2013-05-15T15:00:09-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 470617373 CATHOLIC HEALTH INITIATIVES CATH 7208741500 198 Inverness Drive West Englewood CO 80112 DEAN SWINDLE 2013-05-08 true Pamela Krohn P01210500 3032989100 2011 2016-02-25 16:41:14Z KEVIN LOFTON 198 Inverness Drive West Englewood CO 80112 1293576146 false 0928 X WWW.CATHOLICHEALTHINIT.ORG X 1996 CO CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NON-PROFIT HEALTHCARE ORGANIZATION. CHI SERVES AS AN INTREGAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER HEALTHCARE PROVIDERS. 15 13 3017 14 35807264 2235209 27141 0 1120672936 1154902851 218471487 126456157 1703661 12217138 1340875225 1293576146 3900207 10181057 0 0 235752028 251071566 0 0 0 969581461 1099795893 1209233696 1361048516 131641529 -67472370 5206692632 6520487703 4713947878 6043215137 492744754 477272566 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 843880259 10181057 1119120292 TO FULFILL ITS MISSION, CHI, AS A VALUES-DRIVEN ORGANIZATION, ASSURES THE INTEGRITY OF THE MINISTRY BY FOSTERING RESEARCH AND DEVELOPMENT OF NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL AND SOCIAL SERVICES; PROMOTING LEADERSHIP DEVELOPMENT AND FORMATION FOR THE MINISTRY THROUGHOUT THE ORGANIZATION; ADVOCATING FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED AND UNDERSERVED; AND STEWARDING RESOURCES BY PROVIDING COORDINATED MANAGEMENT AND STRATEGIC PLANNING SERVICES ALONG WITH CENTRALIZED SHARED SERVICES (PAYROLL, H/R, A/P AND PURCHASING) FOR THE CHI NATIONAL HEALTHCARE MINISTRY. (SEE SCHEDULE O). 843880259 true false false true false false false true false true true false true true true false true false true true true false false false false false true true true true true false false false false false false false false true false false false false false true true true false false true 4189 0 true 3017 true true true true CJ false false false false false false false false X 15 13 false false false false true false true true true false true true true true true true true true true true true false CA X Dean Swindle 3032989100 198 Inverness Drive West Englewood CO 80112 X DAVID LINCOLN FACHE 2.00 X X 1102 3931 0 KEVIN LOFTON FACHE 60.00 X X 2473270 1614 260019 PHYLLIS HUGHES RSM DRPH 4.00 X X 0 0 0 ANDREA LEE IHM 2.00 X 0 0 0 ANTOINETTE HARDY-WALLER RN 2.00 X 4346 9956 0 BLACKFORD MIDDLETON MD 2.00 X 1026 1905 0 CHRISTOPHER LOWNEY 2.00 X 0 0 0 DAVID EDWARDS 2.00 X 983 1825 0 ELEANOR MARTIN SCN ESQ 2.00 X 0 0 0 MARTHA WALSH SC RN 2.00 X 0 0 0 MARY JO POTTER 2.00 X 2917 2784 0 MARY MARGARET MOONEY PBVM DNSC 2.00 X 0 0 0 MAUREEN COMER OP 2.00 X 0 0 0 PATRICIA SMITH OSF JCD PHD 2.00 X 0 0 0 ROBERT SMOLDT 2.00 X 1103 2048 0 DEBRA HANKS 40.00 X 66560 0 10798 JAMES DEAN SWINDLE CPA 60.00 X 1091691 0 163750 JOYCE ROSS 60.00 X 432733 0 57329 MICHAEL ROWAN FACHE 60.00 X 1435786 4843 195279 MITCH MELFI ESQ 60.00 X 733992 4843 128582 JOHN DICOLA 60.00 X 800991 0 139211 KATHLEEN SANFORD RN DBA FACHE 60.00 X 621605 0 106570 MICHAEL O'ROURKE 60.00 X 718758 0 86048 PATRICIA WEBB 60.00 X 647693 5273 106001 PHILIP FOSTER 60.00 X 430559 0 72073 STEPHEN MOORE MD 60.00 X 808980 0 131278 STEVEN KEHRBERG 60.00 X 477749 0 76125 THOMAS KOPFENSTEINER 60.00 X 702089 0 107874 DAVID VELLINGA 60.00 X 852592 0 100487 JOSEPH WILCZEK 60.00 X 1133775 0 34688 LESLIE HIRSCH 60.00 X 799542 0 99198 MARY ELIZABETH O'BRIEN 60.00 X 1268057 0 87218 ROBERT LANIK 60.00 X 882209 0 46446 CAROL KEENAN 60.00 X 373358 0 49595 COLLEEN BLYE CPA 0.00 X 720500 0 31446 JOHN NEWTON JR 60.00 X 451125 0 39335 SUSANNA LAUNDY 60.00 X 494511 0 32261 18429602 39022 2161611 438 true true false QUANTIX CONSULTING INC 1777 S HARRISON ST SUITE 203 DENVER CO 80210 CONSULTING SERVICES 12320914 HURON CONSULTING SERVICES 550 W VAN BUREN STREET CHICAGO IL 60607 CONSULTING SERVICES 11185191 NAVIN HAFFTY & ASSOCIATES 1900 WEST PARK DR SUITE 180 WESTBOROUGH MA 01581 IT CONSULTING SERVICES 9769018 EMC CORPORATION 8000 S CHESTER ST CENTENNIAL CO 80112 CONSULTING SERVICES 9184624 ERNST & YOUNG LLP 370 17TH STREET SUITE 3300 DENVER CO 80202 AUDITING/CONSULTING SERVICES 7677256 258 0 0 ASSESSMENTS 900099 1064012393 1030580312 33432081 INTEREST INCOME 900099 101378951 101378951 PREMIUMS 900099 2974495 2974495 SERVICES SOLD 900099 792709 282198 510511 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 -14372927 -16212894 1839967 117230 117230 0 0 1154902851 111252790 24705 111228085 199946 199946 0 0 0 0 15003421 15003421 0 15003421 15003421 0 0 0 INTERCOMPANY TRANSACTIONS 900099 2440968 2440968 MEDICARE/MEDICAID INSURANCE SETTLEMENTS 900099 5685802 5685802 LAWSUIT REVENUE 900099 2125356 2125356 1965012 0 0 1965012 12217138 1293576146 1119120292 35807264 138648590 9599354 9599354 146370 146370 435333 435333 0 13781529 13781529 0 190859039 38425054 152433985 9646557 1393072 8253485 21685846 5048565 16637281 15098595 2701133 12397462 0 3577127 3577127 14550772 14550772 0 0 0 148048365 3201755 144846610 304248 10449 293799 21699299 1462323 20236976 22550885 73784 22477101 0 9259775 9259775 11213249 1561982 9651267 0 3283904 149238 3134666 165563657 165563657 0 19935432 19935432 131270483 131091971 178512 UNRELATED BUSINESS TAXES 1136577 1136577 GROUP MEDICAL PLAN 376458976 376458976 REPAIRS AND MAINTENANCE 139449253 95758895 43690358 IMPAIRMENT LOSSES 15864792 15864792 15629099 10798348 4830751 0 1361048516 843880259 517168257 0 0 115342 750 19885897 77940531 144703294 145943422 2546207826 2954391202 22917433 34421801 706407904 230934686 229312391 475473218 2052843654 1595050652 0 0 190706795 1237266127 5206692632 6520487703 255079149 371442361 13706976 15080975 3382820000 4190231456 10429 15530 617400000 475625000 0 444931324 990819815 4713947878 6043215137 X 490259356 476785808 2485398 486758 492744754 477272566 5206692632 6520487703 X -67472370 52000182 X false true true X false X 7136559 2409585 845437 27141 0 10418722 929100420 994629193 1121777652 1087339067 1119120292 5251966624 0 0 0 936236979 997038778 1122623089 1087366208 1119120292 5262385346 0 344266284 598949588 642927453 664110246 709296407 2959549978 344266284 598949588 642927453 664110246 709296407 2959549978 2302835368 61337363 65227627 121504449 118941786 111228083 478239308 7297328 924903 680968 1803446 2235209 12941854 68634691 66152530 122185417 120745232 113463292 491181162 0 2534051 294982 43155 1703661 12217138 16792987 1007405721 1063486290 1244851661 1209815101 1244800722 5770359495 0.39900 0.42180 0.08510 0.08450 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - RETURNED GRANT, COLUMN A - 250362, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - , COLUMN F - 250362; DESCRIPTION - NCL CONFERENCE, COLUMN A - 0, COLUMN B - 195380, COLUMN C - 0, COLUMN D - 0, COLUMN E - , COLUMN F - 195380; DESCRIPTION - LOAN REPAYMENTS, COLUMN A - 0, COLUMN B - 98052, COLUMN C - 0, COLUMN D - 0, COLUMN E - , COLUMN F - 98052; DESCRIPTION - REFUNDS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 38885, COLUMN D - 0, COLUMN E - , COLUMN F - 38885; DESCRIPTION - DISCOUNTS TAKEN, COLUMN A - 0, COLUMN B - 0, COLUMN C - 3821, COLUMN D - 0, COLUMN E - , COLUMN F - 3821; DESCRIPTION - INTERCO TRANSACTIONS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 579005, COLUMN E - 2440968, COLUMN F - 3019973; DESCRIPTION - LAWSUIT PROCEEDS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 1003919, COLUMN E - 2125356, COLUMN F - 3129275; DESCRIPTION - TAX PREP REVENUE, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 120436, COLUMN E - , COLUMN F - 120436; DESCRIPTION - MEDICARE/MEDICAID INS. SETTLEMENTS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 5685802, COLUMN F - 5685802; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 2283689, COLUMN B - 1550, COLUMN C - 449, COLUMN D - 301, COLUMN E - 1965012, COLUMN F - 4251001;, true true false true 215000 false false true 0 false false 215000 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINE 1A - CATHOLIC HEALTH INITIATIVES' ONLINE ADVOCACY ACTION CENTER WAS AVAILABLE TO THE GENERAL PUBLIC AND CHI EMPLOYEES FOR USE IN SENDING LETTERS BY E-MAIL TO MEMBERS OF CONGRESS. DRAFT LETTERS WERE PROVIDED ON CHI ADVOCACY PRIORITIES. INDIVIDUALS WERE ABLE TO CREATE THEIR OWN LETTERS AS WELL. LINE 1B - CHI HAS A SENIOR VICE PRESIDENT ADVOCACY AND A VICE PRESIDENT OF PUBLIC POLICY WHO SPEND A PORTION OF THEIR TIME ON LOBBYING ACTIVITIES AT THE FEDERAL LEVEL WITH MINIMAL STATE LEVEL LOBBYING. THE MAJORITY OF LOBBYING-RELATED ACTIVITIES ARE CONSULTATIVE TO LEADERSHIP AND STAFF OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS. LINE 1D - CHI COMMUNICATES WITH LEADERS OF THE SYSTEM'S HOSPITALS AND HEALTH CARE ORGANIZATIONS ON ADVOCACY ACTIVITIES PRIMARILY THROUGH E-MAIL. MOST COMMUNICATIONS WITH CONGRESS OCCUR ELECTRONICALLY THROUGH THE ADVOCACY ACTION CENTER. LETTERS ARE OCCASIONALLY MAILED TO MEMBERS OF CONGRESS. CHI ADVOCACY ACTIVITIES INCLUDED COMMUNICATIONS ON CHI ADVOCACY PRIORITIES, INCLUDING ACCESS AND COVERAGE EXPANSIONS, RURAL HEALTH CARE, MEDICARE AND MEDICAID, VIOLENCE PREVENTION, DEFICIT REDUCTION, DRUG SHORTAGES AND PROTECTION OF CATHOLIC IDENTITY. LINE 1G - CHI LEADERS HAVE OCCASIONALLY MET