CARRINGTON HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CARRINGTON HEALTH CENTER (EIN 45-0227311)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201321349349304607
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T14:00:09-05:00	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	450227311	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARRINGTON HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARR	NameControl
Phone	7016523141	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 North 4th Street	AddressLine1
City	Carrington	City
State	ND	State
ZIP Code	58421	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JENNIFER HOORNAERT	Name
Title	CONTROLLER	Title
Date Signed	2013-05-14	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	MARIANN DOELING	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 N 4th St	AddressLine1
City	Carrington	City
State	ND	State
ZIP Code	58421	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	17802662	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	CARRINGTONHEALTHCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1916	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	TO STRIVE TO BE THE BEST HOSPITAL IN NORTH DAKOTA BY PROVIDING THE HIGHEST QUALITY OF CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	195	TotalNbrEmployees
Total Nbr Volunteers	163	TotalNbrVolunteers
Total Gross UBI	165	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	347857	ContributionsGrantsPriorYear
Contributions Grants Current Year	183665	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	14390684	ProgramServiceRevenuePriorYear
Program Service Revenue CY	15775847	ProgramServiceRevenueCY
Investment Income Prior Year	279414	InvestmentIncomePriorYear
Investment Income Current Year	192005	InvestmentIncomeCurrentYear
Other Revenue Prior Year	332815	OtherRevenuePriorYear
Other Revenue Current Year	1651145	OtherRevenueCurrentYear
Total Revenue Prior Year	15350770	TotalRevenuePriorYear
Total Revenue Current Year	17802662	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	7293	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	10366	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7750554	SalariesEtcPriorYear
Salaries Etc Current Year	8028560	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	149177	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6417322	OtherExpensePriorYear
Other Expenses Current Year	7702438	OtherExpensesCurrentYear
Total Expenses Prior Year	14175169	TotalExpensesPriorYear
Total Expenses Current Year	15741364	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1175601	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2061298	RevenuesLessExpensesCY
Total Assets BOY	10000949	TotalAssetsBOY
Total Assets EOY	10579513	TotalAssetsEOY
Total Liabilities BOY	2010545	TotalLiabilitiesBOY
Total Liabilities EOY	765358	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	7990404	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	9814155	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	12490495	Expense
Grants	10366	Grants
Revenue	15775847	Revenue
Description	SEE SCH H	Description
Total Program Service Expense	12490495	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	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	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	false	GrantsToOrganizations
Grants To Individuals	true	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	true	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	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	23	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	195	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	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	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7016527178	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 North 4th Street	AddressLine1
City	Carrington	City
State	ND	State
ZIP Code	58421	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	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
ELLA GUTZKE
VICE CHAIR	1.00	X	X	0	0	0
MARIANN DOELING
PRESIDENT / CEO	40.00	X	X	0	224674	48710
MICHAEL MURPHY
BOARD CHAIR	1.00	X	X	0	0	0
DOUGLAS HARILDSTAD
BOARD MEMBER	1.00	X		0	0	0
JEFF PEPPLE
BOARD MEMBER	1.00	X		0	0	0
JEFFREY DROP
BOARD MEMBER / CHI SVP DIVISION OFFICER	1.00	X		0	540927	82538
KATHY HENDRICKSON
BOARD MEMBER	1.00	X		0	0	0
LORI SOLBERG
BOARD MEMBER	1.00	X		0	0	0
RENEE RIEDESEL
BOARD MEMBER	1.00	X		0	0	0
SCOTT BUCHHOLTZ
BOARD MEMBER (PARTIAL YEAR)	1.00	X		0	0	0
SHARON ALTENDORF
BOARD MEMBER	1.00	X		0	0	0
SR MAUREEN WALKER
BOARD MEMBER (PARTIAL YEAR)	1.00	X		0	0	0
JENNIFER HOORNAERT
CONTROLLER	40.00		X	82136	0	6240
INDER KHOKHA
PHYSICIAN	40.00			445475	0	28460	X
JACQUELINE NELSON
PHYSICIAN ASSISTANT	40.00			136643	0	11650	X
MICHAEL PAGE
PHYSICIAN	40.00			361671	0	39716	X
RICK GEIER
PHYSICIAN	40.00			448201	0	37266	X
TODD SCHAFFER
PHYSICIAN	40.00			378253	0	23289	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1852379	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	765601	TotalReportableCompFrmRltdOrgs
Total Other Compensation	277869	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CENTRAL DAKOTA PHYSICAL THERAPY PC
800 N 4TH ST	CARRINGTON	ND	58421	PHYSICAL THERAPY	462152
DMS HEALTH TECHNOLOGIES
SCS 12-2208 PO BOX 86	MINNEAPOLIS	MN	554862208	NUCLEAR MED, MRI	212527
MCKESSON INFORMATION SOLUTIONS
PO BOX 98347	CHICAGO	IL	606930001	BILLING SERVICES	173976
R C SHEFLAND ANESTHESIA LTD
27040 COUNTY 9	BEMIDJI	MN	566019005	CRNA SERVICES	110453
AVERA HEALTH
3900 WEST AVERA DR SUITE 301	SIOUX FALLS	SD	57108	EMERGENCY CARE SPECIALTY SERVICES	104652

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	55650	GovernmentGrants
All Other Contributions	128015	AllOtherContributions
Total Contributions	183665	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	15703267	15703267
RENTAL INCOME	900099	66546	66546
EMERGENCY MEDICAL SERVICES	621910	5300	5300
INTERCOMPANY REVENUES	900099	734	734

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	15775847	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	119395	TotalRevenueColumn
Unrelated Business Revenue	165	UnrelatedBusinessRevenue
Exclusion	$119,230	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

Rental Income Or Loss RentalIncomeOrLoss

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	63810	Securities
Other	8800	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	63810	Securities
Other	8800	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	72610	TotalRevenueColumn
Exclusion	$72,610	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	56249	GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	56249	TotalRevenueColumn
Exclusion	$56,249	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
PHARMACY SERVICES	446110	1203461	$1,203,461
SERVICES SOLD	900099	357516	$357,516
CAFETERIA	722100	14636	$14,636

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19283	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$19,283	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1594896	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	17802662	TotalRevenueColumn
Related Or Exempt Function Income	15775847	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	165	UnrelatedBusinessRevenue
Exclusion	$1,842,985	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4284	Total
Program Services	4284	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	6082	Total
Program Services	6082	ProgramServices

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	91955	Total
Management And General	91955	ManagementAndGeneral

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	6482806	Total
Program Services	5959831	ProgramServices
Management And General	473784	ManagementAndGeneral
Fundraising	49191	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	329444	Total
Program Services	298631	ProgramServices
Management And General	28348	ManagementAndGeneral
Fundraising	2465	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	721312	Total
Program Services	653848	ProgramServices
Management And General	62067	ManagementAndGeneral
Fundraising	5397	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	403043	Total
Program Services	365347	ProgramServices
Management And General	34681	ManagementAndGeneral
Fundraising	3015	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

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	3319948	Total
Program Services	1692701	ProgramServices
Management And General	1614586	ManagementAndGeneral
Fundraising	12661	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	18875	Total
Program Services	11672	ProgramServices
Management And General	6665	ManagementAndGeneral
Fundraising	538	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	540863	Total
Program Services	401361	ProgramServices
Management And General	70615	ManagementAndGeneral
Fundraising	68887	Fundraising

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	193226	Total
Program Services	133673	ProgramServices
Management And General	58909	ManagementAndGeneral
Fundraising	644	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	107457	Total
Program Services	81610	ProgramServices
Management And General	21641	ManagementAndGeneral
Fundraising	4206	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	50	Total
Management And General	50	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	17491	Total
Program Services	17491	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	477180	Total
Management And General	477180	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	467886	Total
Program Services	357898	ProgramServices
Management And General	109894	ManagementAndGeneral
Fundraising	94	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	48190	Total
Program Services	37345	ProgramServices
Management And General	10845	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	1667206	1667044	162
BAD DEBT EXPENSE	644617	644617
REPAIRS AND MAINTENANCE	70554	58829	11592	133
RECRUITMENT	51010	51010

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	77885	Total
Program Services	47221	ProgramServices
Management And General	28718	ManagementAndGeneral
Fundraising	1946	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	15741364	Total
Program Services	12490495	ProgramServices
Management And General	3101692	ManagementAndGeneral
Fundraising	149177	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	26960	BOY
EOY	20189	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	818180	BOY
EOY	987385	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1858277	BOY
EOY	1875308	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	91613	BOY
EOY	51322	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	13599	BOY
EOY	8861	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	228615	BOY
EOY	344485	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	16098	BOY
EOY	12673	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10408474	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8096672	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2378628	BOY
EOY	2311802	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4568979	BOY
EOY	4908736	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	58752	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10000949	BOY
EOY	10579513	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1440986	BOY
EOY	560351	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	569559	BOY
EOY	205007	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2010545	BOY
EOY	765358	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7751383	BOY
EOY	9656613	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	239021	BOY
EOY	157542	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7990404	BOY
EOY	9814155	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10000949	BOY
EOY	10579513	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2061298	ReconcilationRevenueExpenses
Reconcilation Other Changes	-237547	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$1,074	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	1074	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	1F. THE PORTION OF ORGANIZATIONAL DUES THAT ARE RELATED TO LOBBYING IS AS FOLLOWS: - AMERICAN HOSPITAL ASSOCIATION - $286 - CATHOLIC HEALTH ASSOCIATION - $127 - NORTH DAKOTA LONG TERM CARE ASSOCIATION - $149 - NORTH DAKOTA HEALTHCARE ASSOCIATION - $512	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	346958	OtherCostOrOtherBasis
Book Value	346958	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5804091	OtherCostOrOtherBasis
Depreciation	4964574	Depreciation
Book Value	839517	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4012397	OtherCostOrOtherBasis
Depreciation	2911453	Depreciation
Book Value	1100944	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	245028	OtherCostOrOtherBasis
Depreciation	220645	Depreciation
Book Value	24383	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2311802	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

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

Closely Held Equity Interests CloselyHeldEquityInterests

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

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME	2446106	F
CHI OIP - EQUITY SECURITIES	2462630	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	4908736	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLE	$11,795
CHI DEBT PROGRAM	$193,212

Field	Value	IRS element (for citing)
Total Of Amounts	205007	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	CARRINGTON MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	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	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
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)
Persons Served	304	PersonsServed
Total Community Benefit Expense	168228	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	168228	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	419	PersonsServed
Total Community Benefit Expense	68301	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	68301	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	723	PersonsServed
Total Community Benefit Expense	236529	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	236529	NetCommunityBenefitExpense
Percent Of Total Expense	0.01560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Persons Served	1875	PersonsServed
Total Community Benefit Expense	45337	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	45237	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	55	PersonsServed
Total Community Benefit Expense	30889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	30889	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	262569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	262569	NetCommunityBenefitExpense
Percent Of Total Expense	0.01740	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	19299	PersonsServed
Total Community Benefit Expense	97847	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	97847	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	54	NumberOfActivitiesOrPrograms
Persons Served	21229	PersonsServed
Total Community Benefit Expense	436642	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	436542	NetCommunityBenefitExpense
Percent Of Total Expense	0.02890	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	54	NumberOfActivitiesOrPrograms
Persons Served	21952	PersonsServed
Total Community Benefit Expense	673171	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	673071	NetCommunityBenefitExpense
Percent Of Total Expense	0.04450	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	392	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	392	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	99	PersonsServed
Total Community Building Expense	525	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	525	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	5632	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5632	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	716	PersonsServed
Total Community Building Expense	3188	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3188	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	197	PersonsServed
Total Community Building Expense	4957	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4957	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	72	PersonsServed
Total Community Building Expense	7915	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7915	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
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	28	NumberOfActivitiesOrPrograms
Persons Served	1092	PersonsServed
Total Community Building Expense	22609	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	22609	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$644,617	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	6680965	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6624805	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	56160	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
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARRINGTON HEALTH CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	800 NORTH FOURTH STREET	AddressLine1
City	CARRINGTON	City
State	ND	State
ZIP Code	58421	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FOSTER COUNTY MEDICAL CENTER
820 5TH STREET NORTH	CARRINGTON	ND	58421	PROVIDER BASED RHC
COMMUNITY HEALTH CENTER
118 1ST STREET	NEW ROCKFORD	ND	58356	PROVIDER BASED RHC
HOLY FAMILY VILLA
878 5TH STREET NORTH	CARRINGTON	ND	58421	BASIC CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO CARRINGTON HEALTH CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. CARRINGTON HEALTH CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/12 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, $15,672,032 /$27,600,503 RESULTS IN A 56.78% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	644,617
Subsidized Health Services	Schedule H, Part I, Line 7g	INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING PHYSICIAN CLINICS: FOSTER COUNTY MEDICAL CENTER COMMUNITY HEALTH CENTER OF NEW ROCKFORD
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE AMOUNT REPORTED ON THE SCHEDULE H, PART III, LINES 2 AND 3 ARE THE SAME AMOUNTS REPORTED FOR BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS. PLEASE REFER TO THE FINANCIAL STATEMENT FOOTNOTE BELOW FOR INFORMATION REGARDING THE METHODOLOGY USED TO DETERMINE AND REPORT BAD DEBT EXPENSE. CARRINGTON HEALTH CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. CARRINGTON HEALTH CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS 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	CARRINGTON HEALTH CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, CARRINGTON HEALTH CENTER, DUE TO ITS DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, CARRINGTON HEALTH CENTER WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $6,776,148 TOTAL MEDICARE COSTS: $6,840,873 SHORTFALL ($64,725) CARRINGTON HEALTH CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	CARRINGTON HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES ("CHI"). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. OTHER IMPERMISSIBLE COLLECTION TACTICS. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS ("RECOURSE INDEBTEDNESS"); AND NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 9	(1) CARRINGTON HEALTH CENTER - HUD LOW INCOME GUIDELINES USED;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 10	(1) CARRINGTON HEALTH CENTER - HUD LOW INCOME GUIDELINES USED;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 19d	(1) CARRINGTON HEALTH CENTER - CARRINGTON HEALTH CENTER USED A SELF-PAY DISCOUNT RATE BASED ON THE AVERAGE MANAGED CARE CONTRACTUAL ALLOWANCE RATE FOR THE MOST RECENT FISCAL YEAR.;
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION, AND PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI	INTRODUCTION: I.ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE THE CARRINGTON HOSPITAL ASSOCIATION CHARTED ON SEPTEMBER 23, 1915, AND BUILT THE ORIGINAL HOSPITAL IN 1916. IN 1941, THE HOSPITAL WAS LEASED TO THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY OF THE DIOCESE OF FARGO, ND. FULL OWNERSHIP WAS TRANSFERRED TO THE PRESENTATION SISTERS IN 1970. CARRINGTON HEALTH CENTER IS COMPRISED OF A HOSPITAL, BUILT IN 1955, CURRENTLY USED FOR AUXILIARY AND GIFT SHOP, PHYSICAL THERAPY, AND ADMINISTRATION; A RURAL HEALTH CLINIC, A BASIC CARE FACILITY BUILT IN 1964, AND A NEW HOSPITAL COMPLEX BUILT IN 1986 COMPLETE THE CAMPUS. THE PRESENTATION SISTERS JOINED THE CATHOLIC HEALTH CORPORATION OF OMAHA IN 1980; IN 1996, THE CATHOLIC HEALTH CORPORATION CONSOLIDATED WITH TWO OTHER CATHOLIC HEALTH SYSTEMS, THE SISTERS OF CHARITY HEALTH CARE SYSTEM, INC., CINCINNATI, AND THE FRANCISCAN HEALTH SYSTEM, ASTON, PA, TO FORM A NEW CORPORATION, CATHOLIC HEALTH INITIATIVES. THE MISSION OF CARRINGTON HEALTH CENTER AND CATHOLIC HEALTH INITIATIVES IS "TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES." CHI'S VISION IS TO LIVE UP TO OUR NAME AS ONE CHI. CATHOLIC: LIVING OUR MISSION AND CORE VALUES. HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY CARRINGTON HEALTH CENTER'S GOAL IS TO BE KNOWN AS ONE OF THE BEST CRITICAL ACCESS HOSPITALS IN NORTH DAKOTA THAT GIVES THE HIGHEST QUALITY OF PATIENT CARE. THE PRIMARY TAX-EXEMPT PURPOSE OF CARRINGTON HEALTH CENTER IS TO PROVIDE HEALTHCARE SERVICES TO RESIDENTS IN THE COMMUNITY AND SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. CARRINGTON HEALTH CENTER IS IN A RURAL AREA AND IS A CRITICAL CARE ACCESS HOSPITAL. CARRINGTON HEALTH CENTER PROVIDES A WIDE ARRAY OF HEALTH SERVICES FOR OUR AREA INCLUDING CRITICAL ACCESS HOSPITAL, EMERGENCY CARE, TRAUMA LEVEL 5, AMBULANCE SERVICES, ACUTE CARE, SWING BED, GENERAL SURGERY, PATIENT EDUCATION, PHARMACY, RADIOLOGY, LABORATORY SERVICES, PHYSICAL THERAPY, OCCUPATION THERAPY, SPEECH THERAPY, MONITORED CORONARY CARE, RESPIRATORY THERAPY, CANCER TREATMENTS, SAME-DAY SURGERY, ULTRASOUND, DEXA SCANS, CT SCANNING, ELECTROCARDIOGRAPHY, DIETETIC COUNSELING, MAMMOGRAPHY, A BASIC CARE FACILITY, AND FULL CLINIC AND OUTREACH CLINIC IN EDDY COUNTY WITH THREE PHYSICIANS, A GENERAL SURGEON, THREE PHYSICIAN ASSISTANTS AND MANY OUTREACH SPECIALISTS THAT PROVIDE NEEDED LOCAL SERVICES FOR WHICH OUR PATIENTS WOULD OTHERWISE HAVE THE INCONVENIENCE OF TRAVELING LONG DISTANCE TO RECEIVE. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT PROMOTE A HEALTHY COMMUNITY AND EACH YEAR THOSE SERVICES SEEM TO EXPAND IN SOME FORM. CARRINGTON HEALTH CENTER ASSISTS IN ADDRESSING THE SPIRITUAL AND EMOTIONAL NEEDS BY PROVIDING MISSION AND SPIRITUAL CARE, WELLNESS AND DISEASE MANAGEMENT AND A SOCIAL SERVICE DEPARTMENT FOR THOSE NEEDING GUIDANCE AND HELP. A CLINICAL PSYCHOLOGIST IS ONE OF THE SPECIALISTS BASED AT CARRINGTON HEALTH CENTER'S CAMPUS. CARRINGTON HEALTH CENTER HAS A GOVERNING BOARD OF DIRECTORS WHOSE MEMBERSHIP INCLUDES FOUR REPRESENTATIVES FROM CARRINGTON AND THE IMMEDIATE SURROUNDING AREA, ONE REPRESENTATIVE FROM NEW ROCKFORD WHERE A SATELLITE CLINIC IS LOCATED, AND ONE REPRESENTATIVE FROM FESSENDEN. ALSO ON THE BOARD ARE TWO WOMEN FROM OUR RELIGIOUS FOUNDING ORDER, THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY. CARRINGTON HEALTH CENTER ALSO HAS A QUALITY COMMITTEE-PATIENT FAMILY ADVISORY COUNCIL AND A FOUNDATION ADVISORY COUNCIL. II. COMMUNITY BENEFIT APPROACH CARRINGTON HEALTH CENTER ("CHC") IS LOCATED IN CARRINGTON, ND, FOSTER COUNTY. SURROUNDING COUNTIES SERVED BY CHC INCLUDE EDDY COUNTY, A PORTION OF WELLS COUNTY, AND NELSON COUNTY, THE LAST TWO OF WHICH HAVE A MEDICAL CENTER IN THEIR COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU ESTIMATED CENSUS FOR 2011, THESE THREE COUNTIES HAVE A TOTAL AREA OF 2,536 SQUARE MILES AND A POPULATION OF APPROXIMATELY 9,958 PEOPLE, A SLIGHT INCREASE FROM 2010 CENSUS OF 9,935. THE RACIAL MAKEUP OF THE COUNTIES WAS 97.6% WHITE. THE NUMBER OF HOUSEHOLDS DECREASED FROM 4,806 IN 2010 TO 4,601 IN 2011. CENSUS STATISTICS SHOW 20% OF THE POPULATION INCLUDES CHILDREN UNDER THE AGE OF 18 AND 24.8% OF RESIDENTS 65 YEARS OF AGE AND OLDER. THE MEDIAN AGE WAS 43 YEARS. THE MEDIAN HOUSEHOLD INCOME IN THE THREE COUNTIES DECREASED FROM $42,532 IN 2010 TO $39,869 IN 2011. IN ADDITION, THE POPULATION BELOW THE POVERTY LINE DECREASED FROM 11.26% IN 2010 TO 10.9% IN 2011. ACCORDING TO HRSA (HEALTH RESOURCES AND SERVICE ADMINISTRATION), DEPARTMENT OF HEALTH & HUMAN SERVICES, AND THE CENTER FOR RURAL HEALTH - UND, CARRINGTON HEALTH CENTER IS IN A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA, A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA, AND A MEDICALLY UNDERSERVED AREA/POPULATION. HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) ARE DESIGNATED BY HRSA AS HAVING SHORTAGES OF PRIMARY MEDICAL CARE, DENTAL OR MENTAL HEALTH PROVIDERS AND MAY BE GEOGRAPHIC (A COUNTY OR SERVICE AREA), DEMOGRAPHIC (LOW INCOME POPULATION), OR INSTITUTIONAL (COMPREHENSIVE HEALTH CENTER, FEDERALLY QUALIFIED HEALTH CENTER OR OTHER PUBLIC FACILITY). MEDICALLY UNDERSERVED AREAS/POPULATIONS ARE AREAS OR POPULATIONS DESIGNATED BY HRSA AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, AND/OR HIGH ELDERLY POPULATION. NATIONALLY, COUNTIES WITH THIS DESIGNATION HAVE THE LOWEST PRIMARY CARE PHYSICIAN SUPPLY, THE LOWEST PERCENTAGE OF RURAL ADULTS WITH A REGULAR PRIMARY CARE PROVIDER, AND ARE THE MOST LIKELY TO FOREGO NEEDED HEALTH CARE DUE TO COST. BASED ON 2010 CENSUS, FOSTER COUNTY AND SURROUNDING SERVICE AREAS ARE ALSO DESIGNATED AS FRONTIER IN THE NORTH DAKOTA FRONTIER COUNTIES (LESS THAN 6 PERSONS PER SQUARE MILE). FRONTIER AREAS FACE EVEN GREATER CHALLENGES IN PROVIDING ACCESS TO HEALTH AND HUMAN SERVICES THAN THE CHALLENGES FACED BY LESS ISOLATED RURAL COMMUNITIES. ACCESS TO AN ADEQUATE SUPPLY OF HEALTH CARE PROVIDERS IS A CONCERN IN BOTH NORTH DAKOTA AND NATIONALLY. BY 2012, SEVEN OF THE TOP TEN FASTEST GROWING OCCUPATIONS ACROSS THE NATION ARE PROJECTED TO BE IN HEALTH CARE. CENTER FOR RURAL HEALTH PROJECTIONS INDICATE THAT BY 2020, ABOUT ONE-THIRD OF THE STATE'S PHYSICIANS WILL BE AT A LIKELY AGE OF RETIREMENT, WITH THE PERCENTAGE BEING SLIGHTLY LOWER FOR PRIMARY CARE IN COMPARISON TO NON-PRIMARY CARE. ABOUT 90 PERCENT OF NORTH DAKOTA PHYSICIANS ARE LOCATED IN THE TEN LARGEST CITIES; OVER 83 PERCENT OF THE PRIMARY CARE PHYSICIANS ARE LOCATED IN THOSE CITIES. HOWEVER, ACCORDING TO THE USDA ECONOMIC RESEARCH SERVICE, THE 2009 POPULATION ESTIMATE FOR NORTH DAKOTA RECORDED 51 PERCENT OF THE STATE'S POPULATION AS RURAL; THUS, ABOUT NINE OUT OF TEN PHYSICIANS ARE PRACTICING IN ESSENTIALLY URBAN AREAS OF THE STATE, AND ABOUT FIVE OUT OF TEN NORTH DAKOTANS ARE EITHER URBAN OR RURAL. REGARDING OTHER HEALTH CARE DISCIPLINES, JOB SERVICE OF NORTH DAKOTA EXPECTS SIGNIFICANT GROWTH (OVER TEN PERCENT) IN DEMAND FOR PHARMACISTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND TECHNICIANS, PHYSICIAN ASSISTANTS, AND REGISTERED NURSES. (SEE CONTINUATION #1)
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION, AND PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI	(CONTINUATION #1) COMMUNITY ASSESSMENT, PROCESS AND SUMMARY IN ASSESSING THE COMMUNITY HEALTH NEEDS OF CARRINGTON HEALTH CENTER SERVICE AREA, A PLANNING COMMITTEE OF ROUGHLY 35 COMMUNITY MEMBERS MET IN 2009 TO IDENTIFY AND DISCUSS THE TOP ISSUES FACING OLDER ADULTS AND PERSONS WITH DISABILITIES RESIDING IN FOSTER COUNTY. A STRATEGIC PLAN ADDRESSING THESE IDENTIFIED ISSUES WAS DEVELOPED IN THE FALL OF 2009. THE STRATEGIC PLAN IDENTIFIED 104 ISSUES IMPORTANT TO FOSTER COUNTY! WE NEEDED TO NARROW THESE 104 ISSUES DOWN TO SPECIFIC ISSUES THAT WE, AS A COMMUNITY, COULD WORK ON AND TRULY MAKE A DIFFERENCE IN. WE CHOSE THE FOLLWING AS THE TOP FIVE "MOST CRITICAL ISSUES": 1. A NEED FOR MORE VOLUNTEERS 2. TRANSPORTATION TO MEDICAL APPOINTMENTS 3. HELP WITH HOUSEHOLD (CLEANING, MINOR REPAIRS) 4. ACCESS TO MEDICAL SERVICES (CHEMO/RADIATION/DIALYSIS) 5. A COMPILED LIST OF ALL THE SERVICES AVAILABLE IN OUR REGION BOTH THE FOSTERING CARE FOR YOU AND FAITH IN ACTION COMMITTEES WERE DEVELOPED FROM THIS NEEDS ASSESSMENT AND THEY CONTINUE TO MEET BI-MONTHLY. THE VISION OF THE STEERING COMMITTEE IS FOR OLDER ADULTS AND OTHERS-IN-NEED LIVING IN FOSTER COUNTY TO HAVE ACCESS TO RELEVANT SERVICES THAT ALLOW THEM TO MAINTAIN THEIR INDEPENDENCE AS LONG AS POSSIBLE. BEING A FRONTIER COUNTY, TRANSPORTATION TO MEDICAL APPOINTMENTS WAS A NEEDED SERVICE. ANOTHER AREA OF COMMUNITY NEEDS ASSESSMENT DEVELOPED THE HEALTHY COMMUNITY INITIATIVES COMMITTEE THAT MEETS ONCE A MONTH UNDER THE DIRECTION OF CHC'S MISSION DIRECTOR, COLLABORATING WITH THE SCHOOL, PUBLIC HEALTH, COUNTY SOCIAL SERVICES, CHURCHES, OTHER ORGANIZATIONS, COMMUNITY MEMBERS AND OTHER HEALTH CARE PROFESSIONALS. HEALTHY COMMUNITY INITIATIVES COMMITTEE COLLABORATES ON PROJECTS SUCH AS SUPPLEMENTAL FOOD FOR INDIVIDUALS OR FAMILIES IN NEED (CARRINGTON DAILY BREAD); EDUCATIONAL OPPORTUNITIES (GARDENING/WOOD CARVING/CANNING/COMPUTER CLASSES); AND HEALTHIER BEHAVIORS (WALK CARRINGTON, RED RIBBON WEEK, SOURCES OF STRENGTH). THE HEALTHY COMMUNITY INITIATIVES COMMITTEE TEAMED WITH FOSTERING CARE 4 YOU AND SPONSORED A HEALTH EXPO DURING PARENT TEACHERS CONFERENCES AT THE ELEMENTARY SCHOOL. ND RISK ASSESSMENT PUTS CARRINGTON HIGH ON THE LIST FOR RISKY BEHAVIORS SUCH AS UNDERAGE DRINKING. HEALTHY COMMUNITY INITIATIVES RECEIVED A GRANT FROM THE ND GOVERNOR'S PREVENTION ADVISORY COUNCIL ON DRUGS AND ALCOHOL THAT WILL FOCUS ON ALCOHOL SERVER TRAINING. THEY WERE ALSO SELECTED AS A TARGETED COMMUNITY THAT WILL BRING AWARENESS TO CHILDREN AND YOUNG ADULTS REGARDING ALTERNATIVES TO BINGE OR REGULAR UNDERAGE DRINKING. ND GOVERNORS PREVENTION ADVISORY COUNCIL HAS ATTENDED MEETINGS, PROVIDED TECHNICAL ASSISTANCE IN ASSESSING DATA, IDENTIFYING GOALS, IMPLEMENTING EFFECTIVE STRATEGIES AND EVALUATING. HEALTHY COMMUNITY GROUP IS WORKING WITH PARENTS AND LOCAL LAW ENFORCEMENT AGENCIES ON THE DANGERS OF HOSTING OR ALLOWING UNDERAGE DRINKING PARTIES. THE SENIOR BASH WAS HELD WITH THE HOPE THE "SENIOR BBQ," (AN ALCOHOL PARTY HOSTED BY ADULTS) AS IT ONCE WAS KNOWN, WILL NO LONGER BE A CULTURAL NORM FOR OUR COMMUNITY AND WILL BE ALCOHOL FREE FOR MINORS. ND TARGETED COMMUNITY AND THE ND STATE PREVENTION TEAM SPECIALISTS ARE DEVELOPING UNIQUE PLANS TO ADDRESS AND PREVENT ALCOHOL AND OTHER SUBSTANCE ABUSE. THE HEALTH OF ITS RESIDENTS IS OF GREAT CONCERN TO CARRINGTON HEALTH CENTER STAFF. OBESITY, DIABETES, HYPERTENSION AND HEART DISEASE INCREASE THE RISK OF HEART ATTACK AND LEAD TO HIGHER MORTALITY RATES. NEARLY 57% OF FOSTER COUNTY RESIDENTS ARE OVERWEIGHT OR OBESE. JUST OVER 10% OF ADULTS ARE DIABETIC, COMPARED TO 7.6% IN THE GENERAL NORTH DAKOTA POPULATION. CARDIOVASCULAR DISEASE RATES ARE 28% HIGHER THAN THE STATE AVERAGE. THE COST TO THE COMMUNITY INCREASES AS EMPLOYEES CLAIM MORE SICK DAYS AND AS LOW-INCOME PATIENTS USE EMERGENCY ROOMS FOR CHRONIC DISEASE MANAGEMENT AND ACUTE CARE. IN FOSTER COUNTY, 83 INDIVIDUALS OUT OF EVERY 1,000 USE THE EMERGENCY ROOM FOR AMBULATORY CARE. IN EDDY COUNTY, THE RATE IS 92 INDIVIDUALS OUT OF EVERY 1,000. THE HEALTH PEOPLE 2010 TARGET RATE IS 58. IMPACTING CHRONIC DISEASE AND LOWERING THE INCIDENCE OF ACUTE CARE DUE TO NEGLECTED CHRONIC DISEASE IS A MULTI-SECTOR EFFORT. THE GOOD NEWS IS THE PROJECTION THAT BY THE END OF 2011, 76% OF HEALTH CARE PURCHASERS (INDIVIDUALS OR EMPLOYERS) WILL INCLUDE POPULATION HEALTH IMPROVEMENT PROGRAMS IN THEIR COVERAGE. FOR THE COMMUNITY AT LARGE, DATA INDICATES THAT FOR EVERY $1 SPENT ON HEALTHCARE PREVENTION AND WELLNESS, HEALTHCARE COSTS DECREASE BY $7. CARRINGTON HEALTH CENTER DEVELOPED AND IMPLEMENTED A WELLNESS AND DISEASE MANAGEMENT PROGRAM. UNCOMPENSATED CARE FOR THE POOR OUR BEST-KNOWN, BUT OFTEN LEAST-UTILIZED, COMMUNITY BENEFIT PROGRAM IS THE FINANCIAL ASSISTANCE WE PROVIDE TO PATIENTS WHO CANNOT AFFORD TO PAY FOR THEIR CARE. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE ON OUR WEBSITE (WWW.CARRINGTONHEALTHCENTER.ORG) AND AT OUR FACILITIES. THE PROCESS IS EXTREMELY CONFIDENTIAL AND OUR GOAL IS TO AWARD FINANCIAL ASSISTANCE RATHER THAN TURN PATIENTS OVER TO COLLECTION FOR HEALTHCARE BILLS. CHARITY CARE IS FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES PROVIDED TO PEOPLE WHO CANNOT AFFORD TO PAY FOR MEDICALLY NECESSARY HEALTH CARE. ELIGIBILITY IS BASED ON HOUSEHOLD INCOME AS WELL AS OTHER ASSETS. CONSIDERATION IS GIVEN TO A PATIENT WHO HAS SIGNIFICANT OR CATASTROPHIC MEDICAL BILLS AND DOES NOT MEET THE INCOME GUIDELINES. CHARITY CARE IS GIVEN TO UNINSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OR PART OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME-RELATED FEE SCHEDULE. COMMUNITY BENEFIT PROGRAMS FOR THE POOR ARE GEARED TO REDUCING MORBIDITY AND MORTALITY IN BENEFICIARIES OF MEDICAID OR STATE OR LOCAL INDIGENT PROGRAMS. CARRINGTON HEALTH CENTER WILL NOT DELAY PROVIDING AN APPROPRIATE MEDICAL SCREENING EXAMINATION REQUIRED OR FURTHER MEDICAL EXAMINATION AND TREATMENT REQUIRED IN ORDER TO INQUIRE ABOUT AN INDIVIDUAL'S METHOD OF PAYMENT OR INSURANCE STATUS. CHC WILL NOT SEEK, OR DIRECT AN INDIVIDUAL TO SEEK, AUTHORIZATION FROM AN INDIVIDUAL'S INSURANCE COMPANY FOR SCREENING OR STABILIZATION SERVICES TO BE FURNISHED BY A CHC PHYSICIAN OR MID-LEVEL PRACTITIONER UNTIL AFTER A REQUIRED MEDICAL SCREENING EXAMINATION HAS BEEN INITIATED AND ANY FURTHER MEDICAL EXAMINATION AND TREATMENT THAT MAY BE REQUIRED TO STABILIZE THE EMERGENCY MEDICAL CONDITION HAS BEEN IMPLEMENTED. ELIGIBILITY FOR UNINSURED/UNDERINSURED DISCOUNTS SHALL BE DETERMINED BASED ON 130% OF THE ANNUALLY UPDATED HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES, AVAILABLE ASSETS AND ANY EXTENUATING CIRCUMSTANCES. THUS, THE STANDARDS OF ELIGIBILITY FOR THE APPLICATION OF UNINSURED/UNDERINSURED DISCOUNTS MUST CONSIDER ASSETS, AS WELL AS INCOME. CARRINGTON HEALTH CENTER SHALL UTILIZE 130% OF THE HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES AS A MINIMUM. FINANCIAL ASSISTANCE APPLICATIONS MAY BE OBTAINED AT CHC OR ON THE WEBSITE HTTP://WWW.CARRINGTONHEALTHCENTER.ORG. FY12 IS THE FIRST YEAR THE UNPAID COST OF MEDICAID ON SWING BED AND PROFESSIONAL FEES HAS BEEN REPORTED. (SEE CONTINUATION #2)
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION, AND PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI	(CONTINUATION #2) IV. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY BENEFIT IS THE NAME GIVEN TO THE PROGRAMS WE CREATE IN RESPONSE TO HEALTH NEEDS IN OUR SERVICE AREAS. AN IMPORTANT PART OF OUR MISSION IS BUILDING HEALTHIER COMMUNITIES THROUGH PROGRAMS DESIGNED TO SERVE THE NEEDS OF PEOPLE WHO ARE POOR AND DISADVANTAGED IN OUR COMMUNITY. THIS TYPE OF COMMUNITY BENEFIT HAS THE ADDED, POSITIVE SIDE-EFFECT OF DELIVERING AN IMPROVED QUALITY OF LIFE FOR EVERYONE. COMMUNITY BENEFIT MOST OFTEN TAKES PLACE OUTSIDE THE WALLS OF OUR FACILITIES AND INVOLVES PARTNER ORGANIZATIONS IN THE COMMUNITY. OUR COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO: IDENTIFY AND INCREASE AWARENESS OF HEALTH NEEDS IN CARRINGTON. PROVIDE RESOURCES TO MEET THOSE NEEDS. CREATE COLLABORATION BETWEEN COMMUNITY ORGANIZATIONS THAT FOCUS ON HEALTH AND WELL BEING. TACKLE PROBLEMS SUCH AS POVERTY, HOMELESSNESS, OR BEHAVIORS (SUCH AS DOMESTIC VIOLENCE OR UNDERAGE DRINKING) THAT CAN CONTRIBUTE TO POOR HEALTH. COMMUNITY OUTREACH FOR THE POOR SPECIAL NEEDS IS DONATIONS GIVEN FOR MEDICAL BENEFITS, TRAVELING EXPENSES TO OUT OF TOWN APPOINTMENTS, ETC. REQUESTS FOR SPECIAL HELP FOR SOMEONE EXPERIENCING A TEMPORARY HARDSHIP OR LONG TERM DISADVANTAGE CAN BE REQUESTED ANONYMOUSLY IN WRITING OR BY MAKING A TELEPHONE CALL REQUESTING ASSISTANCE. CARRINGTON DAILY BREAD IS SUPPORTED BY CARRINGTON HEALTH CENTER TO ASSIST PEOPLE LIVING IN POVERTY WITH NUTRITION AND MEALS. CARRINGTON HEALTH CENTER'S EMPLOYEES DONATE CHRISTMAS GIFTS FOR CHILDREN AGES BIRTH TO 18 YEARS OF AGE THROUGH THE ANGEL TREE PROJECT. THE FOSTER COUNTY PUBLIC HEALTH SYSTEM DISTRIBUTES THESE GIFTS THROUGHOUT FOSTER COUNTY. LICENSED SOCIAL WORKERS ASSIST WITH APPLICATIONS FOR PUBLIC PROGRAMS. CARRINGTON HEALTH CENTER AND CHI'S FARGO DIVISION GATHER SUPPLIES AND EQUIPMENT FOR THE INTERNATIONAL SISTER-TO-SISTER HOSPITAL PROGRAM, THE NEW INDIGENOUS PEOPLE'S HOSPITAL, WHICH OPENED ON MAY 18, 2012 IN NUEVA VIZCAYA, PHILIPPINES. THE HOSPITAL, LOCATED IN A REMOTE REGION OF THE COUNTRY, NOW PROVIDES CARE TO IMPOVERISHED TRIBAL PEOPLE. THE NEW HOSPITAL WAS IMMEDIATELY BUSY AND HAS ALREADY PROVIDED CARE TO MORE THAN 600 PEOPLE. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY CARRINGTON HEALTH CENTER SENDS SUPPLIES TO PROJECT HERO (HEALTHCARE EQUIPMENT RECYCLING ORGANIZATION), A NON-PROFIT CLEARINGHOUSE THAT COLLECTS AND REDISTRIBUTES DONATED HEALTHCARE MATERIALS TO BENEFIT THOSE IN NEED. IN 2011 HERO (HTTP://HEROFARGO.ORG) SUPPLIED OVER 1,844 INDIVIDUALS REGIONALLY AND SUPPLIES WERE SENT TO 40 COUNTRIES. THIS HAS SAVED MORE THAN 60 TONS FROM BEING TOSSED IN LANDFILLS. HERO WORKS WITH SEVERAL AGENCY AND HEALTHCARE PARTNERS TO REDISTRIBUTE VIABLE MEDICAL PRODUCTS AND GETTING THEM TO THOSE WITH HEALTH NEEDS. FINANCIAL AND IN-KIND SERVICES DONATED TO INDIVIDUALS AND/OR THE COMMUNITY AT LARGE. IN-KIND SERVICES ALSO INCLUDE HOURS DONATED BY STAFF TO THE COMMUNITY WHILE ON HEALTH CARE ORGANIZATION WORK TIME. SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES ARE SERVICES THAT ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND WOULD OTHERWISE NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. AS A CRITICAL ACCESS HOSPITAL, COST BASED REIMBURSEMENT PLAYS A KEY ROLE IN THE SERVICES WE PROVIDE. TWO SERVICE LINES THAT UNFORTUNATELY ARE NOT REIMBURSED BASED ON COST ARE BASIC CARE AND AMBULANCE. BECAUSE THEY FALL UNDER THE UMBRELLA OF A CRITICAL ACCESS HOSPITAL, IN ADDITION TO THEIR DIRECT EXPENSES, THERE ARE INDIRECT COSTS THAT MUST BE ALLOCATED TO THOSE DEPARTMENTS. THIS, IN EFFECT, IS A TRANSFER OF ADMINISTRATIVE AND GENERAL (OVERHEAD) EXPENSES AWAY FROM MEDICARE-REIMBURSABLE DEPARTMENTS. THE RESULT: BOTH SERVICE LINES CONTINUALLY OPERATE AT A LOSS THAT IS SUBSIDIZED BY THE HOSPITAL. THERE HAVE BEEN STUDIES PERFORMED OVER THE YEARS AND EVEN AT FULL CENSUS, BASIC CARE WOULD AT BEST BREAK EVEN; HOWEVER, IT IS A BENEFIT TO THE ELDERLY WHO ARE NOT YET AT THE STAGE FOR NURSING HOME CARE, BUT CAN'T OR DON'T WANT TO LIVE AT HOME. UNFORTUNATELY, WE ARE SEEING THAT PEOPLE WANT TO MAINTAIN THEIR INDEPENDENCE AND STAY AT HOME AS LONG AS POSSIBLE AND OFTEN BY THE TIME THEY ARE ADMITTED AS A RESIDENT, THEIR STAY IS SHORT BECAUSE THEY QUICKLY SURPASS THE LEVEL OF CARE WE CAN PROVIDE. UNFORTUNATELY, SIMILAR TO BASIC CARE, THE RULES OF MEDICARE REIMBURSEMENT ARE A HUGE BARRIER TO BEING PROFITABLE. THERE ARE OTHER AMBULANCE SERVICES WITHIN A 35 MILE RADIUS, AND EVEN THOUGH THEY ARE NOT CERTIFIED FOR THE SAME LEVEL OF CARE AS OURS (BLS VS ALS), WE CANNOT BE COST-BASED REIMBURSED. DONATIONS AND GRANTS HAVE HELPED OFFSET THAT LOSS. BECAUSE THE AMBULANCE PROVIDES BOTH EMERGENT COVERAGE AND TRANSFER COVERAGE, THE COSTS ARE HIGHER WITH A HIGHER DEMAND FOR STAFFING AS WELL AS EQUIPMENT NEEDS. THE COMMUNITY AMBULANCE HAD 292 RUNS IN FY12 AND THEY ALSO PROVIDED NUMEROUS CPR, FIRST AIDE, AND EMT EDUCATIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS AND BUSINESSES THROUGHOUT THE YEAR. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH HEALTHY COMMUNITY INITIATIVES COMMITTEE COLLABORATES WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADVOCATE AND IMPROVE COMMUNITY HEALTH. FOSTER COUNTY PUBLIC HEALTH, FOSTER COUNTY SOCIAL SERVICE, CARRINGTON HIGH SCHOOL, CARRINGTON PHARMACIST, VETERANS' REPRESENTATIVE, AND COMMUNITY MEMBERS ARE PART OF THE COMMITTEES THAT ADVOCATE FOR HEALTHY LIFESTYLES. ANOTHER ASSOCIATION THAT ADVOCATES FOR HEALTHY LIFESTYLES IS THE MINISTERIAL ASSOCIATION MEETINGS FOR SPIRITUAL HEALTH AND ADDRESSES COMMUNITY NEEDS. BLOOD DRIVES ARE SPONSORED BY CARRINGTON HEALTH CENTER AND NORTH DAKOTA UNITED BLOOD SERVICES. DIABETIC TEACHING, SUPPORT GROUPS AND EDUCATION IS A PROGRAM CHC HAS SPONSORED FOR SEVERAL YEARS. THIS YEAR UNDER THE DIRECTION OF THE WELLNESS AND DISEASE MANAGEMENT PROGRAM CHC WAS SUCCESSFUL IN BECOMING PART OF A DIABETIC CENTER OF EXCELLENCE. FAITH IN ACTION (FIA) IS A PROGRAM DESIGNED TO ASSIST ELDERLY AND DISABLED IN OUR COMMUNITY AND OUR CONTINUED COMMUNITY FUNDRAISING WILL SUPPORT FIA. NEIGHBORS CARING FOR NEIGHBORS PROGRAM IS AT WORK LINKING OUR COMMUNITY WITH CARING FRIENDS. FIA PROVIDES VOLUNTEERS TO HELP WITH MANY VARIOUS TASKS FOR SENIOR CITIZENS AND THOSE OF ANY AGE WITH CHRONIC ILLNESS AND/OR DISABILITIES - HELPING MAINTAIN THEIR INDEPENDENCE BY PROVIDING ASSISTANCE WITH NON-MEDICAL SERVICES. SERVICES ARE PROVIDED WITHOUT COST TO THE RECIPIENT. FOSTER COUNTY MEDICAL CENTER/CHC PROVIDES A PHONE NURSE FOR COMMUNITY QUESTIONS, GIVING MEDICAL INFORMATION, NOTIFYING A PHYSICIAN, GETTING PRESCRIPTION MEDS PHONED INTO PHARMACY, ETC HEALTH PROFESSIONS EDUCATION CARRINGTON HEALTH CENTER SERVES AS A CLINICAL EDUCATION SITE FOR MEDICAL PROFESSIONALS. HEALTH PROFESSIONS EDUCATION IS A PROGRAM ASSOCIATED WITH 5 UND MEDICAL STUDENTS DOING A ROTATION WITH PHYSICIANS, AND MENTORING PROJECTS. EMT AND PARAMEDIC CLASSES ARE HELD FOR COMMUNITY MEMBERS WITH SOME OF THE STUDENTS SIGNING UP TO ASSIST CARRINGTON HEALTH CENTER'S AMBULANCE. STUDENT NURSES HAVE FOLLOWED NURSES IN OUR CRITICAL ACCESS HOSPITAL. SCHOLARSHIPS HAVE BEEN AWARDED TO HEALTH CARE STUDENTS ENTERING INTO THE HEALTH RELATED FIELDS. RESEARCH: CARRINGTON HEALTH CENTER HAS NOT HAD ANY RESEARCH BENEFITS. (SEE CONTINUATION #3)
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION, AND PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI	(CONTINUATION #3) COMMUNITY-BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. SHIPSHAPE PROJECT IS AN ANNUAL COMMUNITY PROJECT PLANNED TO ASSIST SOMEONE WITH THEIR YARD CLEAN-UP AND EXTERIOR HOUSE IMPROVEMENTS. ENVIRONMENT CONCERNS AND GOING GREEN IS SUPPORTED BY CHC THROUGH RECYCLING OF BOXES AND SHREDDED PAPERS, MAGAZINES, NEWSPAPERS. TO HELP DEVELOP A HEALTH CARE WORKFORCE, CHC IS PROUD TO HOST HIGH SCHOOL SENIOR STUDENTS IN THE HEALTH OCCUPATION CLASS WITH LEARNING FROM ACUTE CARE, BASIC CARE, BUSINESS OFFICE, CARDIAC REHAB, CENTRAL SUPPLY, CLINIC, DIETARY, LAB, MEDICAL RECORDS, RESPIRATORY THERAPY, RADIOLOGY AND SOCIAL SERVICE. COMMUNITY BENEFIT OPERATIONS: COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. DEDICATED STAFF HOURS ARE COUNTED FOR THE WORK ON CHARITY CARE ASSISTING THE PATIENTS THAT ARE UNDERINSURED OR UNINSURED. THE MISSION AND COMMUNITY BENEFIT STAFF CONTINUE TO BUILD AND EXPAND THEIR EFFORTS IN PROVIDING ADDITIONAL SERVICES AND ALSO ENSURE EMPLOYEES ARE TRACKING THEIR ACTIVITY. CARRINGTON HEALTH CENTER IS IN ITS THIRD YEAR OF THE FAITH IN ACTION PROGRAM, WHICH COORDINATES VOLUNTEERS TO PROVIDE ESSENTIAL BASIC SERVICES TO THOSE IN NEED, ALLOWING FOR A HEALTHIER AND MORE INDEPENDENT LIFESTYLE. CARRINGTON HEALTH CENTER, AS A NONPROFIT, TAX-EXEMPT FACILITY, CONTINUES TO TAKE THE NECESSARY MEASURES TO BE COMPLIANT WITH NEW LEGISLATION RESULTING FROM HEALTHCARE REFORM IN DETERMINING WHAT TO REPORT, HOW TO REPORT, AND ALSO CONDUCTING A COMMUNITY NEEDS ASSESSMENT. THE HEALTH/WELLNESS PROGRAM FOCUSES ON WELLNESS AND PREVENTATIVE MAINTENANCE HAS BEEN AN EXCITING COMMUNITY BENEFIT. OUR HOPES ARE THAT THE COMMUNITY IS RECEPTIVE AND TAKES ADVANTAGE OF THIS OPPORTUNITY TO MAKE A POSITIVE DIFFERENCE IN THEIR PERSONAL HEALTH. CARRINGTON HEALTH CENTER IS FOCUSED ON MEETING THE ADDITIONAL TAX EXEMPTION REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R), IN PARTICULAR THE COMMUNITY NEEDS ASSESSMENT. CHNA WILL BE ROLLED OUT IN THE COMING YEAR, ASSESSMENT EVALUATION, PROCESS AND SUMMARY WILL BE COMPLETED FY13. WE WILL CONTINUE TO PARTICIPATE IN THE PREVIOUS NEEDS ASSESSMENTS AS THEY EVOLVE AND IMPROVE CHC'S HEALTHY COMMUNITIES.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	CARRINGTON HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, CARRINGTON HEALTH CENTER PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN CARRINGTON HEALTH CENTER OUTPATIENT FACILITIES. IN ADDITION, CARRINGTON HEALTH CENTER REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER CARRINGTON HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. CARRINGTON HEALTH CENTER'S REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. CARRINGTON HEALTH CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care system	Schedule H, Part VI, Line 6	CARRINGTON HEALTH CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 74 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2012 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. CARRINGTON HEALTH CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE CARRINGTON HEALTH CENTER FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE CARRINGTON, NORTH DAKOTA COMMUNITIES.

Schedule I IRS990ScheduleI

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

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCHOLARSHIPS	5	3750	0	N/A	N/A
SPECIAL NEEDS	20	2332	0	N/A	N/A

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	ONCE A GRANT HAS BEEN RECEIVED, ALL NECESSARY DEPARTMENT HEADS ARE INFORMED OF THE RECEIPT: ADMINISTRATOR, APPLICABLE DEPARTMENT HEAD, MATERIALS MANAGEMENT, AND FINANCE WITH THE FOUNDATION DIRECTOR (ASSIGNED TO COORDINATE THE GRANT TERMS AND ENSURE THE GRANTS ARE USED FOR THE PROPER PURPOSES). FINANCE SERVES AS AN ADDITIONAL CONTROL TO ENSURE EXPENSES EARMARKED AS GRANT BY THE DEPARTMENT HEAD AND MATERIALS MANAGEMENT MEET THE TERMS OF THE GRANT. ANY PERIODIC OR FINAL REPORTS NECESSARY TO FULFILL THE GRANT ARE PREPARED JOINTLY BY THE FOUNDATION DIRECTOR AND FINANCE. CARRINGTON HEALTH CENTER HAS AT ITS DISPOSAL THE CHI FOUNDATION GRANT SERVICES TEAM TO HELP EFFECTIVELY DIRECT PLANNING AND COORDINATION. THE TEAM ASSISTS THE FOUNDATION DIRECTOR WITH FULL GRANT MANAGEMENT SERVICE THAT PROVIDE A CLEAR PICTURE OF PROGRESS AND ACCOUNTABILITY TO THE FUNDER BY HELPING COORDINATE PROGRAMMATIC OUTCOME OBJECTIVES, ASSISTING WITH FINANCIAL EXPENSE TRACKING, AND ENSURING UNIQUE REQUIREMENT ESTABLISHED BY EACH FUNDER ARE MET.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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 (6 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
INDER KHOKHA
268067	0	93269	0	84139	0	20228	0	8232	0	473935	0	0	0
JEFFREY DROP
0	377987	0	139608	0	23332	0	61092	0	21446	0	623465	0	0
MARIANN DOELING
0	138170	0	64432	0	22072	0	35309	0	13401	0	273384	0	0
MICHAEL PAGE
187171	0	174076	0	424	0	25128	0	14588	0	401387	0	0	0
RICK GEIER
159025	0	287037	0	2139	0	22678	0	14588	0	485467	0	0	0
TODD SCHAFFER
282702	0	64532	0	31019	0	22678	0	611	0	401542	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Arrangement used to establish the top management official's compensation	Schedule J, Part I, Line 3	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
POST-TERMINATION PAYMENTS	SCHEDULE J, PART I, LINE 4A	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO INTERESTED PERSONS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR.
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: MARIANN DOELING AND JEFFREY DROP DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MARIANN DOELING - $13,075 JEFFREY DROP - $33,514
Non-fixed payments	Schedule J, Part I, Line 7	CHC MAINTAINS A VARIABLE PAY PLAN FOR SENIOR EXECUTIVE MANAGEMENT THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PERFORMANCE IN RELATION TO BUDGET, AND ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FMV. PHYSICIAN INCENTIVE COMPENSATION IS BASED ON THE CMS RBRVS METHODOLOGY (CENTER FOR MEDICARE AND MEDICAID SERVICES RESOURCE-BASED RELATIVE VALUE SCALE METHOD) FOR DETERMINING PHYSICIAN WRVU (RELATIVE VANUE UNIT) FOR PERSONALLY PERFORMED PHYSICIAN SERVICES. THE VALUE OF A WRVU IS DETERMINED WITH REFERENCE TO THE MOST CURRENT NATIONAL PHYSICIAN FEE SCHEDULE RELATIVE VALUE FILE. PHYSICIANS SHALL BE COMPENSATED BASED ON A 2-TIERED CONVERSION FACTOR: $44 PER WRVU IN EXCESS OF 3,636 AND $52.85 PER WRVU IN EXCESS OF 5,600.

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
TODD SCHAFFER MD EDUCATION
X	$105,000	29358	false	true	true
JACQUELINE NELSON PA EDUCATION
X	$40,000	13685	false	true	true
INDER KHOKHA MD RECRUITMENT
X	$20,000	8279	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	51322	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Delegate broad authority to a committee	Form 990, Part VI, Section A, Line 1a	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF CARRINGTON HEALTH CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
Family/business relationships amongst interested persons	Form 990, Part VI, Section A, Line 2	TODD SCHAFFER AND MICHAEL PAGE - FAMILY RELATIONSHIP, TODD SCHAFFER AND MICHAEL PAGE - BUSINESS RELATIONSHIP
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF CARRINGTON HEALTH CENTER, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.1 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CARRINGTON HEALTH CENTER AMENDMENT OF THE CORPORATE DOCUMENTS OF CARRINGTON HEALTH CENTER APPROVE MEMBERS OF THE CARRINGTON HEALTH CENTER BOARD REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CARRINGTON HEALTH CENTER APPROVAL OF ISSUANCE OF DEBT BY CARRINGTON HEALTH CENTER APPROVAL OF PARTICIPATION OF CARRINGTON HEALTH CENTER IN A JOINT VENTURE APPROVAL OF FORMATION OF A NEW CORPORATION BY CARRINGTON HEALTH CENTER APPROVAL OF A MERGER INVOLVING CARRINGTON HEALTH CENTER APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CARRINGTON HEALTH CENTER TO REQUIRE THE TRANSFER OF ASSETS BY CARRINGTON HEALTH CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CARRINGTON HEALTH CENTER PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	THE CONTROLLER IS RESPONSIBLE FOR REVIEWING THE FORM 990. A COPY OF THE RETURN WILL BE PROVIDED TO BOTH THE FINANCE AND AUDIT COMPLIANCE COMMITTEES AND THE BOARD PRIOR TO FILING WITH THE IRS. SUBSEQUENTLY, THE CHI TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCY, 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	THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE PRESIDENT/CEO AND THE BOARD CHAIR. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY STATEMENT, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF STEWARDSHIP DIRECTORS IS REQUIRED.
WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY	FORM 990, PART VI, LINE 14	THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY FOR THAT IT FOLLOWS; HOWEVER, THE POLICY HAS NOT BEEN FORMALLY ADOPTED BY THE BOARD OF DIRECTORS.
PROCESS OF DETERMINING COMPENSATION FOR TOP MANAGEMENT OFFICIAL	FORM 990, PART VI, LINE 15A	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	CARRINGTON HEALTH CENTER BOARD OF DIRECTORS REVIEWS PROPOSED WAGE INCREASES FOR OFFICERS. THE SUBCOMMITTEE UTILIZES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY, COMPARABILITY STUDIES AND BOARD APPROVAL TO DETERMINE COMPENSATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION.
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 AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CARRINGTON HEALTH CENTER'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
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A	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 - -150548; CAPITAL RESOURCE POOL CONTRIBUTION - -137424; CHI CONNECT DEPRECIATION - 50425;

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 NS	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	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	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	true	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	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg