CATHOLIC HEALTH INITIATIVES COLORADO: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTH INITIATIVES COLORADO (EIN 84-0405257)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201321339349302557
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T12:00:33-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470617373	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	840405257	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	CATH	NameControl
Phone	3032906500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	188 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAN ENDERSON	Name
Title	SVP CFO/TREASURER	Title
Date Signed	2013-05-08	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIMBERLY STEENHOEK	Name
PTIN	P01201968	PTIN
Phone	3032989100	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	188 INVERNESS DRIVE WEST SUITE 500	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1542245335	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.CENTURA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1968	YearFormation
State Legal Domicile	CO	StateLegalDomicile
Activity Or Mission Description	CATHOLIC HEALTH INITIATIVES-COLORADO IS A FAITH BASED ORGANIZATION THAT INVESTS IN CHARITY CARE, COMMUNITY PROGRAMS AND SPONSORSHIPS DESIGNED TO NURTURE THE HEALTH OF THE PEOPLE OF COLORADO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	10299	TotalNbrEmployees
Total Nbr Volunteers	1900	TotalNbrVolunteers
Total Gross UBI	4802678	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10805004	ContributionsGrantsPriorYear
Contributions Grants Current Year	10136677	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1339434965	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1500983983	ProgramServiceRevenueCY
Investment Income Prior Year	10958185	InvestmentIncomePriorYear
Investment Income Current Year	11765511	InvestmentIncomeCurrentYear
Other Revenue Prior Year	14105541	OtherRevenuePriorYear
Other Revenue Current Year	16352093	OtherRevenueCurrentYear
Total Revenue Prior Year	1375303695	TotalRevenuePriorYear
Total Revenue Current Year	1539238264	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5689976	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5498403	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	492351983	SalariesEtcPriorYear
Salaries Etc Current Year	549501123	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	833835072	OtherExpensePriorYear
Other Expenses Current Year	904348698	OtherExpensesCurrentYear
Total Expenses Prior Year	1331877031	TotalExpensesPriorYear
Total Expenses Current Year	1459348224	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	43426664	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	79890040	RevenuesLessExpensesCY
Total Assets BOY	1509772213	TotalAssetsBOY
Total Assets EOY	1598067497	TotalAssetsEOY
Total Liabilities BOY	412376624	TotalLiabilitiesBOY
Total Liabilities EOY	420787758	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1097395589	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1177279739	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1234581581	Expense
Grants	5498403	Grants
Revenue	1500983983	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	1234581581	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	10299	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	3038048108	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	188 INVERNESS DRIVE WEST SUITE 500	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JAMES DEAN SWINDLE CPA
BOARD MEMBER/EVP CHI CFO	1.00	X	0	1091691	163750
JOHN DICOLA
BOARD MEMBER/SVP CHI	1.00	X	0	800991	139211
MICHAEL ROWAN FACHE
BOARD MEMBER/EVP CHI COO	1.00	X	0	1440629	195279
DAN ENDERSON
Treasurer/SVP Chief Finance Officer	1.00		0	0	0	X
GARY CAMPBELL
CEO/PRESIDENT	1.00		0	0	0	X
KRIS ORDELHEIDE
SECRETARY/SVP LEGAL SVCS	1.00		0	0	0	X
DANIEL REEVES
CFO - PENROSE ST FRANCIS	40.00		233511	0	27919		X
DAVID THOMPSON
CFO - ST ANTHONY CENTRAL	40.00		311740	0	30822		X
JAMESON SMITH
COO - PENROSE ST FRANCIS	40.00		288657	0	38645		X
JAY WEINSTEIN
COO - ST ANTHONY	40.00		244080	0	20468		X
JEFFREY BRICKMAN
Group CEO - ST ANTHONY	40.00		186009	0	23291		X
MARGARET SABIN
CEO - PENROSE ST FRANCIS	40.00		675738	0	143154		X
A STEWART LEVY
PHYSICIAN	40.00		775732	0	25166			X
DIRK PIKAART
PHYSICIAN	40.00		699921	0	20546			X
JOHN MEHALL
PHYSICIAN	40.00		752524	0	30234			X
JOHN NICHOLS
PHYSICIAN	40.00		638547	0	42169			X
MICHAEL DREWEK
PHYSICIAN	40.00		707659	0	37864			X
PETER MAKOWSKI
FORMER CEO - ST ANTHONY HOSPITAL	0.00		267220	0	25499				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5781338	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3333311	TotalReportableCompFrmRltdOrgs
Total Other Compensation	964017	TotalOtherCompensation
Number Individuals GT100 K	413	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ANESTHESIA AND INTENSIVE CARE SPECIALISTS LLP
4323 S HOLLY ST	ENGLEWOOD	CO	80111	PHYSICIAN SERVICES	5515548
COLORADO IMAGING ASSOCIATES PC
2490 W 26TH AVE SUITE 220A	DENVER	CO	80211	MEDICAL SERVICES	2695447
CRITICAL CARE PULMONARY & SLEEP ASSOCIATES
274 UNION BLVD NO 110	LAKEWOOD	CO	80228	MEDICAL SERVICES	1734401
COLORADO SURGICAL SERVICES
3455 LUTHERAN PARKWAY	WHEAT RIDGE	CO	80033	MEDICAL SERVICES	1222700
COLORADO ASSOCIATES IN MEDICAL PHYSICS
1121 TERRACE RD	COLORADO SPRINGS	CO	80904	MEDICAL SERVICES	1163446

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	36	NumberOfContractorsGT100K
Related Organizations	9007741	RelatedOrganizations
Government Grants	533796	GovernmentGrants
All Other Contributions	595140	AllOtherContributions
Total Contributions	10136677	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	1480885809	1480885809
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	14629773	14629773
RENTAL INCOME	900099	4808725	4808725
EDUCATION	611710	659676	659676

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	1500983983	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10714352	TotalRevenueColumn
Unrelated Business Revenue	965	UnrelatedBusinessRevenue
Exclusion	$10,713,387	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	303263	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	10068	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	293195	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	293195	TotalRevenueColumn
Unrelated Business Revenue	-2868	UnrelatedBusinessRevenue
Exclusion	$296,063	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	218829	Securities
Other	2952313	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2119983	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	218829	Securities
Other	832330	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1051159	TotalRevenueColumn
Exclusion	$1,051,159	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1546580	GrossSalesOfInventory
Cost Of Goods Sold	877020	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	669560	TotalRevenueColumn
Exclusion	$669,560	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	722100	5014950	$5,014,950
PHARMACY SERVICES	446110	3548596	$43,070	3505526
SERVICES SOLD	900099	1057778	$592,910	464868

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5768014	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	834187	UnrelatedBusinessRevenue
Exclusion	$4,933,827	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	15389338	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1539238264	TotalRevenueColumn
Related Or Exempt Function Income	1500983983	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4802678	UnrelatedBusinessRevenue
Exclusion	$23,314,926	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5498403	Total
Program Services	5498403	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	442927230	Total
Program Services	354341784	ProgramServices
Management And General	88585446	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	24097627	Total
Program Services	19278102	ProgramServices
Management And General	4819525	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	51286420	Total
Program Services	41029136	ProgramServices
Management And General	10257284	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	31189846	Total
Program Services	24951877	ProgramServices
Management And General	6237969	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	89254229	Total
Program Services	71403383	ProgramServices
Management And General	17850846	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	71517	Total
Management And General	71517	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	389936	Total
Management And General	389936	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	236989073	Total
Program Services	189591259	ProgramServices
Management And General	47397814	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4538761	Total
Program Services	3631009	ProgramServices
Management And General	907752	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	229677379	Total
Program Services	211495798	ProgramServices
Management And General	18181581	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	28753007	Total
Program Services	23002405	ProgramServices
Management And General	5750602	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2496032	Total
Program Services	1996826	ProgramServices
Management And General	499206	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	693300	Total
Program Services	554640	ProgramServices
Management And General	138660	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	16303295	Total
