AVERA ST MARYS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: AVERA ST MARYS (EIN 46-0230199)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2014-01-07
IRS object ID: 201410139349301916
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-01-07T14:00:12-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470617373	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460230199	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HEALTHCARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	6052243130	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 EAST SIOUX AVENUE	AddressLine1
City	PIERRE	City
State	SD	State
ZIP Code	57501	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOSEPH A MESSMER	Name
Title	CEO	Title
Date Signed	2013-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kimberly Steenhoek	Name
PTIN	P01201968	PTIN
Phone	3032989100	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CHAD COOPER	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	801 EAST SIOUX AVENUE	AddressLine1
City	PIERRE	City
State	SD	State
ZIP Code	57501	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	46594583	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.AVERA.ORG/ST-MARYS-PIERRE	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	ST. MARY'S HEALTHCARE CENTER SERVES THE COMMUNITY ON A NON-DISCRIMINATORY BASIS THROUGH ITS GENERAL HOSPITAL, LONG-TERM CARE FACILITIES AND 24-HOUR EMERGENCY CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	553	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	20600	TotalGrossUBI
Net Unrelated Business Txbl Income	19600	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	129050	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	45914909	ProgramServiceRevenuePriorYear
Program Service Revenue CY	44851370	ProgramServiceRevenueCY
Investment Income Prior Year	2819551	InvestmentIncomePriorYear
Investment Income Current Year	1260643	InvestmentIncomeCurrentYear
Other Revenue Prior Year	133077	OtherRevenuePriorYear
Other Revenue Current Year	347110	OtherRevenueCurrentYear
Total Revenue Prior Year	48867537	TotalRevenuePriorYear
Total Revenue Current Year	46588173	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	51975	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	47683	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	20369571	SalariesEtcPriorYear
Salaries Etc Current Year	20240984	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	21672140	OtherExpensePriorYear
Other Expenses Current Year	21731728	OtherExpensesCurrentYear
Total Expenses Prior Year	42093686	TotalExpensesPriorYear
Total Expenses Current Year	42020395	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6773851	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4567778	RevenuesLessExpensesCY
Total Assets BOY	78509588	TotalAssetsBOY
Total Assets EOY	80703661	TotalAssetsEOY
Total Liabilities BOY	8196134	TotalLiabilitiesBOY
Total Liabilities EOY	7613867	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	70313454	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	73089794	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	36365443	Expense
Grants	47683	Grants
Revenue	44831905	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	36365443	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	553	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TOM WAGNER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6052243127	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	801 EAST SIOUX AVENUE	AddressLine1
City	PIERRE	City
State	SD	State
ZIP Code	57501	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
CHAD COOPER
PRESIDENT/CEO	40.00	X	X	0	408270	59467
COLLEEN LAMB
BOARD SECRETARY	2.00	X	X	0	0	0
ROBERT MILLER
BOARD CHAIR	2.00	X	X	0	0	0
RONALD TEDROW
BOARD TREASURER	2.00	X	X	0	0	0
WILLIAM VAN CAMP
BOARD VICE CHAIR	2.00	X	X	0	0	0
DARRELL JEANOTTE
BOARD MEMBER	2.00	X		0	0	0
JEFFREY DROP
BOARD MEMBER/CHI SVP Division Officer	2.00	X		0	540927	82538
JOE VILLA
BOARD MEMBER	2.00	X		0	0	0
MIKEL HOLLAND
BOARD MEMBER	2.00	X		0	0	0
OWEN GARNOS
BOARD MEMBER	2.00	X		0	0	0
PEGGY WILLIAMS
BOARD MEMBER	2.00	X		0	0	0
SR ADEL SAUTNER
BOARD MEMBER	2.00	X		0	0	0
TOM GERAETS
BOARD MEMBER	2.00	X		0	0	0
ADAM PAUL
VICE PRESIDENT/FISCAL SERVICE	50.00		X	114019	0	13546
DEBBIE BRAKKE
VICE PRESIDENT/QA RISK MGMT	50.00		X	107977	0	24694
ELLEN LEE
VICE PRESIDENT/ADMINISTRATION	50.00		X	111853	0	23549
PAUL MARSO
VICE PRESIDENT/HUMAN RESOURCE	50.00		X	105915	0	30904
ROBIN CRIST
VICE PRESIDENT/NURSING ADMIN	50.00		X	120250	0	15902
CHRISTOPHER OLSON
CERTIFIED NURSE ANESTHESIA	40.00			191851	0	23739	X
DAWN ZASTOUPIL
CERTIFIED NURSE ANESTHESIA	40.00			176371	0	32691	X
RITA WENDT
CERTIFIED NURSE ANESTHESIA	40.00			159341	0	14563	X
SANDRA JACOBSON
DIRECTOR PHARMACY	40.00			138124	0	29909	X
STEVEN CASE
PHARMACIST/PHARMACY	40.00			136770	2645	33552	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1362471	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	951842	TotalReportableCompFrmRltdOrgs
Total Other Compensation	385054	TotalOtherCompensation
Number Individuals GT100 K	15	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CAPITAL CITY PHYSICIANS
800 E SIOUX AVE	PIERRE	SD	57501	PHYSICIAN COVERAGE	1141991
ALL ABOUT STAFFING
1000 SAWGRASS CORPORATE PKWY 6TH FL	SUNRISE	FL	33323	CONTRACT STAFF	371473
THERESA SIMMONS
4102 HACKAMORE COURT	GILLETTE	WY	82718	CRNA COVERAGE	289540
AVERA MCKENNAN HOSPITAL
PO BOX 5045	SIOUX FALLS	SD	57117	CRNA COVERAGE	160805
SIGHT PATH MEDICAL INC
5775 W OLD SHAKOPEE ROAD SUITE 90	BLOOMINGTON	MN	55437	O.R. SERVICES	155380

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Related Organizations	129050	RelatedOrganizations
Total Contributions	129050	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	44640738	44640738
RENTAL INCOME	900099	138680	138680
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	71952	52487	19465

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	44851370	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	938008	TotalRevenueColumn
Unrelated Business Revenue	1135	UnrelatedBusinessRevenue
Exclusion	$936,873	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	329045	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	6410	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	329045	Securities
Other	-6410	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	322635	TotalRevenueColumn
Exclusion	$322,635	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
REIMBURSEMENT OF EXPENSES	900099	16358	$16,358
INSURANCE	524298	252730	$252,730
CAFETERIA	722100	71287	$71,287

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6735	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,735	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	347110	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	46588173	TotalRevenueColumn
Related Or Exempt Function Income	44831905	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	20600	UnrelatedBusinessRevenue
Exclusion	$1,606,618	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	47683	Total
Program Services	47683	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	500740	Total
Management And General	500740	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	15622439	Total
Program Services	14526985	ProgramServices
Management And General	1095454	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	807319	Total
Program Services	727394	ProgramServices
Management And General	79925	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2168110	Total
Program Services	1953467	ProgramServices
Management And General	214643	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1142376	Total
Program Services	1029281	ProgramServices
Management And General	113095	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7102672	Total
Program Services	5080191	ProgramServices
Management And General	2022481	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	231108	Total
Management And General	231108	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1667847	Total
Program Services	1575793	ProgramServices
Management And General	92054	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1128584	Total
Program Services	1057949	ProgramServices
Management And General	70635	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	98974	Total
Program Services	58803	ProgramServices
Management And General	40171	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1431	Total
Management And General	1431	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	969862	Total
