2011-05-13T17:47:02-04:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 840405515 Mercy Regional Medical Center of Durango MERC 9703825463 1010 Three Springs Blvd Durango CO 81301 Joe Pedley 2011-05-11 7208741500 2009 2016-02-24 21:20:13Z Kirk Dignum 1010 Three Springs Blvd Durango CO 81301 127250514 false 0928 X www.mercydurango.org X 1882 CO Mercy Regional Medical Center is a non-profit hospital that provides acute medical services to Southwest Colorado residents and visitors, regardless of ability to pay. 19 12 900 117 1031881 312788 953350 2627561 105866634 121262836 123227 593439 2681653 2659547 109624864 127143383 34247 19679 0 0 44666144 47254958 0 0 0 63053401 67100645 107753792 114375282 1871072 12768101 111715360 131050427 84155512 90893383 27559848 40157044 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. false false 84234464 19679 121262836 SEE SCHEDULE H 84234464 true true false true false false false false true true false true false false false false false false false false true true false true false false false false false false true true false false false false false true true false false true 0 0 900 true true true false false false false false false false false 19 12 false false false false true true true true true false false false true true true true true true true true false CO X Joe Pedley 9707643903 1010 Three Springs Blvd Durango CO 81301 JOHN BOYD 40.0 X X 192450 27828 Tom Breed 3.0 X X Mike Burns 3.0 X Gary Campbell 3.0 X 20228 Sheila Devereux RSM 3.0 X Kirk Dignum 40.0 X X 420595 59066 NANCY HOYT 40.0 X X 178259 28109 JR Ford 3.0 X Cecile Fraley MD 3.0 X David Goode 3.0 X 1033054 43467 Keith Newbold 3.0 X X Richard Lawton MD 3.0 X Susan Martinez 3.0 X Peg Maloney RSM 3.0 X Scott Mathis 3.0 X JOSEPH PEDLEY 40.0 X X 153156 50502 37866 Missy Crawford-Rodey 3.0 X X Thad Trujillo 3.0 X X Joanne Spina 3.0 X Mark Stern MD 3.0 X 46000 Jim Wanebo 3.0 X Catherine Winchester MD 3.0 X GREGORY DEEM 40.0 X 360804 41064 ROGER HIRST 40.0 X 359884 36749 MICHAEL MCCALLUM 40.0 X 382727 34135 STEVEN MOROZOWICH 40.0 X 358417 38746 ALBERT WHITESELL 40.0 X 375131 37323 2406828 1504151 404581 43 false true false Four Corners Regional Heart Institu 1 Mercado Dr Suite 120 Durango CO 81301 Medical Services 5412011 RCOA Imaging Services Inc PO Box 850001 Orlando FL 32885 Radiology Services 370400 Hemasource Inc 6 Crystal Park Dr Redstone CO 81623 Medical Services 331462 Bromedicon Inc 201 Floral Vale Blvd Yardley PA 19067 Medical Services 379424 ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 MEDICAL SERVICES 628009 23 2556950 70611 2627561 Patient Services 900099 120904989 120904989 Equity changes of unconsolidated orgs 900099 266871 266871 REIMBURSEMENT OF EXPENSES 900099 69446 69446 RENTAL INCOME 900099 21530 21530 121262836 348054 95 347959 0 0 343818 8698 107131 343818 -98433 245385 245385 0 0 0 Services Sold 900099 1193991 1031786 162205 Cafeteria 722100 947337 947337 Child Care 624410 391602 391602 126617 126617 2659547 127143383 121262836 1031881 2221105 19679 19679 0 0 0 663647 663647 0 37242976 33969149 3273827 1937027 1735823 201204 4832665 4330772 501893 2578643 2310792 267851 0 3939 3939 0 0 0 0 19312193 12180046 7132147 0 17831248 16793698 1037550 0 0 3170310 2583542 586768 212185 134204 77981 0 40831 14361 26470 3785534 3785534 2370624 2370624 6090527 4567896 1522631 1172411 879308 293103 Unrelated Business Taxes 115375 115375 Bad Debts 8931149 738934 8192215 Dues & Subscriptions 198060 93443 104617 Income/sales/property taxes 4291 1243 3048 Recruitment and relocation 217082 217082 3644886 96040 3548846 114375282 84234464 30140818 0 10055 6300 7207281 8757117 13570056 20407091 219308 250569 2330545 2489980 197432 145757 108958580 26612531 84141124 82346049 3648584 16463121 26477 0 364498 184443 111715360 131050427 8840681 17344680 9000 0 75305831 73548703 84155512 90893383 X 27544222 40139255 5626 7789 10000 10000 27559848 40157044 111715360 131050427 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2514 false false false 2514 false false LOBBYING ACTIVITIES EXPLANATION SCH C. PART II-B, Q. 1F THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HOSPITAL ASSOCIATION (CHA), A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT SHOWN ON LINE 1F ABOVE REPRESENTS THIS ENTITY'S SHARE OF ALLOCATED LOBBYING EXPENSES: AHA $1,464; CHA $1,050. 15626 2163 17789 18559 -2933 15626 0.36000 0.64000 false false 8214793 8214793 52227831 5478072 46749759 2526955 709699 1817256 44289073 20424760 23864313 1699929 0 1699929 82346050 CHI OIP - Fixed Income 8558301 CHI OIP - Equity Securities 7904820 16463121 0 LOAN GUARANTEE LIABILITY 147359 FEDERAL INCOME TAXES PAYABLE 132139 UNCLAIMED PROPERTY 16197 INTERCOMPANY PAYABLES 73253008 73548703 127143383 114375282 12768101 196815 -367720 -170905 12597196 INTENDED USES OF ENDOWMENT FUNDS SCHEDULE D, PART V, Q.4 The intended uses of all endowment funds are to further the mission of Mercy Regional Medical Center of Durango. REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 SCHEDULE D, PART V Mercy Regional Medical Center of Durango's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives ("CHI"), a related organization. CHI's FIN 48 footnote for the