AVERA ST MARYS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: AVERA ST MARYS (EIN 46-0230199)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-04-30
IRS object ID: 201201219349300445
Schema version: 2010v3.7
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 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	2012-04-30T16:50:33-04:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460230199	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Healthcare Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	6052243130	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 East Sioux Avenue	AddressLine1
City	Pierre	City
State	SD	State
ZIP Code	57501	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TOM WAGNER	Name
Title	INTERIM CFO	Title
Date Signed	2012-04-30	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK STOCKI	Name
Phone	7208741500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Chad Cooper	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	801 East Sioux Avenue	AddressLine1
City	Pierre	City
State	SD	State
ZIP Code	57501	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	48883207	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.st-marys.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	ST. MARY'S HEALTHCARE CENTER SERVES THE COMMUNITY ON A NON- DISCRIMINATORY BASIS THROUGH ITS GENERAL HOSPITAL, LONG-TERM CARE FACILITY AND 24-HOUR EMERGENCY CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	563	TotalNbrEmployees
Total Nbr Volunteers	14	TotalNbrVolunteers
Total Gross UBI	19664	TotalGrossUBI
Net Unrelated Business Txbl Income	18664	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	967955	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	43262969	ProgramServiceRevenuePriorYear
Program Service Revenue CY	45914909	ProgramServiceRevenueCY
Investment Income Prior Year	1663711	InvestmentIncomePriorYear
Investment Income Current Year	2819551	InvestmentIncomeCurrentYear
Other Revenue Prior Year	67976	OtherRevenuePriorYear
Other Revenue Current Year	133077	OtherRevenueCurrentYear
Total Revenue Prior Year	45962611	TotalRevenuePriorYear
Total Revenue Current Year	48867537	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	57278	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	51975	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	20377858	SalariesEtcPriorYear
Salaries Etc Current Year	20369571	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	18557901	OtherExpensePriorYear
Other Expenses Current Year	21672140	OtherExpensesCurrentYear
Total Expenses Prior Year	38993037	TotalExpensesPriorYear
Total Expenses Current Year	42093686	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6969574	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6773851	RevenuesLessExpensesCY
Total Assets BOY	73608409	TotalAssetsBOY
Total Assets EOY	78509588	TotalAssetsEOY
Total Liabilities BOY	12812165	TotalLiabilitiesBOY
Total Liabilities EOY	8196134	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	60796244	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	70313454	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	true	SignificantChange
Expense	33002145	Expense
Grants	51975	Grants
Revenue	45914909	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	33002145	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	563	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Tom Wagner	NamePerson
Telephone Number	6052243127	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	801 East Sioux Avenue	AddressLine1
City	Pierre	City
State	SD	State
ZIP Code	57501	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Highest Compensated EmployeeHighestCompensatedEmployee
SISTER ADEL SAUTNER
BOARD MEMBER	1.0	X
JEFFREY DROP
BOARD MEMBER	1.0	X	684808	74336
TOM GERAETS
BOARD MEMBER	1.0	X
OWEN GARNOS
BOARD MEMBER	1.0	X
MIKEL HOLLAND
BOARD MEMBER	1.0	X
DARRELL JEANOTTE
BOARD MEMBER	1.0	X
JOE VILLA
BOARD MEMBER	1.0	X
PEGGY WILLIAMS
BOARD MEMBER	1.0	X
CHAD COOPER
PRESIDENT/CEO	60.0	X	341409	55348	X
ROBERT MILLER
BOARD CHAIR	1.0	X			X
COLLEEN LAMB
BOARD SECRETARY	1.0	X			X
RON TEDROW
BOARD TREASURER	1.0	X			X
WILLIAM VAN CAMP
BOARD VICE CHAIR	1.0	X			X	1254
DEBBIE BRAKKE
VICE PRESIDENT/QA RISK MGMT	40.0			24326	X	105019
ROBIN CRIST
VICE PRESIDENT/NURSING ADMIN	40.0			15237	X	115088
PAUL MARSO
VICE PRESIDENT/HUMAN RESOURCE	40.0			29949	X	100012
ELLEN LEE
VICE PRESIDENT/ADMINISTRATION	40.0			22413	X	94387
ADAM PAUL
VICE PRESIDENT/FISCAL SERVICE	40.0			19522	X	157769
RITA WENDT
CERTIFIED NURSE ANESTHESIA	40.0			42875		203525	X
DAWN ZASTOUPIL
CERTIFIED NURSE ANESTHESIA	40.0			10571		135043	X
STEVEN CASE
PHARMACIST/PHARMACY	40.0		5332	28701		133683	X
SANDRA JACOBSON
DIRECTOR PHARMACY	40.0			30663		140927	X
CHRISTOPHER OLSON
CERTIFIED NURSE ANESTHESIA	40.0			36588		202431	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1389138	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1031549	TotalReportableCompFrmRltdOrgs
Total Other Compensation	390529	TotalOtherCompensation
Number Individuals GT100 K	9	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
CAPITAL CITY PHYSICIANS
800 E SIOUX AVE	PIERRE	SD	57501	PHYSICIAN COVERAGE	1123066
RTG Medical
1005 E 23rd St Suite 200	FREMONT	NE	68025	CONTRACT STAFF	512780
AVERA MCKENNAN HOSPITAL
1301 S CLIFF AVE PO BOX 5045	SIOUX FALLS	SD	57117	PHYSICIAN COVERAGE	319183
THERESA SIMMONS
4102 HACKAMORE COURT	GILLETE	WY	82718	CRNA	294724
SIGHT PATH MEDICAL INC
5775 W OLD SHAKOPEE ROAD SUITE 90	BLOOMINGTON	MN	55437	O.R. SERVICES	180885

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	900099	45706596	45706596
Rental Income	900099	137469	137469
Equity changes of unconsolidated orgs	900099	70844	53814	17030

Field	Value	IRS element (for citing)
Total Program Service Revenue	45914909	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	816522	TotalRevenueColumn
Unrelated Business Revenue	2634	UnrelatedBusinessRevenue
Exclusion	$813,888	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2017699	Securities
Other	1000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	15670	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2017699	Securities
Other	-14670	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2003029	TotalRevenueColumn
Exclusion	$2,003,029	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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria	722100	73397	$73,397
Reimbursement of Expenses	900099	31195	$31,195
Medical Records Revenue/Transcription	541200	8865	$8,865

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19620	TotalRevenueColumn