Management And General	969862	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2828646	Total
Program Services	2779494	ProgramServices
Management And General	49152	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	68180	Total
Program Services	66995	ProgramServices
Management And General	1185	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	1825048	1825048
REPAIRS AND MAINTENANCE	301438	131250	170188
MEDICAL SUPPLIES	5224091	5224091
UNRELATED BUSINESS TAXES	2828		2828

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	281019	Total
Program Services	281019	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	42020395	Total
Program Services	36365443	ProgramServices
Management And General	5654952	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	925	BOY
EOY	1100	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2800904	BOY
EOY	3497763	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11117725	BOY
EOY	7113335	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	160074	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	234057	BOY
EOY	152651	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1079493	BOY
EOY	1174288	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	119400	BOY
EOY	41980	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	63769598	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	44436437	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	21673245	BOY
EOY	19333161	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	41272153	BOY
EOY	46448226	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	211686	BOY
EOY	2781083	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	78509588	BOY
EOY	80703661	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4138740	BOY
EOY	4979043	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4057394	BOY
EOY	2634824	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8196134	BOY
EOY	7613867	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	70162148	BOY
EOY	73148543	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	151306	BOY
EOY	-58749	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	70313454	BOY
EOY	73089794	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	78509588	BOY
EOY	80703661	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4567778	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1791438	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$3,022	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	3022	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	THE PORTION OF ORGANIZATIONAL DUES THAT ARE RELATED TO LOBBYING IS AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION: $535, CATHOLIC HEALTHCARE ASSOCIATION: $237 AND SOUTH DAKOTA ASSOCIATION OF HOSPITALS: $2,250.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1765571	OtherCostOrOtherBasis
Book Value	1765571	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26264020	OtherCostOrOtherBasis
Depreciation	16959594	Depreciation
Book Value	9304426	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34391566	OtherCostOrOtherBasis
Depreciation	26399471	Depreciation
Book Value	7992095	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1348441	OtherCostOrOtherBasis
Depreciation	1077372	Depreciation
Book Value	271069	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	19333161	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME	23215903	F
CHI OIP - EQUITY SECURITIES	23232323	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	46448226	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY LIABILITIES	$2,546,509
ENVIRONMENTAL REMEDIATION LIABILITY	$88,260
UNCLAIMED PROPERTY	$55

Field	Value	IRS element (for citing)
Total Of Amounts	2634824	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	ST. MARY'S HEALTHCARE 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, 2012 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."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	259	PersonsServed
Total Community Benefit Expense	595729	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	595729	NetCommunityBenefitExpense
Percent Of Total Expense	0.01480	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4250	PersonsServed
Total Community Benefit Expense	4092724	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1617030	DirectOffsettingRevenue
Net Community Benefit Expense	2475694	NetCommunityBenefitExpense
Percent Of Total Expense	0.06160	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	4509	PersonsServed
Total Community Benefit Expense	4688453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1617030	DirectOffsettingRevenue
Net Community Benefit Expense	3071423	NetCommunityBenefitExpense
Percent Of Total Expense	0.07640	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	467	PersonsServed
Total Community Benefit Expense	29669	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	29669	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	252	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	100	PersonsServed
Total Community Benefit Expense	1691036	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1691036	NetCommunityBenefitExpense
Percent Of Total Expense	0.04210	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	3663	PersonsServed
Total Community Benefit Expense	164634	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	164634	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	4482	PersonsServed
Total Community Benefit Expense	1885339	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1885339	NetCommunityBenefitExpense
Percent Of Total Expense	0.04690	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	8991	PersonsServed
Total Community Benefit Expense	6573792	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1617030	DirectOffsettingRevenue
Net Community Benefit Expense	4956762	NetCommunityBenefitExpense
Percent Of Total Expense	0.12330	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	625	PersonsServed
Total Community Building Expense	4350	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4350	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	38	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	663	PersonsServed
Total Community Building Expense	4350	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4350	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,825,048	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	10078344	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9719385	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	358959	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HEALTHCARE CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	801 EAST SIOUX AVENUE	AddressLine1
City	PIERRE	City
State	SD	State
ZIP Code	57501	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HEALTHCARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MARYHOUSE
717 EAST DAKOTA AVE	PIERRE	SD	57501	LONG TERM CARE
PARKWOOD
400 PARKWOOD DRIVE	PIERRE	SD	57501	INDEPENDENT LIVING

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. MARY'S HEALTHCARE) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. MARY'S HEALTHCARE 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	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/12 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	1,825,048
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE AMOUNT REPORTED ON THE SCHEDULE H, PART III, LINE 2 IS THE SAME AMOUNT REPORTED FOR BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS. PLEASE REFER TO THE FINANCIAL STATEMENT FOOTNOTE BELOW FOR INFORMATION REGARDING THE METHODOLOGY USED TO DETERMINE AND REPORT BAD DEBT EXPENSE. ST. MARY'S HEALTHCARE 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. ST. MARY'S HEALTHCARE CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY."
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. MARY'S HEALTHCARE CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ST. MARY'S HEALTHCARE 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 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	ST. MARY'S HEALTHCARE 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 REGARD 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: -NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; -REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR -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. - NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; - 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 - 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.
