2014-05-14T16:00:13-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 391093829 FRANCISCAN VILLA OF SOUTH MILWAUKEE FRAN 4147644100 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 SCOTT WALLNER 2014-05-15 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z CHARLEAN ADAMS 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 19348214 false 0928 X WWW.FRANCISCANVILLA.ORG X 1966 WI FRANCISCAN VILLA PROVIDES SKILLED NURSING AND ASSISTED LIVING SERVICES TO RESIDENTS OF THE SURROUNDING AREA WITHOUT REGARD TO ONE'S ABILITY TO PAY. 9 7 491 73 -71 -71 27837 14726 17894748 18547193 386490 705544 60127 63108 18369202 19330571 1263 1200 0 0 11422017 12346880 0 0 60947 6176566 6186567 17599846 18534647 769356 795924 26705332 27918121 5520349 5621123 21184983 22296998 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 false 16160068 1200 18547193 SEE SCHEDULE O 16160068 true false false true false false false true false true true false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 0 0 491 true false false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true false false false false WI X SCOTT WALLNER 4145705406 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53150 CHARLEAN ADAMS 45.00 0 X X 0 0 0 GREGORY KOST 5.00 0 X X 0 0 0 JACKIE OVE 5.00 0 X X 0 0 0 JAMES WEIBELER 45.00 0 X X 0 226768 42877 ROMY MCCARTHY 5.00 0 X X 0 0 0 BROOKE NAPIWOCKI 5.00 0 X 0 0 0 DONN POWERS 5.00 0 X 0 0 0 FR JOJO OROSA 5.00 0 X 0 0 0 JEFFREY DROP 5.00 55.00 X 0 606104 98488 PHILIP SCHULTZ 5.00 0 X 0 0 0 KATHERINE FRIEND 45.00 0 X 57000 0 0 ROBERTA BANACH 45.00 0 X 103706 0 19718 SCOTT WALLNER 45.00 0 X 142673 0 13286 303379 832872 174369 2 false true false REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 942092 SUPERIOR HEALTH LINENS PO BOX 3016 MILWAUKEE WI 53201 LAUNDRY SERVICES 132235 2 14726 14726 PATIENT SERVICES 900099 18233770 18233770 CHILD CARE 624410 313273 313273 RENTAL INCOME 150 150 0 0 0 0 0 0 18547193 302037 -71 302108 0 0 11632 11632 0 11632 11632 421150 0 17643 421150 -17643 403507 403507 0 0 0 SERVICES SOLD 900099 47881 47881 CAFETERIA 722100 4311 4311 OTHER INCOME 900099 -716 -716 0 0 0 0 51476 19330571 18547193 -71 768723 1200 1200 0 0 0 213860 136360 77500 0 9880858 8773897 1077311 29650 251266 217573 32210 1483 1185884 1030377 152019 3488 815012 708138 104477 2397 0 29268 29268 0 0 0 0 1511375 1450715 39548 21112 6700 6700 1050161 1000693 48081 1387 200004 200004 0 545540 545540 37356 12919 23439 998 0 0 176149 176149 359126 359126 715650 715650 100917 100917 MEDICAL SUPPLIES 682342 682342 STATE PROVIDER TAX 306680 306680 REPAIRS AND MAINTENANCE 262605 262605 DUES & SUBSCRIPTIONS 75042 38313 36297 432 127652 0 127652 0 18534647 16160068 2313632 60947 0 1000 1000 366056 545231 1407539 1480746 0 0 38389 45124 11120 8455 22814195 10768082 12654891 12046113 12197584 13759251 0 0 28753 32201 26705332 27918121 1232106 1372895 3124 2832 28753 32201 0 0 0 4256366 4213195 5520349 5621123 X 21168394 22271117 16589 25881 21184983 22296998 26705332 27918121 X 795924 543681 -227590 X false true X true false X 11824 5307 11259 27837 17558 73785 17280879 17824090 17724614 17894748 