Program Services	16303295	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	85164351	Total
Program Services	68131481	ProgramServices
Management And General	17032870	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8818055	Total
Program Services	7054444	ProgramServices
Management And General	1763611	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	89077078	89077078
REPAIRS AND MAINTENANCE	21021445	16817156	4204289
STATE PROVIDER TAX	85889637	85889637
DUES & SUBSCRIPTIONS	2180390	1744312	436078

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3031213	Total
Program Services	2789556	ProgramServices
Management And General	241657	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1459348224	Total
Program Services	1234581581	ProgramServices
Management And General	224766643	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	37692746	BOY
EOY	62455198	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	61741	BOY
EOY	112871	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	184530506	BOY
EOY	209016240	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	10155462	BOY
EOY	10615215	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	28690520	BOY
EOY	28474709	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2507893	BOY
EOY	5480036	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1630286653	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	616244128	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1017611741	BOY
EOY	1014042525	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	33206679	BOY
EOY	74054526	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	26517305	BOY
EOY	26188845	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	5577719	BOY
EOY	12215676	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	163219901	BOY
EOY	155411656	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1509772213	BOY
EOY	1598067497	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	159860970	BOY
EOY	150791460	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	7743375	BOY
EOY	7512813	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	40454	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	244731825	BOY
EOY	262483485	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	412376624	BOY
EOY	420787758	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1097375368	BOY
EOY	1177259518	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10221	BOY
EOY	10221	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10000	BOY
EOY	10000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1097395589	BOY
EOY	1177279739	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1509772213	BOY
EOY	1598067497	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	79890040	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5890	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$56,417	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	56417	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	LINE 1F THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT SHOWN IN LINE 1F REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES: AMERICAN HOSPITAL ASSOCIATION $11,669 CATHOLIC HEALTH ASSOCIATION $5,162 ADDITIONALLY, CENTURA PAID ANNUAL DUES TO COLORADO HEALTH ASSOCIATION, A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT THAT REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSES IS AS FOLLOWS: COLORADO HEALTH ASSOCIATION $39,586	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	64834294	OtherCostOrOtherBasis
Book Value	64834294	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	8686856	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1048091856	OtherCostOrOtherBasis
Depreciation	311463507	Depreciation
Book Value	745315205	BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	149426	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	460664139	OtherCostOrOtherBasis
Depreciation	290698620	Depreciation
Book Value	170114945	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47860082	OtherCostOrOtherBasis
Depreciation	14082001	Depreciation
Book Value	33778081	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1014042525	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
INV IN UNCONSOLIDATED ORGS	92593384
OCH CAPITAL LEASE	47356661
ASSETS HELD FOR SALE	9586328
PARKING GARAGE EASEMENT	5875000
MISCELLANEOUS ASSETS	283

Field	Value	IRS element (for citing)
Total Book Value Other Assets	155411656	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
LIFECARE CONTRACT TERMINATIONS	$1,054,267
FUTURE SERVICE OBLIGATION	$104,547
INTERCOMPANY PAYABLES	$241,384,488
WORKERS COMP/UE CLAIMS LIAB.	$154,032
ENVIRONMENTAL REMEDIATION	$7,884,237
ST. ANTHONY NORTH MEDICAL OFFICE BUILDING	$11,889,312
OTHER LIABILITIES	$12,602

Field	Value	IRS element (for citing)
Total Of Amounts	262483485	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	CATHOLIC HEALTH INITIATIVES-COLORADO'S (CHIC) FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHIC. CHIC'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: CHIC 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. CHIC OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73389787	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9516114	DirectOffsettingRevenue
Net Community Benefit Expense	63873673	NetCommunityBenefitExpense
Percent Of Total Expense	0.04660	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	106461032	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56195825	DirectOffsettingRevenue
Net Community Benefit Expense	50265207	NetCommunityBenefitExpense
Percent Of Total Expense	0.03670	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36580323	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30646141	DirectOffsettingRevenue
Net Community Benefit Expense	5934182	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	216431142	TotalCommunityBenefitExpense
Direct Offsetting Revenue	96358080	DirectOffsettingRevenue
Net Community Benefit Expense	120073062	NetCommunityBenefitExpense
Percent Of Total Expense	0.08760	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4633461	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4740	DirectOffsettingRevenue
Net Community Benefit Expense	4628721	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7975788	TotalCommunityBenefitExpense
Net Community Benefit Expense	7975788	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2189258	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29873	DirectOffsettingRevenue
Net Community Benefit Expense	2159385	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7307	TotalCommunityBenefitExpense
Net Community Benefit Expense	7307	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	421734	TotalCommunityBenefitExpense
Net Community Benefit Expense	421734	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	15227548	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34613	DirectOffsettingRevenue
Net Community Benefit Expense	15192935	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	231658690	TotalCommunityBenefitExpense
Direct Offsetting Revenue	96392693	DirectOffsettingRevenue
Net Community Benefit Expense	135265997	NetCommunityBenefitExpense
Percent Of Total Expense	0.09870	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	134805	TotalCommunityBuildingExpense
Net Community Building Expense	134805	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2218	TotalCommunityBuildingExpense
Net Community Building Expense	2218	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1654	TotalCommunityBuildingExpense
Net Community Building Expense	1654	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	830	TotalCommunityBuildingExpense
Net Community Building Expense	830	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	156613	TotalCommunityBuildingExpense
Net Community Building Expense	156613	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	296120	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	296120	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$89,726,540	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	377665236	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	487939602	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-110274366	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

Field	Value	IRS element (for citing)
Description Ent Primary Activity	HOSPITAL	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.6	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.4	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	9	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital	Research FacilityResearchFacility	OtherOther
ST MARY-CORWIN MEDICAL CENTER
1	1008 MINNEQUA AVE	PUEBLO	CO	81004	X	X	X	X
ST THOMAS MORE HOSPITAL
2	1338 PHAY AVENUE	CANON CITY	CO	81212	X	X		X
MERCY REGIONAL MEDICAL CENTER
3	1010 THREE SPRINGS BLVD	DURANGO	CO	81301	X	X		X
PENROSE HOSPITAL
4	2222 N NEVADA AVE	COLORADO SPRINGS	CO	80907	X	X	X	X	X	X	ICU & CCU, CANCER CENTER, IP REHAB
ST FRANCIS MEDICAL CENTER
5	6001 E WOODMAN RD	COLORADO SPRINGS	CO	80923	X	X		X			BIRTH CENTER, NICU - IIIA, ICU
ST ANTHONY NORTH HOSPITAL
6	2551 W 84TH AVE	WESTMINSTER	CO	80031	X	X	X	X
ST ANTHONY SUMMIT MEDICAL CENTER
7	340 PEAK ONE DRIVE	FRISCO	CO	80443	X	X		X
ST ANTHONY HOSPITAL
8	11600 WEST 2ND PLACE	LAKEWOOD	CO	80228	X	X	X	X
ORTHOCOLORADO HOSPITAL
9	11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	9	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	56	NumberOfOtherFacilities

Other Facilities OtherFacilities (56 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PENROSE COMMUNITY HOSPITAL
3205 N CASCADE AVE	COLORADO SPRINGS	CO	80917	OP CLINIC URGENT CARE NO IP SERVICES
PENROSE MOUNTAIN URGENT CARE CLINIC
41 STATE HIGHWAY 67	WOODLAND PARK	CO	80863	URGENT CARE OP REHAB
PENROSE URGENT CARE AT CRIPPLE CREEK
1101 TELLER COUNTY ROAD 1	CRIPPLE CREEK	CO	80813	URGENT CARE
SENIOR HEALTH CENTER WEST
1601 LOWELL BLVD	DENVER	CO	80204	PRIMARY CARE GERIATRICS
INTERMOUNTAIN NEURO PHYSICIANS
4231 W 16TH AVE	DENVER	CO	80204	OUTPATIENT NEURO
ST ANTHONY COPPER MOUNTAIN CLINIC
860 COPPER RD	COPPER MOUNTAIN	CO	80443	PRIMARY CARE URGENT CARE
SENIOR HEALTH CENTER NORTH
8510 BRYANT ST SUITE 250	WESTMINSTER	CO	80031	PRIMARY CARE GERIATRICS
FAMILY MEDICINE CLINIC NORTH
8510 BRYANT ST SUITE 210	WESTMINSTER	CO	80031	PRIMARY CARE CLINIC RESIDENCY FACILITY
WOMEN'S HEALTH SPECIALISTS
8510 BRYANT ST SUITE 500	WESTMINSTER	CO	80031	WOMEN'S CARE CLINIC
PRIMARY CARE SERVICES
4231 W 16TH AVE	DENVER	CO	80204	PRIMARY CARE CLINIC
PSYCHIATRIC SERVICES
4231 W 16TH AVE	DENVER	CO	80204	OUTPATIENT CLINIC
SASMC AMBULATORY SURGERY CENTER
340 PEAK ONE DRIVE	FRISCO	CO	80443	AMBULATORY SURGERY CENTER
ST ANTHONY HEALTH CENTER EVERGREEN
1520 EVERGREEN PKWY	EVERGREEN	CO	80439	PHYSICIAN PRACTICE
NORTH METRO INTERNAL MEDICINE
51 WEST 84TH AVE	THORNTON	CO	80260	PHYSICIAN PRACTICE
ASSOCIATED SURGEONS
2460 WEST 26TH AVE SUITE 420C	DENVER	CO	80211	GENERAL SURGERY
CHAMBERS SPECIALTY SURGICAL CARE
4231 W 16TH AVE	DENVER	CO	80204	GENERAL SURGERY
SUMMIT CARDIOLOGY
360 PEAK ONE DR 390	FRISCO	CO	80443	CARDIOLOGY PRACTICE
NORTH RIDGE MEDICAL PRACTICE
13691 COLORADO BLVD SUITE 106	THORNTON	CO	80602	PRIMARY CARE
WESTERN VASCULAR
4101 W CONEJOS PL SUITE 200	DENVER	CO	80204	SPECIALTY SURGERY
TOUCHSTONE PUEBLO WEST CLINIC
141 S PURCELL BLVD STE 106	PUEBLO WEST	CO	81007	FAMILY PRACTICE
SMC REHAB PHYSICIAN
1925 E ORMAN	PUEBLO	CO	81004	REHAB PHYSICIAN
SMC GASTROENTEROLOGY
1925 E ORMAN	PUEBLO	CO	81004	GASTROENTEROLOGY PRACTICE
TOUCHSTONE
1925 E ORMAN	PUEBLO	CO	81004	FAMILY PRACTICE
SMC SURGICAL PHYSICIANS
1925 E ORMAN	PUEBLO	CO	81004	GENERAL SURGERY
PHYSICIAN PARTNERS ORTHOPAEDIC SURGERY
4112 OUTLOOK BLVD	PUEBLO	CO	81008	ORTHOPAEDIC SURGERY
SOUTHERN COLORADO FAMILY MEDICINE
1008 MINNEQUA AVE	PUEBLO	CO	81004	FAMILY PRACTICE
REHABILITATIONCCOM
1338 PHAY AVE	CANON CITY	CO	81212	REHAB CLINIC ORTHOPAEDIC CLINIC CCOM
SURGERY SERVICES & THE MEDICAL HOME
1339 PHAY AVE	CANON CITY	CO	81212	SURGERY PRACTICE FAMILY PRACTICE
OBGYN SERVICES
1335 PHAY AVE SUITE B	CANON CITY	CO	81212	OB/GYN
INTERNAL MEDICINE
614 YALE	CANON CITY	CO	81212	INTERNAL MEDICINE
VILLAS AT SUNNY ACRES
2501 EAST 104TH AVE	THORNTON	CO	80233	SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
GARDENS AT ST ELIZABETH
2835 WEST 32ND AVE	DENVER	CO	80211	ASSISTED LIVING INDEPENDENT LIVING
MEDALION RETIREMENT COMMUNITY
1719 EAST BIJOU ST	COLORADO SPRINGS	CO	80909	SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
NAMASTE ALZHEIMER CENTER
2 PENROSE BOULEVARD	COLORADO SPRINGS	CO	80906	ALZHEIMER'S CARE ADULT DAY CARE
VILLA PUEBLO SENIOR LIVING COMMUNITY
1111 BONFORTE BLVD	PUEBLO	CO	81001	SKILLED NURSING ASSISTED LIVING INDEPENDENT LIVING
PROGRESSIVE CARE CENTER
1338 PHAY AVE	CANON CITY	CO	81212	SKILLED NURSING RESPITE CARE
ST ANTHONY HOSPICE
1391 SPEER BLVD 600	DENVER	CO	80204	HOME HOSPICE
PENROSE HOME CARE
7015 TALL OAKS DRIVE	COLORADO SPRINGS	CO	80919	HOME HOSPICE
ST MARY CORWIN HOME SERVICES
4025 CLUB MANOR DRIVE	PUEBLO	CO	81003	HOMECARE
MERCY HOME HEALTH
ONE MERCADO STREET 270	DURANGO	CO	81301	HOMECARE
HOSPICE OF MERCY
ONE MERCADO STREET 270	DURANGO	CO	81301	HOMECARE
CENTURA HOME OXYGEN-DENVER
2590 W 2ND AVE SUITE 5	DENVER	CO	80219	HOME MEDICAL EQUIP.
CENTURA HOME OXYGEN-COLORADO SPRINGS
4260 BUCKINGHAM DR 100	COLORADO SPRINGS	CO	80907	HOME MEDICAL EQUIP.
CENTURA HOME OXYGEN-PUEBLO
4025 CLUB MANOR DRIVE	PUEBLO	CO	81008	HOME MEDICAL EQUIP.
MERCY DIAGNOSTIC LAB
2577 N MAIN AVE	DURANGO	CO	81301	MDS SERVICES
AZTEC DIAGNOSTIC LAB
604 S RIO GRANDE	AZTEC	NM	87410	MDS SERVICES
MERCY HEALTH SERVICES CLINIC
1800 E THIRD AVE	DURANGO	CO	81301	HEALTH SERVICES
DURANGO URGENT CARE AT DMR
1 SKIER PLACE	DURANGO	CO	81301	URGENT CARE
SYNERGY ORTHOPEDICS
8510 BRYANT ST SUITE 320	WESTMINSTER	CO	80031	PHYSICIAN CLINIC
NORTH METRO INTERNAL MEDICINE
8300 ALCOTT ST SUITE 302	WESTMINSTER	CO	80031	OUTPATIENT CLINIC
ASPEN RIDGE ENT
11700 2ND PLACE SUITE 210	LAKEWOOD	CO	80228	OUTPATIENT CLINIC
DURANGO CANCER CENTER
1 MERCADO STREET SUITE 100	DURANGO	CO	81301	RADIATION AND FOLLOW UP CARE FOR CANCER PATIENTS
MERCY CARDIOLOGY ASSOCIATES
1 MERCADO STREET	DURANGO	CO	81301	OUTPATIENT CARE CLINIC
ST ANTHONY GRANDBY MEDICAL CENTER
480 E AGATE AVENUE	GRANBY	CO	80446	PRIMARY CARE/URGENT CARE/ER
ST ANTHONY KEYSTONE MEDICAL CLINIC
1252 COUNTY ROAD 8	KEYSTONE	CO	80435	PRIMARY CARE/URGENT CARE/ER
BRECKENRIDGE MEDICAL CLINIC
555 S PARK AVE PLAZA II PO BOX 6909	BRECKENRIDGE	CO	80424	PRIMARY CARE/URGENT CARE/ER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3C	CHI COLORADO HAS AN ESTABLISHED CHARITY CARE POLICY BASED ON THE FEDERAL POVERTY LEVEL. CHARITY IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE THAT CONSIDERS THE PATIENT'S FAMILY SIZE AND INCOME LEVEL. THE CHARITY PROVIDED RANGES FROM 100% OF THE PATIENT'S BILL FOR INDIVIDUALS WHOSE HOUSEHOLD INCOME IS AT 100% OR LESS OF THE FEDERAL POVERTY LEVEL, TO A 60% DEDUCTION FOR INDIVIDUALS WHOSE INCOME IS AT 400% OF THE FEDERAL POVERTY LEVEL. CHI COLORADO TAKES INTO ACCOUNT SPECIFIC FACTS AND CIRCUMSTANCES IN GRANTING CHARITY IN SITUATIONS SUCH AS A CATASTROPHIC ILLNESS WHERE THE PATIENT DOES NOT HAVE LIQUID ASSETS.
COMMUNITY BENEFIT REPORT INCLUDED IN ANOTHER ORGANIZATION'S REPORT	SCHEDULE H, PART I, LINE 6A	CHI COLORADO IS OPERATED BY CENTURA HEALTH CORPORATION (CHC). CHC PREPARES ITS OWN WRITTEN COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF CHI COLORADO AND OTHER ENTITIES MANAGED BY CHC. THE ANNUAL REPORT IS PUBLISHED ON CENTURA'S WEBSITE AND AVAILABLE TO ANYONE INTERESTED.
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	CHI COLORADO DOES NOT USE A COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARITY CARE PROVIDED. THE ESTIMATED COST OF CARE IS CALCULATED BY APPLYING THE RATIO OF EACH FACILITY'S TOTAL EXPENSES TO TOTAL GROSS REVENUE. WORKSHEET 2 WAS NOT USED TO DEVELOP THE COST TO CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	89,077,078
Subsidized Health Services	Schedule H, Part I, Line 7g	N/A
SUBSIDIZED HEALTH SERVICES	SCHEDULE H, PART I, LINE 7G	THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT. THIS ALLOWANCE IS NOT INCLUDED IN THE CALCULATION OF THE COST OF BAD DEBTS IN INSTANCES WHERE A PATIENT DOES NOT PAY HIS OR HER BILL. CHI COLORADO PROVIDES INFORMATION TO PATIENTS AT THE TIME OF REGISTRATION WITH RESPECT TO ITS FINANCIAL ASSISTANCE POLICIES. HOWEVER, IN SOME INSTANCES PATIENTS DO NOT COMPLETE THE NECESSARY FORMS TO APPLY FOR FINANCIAL ASSISTANCE. AS A RESULT, CHI COLORADO USES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. THIS INCLUDES A REVIEW OF THE PATIENT'S FINANCIAL SITUATION BASED ON THE VENDOR'S DATABASE OF EXTERNAL INFORMATION. IN INSTANCES WHERE THE REVIEW INDICATES THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, CHI COLORADO ADJUSTS THE PATIENT'S BILL TO MATCH ITS CHARITY POLICY AND DOES NOT PURSUE COLLECTION FROM THE PATIENT FOR THE PORTION OF THE PATIENT'S OBLIGATION THAT QUALIFIES FOR CHARITY. WHILE CHI COLORADO DOES ISSUE SEPARATE CONSOLIDATED AUDITED FINANCIAL STATEMENTS THEY DID NOT INCLUDE A FOOTNOTE DESCRIBING ITS BAD DEBT. HOWEVER, BAD DEBT EXPENSE IS REPORTED ON CHI COLORADO'S INTERNAL FINANCIAL STATEMENTS AS A REDUCTION TO INCOME, WHICH DIFFERS FROM THE TAX RETURN PRESENTATION. FORM 990 REPORTS BAD DEBT AS AN EXPENSE. THE AMOUNT REPORTED IS BASED ON THE AMOUNT DEEMED TO NOT BE COLLECTIBLE BY PATIENTS WHO HAVE THE ABILITY TO PAY. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY."
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	COST FOR EACH HOSPITAL'S COST REPORT IS PULLED FROM YEAR END TRIAL BALANCES. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. CHI COLORADO DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. CHI COLORADO'S POSITION IS CONSISTENT WITH THAT OF CHI, ITS SPONSOR. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND FOR-PROFIT HOSPITALS TREAT, AND ATTEMPT TO ATTRACT, MEDICARE BENEFICIARIES.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	CHI COLORADO'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH CHI COLORADO'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). CHI COLORADO REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER CHI COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI COLORADO HOSPITALS OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CHI COLORADO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.
Means used to determine amounts billed	Schedule H, Part V Section B, Line 19d	(1) ST. MARY-CORWIN MEDICAL CENTER - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(2) ST. THOMAS MORE HOSPITAL - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(3) MERCY REGIONAL MEDICAL CENTER - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(4) PENROSE HOSPITAL - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(5) ST. FRANCIS MEDICAL CENTER - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(6) ST. ANTHONY NORTH HOSPITAL - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(7) ST. ANTHONY SUMMIT MEDICAL CENTER - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(8) ST. ANTHONY HOSPITAL - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;(9) ORTHOCOLORADO HOSPITAL - CHI COLORADO AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT;
NEEDS ASSESSMENT, COMMUNITY INFORMATION AND PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 2	ACROSS COLORADO, ALMOST 8,000 ASSOCIATES OF CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) ARE CHANGING LIVES IN OUR HOSPITALS, SENIOR LIVING COMMUNITIES, CLINICS AND HOMES IN WHICH THEY WORK. THROUGH THE MANY COMMUNITY PROGRAMS AND THE CHARITY CARE THEY PROVIDE FOR PEOPLE THROUGHOUT COLORADO, CHIC ASSOCIATES RECEIVE GREAT SATISFACTION FROM FULFILLING A MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST. THE COMMUNITY BENEFIT REPORT IS A COLLECTIVE LIST OF VARIOUS ACTIVITIES THROUGH WHICH CHIC SUPPORTS ITS NEIGHBORS THROUGHOUT THE STATE. COMMUNITY BENEFITS ARE OFFERED IN THE FORM OF OUTREACH AND EDUCATION, SUPPORT GROUPS, ACTIVITIES AND CLINICS, AS WELL AS CHARITY CARE. AS A NONPROFIT, FAITH-BASED ORGANIZATION, CHIC IS COMMITTED TO PROVIDING SUPPORT AND PROGRAMS FOR THOSE LESS FORTUNATE IN OUR COMMUNITIES. IN HARD TIMES THOSE NUMBERS GROW, WHILE RESOURCES SHRINK. IN RESPONSE TO THIS, WE SEEK HOW TO MAKE THE MOST IMPACT IN EVERY COMMUNITY WE TOUCH. IN THE MOST RECENT FISCAL YEAR CHIC INVESTED THE FOLLOWING IN ITS COMMUNITIES: COMMUNITY BENEFIT ANNUAL REPORT FY 2012 SUMMARY INTRODUCTION CATHOLIC HEALTH INITIATIVES-COLORADO, A FAITH-BASED, NONPROFIT HEALTH CARE ENTITY, SINCE THEIR EARLIEST DAYS, HAS PLACED AN EMPHASIS ON WHOLE PERSON CARE AND ON ILLNESS PREVENTION, HAS PRESERVED AN UNWAVERING COMMITMENT TO THEIR VALUES AND AN UNDERSTANDING OF THE VITAL ROLE THAT MINISTERING TO SPIRITUAL NEEDS CAN PLAY IN HEALTHCARE. COMMITTED TO THE MISSION OF CONTINUING THE HEALING MINISTRY OF CHRIST, CHIC BUILDS UPON ITS UNIQUE HISTORY, HERITAGE AND TRADITIONS TO CREATE A FAITH-BASED ENTITY DESIGNED TO ADVANCE THE MISSION OF THEIR INDIVIDUAL ORGANIZATIONS. TODAY, CHIC DIRECTLY OPERATES 8 HOSPITAL CAMPUSES: ST. ANTHONY HOSPITAL, ST. ANTHONY NORTH, ST. ANTHONY SUMMIT MEDICAL CENTER, PENROSE HOSPITAL, ST. FRANCIS MEDICAL CENTER, MERCY REGIONAL MEDICAL CENTER, ST. MARY-CORWIN AND ST. THOMAS MORE. ADDITIONALLY, CHIC INDIRECTLY OPERATES ORTHOCOLORADO HOSPITAL THROUGH THEIR OWNERSHIP INTEREST IN THE PARTNERSHIP. IN KEEPING WITH OUR MISSION, CHIC PROVIDES CARE FOR ALL REGARDLESS OF ABILITY TO PAY. IN FISCAL YEAR 2012, CHIC GAVE $135.3 MILLION TO UNDERPRIVILEGED INDIVIDUALS AND THE BROADER COMMUNITY IN CHARITY CARE, COMMUNITY EDUCATION AND OUTREACH, AND UNPAID COSTS OF MEDICAID. QUALITY HEALTHCARE IS DELIVERED IN THE SERVICE AREAS OF METRO DENVER, COLORADO SPRINGS, PUEBLO, CANON CITY, FRISCO, BRECKENRIDGE, DURANGO AND THEIR SURROUNDING COMMUNITIES WITHIN THE STATE OF COLORADO. DEMOGRAPHIC DATA ST. ANTHONY HOSPITAL AND ORTHOCOLORADO HOSPITAL: BOTH ST. ANTHONY AND ORTHOCOLORADO HAVE A PRIMARY SERVICE AREA THAT INCLUDES JEFFERSON COUNTY, DENVER COUNTY AND CLEAR CREEK COUNTY. AS OF 2010 JEFFERSON COUNTY'S POPULATION WAS 534,543, DENVER COUNTY'S WAS 600,158, AND CLEAR CREEK COUNTY'S WAS 9,088. THE POPULATION IN JEFFERSON, DENVER AND CLEAR CREEK COUNTIES IS PREDOMINANTLY WHITE. JEFFERSON AND CLEAR CREEK COUNTIES HAVE RELATIVELY SMALL PERCENTAGES OF OTHER RACES (6.4% AND 2.3%) WHILE DENVER COUNTY'S PERCENTAGE OF OTHER RACES IS MUCH HIGHER AT 17.7%. HOSPITAL EXPERIENCE SUGGESTS THAT THE TWO ZIP CODES OF DENVER COUNTY WHICH HAS POPULATIONS MOST SERVED BY ST. ANTHONY HOSPITAL HAVE A HIGH PERCENTAGE OF HISPANICS/LATINOS. WITH REGARD TO MEDIAN HOUSEHOLD INCOMES, JEFFERSON AND CLEAR CREEK COUNTIES EXCEED THE STATE AVERAGE OF APPROXIMATELY $55,000 ($66,059 AND $64,241 RESPECTIVELY) WHILE DENVER COUNTY FALLS BELOW THE STATE AVERAGE AT $46,693. WITH REGARD TO PERSONS LIVING BELOW POVERTY LEVEL, DENVER COUNTY EXCEEDS THE STATE AVERAGE OF APPROXIMATELY 12% BY MEASURING AT 18.8%. BOTH JEFFERSON AND CLEAR CREEK COUNTIES HAVE PERCENTAGES THAT ARE WELL BELOW THE STATE AVERAGE (8.1% FOR BOTH JEFFERSON AND CLEAR CREEK COUNTIES). THE UNEMPLOYMENT RATES FOR EACH COUNTY ARE AS FOLLOWS: DENVER - 9.7%, JEFFERSON - 8.6%, AND CLEAR CREEK - 8.5%. ST. FRANCIS MEDICAL CENTER AND PENROSE HOSPITAL: BOTH ST. FRANCIS MEDICAL CENTER AND PENROSE HOSPITAL ARE LOCATED IN EL PASO COUNTY. THE PRIMARY SERVICE AREA INCLUDES ALL THE ZIP CODES WITHIN EL PASO COUNTY. AS A FEEDER HOSPITAL FOR OTHER FACILITIES, ST. FRANCIS AND PENROSE REGULARLY SERVE TRANSFERS FROM PUEBLO, TELLER AND FREMONT COUNTIES AS WELL. AS OF JULY 2010, THE COUNTY HAD AN ESTIMATED 627,096 RESIDENTS AND THE POPULATION IS PROJECTED TO REACH NEARLY 1 MILLION OVER THE NEXT THREE DECADES. EL PASO COUNTY IS A MIX OF URBAN, SUBURBAN, AND RURAL COMMUNITIES WITH ABOUT TWO-THIRDS (419,353) OF THE POPULATION RESIDING WITHIN THE CITY OF COLORADO SPRINGS. EL PASO COUNTY'S POPULATION IS 73.9% WHITE, NON-HISPANIC, 15% HISPANIC, AND OTHER NON-HISPANIC RACES COMPRISE 6.3% AND 4.8% OF THE TOTAL PERCENT OF THE TOTAL POPULATION, RESPECTIVELY. THE MEDIAN HOUSEHOLD INCOME WAS $51,548 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 10.4% OF FAMILIES IN EL PASO COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 9.5%. MERCY REGIONAL MEDICAL CENTER: THE PRIMARY SERVICE AREA FOR MERCY IS LA PLATA AND ARCHULETA COUNTIES. THESE TWO COUNTIES ACCOUNT FOR 76% OF INPATIENT DISCHARGES FROM MERCY AND COINCIDE WITH THE SERVICE AREA OF THE SAN JUAN BASIN HEALTH DEPARTMENT - FACILITATING COLLABORATION BETWEEN MERCY REGIONAL MEDICAL CENTER, PAGOSA SPRINGS MEDICAL CENTER, AND SAN JUAN BASIN HEALTH DEPARTMENT. ACCORDING TO THE 2010 U.S. CENSUS BUREAU, THE TOTAL POPULATIONS FOR LA PLATA AND ARCHULETA COUNTIES WERE 51,334 AND 12,084 RESPECTIVELY. LA PLATA COUNTY'S POPULATION IS 80.3% WHITE, NON-HISPANIC AND 11.8% HISPANIC/LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $56,422 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 10.2% OF FAMILIES IN LA PLATA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 5.3%. ARCHULETA COUNTY'S POPULATION IS 78.2% WHITE, NON-HISPANIC AND 17.8% HISPANIC/LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $56,068 COMPARED WITH THE STATE'S MEDIAN INCOME OF $56,456. IN ADDITION, 8.5% OF FAMILIES IN LA PLATA COUNTY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS 11.1%. ST. ANTHONY NORTH HOSPITAL: THE PRIMARY SERVICE AREA FOR ST. ANTHONY NORTH HOSPITAL INCLUDES ADAMS COUNTY AND PARTS OF BROOMFIELD COUNTY TO INCLUDE THE CITIES OF WESTMINSTER, FEDERAL HEIGHTS, THORNTON, NORTHGLENN, COMMERCE CITY AND PORTIONS OF ARVADA, BROOMFIELD AND UNINCORPORATED ADAMS COUNTY. THE TOTAL POPULATION OF ADAMS COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU WAS 441,603 RESIDENTS WITH ANOTHER 55,889 RESIDENTS IN BROOMFIELD COUNTY. ADAMS AND BROOMFIELD COUNTIES ARE PREDOMINATELY OF WHITE RACE, WHICH INCLUDES HISPANICS. ADAMS COUNTY PERSON'S OF HISPANIC OR LATINO ORIGIN IS 38%. BROOMFIELD AND ADAMS COUNTIES BOTH HAVE ASIAN POPULATIONS GREATER THAN THE STATE AVERAGE. ADAMS COUNTY HAS A MEDIAN HOUSEHOLD INCOME OF $53,779 WHILE BROOMFIELD COUNTY MEDIAN INCOME IS $77,606. ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 13.3% AND BROOMFIELD IS ONE OF THE LOWEST LEVELS IN THE STATE AT 4.9%. THE UNEMPLOYMENT RATE IN ADAMS COUNTY IS 10.2%, WHICH IS HIGHER THAN THE STATE AVERAGE OF 8.9%. BROOMFIELD IS 7.9%, LOWER THAN THE STATE AVERAGE. ST. ANTHONY SUMMIT MEDICAL CENTER: SUMMIT COUNTY IS LOCATED 75 MILES WEST OF THE DENVER METRO AREA AND COVERS APPROXIMATELY 600 SQUARE MILES. SUMMIT COUNTY INCLUDES THE CITIES OF BRECKENRIDGE, BLUE RIVER, DILLON, FRISCO, MONTEZUMA, SILVERTHORNE AND THE UNINCORPORATED AREAS OF LOWER BLUE BASIN, SNAKE RIVER BASIN, TEN MILE BASIN AND UPPER BLUE BASIN. THE PERMANENT POPULATION OF SUMMIT COUNTY IS APPROXIMATELY 30,000 PEOPLE. DURING PEAK HOLIDAY SEASONS, DESTINATION VISITORS NUMBERS CAN REACH 131,000 BRINGING THE COUNTY'S SHORT TERM POPULATION TO 160,000 PEOPLE. IN GENERAL, THE POPULATION IN SUMMIT COUNTY IS PREDOMINANTLY OF WHITE RACE WHICH INCLUDES HISPANICS SELF-IDENTIFYING WHITE RACE ON THE 2010 CENSUS. THE HISPANIC POPULATION HOVERS AT ABOUT 14% OF THE TOTAL POPULATION. OVER 2,435 SUMMIT COUNTY RESIDENTS LIVE BELOW FEDERAL POVERTY LEVELS. ST. THOMAS MORE HOSPITAL: ST. THOMAS MORE SERVICE AREA IS DEFINED AS FREMONT COUNTY. FREMONT COUNTY INCLUDES THE CITIES OF CANON CITY, AND FLORENCE, THE TOWNS OF BROOKSIDE, COAL CREEK, ROCKVALE, AND WILLIAMSBURG, AND THE UNINCORPORATED COMMUNITIES OF COTOPAXI AND PENROSE. THE DEMOGRAPHIC DATA IN FREMONT COUNTY IS SKEWED DUE IN PART TO A LARGE PRISON POPULATION. IN 2009, FREMONT COUNTY HAD A POVERTY RATE OF 18.1%, WHICH EXCEEDED THE STATE RATE.
NEEDS ASSESSMENT, COMMUNITY INFORMATION AND PROMOTION OF COMMUNITY HEALTH (CONTINUED)	SCHEDULE H, PART VI, LINE 2	ST. MARY CORWIN HOSPITAL: ST. MARY-CORWIN MEDICAL CENTER IS LOCATED IN PUEBLO, COLORADO AND ITS SERVICE AREA REACHES INTO SOUTHEASTERN COLORADO TO THE KANSAS AND NEW MEXICO BORDERS. PUEBLO SERVES AS AN ECONOMIC AND HEALTH CARE HUB FOR OTHER COUNTIES LOCATED IN SOUTHEAST COLORADO. ONCE THE BORDER BETWEEN MEXICO AND THE UNITED STATES, PUEBLO IS NOW HOME TO 159,063 RESIDENTS AND THE COUNTY HAS A RICH HERITAGE OF EASTERN EUROPEAN, HISPANIC AND ITALIAN ROOTS. PUEBLO ALSO HAS ONE OF THE HIGHEST CONCENTRATIONS OF MIGRANT WORKERS IN THE STATE. WITH 35% OF HOUSEHOLDS EARNING $25,000 OR LESS ANNUALLY, THE WORKING POOR ARE HEAVILY REPRESENTED IN THE WORKFORCE. THE MEDIAN HOUSEHOLD INCOME IS $40,699 COMPARED TO THE STATE MEDIAN INCOME OF $56,456. UNCOMPENSATED CARE: CATHOLIC HEALTH INITIATIVES-COLORADO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE EACH YEAR. IN FISCAL YEAR 2012, THE COST OF TRADITIONAL CHARITY CARE PROVIDED WAS $63.9 MILLION. CHIC ALSO INCURRED $50.3 MILLION IN UNREIMBURSED COSTS FOR SERVICES PROVIDED TO MEDICAID PATIENTS. FREQUENTLY, THE COSTS OF PROVIDING SERVICES TO PARTICIPANTS OF MEDICAID ARE GREATER THAN THE PAYMENTS RECEIVED FROM THE PROGRAM. THE SAME IS TRUE FOR MEDICARE. CHIC INCURRED $110.3 MILLION IN UNREIMBURSED COSTS FOR MEDICARE COMMUNITY OUTREACH PROVIDED TO THE LOW INCOME POPULATION: MEDICAID PROGRAM ENROLLMENT SCREENING UNINSURED PATIENTS TO DETERMINE ELIGIBILITY AND FACILITATES ENROLLMENT IN MEDICAID, MEDICARE OR CHARITY PROGRAM. NURSEFAMILY PARTNERSHIP PROGRAM HOME VISITS TO PREGNANT AND PARENTING PATIENTS TO ENSURE A GOOD PREGNANCY AND APPROPRIATE EARLY CHILDHOOD DEVELOPMENT THROUGH BABY'S THIRD YEAR. PASTORAL NURSE PROGRAM HEALTH EDUCATION AND PREVENTIVE CARE TO LOW-INCOME, UNINSURED AND UNDERSERVED POPULATIONS. RX ASSIST - BEN CHECKUP - PRESCRIPTION & BENEFITS ASSISTANCE PHARMACEUTICAL DISCOUNT COUNSELING FOR SENIORS. SCHOOL BASED HEALTH CENTER CLINIC WITHIN DENVER PUBLIC SCHOOLS, PROVIDING PHYSICAL AND MENTAL HEALTH CARE TO THE STUDENTS OF LAKE MIDDLE SCHOOL AND FIVE FEEDER ELEMENTARY SCHOOLS. MISSION OUTREACH COMMITTEE PROJECTS VARIOUS CASH AND IN-KIND DONATION PROJECTS CONDUCTED TO ASSIST COMMUNITY MEMBERS. PHARMACEUTICAL SUPPLIES DONATION DONATIONS OF PHARMACEUTICAL AND MEDICAL SUPPLIES FOR THE UNDERPRIVILEGED. PHARMACY DISCOUNTED PRESCRIPTION PROGRAM DISCOUNT PRICING FOR UNINSURED/UNDERINSURED COMMUNITY MEMBERS. COMPENSATED ROOMS FOR BOARDER MOTHERS OF NEWBORNS OVERNIGHT STAYS, WITHOUT CHARGE, FOR MOTHERS WHO NEED TO BE NEAR HOSPITALIZED INFANTS. DIABETES EDUCATION PROVIDE DIABETES EDUCATION TO PATIENTS OF THE FAMILY MEDICINE RESIDENCY PROGRAM. DOULA PROGRAM PROVIDES BIRTH COACHES FOR SPANISH SPEAKING WOMEN TO FACILITATE THE BIRTH PROCESS IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER, MINIMIZING COMPLICATIONS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY: ASK-A-NURSE CALLS FREE HEALTH INFORMATION AND PHYSICIAN REFERRAL SERVICE FOR OUR COMMUNITY. NURSES ALSO ASSESS HEALTH CONDITIONS FROM NECK PAIN TO A FEVER, AND GIVE FREE PROFESSIONAL ADVICE ON WHAT ACTION TO TAKE NEXT. THIS PROGRAM PROVIDES INFORMATION AND REGISTRATION FOR HOSPITAL CLASSES AND EVENTS. CAR SEAT FIT STATIONS INSPECT CAR SEAT INSTALLATIONS AND EDUCATE PARENTS REGARDING COLORADO LAWS REGARDING CAR SEATS. CAR SEATS ARE PROVIDED FOR A MINIMUM DONATION. CAREER EXPOS INTRODUCE STUDENTS TO THE OPPORTUNITIES IN HEALTHCARE AND EXPLAIN REQUIREMENTS FOR THOSE POSITIONS. CPR EDUCATION PROGRAM PREPARE STUDENTS FOR POTENTIAL LIFE THREATENING SITUATIONS IN PUBLIC, HOME OR BABY SITTING. EDUCATION - WOMEN'S SERVICES CLASSES RELATED TO CHILDBIRTH PREPARATION AND CARING FOR A NEW BABY. HEALTH FAIRS FOR THE COMMUNITY HOSPITAL STAFF PROVIDE SCREENINGS AND OTHER HEALTH EDUCATIONAL OPPORTUNITIES. PROJECT C.U.R.E. COLLECTION OF MEDICAL SUPPLIES AND EQUIPMENT IS PALLETIZED AND SHRINK WRAPPED FOR DONATION. SANE PROGRAM CLINICAL EXAMINATIONS AND FORENSIC EVIDENCE COLLECTION FOR VICTIMS OF SEXUAL ASSAULT. BLOOD DRIVES HOSPITAL EMPLOYEES DONATE THEIR BLOOD TO THE BONFILS BLOOD CENTER ADVANCE MEDICAL DIRECTIVE EDUCATION PROVIDE LITERATURE AND FORMS TO EDUCATE THE PUBLIC REGARDING THEIR OPTIONS FOR END-OF-LIFE MEDICAL CARE. STUDENT PRECEPTING PROVIDE A CLINICAL SETTING AND SUPERVISION BY LICENSED STAFF FOR STUDENTS OF VARIOUS HEALTHCARE POSITIONS (I.E. NURSING, EMT, THERAPISTS) TO COMPLETE THEIR REQUIRED CLINICAL EXPERIENCE. FIRST AID SERVICES AT COMMUNITY EVENTS PROVIDE FIRST AID SERVICES THROUGHOUT THE COMMUNITY. TRANSPORTATION SERVICES PROVIDE TRANSPORTATION TO PATIENTS AND PATIENT FAMILIES. YAFFEE HOUSE/JOHN ZAY HOUSE PROVIDE LODGING, AT NO COST, FOR OUT OF AREA PATIENTS RECEIVING OUT-PATIENT CARE AND FOR THE FAMILY MEMBERS OF HOSPITALIZED PATIENTS. VARIOUS HEALTH SCREENING, COUNSELING AND EDUCATION ACTIVITIES CHIC HOSPITALS CONDUCT NUMEROUS EVENTS AND HEALTH SCREENINGS THROUGHOUT THE COMMUNITIES THEY SERVE TO PROMOTE HEALTH AWARENESS AND ENCOURAGE INDIVIDUALS TO ASSUME A PARTNERSHIP ROLE IN RESPONSIBILITY FOR MAINTAINING HEALTH. THESE EVENTS INCLUDE SPORTS PHYSICALS, BEHAVIORAL HEALTH EDUCATION, FLU SHOT CLINICS, CANCER RISK ASSESSMENTS, NUTRITION SERVICES, BLOOD PRESSURE CHECKS, CHILD SAFETY, MANAGING DIABETES, AND DISCOUNTED MAMMOGRAPHY SCREENINGS.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	INFORMATION CONCERNING FINANCIAL ASSISTANCE IS INCLUDED ON CENTURA'S WEBSITE. THE WEBSITE NOT ONLY LISTS PHONE NUMBERS FOR PATIENTS TO CALL TO DISCUSS FINANCIAL ASSISTANCE, BUT ALSO INCLUDES CENTURA'S POLICY FOR CHARITY CARE AND ITS POLICIES RELATED TO UNINSURED PATIENTS. IN ADDITION, AT THE TIME OF REGISTRATION, UNINSURED PATIENTS ARE SCREENED TO DETERMINE IF THE PATIENTS QUALIFY FOR ANY FEDERAL, STATE OR COUNTY PROGRAMS. UNINSURED PATIENTS ARE ALSO SENT A LETTER REQUESTING THAT THE PATIENT CALL TO DETERMINE ELIGIBILITY FOR VARIOUS ASSISTANCE PROGRAMS, INCLUDING CHARITY.
Affiliated health care system	Schedule H, Part VI, Line 6	CHI COLORADO IS OPERATED AS PART OF CENTURA HEALTH CORPORATION ("CENTURA"). CENTURA AND ITS AFFILIATED ORGANIZATIONS ARE DEDICATED TO EXTENDING THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES. SPECIFICALLY, CENTURA HAS LAUNCHED A SYSTEM-WIDE STRATEGIC PLAN TO IMPROVE THE QUALITY, CONSISTENCY, AVAILABILITY, AND AFFORDABILITY OF HEALTHCARE TO COMMUNITIES THROUGHOUT COLORADO. THE THREE MAIN COMPONENTS OF THIS STRATEGY ARE (1) TO CONTINUE INVESTING IN TECHNOLOGY ADVANCEMENTS THAT IMPROVE THE QUALITY, COSTS, AND COORDINATION OF CARE INCLUDING THE ESTABLISHMENT OF ELECTRONIC HEALTH RECORDS LINKING OUR PHYSICIANS, CLINICS, HOSPITALS, LONG-TERM FACILITIES AND HOME CARE SERVICES; (2) PROVIDING WELLNESS CARE, THEREBY POTENTIALLY REDUCING HEALTH CARE COSTS BY HELPING PATIENTS TO MAINTAIN GOOD HEALTH, GROWING THE LEVEL OF SUPPORT AND OUTREACH PROVIDED TO RURAL COMMUNITIES, AND INCREASING ACCESS, AFFORDABILITY AND QUALITY OF HEALTH CARE; AND (3) COORDINATE AND DEVELOP SYSTEMS OF CARE, LOOKING TO EACH FACILITY AND ENTITY IN CENTURA TO SHARE BEST PRACTICES AND IMPROVE OVERALL EFFICIENCY AND COMMUNICATION SYSTEM-WIDE FROM BIRTH TO HOME CARE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SAN JUAN BASIN HEALTH
281 SAWYER DR	DURANGO	CO	81302	846002563	501(C)(3)	50000	PROGRAM SUPPORT
CROSSROADS TURNING POINT
590 E 13TH ST	PUEBLO	CO	81001	840810723	501(C)(3)	18200	PROGRAM SUPPORT
PUEBLO COMMUNITY COLLEGE
900 W ORMAN AVE	PUEBLO	CO	81004	840644739	N/A	15500	SPONSORSHIP
YWCA
801 N SANTA FE AVE	PUEBLO	CO	81003	840402720	501(C)(3)	5730	PROGRAM SUPPORT
COLORADO STATE UNIVERSITY - PUEBLO
2200 BONFORTE BLVD	PUEBLO	CO	81001	840517947	501(C)(3)	40000	SPONSORSHIP
PROJECT CURE
10377 E GEDDAS AVE STE 200	CENTENNIAL	CO	80119	841568566	501(C)(3)		PROGRAM SUPPORT	415562	BOOK	EXPIRED SUPPLIES
ARRUPE JESUIT HIGH SCHOOL
4343 UTICA ST	DENVER	CO	80204	020628872	N/A	20750	PROGRAM SUPPORT
CRAIG HOSPITAL FOUNDATION
3425 S CLARKSON ST	ENGLEWOOD	CO	80113	840404233	501(C)(3)	9000	SPONSORSHIP
COLORADO WEST REGIONAL MENTAL HEALTH
PO BOX 40	GLENWOOD SPRINGS	CO	81602	840625890	501(C)(3)	20000	PROGRAM SUPPORT
GRAND COUNTRY RURAL HEALTH NETWORK
PO BOX 95	HOS SULFUR SPRINGS	CO	80451	841587575	501(C)(3)	10000	PROGRAM SUPPORT
AMERICAN HEART ASSOCIATION
415 N TEJON SUITE 201	COLORADO SPRINGS	CO	80903	135613797	501(C)(3)	18000	PROGRAM SUPPORT
COLORADO SPRINGS SKY SOX
4385 TUTT BLVD	COLORADO SPRINGS	CO	80922	999999999	N/A	16000	SPONSORSHIP
COLORADO SPRINGS WORLD ARENA
3185 VENETUCCI BLVD	COLORADO SPRINGS	CO	80906	841264465	501(C)(3)	5500	SPONSORSHIP
FIRST & MAIN TOWNE CENTER
111 S TEJON STREET SUITE 222	COLORADO SPRINGS	CO	80903	841526427	N/A	15000	PROGRAM SUPPORT
IMG COLLEGE LLC
PO BOX 16533	PALATINE	IL	80055	273646546	N/A	5550	SPONSORSHIP
MARCH OF DIMES
421 S TEJON SUITE 311	COLORADO SPRINGS	CO	80903	131846366	501(C)(3)	5500	PROGRAM SUPPORT
NEWBORN HOPE INC
310 HIDDEN CREEK DRIVE	COLORADO SPRINGS	CO	80906	841093905	501(C)(3)	7500	SPONSORSHIP
PIKES PEAK COMMUNITY COLLEGE - FOUNDATION
PO BOX 904	COLORADO SPRINGS	CO	80903	841339670	501(C)(3)	6000	PROGRAM SUPPORT
RONALD MCDONALD HOUSE
311 N LOGAN	COLORADO SPRINGS	CO	80909	841013843	501(C)(3)	9000	SPONSORSHIP
HOMEWARD PIKES PEAK
518 N NEVADA AVE	COLORADO SPRINGS	CO	80903	134242773	501(C)(3)	10000	PROGRAM SUPPORT
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORAT DRIVE SUITE 301	COLORADO SPRINGS	CO	80919	840902211	501(C)(3)	4498698	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	16	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring use of grant funds	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	GRANTS ARE AT THE DISCRETION OF THE CHIC CEO. THE CEO MAKES REQUESTS FOR FUNDING, WHICH IS PAID OUT IN THE FORM OF A DONATION TO THE ENTITY OR USED TO REIMBURSE AN INVOICE SUBMITTED FOR AN EXPENSE FOR A SPECIFIC PURPOSE. THE MAJORITY OF THE DONEES ARE 501(C)(3) ORGANIZATIONS THAT ASSUME RESPONSIBILITY FOR ENSURING THAT THE FUNDS ARE USED IN FURTHERANCE OF THE PURPOSE OF THE GRANT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
A STEWART LEVY
774126	0	0	0	1606	0	23903	0	1263	0	800898	0	0	0
DANIEL REEVES
186864	0	45952	0	695	0	20174	0	7745	0	261430	0	0	0
DAVID THOMPSON
258699	0	52242	0	799	0	29486	0	1336	0	342562	0	0	0
DIRK PIKAART
699077	0	0	0	844	0	19003	0	1543	0	720467	0	0	0
JAMES DEAN SWINDLE CPA
0	762303	0	306056	0	23332	0	141828	0	21922	0	1255441	0	0
JAMESON SMITH
231304	0	56859	0	494	0	22865	0	15780	0	327302	0	0	0
JAY WEINSTEIN
240559	0	0	0	3521	0	19773	0	695	0	264548	0	0	0
JEFFREY BRICKMAN
165004	0	0	0	21005	0	18334	0	4957	0	209300	0	0	0
JOHN DICOLA
0	549913	0	224134	0	26944	0	117975	0	21236	0	940202	0	0
JOHN MEHALL
751482	0	0	0	1042	0	20228	0	10006	0	782758	0	0	0
JOHN NICHOLS
635214	0	0	0	3333	0	27578	0	14591	0	680716	0	0	0
MARGARET SABIN
441627	0	166481	0	67630	0	130227	0	12927	0	818892	0	62260	0
MICHAEL DREWEK
706296	0	0	0	1363	0	23903	0	13961	0	745523	0	0	0
MICHAEL ROWAN FACHE
0	967569	0	444803	0	28257	0	175879	0	19400	0	1635908	0	0
PETER MAKOWSKI
0	0	0	0	267220	0	22678	0	2821	0	292719	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Travel for companions	Schedule J, Part I, Line 1a	SENIOR VICE PRESIDENTS AND HOSPITAL CEOS ARE PAID THROUGH CENTURA HEALTH CORPORATION AND ARE ELIGIBLE FOR THE FOLLOWING BENEFITS: TRAVEL FOR COMPANIONS, HEALTH OR SOCIAL CLUB DUES, AND REIMBURSEMENT UP TO $10,000 FOR PERSONAL SERVICES SUCH AS TAX, FINANCIAL, AND ESTATE PLANNING SERVICES, ALONG WITH TAX GROSS-UP PAYMENTS FOR ANY REIMBURSEMENTS INCLUDED IN TAXABLE COMPENSATION. ALL BENEFITS ARE PROVIDED PURSUANT TO A WRITTEN POLICY GOVERNING PAYMENT AND REIMBURSEMENT, SUBSTANTIATION IS REQUIRED FOR ALL EXPENSES SUBMITTED FOR REIMBURSEMENT, AND REIMBURSEMENTS ARE INCLUDED IN TAXABLE COMPENSATION WHERE APPROPRIATE.
Tax indemnification and gross-up payments	Schedule J, Part I, Line 1a	SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
Health or social club dues or initiation fees	Schedule J, Part I, Line 1a	SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
Personal services	Schedule J, Part I, Line 1a	SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
METHODS USED TO ESTABLISH CEO COMPENSATION	SCHEDULE J, PART I, LINE 3	CATHOLIC HEALTH INITIATIVES-COLORADO'S CEO IS PAID BY CENTURA HEALTH CORPORATION (CENTURA). OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. IN ADDITION, CENTURA HAS A DEFINED SEVERANCE POLICY. SEVERANCE PAYMENTS ARE DETERMINED BASED ON A COMBINATION OF THE INDIVIDUAL'S POSITION WITHIN THE ORGANIZATION AND YEARS OF SERVICE. SEVERANCE AGREEMENTS INCLUDE LIMITATIONS WITH RESPECT TO WORKING AT COMPETING FACILITIES AND OTHER REQUIREMENTS THAT CAN CAUSE FORFEITURE OF THE SEVERANCE BENEFIT. IN ADDITION, THE AGREEMENTS RELEASE CENTURA FROM LITIGATION AND FUTURE CLAIMS AGAINST THE ORGANIZATION. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: PETER MAKOWSKI $93,437
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2011 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MICHAEL ROWAN, JAMES SWINDLE AND JOHN DICOLA. DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MICHAEL ROWAN $153,201 JAMES SWINDLE $121,600 JOHN DICOLA $ 87,947 IN ADDITION, CENTURA OFFERS A NON-QUALIFIED RETIREMENT PLAN IN WHICH SENIOR EXECUTIVES (SENIOR VPS AND ABOVE) ARE PROVIDED A 10% OF SALARY ALLOWANCE TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO THE DEFERRED COMPENSATION PLAN. IN ADDITION, A PENSION RESTORATION BENEFIT IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT WHICH IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THIS DEFERRED COMPENSATION PLAN HAS A SUBSTANTIAL RISK OF FORFEITURE PROVISION AND AN ELECTED VESTING SCHEDULE. THE FOLLOWING INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN AND RECEIVED CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2011: MARGARET SABIN $109,999 JEFFREY BRICKMAN $18,334 DURING THE CALENDAR YEAR 2011 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CENTURA FROM THE DEFERRED COMPENSATION PLAN: MARGARET SABIN $ 62,260
Non-fixed payments	Schedule J, Part I, Line 7	PARTICIPANTS IN CENTURA'S INCENTIVE COMPENSATION PLANS INCLUDE DIRECTORS AND ABOVE. PAYOUTS ARE BASED ON METRICS ESTABLISHED AND APPROVED BY CENTURA'S COMPENSATION COMMITTEE. THE METRICS INCLUDE QUANTIFIABLE MEASURES PERTAINING TO FINANCIAL PERFORMANCE, SAFETY AND QUALITY AND ASSOCIATE SATISFACTION WITH EACH METRIC WEIGHTED IN DETERMINING THE OVERALL SCORE. THE INCENTIVE COMPENSATION PAYOUT IS CALCULATED BASED ON THE CUMULATIVE SCORE FOR ALL METRICS AND THE PAYOUT IS BASED ON A COMBINATION OF THE SCORE, THE INDIVIDUAL'S BASE COMPENSATION AMOUNT AND POSITION (E.G. DIRECTOR, VICE PRESIDENT).
REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONS	SCHEDULE J, PART II	ALL KEY EMPLOYEES AND HOSPITAL CEOS ARE COMPENSATED BY CENTURA HEALTH CORPORATION, WHO MANAGES THE DAILY ACTIVITIES OF THE CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) HOSPITALS UNDER A JOINT OPERATING AGREEMENT DATED DECEMBER 8, 1995 BETWEEN THE ADVENTIST HEALTHCARE SYSTEM AND CATHOLIC HEALTH INITIATIVES. AS SUCH, THEIR SALARIES ARE PAID TO THEM BY CENTURA, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED IN THEIR CAPACITY AS KEY EMPLOYEES OR OFFICERS OF CHIC. ALL OF THEIR REPORTABLE COMPENSATION IS DISCLOSED ON FORM 990, SCHEDULE J, PART II, ROW (I) AND 990, PART VII, COLUMN (D) AS REPORTING ORGANIZATION COMPENSATION. IN ADDITION, THE CEO AND CFO OF CHIC WERE APPOINTED AS SUCH BY THE CHIC BOARD OF DIRECTORS. WHILE THEY ARE OFFICERS OF THESE ENTITIES, A VERY SMALL PORTION OF THEIR TIME IS DIRECTLY RELATED TO THE OPERATIONS OF CHIC. THEY ARE COMPENSATED BY CENTURA, WHICH IS CHARGED WITH MANAGING THE FACILITIES. THEIR RESPECTIVE COMPENSATION IS NOT REPORTED ON THE FILING ORGANIZATION'S 990 BUT IN FACT IS REPORTED IN FULL ON PART VII AND SCHEDULE J OF CENTURA HEALTH CORPORATION'S FORM 990.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
New program services	Form 990, Part III, Line 2	CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) ACQUIRED A CONTROLLING INTEREST IN ORTHOCOLORADO, LLC FROM TOTAL HEALTHCARE, A RELATED ORGANIZATION. AS A RESULT OF THE TRANSFER, CHIC REPORTS THE ALLOCATED EARNINGS IN REVENUE AND REPORTS THE HOSPITAL FACILITY ON SCHEDULE H.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF CATHOLIC HEALTH INITIATIVES-COLORADO, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER SHALL FILL ALL VACANCIES ON THE BOARD OF TRUSTEES CREATED BY REMOVAL, RESIGNATION, OR DEATH.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	CATHOLIC HEALTH INITIATIVES-COLORADO'S ("CHIC") CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5. 4.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX EXCEPT TO THE EXTENT OTHERWISE PROVIDED IN ORGANIZATION'S ARTICLES AND BYLAWS. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHIC BOARD: - APPROVE MEMBERS OF THE CHIC BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF CHIC - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CHIC - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CHIC THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CHIC - APPROVAL OF ISSUANCE OF DEBT BY CHIC - APPROVAL OF PARTICIPATION OF CHIC IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY CHIC - APPROVAL OF A MERGER INVOLVING CHIC - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHIC - TO REQUIRE THE TRANSFER OF ASSETS BY CHIC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. IN ADDITION, PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN CHI, CHIC, CENTURA HEALTH CORPORATION, AND PORTERCARE ADVENTIST HEALTH SYSTEM, CERTAIN MATTERS AFFECTING CHIC MUST BE APPROVED BY BOTH PORTERCARE AND CHI. THOSE ITEMS INCLUDE: - THE TRANSFER OF ASSETS VALUED AT OVER $1,000,000 - THE ISSUANCE OF A DEBT INSTRUMENT IN EXCESS OF $250,000 - THE AMENDMENT OF THE ORGANIZING DOCUMENTS - THE ADMISSION OF A NEW SPONSOR - A MERGER OR DISSOLUTION OR REORGANIZATION - SETTLEMENT OF LEGAL PROCEEDINGS IN EXCESS OF $2,000,000 - CAPITAL EXPENDITURES IN EXCESS OF $2,000,000
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT, INCLUDING THE CFO, FOR REVIEW. THE RETURN IS E-MAILED TO THE ENTIRE BOARD FOR REVIEW PRIOR TO FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	PROCEDURE: 1. PROCEDURE FOR CONFLICT OF INTEREST REPORTING 1.1. THE CATHOLIC HEALTH INITIATIVES-COLORADO ("CHIC") COMPLIANCE DEPARTMENT ADMINISTERS AN ANNUAL CONFLICT OF INTEREST PROCESS (USUALLY STARTING IN NOVEMBER) COLLECTING AND ASSESSING ANY POTENTIAL CONFLICTS BOARD MEMBERS AND RELATED BOARD COMMITTEE MEMBERS, MATERIALS MANAGEMENT/SUPPLY CHAIN AS WELL AS CHIC MANAGEMENT MAY HAVE. THE FOLLOWING PROCESS IS FOLLOWED: 1.1.1. A COVER LETTER ALONG WITH THE CONFLICTS OF INTEREST POLICY AND THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT ARE AUTOMATICALLY GENERATED AND DISTRIBUTED VIA EMAIL UTILIZING THE COMPLY TRACK SURVEY MANAGER TOOL. FOR THOSE WITHOUT EMAIL ADDRESSES, THE DOCUMENTS ARE SENT VIA US MAIL. 1.1.2. A REQUEST IS MADE TO COMPLETE THE DISCLOSURE STATEMENT FROM ONLINE AND SUBMIT AN ELECTRONIC SIGNATURE USING THE SURVEY TOOL. FOR THOSE WITHOUT AN EMAIL ADDRESS, A REQUEST IS MADE TO FAX OR MAIL ORIGINALS TO THE COMPLIANCE DEPARTMENT. 1.1.3. A REPORT IS COMPILED IDENTIFYING ALL REPORTED POTENTIAL CONFLICTS, NO RESPONSES AND NO NOTED CONFLICTS. 1.1.4. THE REPORT IS REVIEWED FOR POTENTIAL CONFLICTS AND CATEGORIZED BY TYPE OF CONFLICT. 1.1.5. A MEMO IS DISTRIBUTED TO EACH FACILITY CEO AND CFO ALONG WITH REPORTED CONFLICTS FOR PROCESSING AND RELEVANT ACTION OR FOLLOW UP. THE CEO OR CFO, ON BEHALF OF THE CEO, WILL DISTRIBUTE INFORMATION ABOUT SPECIFIC CONFLICTS TO RELEVANT DEPARTMENT MANAGEMENT FOR CONSIDERATION IN FUTURE BUSINESS DEALINGS/NEGOTIATIONS. 1.1.6. THE REPORT IS SHARED WITH THE CHIC BOARD FOR INFORMATION, DISCUSSION, AND POSSIBLE ACTION RELATIVE TO SPECIFIC CONFLICTIVE SITUATIONS. 