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 9	(1) ST. MARY'S HEALTHCARE CENTER - HUD LOW INCOME GUIDELINES USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 10	(1) ST. MARY'S HEALTHCARE CENTER - HUD LOW INCOME GUIDELINES USED.;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 19d	(1) ST. MARY'S HEALTHCARE CENTER - AMOUNT BILLED WAS DISCOUNTED BY THE AVERAGE MANAGED CARE CONTRACT DISCOUNT. ;
COMMUNITY BENEFIT INFORMATION	SCHEDULE H, PART VI	MISSION ST. MARY'S HEALTHCARE CENTER SHARES THE MISSION OF ITS SPONSORING ORGANIZATION, CATHOLIC HEALTH INITIATIVES. THE MISSION OF 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 CREATING OF HEALTHIER COMMUNITIES. VISION OUR VISION IS TO MAKE ST. MARY'S HEALTHCARE CENTER A DESTINATION FOR PATIENTS AND RESIDENTS TO RECEIVE CARE, FOR EMPLOYEES TO WORK, AND FOR PHYSICIANS TO PRACTICE MEDICINE. WE WILL ACCOMPLISH OUR MISSION THROUGH AN UNENDING COMMITMENT TO EXCELLENCE ACROSS OUR PILLARS OF PEOPLE, QUALITY, STEWARDSHIP, GROWTH AND SERVICE. PRIMARY TAX-EXEMPT PURPOSE ST. MARY'S HEALTHCARE CENTER ("ST. MARY'S") IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY. IT IS A TAX EXEMPT 501(C)(3) ORGANIZATION OPERATED AS A MINISTRY OF THE CATHOLIC CHURCH. CORE TO ITS MISSION, ST. MARY'S BENEFITS THE COMMUNITY IN THE FOLLOWING WAYS: * THE HOSPITAL SERVES ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. * ST. MARY'S OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. * ST. MARY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. * ST. MARY'S GOVERNING BODY IS COMPRISED OF PRIMARILY INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY AS A WHOLE. * ST. MARY'S PROVIDES EDUCATION AND TRAINING OPPORTUNITIES TO HEALTH CARE STUDENTS ENROLLED IN THE LOCAL COLLEGE - CAPITAL UNIVERSITY CENTER. * ST. MARY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.
COMMUNITY BENEFIT INFORMATION CONTINUATION I	SCHEDULE H, PART VI	COMMUNITY BENEFIT APPROACH ST. MARY'S HEALTHCARE CENTER IS A NON-PROFIT HEALTHCARE CENTER THAT IS PART OF CATHOLIC HEALTH INITIATIVES (CHI). THE ORGANIZATION DEMONSTRATES ITS CHARITABLE MISSION THROUGH THE EXECUTION OF A COMPREHENSIVE COMMUNITY BENEFIT PROGRAM. CHARITY CARE IS ONE EXAMPLE. FROM JULY 1, 2011 TO JUNE 30, 2012, IT COST ST. MARY'S $595,729 TO PROVIDE TRADITIONAL CHARITY CARE. IN ADDITION TO THIS COMMITMENT, ST. MARY'S HAS GIVEN OVER $1.8 MILLION IN COMMUNITY BENEFIT IN THE FORM OF COMMUNITY HEALTH SERVICES, EDUCATION, AND SUBSIDIZED CARE. COMMUNITY BENEFIT GOES BEYOND A CHARITY CARE PROGRAM AND IS A PLANNED, MANAGED, ORGANIZED AND MEASURED APPROACH TO A HEALTHCARE ORGANIZATION'S PARTICIPATION IN MEETING IDENTIFIED COMMUNITY HEALTH NEEDS. ST. MARY'S COLLABORATES WITH OUR COMMUNITIES TO BENEFIT OUR RESIDENTS - PARTICULARLY PEOPLE WHO ARE ECONOMICALLY POOR, MINORITIES AND OTHER UNDERSERVED GROUPS - BY IMPROVING HEALTH STATUS AND QUALITY OF LIFE. ST. MARY'S COMMUNITY BENEFIT PROGRAM RESPONDS TO IDENTIFIED COMMUNITY NEEDS AND MEETS AT LEAST ONE OF THE FOLLOWING CRITERIA: * GENERATES A LOW OR NEGATIVE MARGIN. * RESPONDS TO NEEDS OF SPECIAL POPULATIONS, SUCH AS MINORITIES, FRAIL ELDERLY, POOR PERSONS WITH DISABILITIES, THE CHRONICALLY MENTALLY ILL AND PERSONS WITH AIDS. * SUPPLIES A SERVICE OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS. SEVERAL PROGRAMS AND SERVICES ST. MARY'S HEALTHCARE CENTER REPRESENTS ARE EXCELLENT EXAMPLES OF THESE CRITERIA. A BEAUTIFUL, FUNCTIONAL AND CARING KIDNEY DIALYSIS UNIT ("KDU"), NOW CALLED THE SR. EVELYN KIDNEY DIALYSIS UNIT, WAS BUILT IN THE NEW BUILDING PROGRAM JUST A FEW YEARS AGO. THE NEW SPACE WAS ALLOCATED TO THIS PROGRAM TO MAKE THE EXPERIENCE OF KIDNEY DIALYSIS AS PLEASANT AS POSSIBLE, EMBRACING THE CORE VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE. THE KDU WOULD NEVER HAVE BEEN BUILT IF IT WAS BASED ON FUNDS GENERATED OR ON THE BOTTOM LINE. THE KDU MEETS ALL OF THE CRITERIA FOR COMMUNITY BENEFIT: GENERATING A LOW MARGIN, RESPONDING TO SPECIAL POPULATIONS, AND PROVIDING A SERVICE THAT LIKELY WOULD BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS. ANOTHER COMMUNITY BENEFIT SERVICE IS THE COMMUNITY CRISIS ROOM AT ST. MARY'S HEALTHCARE CENTER. THE NEED FOR THIS ROOM WAS IDENTIFIED SEVERAL YEARS AGO, WHEN PEOPLE, INCLUDING YOUTH IN A MENTAL CRISIS, WERE TAKEN TO JAIL UNTIL THEY COULD BE ASSESSED AND EITHER TRANSFERRED TO A BEHAVIORAL HEALTH CENTER OR RELEASED. THE HEALTHY COMMUNITY/HEALTHY YOUTH COALITION DETERMINED THE NEED FOR A SAFE, HUMANE, AND CARING 24 HOUR CRISIS ROOM. FUNDING COMES FROM INSURANCE PROGRAMS, HUGHES COUNTY, AND THE COMMUNITY BENEFIT PROGRAM OF ST. MARY'S HEALTHCARE CENTER. THE COMMUNITY CRISIS ROOM HELPS KEEP OVER 100 PEOPLE SAFE EACH YEAR, WITH AGES STARTING AT 7 YEARS OLD AND STRETCHING TO OVER 80 YEARS OLD. TRADITIONAL CHARITY CARE, UNPAID COSTS OF MEDICAID, AND SUBSIDIZED HEALTH SERVICES ARE ALL PART OF A NON-PROFIT HEALTHCARE CENTER'S OPERATIONAL COSTS, ALONG WITH COMMUNITY BENEFITS TO SERVE THE POOR AND BROADER COMMUNITY. FROM JULY 1, 2011 TO JUNE 30, 2012, ST. MARY'S HEALTHCARE CENTER CONTRIBUTED $4,956,762 TO COMMUNITY BENEFITS PROGRAMS AND SERVICES. ST. MARY'S HEALTHCARE CENTER INCLUDES MARYHOUSE, A 105 BED NURSING HOME WHICH HAS LOST OVER $1.5 MILLION FROM OPERATIONS OVER THE LAST FIVE YEARS. ST. MARY'S IS COMMITTED TO SUPPORTING THIS FACILITY BECAUSE IT IS CENTRAL TO OUR MISSION TO TAKE CARE OF OUR VULNERABLE ELDERLY POPULATION. UNCOMPENSATED CARE IN ADDITION TO PROVIDING $595,729 IN TRADITIONAL CHARITY CARE IN FISCAL 2012, ST. MARY'S ALSO SUBSIDIZES THE COST OF PROVIDING CARE TO MEDICAID BENEFICIARIES. THIS COST OF PROVIDING CARE FOR MEDICAID RECIPIENTS TOTALED $2,475,694.
COMMUNITY BENEFIT INFORMATION CONTINUATION II	SCHEDULE H, PART VI	QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR * OUR DISPROPORTIONATE SHARE PARTICIPATION IN THE MEDICAID PROGRAM IS ONE MEANS BY WHICH WE PROVIDE SERVICE TARGETED TO THE POOR. * ANOTHER IS OUR COMMUNITY BANQUET MEALS OFFERED TWICE A YEAR. THIS WONDERFUL EVENT FOCUSES ON THE EXTREMELY POOR, FRAGILE, LONELY, AND SOMETIMES HOMELESS. 300-400 COMMUNITY MEMBERS ARE FED EVERY THURSDAY NIGHT. ST. MARY'S WORKS WITH OTHER COMMUNITY ORGANIZATIONS AND HOSTS THE DINNER TWICE A YEAR. THE PROGRAM HAS BEEN IN EXISTENCE FOR 20 YEARS. THE OUTCOMES INCLUDE SOCIAL INTERACTION, NOURISHMENT, AND HELP WITH THE INDIVIDUAL'S MENTAL HEALTH AND THEIR SPIRITUAL WELL BEING. THE GROUP IS LED IN PRAYER BEFORE EACH MEAL. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY SOME OF THE MANY COMMUNITY BENEFIT PROGRAMS INCLUDE PROGRAMS FOR THE BROADER COMMUNITY BY BRINGING EDUCATION, TRAINING, INFORMATION AND HEALTH NEWS TO PEOPLE IN A VARIETY OF WAYS, INCLUDING: * FARM SAFETY CAMP. THIS PROGRAM HELPS GRADE SCHOOL STUDENTS. KIDS WERE GETTING HURT AND SOMETIMES KILLED IN FARM ACCIDENTS. AWARENESS ON FARM SAFETY IS EMPHASIZED. THE PROGRAM WAS DEVELOPED WITH COUNTY EXTENSION AGENTS AND OUR IN-HOUSE HEALTHCARE PROFESSIONALS. * DIABETIC EDUCATION. WE HAVE TWO PROGRAMS: DIABETES EDUCATION AND METABOLIC SYNDROME CLASS. BOTH PROGRAMS TARGET PERSONS WITH IDENTIFIED CONDITIONS AND THE LATER IS AIMED AT HIGH RISK INDIVIDUALS. WE ARE THE ONLY PROVIDER OFFERING THIS IMPORTANT SERVICE. PARTICIPANTS LEARN TO MANAGE THEIR ILLNESS OR LEARN TO AVOID IT COMPLETELY. A COMMUNITY ADVISORY BOARD MEETS TWICE A YEAR TO DO PROGRAM DEVELOPMENT AND MEASURE OUTCOMES. * UNITED BLOOD SERVICES. THIS IS A PROGRAM THAT ENCOURAGES ST. MARY'S EMPLOYEES TO GIVE BLOOD TO FUND THE BLOOD BANK. THIS IS AN OPPORTUNITY FOR THE STAFF TO GET INVOLVED AND HELP THOSE IN NEED ACROSS THE COMMUNITY. * SUICIDE PREVENTION PROGRAMS. THE TARGET POPULATION IS YOUNG PEOPLE, BUT IT ALSO EXTENDS TO ALL AGES. A NEED WAS DEFINED IN 1998 WHEN THERE WAS AN EPIDEMIC OF TEEN SUICIDES. COMPLETED SUICIDE RATE HAS GONE DOWN IN RECENT YEARS. THE NUMBER OF CONTACTS TO OUR CRISIS ROOM, (LOCATED ON CAMPUS) HAS RISEN, WHICH SPEAKS TO THE SUCCESS OF THE PROGRAM. MORE PEOPLE ARE NOW ABLE TO ACCESS HELP BEFORE AN ATTEMPT. THE RESPONDERS IN THE COMMUNITY HAVE BECOME BETTER EDUCATED ON WHAT TO DO IN THE CASE OF AN ATTEMPT THROUGH THE EXPERIENCE GAINED IN THE PROGRAM. MANY LOCAL AGENCIES COLLABORATE IN THIS EFFORT INCLUDING THE POLICE, FIRE DEPARTMENT, AND SAFETY AGENCIES, ALONG WITH ST. MARY'S. THIS IS A PROGRAM THAT IS SUBSIDIZED BY ST. MARY'S. IT DOES NOT CONTRIBUTE A MARGIN FOR THE HOSPITAL. * HEALTH FAIRS. HEALTH FAIRS SUPPORT THE GENERAL COMMUNITY AND MEET A NEED BY OFFERING SCREENINGS TO THOSE WHO WOULD NOT OTHERWISE GAIN AWARENESS OF BASIC HEALTH SCREENINGS. BLOOD PRESSURE CHECKS ARE GIVEN AND INDIVIDUALS ARE ENCOURAGED TO VISIT THEIR M.D. THIS SERVICE UNCOVERS DANGEROUS HEALTH CONDITIONS THAT MAY OTHERWISE BE UNTREATED. * PRENATAL CLASSES. THIS PROGRAM TARGETS YOUNG PARENTS. WE ARE THE ONLY PROVIDER IN THE AREA THAT PROVIDES THIS SERVICE. SEVERAL DIFFERENT AGENCIES COLLABORATE IN DEVELOPING THE PROGRAMS AND IN MONITORING OUTCOMES. OUTCOMES INCLUDE YOUNG PARENTS BECOMING MUCH MORE READY FOR THE BIRTHING EXPERIENCE WHICH ALSO RESULTS IN HEALTHIER BABIES. * INFANT CAR SEAT PURCHASES. THIS PROGRAM TARGETS NEWBORNS. THIS PROGRAM STEMS FROM A SIGNIFICANT PERCENTAGE OF THE LOCAL POPULATION BEING EITHER UNAWARE OR FINANCIALLY UNABLE TO MEET THE SAFETY NEEDS OF NEWBORNS WHEN IT COMES TO AUTOMOBILE CAR SEATS. OTHER AGENCIES PROVIDE RESOURCES NEEDED TO MAKE THIS PROGRAM SUCCESSFUL, BUT ST. MARY'S HELPS COMPLETE THE PROGRAM OBJECTIVES. THE BOTTOM-LINE FOR ST. MARY'S IS THAT NO CHILD LEAVES THE EVENT WITHOUT A SAFE CAR SEAT INSTALLED PROPERLY IN THE VEHICLE. * SUPPORT GROUPS (ALZHEIMER'S, FOOD ALLERGY, BEREAVEMENT, CHRONIC PAIN, STEVEN'S MINISTRY, AND SENIOR CITIZENS). PEOPLE SUFFERING FROM THESE VARIOUS CONDITIONS ARE SUPPORTED BY ST. MARY'S. THESE NEEDS ARE UNMET BECAUSE WE ONLY TARGET THOSE GROUPS NOT SUPPORTED ELSEWHERE. THE PARTICIPANTS RECEIVE SUPPORT FROM HEALTHCARE PROFESSIONALS AND THE SHARING THAT COMES FROM INTERACTING WITH OTHERS WHO HAVE SIMILAR CONDITIONS. * HOSPICE AND HOME HEALTH PROGRAMS INCLUDING HOSPICE END OF LIFE ROOMS FOR FAMILY AND PATIENTS IN NEED WHO ARE HOMEBOUND OR AT THE END OF LIFE. THESE ARE EXCELLENT PROGRAMS THAT MEET A VERY IMPORTANT NEED. THESE PROGRAMS ARE WELL UNDERSTOOD AS TO THEIR BENEFITS. THE IMPORTANT POINT IS THAT ST. MARY'S IS SOLIDLY BEHIND THESE VITAL SERVICES WITHOUT A SIGNIFICANT FINANCIAL CONTRIBUTION MARGIN FROM THE PROGRAMS.
COMMUNITY BENEFIT INFORMATION CONTINUATION III	SCHEDULE H, PART VI	COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH * CENTRAL SOUTH DAKOTA CHILD ASSESSMENT CENTER AND PARTNERSHIP FOR MEDICAL ASSESSMENTS OF CHILDREN OF SUSPECTED ABUSE. THIS PROGRAM TARGETS ABUSED AND NEGLECTED CHILDREN. THE NEED WAS BROUGHT TO OUR ATTENTION THROUGH LAW ENFORCEMENT, INCLUDING THE FBI, DEPT. OF CRIMINAL INVESTIGATION, AND LOCAL AUTHORITIES, TO PROVIDE A MEDICAL EXAM AND INTERVIEW TO DETERMINE IF A CHILD HAS SUFFERED ABUSE. WE HAVE HAD GOOD EVIDENCE COLLECTED THROUGH EXAMS RESULTING IN SUCCESSFUL PROSECUTION OF ABUSERS. CHILDREN ARE PROVIDED WITH CARE IN A SAFE ENVIRONMENT BY TRAINED HEALTHCARE PROFESSIONALS. IF ST. MARY'S DID NOT PROVIDE THIS SERVICE, THE AFFECTED CHILDREN WOULD HAVE TO BE DRIVEN TO SIOUX FALLS WHICH IS OVER 3 HOURS AWAY. * ST. MARY'S MAINTAINS A COMMUNITY CRISIS ROOM TO HOLD PEOPLE IN CRISIS UNTIL TRANSFERRED TO BEHAVIORAL FACILITIES. THIS PROGRAM WAS IN RESPONSE TO AN UNMET NEED TO TREAT PEOPLE HUMANELY THAT ARE IN MENTAL CRISIS. THERE IS NO LOCKED MENTAL HEALTH FACILITY WITHIN A 3 HOUR DRIVE. PREVIOUSLY, THESE INDIVIDUALS WERE HELD IN JAIL. CRISIS ROOM PATIENTS ARE MONITORED, ANY HEALTH NEEDS ARE MET, AND A DISCHARGE PLAN TO A TREATMENT FACILITY OR OTHER APPROPRIATE SETTING IS DEVELOPED. THE COMMUNITY WAS INVOLVED IN DEVELOPING