18547193 89271524 0 0 0 17292703 17829397 17735873 17922585 18564751 89345309 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89345309 223226 259321 246954 277937 313740 1321178 0 223226 259321 246954 277937 313740 1321178 0 0 0 49063 48727 51476 149266 17515929 18088718 18031890 18249249 18929967 90815753 0.98380 0.98520 0.01450 0.01360 X SCHEDULE A, PART III, LINE 12, OTHER INCOME, DESCRIPTION - SERVICES SOLD, COLUMN A - 0, COLUMN B - 0, COLUMN C - 24679, COLUMN D - 42652, COLUMN E - 47881, COLUMN F - 115212; DESCRIPTION - CAFETERIA, COLUMN A - 0, COLUMN B - 0, COLUMN C - 5338, COLUMN D - 4583, COLUMN E - 4311, COLUMN F - 14232; DESCRIPTION - OTHER INCOME, COLUMN A - 0, COLUMN B - 0, COLUMN C - 19046, COLUMN D - 1492, COLUMN E - -716, COLUMN F - 19822; false true false false false true 990 true 20 false false 1010 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: LEADINGAGE AND LEADINGAGE WISCONSIN - $990 KATHERINE FRIEND'S SALARY TO WRITE TO U.S. SENATORS & U.S. REPRESENTATIVES ASKING THEM TO OPPOSE MEDICARE SEQUESTRATION- $20 false true X 359573 359573 19293190 8293506 10999684 0 2253035 1892133 360902 908397 582443 325954 12046113 0 0 CHI OIP - FIXED INCOME 6452181 F CHI OIP - EQUITY SECURITIES 7307070 F 13759251 0 INTERCOMPANY PAYABLES 3861740 SECURITY DEPOSITS 351455 4213195 X Explanation of escrow agreement Schedule D, Part IV, Line 2b THE ORGANIZATION ACTS AS A TRUSTEE FOR RESIDENTS WHO WISH TO HAVE MONEY HELD IN A SEPARATE BANK ACCOUNT UNDER THE CONTROL OF FRANCISCAN VILLA OF SOUTH MILWAUKEE. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 FRANCISCAN VILLA OF SOUTH MILWAUKEE'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true true false false false false false false false JAMES WEIBELER 0 101521 0 0 0 125247 0 22820 0 20057 0 269645 0 51409 JEFFREY DROP 0 400148 0 146277 0 59679 0 76703 0 21785 0 704592 0 36347 SCOTT WALLNER 128576 0 14037 0 60 0 12710 0 576 0 155959 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: JAMES WEIBELER $45,498 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: JAMES WEIBELER AND JEFFREY DROP DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JAMES WEIBELER - $9,464 JEFFREY DROP - $48,607 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JAMES WEIBELER - $51,409 JEFFREY DROP - $36,347 PROGRAM SERVICE DESCRIPTION FORM 990, PART III, LINE 4A INTRODUCTION FRANCISCAN VILLA WAS FOUNDED IN 1966 AS A NON-PROFIT, LONG TERM CARE PROVIDER. FRANCISCAN VILLA'S CAMPUS IS COMPRISED OF A 150-BED NURSING HOME, A 64-UNIT MEMORY CARE ASSISTED LIVING FACILITY, A 39-UNIT FRAIL ELDERLY ASSISTED LIVING FACILITY, AND A 48-UNIT ASSISTED LIVING FACILITY SERVING THE NEEDS OF FRAIL, ELDERLY AND MEMORY IMPAIRED RESIDENTS. THE ORGANIZATION ALSO PROVIDES CHILD DAY CARE SERVICES TO THE COMMUNITY. AS A TAX-EXEMPT 501(C)(3) LONG TERM CARE FACILITY, FRANCISCAN VILLA IS COMMITTED TO SERVING THE NEEDS OF COMMUNITY MEMBERS WITHOUT REGARD TO ONE'S ABILITY TO PAY. THE VILLA REQUIRES RESIDENTS TO DEMONSTRATE THE ABILITY TO PAY THE FACILITY FEES AND CHARGES, WHICH ARE SET AT A RATE THAT IS AFFORDABLE TO A SIGNIFICANT SEGMENT OF THE ELDERLY RESIDING IN THE