WITH MEMBERS OF CONGRESS OR THEIR STAFF AND MADE TELEPHONE CALLS TO EXPRESS POSITIONS ON CHI ADVOCACY PRIORITIES, INCLUDING ACCESS AND COVERAGE, DEFICIT REDUCTION IMPACTS ON MEDICARE AND MEDICAID, PROTECTION OF CATHOLIC HEALTH CARE AND RURAL HEALTH CARE ISSUES. MANY OF CHI'S EFFORTS ARE FOCUSED THROUGH OUR NATIONAL HOSPITAL ASSOCIATIONS. AN OVERVIEW OF CATHOLIC HEALTH INITIATIVES LOBBYING ACTIVITIES IS PROVIDED BELOW: CENTRAL TO THE CATHOLIC HEALTH INITIATIVES MISSION AND VISION IS A COMMITMENT TO ADVOCATE FOR SYSTEMIC CHANGES TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND COMMUNITIES WITH A SPECIFIC CONCERN FOR PERSONS WHO ARE POOR AND MARGINALIZED. THE CATHOLIC HEALTH INITIATIVES ADVOCACY ACTIVITIES ARE INEXTRICABLY LINKED TO ITS FUNDAMENTAL GOAL TO BUILD HEALTHIER COMMUNITIES. ONE DIMENSION OF THE CATHOLIC HEALTH INITIATIVES PROGRAM FOCUSES ON PUBLIC POLICY ADVOCACY, WHICH INCLUDES ATTENTION TO FEDERAL AND STATE LEGISLATIVE AND REGULATORY MEASURES, FORMATION OF POSITIONS ON PRIORITY ISSUES, AND POLITICAL ACTIVISM. THE CATHOLIC HEALTH INITIATIVES PUBLIC POLICY AGENDA INCLUDES BOTH TRADITIONAL HEALTH CARE POLICIES AS WELL AS SOCIAL JUSTICE POLICIES. POLICIES ADDRESSING THE EXPANSION OF HEALTH COVERAGE AND ACCESS, PROTECTION OF MEDICARE AND MEDICAID, QUALITY CARE, ELIMINATION OF DISPARITIES IN HEALTH CARE, WORKFORCE SHORTAGES, PROTECTION OF RELIGIOUSLY-SPONSORED HEALTH CARE ENTITIES, CHILDREN'S HEALTH, PALLIATIVE CARE, VIOLENCE PREVENTION, AND THE VIABILITY OF NOT-FOR-PROFIT HEALTH CARE ARE VITALLY IMPORTANT TO CATHOLIC HEALTH INITIATIVES. ALSO IMPORTANT ARE POLICIES THAT ADDRESS SOCIETAL CONCERNS AND INJUSTICES AND POLICIES THAT ULTIMATELY IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. CATHOLIC HEALTH INITIATIVES BELIEVES ADVOCATING FOR POLICY MEASURES THAT IMPROVE EDUCATION, HOUSING, EMPLOYMENT, AND SOCIOECONOMIC STATUS, PARTICULARLY ON BEHALF OF THE MOST VULNERABLE IN SOCIETY, IS ESSENTIAL. AT THE CATHOLIC HEALTH INITIATIVES NATIONAL OFFICE, PUBLIC POLICY PRIORITIES ARE IDENTIFIED AND ADVOCACY STRATEGIES ARE INITIATED. THE NATIONAL ADVOCACY OFFICE DEVELOPS RESOURCES TO FACILITATE THE INVOLVEMENT OF THE ENTIRE HEALTH SYSTEM IN GRASSROOTS PUBLIC POLICY INITIATIVES. ALL CATHOLIC HEALTH INITIATIVES FACILITIES IN 19 STATES ARE ENCOURAGED TO ENGAGE IN ADVOCACY THROUGH LETTER WRITING, FAXES, EMAILS, PHONE CALLS, AND MEETINGS WITH FEDERAL AND STATE POLITICAL LEADERSHIP. CATHOLIC HEALTH INITIATIVES WILL CONTINUE TO STRENGTHEN ITS PUBLIC POLICY PROGRAM IN AN EFFORT TO DEMONSTRATE ITS COMMITMENT TO THE IMPROVEMENT OF HEALTH AND THE PROMOTION OF SOCIAL JUSTICE, PARTICULARLY FOR THE COMMUNITIES IT SERVES AND FOR THOSE WHO ARE MOST VULNERABLE. false true 7009072 7009072 22540255 3846186 18694069 18225165 5543921 12681244 325824279 221544579 104279700 332809133 332809133 475473218 0 0 CHI OIP - FIXED INCOME 798340383 F CHI OIP - EQUITY SECURITIES 777975282 F CHI OIP - MONEY MARKET 7290522 F INT DESIGNATED CHV II LP 10277798 F INT DESIGNATED CHV III LP 1166667 F 1595050652 EXECUFLEX DEFERRED INCOME PLAN 9856662 CASH SURRENDER VALUE - LIFE INSURANCE PLAN 2935261 CHI 457 (B) PLAN - GREAT WEST/FIDELTIY 6017521 NON-FIIL OTHER ASSETS (REINSURANCE) 22185265 NON-FIIL OTHER RECEIVABLES-INTERCOMPANY 6000000 DEFERRED FINANCING COSTS - CHI PROGRAM 28528797 INVESTMENTS IN UNCONSOLIDATED ORGS - CONTROLLING INTEREST 985961005 INVESTMENTS IN UNCONSOLIDATED ORGS - NONCONTROLLING INTEREST 175546144 DEPOSITS 235000 MISCELLANEOUS 472 1237266127 0 PENSION LIABILITY 809456451 SELF-INSURANCE RESERVES AND CLAIMS 37185265 INTEREST RATE SWAPS 97849249 LOSSES INCURRED BUT NOT REPORTED 43322839 UNCLAIMED PROPERTY 407769 INTEREST PAYABLE 2598242 990819815 Explanation of escrow agreement Schedule D, Part IV, Line 2b CATHOLIC HEALTH INITIATIVES ACTS AS AGENT FOR THE EMPLOYEE FINANCIAL ASSISTANCE FUND, AN EMPLOYEE FUNDED PROGRAM. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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. false EUROPE (INCLUDING ICELAND AND GREENLAND) 5 PROGRAM SERVICES INDEPENDENT CONTRACTOR 4514 NORTH AMERICA (CANADA & MEXICO ONLY) 17 PROGRAM SERVICES INDEPENDENT CONTRACTOR 184929 CENTRAL AMERICA AND THE CARIBBEAN CONDUCTING BOARD MEETINGS 64971 NORTH AMERICA (CANADA & MEXICO ONLY) CONDUCTING BOARD MEETINGS 47851 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 173399 CENTRAL AMERICA AND THE CARIBBEAN 1 1 PROGRAM SERVICES MAINTAINING OFFICES 342354 EUROPE (INCLUDING ICELAND AND GREENLAND) CONDUCTING BOARD MEETINGS 11191 CENTRAL AMERICA AND THE CARIBBEAN 1 PROGRAM SERVICES INDEPENDENT CONTRACTOR 228 EAST ASIA AND THE PACIFIC 1 PROGRAM SERVICES INDEPENDENT CONTRACTOR 16744 MIDDLE EAST AND NORTH AFRICA 1 PROGRAM SERVICES INDEPENDENT CONTRACTOR 19291 CENTRAL AMERICA AND THE CARIBBEAN GRANTMAKING HAITI CAMPAIGN 333333 SUB SAHARAN AFRICA GRANTMAKING RWANDA FOOTCARE 57000 EAST ASIA AND THE PACIFIC GRANTMAKING INTERNATIONAL MISSION PROGRAM WITH INDIGENOUS PEOPLES HOSPITAL IN THE PHILIPPINES 26500 CENTRAL AMERICA AND THE CARIBBEAN GRANTMAKING JAMAICAN OUTREACH 18500 1 26 1300805 CENTRAL AMERICA AND THE CARIBBEAN HAITI CAMPAIGN 333333 CHECK SUB SAHARAN AFRICA RWANDA FOOTCARE 57000 WIRE EAST ASIA AND THE PACIFIC INTERNATIONAL MISSION PROGRAM WITH INDIGENOUS PEOPLES HOSPITAL IN THE PHILIPPINES 26500 WIRE CENTRAL AMERICA AND THE CARIBBEAN JAMAICAN OUTREACH 18500 WIRE 4 0 true false true true true false Procedures for monitoring use of grant funds Schedule F, Part I, Line 2 CHI'S MISSION AND MINISTRY FUND PROVIDES GRANTS TO CHI ORGANIZATIONS AND PARTICIPATING RELIGIOUS CONGREGATIONS TO BE USED FOR THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF INITIATIVES TO PROMOTE HEALTHY COMMUNITIES. MOST GRANTS MADE BY CHI COME FROM THE MISSION AND MINISTRY FUND. FACILITIES AND GROUPS ASSOCIATED WITH CHI ARE ELIGIBLE TO APPLY FOR GRANT FUNDING FOR HEALTHY COMMUNITY COALITIONS AND PROJECTS. GRANTS FROM THE MISSION AND MINISTRY FUND ARE AWARDED BASED UPON A REVIEW OF GRANT APPLICATIONS SUBMITTED. A COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES IS CHARGED WITH GRANTEE SELECTION. FUNDS AWARDED THROUGH THE MISSION AND MINISTRY FUND ARE IDENTIFIED IN THE CATHOLIC HEALTH INITIATIVES GENERAL LEDGER SYSTEM. CHI ENSURES THAT GRANTS TO UNITED STATES RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC SEC. 501(C)(3) ORGANIZATIONS. IN MOST CIRCUMSTANCES THE RECIPIENT IS A CHI AFFILIATE. THAT CHI-RELATED ENTITY SUPERVISES THE GRANT INITIATIVE, INCLUDING THE EXPENDITURE OF FUNDS IN FURTHERANCE OF THAT INITIATIVE. MISSION AND MINISTRY FUND GRANT RECIPIENTS ALSO PROVIDE AN ANNUAL PROGRESS REPORT INCLUDING A FINANCIAL REPORT. WHERE THE RECIPIENT IS NOT A CHI AFFILIATE, CHI DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC. 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. DESCRIPTION OF ACCOUNTING METHOD FOR COSTS IN REGION SCHEDULE F, PART I, LINE 3(F) (1,10 & 13) THERE ARE A FEW CHI EMPLOYEES THAT SERVE ON THE BOARDS OF OFFSHORE CAPTIVES OF CHI. CHI ALLOCATED A PORTION OF THE SALARIES OF THESE INDIVIDUALS TO LINE 3(F). TRAVEL COSTS FOR THESE INDIVIDUALS WERE NOT PAID BY CHI. (2) CHI'S INVESTMENTS IN CAPTIVE MANAGEMENT INITIATIVES AND NAZARETH ASSURANCE COMPANY ARE REFLECTED IN LINE 3(F). (3) CHI HAD ONE EMPLOYEE LOCATED IN THE CENTRAL AMERICA / CARIBBEAN AREA. THIS INDIVIDUAL PERFORMS OFFSHORE SELF-INSURANCE CAPTIVE MANAGEMENT SERVICES ON BEHALF OF CHI. CHI'S EXPENSE ASSOCIATED WITH THAT LOCATION IS THE INDIVIDUAL'S SALARY AND ASSOCIATED BENEFITS. THE INDIVIDUAL'S COMPENSATION WAS ESTIMATED TO EQUAL $342,354 (US) USING THE SAME METHODOLOGY AS IS REQUIRED FOR INDIVIDUALS REPORTABLE ON SCHEDULE J. (4,7,9,11 & 12 ) CHI PAYS VARIOUS FOREIGN INDEPENDENT CONTRACTORS FOR PROGRAM RELATED SERVICES. (5,6,8 & 14) CATHOLIC HEALTH INITIATIVES PROVIDES CHARITABLE GRANTS TO OTHER US 501(C)(3) ORGANIZATIONS TO SUPPORT FOREIGN PROGRAMS (SEE DESCRITION FOR PART I, LINE 2). Method used to account for expenditures on organization's financial statements Schedule F, Part I, Line 3 EUROPE (INCLUDING ICELAND AND GREENLAND): ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY): ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY): ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL EUROPE (INCLUDING ICELAND AND GREENLAND): ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL EAST ASIA AND THE PACIFIC: ACCRUAL MIDDLE EAST AND NORTH AFRICA: ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL SUB SAHARAN AFRICA: ACCRUAL EAST ASIA AND THE PACIFIC: ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL Method used to account for grants on organization's financial statements Schedule F, Part II, Line 1 CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL SUB SAHARAN AFRICA: ACCRUAL EAST ASIA AND THE PACIFIC: ACCRUAL CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL false DOMINICAN SISTERS OF PEACE 2320 AIRPORT DRIVE COLUMBUS OH 43219 263550703 501(C)(3) 13800 0 N/A N/A ECOLOGICAL CENTER DOMINICAN SISTERS OF PEACE 2320 AIRPORT DRIVE COLUMBUS OH 43219 263550703 501(C)(3) 65000 0 N/A N/A VIOLENCE PREVENTION DOMINICAN SISTERS OF PEACE 2320 AIRPORT DRIVE COLUMBUS OH 43219 263550703 501(C)(3) 33800 