2013-05-13T12:00:33-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 840405257 CATHOLIC HEALTH INITIATIVES-COLORADO CATH 3032906500 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 DAN ENDERSON 2013-05-08 true KIMBERLY STEENHOEK P01201968 3032989100 2011 2016-02-24 21:20:13Z GARY CAMPBELL 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 1542245335 false 0928 X WWW.CENTURA.ORG X 1968 CO 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. 3 0 10299 1900 4802678 0 10805004 10136677 1339434965 1500983983 10958185 11765511 14105541 16352093 1375303695 1539238264 5689976 5498403 0 0 492351983 549501123 0 0 0 833835072 904348698 1331877031 1459348224 43426664 79890040 1509772213 1598067497 412376624 420787758 1097395589 1177279739 X 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. true false 1234581581 5498403 1500983983 SEE SCHEDULE H 1234581581 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 10299 true true true false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true false true true false X KYLE ENGMAN 3038048108 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 X JAMES DEAN SWINDLE CPA 1.00 X 0 1091691 163750 JOHN DICOLA 1.00 X 0 800991 139211 MICHAEL ROWAN FACHE 1.00 X 0 1440629 195279 DAN ENDERSON 1.00 X 0 0 0 GARY CAMPBELL 1.00 X 0 0 0 KRIS ORDELHEIDE 1.00 X 0 0 0 DANIEL REEVES 40.00 X 233511 0 27919 DAVID THOMPSON 40.00 X 311740 0 30822 JAMESON SMITH 40.00 X 288657 0 38645 JAY WEINSTEIN 40.00 X 244080 0 20468 JEFFREY BRICKMAN 40.00 X 186009 0 23291 MARGARET SABIN 40.00 X 675738 0 143154 A STEWART LEVY 40.00 X 775732 0 25166 DIRK PIKAART 40.00 X 699921 0 20546 JOHN MEHALL 40.00 X 752524 0 30234 JOHN NICHOLS 40.00 X 638547 0 42169 MICHAEL DREWEK 40.00 X 707659 0 37864 PETER MAKOWSKI 0.00 X 267220 0 25499 5781338 3333311 964017 413 true true true 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 36 9007741 533796 595140 10136677 PATIENT SERVICES 900099 1480885809 1480885809 EQUITY 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PROVIDER TAX 85889637 85889637 DUES & SUBSCRIPTIONS 2180390 1744312 436078 3031213 2789556 241657 0 1459348224 1234581581 224766643 0 0 37692746 62455198 61741 112871 184530506 209016240 10155462 10615215 28690520 28474709 2507893 5480036 1630286653 616244128 1017611741 1014042525 33206679 74054526 26517305 26188845 5577719 12215676 163219901 155411656 1509772213 1598067497 159860970 150791460 7743375 7512813 40454 244731825 262483485 412376624 420787758 X 1097375368 1177259518 10221 10221 10000 10000 1097395589 1177279739 1509772213 1598067497 X 79890040 -5890 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 56417 false false false 56417 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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 64834294 64834294 8686856 1048091856 311463507 745315205 0 149426 460664139 290698620 170114945 47860082 14082001 33778081 1014042525 INV IN UNCONSOLIDATED ORGS 92593384 OCH CAPITAL LEASE 47356661 ASSETS HELD FOR SALE 9586328 PARKING GARAGE EASEMENT 5875000 MISCELLANEOUS ASSETS 283 155411656 0 LIFECARE CONTRACT TERMINATIONS 1054267 FUTURE SERVICE OBLIGATION 104547 INTERCOMPANY PAYABLES 241384488 WORKERS COMP/UE CLAIMS LIAB. 154032 ENVIRONMENTAL REMEDIATION 7884237 ST. ANTHONY NORTH MEDICAL OFFICE BUILDING 11889312 OTHER LIABILITIES 12602 262483485 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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. true true X true X true X true true true false true true 73389787 9516114 63873673 0.04660 106461032 56195825 50265207 0.03670 36580323 30646141 5934182 0.00430 0 0 216431142 96358080 120073062 0.08760 4633461 4740 4628721 0.00340 7975788 7975788 0.00580 2189258 29873 2159385 0.00160 7307 7307 0.00000 421734 421734 0.00030 0 0 15227548 34613 15192935 0.01110 0 0 231658690 96392693 135265997 0.09870 0 0.00000 0 0.00000 134805 134805 0.00010 0 0.00000 2218 2218 0.00000 1654 1654 0.00000 830 830 0.00000 156613 156613 0.00010 0 0.00000 0 0 296120 0 296120 0.00020 true 89726540 0 377665236 487939602 -110274366 X true true ORTHOCOLORADO LLC HOSPITAL 0.6 0 0.4 9 1 ST MARY-CORWIN MEDICAL CENTER

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PRIMARY CARE/URGENT CARE/ER 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. true 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) 415562 BOOK EXPIRED SUPPLIES PROGRAM SUPPORT 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 16 5 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X X X X true true true true false false false false false true false 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 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. 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; 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 - 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