AREA. HOWEVER, FRANCISCAN VILLA WILL NOT FORCE A RESIDENT TO MOVE FROM THE FACILITY IF THE INDIVIDUAL AND/OR THE INDIVIDUAL'S FAMILY BECOMES UNABLE TO PAY THE FACILITY CHARGES. FRANCISCAN VILLA IS ALSO COMMITTED TO THE PROMOTION OF HEALTHIER COMMUNITIES. FRANCISCAN VILLA IS PROUD OF ITS CATHOLIC HERITAGE AND ITS ABILITY TO PROVIDE DIRECT AND INDIRECT SUPPORT TO THE COMMUNITIES IT SERVES. IN TOTAL, OVER $2,131,000 IN QUANTIFIABLE COMMUNITY BENEFITS WERE PROVIDED DURING FY 2013. AS A PERCENT OF NET REVENUES, THIS EQUATES TO 11.5%. BENEFITS FOR THE POOR TRADITIONAL CHARITY CARE TRADITIONAL CHARITY CARE COSTS TOTALED OVER $35,000 DURING FY 2013. SIX (6) RESIDENTS QUALIFIED FOR BENEFITS UNDER THE ORGANIZATION'S CHARITY CARE POLICY, MOSTLY FOR BED HOLD DAYS NOT COVERED BY THE FAMILY CARE PROGRAM, A COUNTY-BASED MEDICAID-WAIVER PROGRAM. UNPAID COST OF MEDICAID AND OTHER SOCIAL PROGRAMS FRANCISCAN VILLA CONTINUES TO PROVIDE SERVICES TO MEDICAID AND FAMILY CARE RECIPIENTS WITHIN ITS SKILLED NURSING FACILITY. REIMBURSEMENT RATES UNDER THESE PROGRAMS FALL WELL SHORT OF THE ACTUAL COST OF PROVIDING CARE. THE $1,308,000 IN UNPAID COST OF SERVICES PROVIDED DURING THE YEAR REPRESENTS A SIGNIFICANT CONTRIBUTION TO THE COMMUNITY. OF THE TOTAL, MEDICAID ACCOUNTED FOR $711,000 AND FAMILY CARE REPRESENTED $597,000. OVER 33,000 DAYS OF SERVICE WERE PROVIDED TO MEDICAID AND FAMILY CARE RESIDENTS WITHIN THE NURSING HOME, REPRESENTING 68% OF TOTAL DAYS. SERVICES ARE ALSO PROVIDED TO FAMILY CARE RECIPIENTS WITHIN THE ORGANIZATION'S FRANCIS HOUSE CBRF, FRANCISCAN COURTS RCAC, AND FRANCISCAN GARDENS CBRF. REIMBURSEMENT RATES ARE INADEQUATE TO COVER THE FULL COST OF PROVIDING CARE. WITHIN THE FRANCIS HOUSE, $347,000 IN UNPAID COSTS WAS INCURRED; FAMILY CARE ACCOUNTED FOR 71% OF TOTAL DAYS WITHIN THIS FACILITY. A TOTAL OF $207,000 IN UNPAID COSTS WAS REPORTED WITHIN FRANCISCAN COURTS; FAMILY CARE REPRESENTED 72% OF THIS FACILITY'S TOTAL DAYS. AND AN ESTIMATED $224,000 IN UNPAID COSTS WAS INCURRED WITHIN THE FRANCISCAN GARDENS; FAMILY CARE RESIDENTS REPRESENTED 47% OF TOTAL DAYS. THE TOTAL OF UNPAID COST OF FAMILY CARE RECIPIENTS WITHIN THE ORGANIZATION'S ASSISTED LIVING FACILITIES EQUALED $778,000. OTHER SUPPORT FRANCISCAN VILLA COORDINATED ITS ANNUAL "CARING BY SHARING" PROGRAM. UNDER THIS INITIATIVE, EMPLOYEES SPONSORED 10 FAMILIES (ALL EMPLOYEES OF FRANCISCAN VILLA) AND PROVIDED THEM WITH CHRISTMAS GIFTS THAT THEY WOULD OTHERWISE NOT BE ABLE TO AFFORD. FRANCISCAN VILLA ALSO SPONSORED A "STUFF THE BUS" FOOD DRIVE, COLLECTING APPROXIMATELY 48 BOXES OF FOOD FROM EMPLOYEES AND COMMUNITY MEMBERS. ALL ITEMS WERE DELIVERED TO SOUTH MILWAUKEE HUMAN CONCERNS. TOTAL BENEFITS FOR THE POOR WERE $2,123,000 IN FY 2013. THIS REPRESENTS 11.4% OF TOTAL REVENUE. BENEFITS FOR THE BROADER COMMUNITY EDUCATIONAL SUPPORT SERVICES TO THE COMMUNITY EDUCATIONAL SUPPORT ACTIVITIES WERE CONTINUED DURING FY 2013, INCLUDING THE AWARDING OF SCHOLARSHIPS TO TWO AREA HIGH SCHOOL STUDENTS PURSUING A CAREER IN HEALTHCARE AND THE FREE USE OF ITS FACILITY BY A LOCAL COLLEGE AS A NURSING STUDENT CLINICAL ROTATION SITE. TRAINING AND EDUCATION WAS PROVIDED