2014-01-07T14:00:12-06:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 460230199 ST MARY'S HEALTHCARE CENTER STMA 6052243130 801 EAST SIOUX AVENUE PIERRE SD 57501 JOSEPH A MESSMER 2013-05-14 true Kimberly Steenhoek P01201968 3032989100 2011 2016-02-25 16:41:14Z CHAD COOPER 801 EAST SIOUX AVENUE PIERRE SD 57501 46594583 false 0928 X WWW.AVERA.ORG/ST-MARYS-PIERRE X 1951 SD 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. 13 9 553 30 20600 19600 0 129050 45914909 44851370 2819551 1260643 133077 347110 48867537 46588173 51975 47683 0 0 20369571 20240984 0 0 0 21672140 21731728 42093686 42020395 6773851 4567778 78509588 80703661 8196134 7613867 70313454 73089794 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. false false 36365443 47683 44831905 SEE SCHEDULE H 36365443 true true false true false false false false false true true false false true true false true false false false false false false false false true true true false true false false false true false false false true false false false false false true false false false false true 1 0 true 553 true true true false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true false true true false X TOM WAGNER 6052243127 801 EAST SIOUX AVENUE PIERRE SD 57501 X CHAD COOPER 40.00 X X 0 408270 59467 COLLEEN LAMB 2.00 X X 0 0 0 ROBERT MILLER 2.00 X X 0 0 0 RONALD TEDROW 2.00 X X 0 0 0 WILLIAM VAN CAMP 2.00 X X 0 0 0 DARRELL JEANOTTE 2.00 X 0 0 0 JEFFREY DROP 2.00 X 0 540927 82538 JOE VILLA 2.00 X 0 0 0 MIKEL HOLLAND 2.00 X 0 0 0 OWEN GARNOS 2.00 X 0 0 0 PEGGY WILLIAMS 2.00 X 0 0 0 SR ADEL SAUTNER 2.00 X 0 0 0 TOM GERAETS 2.00 X 0 0 0 ADAM PAUL 50.00 X 114019 0 13546 DEBBIE BRAKKE 50.00 X 107977 0 24694 ELLEN LEE 50.00 X 111853 0 23549 PAUL MARSO 50.00 X 105915 0 30904 ROBIN CRIST 50.00 X 120250 0 15902 CHRISTOPHER OLSON 40.00 X 191851 0 23739 DAWN ZASTOUPIL 40.00 X 176371 0 32691 RITA WENDT 40.00 X 159341 0 14563 SANDRA JACOBSON 40.00 X 138124 0 29909 STEVEN CASE 40.00 X 136770 2645 33552 1362471 951842 385054 15 false true false 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 7 129050 129050 PATIENT SERVICES 900099 44640738 44640738 RENTAL INCOME 900099 138680 138680 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 71952 52487 19465 0 0 0 0 44851370 938008 1135 936873 0 0 0 0 0 0 0 329045 0 0 6410 329045 -6410 322635 322635 0 0 0 REIMBURSEMENT OF EXPENSES 900099 16358 16358 INSURANCE 524298 252730 252730 CAFETERIA 722100 71287 71287 6735 0 0 6735 347110 46588173 44831905 20600 1606618 47683 47683 0 0 0 500740 500740 0 15622439 14526985 1095454 807319 727394 79925 2168110 1953467 214643 1142376 1029281 113095 0 0 0 0 0 0 7102672 5080191 2022481 231108 231108 1667847 1575793 92054 0 0 1128584 1057949 70635 98974 58803 40171 0 1431 1431 0 969862 969862 2828646 2779494 49152 68180 66995 1185 BAD DEBTS 1825048 1825048 REPAIRS AND MAINTENANCE 301438 131250 170188 MEDICAL SUPPLIES 5224091 5224091 UNRELATED BUSINESS TAXES 2828 2828 281019 281019 0 0 42020395 36365443 5654952 0 0 925 1100 2800904 3497763 11117725 7113335 0 160074 234057 152651 1079493 1174288 119400 41980 63769598 44436437 21673245 19333161 41272153 46448226 0 0 211686 2781083 78509588 80703661 4138740 4979043 4057394 2634824 8196134 7613867 X 70162148 73148543 151306 -58749 70313454 73089794 78509588 80703661 X 4567778 -1791438 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3022 false false false 3022 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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. 1765571 1765571 26264020 16959594 9304426 0 34391566 26399471 7992095 1348441 1077372 271069 19333161 0 0 CHI OIP - FIXED INCOME 23215903 F CHI OIP - EQUITY SECURITIES 23232323 F 46448226 0 INTERCOMPANY LIABILITIES 2546509 ENVIRONMENTAL REMEDIATION LIABILITY 88260 UNCLAIMED PROPERTY 55 2634824 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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." true true X false false true true true false true true 259 595729 0 595729 0.01480 4250 4092724 1617030 2475694 0.06160 0 0 0 0 0.00000 0 4509 4688453 1617030 3071423 0.07640 3 467 29669 0 29669 0.00070 1 252 0 0 0 0.00000 2 100 1691036 0 1691036 0.04210 0 0 0 0 0 0.00000 4 3663 164634 0 164634 0.00410 10 4482 1885339 0 1885339 0.04690 10 8991 6573792 1617030 4956762 0.12330 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 1 625 4350 0 4350 0.00010 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 1 38 0 0 0 0.00000 2 663 4350 0 4350 0.00010 true 1825048 0 10078344 9719385 358959 X true true 1 1 ST MARY'S HEALTHCARE CENTER

801 EAST SIOUX AVENUE PIERRE SD 57501

X X X ST MARY'S HEALTHCARE CENTER 1 true false false true X X X X X X X true true X X X X true false true X false false 2 MARYHOUSE

717 EAST DAKOTA AVE PIERRE SD 57501

LONG TERM CARE PARKWOOD

400 PARKWOOD DRIVE PIERRE SD 57501

INDEPENDENT LIVING 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. true 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 2 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATION CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS. false true false false false false false false false 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 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 DR RILEY LAMB STIPEND TO BE FORGIVEN AFTER STARTING PRACTICE X 142004 160074 false true true 160074 CAPITAL CITY PHYSICIANS LLC JOE VILLA IS A DIRECTOR AND OWNER OF CAPITAL CITY PHYSICIANS, LLC 1141991 ST. MARY'S CONTRACTS WITH CAPITAL CITY PHYSICIANS, LLC TO PROVIDE PHYSICIAN SERVICES. false LOANS TO/FROM INTERESTED PARTIES SCHEDULE L, PART II 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. 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; 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 - 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