2012-05-15T10:22:42-04:00 2011-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2010-07-01 470617373 Catholic Health Initiatives CATH 7208741500 198 Inverness Drive West Englewood CO 80112 Dean Swindle 2012-05-01 true CINDY LEON 3032989100 2010 2016-02-24 21:20:13Z KEVIN LOFTON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 1340875225 false 0928 X WWW.CATHOLICHEALTHINIT.ORG X 1996 CO Catholic Health Initiatives (CHI) is a national faith-based non-profit healthcare organization. CHI serves as an integral part of ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER HEALTHCARE PROVIDERS. 16 15 3743 15 33401236 1803446 845437 27141 1122543219 1120672936 146275286 218471487 2939609 1703661 1272603551 1340875225 13580997 3900207 0 0 227317766 235752028 0 0 0 962727378 969581461 1203626141 1209233696 68977410 131641529 4998138277 5206692632 5240327437 4713947878 -242189160 492744754 X SEE SCHEDULE O false false 787387478 3900207 1087339067 To fulfill its mission, CHI, as a values-driven organization, assures the integrity of the ministry by fostering research and development of new ministries that integrate health, education, pastoral and social services; promoting leadership development and formation for the ministry throughout the organization; advocating for systemic changes with specific concern for persons who are poor, alienated and underserved; and stewarding resources by providing coordinated management and strategic planning services along with centralized shared services (payroll, H/R, A/P and purchasing) for the CHI national healthcare ministry. (See Schedule O). 787387478 true true false true false false false true false true true false false true true false true false true true false false false false false false true false true true true false false false false false false false false true false false false false false true true true false false true 6528 0 true 3743 true true true true CJ false false false false false false false false X 16 15 false false false false true false true true true false true true true true true true true true true true true false X DEAN SWINDLE 3032989100 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 X Kevin Lofton FACHE 60.0 X X 2750773 5385 240691 Phyllis Hughes RSM DRPH 4.0 X X Maureen Comer OP 2.0 X David Edwards 2.0 X 5385 Antoinette Hardy-Waller RN 2.0 X 3500 Andrea Lee IHM PHD 2.0 X David Lincoln FACHE 2.0 X X 3500 Christopher Lowney 2.0 X Eleanor Martin SCN ESQ 2.0 X Blackford Middleton MD 2.0 X 5385 Mary Margaret Mooney PBVM DNSC 2.0 X Mary Jo Potter 2.0 X Bruce Siegel MD 2.0 X 5385 Patricia Smith OSF JCD PHD 2.0 X Robert Smoldt 2.0 X 4615 Martha Walsh SC RN 2.0 X Mitch Melfi ESQ 60.0 X 790760 122111 Michael Rowan FACHE 60.0 X 1341312 185967 Dean Swindle CPA 60.0 X 847147 80978 Joyce Ross 60.0 X 435162 56101 Lynn Smith 40.0 X 74492 14803 John DiCola 60.0 X 777628 135638 Thomas Kopfensteiner STD 60.0 X 721852 102638 Stephen Moore MD 60.0 X 788343 125584 Kathleen Sanford RN DBA FACHE 60.0 X 585441 101524 Steven Kehrberg 60.0 X 361159 67201 Herbert Vallier 60.0 X 632764 38034 Carol Keenan 60.0 X 380162 45930 Philip Foster 60.0 X 392291 67638 Michael O'Rourke 60.0 X 664663 84519 Mary Elizabeth O'Brien 60.0 X 953385 83485 David Vellinga 60.0 X 924683 94398 Leslie Hirsch 60.0 X 857024 92124 Joseph Wilczek 60.0 X 1055821 37301 Joseph Messmer 60.0 X 954002 44996 Colleen Blye CPA X 1137197 48673 MICHAEL FORDYCE X 1349975 30028 Susanna Laundy X 475580 32510 Paul Neumann X 248366 26575 John Newton Jr X 397416 38550 John Anderson X 273547 28706 20170945 33155 2026703 370 true true false Huron Consulting Services CONSULTING SERVICES 13612793 QUANTIX CONSULTING INC CONSULTING SERVICES 7474469 REVENUE CYCLE PARTNERS LLC REVENUE CYCLE 6083478 ERNST YOUNG LLP AUDITING/CONSULTING 4541607 EMC CORPORATION CONSULTING SERVICES 4429876 213 11000 16141 27141 Assessments 900099 1008977137 977283952 31693185 Interest Income 900099 96475603 96475603 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 10863600 9222916 1582949 PREMIUMS 900099 3743451 3743451 LEASED EMPLOYEES - AIMS & CMI 541610 247236 247236 365909 365909 1120672936 119066888 125102 118941786 169403 169403 0 99235196 99235196 99235196 99235196 0 0 0 Intercompany Salary Reimbursements 900099 579005 579005 LAWSUIT PROCEEDS 900099 1003919 1003919 Tax Preparation Revenue 900099 120436 120436 301 301 1703661 1340875225 1087339067 33401236 220050046 3900207 3900207 0 0 0 11986654 11986654 0 179062965 36236473 142826492 10148854 4717419 5431435 22003788 5000562 17003226 12549767 2558578 9991189 0 2874267 2874267 14720771 14720771 0 0 0 102293045 3605553 98687492 0 19560755 1417231 18143524 0 0 8009108 8009108 9697629 1450390 8247239 0 3015391 168729 2846662 168578252 168578252 0 26771590 26771590 103708887 103458325 250562 Unrelated Business Taxes 878353 878353 Group Medical Plan 349332773 349332773 Repairs and maintenance 141828717 95610484 46218233 Dues & subscriptions 3238406 429144 2809262 Recruitment and relocation 2735878 2735878 12337638 10923358 1414281 1209233696 787387478 421846218 0 1950 115342 142264642 19885897 89832882 144703294 2492827224 2546207826 20286743 22917433 432246252 202933861 155017945 229312391 1932874189 2052843654 165032702 190706795 4998138277 5206692632 268189211 255079149 11025028 13706976 3552235000 3382820000 9818 10429 550625000 617400000 858243380 444931324 5240327437 4713947878 X -244658581 490259356 2469421 2485398 -242189160 492744754 4998138277 5206692632 X 131641529 603292385 X false true true X false X 18798 7136559 2409585 845437 27141 10437520 529993743 929100420 994629193 1121777652 1087339067 4662840075 530012541 936236979 997038778 1122623089 1087366208 4673277595 267615900 344266284 598849588 642927453 664110246 2517769471 267615900 344266284 598849588 642927453 664110246 2517769471 2155508124 53179068 61337363 65227627 121504449 118941786 420190293 1113055 7297328 924903 680968 1803446 11819700 54292123 68634691 66152530 122185417 120745232 432009993 22861 2534051 294982 43155 1703661 4598710 584327525 1007405721 1063486290 1244851661 1209815101 5109886298 0.42183 0.45095 0.08454 0.07896 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 230000 false false true 10000 false false 240000 false 990 Sch C Supplemental Lobbying Activities Explanation 1 a. - Catholic Health Initiatives' online Advocacy Action Center was available to the general public and CHI employees for use in sending letters by e-mail to members of Congress. Draft letters were provided on CHI advocacy priorities. Individuals were able to create their own letters as well. 1 b. - CHI has a Senior Vice President Advocacy and a Vice President of Public Policy who spend a portion of their time on lobbying activities at the federal level with minimal state level lobbying. The majority of lobbying-related activities are consultative to leadership and staff of the system's hospitals and health care organizations. 1 d. - CHI communicates with leaders of the system's hospitals and health care organizations on advocacy activities primarily through e-mail. Most communications with Congress occur electronically through the Advocacy Action Center. Letters are occasionally mailed to members of Congress. CHI advocacy activities included communications on CHI advocacy priorities, including access and coverage expansions, rural health care, Medicare and Medicaid reimbursement, violence prevention, and the Patient Protection and Affordable Care Act. 1 g. - CHI leaders have occasionally met with members of Congress or their staffs and made telephone calls to express positions on CHI advocacy priorities, including health care reform, fair payment under Medicare and Medicaid, protection of Catholic health care and rural health care issues. Many of CHI's efforts are focused through our national hospital associations. An overview of Catholic Health Initiatives lobbying activities is provided below: Central to the Catholic Health Initiatives mission and vision is a commitment to advocate for systemic changes to improve the health and well-being of individuals and communities with a specific concern for persons who are poor and marginalized. The Catholic Health Initiatives advocacy activities are inextricably linked to its fundamental goal to build healthier communities. One dimension of the Catholic Health Initiatives program focuses on public policy advocacy, which includes attention to federal and state legislative and regulatory measures, formation of positions on priority issues, and political activism. The Catholic Health Initiatives public policy agenda includes both traditional health care policies as well as social justice policies. Policies addressing the expansion of health coverage and access, protection of Medicare and Medicaid, quality care, elimination of disparities in health care, workforce shortages, protection of religiously-sponsored health care entities, children's health, palliative care, and the viability of not-for-profit health care are vitally important to Catholic Health Initiatives. Also important