THIS PROGRAM. PEOPLE ARE BROUGHT INTO THE CRISIS ROOM THROUGH LAW ENFORCEMENT, PHYSICIANS, SCHOOLS, HOMES, AND SELF REFERRALS. * COMPREHENSIVE CANCER CONTROL PROGRAM - THE OFFICE OF THIS STATE-WIDE PROGRAM IS PROVIDED BY ST. MARY'S HEALTHCARE CENTER, WITH SUPERVISION BY ST. MARY'S FOUNDATION. ST. MARY'S CONTRIBUTES TO THIS PROGRAM BY DONATING OFFICE SPACE FOR THE STATE-WIDE COORDINATOR. PARTNERS THROUGHOUT THE STATE WORK TOGETHER TO REDUCE THE CANCER BURDEN OF SOUTH DAKOTANS. ACTIVITIES CAN SPAN A BROAD RANGE OF INITIATIVES WITH THE COMMON PURPOSE OF REDUCING THE THREAT OF VARIOUS TYPES OF CANCER AND INCLUDES INITIATIVES RELATED TO END-OF-LIFE ISSUES AS WELL. * ALL WOMEN COUNT - BOTH THE STATE INTERVENTIONIST COORDINATOR AND THE CULTURAL DISPARITIES WORKER ARE LOCATED AT ST. MARY'S HEALTHCARE CENTER, WITH SUPERVISION BY ST. MARY'S FOUNDATION. THE PROGRAM TARGETS LOW INCOME WOMEN OVER 40 YEARS OF AGE. THE UNMET NEED IN THE COMMUNITY WAS THAT THESE WOMEN WERE NOT RECEIVING CANCER SCREENINGS AND BASIC HEALTH EDUCATION. WE HELP WITH ASSESSMENTS AND REFERRALS. THIS IS A STATE RUN PROGRAM THAT IS OPERATED AT A SUBSIDY LEVEL BY ST. MARY'S. HEALTH PROFESSIONS EDUCATION CAPITAL UNIVERSITY CENTER (CUC) PROVIDES EDUCATION FOR HEALTHCARE WORKERS AND ST. MARY'S HAS HAD A LONG HISTORY OF SUPPORTING THIS INSTITUTION. STUDENTS RECEIVE CLINICAL EXPERIENCE ON THE ST. MARY'S HEALTHCARE HOSPITAL CAMPUS. * GIRLS IN SCIENCE FAIR. THIS PROGRAM TARGETS HIGH SCHOOL GIRLS. MANY OF THESE GIRLS ARE NOT EXPOSED TO A CURRICULUM THAT WOULD LEAD TO A CAREER IN THE HEALTHCARE INDUSTRY. THE NEED WAS UNCOVERED BY SCHOOLS, TEACHERS AND PARENTS. THE OUTCOME HAS BEEN AN INCREASED ENROLMENT IN THE SCIENCES. ST. MARY'S PROVIDES INSTRUCTORS AND ROLE MODELS FOR THESE ASPIRING YOUNG TALENTS. THE AUDIENCE IS MADE AWARE OF CAREER CHOICES. HALF THE PARTICIPANTS ARE NATIVE AMERICAN. * STUDENT INTERNSHIPS AND CLINICAL TRAINING FOR THE UNIVERSITY OF SOUTH DAKOTA. STAFF AT ST. MARY'S GIVES A LARGE AMOUNT OF TIME TO STUDENTS. OUR HOSPITAL PROVIDES THE CLINICAL SETTING AND STAFF TO MAKE THESE EDUCATIONAL EXPERIENCES POSSIBLE. THIS VITAL ACTIVITY PROVIDES THE REAL LIFE EXPERIENCE THAT IS SO NEEDED FOR STUDENTS TO BE SUCCESSFUL IN THEIR CAREERS. THE LOCAL COMMUNITY BENEFITS BECAUSE MANY STUDENTS AIM TO COME BACK TO THE PIERRE AREA TO WORK AFTER SCHOOL. * HEALTH OCCUPATIONS CLASS PRESENTATIONS. THIS PROGRAM TARGETS JUNIOR AND SENIOR LEVEL HIGH SCHOOL STUDENTS IN THE LOCAL COMMUNITY. THE HOPE WAS TO HAVE MORE YOUNG PEOPLE CONSIDER CAREERS IN THE HEALTHCARE INDUSTRY. THE IMPACT HAS BEEN AN INCREASE IN THE NUMBER OF YOUNG PEOPLE JOINING CAREERS IN THE HEALTHCARE INDUSTRY, AS DEMONSTRATED THROUGH REGULAR SURVEYS OF PARTICIPANTS. STUDENTS HAVE THE OPPORTUNITY TO SHADOW ST. MARY'S EMPLOYEES IN REAL LIFE SETTINGS. ST. MARY'S DONATES SPACE AND PRESENTERS FOR THE CLASSES. THE PROGRAM PROVIDES ENOUGH TRAINING TO TAKE A TEST AND BECOME A CNA AND MANY STUDENTS HAVE TAKEN ADVANTAGE OF THIS OFFERING AND STARTED THEIR CAREER IN HEALTHCARE.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	ST. MARY'S HEALTHCARE 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, ST. MARY'S HEALTHCARE CENTER PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN ST. MARY'S HEALTHCARE CENTER OUTPATIENT FACILITIES. IN ADDITION, ST. MARY'S HEALTHCARE 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 ST. MARY'S HEALTHCARE CENTER FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. ST. MARY'S HEALTHCARE 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. ST. MARY'S HEALTHCARE CENTER 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	ST. MARY'S HEALTHCARE CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 74 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 $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2012 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ST. MARY'S HEALTHCARE CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, TO SERVE THE HEALTH CARE NEEDS OF THE PIERRE AND FORT PIERRE, SD COMMUNITIES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ST MARY'S FOUNDATION
817 E DAKOTA	PIERRE	SD	57501	460378424	501(C)(3)	35000	PROGRAM SUPPORT
UNITED WAY OF PIERRE
BOX 1111	PIERRE	SD	57501	460403398	501(C)(3)	5000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring use of grant funds	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATION CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHAD COOPER
0	254353	0	98065	0	55852	0	43422	0	16045	0	467737	0	0
CHRISTOPHER OLSON
191573	0	0	0	278	0	16930	0	6809	0	215590	0	0	0
DAWN ZASTOUPIL
176141	0	0	0	230	0	13833	0	18858	0	209062	0	0	0
JEFFREY DROP
0	377987	0	139608	0	23332	0	61092	0	21446	0	623465	0	0
RITA WENDT
150733	0	200	0	8408	0	0	0	14563	0	173904	0	0	0
SANDRA JACOBSON
137368	0	0	0	756	0	16924	0	12985	0	168033	0	0	0
STEVEN CASE
136557	2645	0	0	213	0	14578	0	18974	0	170322	2645	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE FROM THE FILING ORGANIZATION OR A RELATED ORGANIZATION IN 2011
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2011 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: JEFFREY DROP CHAD COOPER DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $33,514 CHAD COOPER - $23,194

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DR RILEY LAMB	BusinessNameLine1

Field	Value	IRS element (for citing)
Purpose Of Loan	STIPEND TO BE FORGIVEN AFTER STARTING PRACTICE	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$142,004	OriginalPrincipalAmount
Balance Due	160074	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	160074	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL CITY PHYSICIANS LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	JOE VILLA IS A DIRECTOR AND OWNER OF CAPITAL CITY PHYSICIANS, LLC	Relationship
Amount Of Transaction	1141991	AmountOfTransaction
Description Of Transaction	ST. MARY'S CONTRACTS WITH CAPITAL CITY PHYSICIANS, LLC TO PROVIDE PHYSICIAN SERVICES.	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	LOANS TO/FROM INTERESTED PARTIES	Identifier
Return Reference	SCHEDULE L, PART II	ReturnReference
Explanation	COLLEEN LAMB, A BOARD MEMBER, HAS A FAMILY RELATIONSHIP WITH DR. RILEY LAMB. ST. MARY'S HEALTHCARE CENTER LOANED DR. LAMB A STIPEND TO BE FORGIVEN AFTER STARTING HIS PRACTICE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Delegate broad authority to a committee	Form 990, Part VI, Section A, Line 1a	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. MARY'S HEALTHCARE CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND 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 CORPORATE MEMBER OF ST. MARY'S HEALTHCARE CENTER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
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 SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER HAS RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI BOARD: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. MARY'S HEALTHCARE CENTER - AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. MARY'S HEALTHCARE CENTER - APPROVAL MEMBERS OF THE ST. MARY'S HEALTHCARE CENTER BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. MARY'S HEALTHCARE CENTER - APPROVAL OF ISSUANCE OF DEBT BY ST. MARY'S HEALTHCARE CENTER - APPROVAL OF PARTICIPATION OF ST. MARY'S HEALTHCARE CENTER IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. MARY'S HEALTHCARE CENTER - APPROVAL OF A MERGER INVOLVING ST. MARY'S HEALTHCARE CENTER - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. MARY'S HEALTHCARE CENTER - TO REQUIRE THE TRANSFER OF ASSETS BY ST. MARY'S HEALTHCARE CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. MARY'S HEALTHCARE 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 THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER EITHER PRESENTS THE RETURN TO THE BOARD AT A BOARD MEETING OR AN ELECTRONIC COPY OF THE RETURN IS SENT TO EACH BOARD MEMBER BY EMAIL FOR THEIR REVIEW. 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	CONFLICTS OF INTEREST FOR ALL EMPLOYEES ARE COVERED IN THE STANDARDS OF CONDUCT, FOUND IN "OUR VALUES AND ETHICS AT WORK," A RESOURCE WHICH IS GIVEN TO ALL EMPLOYEES UPON HIRING AND COMPLETION OF THE ACKNOWLEDGEMENT AND CERTIFICATION STATEMENT IS REQUIRED AS A CONDITION OF EMPLOYMENT. OUR HR POLICY ADDRESSES CONFLICT OF INTEREST SITUATIONS AND DESCRIBES THE CONSEQUENCES OF PROVEN CONFLICTS OF INTEREST. ADDITIONALLY, THE CFO REQUIRES THAT KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT THAT IS KEPT ON FILE BY THE CFO. THE CRO INVESTIGATES ANY REPORTED POTENTIAL CONFLICTS OF INTEREST AND RECOMMENDS APPROPRIATE ACTION BASED ON FINDINGS. ST. MARY'S HEALTHCARE 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 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 MEETINGS OF THE BOARD. 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 AND TOP PAID EMPLOYEES ASKING THEM TO DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS.
PROCESS FOR DETERMINING CEOS COMPENSATION	FORM 990, PART VI, LINE 15A	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. 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 2012. 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	ANY TOP MANAGEMENT COMPENSATION PAID BY THE ORGANIZATION WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH ST. MARY'S HEALTHCARE CENTER'S COMPENSATION PHILOSOPHY. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION.
JOINT VENTURE POLICY	FORM 990, PART VI, LINE 16B	ST. MARY'S HEALTHCARE CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S 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
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE.
ESTIMATE OF HOURS	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)	COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -1041566; CHI CONNECT DEPRECIATION - 173733; CAPITAL RESOURCE POOL CONTRIBUTION - -923605;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROAD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	3	CHI	true
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	true
ALVERNA APARTMENTS
300 SE 8TH AVENUE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	9	CHI	true
APPLETREE COURT
601 OAK STREET	BRECKENRIDGE	MN	56520	411850500	SENIOR HOMES	MN	501(C)(3)	9	SFH	true
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	true
BORNEMANN 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 NORTH 4TH STREET	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	9	NA	true
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	7	CHIC	true
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	9	CHI	true
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	3	CHI	true
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	263946191	PHYSICIANS	OR	501(C)(3)	9	MMC	true
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	true
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY	FARGO	ND	58104	271966847	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	true
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI NS	true
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	9	CHI	true
CHI NEBRASKA
6940 O STREET SUITE 200	LINCOLN	NE	68510	363233121	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	true
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	611400619	LTACH	KY	501(C)(3)	3	SJHS	true
COVENANT HOME CARE
1223 POTTSVILLE PIKE	SHOEMAKERSVILLE	PA	19555	232018429	HOME HEALTH	PA	501(C)(3)	11 - Type II	NA	true
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	3	FHS	true
FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	3	KOH	true
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	true
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	9	FHS	true
FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST
1717 SOUTH J STREET	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	3	CHI	true
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUE	TACOMA	WA	98405	911939739	HEALTHCARE	WA	501(C)(3)	9	FHS	true
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 SOUTH CHICAGO AVENUE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	9	CHI	true
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUE	GETTYSBURG	SD	57442	460234354	HEALTHCARE	SD	501(C)(3)	3	SMHC	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
375 DIXMYTH AVE	CINCINNATI	OH	45220	311778403	EDUCATION	OH	501(C)(3)	2	GSH	true
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET 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 STREET	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(C)(3)	7	GSH	true
HEALTH SET
4200 WEST CONEJOS PLACE 436	DENVER	CO	80204	841102943	LOW INC.CARE	CO	501(C)(3)	7	CHIC	true
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	true
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVE	TOWSON	MD	21204	526050777	HEALTHCARE	MD	501(C)(3)	9	SJMC	true
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	true
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	3	KOH	true
JEWISH PHYSICIAN GROUP INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40215	611352729	HEALTHCARE	KY	501(C)(3)	9	JHSMH	true
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	9	CHI	true
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTH	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(C)(3)	3	CHI	true
LINUS OAKES INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	true
LISBON AREA HEALTH SERVICES
905 MAIN STREET	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	true
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	3	CHI	true
MEMORIAL HEALTH PARTNERS FOUNDATION INC
6028 SHALLOWFORD ROAD	CHATTANOOGA	TN	37421	030417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	true
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	true
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	true
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	true
MERCY FOUNDATION INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	936088946	FUNDRAISING	OR	501(C)(3)	7	MMC	true
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	true
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	FUNDRAISING	ND	501(C)(3)	11 - Type I	MHVC	true
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	true
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930386868	HEALTHCARE	OR	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	3	CHI	true
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	true
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUE	DES MOINES	IA	50314	421470935	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MLIFECARES
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431305163	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	true
MNMCH INC
220 NORTH PENNSYLVANIA	COLUMBUS	KS	66725	481216238	HEALTHCARE	KS	501(C)(3)	3	SJRMC	true
MT ST JOSEPH INC
3060 SE STARK STREET	PORTLAND	OR	97214	930386870	NURSING CARE	OR	501(C)(3)	9	CHI	true
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREET	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREET	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	3	CHI	true
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREET	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	true
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	7	CHIC	true
SET OF COLORADO SPRINGS INC
825 E PIKES PEAK AVENUE BLDG 29	COLORADO SPRINGS	CO	80903	841183335	LTERM CARE	CO	501(C)(3)	7	CHIC	true
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROAD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	true
SAINT CLARE'S FOUNDATION INC
25 POCONO ROAD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	true
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	true
SAINT CLARE'S HOSPITAL
25 POCONO ROAD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	true
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	true
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	true
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER
2620 WEST 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 STREET	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160	LEXINGTON	KY	40509	611334601	HEALTHCARE	KY	501(C)(3)	3	CHI	true
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREET	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
SAINT JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVE	LEXINGTON	KY	40504	311539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	true
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUE	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVD	DAYTON	OH	45408	020633634	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	311107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SJMGROUP
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTH	PA	501(C)(3)	11 - Type I	CHI	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	930433692	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVE SW SUITE 3000	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
305 ESTILL STREET	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVE	TOWSON	MD	21204	521681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVE	TOWSON	MD	21204	521311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	450226429	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
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
THE COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	DIALYSIS	OH	501(C)(2)	N/A	GSH	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	7	MHDL	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	470780857	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 2ND STREET SE	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	450226714	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Code VCodeVAmount
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	34991	-694032	false	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400	OMAHA	NE	68137	392045003	HEALTHCARE	NE	AHBMHS	RELATED	-2862040	-2537888	false	false	0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	57545	1013237	false	true	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	SJHS	RELATED			false	false	0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	-92336	745068	false	true	1
CENTRAL NEBRASKA REHAB SERVICE
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1835812	2199571	false	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	397241271	6272650880	false	true	1
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	-11179	3069835	false	false	1
MRI AT ST JOESPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	SJMC	RELATED	423167	2174155	false	true	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81071	1077536	false	false	0.5744
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	TOWSON MANAGEMENT INC	RELATED	111933	5418117	false	false	0.65122
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	CHIC	RELATED	-3249434	-2760206	false	false	0.6
PENINSULA RADIATION ONCOLOGY
315 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	710799771	HEALTHCARE SRVC	WA	FHS	RELATED	135014	85985	false	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	715094	2397488	false	false	0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	SJMC	RELATED	-69345	2802932	false	true	0.51
SAINT JOSEPH - SCA HOLDINGS LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	RELATED			false	true	0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	68676	446063	false	true	0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-130967	408090	false	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	FHS	RELATED	110986	1672098	false	false	0.5421
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED			false	true	0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-254775	796941	false	false	0.51	$0
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	393519	2214599	false	true	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-3676	395845	false	true	0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	3267441	1
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	4648726	44654199	1
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	662062	11666874	1
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	1
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1008	1
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	0	0	1	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	TRUST	-2864605	2809707	1
CGH REALTY COMPANY INC
215 N 12TH ST	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION			1
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	1
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-1525246	65844862	1
DAVID DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192395	INVESTMENTS	NE	GSHF	TRUST			1
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	71497	1221667	0.9298
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	0	0	1	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	-5719	5837142	1
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-165666	355110	1
HAROLD W RASE 1995 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	456090420	INVESTMENTS	ND	SJHHC	TRUST	1240	22148	1
HAROLD W RASE 1996 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037112	INVESTMENTS	ND	SJHHC	TRUST	1057	15462	1
HAROLD W RASE 1997 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037104	INVESTMENTS	ND	SJHHC	TRUST	0	20520	1
HAROLD W RASE 1999 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037099	INVESTMENTS	ND	SJHHC	TRUST	0	25036	1
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C CORPORATION	102136	1443049	1
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1
JAMES & HENRIETTA NISTLER UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206021899	INVESTMENTS	ND	SJHHC	TRUST	692	39075	1
JEANNE DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192398	INVESTMENTS	NE	GSHF	TRUST			1
JOSEPH A SCHUSTER ANNUITY TRUST #1
400 UNIVERSITY AVENUE	DES MOINES	IA	50314	421195122	INVESTMENTS	IA	MFDM	TRUST	7834	416349	1
LODESCA MILLER CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476186933	INVESTMENTS	NE	GSHF	TRUST			1
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	151498	962554	1
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369905	1937220	1
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	MMC	C CORPORATION	0	956003	1
MHSERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	431457881	DME	MO	SJRMC	C CORPORATION	-4061	0	1
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	-33152	4679435	1
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	0	0	1	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	479940		1
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1
RAY & SHIRLEY DAVID 1999 UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037077	INVESTMENTS	ND	SJHHC	TRUST	0	26110	1
ROBERT & WANDA CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	266191916	INVESTMENTS	NE	GSHF	TRUST			1
SAINT CLARE''S PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-469962	1772016	1
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION			1
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-192777	2973858	1
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	1
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	92139	3007550	1
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2804485	14049374	1
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	63164	11845439	1
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	SJHS	C CORPORATION		882139	0.85
TOM DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192393	INVESTMENTS	NE	GSHF	TRUST			1
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION		266960	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg