2014-04-30T18:00:04-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 410695603 ST JOSEPH'S AREA HEALTH SERVICES STJO 2186163525 600 PLEASANT AVENUE PARK RAPIDS MN 56470 JAY P ROSS CPA 2014-05-15 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z BENJAMIN KOPPELMAN 600 PLEASANT AVENUE PARK RAPIDS MN 56470 45949243 false 0928 X WWW.SJAHS.ORG X 1946 MN ST. JOSEPH'S AREA HEALTH SERVICES IS A COMMUNITY HOSPITAL PROVIDING FULL SERVICE INPATIENT, OUTPATIENT, EMERGENCY SERVICES, HOME CARE AND HOSPICE SERVICES. 12 10 375 249 210434 -1447 938479 1363386 41310882 42432850 320632 722551 1473167 1365862 44043160 45884649 92111 74528 0 0 22058573 20626099 0 0 129516 19622729 22187558 41773413 42888185 2269747 2996464 40593325 44717809 4580314 5624184 36013011 39093625 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false true 35238886 74528 42432850 SEE SCHEDULE H 35238886 true true false true false false true false false true true false false true true false true false false false false false false true false true true true true true false false false false false false false false false true false false false true false false false false true 27 0 true 375 true true true false false false false true true false false false false X 12 10 false false false false true true true true true false false true true true true true true false true true false MN X JAY P ROSS 2186163525 600 PLEASANT AVENUE PARK RAPIDS MN 56470 BENJAMIN KOPPELMAN 50.00 1.00 X X 0 326230 64697 CLAY PETERSON 2.00 0 X X 0 0 0 ROGER STEWART 2.00 0 X X 0 0 0 CLARICE KONSHOK 2.00 0 X 0 0 0 DANIEL SMITH 2.00 0 X 0 0 0 JEFF HAUKEBO 2.00 0 X 0 0 0 JEFFREY DROP 2.00 58.00 X 0 606104 98488 JOHN WARREN 2.00 0 X 0 0 0 KATHY HENRY 2.00 0 X 0 0 0 KEVIN BRAUER 2.00 0 X 0 0 0 SR DORETTA MEIER 2.00 0 X 0 0 0 TERRY BURKMAN 2.00 0 X 0 0 0 DEB HAAGENSON 40.00 0 X 132892 0 16053 JAY P ROSS 40.00 0 X 96418 0 16003 LYNN PETERSON 40.00 0 X 40294 0 18110 DARRYL BEEHLER 40.00 0 X 320507 0 32086 JANE M CHURCHILL 40.00 0 X 308458 0 21901 JOHN THOMAS 40.00 0 X 164502 0 18436 LARRY KOBRIGER 40.00 0 X 303269 0 37633 SCOTT KOSEL 40.00 0 X 136693 0 17872 BRENT SCHMIDT 0.00 40.00 X 0 181946 27667 1503033 1114280 368945 14 true true false ESSENTIA HEALTH 3200 32ND AVE S FARGO ND 58103 PHYSICIAN SERVICES/ PROF MED SERVICES 1073023 CENTRAL MINNESOTA DIAGNOSTIC INC 150 10TH STREET NW PO BOX 158 MILACA MN 563530158 IMAGING SERVICES 664065 PARK RAPIDS AREA HEALTH CARE LLC 600 PLEASANT AVENUE PARK RAPIDS MN 56470 BUILDING RENTAL 228633 EMERGENCY PRACTICE ASSOCIATES P O BOX 1260 WATERLOO IA 50704 PHYSICIAN SERVICES 223708 CHI HEALTH CONNECT AT HOME-FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 HOSPICE BILLING SERVICES 212130 6 62264 111440 718990 470692 3200 1363386 PATIENT SERVICES 900099 42827744 42827744 RENTAL INCOME 900099 17313 17313 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 -412207 -412207 0 0 0 0 0 0 42432850 346897 -75 346972 0 0 0 0 0 417709 831 42886 417709 -42055 375654 375654 14502 62264 21708 -7206 -7206 0 0 PHARMACY SERVICES 446110 214076 214076 DURABLE MEDICAL EQUIPMENT 446199 309455 192501 116954 CAFETERIA 722100 177162 18008 159154 672375 0 0 672375 1373068 45884649 42432850 210434 1877979 47373 47373 27155 27155 0 0 261366 261366 0 15584551 14336020 1199859 48672 857599 775882 79083 2634 2685985 2429677 248064 8244 1236598 1118681 114184 3733 0 73387 73387 0 0 0 0 6141310 4339552 1780004 21754 48443 27760 20683 1175433 998379 174866 2188 2545454 2106145 433296 6013 0 897052 564802 331372 878 209379 179219 25460 4700 0 103441 35479 67104 858 85012 85012 1080480 1080480 2256907 1811544 443235 2128 159462 152854 6608 UNRELATED BUSINESS TAXES 18052 18052 MEDICAL SUPPLIES 4367356 4364918 2417 21 REPAIRS AND MAINTENANCE 290534 243987 46404 143 BAD DEBT EXPENSE 1342689 1342689 1393167 257258 1108359 27550 42888185 35244386 7514283 129516 0 41513 41528 2650159 3433624 196522 137724 5131934 5463571 0 0 95398 102225 1039386 1056206 66946 65386 39224042 21777640 19179867 17446402 0 11065814 16343315 0 0 1125786 627828 40593325 44717809 2729476 3433001 22632 56323 0 0 0 1828206 2134860 4580314 5624184 X 35347544 38495851 665467 597774 36013011 39093625 40593325 44717809 X 2996464 495114 -410964 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 744 false true 1296 true 1116 false false 3156 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINES 1D AND 1G: APPROXIMATELY 6 HOURS WERE SPENT VISITING WITH REPRESENTATIVES AND 4 HOURS WERE SPENT WITH E-MAIL AND LETTER CORRESPONDENCE TO REPRESENTATIVES. LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPICAL ASSOCIATION = $626 MINNESOTA HOSPITAL ASSOCIATION = $478 CATHOLIC HEALTH ASSOCIATION = $192 0 30175 X CONTRIBUTION HELD FOR INTENT TO SELL true 171235 171235 14220996 8244587 5976409 9455 9455 0 23932890 13330356 10602534 889466 193242 696224 17446402 0 0 CHI OIP - FIXED INCOME 8042125 CHI OIP - EQUITY SECURITIES 8233295 CHI OIP - MONEY MARKET 67895 16343315 0 INTERCOMPANY PAYABLES 2134860 2134860 X Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION RECEIVED A CONTRIBUTION OF 30 LIMITED EDITION ART PRINTS. THEY ARE HELD TEMPORARILY WITH THE INTENT THEY WILL BE RESOLD. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. JOSEPH'S AREA HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." GOLF TOURNAMENT 46593 36973 9620 2500 4991 7888 1335 LIGHT UP A LIFE 17461 17461 0 2708 2 12712 7830 4882 2286 76766 62264 14502 2500 4991 7888 0 0 6329 21708 -7206 true true X false false true true false true true 291 249268 249268 0.00600 7121 7128378 6027245 1101133 0.02650 0 0.00000 0 7412 7377646 6027245 1350401 0.03250 11 460 11049 641 10408 0.00030 0 0.00000 1 2693378 1768386 924992 0.02220 0 0.00000 2 50404 50404 0.00120 14 460 2754831 1769027 985804 0.02370 14 7872 10132477 7796272 2336205 0.05620 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 32 120 120 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 32 120 0 120 0.00000 true 1342689 0 15254199 15415536 -161337 X true true 1 1 ST JOSEPH'S AREA HEALTH SERVICES

600 PLEASANT AVENUE PARK RAPIDS MN 56470

WWW.SJAHS.ORG X X X ST JOSEPH'S AREA HEALTH SERVICES 1 true X X X X X X X X X 12 true false true X X X X X X X X X X false false true false false true X X X X X X X true true X X X X X X true false true X false false 4 COMMUNITY DENTAL CLINIC

205 PLEASANT AVENUE PARK RAPIDS MN 56470

DENTAL CLINIC HOME CARE HOSPICE AND PUBLIC HEALTH OFFICES

323 MAIN AVENUE SOUTH PARK RAPIDS MN 56470

WIC CLINIC AND FATHER PROJECT OFFICES DME CARE ESSENTIALS

1004 1ST STREET WEST PARK RAPIDS MN 56470

DURABLE MEDICAL EQUIPMENT WALKER OUTPATIENT THERAPY SERVICES OFFICE

110 MICHIGAN AVENUE WALKER MN 56484

OUTPATIENT HEALTH SERVICES Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. JOSEPH'S AREA HEALTH SERVICES) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. JOSEPH'S AREA HEALTH SERVICES 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 PATIENTS' BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE APPROACH TAKEN FOR THE COMMUNITY BENEFIT CALCULATION WAS AS FOLLOWS: *MEDICAID COMMUNITY BENEFIT WAS CALCULATED BASED UPON USING THE MEDICAID ESTIMATED INPATIENT AND OUTPATIENT COST TO CHARGE RATIOS OF 37.0% AND 50.0%, RESPECTIVELY TIMES THE CHARGES FOR INPATIENT AND OUTPATIENT MEDICAID PATIENTS. THIS WAS THEN COMPARED TO PROJECTED REIMBURSEMENT FOR MEDICAID SERVICES. THE TOTAL COMMUNITY BENEFIT IS ESTIMATED AT $1,101,133. *SUBSIDIZED HEALTH SERVICES WAS CALCULATED USING ESTIMATED NET REVENUE AS COMPARED TO DIRECT COSTS AND OVERHEAD ALLOCATED. OVERHEAD ALLOCATED FOLLOWS THE MEDICARE COST REPORT ASSIGNMENT OF ALLOCATING OVERHEAD TO COST CENTERS. THE MEDICARE COST REPORT IS NOT YET PREPARED AT TIME OF CALCULATION OF THE COMMUNITY BENEFIT FOR FINANCIAL STATEMENT PURPOSES. AS A RESULT, WE UTILIZE AN INTERNAL CALCULATION MODEL TO PROJECT THIS BENEFIT IN JULY. THE COMMUNITY BENEFIT FROM SUBSIDIZED HEALTH SERVICES WAS $924,992. *THE REMAINING COMMUNITY BENEFIT WAS TAKEN BY COMPILING THE COST OF TRADITIONAL CHARITY CARE $249,268; COMMUNITY HEALTH IMPROVEMENT SERVICES $10,408; FINANCIAL AND IN-KIND CONTRIBUTIONS $50,404; AND COMMUNITY BUILDING ACTIVITIES $120. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 WAS COMPUTED USING THE FOLLOWING FORMULA: INPATIENT ALLOWABLE COSTS BY MEDICARE DIVIDED BY INPATIENT REVENUES AND OUTPATIENT ALLOWABLE COSTS BY MEDICARE DIVIDED BY OUTPATIENT REVENUES. BASED ON THAT FORMULA THE INPATIENT CALCULATIONS, $17,300,757 / 34,639,199 RESULTS IN A 49.95% COST-TO-CHARGE RATIO AND FOR OUTPATIENT $17,163,508 / $45,857,044 A 37.43% COST TO CHARGE RATIO. FOR SUBSIDIZED HEALTH SERVICES, A COST ACCOUNTING METHODOLOGY COMBINED WITH AN APPROACH OF INCLUDING ASSIGNED INDIRECT OVERHEAD BASED ON MEDICARE COST REPORT METHODOLOGY WAS UTILIZED. 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) 1,342,689 Subsidized Health Services Schedule H, Part I, Line 7g INCLUDED IN SUBSIDIZED HEALTH SERVICES IS THE FOLLOWING CLINIC: ST. JOSEPH COMMUNITY DENTAL CLINIC THE TOTAL EXPENSES ASSOCIATED WITH OPERATING THIS CLINIC WAS $1,100,367. REVENUE OFFSET WAS $763,323. ACCORDINGLY, THE TOTAL SUBSIDIZED COST OF THESE NECESSARY SERVICES WAS $337,044. THE CLINIC MEETS A COMMUNITY NEED FOR PRIMARY CARE SERVICES OUTSIDE OF THE EMERGENCY ROOM SETTING. Community Building Activities Schedule H, Part II SEE DESCRIPTION OF COMMUNITY BENEFIT AND COMMUNITY BUILDING ACTIVITIES. Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 49.95% FOR INPATIENT AND 37.43% FOR OUTPATIENT. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 ST. JOSEPH'S AREA HEALTH SERVICES DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 ST. JOSEPH'S AREA HEALTH SERVICES 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, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 ST. JOSEPH'S AREA HEALTH SERVICES IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVED PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, ST. JOSEPH'S AREA HEALTH SERVICES, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR INPATIENT AND OUTPATIENT SERVICES. FOR THESE SERVICES, THERE WERE NO MEDICARE SHORTFALLS. FOR HOMECARE AND HOSPICE SERVICES, ST. JOSEPH'S DOES NOT RECEIVE COST BASED REIMBURSEMENT. THERE WERE SHORTFALLS UNDER THESE PROGRAMS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $15,254,199 TOTAL MEDICARE COSTS: $15,415,536 SURPLUS OR SHORTFALL $ (161,337) ST. JOSEPH'S AREA HEALTH SERVICES BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b ST. JOSEPH'S AREA HEALTH SERVICES DEBT COLLECTION POLICY PROVIDES THAT ST. JOSEPH'S AREA HEALTH SERVICES WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. JOSEPH'S AREA HEALTH SERVICES FOR APPROPRIATE FOLLOW-UP. ST. JOSEPH'S AREA HEALTH SERVICES REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND *NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) ST. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH'S HOSPITAL BOARD OF DIRECTORS APPROVED THE INITIATION OF THE ASSESSMENT AND WAS OVERSEEN BY THE ST. JOSEPH'S COMMUNITY BENEFIT COMMITTEE. IT WAS COMPLETED IN COLLABORATION WITH OUR COMMUNITY HEALTH DEPARTMENT, WHICH SERVES AS THE PUBLIC HEALTH AGENCY FOR HUBBARD COUNTY AND A TEAM OF PEOPLE WITH EXPERTISE, INTEREST, AND KNOWLEDGE OF COMMUNITY HEALTH ISSUES. THIS PROJECT BROUGHT TOGETHER REPRESENTATIVES OF MANY HEALTH AND HUMAN SERVICES PROVIDER AGENCIES AND THE VOICES OF OUR RESIDENTS TO COMPLETE A COLLABORATIVE HEALTH ASSESSMENT SO WE WOULD BETTER UNDERSTAND CRUCIAL HEALTH ISSUES IN THE COMMUNITY. PERSONAL INVITATIONS WERE SENT TO OVER 60 AGENCY STAFF, AND FIVE FOCUS GROUPS WERE CONDUCTED WITH 54 AREA PARTICIPANTS, INCLUDING OUR HOSPITAL BOARD OF DIRECTORS. TO REACH THE BROADER COMMUNITY, A SURVEY WAS OFFERED AT VARIOUS LOCATIONS AND NEARLY 450 SURVEYS WERE COMPLETED. HEALTHY PARK RAPIDS AREA 2020, A COMMUNITY COLLABORATIVE ENTITY OF HEALTH AND HUMAN SERVICE PROVIDERS WITH A GOAL TO IMPROVE COMMUNITY HEALTH AND WELL-BEING, SERVED AS AN ADVISORY GROUP THROUGH THE ASSESSMENT AND IMPLEMENTATION PROCESS. ; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) ST. JOSEPH'S AREA HEALTH SERVICES - THE COMMUNITY BENEFIT COMMITTEE MET TO PRIORITIZE THE 35 COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT. THE GROUP CONSIDERED THE NUMBER OF PERSONS AFFECTED; THE SERIOUSNESS OF THE ISSUE; THE COSTS OF INTERNAL RESOURCES AND POTENTIAL COSTS OF EXTERNAL RESOURCES; THE POTENTIAL FOR IMPACT THE AVAILABILITY OF COMMUNITY ASSETS; THE PROBABILITY FOR SUCCESS; THE VALUE OR SUBJECTIVE MEASURE FOR IMPORTANCE; AND ISSUES SPECIFIC TO IDENTIFYING DISPARITIES, INCLUDING WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY. THE PRIORITIZED HEALTH NEEDS ARE: * COMMUNITY WELLNESS * SUBSTANCE AND CHEMICAL DEPENDENCY * ECONOMIC FACTORS TO INFLUENCE WELLNESS * MENTAL HEALTH AND VIOLENCE PREVENTION * SPECIALIZED HEALTH SERVICES KEY FINDINGS WERE REVIEWED WITH HEALTHY PARK RAPIDS AREA 2020 TO VALIDATE OUR PRIORITIZED AREAS. COMMUNITY MEMBERS WERE GIVEN THE OPPORTUNITY TO REVIEW AND TO OFFER INPUT ON THE PRIORITIZED AREAS THROUGH OUR WEBSITE. ; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) ST. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) ST. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) ST. JOSEPH'S AREA HEALTH SERVICES - ST. JOSEPH'S AREA HEALTH SERVICES USES ITS BEST CONTRACTUAL AGREEMENT TO ESTABLISH THE SELF-PAY DISCOUNT FOR THOSE THAT ARE UNINSURED. THIS IS APPLIED TO THE TOTAL CHARGES AND THE REMAINDER IS BILLED TO THE PATIENT.; Needs assessment. Schedule H, Part VI, Line 2 ST. JOSEPH'S AREA HEALTH SERVICES FOLLOWED THE CHA GUIDELINES IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS CONSISTS OF A SIX STEP PROCESS AND INCLUDES: 1. PLANNING AND PREPARING FOR THE ASSESSMENT, 2. DETERMINING THE PURPOSE AND SCOPE OF THE NEEDS ASSESSMENT, 3. IDENTIFYING DATA THAT DESCRIBES THE HEALTH AND NEEDS OF THE COMMUNITY, 4. UNDERSTAND AND INTERPRETING THE DATA, 5. DEFINING AND VALIDATING PRIORITIES, AND 6. DOCUMENTING AND COMMUNICATING OF THE RESULTS. THIS PROCESS WAS COMPLETED THIS FISCAL YEAR WITH THE BOARD APPROVING THE PLAN BEFORE THE YEAR END. NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION SCHEDULE H, PART VI, LINE 2 ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE ST. JOSEPH'S AREA HEALTH SERVICES WAS FOUNDED TO ALLEVIATE A SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY IN THE LATE 1940S. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, ST. JOSEPH'S AREA HEALTH SERVICES EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF ST. JOSEPH'S AREA HEALTH SERVICES IS TO DEVELOP A HEALTHY COMMUNITY AND PROVIDE CARE TO ALL IN NEED. IT ALSO HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. ST. JOSEPH'S AREA HEALTH SERVICES OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ST. JOSEPH'S AREA HEALTH SERVICES HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF ST. JOSEPH AREA HEALTH SERVICES' ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF ST. JOSEPH'S AREA HEALTH SERVICES DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON A GOVERNMENT-SUPPORTED INSTITUTION. COMMUNITY BENEFIT APPROACH ST. JOSEPH'S IS LOCATED IN PARK RAPIDS, A RURAL TOWN OF 3,276 IN NORTH CENTRAL MINNESOTA THAT SERVES AS THE COUNTY SEAT FOR HUBBARD COUNTY. APPROXIMATELY 200 MILES NORTHWEST OF MINNEAPOLIS, ST. JOSEPH'S IS THE SOLE AREA PROVIDER OF HOSPITAL SERVICES FOR THE 20,428 RESIDENTS (U.S. CENSUS 2010) OF HUBBARD COUNTY, AS WELL AS PORTIONS OF BECKER, CASS AND WADENA COUNTIES (~ 3,800 SQUARE MILES). OF THE 20,428 RESIDENTS: -6.2% (1,267) ARE CHILDREN UNDER THE AGE OF 5 -21.2% (4,330) ARE CHILDREN UNDER THE AGE OF 18 -20.8% (4,245) ARE 65 YEARS OF AGE AND OVER -50% ARE FEMALE IN THE 2010 CENSUS, 94.5% OF THE RESIDENTS REPORTED AS BEING WHITE; 0.2% BLACK; 2.7% AMERICAN INDIAN AND ALASKA NATIVE; 0.2% ASIAN; AND 1.8% REPORTED TWO OR MORE RACES. FROM 2005-2009, 1.0% OF THE HUBBARD COUNTY RESIDENTS REPORTED BEING FOREIGN BORN AND 2.1% IDENTIFIED SPEAKING A LANGUAGE OTHER THAN ENGLISH IN THEIR HOME. CITIZENS OF HUBBARD COUNTY ARE GENERALLY OLDER (MEDIAN AGE = 42.5 AS COMPARED TO 35.4) AND POORER ($32,013 PER CAPITA INCOME COMPARED TO MINNESOTA AT $44,560) THAN THE STATE AVERAGES IN 2011. JUST OVER 12 PERCENT (12.9%) OF OUR RESIDENTS LIVED IN POVERTY IN 2011 COMPARED TO 10.9% IN THE STATE OF MINNESOTA. THE PER CAPITA INCOME FOR HUBBARD COUNTY IN 2011 WAS $32,013. THE 2011 MINNESOTA PER CAPITA INCOME WAS $44,560. OF THE 87 COUNTIES IN MINNESOTA, HUBBARD COUNTY RANKED 77TH LOWEST IN PER CAPITA INCOME. THE MEDIAN HOUSEHOLD INCOME FOR 2009 WAS REPORTED TO BE $43,721 (2010 US CENSUS). IT WAS $35,321 IN 1999. THERE ARE 9,571 PEOPLE IN THE CIVILIAN WORKFORCE FOR HUBBARD COUNTY IN 2010 (US CENSUS, 2010). ACCORDING TO THE MINNESOTA DEPARTMENT OF HEALTH, THE ANNUAL UNEMPLOYMENT AVERAGE IN 2009 WAS 10.3% AND 9.8% FOR 2010. HUBBARD COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA FOR DENTAL HEALTH PROFESSIONALS BY THE OFFICE OF RURAL HEALTH AND PRIMARY CARE THROUGH THE MINNESOTA DEPARTMENT OF HEALTH (SEE CONTINUATION #1) NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION SCHEDULE H, PART VI, LINE 2 (CONTINUATION #1) SINCE 1987, ST. JOSEPH'S HAS CONTRACTED WITH THE HUBBARD COUNTY COMMISSIONERS TO PERFORM THE PUBLIC HEALTH FUNCTION FOR HUBBARD COUNTY. AS THE PUBLIC HEALTH ENTITY, THEY HAVE PERFORMED A COMMUNITY NEEDS ASSESSMENT ON AN ANNUAL BASIS. THE DEPARTMENT HAS COMPILED COUNTY HEALTH DATA, IDENTIFIED HEALTH ISSUES, SET PRIORITIES, AND PLANS FOR IMPROVEMENT. ST. JOSEPH'S CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN COMMUNITY HEALTH COLLABORATION TODAY. PROCESS ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. HEALTHY PARK RAPIDS AREA 2020 WAS FORMED IN 2002 AS A COLLABORATIVE ENTITY OF HEALTH AND HUMAN SERVICE PROVIDERS WITH A GENERAL DESIRE TO IMPROVE COMMUNITY HEALTH AND WELL BEING. ADDITIONALLY, IT WAS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY WAS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRED THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. THE COMMUNITY COLLABORATION HAS BEEN WORKING FOR SEVERAL YEARS TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE HUBBARD COUNTY COMMUNITY HEALTH ASSESSMENT WAS COMPLETED IN-DEPTH IN 2013. THE REPORT REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL BEING OF AREA RESIDENTS. SUMMARY OF ASSESSMENT FINDINGS FIVE AREAS OF CONCERN WERE IDENTIFIED AS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE COMMUNITY HEALTH STATUS REVIEW. THE ISSUES WERE IDENTIFIED AND THEN SUMMARIZED. COMMUNITY STAKEHOLDERS WERE INVITED TO GIVE INPUT ON THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND HOW AWARE THE COMMUNITY WAS OF EACH ISSUE AND HOW DIFFICULT THE ISSUE WAS TO CHANGE. AS A RESULT, THE MAIN ISSUES THAT SURFACED FELL INTO THE FIVE CATEGORIES LISTED BELOW. 1. COMMUNITY WELLNESS 2. SUBSTANCE AND CHEMICAL ABUSE 3. ECONOMIC FACTORS TO INFLUENCE WELLNESS 4. MENTAL AND HEALTH VIOLENCE PREVENTION 5. SPECIALIZED HEALTH SERVICES QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR COMMUNITY DENTAL CLINIC OUR COMMUNITY DENTAL CLINIC PROVIDES DENTAL CARE TO THE PUBLICLY FUNDED POPULATIONS THROUGHOUT NORTH CENTRAL MINNESOTA. THIS PAST YEAR, THEY PROVIDED 5,655 DENTAL VISITS. THE "GIVE KIDS A SMILE" DAY PROVIDED HYGIENE AND EXAMS TO 65 CHILDREN IN 2012. PREGNANCY TO PARENTING PROGRAM THE PREGNANCY-TO-PARENTHOOD PROGRAM WAS DEVELOPED TO ADDRESS THE NEEDS OF AT-RISK MOTHERS AND CHILDREN. THE PROGRAM INCLUDES PRENATAL EDUCATION, PARENTING EDUCATION AND SUPPORT. ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES THE OVERSIGHT OF THE GRANTS AND THE ADDITIONAL FUNDING FOR THIS PROGRAM. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) THIS NON-MEDICAL HOME VISITING PROGRAM IS PARTIALLY FUNDED BY GRANT DOLLARS. ST. JOSEPH'S HAS WORKED TO EXPAND THE NUMBER OF FAMILIES SERVED THROUGH THE TANF PROGRAM WHICH FOCUSES ON FAMILY VIOLENCE PREVENTION AND CHILD ABUSE PREVENTION. IMMUNIZATION CLINICS VACCINATIONS ARE ONE OF THE MOST EFFECTIVE WAYS TO PREVENT DISEASE AND ALSO ONE OF THE MOST COST EFFICIENT MEDICAL INTERVENTIONS AVAILABLE. ST. JOSEPH'S AREA HEALTH SERVICES OFFERS LOW COST OR FREE VACCINATIONS TO ELIGIBLE CHILDREN FROM BIRTH TO AGE 19 AT MONTHLY CLINICS. ANNUAL FLU SHOT CLINICS ARE PROVIDED TO AREA BUSINESSES. ST. JOSEPH'S AREA HEALTH SERVICES ALSO MAKES VACCINES AVAILABLE IN ALL THE SCHOOLS IN HUBBARD COUNTY. MINNESOTA CARE OUTREACH ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES OUTREACH TO UNINSURED INDIVIDUALS IN OUR SERVICE AREA. ST. JOSEPH'S AREA HEALTH SERVICES ALSO ASSISTS THEM IN THE ENROLLMENT TO MINNESOTA CARE OR MAKES REFERRALS FOR OTHER INSURANCE SERVICES. ST. JOSEPH'S AREA HEALTH SERVICES HAS BEEN CERTIFIED AS AN MNCAA AGENT (MINNESOTA COMMUNITY APPLICATION AGENT) SINCE 2010 TO HELP ASSIST ELIGIBLE PATIENTS WITH THEIR MEDICAL ASSISTANCE APPLICATIONS. TRANSPORTATION ST. JOSEPH'S AREA HEALTH SERVICES WILL PAY THE COST OF TRANSPORTATION HOME FROM THE EMERGENCY DEPARTMENT OR THE HOSPITAL TO INDIVIDUALS THAT HAVE NO OPTIONS FOR A RIDE HOME. FREE MAMMOGRAPHY SERVICES ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES MAMMOGRAMS AT NO COST TO ELIGIBLE WOMEN ENROLLED IN THE SAGE PROGRAM THROUGH THE MINNESOTA DEPARTMENT OF HEALTH. VIOLENCE PREVENTION ST. JOSEPH'S AREA HEALTH SERVICES IMPLEMENTED PROGRAMS FOR VIOLENCE PREVENTION. THESE PROGRAMS HAVE CENTERED ON MENTORING, THE PROMOTION OF FATHERHOOD AND ON FAMILY RESOURCES IN THE COMMUNITY. (SEE CONTINUATION #2) NEEDS ASSESSMENT AND COMMUNITY BENEFIT INFORMATION SCHEDULE H, PART VI, LINE 2 (CONTINUATION #2) COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. JOSEPH'S AREA HEALTH SERVICES IS RECOGNIZED AS A PROGRESSIVE COMMUNITY AND REGIONAL PROVIDER OF HEALTH CARE SERVICES. THE BOARD OF DIRECTORS AND STAFF VOLUNTEER THEIR TIME AND RESOURCES TO NUMEROUS REGIONAL AND LOCAL BOARDS, ADVISORY COUNCILS, COMMUNITY ORGANIZATIONS AND COLLABORATIONS. COMMUNITY BUILDING ACTIVITIES ST. JOSEPH'S AREA HEALTH SERVICES CONTINUES ITS COMMITMENT TO IMPROVE THE HEALTH OF OUR COMMUNITY. ST. JOSEPH'S AREA HEALTH SERVICES HAS COORDINATED A COLLABORATIVE EFFORT THAT IS KNOWN AS HEALTHY PARK RAPIDS 2020. THIS GROUP'S PURPOSE IS TO CREATE A COMMUNITY INFRASTRUCTURE THAT WILL ENSURE THAT THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL HEALTH NEEDS OF THE COMMUNITY ARE MET. THE GROUP RECRUITED OVER 50 COMMUNITY STAKEHOLDERS TO CREATE A SHARED VISION OF HEALTH AND AN ACTION PLAN TO CREATE HEALTHIER COMMUNITIES. THEY HAVE SPONSORED COMMUNITY GARDENS THROUGHOUT THE COUNTY PROVIDING LOCALLY GROWN FOOD OPPORTUNITIES FOR ALL RESIDENTS. HEALTH PARK RAPIDS 2020 COLLABORATES WITH OTHER COMMUNITY GROUPS BY ENDORSING AND PROVIDING SUPPORT FOR OR PARTNERING WITH ORGANIZATIONS IN ACTIVITIES THAT PROMOTE HEALTH AND WELLNESS, SUCH AS IMPROVEMENTS TO A LOCAL PARK AND THE PROMOTING OF SAFE BIKE RIDING. ST. JOSEPH'S AREA HEALTH SERVICES HAS ALSO FOSTERED A NEW CULTURE OF FATHERHOOD FRIENDLINESS AND EDUCATION THROUGHOUT THE COMMUNITY AS A RESULT OF A CATHOLIC HEALTH INITIATIVES MISSION AND MINISTRY GRANT. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH IMMUNIZATION REGISTRY ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES AN INTERNET-BASED REGISTRY FOR ALL CHILDREN IN HUBBARD COUNTY. THE REGISTRY IS PART OF A 13 COUNTY REGISTRY AND ALLOWS PARENTS, CLINICS, AND SCHOOLS TO ACCESS VACCINATION DATES. HEALTH SCREENINGS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES CHOLESTEROL SCREENINGS, GLUCOSE SCREENINGS, BLOOD PRESSURE CHECKS, FOOT CARE, AND FLU SHOTS TO SENIOR CITIZENS THROUGHOUT HUBBARD COUNTY. PRESCHOOL SCREENINGS: PRESCHOOL SCREENING OCCURS IN THREE SCHOOLS IN THE ST. JOSEPH'S AREA HEALTH SERVICES' AREA FOR ALL 3 ½ TO 5 YEAR OLDS. ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES A REGISTERED NURSE TO DO NUTRITIONAL AND HEALTH REVIEWS, AND TO PERFORM IMMUNIZATIONS ON SITE. A CLERK IS ALSO PROVIDED TO PERFORM THE VISION AND HEARING COMPONENTS. HEALTH FAIRS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES HEALTH-SCREENING EVENTS FOR LOCAL AGENCIES AND BUSINESS THROUGHOUT OUR SERVICE AREA, OFFERING ON-SITE BLOOD PRESSURE CHECKS, CHOLESTEROL AND GLUCOSE SCREENINGS, AND HEALTH PROMOTION EDUCATION. SUPPORT GROUPS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES STAFF FOR THE FOLLOWING SUPPORT GROUPS: GRIEF SUPPORT, DIABETES SUPPORT, GASTRIC BYPASS SUPPORT, STROKE SUPPORT, AND CAREGIVERS SUPPORT. HUBBARD COUNTY DRUG AND ALCOHOL TASK FORCE ST. JOSEPH'S AREA HEALTH SERVICES' STAFF ARE ACTIVE PARTICIPANTS IN THIS GROUP OF LIKE-MINDED COMMUNITY MEMBERS WITH REPRESENTATIVES FROM LOCAL LAW ENFORCEMENT, HEALTH CARE, EDUCATION, LOCAL GOVERNMENTS AND THE COMMUNITY AT LARGE, ADDRESSING ISSUES RELATED TO YOUTH AND SUBSTANCE USE/ABUSE. ST. JOSEPH'S AREA HEALTH SERVICES ALSO HAS INITIATED A PROGRAM TO WORK WITH YOUTH TO PREVENT YOUTH ALCOHOL ABUSE. PARISH NURSE PROGRAM ST. JOSEPH'S AREA HEALTH SERVICES SPONSORS PARISH NURSE TRAINING FOR CONGREGATIONS IN OUR SERVICE AREA. OUR PARISH NURSE COORDINATOR FACILITATES REGULAR MEETINGS WITH THIS GROUP OF INDIVIDUALS WHO HAVE CHOSEN A MINISTRY OF NURSING IN THEIR FAITH COMMUNITY. PRESENTLY 9 PARISH NURSES ARE BEING SUPPORTED IN THEIR ROLE AS HEALTH CARE ADVOCATES IN THEIR AREA FAITH COMMUNITIES. PARISH NURSES FUNCTION IN A VARIETY OF WAYS TO MEET THE HEALTH NEEDS OF THEIR CHURCH MEMBERS. THIS MAY INCLUDE ACCOMPANYING A PARISHIONER TO A DOCTOR APPOINTMENT OR COORDINATING A HEALTH FAIR. SENIOR COMPANION PROGRAM ST. JOSEPH'S AREA HEALTH SERVICES IS A SPONSOR OF THE SENIOR COMPANION PROGRAM. THIS IS A PROGRAM THAT FINDS ITS ORIGINS WITH LUTHERAN SOCIAL SERVICES. IT PROVIDES VOLUNTEER OPPORTUNITIES FOR SENIORS TO HELP OTHER SENIORS. VOLUNTEERS ARE PAID A STIPEND AND MILEAGE. THEY ARE OFFERED THE OPPORTUNITY FOR AN ANNUAL HEALTH SCREEN AND MEALS IN OUR CAFETERIA WHEN THEY ARE VOLUNTEERING. THIS PROGRAM MEETS THE NEEDS OF PROVIDING MEANINGFUL WORK AND A SMALL INCOME FOR THE VOLUNTEERS AND IN MANY INSTANCES A SOCIAL CONNECTION FOR THOSE THEY SERVE. CAR SEAT GIVEAWAY ST. JOSEPH'S AREA HEALTH SERVICES OFFERS AN INFANT CAR SEAT TO ALL PARENTS THAT DELIVER THEIR BABIES AT OUR FACILITY. WITH OVER 110 BIRTHS LAST YEAR, WE ARE COMMITTED TO OFFERING A SAFE METHOD FOR THOSE INFANTS TO LEAVE THE HOSPITAL. NEWBORN HEARING SCREENING ST. JOSEPH'S AREA HEALTH SERVICES SCREENS ALL THE INFANTS BORN AT THE HOSPITAL FOR HEARING LOSS BEFORE THEY ARE ONE MONTH OF AGE. THE RESULTS ARE THEN FORWARDED TO THE FAMILY PHYSICIAN AND THE INFANTS THAT DO NOT PASS THE SCREENING ARE REFERRED TO AN AUDIOLOGIST. COMMUNITY SUPPORT GROUPS ST. JOSEPH'S AREA HEALTH SERVICES PROVIDES A LOCATION FOR GROUPS TO MEET. MEETING LOCATIONS AND TIMES ARE ADVERTISED IN SEVERAL DIFFERENT PUBLICATIONS. THE FOLLOWING GROUPS CURRENTLY USE ST. JOSEPH'S MEETING SPACE: CHILDBIRTH EDUCATION CLASSES SENIOR PROVIDERS GASTRIC BYPASS SUPPORT GROUP DIABETES SUPPORT GROUP GRIEF SUPPORT GROUP Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ST. JOSEPH'S AREA HEALTH SERVICES INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, ST. JOSEPH'S AREA HEALTH SERVICES PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN ST. JOSEPH'S AREA HEALTH SERVICES OUTPATIENT FACILITIES. IN ADDITION, ST. JOSEPH'S AREA HEALTH SERVICES 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. JOSEPH'S AREA HEALTH SERVICES' FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OF MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. ST. JOSEPH'S AREA HEALTH SERVICES' 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. JOSEPH'S AREA HEALTH SERVICES' 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. Community information. Schedule H, Part VI, Line 4 ST. JOSEPH'S AREA HEALTH SERVICES, LOCATED IN PARK RAPIDS, MINNESOTA IS THE SOLE AREA PROVIDER OF HOSPITAL SERVICES FOR RESIDENTS OF HUBBARD COUNTY, AS WELL AS POSITIONS OF BECKER, CASS, AND WADENA COUNTIES IN MINNESOTA. Promotion of community health Schedule H, Part VI, Line 5 SEE COMMUNITY BENEFIT NARRATIVE ATTACHED. Affiliated health care system Schedule H, Part VI, Line 6 ST. JOSEPH'S AREA HEALTH SERVICES, 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 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ST. JOSEPH'S AREA HEALTH SERVICES OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. JOSEPH'S AREA HEALTH SERVICES FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE PARK RAPIDS, MINNESOTA COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 MN true PARK RAPIDS AREA SCHOOL DISTRICT #309 301 HUNTSINGER AVENUE PARK RAPIDS MN 56470 416001518 PARK RAPIDS SCHOOLS 13055 0 N/A N/A LATE BUS PROGRAM 1 0 SCHOLARSHIPS 15 13700 EMPLOYEE ASSISTANCE GRANTS 13 12450 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE FACILITY PUBLIC HEALTH MANAGER HAS OVERSIGHT FOR PUBLIC HEALTH GRANTS. FACILITY STAFF PARTICIPATE IN GRANT ACTIVITIES THROUGH THE PUBLIC HEALTH DEPARTMENT TO SUPPLEMENT GRANT PROJECT NEEDS. EACH GRANT HAS REQUIRED REPORTING ELEMENTS FOR BOTH STRATEGIC AND FINANCIAL GOALS. GRANT RECIPIENT PREPARES SIX MONTH PROGRESS REPORTING ON THE GRANT PROJECT, WHICH IS REVIEWED AND APPROVED BY FACILITY PUBLIC HEALTH MANAGER. false true false false false false false true false BENJAMIN KOPPELMAN 0 201702 0 75081 0 49447 0 46546 0 18151 0 390927 0 27655 BRENT SCHMIDT 0 149443 0 18263 0 14240 0 21168 0 6499 0 209613 0 0 DARRYL BEEHLER 312995 0 0 0 7512 0 20596 0 11490 0 352593 0 0 0 JANE M CHURCHILL 296856 0 165 0 11437 0 20596 0 1305 0 330359 0 0 0 JEFFREY DROP 0 400148 0 146277 0 59679 0 76703 0 21785 0 704592 0 36347 JOHN THOMAS 129195 0 0 0 35307 0 12078 0 6358 0 182938 0 0 0 LARRY KOBRIGER 301971 0 0 0 1298 0 20596 0 17037 0 340902 0 0 0 SCOTT KOSEL 130981 0 5327 0 385 0 12249 0 5623 0 154565 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. POST-TERMINATION 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2012 CALENDAR YEAR. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEFFERY DROP AND BENJAMIN KOPPELMAN. DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEFFERY DROP: $48,607 BENJAMIN KOPPELMAN: $18,450 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFERY DROP: $36,347 BENJAMIN KOPPELMAN: $27,655 Non-fixed payments Schedule J, Part I, Line 7 ST. JOSEPH'S AREA HEALTH SERVICES HAS AN INCENTIVE COMPENSATION PLAN FOR MANAGERS AND ABOVE BASED ON ACHIEVING IDENTIFIED GOALS, ONE COMPONENT OF WHICH IS OPERATING MARGIN PERFORMANCE. X 1 2000 MARKET VALUE X EQUIPMENT - SAW 1 1200 MARKET VALUE false false false Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 Number of contributions or items contributed. Schedule M, part I, column (b), Line other=EQUIPMENT - SAW Significant changes in program services Form 990, Part III, Line 3 AS OF SEPTEMBER 30, 2012, ST. JOSEPH'S AREA HEALTH SERVICES CEASED PROVIDING HOME CARE SERVICES TO PATIENTS IN THE AREA. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. JOSEPH'S AREA HEALTH SERVICES, 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 ACCORDING TO THE BYLAWS OF ST. JOSEPH'S AREA HEALTH SERVICES, THE ENTITY'S SOLE MEMBER 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 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. JOSEPH'S AREA HEALTH SERVICES *AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. JOSEPH'S AREA HEALTH SERVICES *APPROVE MEMBERS OF ST. JOSEPH'S AREA HEALTH SERVICES BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF ISSUANCE OF DEBT BY ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF PARTICIPATION OF ST. JOSEPH'S AREA HEALTH SERVICES IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF A MERGER INVOLVING ST. JOSEPH'S AREA HEALTH SERVICES *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. JOSEPH'S AREA HEALTH SERVICES *TO REQUIRE THE TRANSFER OF ASSETS BY ST. JOSEPH'S AREA HEALTH SERVICES TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. JOSEPH'S AREA HEALTH SERVICES 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 THE FORM 990 AND 990T ARE REVIEWED BY THE VP FINANCE/CFO BEFORE BEING FILED WITH LIMITED REVIEW BY THE CEO. THE REVIEW CONSISTS OF MAKING SURE DATA FIELDS DO NOT CONTAIN MATERIAL DIFFERENCES FROM THE FINANCIALS AND THAT SCHEDULES APPEAR TO BE COMPLETED COMPLETELY AND ACCURATELY. PRIOR TO FILING THE FORM 990, A COPY IS PRESENTED TO THE FINANCE COMMITTEE AND PROVIDED TO THE FULL BOARD. AFTER PRESENTATION TO THE FINANCE COMMITTEE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. ONCE FILED, THE BOARD CHAIR REVIEWS A COPY OF THE FORM 990 AT A SEPARATE MEETING OF THE BOARD OF DIRECTORS TO ALLOW ADEQUATE TIME FOR QUESTIONS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c BOARD MEMBERS AND OFFICERS COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE TRANSACTION REVIEW COMMITTEE OF THE BOARD WOULD REVIEW AND DETERMINE CONFLICTS AT THE BOARD LEVEL OR WITH KEY EXECUTIVES. FACILITY CONTRACTS ARE REVIEWED BY THE RESPECTIVE ADMIN SUPERVISOR (VP) TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AT THE MANAGER/EMPLOYEE LEVEL. MANAGERS/EMPLOYEES ARE HELD ACCOUNTABLE TO RECEIVE ANNUAL CORPORATE RESPONSIBILITY ETHICS TRAINING AS WELL AS INTERNAL CULTURAL INTEGRATION TRAINING ON BUSINESS BEHAVIORS. MANAGER COMPLIANCE IS MONITORED BY THE ADMIN COUNCIL. EMPLOYEE COMPLIANCE WOULD BE MONITORED BY MANAGERS AND HUMAN RESOURCES, WITH ANY NON-COMPLIANCE REVIEWED BY ADMIN COUNCIL. NON-COMPLIANCE WILL RESULT IN DISCIPLINARY ACTION. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE AMOUNTS. THE BOARD OF DIRECTORS OVERSEES ALL OFFICER COMPENSATION WITH APPROVAL BY THE DIVISION OFFICE. THIS PROCESS IS COMPLETED ANNUALLY AND WAS LAST COMPLETED IN OCTOBER 2012. SUBSEQUENT TO THE ORGANIZATION'S FISCAL YEAR END, THE PROCESS WAS COMPLETED IN OCTOBER 2012. EVALUATION OF PARTICIPATION IN JOINT VENTURE AGREEMENTS FORM 990, PART VI, LINE 16B SAINT JOSEPHS AREA HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS AT ALL TIMES RETAIN 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 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATION OFFICE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. Other Expenses Form 990, Part IX, Line 11g CONTRACT SERVICES - TOTAL EXPENSE: 5272617, PROGRAM SERVICE EXPENSE: 3583842, MANAGEMENT AND GENERAL EXPENSES: 1667021, FUNDRAISING EXPENSES: 21754; PURCHASED SERVICES - TOTAL EXPENSE: 770445, PROGRAM SERVICE EXPENSE: 657462, MANAGEMENT AND GENERAL EXPENSES: 112983, FUNDRAISING EXPENSES: ; OTHER INTRACOMPANY EXPENSES - TOTAL EXPENSE: 90243, PROGRAM SERVICE EXPENSE: 90243, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 8005, PROGRAM SERVICE EXPENSE: 8005, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHI CONNECT DEPRECIATION - 16992; CAPITAL RESOURCE POOL CONTRIBUTION - -427956; ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - 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