are policies that address societal concerns and injustices and policies that ultimately impact the health of individuals and communities. Catholic Health Initiatives also supports policy measures that improve education, housing, employment, and socioeconomic status, particularly on behalf of the most vulnerable in society. At the Catholic Health Initiatives national office, public policy priorities are identified and advocacy strategies are initiated. The national advocacy office develops resources to facilitate the involvement of the entire health system in grassroots public policy initiatives. All Catholic Health Initiatives facilities in 19 states are encouraged to engage in advocacy through letter writing, faxes, emails, phone calls, and meetings with federal and state political leadership. Catholic Health Initiatives advocacy program is a demonstration of its commitment to the improvement of health and the promotion of social justice, particularly for the communities it serves and for those who are most vulnerable. false true 7009072 7009072 22340727 3192955 19147772 13193346 4181940 9011406 250588542 195558966 55029576 139114565 139114565 229312391 CHI OPERATING INVESTMENT PROG 2043322668 F INVESTMENT IN CHV II, LP 9520986 F 2052843654 0 INTEREST PAYABLE 2657305 PENSION LIABILITY 309236862 SELF-INSURANCE RESERVES AND CLAIMS 17445880 INTEREST RATE SWAPS 69600501 LOSSES INCURRED BUT NOT REPORTED 45229742 MISCELLANEOUS LIABILITIES 761034 444931324 Part X FIN 48 (ASC 740) FOOTNOTE 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. Schedule D, Part IV, Line 2b TRUST, ESCROW AND CUSTODIAL ARRANGEMENTS Catholic Health Initiatives acts as agent for the Employee Financial Assistance Fund, an employee funded program. Europe (Including Iceland and Greenland) 1 Program Services Independent Contractor 85000 North America 1 Program Services Independent Contractor 39968 Central America and the Caribbean Conduct board meetings 52127 Europe (Including Iceland and Greenland) Conduct meetings 120160 North America Conduct board meetings 52127 Central America and the Caribbean Investments 173535 Central America and the Caribbean 1 1 Maintaining offices 316532 1 3 1 3 839449 839449 true false true true true false Schedule F, Part I, Line 3(f) DESCRIPTION OF ACCOUNTING METHOD FOR COSTS IN REGION (1-2) CHI pays various foreign independent contractors for program related services. (3 & 5) There are a few CHI employees that serve on the boards of offshore captives of CHI. CHI allocated a portion of the salaries of these individuals to line 3(f). Travel costs for these individuals were not paid by CHI. (4) CHI allocated a portion of the salaries of individuals who attended a pilgrimage in Rome, Italy. (6) CHI's investments in Captive Management Initiatives, First Initiatives Insurance Limited, and Nazareth Assurance Company are reflected in line 3(f). (7) CHI had one employee located in the Central America / Caribbean area. This individual performs Offshore Self-Insurance Captive Management services on behalf of CHI. CHI's expense associated with that location is the individual's salary and associated benefits. The individual's compensation was estimated to equal $316,532 (US) using the same methodology as is required for individuals reportable on Schedule J. false Alegent Health P O Box 642150 Omaha NE 68154 420782518 501(c)(3) 44655 Alegent Health P O Box 642150 Omaha NE 68154 420782518 501(c)(3) 141785 Faithful Fools Street Ministry 234 Hyde Street San Francisco CA 94102 943348396 501(c)(3) 75125 Jewish Hospital & St Mary's Healthcare 200 Abraham Flexner Way Louisville KY 40202 611029768 501(c)(3) 184651 Jewish Hospital & St Mary's Healthcare 200 Abraham Flexner Way Louisville KY 40202 611029768 501(c)(3) 86051 Intercommunity Mercy Housing 1216 NE 65th Street Seattle WA 98115 911546525 501(c)(3) 45800 Sister of Charity of Nazareth P O Box 9 Nazareth KY 40048 310537158 501(c)(3) 118250 Mercy Housing Colorado 1999 Broadway Suite 1000 Denver CO 80202 841262403 501(c)(3) 50000 Franciscan Sisters of Little Falls 116 8th Avenue SE Little Falls MN 56345 410695518 501(c)(3) 25700 Archdiocese of New York 1011 First Avenue 7th Floor New York NY 10022 133089351 501(c)(3) 40000 SET of Colorado Springs 825 E Pikes Peak Ave Ste 29 Colorado Springs CO 80903 841183335 501(c)(3) 7000 Feeding America 35 East Wacker Dr Suite 2000 Chicago IL 60601 363673599 501(c)(3) 10000 Arrupe Corp Work Study Program 4343 Utica Street Denver CO 80212 460508814 501(c)(3) 51450 St Joseph Community Health 904 A Las Lomas Albuquerque NM 87102 710897107 501(c)(3) 275000 Flaget Healthcare Inc 4305 New Shepherdsville Road Bardstown MN 40004 611345363 501(c)(3) 28190 St Joseph Berea Hospital Foundation 305 Estill Street Berea KY 40403 260152877 501(c)(3) 177160 Memorial Healthcare System 2525 Desales Ave Chattanooga TN 37404 620532345 501(c)(3) 53000 Memorial Healthcare System 2525 Desales Ave Chattanooga TN 37404 620532345 501(c)(3) 64180 Good Samaritan Hospital Foundation 619 Oak Street Cincinnati OH 45206 311206047 501(c)(3) 29881 Good Samaritan Hospital Foundation 619 Oak Street Cincinnati OH 45206 311206047 501(c)(3) 50000 SET of Colorado Springs 825 E Pikes Peak Ave Ste 29 Colorado Springs CO 80903 841183335 501(c)(3) 125000 Samaritan Behavioral Health 2222 Philadelphia Dr Dayton OH 45406 020633634 501(c)(3) 137368 Centura Home Care LLC 188 Inverness Drive West Suite 500 Englewood CO 80112 841577151 50000 CHI Colorado 188 Inverness Drive West Suite 500 Englewood CO 80112 840405257 501(c)(3) 200000 St Clare's Hospital 25 Pocono Road Denville NJ 07834 223319886 501(c)(3) 107329 Mercy Regional Medical dba CHI CO Foundation 1010 Three Springs Blvd Durango CO 81301 840405515 501(c)(3) 95368 St Catherine Hospital 401 East Spruce Garden City KS 67846 480543721 501(c)(3) 66965 St Francis Medical Center 2620 W Faidley Grand Island NE 68803 470376601 501(c)(3) 24809 St Francis Medical Center 2620 W Faidley Grand Island NE 68803 470376601 501(c)(3) 65872 St Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 501(c)(3) 103214 St Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 501(c)(3) 100034 Unity Family Healthcare 300 Third Avenue Little Falls MN 56307 410721642 501(c)(3) 36703 Unity Family Healthcare 300 Third Avenue Little Falls MN 56307 410721642 501(c)(3) 38175 St Vincent Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 710236917 501(c)(3) 23384 St Joseph Health System 310 East Ninth St London KY 40740 611334601 501(c)(3) 47933 St Joseph Health System 310 East Ninth St London KY 40740 611334601 501(c)(3) 40257 St Mary's Community Hospital 1314 Third Avenue Nebraska City NE 68410 470443636 501(c)(3) 19817 St Joseph Area Health 600 Pleasant Avenue Park Rapids MN 56470 410695603 501(c)(3) 60823 St Joseph Area Health 600 Pleasant Avenue Park Rapids MN 56470 410695603 501(c)(3) 58000 St Joseph Medical Center Foundation 2500 Bernville Road Reading PA 19603 232349362 501(c)(3) 90693 St Joseph Medical Center Foundation 2500 Bernville Road Reading PA 19603 232649362 501(c)(3) 148000 Mercy Foundation 2700 Stewart Parkway Roseburg OR 97470 936088946 501(c)(3) 63000 Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 501(c)(3) 92288 Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 501(c)(3) 29060 St Joseph Medical Center Foundation 7601 Osler Drive Towson MD 21204 521681044 501(c)(3) 77962 Mercy Hospital 570 Chautauqua Boulevard Valley City ND 58072 450226553 501(c)(3) 79539 Catholic Health Care Federation 198 Inverness Drive West Englewood CO 80112 208473567 501(c)(3) 348364 Program Support 36 1 Schedule I Part I Q2 Procedures for monitoring the use of grants CHI's mission and ministry fund provides grants to CHI organizations and participating religious congregations to be used for the planning, development and implementation of initiatives to promote healthy communities. Most grants MADE BY CHI COME FROM THE MISSION AND MINISTRY FUND. Facilities and groups associated with CHI are eligible to apply for grant funding for healthy community coalitions and projects. Grants from the mission and ministry fund are awarded based upon a review of grant applications submitted. A committee of the Board of Stewardship Trustees is charged with grantee selection. Funds awarded through the mission and ministry fund are identified in the Catholic Health Initiatives general ledger system. CHI ensures that grants to United States recipients are properly used for their intended purpose by ensuring that the grant recipients are primarily IRC 501(c)(3) organizations. IN MOST CIRCUMSTANCES THE RECIPIENT IS A CHI AFFILIATE. That CHI-related entity supervises the grant initiative, including the expenditure of funds in furtherance of that initiative. Mission and Ministry Fund grant recipients also provide an annual progress report including a financial report. WHERE THE RECIPIENT IS NOT A CHI AFFILIATE, CHI DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC 501(c)(3) ORGANIZATIONS TO USE The FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. X X true true X X X X X true