year ended June 30, 2010 reads as follows: CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. OTHER RECONCILING ITEMS SCHEDULE D, PART XI, LINE 8 CHI CONNECT DEPRECIATION $200,000 CAPITAL RESOURCE POOL CONTRIBUTION $(567,720) ------------ NET ADJUSTMENT $(367,720) ============ true true false false true true true false true true 593 1901643 102636 1799007 0.01710 5129 12655572 6503151 6152421 0.05830 529 3370214 2524231 845983 0.00800 6251 17927429 9130018 8797411 0.08340 5 52937 130296 51700 78596 0.00070 2 16383 16383 0.00020 2 23412 23412 0.00020 9 52937 170091 51700 118391 0.00110 9 59188 18097520 9181718 8915802 0.08450 5 211 169005 169005 0.00160 2 3496 3496 0.00000 1 67 1130 1130 0.00000 8 278 173631 173631 0.00160 true 8931149 29701041 42398209 -12697168 X true true Mercy Regional Medical Center

1010 Three Spring Blvd Durango CO 81301

X X If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the parent organization to Mercy Regional Medical Center) established its charity care policy it was determined that establishing a household income scale based on the HUD very low income guidelines was more inclusive than other poverty guidelines and more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 20 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines ("FPG"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG such that more individuals qualify for financial assistance under HUD guidelines that under FPG. Mercy Regional Medical Center (MRMC) bases its charity care eligibility on HUD"S 130% of Very Low Income Guidelines based on geography, and affords the uninsured and under insured the ability to obtain charity care write-offs, based on a sliding scale. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. Mercy Regional Medical Center prepares its own written community benefit report. Its community benefit report is not contained in that of a related organization. Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. Costs in the table were computed using the organization's cost-to-charge ratio that covers all patient segments. The cost-to-charge ratio was 44.63% for the year ended 6/30/10 computed using the following formula: Cost-To-Charge Ratio Calculation FY08 C:C Ratio 47.11% 50.29% 44.6% Baseline Charges 100 112.70 FY08 Expense 100,935,191 Fy09 Expense 107,753,791 % Change 106.8% FY08 Charges 80,975,032 FY09 Charges 91,259,022 % Change 112.7% Worksheet 2 was not used in determining the ratio. To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1. There are no physician clinics included in subsidized health services. If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $8,931,149. Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. Costing methodology for amounts reported on Line 2 is determined using the organization's cost/charge ratio of 44.63% (attributable of MRMC). Where discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. MRMC does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. MRMC does not issue separate company audited financial statements, thus there is no footnote separate footnote. However, mrmc is included in the consolidated audited financial statements of catholic health initiatives (chi). The chi footnote reads as follows: "the provision for bad debts is based upon mamagement's assessment of historical and expected net collections considering historical business and economic conditions, trends in health caree coverage, and other collection indicators. management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. the results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. after satisfaction of amounts due from insurance, chi follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on colectioin efforts as determined by each facility." Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "chi workbook" calculates a payers' gross allowable costs by service (to facilitate a corresponding comparison between gross allowable costs and ultimate payments recieved.) The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Mercy Regional Medical Center's ultimate reimbursement will be reduced by any appplicable copayment/deductible. where medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from medicare allowable costs because the amounts are typically immaterial. MRMC believes that excluding Medicare losses makes the overall community benefit report more credible for these reasons. Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit Hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as a community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states afford to pay. If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. MRMC's debt collection policy provides that MRMC will perform a reasonable review of each patient account, prior to turning an account to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through MRMC community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the MRMC community assistance policy is required to be returned immediately by the third-party collection agent to MRMC for appropriate follow-up. All of Catholic Health Initiatives' hospitals contracts with third party collection agencies include the following standards: 1. Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; 2. Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and 3. No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiative Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. Describe how the organization assesses the health care needs of the communities it serves. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Introduction Mercy Hospital of the San Juans was founded in 1882 by five Sisters of Mercy who traveled by rail to the small mining town of Durango, Colorado. The Sisters of Mercy established Durango's first hospital according to their mission of compassionately serving others-especially the poor. Today, 127 years later, the Sisters' legacy of care continues at Mercy Regional Medical Center, now an 82-bed, full-service, acute care hospital. Although the facility and name have changed, the hospital's guiding mission to provide care to all who need it, regardless of ability to pay, remains firmly in place. This mission is carried out every day by more than 800 employees and is stewarded by an independent board of directors, comprised primarily of local community members, who ensure the hospital is meeting the community's needs as best it can. In addition to a wide array of specialty services, Mercy Regional Medical Center acts as the community's healthcare safety net, providing care to all who need it, regardless of ability to pay, type of insurance, or other factors. The hospital's emergency department is open 24 hours per day, every day, and the hospital accepts all insurances, including Medicare and Medicaid. The hospital also provides care to those with no insurance. Community service has been an integral part of Mercy since its founding in 1882. Today, services provided include not only direct patient care, but also preventive and wellness programs, promotion of healthy communities in the physical, spiritual, emotional, and economic sense, and provision of educational opportunities for medical professionals, support of other not-for-profit organizations through monetary donations and gifts of in-kind services, and more. Mercy Regional Medical Center was granted tax exempt status in March of 1946 as a hospital. Community Benefit Approach Located in Durango, Colorado, Mercy Regional Medical Center serves southwest Colorado and parts of the Four Corners Region, which includes La Plata County, CO; Archuleta County, CO; Montezuma County, CO; San Juan County, CO; and parts of San Juan County, NM. Together, these areas encompass the hospital's primary service area, which has a service area population of more approximately 189,000. Process Mercy Regional Medical Center's Community Benefit Plan is based on addressing the needs of the communities we serve. An understanding of these needs is gained from collaboration with other entities and organizations and through formal environmental assessments. Access to Primary Care While the quality of life has helped in attracting and retaining medical specialists in the area, Medicare, Medicaid, and low-income/uninsured reimbursement shortfalls for primary care providers present significant access issues in the community. In 2007, one of the largest primary care provider practices closed, leaving thousands of patients without access. While many of the commercially insured patients were absorbed by other practices, most of the medically underserved were left without a medical home. Foreseeing the impending crisis that would be caused by these patients not having access to essential services, such as management of medications and chronic illnesses, Mercy Regional Medical Center joined a community coalition whose purpose was to solve the problem. Other stakeholders included La Plata County, the City of Durango, the Citizens Health Advisory Council, and others. Together, the coalition decided it was necessary to open a stop-gap clinic to meet the immediate needs of those who lost access to much needed primary care services. In May of 2007, Mercy Regional Medical Center, with contributions from the City of Durango and La Plata County, opened a primary care clinic called the Health Services Clinic (HSC). To develop a more sustainable answer to the needs of the medically underserved, the coalition retained a consulting firm that conducted in-depth research. Summary of Assessment Findings Recommendations for addressing the sustainable long-term needs of the medically underserved included the Health Services Clinic's application for rural health clinic status to improve reimbursements for Medicare and Medicaid patients. The Health Services Clinic was granted this status in october 2009. Meanwhile, the hospital, with future contributions from the city and county in question, continues to subsidize Health Services Clinic operations. Because of ongoing shortfalls in reimbursement for the uninsured, Mercy Regional Medical Center expects the HSC to continue facing financial shortfalls beyond fiscal year 2010. Uncompensated Care for the Poor Mercy Regional Medical Center provides a significant level of free care each year. In fiscal year 2010, the cost of charity care provided by the organization was more than $1.8 million. Mercy