2. PROCEDURE FOR DISCLOSURE 2.1. WHENEVER ANY MATTER COMES BEFORE A MEETING OF THE BOARD, A BOARD COMMITTEE MANAGEMENT OR MATERIALS MANAGEMENT/SUPPLY CHAIN THAT GIVES RISE TO A POTENTIAL CONFLICT OF INTEREST, THE FOLLOWING PROCEDURES SHALL APPLY: 2.1.1. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD, COMMITTEE MEETING OR MANAGEMENT MEETING BUT AFTER SUCH PRESENTATION, HE/SHE SHALL, IF REQUESTED BY THE BOARD OR COMMITTEE, LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. 2.1.2. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. 2.1.3. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER CHIC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 2.1.4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN CHIC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO CHIC AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 2.1.5. FOR TRANSACTIONS THAT ARE NEGOTIATED BY CHIC MANAGEMENT AND MATERIALS MANAGEMENT/SUPPLY CHAIN AND WHICH ARE NOT REQUIRED TO BE REPORTED TO THE BOARD, EACH MANAGER WILL TAKE PRECAUTIONS TO ENSURE THERE IS NO CONFLICT OR THE APPEARANCE OF A CONFLICT RELATIVE TO THE BUSINESS NEGOTIATIONS AND TRANSACTION. IF A CONFLICT, OR THE APPEARANCE OF A CONFLICT EXISTS, THE INTERESTED PERSON WILL REMOVE HIMSELF/HERSELF OR OTHER INTERESTED PARTY FROM THE NEGOTIATION/TRANSACTION. 3. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 3.1. IF THE BOARD, COMMITTEE OR CHIC MANAGEMENT HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INTERESTED PERSON TO DISCLOSE. 3.2. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD, COMMITTEE OR CHIC MANAGEMENT DETERMINES THAT THE INTERESTED PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. 4. RECORDS OF PROCEEDINGS 4.1. THE MINUTES OF THE BOARD AND ANY COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN: 4.1.1. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. 4.1.2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH AND A RECORD THAT THE PERSON(S) WITH A CONFLICT OF INTEREST DID NOT PARTICIPATE IN THE VOTE. 4.1.3. FOR BUSINESS TRANSACTIONS BEING NEGOTIATED OUTSIDE OF THOSE REQUIRED TO BE REPORTED TO THE BOARD AND ANY COMMITTEES, THE COMPLIANCE DEPARTMENT SHALL MAINTAIN DOCUMENTATION AS TO THE RESOLUTION AND APPROPRIATENESS OF ANY POTENTIAL CONFLICT RELATIVE TO MANAGEMENT AND MATERIALS MANAGEMENT/SUPPLY CHAIN ASSOCIATES CONDUCTING BUSINESS ON BEHALF OF CHIC. 5. COMPENSATION 5.1. A VOTING MEMBER OF A BOARD OR A BOARD COMMITTEE WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM CHIC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 5.2. A PHYSICIAN WHO IS A VOTING MEMBER OF A BOARD OR BOARD COMMITTEE AND RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM CHIC FOR SERVICES IS PRECLUDED FROM DISCUSSING AND VOTING ON MATTERS PERTAINING TO THAT MEMBER AND OTHER PHYSICIANS' COMPENSATION. NO PHYSICIAN OR PHYSICIAN BOARD MEMBER OR COMMITTEE MEMBER, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO THE BOARD OR BOARD COMMITTEE REGARDING PHYSICIAN COMPENSATION. 6. ANNUAL STATEMENTS 6.1. ALL INTERESTED PERSONS MUST COMPLETE A DISCLOSURE STATEMENT ANNUALLY. THIS DISCLOSURE STATEMENT MAY BE MODIFIED FROM TIME TO TIME AS DEEMED APPROPRIATE. THE VICE PRESIDENT OF CHIC COMPLIANCE IS RESPONSIBLE FOR CIRCULATING, ENSURING COMPLETION OF THE DISCLOSURE STATEMENT BY ALL INTERESTED PERSONS OF CHIC, AND REPORTING THE RESULTS TO THE CHIC HEALTH BOARD. 7. PERIODIC REVIEWS 7.1. ANNUALLY, INTERNAL AUDIT WILL REVIEW COMPENSATION AND FINANCIAL ARRANGEMENTS FOR POTENTIAL CONFLICTS OF INTEREST.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT/OFFICERS/KEY EMPLOYEES	FORM 990, PART VI, LINE 15	THE ORGANIZATION'S CEO AND OFFICERS ARE EMPLOYED BY CENTURA HEALTH CORPORATION ("CENTURA"). OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS ANALYSES OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP. FOR THOSE REPORTABLE INDIVIDUALS (I.E. BOARD MEMBERS) WHOSE COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES ("CHI"), THEIR COMPENSATION WAS SET BY A COMPENSATION COMMITTEE UTILIZING AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION AMOUNTS THAT WERE BOARD APPROVED AND PAID TO THEM IN ACCORDANCE WITH A WRITTEN CONTRACT.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	SEE ABOVE
EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS	FORM 990, PART VI, LINE 16B	CATHOLIC HEALTH INITIATIVES-COLORADO HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT: (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE'S WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)	COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -942836; CAPITAL RESOURCE POOL CONTRIBUTION - -6919596; TRANSFERS FROM AFFILIATES - 7856542;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROAD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	3	CHI	true
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	true
ALVERNA APARTMENTS
300 SE 8TH AVENUE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	9	CHI	true
APPLETREE COURT
601 OAK STREET	BRECKENRIDGE	MN	56520	411850500	SENIOR HOMES	MN	501(C)(3)	9	SFH	true
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	true
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREET	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	9	NA	true
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	7	CHIC	true
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	9	CHI	true
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	3	CHI	true
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	263946191	PHYSICIANS	OR	501(C)(3)	9	MMC	true
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	true
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY	FARGO	ND	58104	271966847	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	true
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI 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 - Type II	SCHS	true
SAINT CLARE'S FOUNDATION INC
25 POCONO ROAD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	true
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	true
SAINT CLARE'S HOSPITAL
25 POCONO ROAD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	true
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	true
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	true
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	true
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREET	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160	LEXINGTON	KY	40509	611334601	HEALTHCARE	KY	501(C)(3)	3	CHI	true
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREET	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
SAINT JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVE	LEXINGTON	KY	40504	311539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	true
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUE	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVD	DAYTON	OH	45408	020633634	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	311107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SJMGROUP
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTH	PA	501(C)(3)	11 - Type I	CHI	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	930433692	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVE SW SUITE 3000	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
305 ESTILL STREET	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVE	TOWSON	MD	21204	521681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVE	TOWSON	MD	21204	521311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	true
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
THE COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	DIALYSIS	OH	501(C)(2)	N/A	GSH	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	7	MHDL	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	470780857	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 2ND STREET SE	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	450226714	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

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

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ORTHOCOLORADO LLC
R	580800	FMV
ST FRANCIS LAND COMPANY
R	137700	FMV
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
C	8897889	FMV
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
B	4498698	FMV