. VIOLENCE WITHIN OUR COMMUNITY WAS IDENTIFIED WITHIN THE FOCUS GROUPS AS AN OUTCOME FROM OTHER "ABUSES" - ALCOHOL OR SUBSTANCE ABUSE WERE NOTED AS A COMMON FACTOR FOR MUCH OF THE DOMESTIC ABUSE/VIOLENCE THAT OCCURS WITHIN THE COMMUNITY. BULLYING WAS BROUGHT FORWARD WITHIN THE GROUPS AS A TOPIC OF CONCERN FOR SCHOOL-AGE CHILDREN. A COMMUNITY FORUM WAS HELD IN SEPTEMBER OF 2012 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOCUS QUESTIONS INCLUDED THE TOPICS OF HEALTH, SAFETY/VIOLENCE PREVENTION, NUTRITION, PHYSICAL ACTIVITY, AND QUALITY OF LIFE. THE MAJOR NEEDS AND PRIORITIES ESTABLISHED WERE: 1) HOME CARE AND HOSPICE SHORTAGE; 2) NUTRITION, PHYSICAL ACTIVITY - OBESITY; AND 3) TRANSPORTATION ISSUES - PUBLIC RIDES AND TRANSPORTATION FOR OUT OF TOWN APPOINTMENTS. COMMUNITY FORUMS ARE HELD WITH THE COMMUNITY EVERY THREE YEARS TO REVIEW PROGRESS ON COMMUNITY GOALS, ASSESS CURRENT NEEDS, AND UPDATE ACTION PLANS. LAKEWOOD HEALTH CENTER HAS BEEN INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS A HISTORY OF SPONSORING COMMUNITY FORUMS TO LOOK AT AREA HEALTH ISSUES AND SET PRIORITIES AND PLANS FOR IMPROVEMENT. LAKEWOOD HEALTH CENTER CONTINUES A DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH ACTIVITIES. LAKEWOOD HEALTH CENTER STRIVES TO HAVE COMMUNITY BENEFIT A VISIBLE PART OF WHO WE ARE AND PROVIDES AN ANNUAL REPORT FOR OUR COMMUNITY IN ONE OF OUR QUARTERLY NEWSLETTERS. COLLABORATING AND COOPERATING WITH OUR COMMUNITY IS "A WAY OF LIFE" AND PART OF THE CULTURE FOR LAKEWOOD HEALTH CENTER AND ITS EMPLOYEES. WE ARE THANKFUL TO HAVE THE RESOURCES OF TIME, TALENT, AND OTHER GIFTS TO SHARE FOR THE GOOD OF OUR COMMUNITY. LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI (CONTINUED) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR LAKEWOOD HEALTH CENTER PROVIDES TRADITIONAL CHARITY CARE VIA AN INTERNAL PROGRAM FOR THE MEDICALLY NEEDY THAT ASSISTS PATIENTS, RESIDENTS, OR CLIENTS FINANCIALLY BY FORGIVING OR REDUCING THEIR MEDICAL DEBT AT LAKEWOOD HEALTH CENTER. THE BILLING/INSURANCE OFFICE OR THE SOCIAL WORKER IDENTIFIES THOSE INDIVIDUALS OR FAMILIES WITHOUT INSURANCE COVERAGE OR THOSE THAT ARE UNDERINSURED AND PROVIDES APPLICATION ASSISTANCE FOR THIS PROGRAM. TOTAL EXPENSE FOR THIS PROGRAM IS $152,458 WITH 420 PERSONS SERVED. UNPAID COST OF MEDICAID IS $884,231 WITH 849 PERSONS SERVED FOR FISCAL YEAR ENDING JUNE 30, 2013. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY * LAKEWOOD HEALTH CENTER SPONSORS AND PROVIDES SUPPORT FOR DEVELOPMENT AND MAINTENANCE OF AN ALZHEIMER'S SUPPORT GROUP IN LAKE OF THE WOODS COUNTY AND SURROUNDING AREAS. A NEED WAS IDENTIFIED DURING THE 2009 COMMUNITY ASSESSMENT AND THROUGH LAKEWOOD CARE CENTER FAMILY COUNCIL MEMBERS. VOLUNTEERS HAVE COME FORWARD TO LEAD THE SUPPORT GROUP, AND MONTHLY MEETINGS HAVE BEEN ESTABLISHED. THE MEETINGS ARE HELD AT LAKEWOOD HEALTH CENTER AND REFRESHMENTS ARE PROVIDED BY LAKEWOOD HEALTH CENTER'S DIETARY DEPARTMENT. AN ALZHEIMER'S ASSOCIATION SUPPORT GROUP IS A SAFE PLACE TO LEARN, OFFER AND RECEIVE HELPFUL TIPS, AND MEET OTHERS COPING WITH ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA. THE ATMOSPHERE OF AN ALZHEIMER'S ASSOCIATION SUPPORT GROUP IS ONE OF SHARING AND CARING FRIENDSHIP. THE ENVIRONMENT IS A CONFIDENTIAL