Regional Medical Center also incurred $6.1 million in unreimbursed costs for services provided to Medicaid patients. Frequently, the cost of providing services to Medicaid patients is greater than the payments Mercy Regional Medical Center receives from the Medicaid program. Mercy Regional Medical Center also participates in the Colorado Indigent Care Program. The unreimbursed cost of providing care to patients enrolled in the CICP totaled $845,983. Financial assistance information is made available to patients at check-in and on the facility's web site, and financial counselors are also available to help patients after they receive their hospital bills. Examples of Community Outreach for the Broader Community Community Based Clinical Services Area Public School Presentations Clinical and technical staff makes numerous free presentations about general health care, safety, nursing and other medical professions throughout the school year to elementary, middle and high schools throughout La Plata County. Participation in Economic Development Organizations Mercy regional medical center employees participate in various meetings at organizations that promote economic development in the region. Participation in Community Boards and Committees Mercy regional medical center employees act as board and committee members at Ft. Lewis College, Community Foundation Serving SW Colorado, Durango Transit, Durango Fire and Rescue, and more. Community Emergency Preparedness Mercy Regional Medical Center participates in various region-wide emergency preparedness meetings and mass-casualty exercises that better prepare area responders and healthcare providers for real emergencies. Education: Clinical Services and Medical Professionals Mercy Regional Medical Center employees provide clinical training and opportunities for students to observe hospital operations as part of their education. Mrmc also hosts and coordinates continuing medical education opportunities for area providers on a regular basis. Mercy is the area's primary resource for continuing medical education for physicians and other medical professionals. Participation in Health Fairs Mercy Regional Medical Center participates in community health fairs that provide affordable or free access to diagnostic tests and other health screenings. Hospital personnel participate in other fairs and events where they distribute free health information to the public. Cash and In-kind Donations to other Not-for-Profit Organizations Mercy Regional Medical Center regularly donates to a number of local not-for-profit organizations that promote health and wellness in the communities it serves. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. MRMC displays information concerning its financial assistance policy in obvious locations throughout the hospital and on the facility's website. At the time of scheduling, or when patients present to registration, once all EMTALA requirements are met, patients without Medicare/Medicaid, State financial assistance or adequate health insurance will receive either: A) A handout notifying them that financial assistance is available in lieu of applications being handed out, or B) immediate financial counseling from staff. Each person requesting financial assistance will be screened for all programs available to them. Once a determination has been made to what program is appropriate, they will be provided the information that is needed to apply. Mercy regional medical center now has the ability for on-site applications for medicaid. The handout and the application information will be provided in English and Spanish. Patients requiring assistance with other languages will be referred to the translators on staff or to the interpretation line. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. Mercy Regional Medical Center of Durango, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $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. true Mercy Health Foundation 1010 Three Springs Blvd DURANGO CO 81301 840902211 501(c)(3) 6600 Program Support 1 procedures for monitoring the use of grant funds schedule i, part i, q.2 THE GRANTS MADE BY MERCY REGIONAL MEDICAL CENTER OF DURANGO ("MRMCD") TO MERCY HEALTH FOUNDATION ("MHF"), A RELATED TAX-EXEMPT ORGANIZATION, WERE MONITORED BY THE BOARD OF DIRECTORS OF MRMCD TO BE CONSISTENT WITH THE EXEMPT PURPOSES OF MRMCD. X true true false true false false false false false true false JOHN BOYD 191777 674 27828 220278 GREGORY DEEM 356447 4000 357 41064 401868 Kirk Dignum 279673 78131 62791 15271 43795 479661 33078 ROGER HIRST 359322 562 36749 396633 NANCY HOYT 178018 241 28109 206368 David Goode 453182 120573 459299 126 43341 1076521 410385 MICHAEL MCCALLUM 382336 391 34135 416862 STEVEN MOROZOWICH 358061 356 38746 397163 JOSEPH PEDLEY 112684 49898 31246 9227 604 37866 191022 50502 ALBERT WHITESELL 364571 10000 561 37323 412454 Tax Indemnification and gross-up payments schedule J, PART I, Q. 1A THE CFO, JOSEPH PEDLEY, RECEIVED GROSSED-UP MOVING EXPENSES ASSOCIATED WTIH HIS CHANGE OF EMPLOYMENT. METHODS USED TO ESTABLISH CEO COMPENSATION SCHEDULE J, PART I, Q. 