0 N/A N/A INST SPIRITUALITY SAMARITAN BEHAVIORAL HEALTH 601 EDWIN C MOSES BLVD DAYTON OH 45417 020633634 501(C)(3) 79248 0 N/A N/A VIOLENCE PREVENTION CENTRO SANTA CATALINA 1207 ALABAMA ST EL PASO TX 79930 742996070 501(C)(3) 20000 0 N/A N/A PROGRAM SUPPORT JEWISH HOSPITAL & ST MARY'S HEALTHCARE 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 501(C)(3) 200630 0 N/A N/A EQUITY COMM CHANGE JEWISH HOSPITAL & ST MARY'S HEALTHCARE 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 501(C)(3) 34937 0 N/A N/A VIOLENCE PREVENTION SAINT ALPHONSUS MEDICAL CENTER 1512 12TH AVE RD NAMPA ID 83686 261737256 501(C)(3) 51500 0 N/A N/A HONORING HERITAGE SISTERS OF CHARITY OF NAZARETH P O BOX 9 NAZARETH KY 40048 310537158 501(C)(3) 109440 0 N/A N/A CHILD & FAM HIV/AIDS ALEGENT HEALTH P O BOX 642150 OMAHA NE 68154 420782518 501(C)(3) 57843 0 N/A N/A VIOLENCE PREVENTION ALEGENT HEALTH P O BOX 642150 OMAHA NE 68154 420782518 501(C)(3) 91312 0 N/A N/A BREASTFEEDING ED. SAINT ALPHONSUS MEDICAL CENTER 351 SW 9TH ST ONTARIO OR 97914 271789847 501(C)(3) 126073 0 N/A N/A CREATE HLG RFLCT SPC MERCY HOUSING NORTHWEST 2505 THIRD AVE STE 204 SEATTLE WA 98121 911546525 501(C)(3) 40800 0 N/A N/A LOW INCOME HOUSING BENEDICTINE MULTICULTURAL CENTER 2500 5TH STREET SE WATERTOWN SD 57201 460284616 501(C)(3) 57500 0 N/A N/A EMPOWER IMM WOMEN CATHOLIC CHARITIES USA 66 CANAL CTR PLAZA ALEXANDRIA VA 22314 530196620 501(C)(3) 10000 0 N/A N/A POVERTY IN AMERICA COALITION TO PROTECT AMERICA'S HEALTH CARE PO BOX 30211 BETHESDA MD 20824 522253225 501(C)(3) 200000 0 N/A N/A PROTECT HEALTH CARE ARRUPE JESUIT HIGH SCHOOL 4343 UTICA ST DENVER CO 80212 460508814 501(C)(3) 50700 0 N/A N/A WORK STUDY PGRM MERCY HOUSING DENVER 1999 BROADWAY STE 1000 DENVER CO 80202 841262403 501(C)(3) 2000000 0 N/A N/A LOW INCOME HOUSING FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 501(C)(3) 19895 0 N/A N/A NELSON CNTRY CLINIC LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 501(C)(3) 10750 0 N/A N/A VIOLENCE PREVENTION SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40509 611334601 501(C)(3) 132870 0 N/A N/A BEREA HLTH MINSTRIES ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 410695598 501(C)(3) 64520 0 N/A N/A VIOLENCE PREVENTION MEMORIAL HEALTH CARE SYSTEM INC 2525 DESALES AVE CHATTANOOGA TN 20824 620532345 501(C)(3) 99680 0 N/A N/A VIOLENCE PREVENTION MEMORIAL HEALTH CARE SYSTEM INC 2525 DESALES AVE CHATTANOOGA TN 37404 620532345 501(C)(3) 35116 0 N/A N/A HEALTH & WELLNESS SAMARITAN BEHAVIORAL HEALTH 601 EDWIN C MOSES BLVD DAYTON OH 45408 020633634 501(C)(3) 125980 0 N/A N/A TEEN PREGNACY PRGM SAMARITAN BEHAVIORAL HEALTH 601 EDWIN C MOSES BLVD DAYTON OH 45408 020633634 501(C)(3) 68684 0 N/A N/A VIOLENCE PREVENTION CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DR STE 500 DENVER CO 80112 840405257 501(C)(3) 109852 0 N/A N/A PROGRAM SUPPORT SAINT CLARE'S HOSPITAL 25 POCONO RD DENVILLE NJ 80919 223319886 501(C)(3) 37235 0 N/A N/A VIOLENCE PREVENTION ST CATHERINE HOSPITAL 401 E SPRUCE ST GARDEN CITY KS 67846 480543721 501(C)(3) 73708 0 N/A N/A VIOLENCE PREVENTION SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 501(C)(3) 12745 0 N/A N/A VIOLENCE PREVENTION SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 501(C)(3) 64170 0 N/A N/A TEEN PARENTING PRGM GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68848 470659443 501(C)(3) 157412 0 N/A N/A CUMMUNITY HUB PRGM SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40509 611334601 501(C)(3) 187870 0 N/A N/A RURAL OUTREACH SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 470625523 501(C)(3) 103906 0 N/A N/A HEALTHY COMMUNITIES SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 470625523 501(C)(3) 103471 0 N/A N/A HOPE THROUGH HEALING SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 470625523 501(C)(3) 76553 0 N/A N/A CARING COMMUNITIES UNITY FAMILY HEALTHCARE 815 SE 2ND STREET LITTLE FALLS MN 56345 410721642 501(C)(3) 34468 0 N/A N/A HEALTHY COMMUNITIES UNITY FAMILY HEALTHCARE 815 SE 2ND STREET LITTLE FALLS MN 56345 410721642 501(C)(3) 37300 0 N/A N/A VIOLENCE PREVENTION ST VINCENT FOUNDATION 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 501(C)(3) 19630 0 N/A N/A DANCING FOR HEALTH SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40509 611334601 501(C)(3) 21319 0 N/A N/A VIOLENCE PREVENTION JEWISH HOSPITAL AND ST MARY'S HEALTHCARE 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 501(C)(3) 78467 0 N/A N/A VIOLENCE PREVENTION ST MARY'S COMMUNITY HOSPITAL 1314 3RD AVE NEBRASKA CITY NE 68410 470443636 501(C)(3) 103548 0 N/A N/A VIOLENCE PREVENTION ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE S PARK RAPIDS MN 56470 410695603 501(C)(3) 50825 0 N/A N/A VIOLENCE PREVENTION ST MARY'S HEALTHCARE CENTER 801 E SIOUX AVE PIERRE SD 57501 460230199 501(C)(3) 85050 0 N/A N/A VIOLENCE PREVENTION ST JOSEPH MEDICAL CENTER FOUNDATION PO BOX 316 READING PA 19603 232649362 501(C)(3) 91667 0 N/A N/A SCHOOL READINESS ST JOSEPH MEDICAL CENTER FOUNDATION PO BOX 316 READING PA 19603 232649362 501(C)(3) 150100 0 N/A N/A VIOLENCE PREVENTION ST JOSEPH MEDICAL CENTER FOUNDATION PO BOX 316 READING PA 19603 232649362 501(C)(3) 89936 0 N/A N/A NEIGHBORHOOD WATCH MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97470 936088946 501(C)(3) 99804 0 N/A N/A HEALTHY KIDS MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97470 936088946 501(C)(3) 86766 0 N/A N/A CHILD ABUSE PREVENTN FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 501(C)(3) 45589 0 N/A N/A DRUG PREVENTION FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 501(C)(3) 48807 0 N/A N/A HEALTHY COMMUNITIES FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 501(C)(3) 89577 0 N/A N/A CLOSING DISPARITY GAP FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 501(C)(3) 67443 0 N/A N/A VIOLENCE PREVENTION ST JOSEPH MEDICAL CENTER FOUNDATION INC 7601 OSLER DR STE 208 TOWSON MD 21204 521861044 501(C)(3) 80240 0 N/A N/A MEDICAL OUTREACH MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 501(C)(3) 45664 0 N/A N/A FAITH IN ACTION CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 270930004 501(C)(3) 3000000 0 N/A N/A PROGRAM SUPPORT ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 501(C)(3) 0 356639 FMV SERVER/IT SYSTEM PROGRAM SUPPORT ST JOSEPH'S HOSPITAL & HEALTH CENTER 30 WEST SEVENTH STREET DICKINSON ND 58601 450226429 501(C)(3) 177968 0 N/A N/A ENVIR SUPPORT HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 760761782 501(C)(3) 26500 PROGRAM SUPPORT CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 840902211 501(C)(3) 57000 PROGRAM SUPPORT 60 0 EMPLOYEE DISASTER FUND ASSISTANCE 49 146370 0 N/A N/A Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 CHI'S MISSION AND MINISTRY FUND PROVIDES GRANTS TO CHI ORGANIZATIONS AND PARTICIPATING RELIGIOUS CONGREGATIONS TO BE USED FOR THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF INITIATIVES TO PROMOTE HEALTHY COMMUNITIES. MOST GRANTS MADE BY CHI COME FROM THE MISSION AND MINISTRY FUND. FACILITIES AND GROUPS ASSOCIATED WITH CHI ARE ELIGIBLE TO APPLY FOR GRANT FUNDING FOR HEALTHY COMMUNITY COALITIONS AND PROJECTS. GRANTS FROM THE MISSION AND MINISTRY FUND ARE AWARDED BASED UPON A REVIEW OF GRANT APPLICATIONS SUBMITTED. A COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES IS CHARGED WITH GRANTEE SELECTION. FUNDS AWARDED THROUGH THE MISSION AND MINISTRY FUND ARE IDENTIFIED IN THE CATHOLIC HEALTH INITIATIVES GENERAL LEDGER SYSTEM. CHI ENSURES THAT GRANTS TO UNITED STATES RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC SEC. 501(C)(3) ORGANIZATIONS. IN MOST CIRCUMSTANCES THE RECIPIENT IS A CHI AFFILIATE. THAT CHI-RELATED ENTITY SUPERVISES THE GRANT INITIATIVE, INCLUDING THE EXPENDITURE OF FUNDS IN FURTHERANCE OF THAT INITIATIVE. MISSION AND MINISTRY FUND GRANT RECIPIENTS ALSO PROVIDE AN ANNUAL PROGRESS REPORT INCLUDING A FINANCIAL REPORT. WHERE THE RECIPIENT IS NOT A CHI AFFILIATE, CHI DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC. 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. X X X true true X X X X X true true false false false false false true false CAROL KEENAN 279110 0 74362 0 19886 0 30028 0 19567 0 422953 0 0 0 COLLEEN BLYE CPA 0 0 0 0 720500 0 30028 0 1418 0 751946 0 0 0 DAVID VELLINGA 630107 0 195541 0 26944 0 87357 0 13130 0 953079 0 0 0 JAMES DEAN SWINDLE CPA 762303 0 306056 0 23332 0 141828 0 21922 0 1255441 0 0 0 JOHN DICOLA 549913 0 224134 0 26944 0 117975 0 21236 0 940202 0 0 0 JOHN NEWTON JR 311074 0 86274 0 53777 0 30028 0 9307 0 490460 0 31801 0 JOSEPH WILCZEK 713772 0 265364 0 154639 0 25128 0 9560 0 1168463 0 59743 0 JOYCE ROSS 264121 0 87245 0 81367 0 48334 0 8995 0 490062 0 57465 0 KATHLEEN SANFORD RN DBA FACHE 434063 0 164930 0 22612 0 89348 0 17222 0 728175 0 0 0 KEVIN LOFTON FACHE 1356466 0 982939 0 133865 1614 238573 0 21446 0 2733289 1614 103853 0 LESLIE HIRSCH 655062 0 119468 0 25012 0 79348 0 19850 0 898740 0 0 0 MARY ELIZABETH O'BRIEN 624467 0 307246 0 336344 0 77574 0 9644 0 1355275 0 0 0 MICHAEL O'ROURKE 479280 0 184998 0 54480 0 66198 0 19850 0 804806 0 0 0 MICHAEL ROWAN FACHE 967569 0 444803 0 23414 4843 175879 0 19400 0 1631065 4843 0 0 MITCH MELFI ESQ 508433 0 202227 0 23332 4843 107136 0 21446 0 862574 4843 0 0 PATRICIA WEBB 450622 0 84780 0 112291 5273 92228 0 13773 0 753694 5273 0 0 PHILIP FOSTER 295884 0 112272 0 22403 0 52141 0 19932 0 502632 0 0 0 ROBERT LANIK 532784 0 194611 0 154814 0 32478 0 13968 0 928655 0 81987 0 STEPHEN MOORE MD 569192 0 214776 0 25012 0 111428 0 19850 0 940258 0 0 0 STEVEN KEHRBERG 319163 0 91205 0 67381 0 61278 0 14847 0 553874 0 0 0 SUSANNA LAUNDY 378737 0 93542 0 22232 0 22678 0 9583 0 526772 0 0 0 THOMAS KOPFENSTEINER 483493 0 193584 0 25012 0 98818 0 9056 0 809963 0 0 0 First-class or charter travel Schedule J, Part I, Line 1a FOR EACH BENEFIT PROVIDED IN LINE 1A, THE ORGANIZATION MUST DISCLOSE RELEVANT INFORMATION WHICH MAY INCLUDE THE TYPE OF BENEFIT, THE LISTED PERSON WHO RECEIVED THE BENEFIT (OR CLASS OF INDIVIDUALS FOR WHOM THE BENEFIT WAS PROVIDED: I.E. ALL DIRECTORS), AND WHETHER OR NOT THE BENEFIT WAS INCLUDED IN THE INDIVIDUAL'S COMPENSATION. THE CHI TRAVEL POLICY #5, WHICH IS APPLICABLE TO ALL EMPLOYEES, STATES THAT FIRST-CLASS AIRFARE IS GENERALLY NOT PERMITTED, BUT MAY BE UTILIZED IF APPROVED IN ADVANCE BY THE INDIVIDUAL'S SUPERVISOR AND WARRANTED BASED UPON THE FACTS AND CIRCUMSTANCES, WHICH MAY INCLUDE: AMOUNT OF TRAVEL INVOLVED, NATURE OF SPECIFIC TRIP, DURATION OF TRAVEL AND COST DIFFERENTIATION BETWEEN FIRST CLASS AND COACH. KEVIN LOFTON, CEO, UTILIZES FIRST CLASS TRAVEL ON OCCASION ONLY WHEN OTHER TICKETING OPTIONS ARE NOT LOGISTICALLY SUITABLE. Travel for companions Schedule J, Part I, Line 1a TRAVEL FOR COMPANIONS IS AVAILABLE WITH TAX GROSS-UP PURSUANT TO CHI HR POLICY #4. COMPANION TRAVEL FOR CATHOLIC HEALTH INITIATIVES BOARD MEMBERS WAS REIMBURSED FOR THE PILGRIMAGE TO ROME. CATHOLIC HEALTH INITIATIVES AND ITS COMPANION CORPORATION, THE CATHOLIC HEALTHCARE FEDERATION (A PONTIFICAL PUBLIC JURIDIC PERSON), ARE REQUIRED TO PERIODICALLY DELIVER REPORTS TO THE VATICAN CONCERNING OUR HEALTHCARE MINISTRY. BECAUSE OF THE SIGNIFICANT TIME COMMITMENT ASSOCIATED WITH BOARD MEMBERSHIP AT CHI, BOARD MEMBERS WERE INVITED TO BRING THEIR SPOUSES TO PARTICIPATE IN THE PILGRIMAGE AND VISITATION OF HOLY SITES IN ROME. CHI REIMBURSED THOSE BOARD MEMBERS FOR CERTAIN COMPANION TRAVEL EXPENSES AND GROSSED-UP THE BOARD MEMBERS FOR THOSE EXPENSES. ALL SUCH COMPANION TRAVEL AND ASSOCIATED GROSS-UP WAS INCLUDED AS INCOME ON THE BOARD MEMBER'S FORM 1099 OR W-2 AS APPLICABLE. Tax indemnification and gross-up payments Schedule J, Part I, Line 1a CHI REIMBURSED BOARD MEMBERS FOR CERTAIN COMPANION TRAVEL EXPENSES AND GROSSED-UP THE BOARD MEMBERS FOR THOSE EXPENSES. ALL SUCH COMPANION TRAVEL AND ASSOCIATED GROSS-UP WAS INCLUDED AS INCOME ON THE BOARD MEMBER'S FORM 1099 OR W-2 AS APPLICABLE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. 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 CHI DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): COLLEEN BLYE - $721,011 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2011 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI") 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: KEVIN LOFTON MITCH MELFI JOYCE ROSS MICHAEL ROWAN JAMES DEAN SWINDLE JOHN DICOLA PHILIP FOSTER STEVEN KEHRBERG THOMAS KOPFENSTEINER STEPHEN MOORE MICHAEL O'ROURKE KATHLEEN SANFORD LESLIE HIRSCH ROBERT LANIK MARY ELIZABETH O'BRIEN DAVID VELLINGA JOSEPH WILCZEK PATRICIA WEBB DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: KEVIN LOFTON - $213,445 MITCH MELFI - $79,558 JOYCE ROSS - $23,206 MICHAEL ROWAN - $153,201 JAMES DEAN SWINDLE - $121,600 JOHN DICOLA - $87,947 PHILIP FOSTER - $27,013 STEVEN KEHRBERG - $28,800 THOMAS KOPFENSTEINER - $76,140 STEPHEN MOORE - $91,200 MICHAEL O'ROURKE - $45,970 KATHLEEN SANFORD - $69,120 LESLIE HIRSCH - $59,120 MARY ELIZABETH O'BRIEN - $54,896 DAVID VELLINGA - $54,879 PATRICIA WEBB - $72,000 DURING 2011 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: KEVIN LOFTON - $103,853 JOYCE ROSS - $57,465 ROBERT LANIK - $81,987 JOSEPH WILCZEK - $59,743 JOHN NEWTON, JR. - $31,801 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2011 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PART II. DURING 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $45,883 JOSEPH WILCZEK - $62,828 Non-fixed payments Schedule J, Part I, Line 7 CHI MAINTAINS A VARIABLE PAY PROGRAM FOR MANAGERS AND ABOVE THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL OUTCOMES, QUALITY IMPROVEMENT, AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE BOARD OF STEWARDSHIP TRUSTEES. HOWEVER, NO AWARD IS PAYABLE UNDER THIS PROGRAM UNLESS OPERATING MARGIN AND CHARITY CARE LEVELS ARE ACHIEVED AT A DESIGNATED PERCENT OF BUDGET. WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6 911108929 93978EJ60 2010-07-29 120260000 SEE PART VI - (WASH 2008A4-6) false false false COLORADO HEALTH FACILITIES AUTHORITY 2009 AB 840752932 19648ARL1 2009-11-10 713972398 SEE PART VI - (2009AB COMP ISSUE) false false false KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB 610600439 49126PDF4 2009-11-10 133269543 SEE PART VI - (2009AB COMP ISSUE) false false false COUNTY OF MONTGOMERY OHIO 2009 AB 316000172 613549HX5 2009-11-10 263401078 SEE PART VI - (2009AB COMP ISSUE) false false false 0 0 120260000 0 0 120260000 0 0 0 0 0 0 2009 true false false true 34460000 0 714047470 0 0 155600000 6264973 0 0 552182497 0 0 2011 true false false true 6955000 0 133269639 0 0 0 1380211 0 0 131889379 0 0 2009 false false false true 11161585 0 263401373 0 0 223408344 2530978 0 0 37461940 0 0 2009 true false false true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0024 0.0001 0.0025 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true true JP MORGAN 28.0 false false false 0.0 false true false true false false false true false true false 0.0 false 0.0 false true false true false 0.0 false 0.0 false true X WASHINGTON HEALTH FACILITIES AUTHORITY 2008A4-6 PART VI PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 PART II, LINE 6 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. SERIES 2009 A/B COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES B, C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). PART II LINE 1 AMOUNT OF BONDS RETIRED $52,576,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $379,008,344 $155,600,000 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A/B BONDS WERE USED TO REDEEM THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 1997B-1, 1997B-2, 1997B-3, 2004B-4 AND 2004B-5 BONDS AND THE POLK COUNTY, IOWA 1997B BONDS ON NOVEMBER 10, 2009. $223,408,344 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO 2009A/B BONDS WERE USED TO REDEEM THE COUNTY OF MONTGOMERY, OHIO SERIES 1997B, SERIES 2006B-1 AND SERIES 2006B-2 BONDS ON NOVEMBER 10, 2009. LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.24%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.25%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2008D COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES A,B,C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) PART II LINE 1 AMOUNT OF BONDS RETIRED $30,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $3,155,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,141,627 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $3,479,563 CHI HAS PROVIDED FOR THE DEFEASANCE OF $3,155,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $169,725,000 169,725,000 OF PROCEEDS OF THE WASHINGTON HEALTH FACILITIES AUTHORITY 2008D BONDS WERE USED TO REDEEM THE WASHINGTON HEALTH FACILITIES AUTHORITY SERIES 2007A1-3 BONDS ON DECEMBER 9, 2008. LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $284,238,851 LINE 11 OTHER SPENT PROCEEDS 0 LINE 12 OTHER UNSPENT PROCEEDS $9,504,411 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: EXPECTED TO BE 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.20%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.21%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD. LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? NO SERIES 2006/2008 COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES A AND B IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. PART II LINE 1 AMOUNT OF BONDS RETIRED $345,021,016 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $9 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.20%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINES 3A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2006A COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. BALTIMORE COUNTY, MARYLAND 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MARYLAND. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.50%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.05%] LINE 6 TOTAL OF LINES 4 AND 5 [0.55%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2004BCD COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES A, B, C, D AND A IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004BCD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $625,775,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA AND NEBRASKA AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY, NE 1994A BONDS (ORIGINAL ISSUANCE DATE: APRIL 1, 1994) AND IOWA FIN. AUTH. SERIES 1994A BONDS (ORIGINAL ISSUANCE DATE: APRIL 1, 1994). COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. PART II LINE 1 AMOUNT OF BONDS RETIRED $164,275,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $636,268,525 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $27,907,726 $15,537,484 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTH. 2004B BONDS WERE USED TO PROVIDE FOR THE REDEMPTION ON DECEMBER 17, 2004 OF THE HOSPITAL AUTH. 2 DOUGLAS CTY, NEBRASKA 1994A BONDS AND THE IOWA FINANCE AUTHORITY 1994A BONDS. $12,370,242 OF PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO 2004B BONDS WERE USED TO PROVIDE FOR THE REDEMPTION ON DECEMBER 17, 2004 OF THE HAMILTON CTY, OHIO 1994 BONDS AND THE MONTGOMERY CTY, OHIO 1994 BONDS. LINE 7 ISSUANCE COSTS FROM PROCEEDS $3,449,008 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $604,911,793 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.76%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.10%] LINE 6 TOTAL OF LINES 4 AND 5 [0.86%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2004A COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES B, C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $14,700,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $16,136,892 CHI HAS PROVIDED FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $7,701,309 $7,701,309 OF PROCEEDS OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS WERE USED TO REDEEM HOSP. AUTH. 2 DOUGLAS CTY OREGON SERIES 1994B BONDS ON DECEMBER 17, 2004. LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.12%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD. LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2002B COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $19,700,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $123,000,000 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2002B AND WASHINGTON HEALTH CARE FACILITIES 2002B ON DECEMBER 1, 2004. LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2002AB REMEDIATED ISSUE PART VI PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $884,015 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2011A COMPOSITE ISSUE PART VI THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,261 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $334 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $283,500,000 $283,500,000 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2011A BONDS WERE USED TO REDEEM THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2000B , 2004B-1, 2004B-2 AND 2004B-3 , AND 2008C-8 BONDS AND TO REDEEM THE COMMERCIAL PAPER NOTES ON OR BEFORE DECEMBER 6, 2011. LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.01%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES SERIES 2011BC COMPOSITE ISSUE PART VI SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COMMERICAL PAPER NOTES KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY AND CURRENT REFUNDING OF KENTUCKY COMMERCIAL PAPER NOTES PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $56,775,000 $56,775,000 OF PROCEEDS OF THE KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B BONDS WERE USED TO REDEEM THE KENTUCKY COMMERCIAL PAPER NOTES ON OR BEFORE DECEMBER 6, 2011. LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 B ARE THERE ANY RESEARCH AGREEMENTS WITH RESPECT TO THE FINANCED PROPERTY WHICH MAY RESULT IN PRIVATE BUSINESS USE? YES LINE 3 C DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.09%] LINE 7 HAS THE ORGANIZATION ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE THE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BOND LIABILITIES? YES PART IV LINE 5 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO LINE 6 DID THE BOND ISSUE QUALIFY FOR AN EXCEPTION TO REBATE? YES LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART VI PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) SERIES 2011 REISSUED BONDS PART VI PART I, LINE F THE SERIES 2011 REISSUED BONDS WERE TREATED AS REISSUED ON FEBRUARY 23, 2011, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE 2006C COMPOSITE ISSUE, A PORTION OF THE 2008D COMPOSITE ISSUE AND A PORTION OF THE 2009AB COMPOSITE ISSUE. PART II, LINE 6 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING PORTIONS OF THE 2006C COMPOSITE ISSUE, THE 2008D COMPOSITE ISSUE AND THE 2009AB COMPOSITE ISSUE ON FEBRUARY 23, 2011. COLORADO HEALTH FACILITIES AUTHORITY 2008D 840752932 19648ANL5 2008-11-20 213260679 SEE PART VI - (2008D COMP ISSUE) true false false COUNTY OF MONTGOMERY OHIO 2008D 316000172 613549GM0 2008-11-20 59089956 SEE PART VI - (2008D COMP ISSUE) false false false CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D 521298872 162410CT9 2008-11-20 24105267 SEE PART VI - (2008D COMP ISSUE) false false false WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D 911108929 93978EY63 2008-11-20 172027377 SEE PART VI - (2008D COMP ISSUE) false false false 0 3155000 213261635 3479563 0 0 2805950 0 0 210455672 0 0 2008 false false false true 30256 0 59745564 0 0 0 745623 0 0 49958460 0 9504411 2013 false false false true 0 0 24105273 0 0 0 280554 0 0 23824719 0 0 2008 false false false true 0 0 172029155 0 0 169725000 2302907 0 0 0 0 0 2009 true false false true false true true true true true 0.0020 0.0001 0.0021 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true false false true true false true false 0.0 false 0.0 true false false true false false false true false true false 0.0 false 0.0 false true COUNTY OF MONTGOMERY OHIO 2006C 316000172 613549FG4 2006-11-09 100000000 SEE PART VI - (2006C COMP ISSUE) false false false COLORADO HEALTH FACILITIES AUTHORITY 2006C 840752932 19648ADW2 2006-11-09 450000000 SEE PART VI - (2006C COMP ISSUE) false false false COLORADO HEALTH FACILITIES AUTHORITY 2006A 840752932 19648ADH5 2006-11-09 285855808 SEE PART VI - (2006A COMP ISSUE) false false false BALTIMORE COUNTY MARYLAND 2006A 526000889 059151BC3 2006-11-09 116974489 SEE PART VI - (2006A COMP ISSUE) false false false 0 0 102795250 2 2175153 0 0 1710404 0 101081372 0 0 2008 false false false true 345021016 0 461183160 7 13409 0 0 6553922 0 454615829 0 0 2009 false false false true 15565000 0 297652875 0 0 0 0 0 0 297652875 0 0 2009 false false false true 0 0 122421947 0 4693109 0 0 0 0 117728838 0 0 2008 false false false true false true true true true true 0.0019 0.0001 0.0020 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0050 0.0005 0.0055 true false true true true true true 0.0000 0.0000 0.0000 true false true false 0.0 false 0.0 false true false true true SEE PART VI 28.8 false true false 0.0 false true false false false false false true false false false 0.0 false 0.0 false true COLORADO HEALTH FACILITIES AUTHORITY 2004B 840752932 195474T34 2004-11-18 279100000 SEE PART VI - (2004BCD COMP ISSUE) false false false COUNTY OF MONTGOMERY OHIO 2004B 316000172 613549FE9 2004-11-18 73700000 SEE PART VI - (2004BCD COMP ISSUE) false false false KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD 610600439 49126PCL2 2004-11-18 94575000 SEE PART VI - (2004BCD COMP ISSUE) false false false CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C 521298872 162410CB8 2004-11-18 58900000 SEE PART VI - (2004BCD COMP ISSUE) false false false 107400000 0 281995277 0 0 15537484 720425 0 0 265737369 0 0 2006 true false true true 0 0 74913742 0 0 12370242 1450721 0 0 61092780 0 0 2006 true false true true 56775000 0 96850606 0 0 0 428619 0 0 96421987 0 0 2006 false false true true 0 0 59737305 0 0 0 152050 0 0 59585255 0 0 2006 false false true true false true true true true true 0.0076 0.0010 0.0086 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true true UBS AG 19.0 false false false 0.0 false true false true true UBS AG 23.0 false false false 0.0 false true false true false false false true false true false false false true SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC 231913910 792222EW7 2004-11-18 119500000 SEE PART VI - (2004BCD COMP ISSUE) false false false CITY OF BRECKENRIDGE MINNESOTA 2004A 416005005 106520AB5 2004-11-18 31040504 SEE PART VI - (2004A COMP ISSUE) true false false COUNTY OF MONTGOMERY OHIO 2004A 316000172 613549FE9 2004-11-18 72052967 SEE PART VI - (2004A COMP ISSUE) false false false HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A 931239006 904078BJ0 2004-11-18 59478002 SEE PART VI - (2004A COMP ISSUE) true false false 100000 0 122771595 0 0 0 697193 0 0 122074402 0 0 2006 false false true true 0 125000 31241060 136842 0 0 310220 0 0 30930840 0 0 2006 false false true true 0 0 73736287 0 0 0 714250 0 0 73022036 0 0 2006 false false true true 0 14575000 59675935 16000050 0 7701309 590200 0 0 51384426 0 0 2008 true false true true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0009 0.0003 0.0012 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0000 0.0000 0.0000 true false true true UBS AG 28.0 false false false 0.0 false true false false false 0.0 false 0.0 true true false false false 0.0 false 0.0 false true false false false false true true COLORADO HEALTH FACILITIES AUTHORITY 2002B 840752932 196474H42 2004-12-01 55700000 SEE PART VI - (2002B COMP ISSUE) false false false WASHINGTON HEALTH CARE FACILITIES 2002B 911108929 93978ETY8 2004-12-01 67300000 SEE PART VI - (2002B COMP ISSUE) false false false COLORADO HEALTH FACILITIES AUTHORITY 2002AB 840752932 196474G20 2010-03-01 1223728 SEE PART VI - (2002A/B REMD ISSUE) true false false COLORADO HEALTH FACILITIES AUTHORITY 2011A 840752932 19648AWL5 2011-11-10 432722079 SEE PART VI - (2011A COMP ISSUE) false false false 8900000 0 55700000 0 0 55700000 0 0 0 0 0 0 2005 true false true true 10800000 0 67300000 0 0 67300000 0 0 0 0 0 0 2004 true false true true 0 848846 1223728 884015 0 0 0 0 0 500000 0 0 2010 true false true true 0 0 432722413 334 0 283500000 3772079 0 0 151100000 0 0 2011 true false false true false false false true false true 0.0000 0.0000 0.0000 true false false false true false true 0.0000 0.0000 0.0000 true false false false true false true 0.0000 0.0000 0.0000 true false true true true true true 0.0001 0.0000 0.0001 true false true false 0.0 false 0.0 false true false true false false false true false true false 0.0 false 0.0 false true false false false 0.0 false 0.0 false true WASHINGTON HEALTH CARE AUTHORITY 2011A 911108929 93978HDP7 2011-11-10 106950848 SEE PART VI - (2011A COMP ISSUE) false false false KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B 610600439 49126PDY3 2011-11-10 158155000 SEE PART VI - (2011BC COMP ISSUE) false false false COLORADO HEALTH FACILITIES AUTHORITY 2011C 840752932 2011-11-10 125000000 SEE PART VI - (2011BC COMP ISSUE) false false false LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A 320004900 54675QAV5 2012-04-05 299657170 SEE PART VI - (2012A ISSUE) false false false 0 0 106950848 0 0 0 1150848 0 0 105800000 0 0 2011 false false false true 0 0 158155431 0 0 56775000 1380000 0 431 100000000 0 0 2011 true false false true 0 0 125000000 0 0 0 0 0 0 125000000 0 0 2011 false false false true 0 0 299657170 1 0 297054953 2602216 0 0 0 0 0 2009 false true true true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0009 0.0000 0.0009 true false true true true true true 0.0000 0.0000 0.0000 true false true true true true true 0.0374 0.0000 0.0374 true false false false false false true false true false 0.0 false 0.0 false true false true false false false true false false false 0.0 false 0.0 false true COUNTY OF MONTGOMERY OHIO 2011 REISSUANCE 316000172 613549HX5 2011-02-23 117857 SEE PART VI - (OH 2011 REISSUANCE) false false false 0 0 117857 0 0 117857 0 0 0 0 0 0 2009 true false true true false false false true false 0.0000 0.0000 0.0000 true false true false 0.0 false 0.0 false true PREFERRED PROFESSIONAL INSURANCE COMPANY DUAL BOARD MEMBER 3901607 COMM EXCESS & PRIM MALPRAC INS false STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A CHI IS A NATIONAL NONPROFIT HEALTH ORGANIZATION WITH HEADQUARTERS IN DENVER. THE FAITH-BASED SYSTEM OPERATES IN 19 STATES AND INCLUDES 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. IN FISCAL YEAR 2012, CHI PROVIDED ALMOST $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. 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. TO FULFILL ITS MISSION, CHI, AS A VALUES-DRIVEN ORGANIZATION, ASSURES THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES. CHI FOSTERS RESEARCH AND DEVELOPMENT OF NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL AND SOCIAL SERVICES; PROMOTES LEADERSHIP DEVELOPMENT AND FORMATION FOR THE MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATES FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED AND UNDERSERVED; AND STEWARDS RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. TO FURTHER THE EXEMPT PURPOSE, 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. COST SAVINGS ASSOCIATED WITH CENTRALIZED SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2012, INCLUDE MORE THAN $132 MILLION IN SUPPLY CHAIN EXPENSE, APPROXIMATELY $44 MILLION FOR INSURANCE COSTS AND APPROXIMATELY $3.9 MILLION AS THE RESULT OF A SYSTEM-WIDE EFFORT TO COORDINATE AND NEGOTIATE TECHNOLOGY AND EQUIPMENT PURCHASES. 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. REPORTING ACROSS THE SYSTEM: THE FOLLOWING EXAMPLES OF COMMUNITY BENEFIT ACTIVITIES IN 2011 REPRESENT ONLY A SMALL FRACTION OF THOSE TAKING PLACE ON A DAILY BASIS AT THESE FACILITIES AND THROUGHOUT THE CATHOLIC HEALTH INITIATIVES HEALTH CARE SYSTEM. ST. JOSEPH COMMUNITY HEALTH, ALBUQUERQUE, NM NOW IN ITS THIRD YEAR, THE HOME-VISITATION PROGRAM AT ST. JOSEPH COMMUNITY HEALTH PROVIDES HOME VISITS BY TRAINED PROFESSIONALS TO EXPECTANT MOMS AND FAMILIES WITH FIRST BORN CHILDREN. SJCH UTILIZES AN OUTCOMES-BASED MODEL THAT HAS DEMONSTRATED PROVEN RESULTS IN IMPROVING CHILD AND FAMILY OUTCOMES. THE BENEFITS OF EARLY INTERVENTION AND HEALTH PROMOTION IN MATERNAL AND CHILD HEALTH ARE WELL-DOCUMENTED AND HAVE A LIFETIME AFFECT. THE NET BENEFIT PROVIDED TO THE COMMUNITY BY THIS PROGRAM DURING FISCAL YEAR 2012 WAS $1,308,076 AND INCLUDED 4,315 CONTACTS. SJCH ALSO PROVIDED FUNDING TO THE NEW MEXICO LIONS EYE FOUNDATION, AN ENTITY AFFILIATED WITH THE LIONS CLUB INTERNATIONAL, A VOLUNTEER ORGANIZATION, TO FUND SEVERAL DIFFERENT PROGRAMS, INCLUDING THE OPERATION OF A 34-FOOT MOTOR HOME SPECIFICALLY DESIGNED FOR EYE CARE, ANNUAL SCREENING FOR CHILDREN THREE TO FIVE YEARS OLD AND THE PROVISION OF USED EYE-WEAR TO NEEDY INDIVIDUALS. THE NET BENEFIT PROVIDED TO THE COMMUNITY FOR THE FISCAL YEAR WAS APPROXIMATELY $82,550. ST. FRANCIS MEDICAL CENTER, BRECKENRIDGE, MN ST. FRANCIS MEDICAL CENTER PROVIDES PRESCRIPTION MEDICATIONS TO PERSONS WHO HAVE NO MEANS TO PROCURE THOSE MEDICATIONS. THE PROVISION OF THESE MEDICATIONS HELPS THE RECIPIENTS TO RECOVER MORE QUICKLY FROM THEIR ILLNESSES, BETTER MANAGE CHRONIC CONDITIONS AND AVOID COSTLY HOSPITALIZATIONS AND INTERVENTIONS. IN FISCAL YEAR 2012, PRESCRIPTION DRUGS (VALUED AT $2,371) WERE PROVIDED TO 23 LOW-INCOME, ELDERLY, AND/OR UNINSURED INDIVIDUALS. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) FORM 990, PART III, LINE 4A MEMORIAL HEALTH CARE SYSTEM, CHATTANOOGA, TN MEMORIAL HEALTH CARE SYSTEM PROVIDES PRESCRIPTION DRUGS TO RESIDENTS OF CHATTANOOGA WHO CANNOT AFFORD TO PURCHASE THEM. IN FY 2012 MHCS PROVIDED $134,151 IN FREE PRESCRIPTION DRUGS. MHCS ALSO HAS PARTNERED WITH DISPENSARY OF HOPE, A NATIONAL ORGANIZATION THAT HELPS QUALIFYING UNINSURED PATIENTS OBTAIN NECESSARY MEDICATIONS AND OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS. MHCS IS ONE OF 80 DISPENSARY OF HOPE SITES THAT REDISTRIBUTE PHARMACEUTICALS THAT HAVE BEEN RECEIVED AS A DONATION FROM PHYSICIANS, DISTRIBUTORS, AND MANUFACTURERS. PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH PHYSICIANS, CASE MANAGERS, NURSES AND OTHER CAREGIVERS. MHCS WAS ABLE TO HELP ALMOST 1,500 INDIVIDUALS TO RECEIVE THEIR PRESCRIPTION DRUGS THROUGH DISPENSARY OF HOPE AND OTHER PROGRAMS. MHCS INCURRED $135,577 IN EXPENSES RELATED TO THIS PROGRAM. THE HOMELESS HEALTH CARE CLINIC PROVIDES COMPREHENSIVE HEALTH CARE TO HOMELESS MEN, WOMEN, AND CHILDREN. THE CLINIC STAFF GOES TO ABANDONED BUILDINGS, CAMPSITES AND SHELTERS LOOKING FOR HOMELESS PEOPLE WHO MAY NEED MEDICAL ATTENTION. MANY HOMELESS PEOPLE ARE AFRAID TO TALK TO PEOPLE OR LEAVE THEIR FAMILIAR SURROUNDINGS. THE CLINIC PROVIDES THEM WITH BLANKETS AND WARM CLOTHES IN THE WINTER AND WATER IN THE SUMMER. MEMORIAL HOSPITAL ASSISTS THE HOMELESS BY PROVIDING FREE LAB TESTS COSTING $52,108 AND FUNDS A NURSING POSITION IN THE AMOUNT OF $40,000 MERCY HOSPITAL-CENTERVILLE, CENTERVILLE, IA THE HOSPITAL SPONSORS A COMMUNITY BUS, WHICH PROVIDES TRANSPORTATION TO MEDICAL APPOINTMENTS FOR THE ELDERLY AND THOSE WITH LOW INCOMES WHO ARE UNABLE TO DRIVE OR HAVE NO ONE TO TRANSPORT THEM. THE BUS SERVED 880 RIDERS LAST YEAR. THE HOSPITAL ALSO PROVIDES MEAL PREPARATION AND DIETITIAN CONSULTANT SERVICE FOR THE COUNTY MEALS ON WHEELS PROGRAM. THIS PROGRAM SERVED 6,096 MEALS ON WHEELS TO THE POOR AND ELDERLY IN THE COMMUNITY. MERCY OFFERS A CERTIFIED DIABETES EDUCATION AND SUPPORT GROUP FOR PATIENTS WITH DIABETES AND THEIR SPOUSES. THIS PROGRAM OFFERS BOTH PRESENTATIONS FROM VARIOUS DISCIPLINES INVOLVED IN MANAGING DIABETES AS WELL AS DISCUSSION. THIRTY-THREE INDIVIDUALS TOOK PART IN THIS EDUCATION TO ASSIST THEM IN MANAGING THEIR DIABETES. MERCY HOLDS A MONTHLY ALZHEIMER'S SUPPORT GROUP TO MEET THE GROWING NEEDS OF THE ELDERLY FACING ALZHEIMER'S AND THOSE WHO ARE PROVIDING CARE TO THEM IN THE HOME. THE GROUP HAS BOTH A MORNING AND EVENING SESSION FOR THE CONVENIENCE OF CAREGIVERS. ALMOST 100 PEOPLE BENEFITED FROM THE SERVICES OF THIS PROGRAM LAST YEAR. THE HOSPITAL ALSO PROVIDED EDUCATION FOR ELEMENTARY STUDENTS ABOUT PREVENTING THE SPREAD OF GERMS. 75 CHILDREN BENEFITED FROM THIS ACTIVITY. ST. CATHERINE HOSPITAL, GARDEN CITY, KS A WIDE VARIETY OF NON-BILLED SERVICES ARE PROVIDED TO THE COMMUNITY BY ST. CATHERINE HOSPITAL - INCLUDING FREE CAR SEATS TO PARENTS OF NEWBORNS; OVERNIGHT LODGING FOR PARENTS WHO HAVE A CHILD REQUIRING SPECIAL MEDICAL TREATMENT; AND THE READING OF X-RAYS AT A LOCAL MEXICAN AMERICAN MINISTRIES AGENCY. THE HOSPITAL ALSO PROVIDES MEETING SPACE FOR LOCAL AGENCIES AND HEALTH CARE GROUPS. THE HOSPITAL PROVIDES MEALS TO HOMEBOUND INDIVIDUALS AT A REDUCED RATE TO THE COUNTY MEALS ON WHEELS PROGRAM. MANY HOSPITAL ASSOCIATES SERVE ON LOCAL HEALTH CARE RELATED BOARDS AND PARTICIPATE IN FUNDRAISING EVENTS FOR ORGANIZATIONS SUCH AS CHILDREN'S MIRACLE NETWORK, MARCH OF DIMES, AND RELAY FOR LIFE. CASH DONATIONS ARE ALSO GIVEN TO LOCAL ORGANIZATIONS WHICH PROVIDE EDUCATIONAL, RECREATIONAL, SPIRITUAL AND ECONOMIC DEVELOPMENT OPPORTUNITIES TO THE COMMUNITY. HEALTH SCREENS, SUPPORT GROUPS, EDUCATIONAL SEMINARS AND NUTRITIONAL COUNSELING ARE ALSO A PART OF THE OVERALL COMMUNITY BENEFIT THE HOSPITAL PROVIDES. SAINT FRANCIS MEDICAL CENTER, GRAND ISLAND, NE THE SAINT FRANCIS MEDICAL CENTER FOUNDATION DISTRIBUTED $1,466,438 BACK INTO THE COMMUNITY THROUGH ITS FINANCIAL SUPPORT OF SAINT FRANCIS MEDICAL CENTER AND COMMUNITY-SPONSORED PROGRAMS IN FISCAL YEAR 2012. ADDITIONALLY, ALMOST $71,000 WAS PROVIDED THROUGH IN-KIND AND FIDUCIARY SUPPORT OF COMMUNITY PROJECTS. PROGRAMS SUPPORTED FINANCIALLY INCLUDED THE THIRD CITY COMMUNITY CLINIC, WHICH PROVIDES PRIMARY CARE AND DENTAL CARE TO LOW-INCOME RESIDENTS; SAINT FRANCIS CHILD SAFETY, WHICH PROMOTES USAGE OF CHILD SAFETY SEATS; AND THE PARISH NURSE PROGRAM AT ST. MARY'S CATHEDRAL. IN ADDITION, FUNDS SUPPORT THE STUDENT WELLNESS CENTER, WHICH PROVIDES PRIMARY HEALTH CARE SERVICES TO STUDENTS AT GRAND ISLAND SENIOR HIGH AND WALNUT MIDDLE SCHOOL ALONG WITH PROJECT CARE, WHICH HELPS SAINT FRANCIS PATIENTS ADDRESS MEDICAL NEEDS THAT AREN'T COVERED BY INSURANCE OR EXISTING PROGRAMS. THE SAINT FRANCIS FOUNDATION ALSO PROVIDED FUNDING FOR ONCOLOGY SERVICES, VIOLENCE PREVENTION INITIATIVES, A TEEN PARENTING PROGRAM AND A NEW DIGITAL MAMMOGRAPHY MACHINE. GOOD SAMARITAN HOSPITAL, KEARNEY, NE GOOD SAMARITAN HOSPITAL PROVIDES PATIENTS WITH EQUIPMENT TO MONITOR THEIR BLOOD PRESSURE, OXYGENATION LEVEL AND WEIGHT. PATIENTS ARE MONITORED BY AN RN CLINICAL COORDINATOR AND ANY VARIANCES FROM ACCEPTABLE LEVELS ARE ASSESSED BY THE NURSE AND THEN COMMUNICATED WITH THE PATIENT'S HEALTH CARE PROVIDER IN ORDER TO REDUCE EXACERBATIONS OF THEIR CONDITION. SENTINEL HEALTH CARE PROVIDED MONITORING SERVICES TO PATIENTS OVER A WIDE GEOGRAPHIC AREA. THE MEDICATION ACCESS PROGRAM AT THE HOSPITAL ASSISTS PATIENTS IN OBTAINING LOW-COST OR NO-COST MEDICATIONS FROM PHARMACEUTICAL COMPANIES. FOR THE 2012 FISCAL YEAR, THE PROGRAM SAVED PARTICIPATING PATIENTS OVER $3.6 MILLION IN PRESCRIPTION DRUG COSTS BY PROVIDING AID IN OBTAINING MORE THAN 4,300 PRESCRIPTIONS. THE PROGRAM PROVIDED ASSISTANCE TO APPROXIMATELY 763 PATIENTS THROUGHOUT THE YEAR. THE AVERAGE PRESCRIPTION DRUG COSTS SAVINGS PER PATIENT WAS $4,700. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) FORM 990, PART III, LINE 4A SAINT ELIZABETH REGIONAL MEDICAL CENTER, LINCOLN, NE SAINT ELIZABETH PROVIDED DONATIONS IN THE AMOUNT OF $17,800 TO CLINIC WITH A HEART TO ASSIST WITH OPERATIONS DURING FISCAL 2012. CLINIC WITH A HEART IS A FAITH-BASED ORGANIZATION THAT SERVES THE UNINSURED AND UNDER INSURED THROUGH A MINISTRY OF HEALTH CARE. VOLUNTEERS PROVIDE FREE HEALTH CARE TO RECIPIENTS AND SERVE AS A GATEWAY TO OTHER HUMAN SERVICE AGENCIES, HELPING THEM FIND AN APPROPRIATE HEALTH CARE HOME. IN FISCAL YEAR 2012, CLINIC WITH A HEART PROVIDED 3,428 VISITS TO 3,005 PATIENTS. OF THOSE PATIENTS, 88% DID NOT HAVE ANY KIND OF INSURANCE. THE HOSPITAL SUPPORTS THE PEOPLE'S HEALTH CENTER (PHC) IN LINCOLN. IN 2012 SAINT ELIZABETH MADE AN ADDITIONAL $50,000 CONTRIBUTION. THE PEOPLE'S HEALTH CENTER PROVIDES AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST-EFFECTIVE PRIMARY HEALTH CARE. THE CENTER SERVES THE PEOPLE OF THE LINCOLN AREA, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE. UNITED FAMILY HEALTHCARE, LITTLE FALLS, MN ST. GABRIEL'S HOSPITAL WAS AMONG THE FIRST FACILITIES IN THE STATE TO PARTICIPATE IN THE MINNESOTA BREAST AND CERVICAL CANCER CONTROL PROGRAM, NOW CALLED SAGE, WHICH PROVIDES SCREENING SERVICES TO LOW-INCOME WOMEN. ST. GABRIEL'S HOSPITAL AND THE OTHER LITTLE FALLS-BASED MEDICAL PROVIDERS CONTINUE TO BE AMONG THE MOST UTILIZED PARTICIPANTS IN THE STATE. THIS HIGH PARTICIPATION RATE IS PRIMARILY DUE TO TWO FACTORS-THE LOW PER CAPITA INCOME IN THE COUNTY AND THE EFFECTIVENESS IN PRESENTING THE PROGRAM TO WOMEN WHO MAKE APPOINTMENTS FOR THE COVERED SERVICES. ST. GABRIEL'S HOSPITAL HAS BEEN ASKED TO PRESENT THE KEYS TO ITS SUCCESS AT THE MINNESOTA DEPARTMENT OF HEALTH EDUCATION PROGRAMS. ST. MARY'S COMMUNITY HOSPITAL, NEBRASKA CITY, NE ST. MARY'S COMMUNITY HOSPITAL PROVIDES SUPPORT TO LOW INCOME FAMILIES IN THE REGION THROUGH VARIOUS OUTREACH INITIATIVES. ST. MARY'S HOSTS THE ANNUAL BACK TO SCHOOL EVENT. THIS OUTREACH PROGRAM BENEFITS LOW INCOME CHILDREN AND FAMILIES IN THE REGION AND WAS DEVELOPED IN RESPONSE TO AN IDENTIFIED NEED. THIS INITIATIVE SERVED OVER 350 AREA CHILDREN AND PROVIDED SCHOOL SUPPLIES AS WELL AS EDUCATIONAL MATERIALS TO SUPPORT A HEALTHY LIFESTYLE. IN A COLLABORATIVE COMMUNITY EFFORT, ST. MARY'S WORKED TO HELP AREA FAMILIES WHO REQUESTED AND QUALIFIED FOR ASSISTANCE THROUGH THE SOUTHEAST NEBRASKA COMMUNITY ACTION AND THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES. ST. JOSEPH'S AREA HEALTH SERVICES, PARK RAPIDS, MN ST. JOSEPH'S AREA HEALTH SERVICES COMMUNITY DENTAL CLINIC PROVIDES DENTAL CARE TO THE PUBLICLY FUNDED POPULATIONS THROUGHOUT NORTH CENTRAL MINNESOTA. THIS PAST YEAR, IT PROVIDED 5,019 DENTAL VISITS. THE "GIVE KIDS A SMILE" DAY PROVIDED HYGIENE AND EXAMS TO 65 CHILDREN. 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. THE HOSPITAL PROVIDES THE OVERSIGHT OF THE GRANTS AND THE ADDITIONAL FUNDING FOR THIS PROGRAM. VACCINATIONS ARE ONE OF THE MOST EFFECTIVE WAYS TO PREVENT DISEASE AND ALSO ONE OF THE MOST COST-EFFICIENT MEDICAL INTERVENTIONS AVAILABLE. THE HOSPITAL 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. THE HOSPITAL ALSO MAKES VACCINES AVAILABLE IN ALL THE SCHOOLS IN HUBBARD COUNTY. ST. JOSEPH MEDICAL CENTER, READING, PA FOR THE PAST 14 YEARS, ST. JOSEPH MEDICAL CENTER HAS COLLABORATED WITH THE KEYSTONE FARMWORKER PROGRAM, THE BERKS-SCHUYLKILL DENTAL HYGIENISTS' ASSOCIATION, THE BERKS COUNTY DENTAL SOCIETY, AND INDIVIDUAL PRIVATE PRACTICE DENTAL PROFESSIONALS, TO PROVIDE A CHILDREN'S DENTAL CLINIC THAT OPERATES ONE SATURDAY MORNING A MONTH FROM JANUARY THROUGH MAY. THE CHILDREN'S DENTAL CLINIC CARES FOR CHILDREN WITH SERIOUS DENTAL DISEASES WHO HAVE "FALLEN THROUGH THE CRACKS." A MAJORITY OF THOSE CLINIC PATIENTS ARE LOW INCOME, MINORITY CHILDREN, INCLUDING FARM-WORKER CHILDREN. TO DATE, MORE THAN 2,000 CHILDREN HAVE BEEN SUPPORTED WITH DENTAL CARE. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a CHI'S BOARD OF STEWARDSHIP TRUSTEES DOES HAVE AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE BOARD CHAIR, THE CHAIR-ELECT, THE VICE CHAIR, AND UP TO THREE ADDITIONAL TRUSTEES APPOINTED BY THE BOARD OF STEWARDSHIP TRUSTEES. EXCEPT AS OTHERWISE PROVIDED BY LAW, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF STEWARDSHIP TRUSTEES. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF STEWARDSHIP TRUSTEES AT THE NEXT REGULAR MEETING OF THE BOARD OF STEWARDSHIP TRUSTEES. DURING THE FISCAL YEAR ENDED JUNE 30, 2012, THE EXECUTIVE COMMITTEE WAS COMPRISED OF THE FOLLOWING INDIVIDUALS: PHYLLIS HUGHES KEVIN LOFTON CHRIS LOWNEY MARY JO POTTER PATRICIA SMITH ALL OF THESE INDIVIDUALS WERE MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 FORM 990 INSTRUCTIONS DEFINE A "MEMBER" AS ANY PERSON WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS OR APPLICABLE STATE LAW HAS THE RIGHT TO... "APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY" OR TO... "RECEIVE A SHARE OF THE ORGANIZATION'S PROFITS OR EXCESS DUES OR A SHARE OF THE ORGANIZATION'S NET ASSETS UPON THE ORGANIZATION'S DISSOLUTION". CHI WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES HAVE "PARTICIPATING CONGREGATION" RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, PARTICIPATE IN THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN ORGANIZATIONAL ADVOCACY EFFORTS, ENCOURAGE MEMBERS OF THE PARTICIPATING CONGREGATIONS TO PARTICIPATE IN THE MINISTRIES SPONSORED BY THE ORGANIZATION, AND PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD TWICE PER YEAR WITH THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 3.1.1 OF THE BYLAWS OF CATHOLIC HEALTH INITIATIVES.) Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b FORM 990 INSTRUCTIONS INDICATE THAT AN ORGANIZATION MUST ANSWER "YES" IF AT ANY TIME DURING THE ORGANIZATION'S TAX YEAR, THERE WERE ONE OR MORE PERSONS WHO HAD THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING BODY'S DECISION TO DISSOLVE THE ORGANIZATION. THE CORPORATION WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES HAVE PARTICIPATING CONGREGATION RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OFTHE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, PARTICIPATE IN THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN ORGANIZATIONAL ADVOCACY EFFORTS, ENCOURAGE MEMBERS OF THE PARTICIPATING CONGREGATIONS TO PARTICIPATE IN THE MINISTRIES SPONSORED BY THE ORGANIZATION, PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD TWICE PER YEAR WITH THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 3.1.1 OF THE BYLAWS OF CATHOLIC HEALTH INITIATIVES). Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE CHIEF FINANCIAL OFFICER OF CHI CONDUCTS A REVIEW OF THE FORM 990 IN A MEETING WITH THE VICE PRESIDENT OF TAX AND TRANSACTIONS. INDIVIDUAL SECTIONS OF THE FORM 990 MAY ALSO BE REVIEWED BY THE GENERAL COUNSEL AND THE DIRECTOR OF COMMUNICATIONS. AFTER INCORPORATION OF ANY CHANGES RESULTING FROM THESE REVIEWS, THE FORM 990 IS PROVIDED TO THE CHI BOARD OF STEWARDSHIP TRUSTEES A WEEK IN ADVANCE OF THE BOARD MEETING AS PART OF THE BOARD PACKET. THE FORM 990 IS FORMALLY PRESENTED TO THE BOARD BY THE CHIEF FINANCIAL OFFICER AND BY THE VICE PRESIDENT OF TAX AND TRANSACTIONS AT THE BOARD MEETING. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE VICE PRESIDENT OF TAX AND TRANSACTIONS FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER 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 CHI OFFICERS, TRUSTEES AND EMPLOYEES ARE COVERED BY A CONFLICT OF INTEREST POLICY. THE BOARD OF STEWARDSHIP TRUSTEES CONFLICT OF INTEREST POLICY PROVIDES THAT ALL MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES AND OFFICERS ARE REQUIRED TO PROMPTLY AND FULLY DISCLOSE TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF THE SITUATION. IN ADDITION, ALL MEMBERS OF THE BOARD OF STEWARDSHIP TRUSTEES, INCLUDING OFFICERS OF THE BOARD, ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST VIA COMPLETION OF A CONFLICT OF INTEREST FORM, WHICH IS REVIEWED BY THE ORGANIZATION'S SENIOR VICE PRESIDENT OF LEGAL SERVICES AND GENERAL COUNSEL. ANY RESULTING POTENTIAL CONFLICTS ARE REPORTED TO THE BOARD CHAIR WHO IS CHARGED WITH FURTHER INVESTIGATION OF CONFLICT(S) OF INTEREST AS HE OR SHE DEEMS APPROPRIATE; DOCUMENTATION OF CONCLUSIONS WITH RESPECT TO EXISTENCE OF A CONFLICT (INCLUDING RELEVANT FACTS AND CIRCUMSTANCES); AND REPORTING TO THE EXECUTIVE COMMITTEE CONCERNING THE REVIEW, EVALUATION AND CONFLICT DETERMINATION. TO THE EXTENT THAT THE BOARD CHAIR AND ANY OTHER TRUSTEE DISAGREE AS TO WHETHER A CIRCUMSTANCE GIVES RISE TO A CONFLICT, THE BOARD'S EXECUTIVE COMMITTEE MAKES THE FINAL DETERMINATION AS TO THE EXISTENCE OF A CONFLICT. THE POTENTIALLY CONFLICTED BOARD MEMBER IS EXCLUDED FROM VOTING AS TO THE EXISTENCE OF A CONFLICT, AND IS EXCUSED FROM THE ROOM WHILE VOTING CONCERNING THE MATTER IS CONDUCTED. IN ANY CIRCUMSTANCE WHERE A BOARD MEMBER HAS BEEN IDENTIFIED AS HAVING A CONFLICT OF INTEREST WITH RESPECT TO A PARTICULAR TRANSACTION, THAT BOARD MEMBER IS ALSO EXCLUDED FROM VOTING WITH RESPECT TO THAT TRANSACTION. THE CONFLICT OF INTEREST POLICY WITH RESPECT TO CHI EMPLOYEES REQUIRES THAT EMPLOYEES, AT THE LEVEL OF DIRECTOR AND ABOVE, MUST CERTIFY UPON HIRING THAT THEY HAVE NO CONFLICT OF INTEREST. FURTHER, THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS ANY CONFLICTS THAT ARISE DURING THE YEAR. FINALLY, THESE INDIVIDUALS MUST, IN CONJUNCTION WITH THE PERFORMANCE EVALUATION PROCESS, ANNUALLY CERTIFY THAT NO CONFLICTS EXIST. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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 13, 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b SEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A. ADOPTION OF WRITTEN POLICY OR PROCEDURE REGARDING JOINT VENTURES FORM 990, PART VI, LINE 16B CHI HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMATATION 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 CATHOLIC HEALTH INITIATIVES' ARTICLES OF INCORPORATION ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE WEBSITE. CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE CHI WEBSITE AT WWW.CATHOLICHEALTHINIT.ORG AND AT WWW.DACBOND.COM. CATHOLIC HEALTH INITIATIVES' BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. ESTIMATE OF AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) IN THEIR CAPACITIES AS EMPLOYEES OF CATHOLIC HEALTH INITIATIVES, THE FOLLOWING INDIVIDUALS PROVIDED SERVICES TO VARIOUS CHI AFFILIATES DURING THE YEAR ENDED JUNE 30, 2012: KEVIN LOFTON JAMES DEAN SWINDLE MITCH MELFI MICHAEL ROWAN JOYCE ROSS JOHN DICOLA DEBRA HANKS TOM KOPFENSTEINER STEPHEN MOORE KATHLEEN SANFORD STEVEN KEHRBERG PHILIP FOSTER MICHAEL O'ROURKE MARY ELIZABETH O'BRIEN DAVID VELLINGA JOSEPH WILCZEK LESLIE HIRSCH PATRICIA WEBB ROBERT LANIK DUE TO THE NATURE OF THE WORK IT IS NOT POSSIBLE TO ESTIMATE THE PORTION OF TIME DEDICATED BY EACH OF THESE EMPLOYEES TO RELATED ORGANIZATIONS. THESE INDIVIDUALS MAY ALSO, IN THEIR CAPACITIES AS CHI EMPLOYEES, SIT ON THE BOARDS OF CHI DIRECT AFFILIATES AND / OR SUBSIDIARIES. EXPLANATION OF REASONABLE EFFORTS TO OBTAIN RELATED ORGANIZATION COMPENSATION FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E) AN ORGANIZATION IS NOT REQUIRED TO REPORT COMPENSATION FROM A RELATED ORGANIZATION TO A PERSON LISTED ON FORM 990, PART VII, SECTION A IF THE ORGANIZATION IS UNABLE TO SECURE THE INFORMATION ON COMPENSATION PAID BY A RELATED ORGANIZATION AFTER MAKING A REASONABLE EFFORT TO OBTAIN IT. IN THAT CASE, THE ORGANIZATION SHALL REPORT THE EFFORTS UNDERTAKEN ON SCHEDULE O. CHI BELIEVES THAT IT HAS FULLY DISCLOSED ALL COMPENSATION PAID BY RELATED ORGANIZATIONS TO THE INDIVIDUALS LISTED ON SCHEDULE J. HOWEVER, IN THE EVENT THAT ANY RELATED PARTY COMPENSATION HAS BEEN INADVERTENTLY EXCLUDED, CHI OFFERS THE FOLLOWING INFORMATION CONCERNING REASONABLE EFFORTS: CHI PERFORMED A COMPREHENSIVE REVIEW OF THE COMPENSATION PAID BY EACH ORGANIZATION WITHIN THE CHI FAMILY AS FOLLOWS: EACH CHI LEGAL ENTITY PROVIDED A LIST OF ITS OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND ESTIMATED TOP TEN HIGHEST PAID EMPLOYEES. THIS INFORMATION WAS PROVIDED TO VARIOUS DEPARTMENTS INCLUDING, INTER ALIA, CHI'S CENTRALIZED ACCOUNTS PAYABLE SERVICE CENTER, CENTRALIZED PAYROLL CENTER AND BENEFITS COORDINATOR. EACH DEPARTMENT PROVIDED A REPORT REFLECTING THE AMOUNT PAID TO EACH REPORTABLE INDIVIDUAL BY PAYOR-ENTITY. EACH REPORTABLE INDIVIDUAL RECEIVED A REPORT REFLECTING THEIR COMPENSATION AS IT WILL BE REPORTED ON THE FORM 990 (INCLUDING COMPENSATION PAID BY RELATED ORGANIZATIONS) AND WERE ASKED TO VERIFY THE ACCURACY OF THE INFORMATION. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -XXX-XX-XXXX; CAPITAL RESOURCE POOL CONTRIBUTIONS - 57332316; EQUITY TRANSFERS TO/FROM AFFILIATES - -35050599; CAPITALIZED PROJECT COSTS - 476780; INVESTMENT IN KENTUCKYONE - 718810000; MBO ALLOCATION OF CHI CONNECT DEPRECIATION - -11557639; PENSION ADJUSTMENT - -XXX-XX-XXXX; EMPLOYEE SAVINGS HELD FOR CENTURA - 1769977; ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 263946191 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 3 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 11 - Type I CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI true CHI NEBRASKA 6940 O STREET SUITE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 611400619 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 1223 POTTSVILLE PIKE SHOEMAKERSVILLE PA 19555 232018429 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST 1717 SOUTH J STREET TACOMA WA 98405 910564491 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 911939739 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 460234354 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 375 DIXMYTH AVE CINCINNATI OH 45220 311778403 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 470659443 FUNDRAISING NE 501(C)(3) 7 GSH true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 841102943 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 526050777 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 421323808 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40215 611352729 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 930821381 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 820558836 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 6028 SHALLOWFORD ROAD CHATTANOOGA TN 37421 030417049 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 426076069 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 421193699 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 421511682 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 936088946 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 450226553 FUNDRAISING ND 501(C)(3) 11 - Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 2700 STEWART PARKWAY ROSEBURG OR 97470 930386868 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 421470935 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 2727 MCCLELLAND BLVD JOPLIN MO 64804 431305163 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 220 NORTH PENNSYLVANIA COLUMBUS KS 66725 481216238 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 3060 SE STARK STREET PORTLAND OR 97214 930386870 NURSING CARE OR 501(C)(3) 9 CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 392031968 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 450231675 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 710966606 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 825 E PIKES PEAK AVENUE BLDG 29 COLORADO SPRINGS CO 80903 841183335 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) 11 - 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