true false false false false false true false Kevin Lofton FACHE 1298121 908358 544294 5385 222277 18414 2991464 5385 501152 Colleen Blye CPA 14337 1122860 27578 21095 1185870 386448 MICHAEL FORDYCE 1349975 30028 1380003 941884 Susanna Laundy 350579 102297 22704 22678 9832 508090 Paul Neumann 248366 25128 1447 274941 John Newton Jr 297317 78118 21981 30028 8522 435966 Mitch Melfi ESQ 478350 188564 123846 100855 21256 912871 Michael Rowan FACHE 912104 405340 23868 166637 19330 1527279 Dean Swindle CPA 456591 125000 265556 70000 10978 928125 Joyce Ross 257563 86376 91223 46339 9762 491263 67162 John DiCola 526918 225584 25126 114592 21046 913266 Thomas Kopfensteiner STD 458128 193982 69742 92742 9896 824490 44570 Stephen Moore MD 566211 197006 25126 111428 14156 913927 Kathleen Sanford RN DBA FACHE 406180 156544 22717 84228 17296 686965 Steven Kehrberg 275988 63440 21731 52951 14250 428360 Herbert Vallier 390021 212741 30002 20228 17806 670798 John Anderson 273547 20228 8478 302253 Carol Keenan 292662 67580 19920 27578 18352 426092 Philip Foster 286954 82972 22365 48841 18797 459929 Michael O'Rourke 460963 149220 54480 64751 19768 749182 Mary Elizabeth O'Brien 590267 334408 28710 73013 10472 1036870 David Vellinga 609695 288044 26944 81952 12446 1019081 Leslie Hirsch 639284 192728 25012 77906 14218 949148 Joseph Wilczek 637541 216372 201908 25128 12173 1093122 75108 Joseph Messmer 115424 73914 764664 32478 12518 998998 419309 Sch J Part I Q 1a RELEVANT INFORMATION REGARDING LISTED BENEFITS For each benefit provided in line 1a, the organization must disclose relevant information which may include the type of benefit, the listed person who received the benefit (or class of individuals for whom the benefit was provided: i.e. all directors), and whether or not the benefit was included in the individual's compensation. The CHI travel policy #5, which is applicable to all employees, states that first-class airfare is generally not permitted, but may be utilized if approved in advance by the individual's supervisor and warranted based upon the facts and circumstances, which may include: amount of travel involved, nature of specific trip, duration of travel and cost differentiation between first class and coach. Kevin Lofton, CEO, utilizes first class travel on occasion only when other ticketing options are not logistically suitable. CHI provides employees at the level of manager and above with PDAs. The value of the employer-provided cell phone service is included in the employees' income and is grossed-up for tax pursuant to HR Policy #7. CHI provides the tax indemnification because CHI believes that the provision of cell phones to its employees is business related, and that the costs associated with documentation of the business relationship of all calls and emails made on the PDA exceeds the costs of tax indemnification. Sch J Part I Q 4 4a. Post-termination payments are addressed in executive employment agreements for employees at the level of Vice President and above. These employment agreements require that in order for the executive to receive a post-termination payment, these executives must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from CHI during the 2010 calendar year, and these severance payments were included in the individuals' W-2 income and reportable compensation on Schedule J: John Anderson $275,709; Mike Fordyce $408,091; Paul Neumann $248,754; Colleen Blye $704,372; Joseph Messmer $326,093. 4b. During the 2010 calendar year Catholic Health Initiatives maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: Kevin Lofton, Mitch Melfi, Joyce Ross, Michael Rowan, Dean Swindle, John Dicola, Philip Foster, Steven Kehrberg, Tom Kopfensteiner, Stephen Moore, Michael O'Rourke, KATHLEEN SANFORD, Leslie Hirsch, Mary Beth O'Brien, David Vellinga, Joseph Wilczek, Joseph Messmer. During 2010 the following contributions were made by CHI to the deferred compensation plan: Kevin Lofton $197,149; Mitch Melfi $73,277; Joyce Ross $21,211; Michael Rowan $143,959; Dean Swindle $70,000; John Dicola $84,564; Philip Foster $26,163; Steven Kehrberg $20,473; Tom Kopfensteiner $72,514; Stephen Moore $91,200; Michael O'Rourke $44,523; KATHLEEN SANFORD $64,000; Leslie Hirsch $57,678; Mary Beth O'Brien $52,785; David Vellinga $49,474. During 2010 the following distributions were made by CHI from the deferred compensation plan: Kevin Lofton $501,152; Joyce Ross $67,162; Tom Kopfensteiner $44,570; Joseph Wilczek $75,108; Joseph Messmer $419,309; Colleen Blye $386,448; Michael Fordyce $941,884. Colleen Blye and Michael Fordyce are no longer employed by Catholic Health Initiatives. However, they are still receiving deferred compensation distributions that previously vested. Due to the "super" vesting rules under the CHI deferred compensation plan, participants who have met certain requirements such as termination, age, or years of service are eligible to receive their 2010 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2010, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: Joseph Messmer $9,223 and Joseph Wilczek $60,850 Sch J Part I Q 7 CHI maintains a variable pay program for managers and above that puts a certain amount of compensation at risk. Awards of incentive compensation under the variable pay program are made based upon achievement of organizational objectives including financial outcomes, quality improvement, and other measures as determined annually by the Board of Stewardship Trustees. However, no award is payable under this program unless operating margin and charity care levels are achieved at a designated percent of budget. Washington Health Care Facilities Auth 2008A4-6 911108929 93978EJ60 2010-07-29 120260000 SEE SCH O - (Wash 2008A4-6) false false false Colorado Health Facilities Authority 2009 AB 840752932 19648ARL1 2009-11-10 713972398 SEE SCH O - (2009AB Comp Issue) false false false Kentucky Economic Dev Finance Auth 2009 AB 610600439 49126PDF4 2009-11-10 133269543 SEE SCH O - (2009AB Comp Issue) false false false County of Montgomery Ohio 2009 AB 316000172 613549HX5 2009-11-20 263401078 SEE SCH O - (2009AB Comp Issue) false false false 120260000 120260000 2009 true false false true 17010000 714047470 39 155600000 6264973 552182497 2011 true false false true 4465000 133269639 5 1380211 131889379 2009 false false false true 8800000 263401373 22 223408344 2530978 37461940 2009 true false false true false false true true true true false true true true true 0.00330 0.00010 0.00340 true false true true true true true false true true true true true false true true JP MORGAN 28. false false false false true false true false false false true false true false false false true false true false false false true Schedule K - Supplemental Information Due to Software limitations, please see Schedule K Supplemental Information contained in Schedule O Preferred Professional Insurance Co Dual Board Member 15000000 Comm Excess & Prim Malprac Ins false Form 990 Part III Organizational Mission continued 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. Form 990 Part III PSR Statement of Program Service Accomplishments: CHI is a national nonprofit health organization with headquarters in Denver. The faith-based system operates in 19 states and includes 73 hospitals; 40 long-term care, assisted- and residential-living facilities; two community health-services organizations; and home health agencies. In fiscal year 2011, CHI provided almost $612 million in charity care and community benefit, including services for the poor, free clinics, education and research. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. To fulfill its mission, CHI, as a values-driven organization, assures the integrity of the ministry in both current and developing organizations and activities. CHI fosters research and development of new ministries that integrate health, education, pastoral and social services; promotes leadership development and formation for the ministry throughout the entire organization; advocates for systemic changes with specific concern for persons who are poor, alienated and underserved; and stewards resources by general oversight of the entire organization. To further the exempt purpose, CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2011, include more than $118 million in supply chain expense, approximately $28 million for insurance costs and approximately $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. Reporting Across the System: The following examples of community benefit activities in 2010 represent only a small fraction of those taking place on a daily basis at these facilities and throughout the Catholic Health Initiatives health care system. Form 990 Part III PSR (Continued) Statement of Program Service Accomplishments (CONTINUED): Denville, New Jersey St. Clare's Health System, with hospitals in Denville, Dover, Boonton and Sussex, serves more than 60 towns in the northwest region of New Jersey and northeastern Pennsylvania. The system's Sister Catherine Community Health Center Clinic has been serving the community for more than 20 years, providing high quality, compassionate care to the vulnerable, poor, underserved and uninsured. The clinic offers comprehensive services for all family health needs, including internal medicine, obstetrics, gynecology and pediatrics, all in a single location. The center is staffed with board-certified physicians who specialize in internal medicine, pediatrics and obstetrics, nurses, social workers, dieticians, financial counselors and support staff. In addition, it collaborates with The Morris County Office of Temporary Assistance to provide an out-station Medicaid worker to assist current clinic clients in applying for Medicaid programs. About 95% of non-clinical staff is bilingual. For fiscal year 2011, the Adult Medical Clinic provided care to 3,879 patients and 3,365 prenatal clinic visits, with approximately 264 deliveries by clinic patients. St. Clare's has also developed a prenatal HealthStart Clinic called "Hablando de Mujer a Mujer" (Talking Woman to Woman). It is run once a week from March through July and focuses on topics related to pregnancy, birth, and expectations related to motherhood, post-partum depression and the impact of post-partum depression in the family. Also, the system's pediatric neurology clinical provides services on the fourth Tuesday of every month, offering a comprehensive evaluation and management of children with diseases affecting the nervous system and muscles. This includes seizures, tics, headaches and migraines, and neurodegenerative disorders. Park Rapids, Minnesota St. Joseph's Area Health Services sponsors a Community Dental Clinic, which provides dental care to the publicly funded populations throughout north- central Minnesota. In fiscal year 2011, the clinic provided 5,876 dental visits. The "Give Kids a Smile" day provided hygiene and exams to 65 children. The Pregnancy-to-Parenthood Program was developed to address the needs of at-risk mothers and children. The program includes prenatal education, parenting education and support. St. Joseph's Area Health Services provides the oversight of the grants and the additional funding for this program. Vaccinations are one of the most effective ways to prevent disease and also one of the most cost-efficient medical interventions available. St. Joseph's Area Health Services offers low-cost or free vaccinations to eligible children from birth to age 19 at monthly clinics. Annual flu shots are provided to area businesses. St. Joseph's Area Health Services also makes vaccines available in all of the schools in Hubbard County. More than 600 vaccinations were given to community members and students in fiscal year 2011. Breckenridge, Minnesota St. Francis Medical Center is the sole provider for several much-needed health services in the community, including: -Milnor Clinic, a rural health clinic located in southeast North Dakota, 40 miles west of Breckenridge. Clinic services are provided to a medically underserved community through a nurse practitioner and a rotation of physicians. Approximately 792 patient visits were conducted during fiscal year 2011 at a net cost of $148,350; -The Hope Unit, which provides outpatient psychiatric and chemical dependency services to address the mental health needs of the community. Wilkin County has been designated as a health provider shortage area, and the Hope Unit staffs the only psychiatrist in the community. Despite these unmet mental health needs, the Hope Unit conducted 4,152 patient encounters during fiscal year 2011 with a net annual cost of $25,983; -Subsidization of the cost of anesthesia services in order to provide 24-hour on-call coverage in the area. Almost 1,000 people benefited at a cost of $80,619 throughout the fiscal year. Reading, Pennsylvania St. Joseph Medical Center has collaborated for the last nine years with the Keystone Farmworker Program, the Berks-Schuylkill Dental Hygienists' Association, the Berks County Dental Society, and individual private practice dental professionals to provide a Children's Dental Clinic that operates one Saturday morning a month from January through May. The Children's Dental Clinic cares for children with serious dental diseases who have fallen through the cracks. A majority of those clinic patients are low income, minority children, including farm-worker children. Also, St. Joseph helps educate Hispanic women about prenatal care through Comenzando Bien (Good Beginning), a program created by the national March of Dimes organization. The curriculum addresses some of the unique cultural perspectives of Hispanic women and their families, as well as behaviors that affect a pregnancy. Comenzando Bien is a bilingual program with materials that reflect Hispanic culture and the roles of men and women in that culture. The prenatal education portion of the classes encourages positive behaviors, including taking vitamins, getting needed vaccinations and eating properly during pregnancy. Centerville, Iowa Mercy Medical Center-Centerville provided a wide variety of community outreach programs to the poor in fiscal year 2011, including -Sponsorship of a community bus that provides transportation to medical appointments for the elderly and those with low income who are unable to drive or have no one to transport them. The bus served 864 riders last year. -Flu vaccines for the businesses at their worksite, including vaccines for residents and staff of a community of mentally challenged individuals who live at the home. A total of 121 community members were served through this vaccination program. -The preparation of meals and dietician consultant service for the county Meals on Wheels program. This program served 6,822 meals on wheels to the poor and elderly in the community. Mercy also offers a certified diabetes education and support group from patients with diabetes and their spouses. This program offers both presentations from various disciplines involved in managing diabetes as well as discussion. Almost 200 individuals took part in this education to assist them in managing their diabetes. And Mercy holds a monthly Alzheimer's support group to meet the growing needs of the elderly facing Alzheimer's and those who are providing care to them in the home. The group has both a morning and evening session for the convenience of caregivers. Twenty-three people benefited from the services of this program last year. Grand Island, Nebraska The Saint Francis Medical Center Foundation distributed $608,198 back into the community in fiscal year 2011 through its financial support of Saint Francis Medical Center and community-sponsored programs. Additionally, $247,027 was provided through in-kind support and fiduciary support of community projects. Programs supported financially included the Third City Community Clinic, which provides primary care and dental care to low-income residents; Saint Francis Child Safety, which promotes usage of child safety seats; and the Parish Nurse program at St. Mary's Cathedral. In addition, funds support the Student Wellness Center, which provides primary health care services to students at Grand Island Senior High and Walnut Middle School along with Project Care, which helps Saint Francis patients address medical needs that aren't covered by insurance or existing programs. The Saint Francis Foundation also provided funding for oncology services, a teen parenting program and interpreter services. Form 990 Part III PSR (Continued) Statement of Program Service Accomplishments (CONTINUED): Lexington, Kentucky SJH operates a free health clinic, the Saint Joseph Continuing Care Clinic, for residents of central Kentucky (primarily of Fayette County) who are low-income and do not qualify for Medicaid services. The clinic provides primary health care services, including pharmaceuticals. In fiscal year 2011, the clinic served 1,885 patients during 2,825 visits and provided $3,711,674 in free medications, based on market value. The clinic also began a redesign process to identify ways to better serve people who leave the hospital without follow-up care to improve appropriate utilization of services and reduce readmissions. Saint Joseph also provides space and utilities to Baby Health Service, the oldest children's health clinic in the commonwealth. Baby Health Service is about healthy families and a healthier community. Its name may be misleading, as its patients are children age birth to 17 whose families do not qualify for Medicaid and who have no form of health insurance. All services are free for children. Well Child visits, sick visits, medications, lab tests and immunizations are paid by Baby Health Service. The dollar value of the volunteer medical services averages nearly $300,000 annually. Little Rock, Arkansas St. Vincent Infirmary Medical Center sponsor its Volunteers-in-Medicine Program, providing primary care to those without health insurance at three clinic locations in greater Little Rock. It uses the services of volunteer, retired St. Vincent physicians to deliver these