Exclusion	$19,620	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	133077	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	48867537	TotalRevenueColumn
Related Or Exempt Function Income	45897879	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	19664	UnrelatedBusinessRevenue
Exclusion	$2,949,994	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	51975	Total
Program Services	51975	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	583513	Total
Program Services	59116	ProgramServices
Management And General	524397	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	15415010	Total
Program Services	14355554	ProgramServices
Management And General	1059456	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	890022	Total
Program Services	801910	ProgramServices
Management And General	88112	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2370000	Total
Program Services	2135370	ProgramServices
Management And General	234630	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1111026	Total
Program Services	1001035	ProgramServices
Management And General	109991	ManagementAndGeneral

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	5600174	Total
Program Services	3944837	ProgramServices
Management And General	1655337	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7033574	Total
Program Services	6645366	ProgramServices
Management And General	388208	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1071241	Total
Program Services	67046	ProgramServices
Management And General	1004195	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	96859	Total
Program Services	57546	ProgramServices
Management And General	39313	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2414	Total
Program Services	616	ProgramServices
Management And General	1798	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3208	Total
Program Services	3208	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	1371964	Total
Program Services	23317	ProgramServices
Management And General	1348647	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2971111	Total
Program Services	509250	ProgramServices
Management And General	2461861	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	113222	Total
Management And General	113222	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Unrelated Business Taxes	10540	10540
Bad debts	2852058		2852058
Repairs and maintenance	318802	31561	287241
Dues & subscriptions	97999	9702	88297
Education	31320	3132	28188

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	97654	Total
Program Services	90215	ProgramServices
Management And General	7439	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	42093686	Total
Program Services	33002145	ProgramServices
Management And General	9091541	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	27976	BOY
EOY	925	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3100098	BOY
EOY	2800904	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	5252	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13031528	BOY
EOY	11117725	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	160222	BOY
EOY	234057	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1212394	BOY
EOY	1079493	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	50837	BOY
EOY	119400	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	63828433	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	42155188	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	21653839	BOY
EOY	21673245	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	34150421	BOY
EOY	41272153	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	215842	BOY
EOY	211686	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	73608409	BOY
EOY	78509588	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11602377	BOY
EOY	4138740	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1209788	BOY
EOY	4057394	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	12812165	BOY
EOY	8196134	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	59846634	BOY
EOY	70162148	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	949610	BOY
EOY	151306	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	60796244	BOY
EOY	70313454	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	73608409	BOY
EOY	78509588	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6773851	ReconcilationRevenueExpenses
Reconcilation Other Changes	2743359	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$3,974	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	3974	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Lobbying Activities Explanation	Identifier
Return Reference	SCH C, PART II-B	ReturnReference
Explanation	The PORTION OF ORGANIZATIONAL DUES THAT ARE RELATED TO LOBBYING IS AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION: $196, CATHOLIC HEALTHCARE ASSOCIATION: $588 AND SOUTH DAKOTA ASSOCIATION OF HOSPITALS: $3,190.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1765571	OtherCostOrOtherBasis
Book Value	1765571	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26256582	OtherCostOrOtherBasis
Depreciation	16035591	Depreciation
Book Value	10220991	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34457838	OtherCostOrOtherBasis
Depreciation	25106856	Depreciation
Book Value	9350982	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1348442	OtherCostOrOtherBasis
Depreciation	1012741	Depreciation
Book Value	335701	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21673245	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME	19668991	F
CHI OIP - EQUITY SECURITIES	21603162	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	41272153	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY LIABILITIES	$3,937,282
ENVIRONMENTAL REMEDIATION LIABILITY	$83,968
DEPOSITS	$36,113
UNCLAIMED PROPERTY	$31

Field	Value	IRS element (for citing)
Total Of Amounts	4057394	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) FOOTNOTE	Identifier
Return Reference	SCH D, PART X, Q. 2	ReturnReference
Explanation	St. Mary's Healthcare 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, 2011 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. As of June 30, 2011, CHI has current net deferred tax assets of $2.1 Million and a noncurrent net deferred tax liability of $5.4 million related to these taxable activities. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the 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	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	244	PersonsServed
Total Community Benefit Expense	390529	TotalCommunityBenefitExpense
Net Community Benefit Expense	390529	NetCommunityBenefitExpense
Percent Of Total Expense	0.01000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4486	PersonsServed
Total Community Benefit Expense	2464027	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1738711	DirectOffsettingRevenue
Net Community Benefit Expense	725316	NetCommunityBenefitExpense
Percent Of Total Expense	0.01850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	4730	PersonsServed
Total Community Benefit Expense	2854556	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1738711	DirectOffsettingRevenue
Net Community Benefit Expense	1115845	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	3437	PersonsServed
Total Community Benefit Expense	34009	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	33909	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	192	PersonsServed
Total Community Benefit Expense	44115	TotalCommunityBenefitExpense
Net Community Benefit Expense	44115	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	130	PersonsServed
Total Community Benefit Expense	1550447	TotalCommunityBenefitExpense
Net Community Benefit Expense	1550447	NetCommunityBenefitExpense
Percent Of Total Expense	0.03950	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	967	PersonsServed
Total Community Benefit Expense	172552	TotalCommunityBenefitExpense
Net Community Benefit Expense	172552	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	4726	PersonsServed
Total Community Benefit Expense	1801123	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	1801023	NetCommunityBenefitExpense
Percent Of Total Expense	0.04590	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	9456	PersonsServed
Total Community Benefit Expense	4655679	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1738811	DirectOffsettingRevenue
Net Community Benefit Expense	2916868	NetCommunityBenefitExpense
Percent Of Total Expense	0.07440	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	400	PersonsServed
Total Community Building Expense	1895	TotalCommunityBuildingExpense
Net Community Building Expense	1895	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2530	PersonsServed
Total Community Building Expense	2199	TotalCommunityBuildingExpense
Net Community Building Expense	2199	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	800	PersonsServed
Total Community Building Expense	421	TotalCommunityBuildingExpense
Net Community Building Expense	421	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	3730	PersonsServed
Total Community Building Expense	4515	TotalCommunityBuildingExpense
Net Community Building Expense	4515	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$859,610	BadDebtExpenseAmount
Amount Reimbursed By Medicare	9102097	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10929985	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1827888	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	St Mary's Healthcare Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	801 East Sioux Avenue	AddressLine1
City	Pierre	City
State	SD	State
ZIP Code	57501	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Healthcare Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Maryhouse
717 East Dakota Ave	Pierre	SD	57501	Long term care
Parkwood
400 Parkwood Drive	Pierre	SD	57501	Independent living

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE	SCH H, PART I, Q. 3C	If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's financial assistance policy. When Catholic Health Initiatives (the ultimate parent organization to St. Mary's Healthcare Center) established its charity care 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. St. Mary's Healthcare Center bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines for the county in which the patient resides. This provides patients of St. Mary's the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. Also describe whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. 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.
COMMUNITY BENEFIT REPORT	SCH H, PART I, LINE 6A	If the organization's community benefit report is contained in a report prepared by a related organization, rather than in a separate report prepared by the organization, identify the related organization. St. Mary's Healthcare Center prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization.
BAD DEBT EXPENSE	SCH H, PART I, Q. 7, COLUMN (F)	If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $2,852,058.
COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	SCH H, PART I, Q. 7	Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/11 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, this results in a 38.80% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio.
BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	SCH H, PART III, Q. 4	Provide the rationale and the costing methodology used to determine the amount reported in Part III, lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 38.80%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy, if sufficient information has been available to make a determination of their eligibility. Describe the rationale, if any, for including any portion of bad debt as community benefit. Also provide, if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. St. Mary's Healthcare 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. St. Mary's Healthcare 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	SCH H, PART III, Q. 8	Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. St. Mary's Healthcare Center's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. St. Mary's Healthcare 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	SCH H, PART III, Q. 9B	If the organization has a written debt collection policy and answered "Yes," to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. St. Mary's Healthcare Center debt collection policy provides that St. Mary's Healthcare Center will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through St. Mary's Healthcare Center community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the St. Mary's Healthcare Center community assistance policy is required to be returned immediately by the third-party collection agent to St. Mary's Healthcare Center for appropriate follow-up. St. Mary's Healthcare Center requires 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 financial assistance. 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 Standards of Conduct to make sure all patients are treated with dignity and respect.
COMMUNITY INFORMATION	SCH H, PART VI, Q. 2, 4 AND 5	MISSION St. Mary's Healthcare Center shares the mission of its sponsoring organization, Catholic Health Initiatives. The Mission of 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 creating of healthier communities. VISION To make St. Mary's Healthcare Center a destination for patients and residents to receive care, for employees to work, and for physicians to practice medicine. We will accomplish our mission through an unending commitment to Excellence across our pillars of People, Quality, Stewardship, Growth and Service. PRIMARY TAX-EXEMPT PURPOSE St. Mary's Healthcare Center ("St. Mary's") is listed in the Official Catholic Directory. It is a tax exempt 501(c)(3) organization operated as a ministry of the Catholic Church. Core to its mission, St. Mary's benefits the community in the following ways: - The hospital serves all persons in the community on a non-discriminatory basis - St. Mary's operates an emergency room that is open to all persons regardless of ability to pay - St. Mary's has an open medical staff with privileges available to all qualified physicians in the area - St. Mary's governing body is comprised of independent persons representative of the community as a whole - St. Mary's provides education and training opportunities to health care students enrolled in the local college - Capital University Center - St. Mary's Participates in Medicaid, Medicare, Champus, Tricare and/or other government-sponsored health care programs - St. Mary's serves the central region of South Dakota. The primary counties included in its service area are Hughes, Stanley, Sully, Jones, Hyde and Lyman. The 2010 census population in this area of South Dakota is 27,542 and covers more than 6,660 square miles. No other acute hospital is located in this service area of South Dakota. COMMUNITY BENEFIT APPROACH St. Mary's Healthcare Center is a non-profit healthcare center that is part of Catholic Health Initiatives ("CHI"). The organization demonstrates its charitable mission through the execution of a comprehensive Community Benefit Program. Charity care is one example. As of 6/30/11, it cost St. Mary's $391,000 to provide traditional charity care. In addition to this commitment, St. Mary's has given over $2.5 million in Community Benefit in the form of community health services, education, and subsidized care. Community Benefit goes beyond a charity care program and is a planned, managed, organized and measured approach to a healthcare organization's participation in meeting identified community health needs. St. Mary's collaborates with our communities to benefit our residents, particularly people who are economically poor, minorities and other underserved groups, by improving health status and quality of life. St. Mary's Community Benefit program responds to identified community needs and meets at least one of the following criteria: - Generates a low or negative margin - Responds to needs of special populations, such as minorities, frail elderly, poor persons with disabilities, the chronically mentally ill and persons with AIDS - Supplies a service or program that would likely be discontinued if the decision were made purely on a financial basis. Several of the programs and services that St. Mary's Healthcare Center represents are excellent examples of these criteria. A beautiful, functional and caring Kidney Dialysis Unit ("KDU"), now called the Sr. Evelyn Kidney Dialysis Unit, was built in the new building program just a few years ago. The new space was allocated to this program to make the experience of kidney dialysis as pleasant as possible, embracing the core values of Reverence, Integrity, Compassion, and Excellence. The KDU unit would never have been built if it was based on funds generated or bottom line. KDU meets all of the criteria for Community Benefit, generating a low margin, responding to special populations, and providing a service that likely would be discontinued if the decision were made purely on a financial basis. Another Community Benefit service is the Community Crisis Room at St. Mary's Healthcare Center. The need for this room was identified several years ago, when people, including youth, in a mental crisis were taken to jail until they could be assessed and either transferred to a behavioral health center or released. The Healthy Community/Healthy Youth Coalition determined the need for a safe, humane, and caring 24-hour crisis room. Funding comes from insurance programs, Hughes County, and the Community Benefit program of St. Mary's Healthcare Center. This room helps keep over 100 people safe each year, with ages starting at 7 years old and stretching to over 80 years old. Traditional Charity Care, unpaid costs of Medicaid, and subsidized health services are all part of a non-profit healthcare center's operational costs, along with Community Benefits to serve the poor and broader community. From July 1, 2010 to June 30, 2011, St. Mary's Healthcare Center contributed $2,917,000 to community benefits programs and services. St. Mary's Healthcare Center includes Maryhouse, a 105 bed nursing home which has lost nearly $2.0 million from operations over the last five years. St. Mary's is committed to supporting this facility because it is central to our mission to take care of our vulnerable elderly population. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT I. Community Outreach for the Poor - Our Disproportionate Share participation in the Medicaid program is one means by which we provide service targeted to the poor. - Another is our Community Banquet meals. This wonderful event focuses on the extremely poor, fragile, lonely, and sometimes homeless. St. Mary's works with other community organizations and hosts the dinner twice a year. 300-400 community members are fed every Thursday night as a result of the program. The program has been in existence for 20 years. The outcomes include social interaction, nourishment, and help with the individual's mental health and their spiritual well being. The group is led in prayer before each meal. Community Outreach for the Broader Community Some of the many Community Benefit programs include programs for the broader community, bringing education, training, information and health news to people in a variety of ways, including: - Farm Safety Camp: This program helps grade school students. Kids were getting injured and sometimes killed in farm accidents. Awareness of farm safety is emphasized. The program was developed with county extension agents and our in-house healthcare professionals. - Diabetic Education: We have two programs: Diabetes education and Metabolic Syndrome Class. Both programs target persons with identified conditions, the later is aimed at high risk individuals. We are the only provider offering this important service. Participants learn to manage their illness or learn to avoid it completely. A community advisory board meets twice a year to do program development and measure outcomes. - United Blood Services: This is a program that encourages St. Mary's employees to give blood to fund the blood bank. This is an opportunity for the staff to get involved and help those in need across the community. - Suicide Prevention programs: The Target population is the youth but it also extends to all ages. The Need was defined in 1998 when there was an epidemic of teen suicides. The Completed suicide rate has gone down in recent years. Contacts to our Crisis Room, located on campus, has risen which speaks to the success of the program. More people are now able to access help before an attempt. The responders in the community have become better educated on what to do in the case of an attempt through the experience gained in the program. Many local agencies collaborate in this effort including the police, fire department, and safety agencies, along with St. Mary's. This is a program that is subsidized by St. Mary's. It does not contribute a margin for the Hospital. - Health Fairs: This supports the general community and meets a need by offering screenings to those who would not otherwise gain awareness of basic health screens. Blood pressure checks are given, and individuals are encouraged to visit their M.D. This service uncovers dangerous health conditions that may otherwise be untreated. - Foot Clinics: The Target population is the elderly and frail. The need is to improve the health of elderly people's Health conditions by uncovering them earlier. For instance, an elderly diabetic might save a limb through early detection with this program. - Prenatal Classes: The Target population is young parents. We are the only provider in the area that provides this service. Several different agencies collaborate in developing the programs and in monitoring outcomes. Outcomes include the
PATIENT ELIGIBILITY FOR ASSISTANCE	SCH H, PART VI, Q. 3	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy. St. Mary's Healthcare Center includes information concerning its financial assistance policy on its website. In addition, St. Mary's Healthcare Center prominently displays its financial assistance policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in St. Mary's Healthcare Center's outpatient facilities. In addition, St. Mary's Healthcare Center's 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 St. Mary's Healthcare 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. St. Mary's Healthcare Center 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. St. Mary's Healthcare 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 HEALTHCARE SYSTEM	SCH H, PART VI, Q. 6	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. St. Mary's Healthcare 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 73 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 $612 million in charity care and community benefit in the 2011 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
St Mary's Foundation
800 E Dakota	Pierre	SD	57501	460378424	501(c)(3)	25000	PROGRAM SUPPORT
Retired Senior Volunteer Program
800 E Dakota	Pierre	SD	57501	460378424	501(c)(3)	10000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring the use of grants	Identifier
Return Reference	Sch I, Part I, Q. 2	ReturnReference
Explanation	Grants are monitored through reports received from the grantee organization containing financial and narrative information describing the use of the funds.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
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	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Filing OrgBonusFilingOrg
RITA WENDT
201471	2054	28433	14442	246400
JEFFREY DROP
					349509	146330	188969	53996	20340	759144
CHAD COOPER
					239243	80161	22005	41828	13520	396757
ADAM PAUL
136007	165	11984	7538	177291							21597
STEVEN CASE
133598	85	11583	17118	162384	5332					5332
SANDRA JACOBSON
128742	614	17838	12825	171590							11571
CHRISTOPHER OLSON
202280	151	18866	17722	239019

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TRAVEL FOR COMPANIONS	Sch J, PART I, Q. 1A	BOARD MEMBERS ARE ELIGIBLE FOR TRAVEL FOR COMPANIONS, PURSUANT TO A WRITTEN POLICY REGARDING PAYMENT AND REIMBURSEMENT OF SUCH EXPENSES. ALL INDIVIDUALS AVAILING THEMSELVES OF THESE BENEFITS ARE REQUIRED TO PROVIDE SUBSTANTIATION OF THE EXPENSES INCURRED, AND THE REIMBURSEMENTS ARE REPORTED AS TAXABLE COMPENSATION ON THE MEMBER'S FORM 1099 or W-2 WHERE APPROPRIATE.
METHODS USED TO ESTABLISH CEO COMPENSATION	Sch J, PART I, Q. 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 SEVERANCE PAYMENTS	Sch J, PART I, Q. 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 reportable individuals received severance payments from CHI during the 2010 calendar year.
SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION	Sch J, PART I, Q. 4B	During the 2010 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: JEFFREY DROP AND CHAD COOPER. During 2010 the following contributions were made by CHI to the deferred compensation plan: JEFFREY DROP $28,868 CHAD COOPER $21,600

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	CAPITAL CITY PHYSICIANS LLC	NamePerson

Field	Value	IRS element (for citing)
Relationship	JOE VILLA(DIRECTOR)-OWNER	Relationship
Amount Of Transaction	1124879	AmountOfTransaction
Description Of Transaction	PHYSICIAN CONTRACT SERVICES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Significant Changes in Program Services	FORM 990, PART III	DURING THE FISCAL YEAR ENDING JUNE 30, 2011, CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, CREATED CHI NATIONAL HOME CARE ("CNHC"), A COLORADO NONPROFIT CORPORATION THAT WILL BE OPERATED TO HOUSE CHI'S TAX-EXEMPT HOME HEALTH ACTIVITIES. CHI NATIONAL SERVICES ("CNS"), A COLORADO NONPROFIT AND THE SOLE CORPORATE MEMBER OF CNHC, WAS FORMED TO SERVE AS A SUPPORT STRUCTURE FOR CHI'S NATIONAL SERVICE LINES ACROSS THE COUNTRY. CHI NATIONAL SERVICES WILL SERVE AS A HOLDING COMPANY, PERMITTING MAXIMUM OPERATIONAL AND GOVERNANCE FLEXIBILITY WITH RESPECT TO THE FUTURE FOR-PROFIT AND CURRENT TAX-EXEMPT NATIONAL BUSINESS LINES SERVED BY CHI. THE CONSOLIDATION OF THE HOME CARE OPERATIONS WILL REDUCE VARIATION IN CLINICAL OUTCOMES, LOWER THE COST OF ADMINISTRATIVE AND BACK OFFICE SERVICES, ENHANCE GROWTH THROUGH THE STANDARDIZED MARKETING PROGRAM, AND ENHANCE OVERALL CORPORATE COMPLIANCE THROUGH STANDARDIZATION AND REVIEW. DURING THE FISCAL YEAR ENDING JUNE, 30 2011, ST. MARY'S HEALTHCARE CENTER TRANSFERRED THEIR HOME CARE SERVICE DIVISION TO CNHC.
Executive Committee	FORM 990, PART VI, Q. 1a	Pursuant to Section 8.6 of the Bylaws of St. Mary's Healthcare Center, The Executive Committee is COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT AND CEO OF THE ORGANIZATION, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. Each individual appointed to the Executive Committee HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING. 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.
Members/stockholders	FORM 990, PART VI, Q 6	THE SOLE CORPORATE MEMBER OF ST. MARY'S HEALTHCARE CENTER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members/Stockholders Electing Governing Body	FORM 990, PART VI, Q. 7a	THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO REMOVE, REPLACE OR APPOINT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
Approval of Governing Body Decisions by Members/Stockholders	Form 990, Part VI, Q. 7b	The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4.1 of the organization's bylaws, the corporate member has reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the CHI Board: - Substantial change in the mission or philosophy of St. Mary's Healthcare Center - Amendment of the corporate documents of St. Mary's Healthcare Center - Approve members of the St. Mary's Healthcare Center board - Removal of a member of the governing body of St. Mary's Healthcare Center - Approval of issuance of debt by St. Mary's Healthcare Center - Approval of participation of St. Mary's Healthcare Center in a joint venture - Approval of formation of a new corporation by St. Mary's Healthcare Center - Approval of a merger involving St. Mary's Healthcare Center - Approval of the sale of all or substantially all of the assets of St. Mary's Healthcare Center - To require the transfer of assets by St. Mary's Healthcare Center to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for St. Mary's Healthcare 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.
PROCESS THE ORGANIZATION USES TO REVIEW FORM 990	Form 990, Part VI, Q. 11b	Once the return is prepared, the return is reviewed by the Chief Financial Officer. The Chief Financial Officer either presents the return to the board at a board meeting or an electronic copy of the return is sent to each board member by email for their review. Subsequent to the return being provided to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.
Procedures for Monitoring and Enforcing the COI Policy	FORM 990, PART VI, Q. 12C	Conflicts of interest for all employees are covered in the standards of conduct, found in "Our Values and Ethics at Work", a resource which is given to all employees upon hiring and completion of the acknowledgement and certification statement is required as a condition of employment. Our HR policy addresses conflict of interest situations and describes the consequences of proven conflicts of interest. Additionally, the CFO requires that key employees annually sign a conflict of interest statement that is kept on file by the CFO. The CRO investigates any reported potential conflicts of interest and recommends appropriate action based on findings. St. Mary's Healthcare Center has a Board Policy that references the duality of interest and conflict of interest policies provided by CHI National. At the annual Board and committee meetings all members are requested to sign conflict of interest statements. The signed statements are retained in the administrative files. All members are requested to declare potential conflicts of interest at each Board and/or Committee Meetings of the Board. If the Board finds that a conflict does exist regarding the agenda items to be presented for action, members are requested to abstain from voting. In addition, a questionnaire is sent annually to all Board members and top paid employees asking them to disclose any business or family relationships.
Process for Determining CEO's Compensation	FORM 990, PART VI, Q. 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, 2011. 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.
Process for Determining Compensation - Officers/Key Employees	FORM 990, PART VI, Q. 15b	ANY TOP MANAGEMENT COMPENSATION PAID BY THE ORGANIZATION WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH ST. MARY'S HEALTHCARE CENTER'S COMPENSATION PHILOSOPHY.
Joint Venture Policy	Form 990, Part VI, Q. 16b	ST. MARY'S HEALTHCARE CENTER has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
Public Inspection of Documents	FORM 990, PART VI, Q. 19	The organization's FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS are not publicly available.
Estimate of Hours	FORM 990, PART VII	COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.
Other Changes in Net Assets	Form 990, Part XI, Q. 5	UNREALIZED GAIN/LOSS $3,319,770 CAPITAL RESOURCE POOL CONTRIBUTION (750,144) CHI Connect Depreciation 173,733 ---------- TOTAL 2,743,359

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (125 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
Catholic Health Initiatives
198 Inverness Drive West	Englewood	CO	80112	470617373	Healthcare	CO	501(c)(3)	9	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Fundraising	CO	501(c)(3)	11a	CHI
CHI National Services
198 Inverness Drive West	Englewood	CO	80112	452532084	Healthcare	CO	501(c)(3)	9	CHI
CHI National Home Care
198 Inverness Drive West	Englewood	CO	80112	451261716	Healthcare	CO	501(c)(3)	11a	CHI
Global Health Initiatives
198 Inverness Drive West	Englewood	CO	80112	201536108	Ministries	CO	501(c)(3)	11a	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
St Vincent Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Anthony's Hospital Association
4 Hospital Drive	Morrilton	AR	72110	710245507	Healthcare	AR	501(c)(3)	3	SVIMC
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Healthcare	CO	501(c)(3)	3	CHI
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Fundraising	CO	501(c)(3)	7	CHI Colorado
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29	Colorado Springs	CO	80903	841183335	LTerm Care	CO	501(c)(3)	7	CHI Colorado
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
CHI-Iowa Corp
1111 6th Avenue	Des Moines	IA	50314	420680448	Healthcare	IA	501(c)(3)	3	MHN
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Fundraising	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Healthcare	IA	501(c)(3)	3	CHI-IA Corp
St Rose Ambulatory and Surgery Center F
3515 Broadway	Great Bend	KS	67530	480543724	Surgery Cntr	KS	501(c)(3)	3	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Healthcare	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Fundraising	KS	501(c)(3)	11a	SCH
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Healthcare	KY	501(c)(3)	3	CHI
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Healthcare	KY	501(c)(3)	3	CHI
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Saint Joseph London Foundation Inc
310 East Ninth Street	London	KY	40741	260438748	Fundraising	KY	501(c)(3)	11a	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Fundraising	KY	501(c)(3)	7	SJHS
St Joseph Hospital Foundation Inc
305 Estill Street	Lexington	KY	40504	611159649	Fundraising	KY	501(c)(3)	11a	SJHS
Saint Joseph Medical Foundation Inc
One St Joseph Drive	Lexington	KY	40504	311539059	Phy Practices	KY	501(c)(3)	3	SJHS
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Fundraising	KY	501(c)(3)	7	SJHS
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Healthcare	MD	501(c)(3)	3	CHI
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Fundraising	MN	501(c)(3)	11a	SFMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Healthcare	MN	501(c)(3)	3	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	501(c)(3)	3	CHI
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Healthcare	MO	501(c)(3)	3	CHI
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Healthcare	KS	501(c)(3)	3	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Fundraising	MO	501(c)(3)	7	SJRMC
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Healthcare	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Healthcare	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Fundraising	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Fundraising	IA	501(c)(3)	11a	AHBMHS
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	501(c)(3)	11a	CHI
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Phys Practice	NE	501(c)(3)	11a	CHI Nebraska
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Fundraising	NE	501(c)(3)	7	GSH
Catholic Health Care Federation
198 Inverness Drive West	Englewood	CO	80112	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Saint Elizabeth Regional Medical Center
555 South 70th Street	Lincoln	NE	68510	470379836	Healthcare	NE	501(c)(3)	3	CHI Nebraska
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Fundraising	NE	501(c)(3)	7	SERMC
Saint Elizabeth Health Services
555 South 70th Street	Lincoln	NE	68510	363233120	Healthcare	NE	501(c)(3)	3	SERMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Fundraising	NE	501(c)(3)	7	SFMC
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Healthcare	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Fundraising	NE	501(c)(3)	7	SMH
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Healthcare	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
St Joseph Community Health Services
300 Central Ave SW Suite 3000W	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
CHI Health Connect at Home - Fargo
4816 Amber Valley Parkway	Fargo	ND	58104	271966847	Healthcare	ND	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Fundraising	ND	501(c)(3)	11a	MHDL
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Center
1301 15th Avenue West	Williston	ND	58801	450231183	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Foundation
1301 15th Avenue West	Williston	ND	58801	450381803	Fundraising	ND	501(c)(3)	11a	MMC
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Healthcare	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Fundraising	ND	501(c)(3)	11a	OCH
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Fundraising	ND	501(c)(3)	11a	SJHHC
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Healthcare	OH	501(c)(3)	3	SHP
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Fundraising	OH	501(c)(3)	7	SHP
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Healthcare	OH	501(c)(3)	3	TRI-HEALTH
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Fundraising	OH	501(c)(3)	11a	GSH
Hospital Association for St Joseph Hosp
7601 Osler Drive	Towson	MD	21204	526050777	Healthcare	MD	501(c)(3)	9	SJMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Healthcare	OR	501(c)(3)	3	CHI
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
Linus Oakes Inc
2700 Stewart Parkway	Roseburg	OR	97470	930821381	Senior Living	OR	501(c)(3)	9	MMC
Mercy Foundation Inc
2700 Stewart Parkway	Roseburg	OR	97470	936088946	Fundraising	OR	501(c)(3)	7	MMC
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Healthcare	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Fundraising	OR	501(c)(3)	11a	SA Hospital
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Healthcare	OR	501(c)(3)	3	CHI
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Healthcare	OR	501(c)(3)	3	CHI
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232342997	Health	PA	501(c)(3)	11a	CHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	201425375	Dental care	PA	501(c)(3)	11a	SJHM
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Fundraising	PA	501(c)(3)	11a	SJRHN
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Healthcare	SD	501(c)(3)	3	SMHC
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Healthcare	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Fundraising	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Enumclaw Regional Hospital Association
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Healthcare	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI

Form990 Schedule R Part III Form990ScheduleRPartIII (20 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	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	139679805	2069974790	false	$371,292	true	1.00000
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	198313	1758688	false		false	0.57450
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	-157673	14390550	false		false	0.50100
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-3249314	10905384	false		false	0.60000
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1857228	5457224	false		false	0.70000
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	-290552		false		false	0.51000
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false	0.51000
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	SJ HospitalLex	Related			false		false	0.65000
St Joseph-PAML LLC
424 Lewis Hargett Circle Ste 160	Lexington	KY	40503	452116736	Mgmt Svcs	KY	SJHS	Related			false		true	0.62500
Saint Joseph SCA Holdings LLC
424 Lewis Hargett Circle Ste 160	Lexington	KY	40503	453801157	OP Surgery	DE	SJHS	Related			false		true	0.51000
Surgery Center of Lexington LLC
1451 Harrodsburg Road	Lexington	KY	40504	621179539	Surgery Center	DE	SJHS	Related	808840	4236901	false		true	0.51000
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related			false		true	0.51000
Avantas LLC
1207 South 13 Street	Omaha	NE	68108	392045003	Healthcare	NE	AHMH	Unrelated			false		false	0.95000
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	68802	721546196	Laundry	NE	CHI	Related	196124	3913481	false	-$58,436	false	1.00000
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-99941	1021498	false	-$48,712	true	1.00000
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related			false		false	0.51000
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1857991	2262775	false		false	0.51000
St Francis Medical Center Associates
1717 South J Street	Tacoma	WA	98405	911352698	Med. Office	WA	FHS	Related	116948	1652280	false		false	0.54210
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	131195	3052504	false		false	0.60000
Berywood Office Properties LLC
400 Berywood Trail	Cleveland	TN	37312	621875199	Phys Office	TN	MHCS	Related			false		true	0.63000

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 EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp	3267441	1.00000
Captive Management Initiatives
6028D Shallowford Road	Chattanooga	TN	37422	980663022	Captive Managemen		CHI	C Corp		1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	1668589	1.00000		-2247962
First Initiatives Insurance Ltd
1415 Southgate	Pendleton	OR	97801	980203038	Insurance		CHI	C Corp		1.00000	CJ
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	11914284	1.00000		-507578
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	3180100	1.00000		-518360
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	12168022	1.00000		-36395
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	498393	1.00000		-469016
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp	123535	1.00000		-379
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	14049375	1.00000		2309129
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp		1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp	1253452	0.92980
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	1796053	1.00000		264489
Central Kansas Health Services Associati
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	270164198	Management	KY	SJHS	C Corp		1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	882139	0.85000		16644
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	1369083	1.00000		-1533371
Good Samaritan Outreach Services
PO BOX 1990	Kearney	NE	68848	470659440	MEDICAL CLINIC	NE	CHI Nebraska	C Corp	355110	1.00000		-2921063
Health Systems Enterprises Inc
PO BOX 1990	Kearney	NE	68848	470664558	MANAGEMENT	NE	GSH	C Corp	1443049	1.00000		25289
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	2177166	1.00000		-342970
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	962554	1.00000		9852
Consolidated Health Services
1700 Edison Drive	Milford	OH	45150	311378212	Home Health	OH	CHI	C Corp	11595125	1.00000
American Nursing Care
1700 Edison Drive	Milford	OH	45150	311085414	Home Health	OH	CHS	C Corp	44470358	1.00000		1778617
Amerimed Inc
1700 Edison Drive	Milford	OH	45150	311158699	Home Health	OH	ANC	C Corp	11869657	1.00000		2395230
Patient Transport Services Inc
1700 Edison Drive	Milford	OH	45150	311100798	Home Health	OH	ANC	C Corp	5325941	1.00000		662425
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	C Corp		1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	MMC	C Corp	954798	1.00000		-690267
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	3007554	1.00000		53891
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	42415	1.00000		1007
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp	1008	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	4667998	1.00000		-386020
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp		1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp		1.00000
Harold W Rase 1995 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	456090420	Investments	ND	SJHHC	Trust	21533	1.00000		1240
Harold W Rase 1996 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037112	Investments	ND	SJHHC	Trust	15495	1.00000		900
Harold W Rase 1997 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037104	Investments	ND	SJHHC	Trust	20261	1.00000		1025
Harold W Rase 1999 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037099	Investments	ND	SJHHC	Trust	25027	1.00000		1313
James & Henrietta Nistler Unitrust
30 West 7th Street	Dickinson	ND	58601	206021899	Investments	ND	SJHHC	Trust	41455	1.00000		-16708
Joseph A Schuster Annuity Trust #1
400 Univerity Avenue	Des Moines	IA	50314	421195122	Investments	IA	MFDM	Trust	441488	1.00000		18924
Ray & Shirley David 1999 Unitrust
30 West 7th Street	Dickinson	ND	58601	206037077	Investments	ND	SJHHC	Trust	24194	1.00000		1250
Tom Deyle Charitable Remainder Unitrust
PO Box 1810	Kearney	NE	68848	476192393	Investments	NE	GSHF	Trust	166321	1.00000		4884
David Deyle Charitable Remainder Unitrus
PO Box 1810	Kearney	NE	68848	476192395	Investments	NE	GSHF	Trust	166425	1.00000		4880
Jeanne Deyle Charitable Remainder Unitru
PO Box 1810	Kearney	NE	68848	476192398	Investments	NE	GSHF	Trust	166320	1.00000		4880
Lodesca Miller Charitable Remainder Unit
PO Box 1810	Kearney	NE	68848	476186933	Investments	NE	GSHF	Trust	86367	1.00000		3387
Robert & Wanda Charitable Remainder Unit
PO Box 1810	Kearney	NE	68848	266191916	Investments	NE	GSHF	Trust	537775	1.00000		13030

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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CATHOLIC HEALTH INITIATIVES
l	7830832
CATHOLIC HEALTH INITIATIVES
o	457486
CATHOLIC HEALTH INITIATIVES
q	311146