TO PROFESSIONALS AND COMMUNITY MEMBERS AT NO COST ON A VARIETY OF TOPICS: *CULTURAL AWARENESS - THIS EVENT WAS PART OF A CONTINUING EDUCATION SERIES FOR SOCIAL WORKERS. THE GUEST SPEAKER WAS DIMITRI MILLS, PHD WITH VITAS INNOVATIVE HOSPICE CARE. *HOW TO AVOID STAFF STRESS AND BURNOUT - FRANCISCAN VILLA SPONSORED AN EVENT FOR SOCIAL WORKERS AT AURORA ST. LUKE'S MEDICAL CENTER. THE EDUCATION PROGRAM WAS HELD AT THE HOSPITAL TO ENCOURAGE PARTICIPATION. THE GUEST SPEAKER WAS MARK G. EBERHAGE, PHD WITH BEHAVIORAL SOLUTIONS. *CARING FOR SENIORS DURING THE HOLIDAYS - THIS PROGRAM WAS OFFERED FREE OF CHARGE TO HEALTH CARE PROFESSIONALS AND WAS FACILITATED BY JILL COMPTON, VP OF MARKETING AND COMMUNICATIONS AT FRANCISCAN VILLA. STORIES WERE SHARED AMONGST THE PROFESSIONALS FROM THEIR OWN EXPERIENCES IN HOME CARE, HOSPICE, COMPANION SERVICES, SKILLED NURSING, ASSISTED LIVING, FAMILY CARE AND OTHER AREAS OF HEALTH CARE. SHARING BEST PRACTICES AND SHARING RESOURCES ENCOURAGED PARTICIPANTS TO UTILIZE RESOURCES AVAILABLE IN THE MILWAUKEE AREA TO BEST CARE FOR THE SENIOR POPULATION. PARTICIPANTS WERE ALSO ASKED TO BRING ITEMS FOR A FOOD DRIVE TO SUPPORT THE HUNGER TASK FORCE; 74 POUNDS OF FOOD WERE COLLECTED. *CULTURAL AWARENESS IN END OF LIFE CARE - FRANCISCAN VILLA OFFERED THIS PROGRAM TO SOCIAL WORKERS FOR CONTINUING EDUCATION. THIS WAS A PANEL DISCUSSION CONSISTING OF THREE PHYSICIANS, A PRIEST AND A SOCIAL WORKER THAT EACH REPRESENTED THEIR OWN ETHNIC BACKGROUND TO PROVIDE INSIGHT INTO THE UNIQUE ASPECTS OF THEIR CULTURE. THEY ALSO SPOKE FROM A PROFESSIONAL PROSPECTIVE OF CARING FOR PATIENTS AND THEIR FAMILIES OF DIFFERENT ETHNIC BACKGROUNDS. *REDUCING RE-HOSPITALIZATIONS - FRANCISCAN VILLA OFFERED THIS PROGRAM TO HEALTH CARE PROFESSIONALS AS PART OF OUR COMMITMENT TO EDUCATING THE HEALTH CARE COMMUNITY ABOUT THE IMPORTANCE OF REDUCING RE-HOSPITALIZATIONS. THE GUEST SPEAKER WAS JENNIFER OTT, DIRECTOR OF MARKET DEVELOPMENT WITH VITAS INNOVATIVE HOSPICE CARE. *HANDLING DIFFICULT SITUATIONS - FRANCISCAN VILLA OFFERED THIS PROGRAM TO HEALTH CARE PROFESSIONALS IN THE COMMUNITY. THE GUEST SPEAKER WAS RUSSELL HURST, CHAPLAIN AT VITAS INNOVATIVE HOSPICE CARE. *MY LIFE! MY PLAN! WORKSHOP - FRANCISCAN VILLA'S STAFF DEVELOPMENT COORDINATOR VOLUNTEERED AS A CAREER COACH FOR THIS WORKSHOP AT SOUTH MILWAUKEE HIGH SCHOOL. THIS HALF DAY WORKSHOP WAS A FOLLOW-UP FOR SOPHOMORES ENROLLED IN A CAREER CLASS. IT ALLOWED STUDENTS THE OPPORTUNITY, WITH THE CAREER COACH'S ASSISTANCE, TO EXPLORE CAREER PATHWAYS AND TO SHARE INFORMATION REGARDING CAREERS THAT THEY HAD RESEARCHED. *VOLUNTEER CHAPLAIN PROGRAM - FRANCISCAN VILLA'S CHAPLAIN OFFERED THIS SIX-WEEK PROGRAM TO TRAIN COMMUNITY MEMBERS TO BECOME VOLUNTEER CHAPLAINS. ONGOING SUPPORT MEETINGS ARE ALSO HELD REGULARLY. OTHER SERVICES TO THE COMMUNITY FRANCISCAN VILLA AGAIN SPONSORED THE ANNUAL COOKIE DECORATING CONTEST, A POPULAR EVENT FOR CHILDREN AND FAMILIES AT HERITAGE DAYS, A SUMMER FUND-RAISING FESTIVAL OF THE LIONS CLUB IN SOUTH MILWAUKEE. ABOUT 100 CHILDREN PARTICIPATED. THE VILLA AGAIN PARTNERED WITH THE SOUTH MILWAUKEE PERFORMING ARTS CENTER TO PRESENT THREE FREE OUTDOOR CONCERTS DURING THE SUMMER ON ITS CAMPUS FOR MEMBERS OF THE COMMUNITY. FRANCISCAN VILLA PROVIDED STAFF ON TWO SEPARATE OCCASIONS TO HELP ANSWER PHONES DURING FUND DRIVES TO SUPPORT THE LOCAL PUBLIC TELEVISION STATION. TOTAL BENEFITS FOR THE BROADER COMMUNITY WERE APPROXIMATELY $8,000 IN FY 2013. COMMUNITY BENEFITS SUMMARY FY 2013 COMMUNITY BENEFIT PROVIDED TO THE POOR: COST OF CHARITY CARE PROVIDED: 6 PEOPLE SERVED, $35,000 UNPAID COST OF MEDICAID: 115 PEOPLE SERVED, $711,000 UNPAID COST OF FAMILY CARE: 249 PEOPLE SERVED, $1,375,000 FINANCIAL CONTRIBUTIONS/OTHER: 10 PEOPLE SERVED, $2,000 TOTAL COMMUNITY BENEFIT PROVIDED TO THE POOR: $2,123,000 COMMUNITY BENEFIT PROVIDED TO THE BROADER COMMUNITY: COMMUNITY EDUCATION: 161 PEOPLE SERVED, $4,000 HEALTH PROFESSIONS EDUCATION: 62 PEOPLE SERVED, $2,000 COMMUNITY BUILDING ACTIVITIES: $2,000 TOTAL COMMUNITY BENEFIT PROVIDED TO THE BROADER COMMUNITY: $8,000 TOTAL COMMUNITY BENEFIT: $2,131,000 Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF FRANCISCAN VILLA OF SOUTH MILWAUKEE, 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 FRANCISCAN VILLA OF SOUTH MILWAUKEE, 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 THE FRANCISCAN VILLA OF SOUTH MILWAUKEE *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE FRANCISCAN VILLA OF SOUTH MILWAUKEE *APPROVE MEMBERS OF THE FRANCISCAN VILLA OF SOUTH MILWAUKEE BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE FRANCISCAN VILLA OF SOUTH MILWAUKEE *APPROVAL OF ISSUANCE OF DEBT BY FRANCISCAN VILLA OF SOUTH MILWAUKEE *APPROVAL OF PARTICIPATION OF FRANCISCAN VILLA OF SOUTH MILWAUKEE IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY FRANCISCAN VILLA OF SOUTH MILWAUKEE *APPROVAL OF A MERGER INVOLVING THE FRANCISCAN VILLA OF SOUTH MILWAUKEE *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE FRANCISCAN VILLA OF SOUTH MILWAUKEE *TO REQUIRE THE TRANSFER OF ASSETS BY THE FRANCISCAN VILLA OF SOUTH MILWAUKEE TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR FRANCISCAN VILLA OF SOUTH MILWAUKEE 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 TREASURER/EVP CFO. THE TREASURER/EVP CFO PRESENTS THE RETURN TO THE FRANCISCAN VILLA OF SOUTH MILWAUKEE'S 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 PROVIDING THE RETURN 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 ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO DECLARE THE CONFLICT BEFORE THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. THE ENTIRE BOARD OR COMMITTEE DETERMINES WHETHER THE AFFECTED BOARD MEMBER SHOULD BE EXCLUDED FROM THE MEETING DUE TO THE DISCLOSED CONFLICT. DOCUMENT RETENTION AND DESTRUCTION POLICY FORM 990, PART VI, LINE 14 THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY, HOWEVER, THE POLICY HAD NOT BEEN ADOPTED BY THE GOVERNING BOARD AS OF THE END OF THE TAX YEAR. PROCESS OF DETERMINING COMPENSATION FOR THE 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, LINE 15B THE PROCESS FOR DETERMINING THE COMPENSATION OF THE OTHER OFFICERS OR KEY EMPLOYEES WAS THE RESULT OF AN INDEPENDENT COMPENSATION STUDY CONDUCTED IN JANUARY 2011. THIS STUDY WAS THEN PRESENTED TO AND APPROVED BY THE BOARD IN NOVEMBER 2011. 