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF MERCY REGIONAL MEDICAL CENTER OF DURANGO WAS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, CATHOLIC HEALTH INITIATIVES ("CHI"). CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACT; (4) COMPENSATION SURVEY OR STUDY; AND (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. POST TERMINATION PAYMENTS SCHEDULE J, PART I, Q. 4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVE'S MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2009 CALENDAR YEAR. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, Q. 4B DURING THE 2009 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES, A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: KIRK DIGNUM AND DAVID GOODE. for the 2009 calendar year contributions were made on behalf of; KIRK DIGNUM; $15,271 AND DAVID GOODE; $126. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S REPORTABLE COMPENSATION ON SCHEDULE J: Kirk Dignum; $33,078 AND DAVID GOODE; $423,784. NON-FIXED PAYMENTS SCHEDULE J, PART I, Q.7 UNDER AN INCENTIVE PLAN APPROVED BY THE EXECUTIVE COMMITTEE, THE EXECUTIVE OFFICERS OF MRMCD WERE ELIGIBLE FOR CERTAIN DISCRETIONARY BONUSES BASED ON MEETING PERFORMANCE CRITERIA UNDER EACH OF MRMCD'S STRATEGIC GOALS (PEOPLE, QUALITY, STEWARDSHIP, AND INDIVIDUAL PERFORMANCE) AT THE CLOSE OF THE FISCAL YEAR. UNDER A BOARD-APPROVED INCENTIVE PLAN, DISCRETIONARY BONUSES WERE PAID TO CERTAIN INDIVIDUALS AS REFLECTED ON SCH. J, PART II. Carolyn Newbold Family member 103505 COMPENSATION false FOUR CORNERS HEART CLINIC DUAL BOARD MEMBER 147494 CONTRACT MEDICAL SERVICES true FOUR CORNERS REGIONAL HEART CLINIC GREATER THAN 5% OWNER 5327283 CARDIAC CATHETERIZATION true MARK STERN SURGICAL SERCVICES PLCC SOLE OWNER 48000 MEDICAL STAFF PRESIDENT true SOUTHWEST SURGICAL ASSOCIATION DUAL BOARD MEMBER 352200 TRAUMA SERVICES true PEDIATRIC PARTNERS DUAL BOARD MEMBER 336257 CONTRACT MEDICAL SERVICES true DURANGO ORTHOPEDICS DUAL BOARD MEMBER 108225 CONTRACT MEDICAL SERVICES true EXECUTIVE COMMITTEE FORM 990, PART VI, Q. 1A EXECUTIVE COMMITTEE MAY CONSIST ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, THE PRESIDENT OF THE CORPORATION'S MEDICAL STAFF, EACH SERVING AS AN EX-OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE PRESIDENT-ELECT OF THE CORPORATION'S MEDICAL STAFF SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN MUST BE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST PROCEEDING MEETING. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, Q. 6 THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION. APPOINTMENT OF GOVERNING BODY MEMBERS BY MEMBERS/STOCKHOLDERS FORM 990, PART VI, Q. 7A PURSUANT TO THE ORGANIZATION'S BYLAWS, THE SOLE MEMBER HAS THE POWER TO APPOINT ORGANIZATION DIRECTORS AND, AFTER RECOMMENDATION BY THE BOARD OF DIRECTORS, MAY ACCEPT OR REJECT ANY INDIVIDUAL NOMINATED TO SERVE AS A DIRECTOR. THE SOLE MEMBER MAY ALSO UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS IF THE BOARD FAILS TO FURNISH A LIST OF QUALIFIED INDIVIDUALS TO SERVE. APPROVAL OF GOVERNING BODY DECISIONS BY MEMBERS/STOCKHOLDERS FORM 990, PART VI, Q. 7B THE ORGANIZATION'S sole corporate member is Catholic Health Initiatives ("CHI"). PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER HAS SPECIFIC RIGHTS SET FORTH IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MERCY REGIONAL MEDICAL CENTER OF DURANGO - AMENDMENT OF THE CORPORATE DOCUMENTS OF MERCY REGIONAL MEDICAL CENTER OF DURANGO - APPROVE MEMBERS OF THE MERCY REGIONAL MEDICAL CENTER OF DURANGO BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MERCY REGIONAL MEDICAL CENTER OF DURANGO - APPROVAL OF ISSUANCE OF DEBT BY MERCY REGIONAL MEDICAL CENTER OF DURANGO - APPROVAL OF PARTICIPATION OF MERCY REGIONAL MEDICAL CENTER OF DURANGO IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY MERCY REGIONAL MEDICAL CENTER OF DURANGO - APPROVAL OF A MERGER INVOLVING MERCY REGIONAL MEDICAL CENTER OF DURANGO - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MERCY REGIONAL MEDICAL CENTER OF DURANGO - TO REQUIRE THE TRANSFER OF ASSETS BY MERCY REGIONAL MEDICAL CENTER OF DURANGO TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS - ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR MERCY REGIONAL MEDICAL CENTER OF DURANGO PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Process the organization uses to review Form 990 FORM 990, PART VI, Q. 11 AS OF 1/1/2011, MERCY REGIONAL MEDICAL CENTER MERGED INTO CATHOLIC HEALTH INITIATIVES-COLORADO (CHIC) AND IS NOW GOVERNED BY THE CHIC BOARD. A draft of the Form 990 is provided to management, including the CFO, for review. The return is e-mailed to the entire board for review prior to filing. After presentation to the board, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board. Procedures for monitoring and enforcing the COI policy FORM 990, PART VI, Q. 12C MERCY REGIONAL MEDICAL CENTER OF DURANGO ("MRMCD") HAD IN EFFECT FOR FY 2010 A CONFLICT OF INTEREST POLICY COVERING ALL DIRECTORS AND OFFICERS HOLDING THE TITLE OF VICE PRESIDENT OR ABOVE. THE POLICY PLACES ON EACH DIRECTOR A GENERAL OBLIGATION TO DISCLOSE TO THE CHAIR OF THE BOARD OF DIRECTORS ANY SITUATION THAT MAY CREATE A CONFLICT AS SOON AS THEY BECOME AWARE OF SUCH SITUATION. COVERED OFFICERS MUST MAKE SUCH DISCLOSURES TO THE PRESIDENT AND CEO OF MRMCD WHO HAS A DUTY TO REPORT SUCH SITUATIONS TO THE BOARD CHAIR. IF ANY DOUBT EXISTS, DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO MAKE A FULL DISCLOSURE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. THE POLICY REQUIRES WRITTEN RECORD OF ALL DISCLOSURES. ADDITIONALLY, ALL DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO, AT LEAST ANNUALLY, COMPLETE, SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE PRESIDENT AND CEO REVIEW THESE STATEMENTS WITH THE BOARD CHAIR. THE BOARD CHAIR OR A DESIGNEE CONDUCTS FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AT THEIR DISCRETION. BASED UPON THE REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHETHER REVIEW AN APPROVAL OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION IS KEPT. THE BOARD CHAIR THEN MAKES A REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD. DIFFERENCES OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER OFFICER OR DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED ARE SUBMITTED TO THE EXECUTIVE COMMITTEE TO MAKE A FINAL DETERMINATION AS TO THE MATTER. THE COMMITTEE MINUTES ARE TO REFLECT THE DETERMINATION INCLUDING ALL RELEVANT FACTS AND CIRCUMSTANCES AND THEN REPORTED TO THE BOARD OF DIRECTORS. A DIRECTOR OR OFFICER IS PROHIBITED FROM VOTING OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER UNDER CONSIDERATION. FURTHER, THEY ARE TO BE EXCUSED FROM THE MEETING DURING THE DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. PROCESS FOR DETERMINING COMPENSATION - CEO/EXECUTIVE DIRECTOR FORM 990, PART VI, Q. 15A The organization's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels. Process for Determining Compensation - OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, Q. 15B The Executive Compensation Committee of the Board reviews salary survey data annually for the CFO, CMO, CNO and any employee who is a family member of a person of substantial influence. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS FORM 990, PART VI, Q. 16B MERCY REGIONAL MEDICAL CENTER OF DURANGO ("MRMCD") HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Governing documents - COI Policy - Financial Statements available FORM 990, PART VI, Q. 19 THE ORGANIZATION's financial statements are consolidated with CATHOLIC HEALTH INITIATIVES ("CHI") and are available on the CHI website at www.catholichealthinit.org and http:/dacbond.com. THE ORGANIZATION'S Articles of Incorporation are made available to the public via the Colorado Secretary of State's website. THE ORGANIZATION'S GOVERNING DOCUMENTS and conflict of interest policy ARE NOT MADE AVAILABLE TO THE PUBLIC. Estimate of Hours Devoted to Related Organizations FORM 990, PART VII COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. St Joseph Community Health Services 300 Central SW Suite 300 Albuquerque NM 87102 710897107 Community NM 501(c)(3) 11a CHI St Joseph Community Health Foundation 300 Central SW Suite 300 Albuquerque NM 87102 850253087 Foundation NM 501(c)(3) 7 SJCHS St Francis of Baker City 3325 Pocahontas Road Baker City OR 97814 930412495 Hospital OR 501(c)(3) 3 CHI St Elizabeth Health Care Foundation 3325 Pocahontas Road Baker City OR 97814 943164869 Foundation OR 501(c)(3) 7 SEHS Flaget Memorial Hospital Foundation Inc 4305 New Shepherdsville Road Bardstown KY 40004 562351341 Fundraising KY 501(c)(3) 11a FH Flaget Healthcare DBA Flaget Memorial 4305 New Shepherdsville Road Bardstown KY 40004 611345363 Hospital KY 501(c)(3) 3 CHI Lakewood Health Center 600 Main Avenue South Baudette MN 56623 410758434 LTerm Care MN 501(c)(3) 3 CHI Appletree Court 601 Oak Street Breckenridge MN 56520 411850500 Senior Homes MN 501(c)(3) 9 SFH Healthcare and Wellness Foundation 2400 St Francis Drive Breckenridge MN 56520 760761782 Foundation MN 501(c)(3) 11a SFMC St Francis Home 2400 St Francis Drive Breckenridge MN 56520 410729978 LTerm Care MN 501(c)(3) 9 CHI St Francis Medical Center 2400 St Francis Drive Breckenridge MN 56520 410695598 Healthcare MN 501(c)(3) 3 CHI Carrington Health Center 800 North 4th Street Carrington ND 58421 450227311 Healthcare ND 501(c)(3) 3 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 Good Samaritan College of Nursing & Heal 375 Dixmyth Ave Cincinnati OH 45220 311778403 Education KY 501(c)(3) 2 GHS Total Healthcare PO Box 7021 Colorado Springs CO 80933 840927232 Healthcare CO 501(c)(3) 3 CHI Colorado Memorial Health Care System Inc 2525 De Sales Avenue Chattanooga TN 37404 620532345 Hospital TN 501(c)(3) 3 CHI Memorial Health Care System Foundation 2525 De Sales Avenue Chattanooga TN 37404 621839548 Foundation 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 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 Foundation of Cincinnati 619 Oak Street Accounting-3 West Cincinnati OH 45206 311206047 Foundation OH 501(c)(3) 11a GSH The Good Samaritan Hospital of Cincinnat 619 Oak Street Accounting-3 West Cincinnati OH 45206 310537486 Hospital OH 501(c)(3) 3 TRI-HEALTH Saint Clare's Hospital 66 Ford Road Denville NJ 07834 223319886 Hospital 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 TriHealth Physician Institute 619 Oak Street Accounting-3 West