AND NON-JUDGMENTAL PLACE TO SHARE IDEAS, FRUSTRATIONS, ANGER AND JOY. MEMBERS RECEIVE POSITIVE REINFORCEMENT. * LAKEWOOD HEALTH CENTER PARTNERED WITH THE LAKE OF THE WOODS SCHOOL TO SCREEN ALL FALL, WINTER, AND SPRING SPORTS ATHLETES. THIS INCLUDED STUDENTS RANGING IN AGE FROM 10 TO 18. THE PROGRAM ALSO EXTENDED TO THE COMMUNITY'S YOUTH HOCKEY PROGRAM. THE SCREENING INVOLVES A 10-MINUTE BASELINE TEST ON EACH ATHLETE LOOKING FOR ANY PHYSICAL OR COGNITIVE SIGNS OF PREVIOUS CONCUSSION. THE ATHLETE'S NORMAL PHYSICAL AND COGNITIVE ABILITIES ARE DOCUMENTED, SHARED WITH THE COACH, AND KEPT WITH THE STUDENT'S MEDICAL RECORD. MINNESOTA STATE HIGH SCHOOL LEAGUE ADOPTED NEW RULES LAST YEAR ABOUT WHAT STEPS SHOULD BE TAKEN BEFORE AN ATHLETE WITH A HEAD INJURY CAN RETURN TO PLAY OR PRACTICE, AND THIS PROGRAM ASSISTS THE ATHLETIC PROGRAMS IN MAINTAINING COMPLIANCE AND SAFETY FOR YOUNG ATHLETES. * LAKEWOOD HEALTH CENTER'S DIETITIAN PROVIDES A MONTHLY COLUMN FOR FIVE NEWSPAPERS IN NORTHWEST MINNESOTA. THESE ARTICLES COVER VARIOUS TOPICS OF NUTRITION AND FOOD SAFETY. THE DIETITIAN IS ALSO OPEN TO PROVIDING EDUCATION/OUTREACH FOR GROUPS WHO REQUEST A PRESENTATION; HE HAS PROVIDED OUTREACH FOR TWO OF THE PUBLIC SCHOOLS IN THE AREA. * LAKEWOOD HEALTH CENTER, IN CONJUNCTION WITH LAKEWOOD HEALTH CENTER CLINIC, DEVELOPED THE DIABETES RESOURCE CENTER TO BRING AWARENESS OF THE CHRONIC DISEASE TO THE PUBLIC AND PROVIDE EDUCATION FOR PEOPLE WITH DIABETES TO HELP THEM UNDERSTAND AND MANAGE THEIR DISEASE. THE PROGRAM IS OFFERED IN CLASS SESSIONS AND ENCOURAGES SELF-MANAGEMENT AND LONG-TERM HEALTH MAINTENANCE. LAKEWOOD HEALTH CENTER PROVIDES A DIETITIAN CONSULT FOR THE PROGRAM. THE DIABETES RESOURCE CENTER STAFF IS AVAILABLE TO MEET WITH INDIVIDUALS TO ASSIST THEM WITH MANAGING THEIR DIABETES. THE DIABETIC RESOURCE CENTER IS STAFFED OUT OF THE CARDIO-PULMONARY REHABILITATION DEPARTMENT. THE DIABETES RESOURCE CENTER OFFERED "I CAN PREVENT DIABETES! - INDIVIDUALS AND COMMUNITIES ACTING NOW TO PREVENT DIABETES," A 16 WEEK PROGRAM (CLASSES STARTED NOVEMBER 2009 AND CONTINUE) OFFERED TO THOSE WHO MEET SCREENING CRITERIA. THE "I CAN PREVENT DIABETES!" PROGRAM HAS BEEN ADAPTED FROM THE DIABETES PREVENTION PROGRAM (DPP). THE DPP IS AN EVIDENCED-BASED LIFESTYLE CHANGE PROGRAM FOCUSED ON DIET AND EXERCISE. THE ORIGINAL DPP SHOWED A 60% REDUCTION IN RISK FOR DIABETES WHEN PARTICIPANTS MADE LIFESTYLE CHANGES RELATED TO FOOD CHOICES AND EXERCISE. A COMMUNITY SUPPORT GROUP WAS ESTABLISHED FOR THOSE AFFECTED BY DIABETES AND THIS GROUP IS MEETING APPROXIMATELY FOUR TIMES A YEAR. * LAKEWOOD HEALTH CENTER PROVIDED THE AMERICAN LUNG ASSOCIATION - "FREEDOM FROM SMOKING" PROGRAM FOR THE COMMUNITY. THE FREEDOM FROM SMOKING® GROUP CLINIC INCLUDES EIGHT SESSIONS AND FEATURES A STEP-BY-STEP PLAN FOR QUITTING SMOKING. EACH SESSION IS DESIGNED TO HELP SMOKERS GAIN CONTROL OVER THEIR BEHAVIOR. THE CLINIC FORMAT ENCOURAGES PARTICIPANTS TO WORK ON THE PROCESS AND PROBLEMS OF QUITTING BOTH INDIVIDUALLY AND AS PART OF A GROUP. THIS PROGRAM WAS PROVIDED AS OUTREACH FROM THE CARDIO-PULMONARY REHABILITATION DEPARTMENT AND IS PROMOTED AT HEALTH FAIRS THROUGH THE DEPARTMENT AND LOCAL NEWSPAPERS. * LAKEWOOD HEALTH CENTER HELD THE ANNUAL HEALTH FAIR IN AUGUST 2012 AT THE LAKE OF THE WOODS COUNTY FAIR. MEMBERS OF ALL DEPARTMENTS AT LAKEWOOD HEALTH CENTER ARE ASKED TO PARTICIPATE IN SOME WAY. A THREE DAY EVENT WAS HELD (FRIDAY, SATURDAY, AND SUNDAY) AND APPROXIMATELY 140 PEOPLE RECEIVED GLUCOSE, CHOLESTEROL, AND BLOOD PRESSURE SCREENINGS. NURSES PROVIDED HEALTH EDUCATION DURING THE TIME OF SCREENING. LAKEWOOD HEALTH CENTER ALSO PARTICIPATED IN SCREENING EVENTS FOR THE MARVIN'S HEALTH FAIR AND WILLIE WALLEYE DAYS, LOCAL COMMUNITY EVENTS. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH LAKEWOOD HEALTH CENTER DONATES CASH TO PROGRAMS, PROJECTS, AND SPECIAL COMMUNITY EVENTS. THESE ORGANIZATIONS/COMMUNITY GROUPS ARE ALSO NOT FOR PROFIT AND INVOLVE COLLABORATION FOR SAFE ENVIRONMENT, SAFE RECREATIONAL OPPORTUNITIES, GROWTH AND DEVELOPMENT OF YOUTH, AND OTHER ACTIVITIES/PROGRAMS THAT ASSIST IN BUILDING THE COMMUNITY AND THE HEALTH OF THE COMMUNITY. * LAKEWOOD HEALTH CENTER ENCOURAGES EMPLOYEES TO BE INVOLVED IN COMMUNITY ACTIVITIES AND TO VOLUNTEER WHERE ABLE. LAKEWOOD HEALTH CENTER ALLOWS USE OF PRINTERS, COPY MACHINES, PAPER, AND DONATION OF SUPPLIES. SOME OF THE PROJECTS INCLUDE LOCAL FOOD SHELF, TAKE A KID FISHING PROGRAM, SENIOR FISHING PROGRAM, YOUTH HOCKEY, HUMANE SOCIETY, POST PROM PARTY, JOB SHADOWING EXPERIENCE, SCHOOL CAREER DAY, SCHOOL BOOSTER CLUB, ROBOTICS, AND OTHER SCHOOL PROJECTS. LAKEWOOD HEALTH CENTER (ALONG WITH CHI FARGO DIVISION) PARTICIPATES IN FUND RAISING FOR INTERNATIONAL MISSION PROJECTS FOR THE INDIGENOUS PEOPLE'S HOSPITAL IN THE PHILIPPINES THROUGH INTERNAL FUNDRAISING EVENTS FOR EMPLOYEES, AS WELL AS THE ANNUAL DUCKY DERBY FUNDRAISER EVENT HELD ANNUALLY IN ONE OF THE FACILITIES IN THE CHI FARGO DIVISION. * LAKEWOOD HEALTH CENTER SUPPORTS THE AMERICAN CANCER SOCIETY'S SENTINEL FUND RAISING EVENT RELAY FOR LIFE, THAT HAS BEEN HELD IN COMMUNITIES ACROSS MINNESOTA AND THE NATION. THE ELEVENTH RELAY FOR LIFE EVENT WAS HELD IN LAKE OF THE WOODS COUNTY IN AUGUST 2012, WITH LAKEWOOD HEALTH CENTER AS ONE OF THE CORPORATE SPONSORS. LAKEWOOD HEALTH CENTER ALSO PARTICIPATES IN DAFFODIL DAYS, ANOTHER AMERICAN CANCER SOCIETY EVENT. THE ADMISSIONS STAFF SET UP A DISPLAY TO REFER CANCER PATIENTS TO THE AMERICAN CANCER SOCIETY NETWORK. HEALTH PROFESSIONS EDUCATION * LAKEWOOD HEALTH CENTER AND RAINY RIVER COMMUNITY COLLEGE/INTERNATIONAL FALLS, MN HAVE COLLABORATED TO PROVIDE THE PRACTICAL NURSING PROGRAM AT LAKEWOOD HEALTH CENTER IN BAUDETTE. THE PROGRAM IS SET UP TO ENCOURAGE STUDENTS TO WORK, ATTEND CLASSES, AND MEET FAMILY OBLIGATIONS BY MOVING THROUGH THE PROGRAM OVER TWO YEARS AT A PART-TIME PACE. LAKEWOOD HEALTH CENTER PROVIDES CLASSROOM AND CLINICAL SPACE FOR THE NURSING STUDENTS. ITV IS SET UP IN A CONFERENCE ROOM FOR CLASSES. NURSING STAFF MEMBERS AT LAKEWOOD ARE OCCASIONALLY ASKED TO PRINT TESTS OR HANDOUTS AND DISTRIBUTE THEM ON THE DAY OF CLASS. CLASSES STARTED IN FALL OF 2011 WITH NURSING COURSE WORK ARE SCHEDULED TO BE COMPLETED IN THE SPRING OF 2013. LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI (CONTINUED) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT (CONT.) COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING AND COMMUNITY HEALTH ACTIVITIES LAKEWOOD HEALTH CENTER DONATES CASH TO PROGRAMS, PROJECTS, AND SPECIAL COMMUNITY EVENTS. THESE ORGANIZATIONS/COMMUNITY GROUPS ARE ALSO NOT FOR PROFIT AND INVOLVE COLLABORATION FOR SAFE ENVIRONMENT, SAFE RECREATIONAL OPPORTUNITIES, GROWTH AND DEVELOPMENT OF YOUTH, AND OTHER ACTIVITIES/PROGRAMS THAT ASSIST IN BUILDING THE COMMUNITY AND THE HEALTH OF THE COMMUNITY. * THE BRINK SENIOR CENTER IS A NON-PROFIT ORGANIZATION THAT PROVIDES NUTRITIOUS MEALS AT NOON, FIVE DAYS A WEEK, THROUGH LUTHERAN SOCIAL SERVICE PROGRAM. THEY ALSO PROVIDE MEALS ON WHEELS IN OUR COMMUNITY. THE BRINK SENIOR CENTER IS THE HUB OF ACTIVITY FOR SENIORS IN LAKE OF THE WOODS COUNTY AND NEIGHBORING SENIORS FROM RAINY RIVER, ONTARIO, CANADA. THE CENTER HAS DAILY ACTIVITIES AND ALSO SERVES AS A FORUM FOR INFORMATION RELATED TO HEALTH, ISSUES, AND ADVOCACY PROGRAMS FOR SENIORS. THE NEWSLETTER IS PREPARED AND DISTRIBUTED MONTHLY TO KEEP THE SENIORS INFORMED OF COMMUNITY EVENTS, SENIOR CENTER ACTIVITIES, AND THE DAILY MENU. THE SOCIAL WORKER AND DIETITIAN PARTICIPATE ON THE NUTRITION BOARD AT THE BRINK CENTER AND ASSIST WITH FUND RAISERS ONCE OR TWICE A YEAR FOR THE NUTRITION PROGRAM. OTHER LAKEWOOD HEALTH CENTER STAFF MEMBERS OCCASIONALLY ASSIST WITH SPECIAL EVENTS OR FUNDRAISERS. * LAKEWOOD HEALTH CENTER SUPPORTS SEMI-ANNUAL BLOOD DRIVES (FALL AND SPRING) IN OUR COMMUNITY. LAKEWOOD HEALTH CENTER ENCOURAGES AND SUPPORTS EMPLOYEES TO VOLUNTEER AS BLOOD DONORS; STAFF FROM ENVIRONMENTAL SERVICES OFFERS ASSISTANCE IN SET UP AND CLEAN UP FOR THE BLOOD DRIVE EVENT. LAKEWOOD HEALTH CENTER LAB AND RADIOLOGY DEPARTMENTS TOOK OVER THE RESPONSIBILITIES IN 2012. COMMUNICATIONS/MARKETING STAFF ASSIST WITH PROMOTING THE BLOOD DRIVE. * THE BAUDETTE COMMUNITY FOUNDATION IS A NON-PROFIT ORGANIZATION SEEKING TO ENHANCE AND IMPROVE AREA RECREATIONAL AND SOCIAL FACILITIES. THE BAUDETTE COMMUNITY FOUNDATION BOARD MEETS MONTHLY AND OVERSEES THE THEATER BUSINESS AND WORKS TOWARD IMPROVING THE RECREATIONAL FACILITIES. THE COMMUNITY FOUNDATION HELD AN AUCTION FUND RAISER IN JULY 2012. MAINTENANCE STAFF, ADMINISTRATION, AND SOCIAL WORKERS ASSIST WITH PICKING UP AND TRANSPORTING ITEMS TO THE AUCTION AS WELL AS HELPING ON THE DAY OF THE AUCTION. BAUDETTE COMMUNITY FOUNDATION ALSO SERVES AS A FISCAL AGENT FOR THE SENIOR FISHING PROGRAM IN LAKE OF THE WOODS COUNTY. * LAKE OF THE WOODS COUNTY PREVENTION COALITION (ALCOHOL, TOBACCO, AND OTHER DRUGS): LAKEWOOD HEALTH CENTER'S MISSION LEADER AND ADMINISTRATOR ARE MEMBERS OF THE COALITION, AND LAKEWOOD HEALTH CENTER PROVIDES SPACE FOR MEETINGS AND OCCASIONAL REFRESHMENTS. LAKE OF THE WOODS COUNTY WORKS WITH THE DEPARTMENT OF HUMAN SERVICES, ALCOHOL AND DRUG ABUSE DIVISION BY FOCUSING ON CHANGING THE ENVIRONMENT IN WHICH YOUTH LIVE. INVESTING IN PREVENTION MEASURES WILL NOT ONLY ENHANCE THE COMMUNITY, IT WILL ENHANCE THE LIVES OF OUR YOUTH. THE PROPOSED PREVENTION MEASURES ARE AIMED AT: 1) REDUCING ACCESS AND AVAILABILITY; 2) ENFORCEMENT OF EXISTING LAWS AND POLICIES; AND 3) CHANGING PUBLIC ATTITUDES AND SOCIAL NORMS. * VIOLENCE PREVENTION WORK: LAKEWOOD HEALTH CENTER IS STRIVING TO PROMOTE A HEALTHY COMMUNITY BY CREATING A PLAN TO REDUCE COMMUNITY VIOLENCE. THE PURPOSE OF OUR WORK IS TO ADDRESS A COMMUNITY-IDENTIFIED FORM OF VIOLENCE AND CREATE A HEALTHIER COMMUNITY THROUGH VIOLENCE REDUCTION. LAKEWOOD HEALTH CENTER, ALONG WITH CATHOLIC HEALTH INITIATIVES, IS COMMITTED TO ADDRESSING THE ISSUE OF VIOLENCE IN OUR SOCIETY. LAKEWOOD HEALTH CENTER SPONSORED AND FACILITATED A COMMUNITY FORUM IN JANUARY 2010 TO DIALOGUE ABOUT VIOLENCE PREVENTION, RISK FACTORS, RESILIENCY FACTORS, AND NAMED VIOLENCE ISSUES KNOWN IN OUR COMMUNITY. A VIOLENCE PREVENTION COALITION HAS BEEN FORMED AND IS MEETING REGULARLY. LAKEWOOD HEALTH CENTER IS PARTICIPATING IN A PLANNING GRANT (AWARDED JULY 2010-JUNE 2012) FOR VIOLENCE PREVENTION WORK. A THREE YEAR PROJECT GRANT IS UNDERWAY WITH THE COALITION'S FOCUS ON FAMILY VIOLENCE, THE IMPACT OF THIS VIOLENCE ON YOUTH, AND THE FACT THAT ALCOHOL AND DRUGS HAVE BEEN IDENTIFIED AS A COMMON FACTOR DURING THE INCIDENT OF VIOLENCE. A TRACKING TOOL WAS DEVELOPED FOR BASELINE DATA AND FUTURE EFFECTIVENESS MEASUREMENTS. * STATEWIDE HEALTH IMPROVEMENT PROGRAM (SHIP): THE SHIP PROCESS HAS ENGAGED A TEAM OF INTERESTED COMMUNITY MEMBERS REPRESENTING THE SCHOOL, COUNTY, CITY, AND LAKEWOOD HEALTH CENTER. THE GROUP MEETS TO DISCUSS ACTIVITIES THAT HAVE BEEN SHOWN TO PREVENT CHRONIC DISEASE BY INCREASING ACCESS TO HEALTHY FOODS, DECREASING TOBACCO USE, AND INCREASING ACTIVE LIVING OPPORTUNITIES. THEY WORK ON POLICY AND SYSTEM CHANGES THAT CAN BE ADOPTED WITH OUR SCHOOL, COMMUNITIES, PLACES OF WORK, AND HEALTH CARE FACILITIES. ACTIVITIES UNDERWAY INCLUDE THE SUPPORT OF COMMUNITY GARDENS, ASSESSMENT OF STUDENT HEALTH POLICIES AT LAKE OF THE WOODS SCHOOL, AND STRENGTHENING THE AVAILABILITY OF HEALTHY FOODS IN SCHOOLS. LAKEWOOD HEALTH CENTER PARTICIPATES IN WORKSITE WELLNESS CAMPAIGNS FOR EMPLOYEES AND PROVIDES THE "FREEDOM FROM SMOKING" TOBACCO CESSATION AND SUPPORT PROGRAM, AVAILABLE TO MEMBERS OF THE COMMUNITY. AN ASSESSMENT OF "ACTIVE LIVING" IN THE COMMUNITY WILL BE COMPLETED AND A THREE TO TEN YEAR STRATEGIC PLAN WILL BE DEVELOPED. * COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES THE PURPOSE OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IS TO DESCRIBE THE HEALTH OF LOCAL PEOPLE, IDENTIFY USE OF LOCAL HEALTH CARE SERVICES, PRIORITIZE COMMUNITY NEEDS, AND IDENTIFY ACTIONS NEEDED TO ADDRESS THE FUTURE DELIVERY OF HEALTH CARE IN THE DEFINED AREA. A HEALTH NEEDS ASSESSMENT BENEFITS THE COMMUNITY BY: 1) COLLECTING TIMELY INPUT FROM THE LOCAL COMMUNITY, HEALTH PROVIDERS, AND STAFF; 2) PROVIDING AN ANALYSIS OF SECONDARY DATA RELATED TO HEALTH CONDITIONS, RISKS, AND OUTCOMES; 3) COMPILING AND ORGANIZING INFORMATION TO GUIDE DECISION-MAKING, EDUCATION, AND MARKETING EFFORTS AND TO FACILITATE THE DEVELOPMENT OF A STRATEGIC PLAN; 4) ENGAGING COMMUNITY MEMBERS ABOUT THE FUTURE OF HEALTH CARE IN THE COMMUNITY; AND 5) ALLOWING THE CHARITABLE HOSPITAL TO MEET FEDERAL REGULATIONS OF THE AFFORDABLE CARE ACT, WHICH REQUIRES NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS. LAKEWOOD HEALTH CENTER COMPLETED A HEALTH NEEDS ASSESSMENT AND PUBLISHED THE FINDINGS ON THE FACILITY WEBSITE. THE PRIORITIZED NEEDS IDENTIFIED INCLUDE: (A) HOME CARE AND HOSPICE SHORTAGE, (B) NUTRITION, PHYSICAL ACTIVITY, AND OBESITY CONCERNS, AND (C) TRANSPORTATION ISSUES - PUBLIC RIDES AND AVAILABILITY FOR OUT OF TOWN APPOINTMENTS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY * LAKEWOOD HEALTH CENTER OFFERS PERSONALIZED, CONFIDENTIAL ASSISTANCE AT NO CHARGE TO MEDICARE BENEFICIARIES WHO WISH TO ENROLL OR UPDATE PARTICIPATION IN THE MEDICARE PART D PRESCRIPTION DRUG PROGRAM. THE PROCESS IS COMPLICATED AND INTERNET ACCESS HAS PROVEN TO BE A BARRIER FOR PEOPLE, ESPECIALLY THE ELDERLY. LAKEWOOD HEALTH CENTER HAS A DEDICATED HIGH-SPEED INTERNET CONNECTION AND PRIVATE CONSULTING SPACE. DESIGNATED STAFF MEMBERS AT LAKEWOOD HEALTH CENTER HAVE RECEIVED TRAINING AND WILL SCHEDULE APPOINTMENTS TO ASSIST WITH THIS ENROLLMENT PROCESS. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 LAKEWOOD HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, LAKEWOOD HEALTH CENTER PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN ENGLISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN LAKEWOOD HEALTH CENTER'S OUTPATIENT FACILITIES. LAKEWOOD HEALTH CENTER REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER LAKEWOOD HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. LAKEWOOD HEALTH CENTER REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. LAKEWOOD HEALTH CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Affiliated health care system Schedule H, Part VI, Line 6 LAKEWOOD HEALTH CENTER IS PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION, AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL, AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. LAKEWOOD HEALTH CENTER OPERATES WITH ITS COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF LAKE OF THE WOODS COUNTY, MINNESOTA, AND SURROUNDING COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 MN true 0 0 GRANTS AND OTHER ASSISTANCE TO GOVERNMENTS AND ORGANIZATIONS IN THE U.S. SCHEDULE I, PART II NO ONE RECIPIENT RECEIVED MORE THAN $5,000 FROM THE ORGANIZATION. Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATIONS CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS. false true false false false false false false false CHRISTOPHER MCGRAW 250758 0 0 0 756 0 23096 0 18960 0 293570 0 0 0 JASON BREUER 0 129147 0 60306 0 26039 0 32403 0 20094 0 267989 0 0 JEFFREY DROP 0 400148 0 146277 0 59679 0 76703 0 21785 0 704592 0 36347 MOHAN BANGALORE-PUTTAIAH 149068 0 3549 0 20294 0 13287 0 11258 0 197456 0 0 0 ROBERT DAYER 213146 0 0 0 1392 0 19822 0 13293 0 247653 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THERE WERE NO REPORTABLE INDIVIDUALS WHO RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2012. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2012 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: JASON BREUER JEFFREY DROP DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JASON BREUER - $12,112 JEFFREY DROP - $48,607 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $36,347 MADELINE DAYER SPOUSE OF BOARD MEMBER AND CONTRACTS WITH LHC 50000 COMPENSATION false New program services Form 990, Part III, Line 2 DURING FISCAL YEAR 2013, PUBLIC HEALTH, SCHOOL NURSING, AND PARKER'S ARC PROGRAMS WERE TRANSFERRED BACK TO LAKEWOOD HEALTH CENTER FROM CHI CONNECT AT HOME - FARGO, A RELATED, TAX EXEMPT ORGANIZATION. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF LAKEWOOD HEALTH CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT/CEO, EACH OF WHOM SHALL SERVE AS AN EX-OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE MEMBER OF THE ORGANIZATION HAS THE POWER TO APPOINT, REPLACE, OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO ARTICLE V, SECTION 5.4.2 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF LAKEWOOD HEALTH CENTER; *AMENDMENT OF THE CORPORATE DOCUMENTS OF LAKEWOOD HEALTH CENTER; *APPROVE MEMBERS OF THE LAKEWOOD HEALTH CENTER BOARD; *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF LAKEWOOD HEALTH CENTER; *APPROVAL OF ISSUANCE OF DEBT BY LAKEWOOD HEALTH CENTER; *APPROVAL OF PARTICIPATION OF LAKEWOOD HEALTH CENTER IN A JOINT VENTURE; *APPROVAL OF FORMATION OF A NEW CORPORATION BY LAKEWOOD HEALTH CENTER; *APPROVAL OF A MERGER INVOLVING LAKEWOOD HEALTH CENTER; *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF LAKEWOOD HEALTH CENTER; *TO REQUIRE THE TRANSFER OF ASSETS BY THE LAKEWOOD HEALTH CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES AND TO SATISFY CHI DEBTS; AND *ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR LAKEWOOD HEALTH CENTER. 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CFO WILL PROVIDE A COPY OF THE RETURN TO THE BOARD EITHER AT A BOARD MEETING OR BY EMAILING A COPY OF THE RETURN TO EACH BOARD MEMBER. 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c LAKEWOOD HEALTH CENTER HAS A BOARD POLICY THAT REFERENCES THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICIES PROVIDED BY CHI NATIONAL. AT THE ANNUAL BOARD AND BOARD COMMITTEE MEETINGS ALL MEMBERS ARE REQUESTED TO SIGN CONFLICT OF INTEREST STATEMENTS. THE SIGNED STATEMENTS ARE RETAINED IN THE ADMINISTRATIVE FILES. ALL MEMBERS ARE REQUESTED TO DECLARE POTENTIAL CONFLICTS OF INTEREST AT EACH BOARD AND/OR COMMITTEE MEETING OF THE BOARD (FINANCE/AUDIT AND COMPLIANCE COMMITTEE AND THE PERFORMANCE IMPROVEMENT COMMITTEE). IF THE BOARD FINDS THAT A CONFLICT DOES EXIST REGARDING THE AGENDA ITEMS TO BE PRESENTED FOR ACTION, MEMBERS ARE REQUESTED TO ABSTAIN FROM VOTING. IN ADDITION, A QUESTIONNAIRE IS SENT ANNUALLY TO ALL BOARD MEMBERS, TOP PAID VENDORS, AND TOP PAID EMPLOYEES ASKING THEM TO DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS. WRITTEN DOCUMENT RETENTION & DESTRUCTION POLICY FORM 990, PART VI, LINE 14 THE ORGANIZATION'S DOCUMENT RETENTION AND DESTRUCTION POLICY HAS NOT YET BEEN FORMALLY ADOPTED BY THE BOARD. HOWEVER, THE ORGANIZATION HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY ADOPTED BY THE BOARD-APPOINTED FINANCE COMMITTEE. PROCESS FOR DETERMINING COMPENSATION FOR TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b ALL EXECUTIVE COMPENSATION PAID TO OFFICERS AND KEY EMPLOYEES WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 LAKEWOOD HEALTH CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN 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 AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. Other Expenses Form 990, Part IX, Line 11g RCC FEES - TOTAL EXPENSE: 468852, PROGRAM SERVICE EXPENSE: 468852, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHYSICIAN SERVICES - TOTAL EXPENSE: 318425, PROGRAM SERVICE EXPENSE: 318425, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHARMACY SERVICES - TOTAL EXPENSE: 124720, PROGRAM SERVICE EXPENSE: 124720, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; ANESTHESIA SERVICES - TOTAL EXPENSE: 111450, PROGRAM SERVICE EXPENSE: 111450, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 1025612, PROGRAM SERVICE EXPENSE: 525254, MANAGEMENT AND GENERAL EXPENSES: 481369, FUNDRAISING EXPENSES: 18989; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CAPITAL POOL CONTRIBUTION - -195228; TRANSFER OF FIXED ASSETS FROM AFFILIATE - 29081; CHI CONNECT DEPRECIATION - 16922; ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH 2222 PHILADELPHIA DRIVE DAYTON OH 45406 HEALTHCARE OH 501(C)(3) 3 SHP true SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON OH 45406 FUNDRAISING OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 NORTH MAIN STREET DAYTON OH 45402 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH STREET SCHUYLER NE 68661 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJMGROUP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PHYS PRACTICE MO 501(C)(3) 9 SJRMC true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 TITLE HOLDING TX 501(C)(2) N/A SL PROPERTIES true ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN SUITE 1100 HOUSTON TX 77030 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL PROPERTIES true ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON OR 97801 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON OR 97801 FUNDRAISING OR 501(C)(3) 11 - Type I SA HOSPITAL true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DRIVE MORRILTON AR 72110 HEALTHCARE AR 501(C)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HEALTHCARE KS 501(C)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY KS 67846 FUNDRAISING KS 501(C)(3) 11 - Type I SCH true ST DOMINIC OF ONTARIO OREGON 351 SW 9TH STREET ONTARIO OR 97914 HEALTHCARE OR 501(C)(4) N/A CHI true ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 LTERM CARE MN 501(C)(3) 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE NJ 07834 ELDERLY CARE NJ 501(C)(3) 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 HEALTHCARE MN 501(C)(3) 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE OR 501(C)(3) 3 CHI true ST JOHN'S MERCY REGIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 FUNDRAISING MO 501(C)(3) 7 SJRMC true ST JOSEPH COMMUNITY HEALTH 300 CENTRAL AVENUE SW ALBUQUERQUE NM 87102 COMMUNITY NM 501(C)(3) 11 - Type I CHI true ST JOSEPH HOSPITAL FOUNDATION INC ONE SAITN JOSEPH DRIVE LEXINGTON KY 40504 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS true ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 FUNDRAISING PA 501(C)(3) 11 - Type I SJRHN true ST JOSEPH MEDICAL CENTER FOUNDATION 7601 OSLER DRIVE TOWSON MD 21204 FUNDRAISING MD 501(C)(3) 7 SJMC true ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 3 CHI true ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 9 BHC true ST JOSEPH PHYSICIAN ENTERPRISE INC 7601 OSLER DRIVE TOWSON MD 21204 PHYSICIANS MD 501(C)(3) 11 - Type I SJMC true ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 3 CHI true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS MN 56470 HEALTHCARE MN 501(C)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON ND 58601 HEALTHCARE ND 501(C)(3) 3 CHI true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - 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