services and it maintains a network of physician specialists to whom it can also refer as needs arise. These Clinics registered 2,841 patient visits during fiscal year 2011, as the economic recession continued to make it difficult for uninsured people to find health care options. Beyond the direct care provided at these clinics, St. Vincent has donated medical supplies in several instances where needed, as well as medications that patients otherwise could not afford. St. Vincent also maintains its 39-year partnership with the City of Little Rock at St. Vincent Health Clinic - East, where dental services help to meet a significant need in our community. This Clinic also provides free school physicals to many children in greater Little Rock each summer. Towson, Maryland St. Joseph Medical Center sponsors St. Clare Medical Outreach, a free primary care clinic that serves people who have no health insurance. There is a growing Hispanic community in the hospital's primary service area whose health care needs are often unmet because of language barriers and their lack of health insurance. Many of the patients of St. Clare Medical Outreach are Hispanic, and almost all of the staff of St. Clare Outreach is bilingual. The staff sees more than 2,000 patients each year. The primary medical conditions of the patients of St. Clare Outreach are hypertension, obesity, diabetes and high blood pressure, but, at the same time, the staff sees patients who are diagnosed with cancer and need immediate and aggressive interventions. The staff at St. Clare Outreach includes a pharmacy liaison whose full-time position is working with pharmaceutical companies to secure at little or no cost the drugs that the patients urgently require but cannot afford. When patients present with needs for care by specialists, the staff of St. Clare can refer many of them to physicians who will provide pro bono care in their area of specialty. The diabetes educator who is part of the St. Clare Medical Outreach staff has developed teaching tools specifically designed for patients who read neither English nor Spanish and yet need instruction on how to control their diabetes through both diet and the use of insulin. The request for services through St. Clare Medical Outreach has been so strong that the hospital has launched a program to have physicians who have retired from St. Joseph Medical Center provide volunteer care so patients can be seen more quickly. Little Falls, Minnesota Unity Family Healthcare provides many programs designed to assist the vulnerable, including participation in the Little Falls "Home-Delivered Meals" program. This initiative involves delivering meals to needy people in the community. The recipients are not only grateful for prepared meals but also equally happy about the opportunity to interact with someone from the community. They are frequently isolated and such opportunities are limited. The Home-Delivered Meals program meets a local community need and is directly related to the broad definition of health -- addressing the spiritual, mental, physical and emotional well-being of people in the community. Unity Family Healthcare department managers have led this project, resulting in a community benefit of $6,300 while serving 344 individuals. Also, as the community has become more diverse, Unity Family Healthcare recorded almost $26,000 in translation services in fiscal year 2011, up from $8,500 the previous year. Meantime, St. Gabriel's Hospital, part of Unity, was among the first facilities in the state to participate in the Minnesota Breast and Cervical Cancer Control Program, which provides screening services to low-income women. St. Gabriel's Hospital and the other Little Falls-based medical providers continue to be among the most utilized participants in the state. This high participation rate is primarily due to two factors-the low per capita income in the county and the effectiveness in presenting the program to women who make appointments for the covered services. Roseburg, Oregon Mercy Medical Center's Community Education Programs are free to the public and designed to provide instruction to help achieve the healthiest possible lifestyles. During fiscal year 2011, Mercy contributed $93,499 to Community Health Improvement and Education programs. Mercy's Family Birthplace provides classes that meet every week throughout the year, and include prenatal education, breastfeeding and childbirth classes. These classes cover all kinds of issues surrounding childbirth and parenting. Mercy also collaborates with local partners to raise awareness and to help fund prevention of diseases such as cancer, diabetes, cystic fibrosis, muscular dystrophy and AIDS. Last year, Mercy donated to local organizations by sponsoring presentations on topics such as heart disease, diabetes, stroke, and breast cancer awareness. Also, Mercy provided cash donations in the amount of $41,111 last year to numerous agencies, including the Boys and Girls Club, Camp Millennium, Roseburg Chamber of Commerce, Rotary Foundation, United Way, Wish, Umpqua Community Health Clinic and various high schools in Douglas County. Bardstown, Kentucky Flaget Memorial Hospital's Prescription Assistance Program includes an employee dedicated to coordinating the prescription assistance program, which serves people who otherwise could not afford to pay for their prescription medications. By utilizing the assistance options through pharmaceutical companies, the program is able to ensure patients get the medications they need at no cost. This enables the patients to better manage their health and avoids unnecessary utilization of high cost emergency department services. If there is a gap between when the patient needs a medication and when the pharmaceutical assistance begins, the program includes a bridge through a voucher system with local retail pharmacies so that people have immediate access to vital medicine. In the 2011 fiscal year, 2,294 free prescription medications were distributed at a market value of $1,162,769. This comprehensive service walks patients through the application process and follows up with patients to make sure their long-term needs are met. Flaget works with other community members and organizations to support the operations of the Nelson County Community Clinic, which offers basic medical and dental services for people who are working but do not have health insurance. Flaget provides financial assistance and supplies to the clinic and receives referrals from the clinic's patients for advanced diagnostic tests. Form 990, Part VI, Section A, Line 1 Executive Committee: CHI's Board of Stewardship Trustees does have an Executive Committee. The executive committee is comprised of the board chair, the chair-elect, the Vice Chair, and up to three additional Trustees appointed by the Board of Stewardship Trustees. Except as otherwise provided by law, the Executive Committee has and may exercise such powers as may be delegated to it by the Board of Stewardship Trustees. All actions taken by the Executive Committee shall be promptly reported to the Board of Stewardship Trustees at the next regular meeting of the Board of Stewardship Trustees. During the Fiscal Year Ended June 30, 2011 the Executive Committee was comprised of the following individuals: Phyllis Hughes, David Lincoln, Mary Jo Potter, Patricia Smith, and Kevin Lofton. All of these individuals were members of the Board of Stewardship Trustees. Form 990, Part VI, Line 6 Existence of Members or Stockholders: Form 990 instructions define a "member" as any person who, pursuant to a provision of the organization's governing documents or applicable state law has the right to..."approve significant decisions of the governing body" or to..."receive distributions of income or assets from the organization upon the organization's dissolution". CHI was founded by Religious Institutes of the Roman Catholic Church. Those Religious Institutes of the Roman Catholic Church that agree to accept the mission and vision of the organization and meet certain other requirements established by the Board of Stewardship Trustees, and who are approved by a 2/3 vote of the Board of Stewardship Trustees have "Participating Congregation" rights and duties under the bylaws of the organization. Participating Congregations have the right to approve substantial changes to the mission and philosophical direction of the organization, approve amendments to the articles and bylaws affecting any provision governing the qualifications, rights or responsibilities of the Participating Congregations, select and remove a person who represents that participating congregation in exercising its rights and duties, participate in the distribution of assets upon the dissolution of the organization, participate in organizational advocacy efforts, encourage members of the participating congregations to participate in the ministries sponsored by the organization, and participate through their representatives in meetings held twice per year with the Board of Stewardship Trustees. (Section 3.1.1 of the Bylaws of Catholic Health Initiatives). Form 990, Part VI, Line 7b Decisions of the Board Subject to Approval: Form 990 instructions indicate that an organization must answer "yes" if at any time during the organization's tax year, there were one or more persons who had the right to approve or ratify decisions of the organization's governing body such as approval of the governing body's decision to dissolve the organization. The corporation was founded by Religious Institutes of the Roman Catholic Church. Those Religious Institutes of the Roman Catholic Church that agree to accept the mission and vision of the organization and meet certain other requirements established by the Board of Stewardship Trustees, and who are approved by a 2/3 vote of the Board of Stewardship Trustees have Participating Congregation rights and duties under the bylaws of the organization. Participating Congregations have the right to approve substantial changes to the mission and philosophical direction of the organization, approve amendments to the articles and bylaws affecting any provision governing the qualifications, rights or responsibilities of the Participating Congregations, select and remove a person who represents that participating congregation in exercising its rights and duties, participate in the distribution of assets upon the dissolution of the organization, participate in organizational advocacy efforts, encourage members of the participating congregations to participate in the ministries sponsored by the organization, participate through their representatives in meetings held twice per year with the Board of Stewardship Trustees. (Section 3.1.1 of the Bylaws of Catholic Health Initiatives). Form 990, Part VI, Line 11B Process, if any, that the organization uses to review Form 990: The Chief Financial Officer of CHI conducts a review of the Form 990 in a meeting with the Director of Tax. Individual sections of the Form 990 may also be reviewed by the General Counsel and the Director of Communications. After incorporation of any changes resulting from these reviews, the Form 990 is provided to the CHI Board of Stewardship Trustees a week in advance of the Board meeting as part of the board packet. The Form 990 is formally presented to the board by the Chief Financial Officer and by the Director of Tax at the board meeting. Upon Chief Financial Officer approval and signature, the tax director files the final Form 990 as presented to the board, making any non-substantive changes necessary in order to effect e-filing. Any such changes are not re-submitted to the board. Form 990, Part VI, Line 12C Procedures for Monitoring and Enforcing the COI Policy: All CHI officers, trustees and employees are covered by a conflict of interest policy. The Board of Stewardship Trustees Conflict of Interest Policy provides that all members of the Board of Stewardship Trustees and officers are required to promptly and fully disclose to the Board Chair situations that may create a conflict of interest when he or she becomes aware of the situation. In addition, all members of the Board of Stewardship Trustees, including Officers of the Board, are required to annually disclose any conflicts of interest via completion of a conflict of interest form which is reviewed by the organization's Senior Vice President Legal Services and General Counsel. Any resulting potential conflicts are reported to the Board Chair who is charged with further investigation of conflict(s) of interest as he or she deems appropriate; documentation of conclusions with respect to existence of a conflict (including relevant facts and circumstances); and reporting to the executive committee concerning the review, evaluation and conflict determination. To the extent that the Board Chair and any other trustee disagree as to whether a circumstance gives rise to a conflict, the Board's Executive Committee makes the final determination as to the existence of a conflict. The potentially conflicted board member is excluded from voting as to the existence of a conflict, and is excused from the room while voting concerning the matter is conducted. In any circumstance where a board member has been identified as having a conflict of interest with respect to a particular transaction, that board member is also excluded from voting with respect to that transaction. The Conflict of Interest policy with respect to CHI employees requires that employees at the level of director and above must certify upon hiring that they have no conflict of interest. Further, these individuals are required to disclose to their supervisors any conflicts that arise during the year. Finally, these individuals must, in conjunction with the performance evaluation process, annually certify that no conflicts exist. Form 990, Part VI, Line 15 Process for Determining Compensation: 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. Form 990, Part VI, Line 16B Adoption of written policy or procedure regarding joint ventures: CHI has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximatation of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel. Form 990, Part VI, Line 19 Governing Documents, COI Policy, Financial Statements Public Availability: Catholic Health Initiatives' Articles of Incorporation are available on the Colorado Secretary of State website. Catholic Health Initiatives' consolidated audited financial statements are available on the CHI Website at http://www.catholichealthinit.org/ and at http://www.dacbond.com. Catholic Health Initiatives' Bylaws and Conflict of Interest Policy are not publicly available. Form 990, Part VII, Column B Estimate of Average Weekly Hours Devoted to Related Organizations: The voting board members of Catholic Health Initatives are all members of Catholic Health Care Federation ("CHCF"). Each of the following individuals spends approximately .2 hours / week on CHCF business: Kevin Lofton; Phyllis Hughes; Maureen Comer; David Edwards; Antoinette Hardy-Waller; Andrea Lee; David Lincoln; Christopher Lowney; Eleanor Martin; Blackford Middleton; Mary Margaret Mooney; Mary Jo Potter; Bruce Siegel; Patricia Smith; Robert Smoldt; Martha Walsh; In their capacities as employees of Catholic Health Initiatives, the following individuals provided services to various CHI affiliates during the year ended June 30, 2011: Kevin Lofton; Dean Swindle; Mitch Melfi; Michael Rowan; Joyce Ross; Lynn Smith; John Dicola; Tom Kopfensteiner; Stephen Moore; KATHLEEN SANFORD; Steven Kehrberg; Herbert Vallier; Carol Keenan; Philip Foster; Michael O'Rourke; Mary Elizabeth O'Brien; David Vellinga; Joseph Wilczek; Leslie Hirsch; Joseph Messmer. Due to the nature of the work it is not possible to estimate the portion of time dedicated by each of these employees to related organizations. These individuals may also, in their capacities as CHI employees, sit on the boards of CHI direct affiliates and / or subsidiaries. Form 990, Part VII, Column D & E Explanation of Reasonable Efforts to Obtain Related Organization Comp: An organization is not required to report compensation from a related organization to a person listed on Form 990, Part VII, Section A if the organization is unable to secure the information on compensation paid by a related organization after making a reasonable effort to obtain it. In that case, the organization shall report the efforts undertaken on Schedule O. CHI believes that it has fully disclosed all compensation paid by related organizations to the individuals listed on Schedule J. However, in the event that any related party compensation has been inadvertently excluded, CHI offers the following information concerning reasonable efforts: CHI performed a comprehensive review of the compensation paid by each organization within the CHI family as follows: Each CHI legal entity provided a list of its officers, directors, trustees, key employees and estimated top ten highest paid employees. This information was provided to various departments including, inter alia, CHI's centralized accounts payable service center, centralized payroll center and benefits coordinator. Each department provided a report reflecting the amount paid to each reportable individual by payor-entity. Each reportable individual received a report reflecting their compensation as it will be reported on the Form 990 (including compensation paid by related organizations) and were asked to verify the accuracy of the information. Form 990, Part XI, Line 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE CAPITAL RESOURCE POOL CONTRIBUTION 54,526,176 EQUITY TRANSFER FROM AFFILIATES 5,483,416 EQUITY TRANSFER TO AFFILIATES (24,033) CAPITALIZED PROJECT COSTS 239,143 MBO ALLOCATION OF CHI CONNECT DEPRECIATION (11,657,638) PRIOR PERIOD ADJUSTMENT (40,844) PENSION ADJUSTMENT 367,630,912 FMV CHANGE IN INTEREST RATE SWAPS 26,876,123 NET UNREALIZED GAINS/(LOSSES) ON INVESTMENTS 160,259,130 ============================================================== TOTAL 603,292,385 SCHEDULE K Form 990 Schedule K, Part V: Washington Health Facilities Authority 2008A4-6: Part I, line f Purpose: Reissuance of Wash. HFA 2008A4-6, originally issued on April 21, 2008 Part II, line 6 All of the deemed proceeds of the reissuance were treated as refunding all of the outstanding Washington Health Care Facilities Auth. Series 2008A4-6 Bonds on July 29, 2010. ========================================================================== Series 2009 A/B Composite Issue: The bonds described on lines B, C and D in Part I are part of a composite issue for federal income tax purposes (the Series 2009 A/B Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 10-Nov-09 line e Issue Price $1,110,643,019 line f Purpose: Colorado Health Facilities Authority 2009 A/B - Capital improvements, acquisitions and equipment acquisitions for affiliates in Colorado, Iowa, New Jersey and Nebraska and current refunding of Colorado 1997B-1, 1997B-2, 1997B-3 (Original Issuance Date: November 25, 1997), 2004B-4 and 2004B-5 Bonds (Original Issuance Date: November 18, 2004) and Iowa 1997B Bonds (Reissuance Date: December 2, 1999) Kentucky Economic Dev. Finance Auth. 2009 A/B - Capital improvements and equipment acquisitions for affiliates in Kentucky. County of Montgomery, Ohio 2009 A/B - Capital improvements and equipment acquisitions for affiliates in Ohio and current refunding of Ohio 1997B (Original Issuance Date: November 25, 1997), 2006B-1 and 2006B-2 Bonds (Original Issance Date: November 9, 2006). Part II line 1 Amount of bonds retired $30,275,000 line 2 Amount of bonds legally defeased $0 line 3 Total Proceeds of issue $1,110,718,482 line 4 Gross proceeds in reserve funds $66.42 line 5 Capitalized interest from proceeds $0 line 6 Proceeds in refunding escrows $379,008,344 155,600,000 of proceeds of the Colorado Health Facilities Authority 2009A/B Bonds were used to redeem the Colorado Health Facilities Authority Series 1997B-1, 1997B-2, 1997B-3, 2004B-4 and 2004B-5 Bonds and the Polk County, Iowa 1997B Bonds on November 10, 2009. $223,408,344 of proceeds of the County of Montgomery, Ohio 2009A/B Bonds were used to redeem the County of Montgomery, Ohio Series 1997B, Series 2006B-1 and Series 2006B-2 Bonds on November 10, 2009. line 7 Issuance costs from proceeds $10,176,161 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $721,533,816 line 11 Other spent proceeds $0 line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2011 Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.33] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.01] line 6 Total of lines 4 and 5 [0.34] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No - CHI reasonably expects that no proceeds will be invested beyond an available temporary period. line 6 Did the bond issue qualify for an exception to rebate? Yes - CHI reasonably expects that the Series 2009 Composite Issue will meet an available exception to rebate. ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2008D Composite Issue): The bonds described on lines A, B, C and D in Part I are part of a composite issue for federal income tax purposes (the Series 2008D Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 20-Nov-08 line e Issue Price $468,483,279 line f Purpose: Colorado Health Facilities Authority 2008D - Capital improvements and equipment acquisitions for affiliates in Colorado, Iowa, Minnesota, Nebraska, New Jersey and Oregon. County of Montgomery, Ohio 2008D - Capital improvements and equipment acquisitions for affiliates in Ohio. Chattanooga TN Health Ed & Housing Fac Bd 2008D - Capital improvements and equipment acquisitions for affiliates in Tennessee. Washington Health Care Facilities Authority 2008D - Refund WA Auth Bonds 2007A1-3 (Original Issuance Date: November 8, 2007) Part II line 1 Amount of bonds retired $0 line 2 Amount of bonds legally defeased $3,155,000.00 line 3 Total Proceeds of issue $469,141,627 line 4 Gross proceeds in reserve funds $0 line 5 Capitalized interest from proceeds $0 line 6 Proceeds in refunding escrows $169,725,000 169,725,000 of proceeds of the Washington Health Facilities Authority 2008D Bonds were used to redeem the Washington Health Facilities Authority Series 2007A1-3 Bonds on December 9, 2008. line 7 Issuance costs from proceeds $6,135,034 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $262,410,121 line 11 Other spent proceeds $3,479,562.72 CHI has provided for the defeasance of $3,155,000 of the Colorado Health Facilities Authority Series 2008D-2 to their earliest call date. line 12 Other unspent proceeds $31,333,141 line 13 Year of substantial completion: Expected to be 2013. Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.22] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.01] line 6 Total of lines 4 and 5 [0.23] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV line 5 Were any gross proceeds invested beyond an available temporary period? Yes - CHI reasonably expects that proceeds will be invested beyond an available temporary period. line 6 Did the bond issue qualify for an exception to rebate? No - CHI reasonably expects that the Series 2008D Composite Issue will not meet an available exception to rebate. ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2006/2008 Composite Issue): The bonds described on lines A and B in Part I, together with County of Montgomery, Ohio Variable Rate Revenue Bonds (Catholic Health Initiatives) Series 2006B, which were redeemed on November 10, 2009 and are no longer outstanding, are part of a composite issue for federal income tax purposes (the Series 2006/2008 Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 9-Nov-06 line e Issue Price $750,000,000 line f Purpose: County Montgomery, Ohio 2006B - Capital improvements and equipment acquisitions for affiliates in Ohio. County of Montgomery, Ohio 2006C - Capital improvements and equipment acquisitions for affiliates in Ohio. Colorado Health Facilities Authority 2006C - Capital improvements and equipment acquisitions for affiliates in Colorado, Arkansas, Iowa, Missouri and Nebraska. Part II line 1 Amount of bonds retired $285,000,000 line 2 Amount of bonds legally defeased $0 line 3 Total Proceeds of issue $769,154,344 line 4 Gross proceeds in reserve funds $66.81 line 5 Capitalized interest from proceeds $2,188,562 line 6 Proceeds in refunding escrows $0 line 7 Issuance costs from proceeds $0 line 8 Credit enhancement from proceeds $8,264,326 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $760,873,135 line 11 Other spent proceeds $0 line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2009 Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.21] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.01] line 6 Total of lines 4 and 5 [0.22] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV Lines 3a-c CHI entered into separate Interest Rate Swap Agreements with UBS AG and with JPMorgan (collectively, the "Hedges") with respect to a portion (Colorado Series 2006C-5, C-6, C-7 and C-8) of the Series 2006/2008 Composite Issue (the "Hedged Bonds"). The interest rate on these Colorado 2006C Bonds was converted on various dates in 2008 pursuant to several conversion transactions or conversion and exchange transactions. Accordingly, on and after each respective conversion date, the notional amount of the Hedges corresponding to the converted Hedged Bonds is no longer treated as a qualified hedge of the Hedged Bonds. line 5 Were any gross proceeds invested beyond an available temporary period? No - CHI reasonably expects that no proceeds will be invested beyond an available temporary period. line 6 Did the bond issue qualify for an exception to rebate? Yes - CHI reasonably expects that the Series 2006/2008 Composite Issue will meet an available exception to rebate. ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2006A Composite Issue): The bonds described on lines C and D in Part I are part of a composite issue for federal income tax purposes (the Series 2006A Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 9-Nov-06 line e Issue Price $402,830,297 line f Purpose: Colorado Health Facilities Authority 2006A - Capital improvements and equipment acquisitions for affiliates in Colorado, Arkansas, Iowa, Missouri and Nebraska. Baltimore County, Maryland 2006A - Capital improvements and equipment acquisitions for affiliates in Maryland. Part II line 1 Amount of bonds retired $15,565,000 line 2 Amount of bonds legally defeased $0 line 3 Total Proceeds of issue $420,074,822.35 line 4 Gross proceeds in reserve funds $0.03 line 5 Capitalized interest from proceeds $4,693,108.95 line 6 Proceeds in refunding escrows $0 line 7 Issuance costs from proceeds $0 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $415,381,713 line 11 Other spent proceeds $0 line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2009 Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.52] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.05] line 6 Total of lines 4 and 5 [0.57] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No - CHI reasonably expects that no proceeds will be invested beyond an available temporary period. line 6 Did the bond issue qualify for an exception to rebate? Yes - CHI reasonably expects that the Series 2006A Composite Issue will meet an available exception to rebate. ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2004BCD Composite Issue): The bonds described on lines A through D in Part I, together with Saint Mary Hospital Association (PA) Series 2004B/C (which is reported on another page of this Schedule K), are part of a composite issue for federal income tax purposes (the Series 2004BCD Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 18-Nov-04 line e Issue Price $626,775,000 line f Purpose: Colorado Health Facilities Authority 2004B - Capital improvements and equipment acquisitions for affiliates in Colorado, Iowa and Nebraska and current refunding of Hosp. Auth. 2 Douglas Cty, NE 1994A Bonds (Orignal Issuance Date: April 1, 1994) and Iowa Fin. Auth. Series 1994A Bonds (Orignal Issuance Date: April 1, 1994). County of Montgomery, Ohio 2004B - Capital improvements and equipment acquisitions for affiliates in Ohio and current refunding of Hamilton Cty, OH 1994 Bonds (Orignal Issuance Date: February 2, 1994) and Mont. Cty, OH 1994 Bonds (Original Issuance Date: February 2, 1994). Kentucky Economic Dev. Finance Authority 2004C/D - Capital improvements and equipment acquisitions for affiliates in Kentucky. Chattanooga TN Health Ed & Housing Fac Bd 2004C - Capital improvements and equipment acquisitions for affiliates in Tennessee. Saint Mary Hospital Authority (PA) 2004B/C - Capital improvements and equipment acquisitions for affiliates in Pennsylvania. Part II line 1 Amount of bonds retired $164,175,000 line 2 Amount of bonds legally defeased $0 line 3 Total Proceeds of issue $636,268,526.15 line 4 Gross proceeds in reserve funds $0 line 5 Capitalized interest from proceeds $0 line 6 Proceeds in refunding escrows $27,907,725.78 $15,537,000 of proceeds of the Colorado Health Facilities Auth. 2004B Bonds were used to provide for the redemption on December 17, 2004 of the Hospital Auth. 2 Douglas Cty, Nebraska 1994A Bonds and the Iowa Finance Authority 1994A Bonds. $12,379,241.99 of proceeds of the County of Montgomery, Ohio 2004B Bonds were used to provide for the redemption on December 17, 2004 of the Hamilton Cty, Ohio 1994 Bonds and the Montgomery Cty, Ohio 1994 Bonds. line 7 Issuance costs from proceeds $3,449,008.33 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $604,911,792.51 line 11 Other spent proceeds $0 line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2006 Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.96] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.10] line 6 Total of lines 4 and 5 [1.06] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No - CHI reasonably expects that no proceeds will be invested beyond an available temporary period. line 6 Did the bond issue qualify for an exception to rebate? Yes - CHI reasonably expects that the Series 2004BCD Composite Issue will meet an available exception to rebate. ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2004A Composite Issue): The bonds described on lines B, C and D in Part I are part of a composite issue for federal income tax purposes (the Series 2004A Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 18-Nov-04 line e Issue Price $162,571,473 line f Purpose: City of Breckenridge, Minnesota 2004A - Capital improvements and equipment acquisitions for affiliates in Minnesota. County of Montgomery, Ohio 2004A - Capital improvements and equipment acquisitions for affiliates in Ohio. Hosp Facilities Authority of Umatilla OR 2004A - Capital improvements and equipment acquisitions for affiliates in Oregon and current refunding of Hosp. Auth. 2 Douglas Cty 1994B Bonds Part II line 1 Amount of bonds retired $0 line 2 Amount of bonds legally defeased $14,700,000 line 3 Total Proceeds of issue $164,653,281.48 line 4 Gross proceeds in reserve funds $0 line 5 Capitalized interest from proceeds $0 line 6 Proceeds in refunding escrows $7,701,309 $7,701,309 of proceeds of the Hosp. Facilities of Umatilla Oregon 2004A Bonds were used to redeem Hosp. Auth. 2 Douglas Cty Oregon Series 1994B Bonds on December 17, 2004. line 7 Issuance costs from proceeds $1,614,670.07 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $155,337,302.82 line 11 Other spent proceeds $16,136,891.01 CHI has provided for the defeasance of $14,575,000 of the Hosp. Facilities of Umatilla Oregon 2004A Bonds to their earliest call date. CHI has provided for the defeasance of $125,000 of the City of Breckenridge, Minnesota 2004A Bonds to their earliest call date. line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2008 Part III line 1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? No line 2 Are there any lease arrangements with respect to the financed property which may result in private business use? Yes line 3 a Are there any management or service contracts with respect to the financed property which may result in private business use? Yes line 3 b Are there any research agreements with respect to the financed property which may result in private business use? Yes line 3 c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? Yes Private use is computed for the composite issue as a whole, rather than based on its component parts. For presentation purposes on lines 4-6 of the Schedule K, Part III table, private use percentages for the composite issue, as a whole, have been reported under the first component of the composite issue. The sections of the table for the remaining component parts of the composite issue were left blank. line 4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government [0.06] line 5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another 501(c)(3) organization or a state or local government [0.03] line 6 Total of lines 4 and 5 [0.09] line 7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? Yes PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No line 6 Did the bond issue qualify for an exception to rebate? Yes ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2002B Composite Issue): The bonds described on lines A and B in Part I are part of a composite issue for federal income tax purposes (the Series 2002B Composite Issue). All amounts reported below are for the composite issue rather than the component parts. Part I line d Date Issued 1-Dec-04 line e Issue Price $123,000,000 line f Purpose: Colorado Health Facilities Authority 2002B - reissuance of Colorado 2002B Washington Health Care Facilities 2002B - reissuance of Washington 2002B Part II line 1 Amount of bonds retired $16,900,000 line 2 Amount of bonds legally defeased $0 line 3 Total Proceeds of issue $123,000,000 line 4 Gross proceeds in reserve funds $0 line 5 Capitalized interest from proceeds $0 line 6 Proceeds in refunding escrows $123,000,000 All of the deemed proceeds of the reissuance were treated as refunding all of the outstanding Colorado Health Facilities Authority 2002B and Washington Health Care Facilities 2002B on December 1, 2004. line 7 Issuance costs from proceeds $0 line 8 Credit enhancement from proceeds $0 line 9 Working capital expenditures from proceeds $0 line 10 Capital expenditures from proceeds $0 line 11 Other spent proceeds $0 line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2005 PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No line 6 Did the bond issue qualify for an exception to rebate? Yes ========================================================================== SCHEDULE K Form 990 Schedule K, Part V (Series 2002AB Remediated Issue): Part I line f Purpose: The Series 2002AB Remediated Issue was treated as reissued on March 1, 2010, as a result of remedial action taken in connection with a portion of the Series 2002B Composite Issue and a portion of the Colorado Health Facilities Authority Series 2002A Bonds, which are not otherwise reported on Schedule K. Part II line 10 Capital expenditures from proceeds $500,000 $500,000 of disposition proceeds were applied to an alternative use. line 11 Other spent proceeds $884,015.37 Disposition proceeds applied to defease a portion of the Series 2002AB Remediated Issue line 12 Other unspent proceeds $0 line 13 Year of substantial completion: 2010 PART IV line 5 Were any gross proceeds invested beyond an available temporary period? No line 6 Did the bond issue qualify for an exception to rebate? Yes ========================================================================== 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 Mercy Medical Center - Des Moines AKA 1111 6th Avenue Des Moines IA 50314 420680448 Healthcare IA 501(c)(3) 3 CHI-IA Corp 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 CHI Operating Investment Program LP 198 Inverness Drive West Englewood CO 80112 470727942 Investments CO CHI Investment 256854242 5189978011 false 14031 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 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