Cincinnati OH 45206 311074519 Physicians OH 501(c)(3) 11a GSH Catholic Health Initiatives Colorado Fou 961 East Colorado Avenue Colorado Springs CO 80903 840902211 Foundation CO 501(c)(3) 7 CHI Colorado 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 Catholic Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 470617373 Healthcare CO 501(c)(3) 9 CHI Catholic Health Care Federation 1999 Broadway Suite 4000 Denver CO 80202 208473567 Jurdic Person CO 501(c)(3) 11a CHI Global Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 201536108 Ministries CO 501(c)(3) 11a CHI Health SET 4200 West Conejos Place 436 Denver CO 80204 841102943 Low Inc.Care CO 501(c)(3) 7 CHI Colorado Bishop Drumm Retirement Center 1111 6th Avenue Des Moines IA 50314 420725196 LTerm Care IA 501(c)(3) 9 CHI-IA Corp Mercy Medical Center - Des Moines AKA 1111 6th Avenue Des Moines IA 50314 420680448 Hospital IA 501(c)(3) 3 CHI-IA Corp House of Mercy 1111 6th Avenue Des Moines IA 50314 421323808 Shelter 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 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 Foundation IA 501(c)(3) 7 CHI-IA Corp Mercy Medical Center - Centerville FKA 1 St Josephs Drive Centerville IA 52544 420680308 Hospital IA 501(c)(3) 3 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 Hospital of Devils Lake 1031 East Seventh Street Devils Lake ND 58301 450227012 Healthcare ND 501(c)(3) 3 CHI Saint Joseph's Hospital Foundation 30 West 7th Street Dickinson ND 58601 363418207 Foundation ND 501(c)(3) 11a SJHHC St Joseph's Hospital and Health Center 30 West 7th Street Dickinson ND 58601 450226429 Healthcare ND 501(c)(3) 3 CHI Mercy Regional Medical Center of Durango 1010 Three Springs Blvd Durango CO 81301 840405515 Hospital CO 501(c)(3) 3 CHI CHI Kentucky Inc 3900 Olympic Blvd Suite 400 Erlanger KY 41018 202741651 Healthcare KY 501(c)(3) 11a CHI Villa Nazareth Inc 801 Page Drive Fargo ND 58103 450226714 LT Care ND 501(c)(3) 9 CHI St Catherine Hospital 401 East Spruce Street Garden City KS 67846 480543721 Hospital KS 501(c)(3) 3 CHI St Catherine Hospital Development Found 401 East Spruce Street Garden City KS 67846 200598702 Foundation KS 501(c)(3) 11a SCH Saint Francis Medical Center Foundation PO Box 9804 Grand Island NE 68802 470630267 Foundation NE 501(c)(3) 7 SFMC Saint Francis Medical Center PO Box 9804 Grand Island NE 68802 470376601 HealthCare NE 501(c)(3) 3 CHI Nebraska Central Kansas Medical Center 3515 Broadway Great Bend KS 67530 480543724 Hospital KS 501(c)(3) 3 CHI St Joseph Memorial Hospital 923 Carroll Ave Larned KS 67550 481253246 Hospital KS 501(c)(3) 3 CKMC MNMCH Inc 220 North Pennsylvania Columbus KS 66725 481216238 Hospital KS 501(c)(3) 3 SJRMC Mercy Lifecare Systems 2727 McClelland Blvd Joplin MO 64804 431305163 Property Mgmt MO 501(c)(3) 11a 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 Foundation MO 501(c)(3) 7 SJRMC St John's Regional Medical Center 2727 McClelland Blvd Joplin MO 64804 440545809 Hospital MO 501(c)(3) 3 CHI 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 Foundation NE 501(c)(3) 7 GSH 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 Continuing Care Hospital 150 North Eagle Creek Drive Lexington KY 40509 611400619 LTACH KY 501(c)(3) 3 SJHS Saint Joseph Berea Hospital Foundation 305 Estill Street Berea KY 40403 260152877 Foundation KY 501(c)(3) 7 SJHS Saint Joseph Health System Inc 150 N Eagle Creek Dr Lexington KY 40509 611334601 Hospital KY 501(c)(3) 3 CHI St Joseph Hospital Foundation Inc One St Joseph Drive Lexington KY 40504 611159649 Foundation 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 Visiting Nurse Association of Saint Clar 191 Woodport Road Sparta NJ 07871 221768334 Home Health NJ 501(c)(3) 9 SCHS Saint Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 Foundation 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 CHI Nebraska 555 South 70th Street Lincoln NE 68510 363233121 Healthcare NE 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 The Physician Network 8055 O Street Suite 300 Lincoln NE 68510 470780857 Healthcare NE 501(c)(3) 11a CHI Nebraska Lisbon Area Health Services 905 Main Street Lisbon ND 58054 820558836 Healthcare ND 501(c)(3) 3 CHI Alverna Apartments 300 SE 8th Avenue Little Falls MN 56345 411351177 Lterm Care MN 501(c)(3) 9 CHI Unity Family Healthcare 815 2nd Street SE Little Falls MN 56345 410721642 Healthcare MN 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 Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 710236917 Healthcare AR 501(c)(3) 3 CHI St Vincent Medical Group 2 St Vincent Circle Little Rock AR 72205 710830696 Healthcare AR 501(c)(3) 9 SVIMC Maria-Joseph Center 4830 Salem Avenue Dayton OH 45416 310935118 Healthcare OH 501(c)(3) 9 SHP Saint Joseph London Foundation Inc 310 East Ninth Street London KY 40741 260438748 Foundation KY 501(c)(3) 11a SJHS Samaritan Behavioral Health 601 S Edwin C Moses Blvd Dayton OH 45408 020633634 Hospital OH 501(c)(3) 3 SHP Mercy Medical Center 1512 12th Avenue Road Nampa ID 83686 820200896 Hospital ID 501(c)(3) 3 CHI Mercy Medical Center Foundation 1512 12th Avenue Road Nampa ID 83686 261737256 Foundation ID 501(c)(3) 11a Mercy Med Ct Mercy Physician Group Inc 1512 12th Avenue Road Nampa ID 83686 208192593 Phys Group ID 501(c)(3) 9 Mercy Med Ct St Mary's Hospital 1314 3rd Avenue Nebraska City NE 68410 470443636 Hospital NE 501(c)(3) 3 CHI Nebraska St Mary's Hospital Foundation 1314 3rd Avenue Nebraska City NE 68410 470707604 Foundation NE 501(c)(3) 7 SMH Oakes Community Hospital 314 South 8th Street Oakes ND 58474 450231675 Hospital ND 501(c)(3) 3 CHI Oakes Community Hospital Foundation 314 South 8th Street Oakes ND 58474 710966606 Foundation ND 501(c)(3) 11a OCH St Dominic at Ontario 351 SW 9th Street Ontario OR 97914 930433692 Hospital OR 501(c)(3) 3 CHI Holy Rosary Medical Center Foundation 351 SW 9th Street Ontario OR 97914 202683560 Foundation OR 501(c)(3) 11a HRMC St Joseph's Area Health Services 600 Pleasant Avenue Park Rapids MN 56470 410695603 Hospital MN 501(c)(3) 3 CHI St Anthony Hospital 1601 SE Court Avenue Pendleton OR 97801 930391614 Hospital OR 501(c)(3) 3 CHI St Anthony Hospital Foundation 1601 SE Court Avenue Pendleton OR 97801 930992727 Foundation OR 501(c)(3) 11a SA Hospital Gettysburg Medical Center 606 East Garfield Avenue Gettysburg SD 57442 460234354 Hospital SD 501(c)(3) 3 SMHC St Mary's Healthcare Center 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare SD 501(c)(3) 3 CHI Mt St Joseph Inc 3060 SE Stark Street Portland OR 97214 930386870 Nursing Care OR 501(c)(3) 9 CHI Pueblo Stepup 1925 East Orman Avenue Suite G52 Pueblo CO 81004 841234295 Community CO 501(c)(3) 7 CHI Bornemann Healthcare Corporation 2500 Bernville Road PO Box 316 Reading PA 19603 232187242 Healthcare PA 501(c)(3) 11a CHI St Joseph Medical Center Foundation 2500 Bernville Road PO Box 316 Reading PA 19603 232649362 Foundation PA 501(c)(3) 11a SJRHN St Joseph Medical Group 2500 Bernville Road PO Box 316 Reading PA 19603 208544021 Healthcare PA 501(c)(3) 9 BHC St Joseph Regional Health Network 2500 Bernville Road PO Box 316 Reading PA 19603 231352211 Healthcare PA 501(c)(3) 3 CHI 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 Foundation OR 501(c)(3) 7 MMC Mercy Medical Center 2700 Stewart Parkway Roseburg OR 97470 930386868 Hospital OR 501(c)(3) 3 CHI Franciscan Villa of South Milwaukee Inc 3601 South Chicago Avenue South Milwaukee WI 53172 391093829 Healthcare WI 501(c)(3) 9 CHI Enumclaw Community Hospital 1450 Battersby Avenue Enumclaw WA 98022 910715805 Hospital WA 501(c)(3) 3 FHS Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 Fundraising WA 501(c)(3) 9 FHS Franciscan Health System FKA Franciscan 1717 South J Street Tacoma WA 98405 910564491 Healthcare WA 501(c)(3) 3 CHI Franciscan Medical Group 1708 South Yakima Avenue Tacoma WA 98405 911939739 Healthcare WA 501(c)(3) 9 FHS St Joseph Medical Center Foundation In 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 7 SJMC St Joseph Medical Center Inc 7601 Osler Drive Towson MD 21204 520591461 Hospital MD 501(c)(3) 3 CHI St Joseph Physician Enterprises 7601 Osler Drive Towson MD 21204 521311775 Physicians MD 501(c)(3) 11a CHI Samaritan Health Foundation 2222 Philadelphia Drive Dayton OH 45406 237296923 Foundation OH 501(c)(3) 7 SHP Mercy Hospital of Valley City 570 Chautauqua Boulevard Valley City ND 58072 450226553 Hospital 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 Foundation ND 501(c)(3) 11a MMC Samaritan Health Partners 2222 Philadelphia Drive Dayton OH 45406 311107411 Healthcare OH 501(c)(3) 11a CHI St Vincent Foundation Two St Vincent Circle Little Rock AR 72205 510169537 Fundraising AR 501(c)(3) 11a SVIMC Auxiliary of Holy Rosary Hospital Inc 351 SW 9th Street Ontario OR 97914 943059469 Hospital OR 501(c)(3) 9 HRMC The Mercy Hospital of Devils Lake Fdn 1031 East Seventh Street Devils Lake ND 58301 352367360 Foundation ND 501(c)(3) 11a MHDL Alegent Health - Bergan Mercy Health Sys 7500 Mercy Road Omaha NE 68124 470484764 Hospital NE 501(c)(3) 3 CHI Alegent Health - Mercy Hospital Corning PO Box 368 Corning IA 50841 420782518 Hospital IA 501(c)(3) 3 AHBMHS Mercy Health Care Foundation PO Box 368 Corning IA 50841 421461064 Foundation NE 501(c)(3) 11a AHMH Mercy Hospital Foundation Council Bluff 800 Mercy Drive Council Bluffs IA 51503 421178204 Foundation IA 501(c)(3) 11a AHBMHS CHI Institute For Research and Innovatio 198 Inverness Drive West Englewood CO 80112 271050565 Healthcare CO 501(c)(3) 11a CHI CHI Colorado 188 Inverness Drive West Englewood CO 80112 840405257 Healthcare CO 501(c)(3) 3 CHI Saint Joseph Mount Sterling Foundation 50 Sterling Avenue Mount Sterling KY 40353 272884584 Foundation KY 501(c)(3) 7 SJHS Centennial Medical Group Inc 2700 Stewart Parkway Roseburg OR 97470 900433062 Physicians OR 501(c)(3) 9 MMC CHI National Foundation 198 Inverness Drive West Englewood CO 80112 270930004 Foundation CO 501(c)(3) 11a CHI Saint Clare's Health Services Inc 25 Pocono Road Denville NJ 07834 223639733 Management NJ 501(c)(3) 7 CHI Good Samaritan Hospital 2222 Philadelphia Drive Dayton OH 45406 310536981 Hospital OH 501(c)(3) 3 SHP Superior Medical Imaging LLC 5000 North 26th Street Lincoln NE 68521 262884555 OP Diagnostics NE SERMC Related -155495 993429 false 272 false Central Nebraska Rehab Services 3004 W Faidley Ave Grand Island NE 68802 810653461 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