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.CATHOLICHEATHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE WISCONSIN SECRETARY OF STATE. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHI CONNECT DEPRECIATION - 30350; CAPITAL RESOURCE POOL CONTRIBUTION - -257940; ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH 2222 PHILADELPHIA DRIVE DAYTON OH 45406 HEALTHCARE OH 501(C)(3) 3 SHP true SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON OH 45406 FUNDRAISING OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 NORTH MAIN STREET DAYTON OH 45402 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH STREET SCHUYLER NE 68661 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJMGROUP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PHYS PRACTICE MO 501(C)(3) 9 SJRMC true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 TITLE HOLDING TX 501(C)(2) N/A SL PROPERTIES true ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN SUITE 1100 HOUSTON TX 77030 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL PROPERTIES true ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON OR 97801 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON OR 97801 FUNDRAISING OR 501(C)(3) 11 - Type I SA HOSPITAL true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DRIVE MORRILTON AR 72110 HEALTHCARE AR 501(C)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HEALTHCARE KS 501(C)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY KS 67846 FUNDRAISING KS 501(C)(3) 11 - Type I SCH true ST DOMINIC OF ONTARIO OREGON 351 SW 9TH STREET ONTARIO OR 97914 HEALTHCARE OR 501(C)(4) N/A CHI true ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 LTERM CARE MN 501(C)(3) 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE NJ 07834 ELDERLY CARE NJ 501(C)(3) 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 HEALTHCARE MN 501(C)(3) 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE OR 501(C)(3) 3 CHI true ST JOHN'S MERCY REGIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 FUNDRAISING MO 501(C)(3) 7 SJRMC true ST JOSEPH COMMUNITY HEALTH 300 CENTRAL AVENUE SW ALBUQUERQUE NM 87102 COMMUNITY NM 501(C)(3) 11 - Type I CHI true ST JOSEPH HOSPITAL FOUNDATION INC ONE SAITN JOSEPH DRIVE LEXINGTON KY 40504 FUNDRAISING KY 501(C)(3) 11 - Type I SJHS true ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 FUNDRAISING PA 501(C)(3) 11 - Type I SJRHN true ST JOSEPH MEDICAL CENTER FOUNDATION 7601 OSLER DRIVE TOWSON MD 21204 FUNDRAISING MD 501(C)(3) 7 SJMC true ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 3 CHI true ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 9 BHC true ST JOSEPH PHYSICIAN ENTERPRISE INC 7601 OSLER DRIVE TOWSON MD 21204 PHYSICIANS MD 501(C)(3) 11 - Type I SJMC true ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 3 CHI true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS MN 56470 HEALTHCARE MN 501(C)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON ND 58601 HEALTHCARE ND 501(C)(3) 3 CHI true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - 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