2011-05-11T16:48:21-04:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 460230199 St Mary's Healthcare Center STMA 6052243130 801 East Sioux Avenue pierre SD 57501 Adam Paul 2011-05-11 7208741500 2009 2016-02-24 21:20:13Z Chad Cooper 801 E Sioux Ave Pierre SD 57501 45979542 false 0928 X www.st-marys.com X 1951 SD St. Mary's Healthcare Center (SMHC) Serves the Community on a non- discriminatory basis through its general hospital, long-term care facility and 24 - hour emergency care services. 15 13 567 179 20284 19284 3601 967955 42989528 43262969 -504809 1663711 62986 67976 42551306 45962611 98334 57278 0 0 20859712 20377858 0 0 0 18597731 18557901 39555777 38993037 2995529 6969574 58533504 73608409 5761897 12812165 52771607 60796244 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 30144160 57278 43242775 SEE SCHEDULE H 30144160 true true false true false false false false false false true false true false false false false false false false false true true false true false false false false false false false false false false false false false true true false false true 0 0 567 true true true false false false false false false false false 15 13 false false false false true true true true true false false true true true true true true true true true false X Adam Paul 6052243130 801 E Sioux Ave Pierre SD 57501 CHAD Cooper 60.0 X X 324521 53625 Janet Cronin 1.0 X Michael Colleran 1.0 X JEFFREY DROP 1.0 X 529578 69940 Tom Geraets 1.0 X Owen Garnos 1.0 X Mikel Holland 1.0 X Darrell Jeanotte 1.0 X Robert Miller 1.0 X X Colleen Lamb 1.0 X X Barry Monfore 1.0 X Sister Adel Sautner 1.0 X Ron Tedrow 1.0 X X Joe Villa 1.0 X Peggy Williams 1.0 X William Van Camp 1.0 X X David Goode 1.0 X 1033054 43467 Debbie Brakke 40.0 X 106431 23551 Robin Gadd 40.0 X 114137 15627 Paul Marso 40.0 X 109235 28886 Ellen Lee 40.0 X 99614 21616 Adam Paul 40.0 X 160790 18701 Steven Case 40.0 X 126449 1034 27956 Sandra Jacobson 40.0 X 142776 31169 Christopher Olson 40.0 X 205656 35810 Troy Schneider 40.0 X 125576 16170 Rita Wendt 40.0 X 212152 41736 1402816 1888187 428254 11 false true false CAPITAL CITY PHYSICIANS 800 E DAKOTA AVE PIERRE SD 57501 PHYSICIAN COVERAGE 1124191 AVERA MCKENNAN HOSPITAL 800 E 21ST STREET PO BOX 5045 SIOUX FALLS SD 57117 PHYSICIAN COVERAGE 418236 THERESA SIMMONS 4102 HACKAMORE COURT GILLETTE WY 82718 CRNA 309390 SANFORD MEDICAL CENTER PO BOX 5056 SIOUX FALLS SD 57117 LAB SERVICES 202402 RECRUITING RESOURCES PO BOX 8265 RAPID CITY SD 57709 CRNA 155015 6 967955 967955 Patient Services 900099 43063989 43063989 Rental Income 900099 123000 123000 Equity changes of unconsolidated orgs 900099 75980 55786 20194 43262969 805641 90 805551 0 0 778100 96900 16931 778100 79969 858070 858070 0 0 0 Cafeteria 722100 58348 58348 Medical Records Revenue/Transcription 541200 8372 8372 ALL OTHER REVENUE 900099 1256 1256 67976 45962611 43242775 20284 1731597 57278 57278 0 0 0 700246 65379 634867 0 15327939 13842616 1485323 856479 743185 113294 2445121 2121683 323438 1048073 905477 142596 0 16543 16543 0 0 0 0 5296614 3754653 1541961 0 7502581 7079975 422606 0 0 899425 69341 830084 93234 53769 39465 0 1884 1444 440 30265 30265 1032706 16585 1016121 2740311 975006 1765305 223030 2329 220701 REPAIRS AND MAINTENANCE 251140 86926 164214 Bad debts 212486 212486 Dues & subscriptions 84242 25539 58703 Education 56873 43425 13448 UNRELATED BUSINESS TAXES 6689 6689 109878 56799 53079 0 38993037 30144160 8848877 0 87636 27976 4015436 3100098 5252 6492360 13031528 210956 160222 927887 1212394 44228 50837 61913513 40259674 21640679 21653839 23806246 34150421 1308076 215842 58533504 73608409 3071557 11602377 2690340 1209788 5761897 12812165 X 52771607 59846634 949610 52771607 60796244 58533504 73608409 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3357 false false false 3357 false Lobbying Activities Explanation 990 Sch C Supplemental THE PORTION OF ORGANIZATIONAL DUES THAT ARE RELATED to LOBBYING is as follows: AMERICAN HOSPITAL ASSOCIATION - $517, CATHOLIC HEALTHCARE ASSOCIATION - $371 and SOUTH DAKOTA ASSOCIATION OF HOSPITALS - $2,469. 0 1765571 1765571 24566774 15276159 9290615 1327317 948604 378713 34253851 24034911 10218940 0 0 0 21653839 CHI OIP - Fixed Income 17760136 F CHI OIP - Equity Securities 16390285 F 34150421 0 UNAPPLIED PATIENT DEPOSITS 267745 MARYHOUSE RENTAL DEPOSITS PAYABLE 3350 PARKWOOD UNAPPLIED PATIENT DEPOSITS 29000 ENVIRONMENTAL REMEDIATION LIABILITY 82321 MEDICARE SETTLEMENTS PAYABLE 489107 INTERCOMPANY PAYABLES 307938 CREDIT CARD CLEARING 30327 1209788 45962611 38993037 6969574 1780448 -725384 1055064 8024638 REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 SCH D, PART XIV St. Mary's Healthcare Center's Financial Information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 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 ADJUSTMENTS Schedule D Part XI Q8 CAPITAL RESOURCE POOL CONTRIBUTION - ($554,796) CHI Connect Depreciation - ($170,588) Total - ($725,384) true true X false false true true false true true 257 410772 410772 0.01060 2648 3101547 2362747 738800 0.01910 410 944555 645024 299531 0.00770 3315 4456874 3007771 1449103 0.03740 4 4946 21314 420 20894 0.00050 2 26 824 824 5 80 1618834 1618834 0.04170 4 543 251169 251169 0.00650 15 5595 1892141 420 1891721 0.04870 15 8910 6349015 3008191 3340824 0.08610 1 130 1456 1456 1 1040 8070 8070 0.00020 2 1170 9526 9526 0.00020 true 291830 10054388 11729967 -1675579 X true true St Mary's Healthcare Center

801 E Sioux Ave Pierre SD 57501

X X X St Mary's Home Health Hospice

800 E Dakota Ave Pierre SD 57501

Home health hospice Maryhouse

717 E Dakota Ave Pierre SD 57501

LTC Trans. Care 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 ultimate parent organization to St. Mary's Healthcare Center) established its charity care policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 19 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines ("FPG"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. St. Mary's Healthcare Center bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines for the county in which the patient resides. This provides patients of St. Mary's the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. 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. St. Mary's Healthcare Center prepares its own annual written community benefit report. Its 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. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost to charge ratio used to determine the cost of bad debt expense was based on the formula of Operating expense (before restructuring, impairment and other losses) / Gross patient revenue = Cost-to-charge ratio. Using this formula, $38,357,333 / $94,610,191 = 40.5% Cost to charge ratio. Worksheet 2 was not used to derive the cost-to-charge 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. No physician clinics are included in the total for 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. Note: Column F is supposed to be "net community benefit expense" in column (e) divided by the sum of "total functional expenses" on Form 990, Part IX, line 25, column A (less bad debt expense), and the organizations proportionate share of total expenses of all joint ventures for which it reports expenses on the table on part 1. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $ 212,486 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. The Costing methodology for amounts reported on Line 2 is determined using the organization's cost/charge ratio of 40.5%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. St. Mary's Healthcare Center ("St. Mary's") does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. St. Mary's does not issue separate company audited financial statements. However, St. Mary's Healthcare Center's financial statement is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated bad debt footnote reads as follows: "the provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payer category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility". 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. Medicare allowable costs are determined using the cost apportionment worksheets contained in the Medicare Cost Report. The worksheets identify those cost allowable under the Medicare program and those costs which are not reimbursable by Medicare. Consistent with the guidelines of its parent organization, CHI, St. Mary's Healthcare Center does not include losses (or surpluses) from providing services under the Medicare program as community benefit. The reason is that participation as a Medicare provider is not a differentiating feature of tax-exempt health care organizations. Profitable services under Medicare such as cardiology and orthopedics attract for profit hospitals. Certain programs that respond to an identified community need provided by St. Mary's do meet the criteria for "subsidized health services" and these services are also available to Medicare patients. In this case the service is considered a community benefit if the program generates a loss. 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. St. Mary's Healthcare Center's (SMHC) debt collection policy provides that SMHC will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program, and do not qualify for coverage through SMHC's community assistance policy. After having been turned over to a third party collection agent, any patient account that is subsequently determined to meet the SMHC community assistance policy is required to be returned immediately by the third-party collection agent to SMHC for appropriate follow up. All of Catholic Health Initiatives' hospital's contracts with third party collection agencies include the following standards: * Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment * Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence, and * No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standards of Conduct to make sure all patients are treated with dignity and respect. 1 residential apartment unit. to be licensed, registered or similarly recognized as a health care facility under state law (for example, 2 rehabilitation clinics, 4 diagnostic centers, 3 skilled nursing facilities, etc) Not applicable. 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). St. Mary's Healthcare Center Community Benefit Report INTRODUCTION: MISSION St. Mary's Healthcare Center shares the mission of its sponsoring organization, Catholic Health Initiatives. The Mission of Catholic Health Initiatives is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creating of healthier communities. VISION To make St. Mary's Healthcare Center a destination for patients and residents to receive care, for employees to work, and for physicians to practice medicine. We will accomplish our mission through an unending commitment to Excellence across our pillars of People, Quality, Stewardship, Growth and Service. PRIMARY TAX-EXEMPT PURPOSE St. Mary's Healthcare Center ("St. Mary's") is listed in the Official Catholic Directory. It is a tax exempt 501(c)(3) organization operated as a ministry of the Catholic Church. Core to its mission, St. Mary's benefits the community in the following ways: * The hospital serves all persons in the community on a non-discriminatory basis * St. Mary's operates an emergency room that is open to all persons regardless of ability to pay. This vital community service is operated at a loss of greater than $600,000 per year. * St. Mary's has an open medical staff with privileges available to all qualified physicians in the area * St. Mary's governing body is comprised of independent persons representative of the community as a whole * St. Mary's provides education and training opportunities to health care students enrolled in the local college - Capital University Center. * Participates in Medicaid, Medicare, CHAMPUS, TRICARE and/or other government-sponsored health care programs COMMUNITY BENEFIT APPROACH St. Mary's Healthcare Center is a non-profit healthcare center that is part of Catholic Health Initiatives (CHI). The organization demonstrates its charitable mission through the execution of a comprehensive Community Benefit Program. Charity care is one example. It costs St. Mary's $400,000 annually to provide traditional charity care. In addition to this commitment, St. Mary's has given over $1.8 million in Community Benefit in the form of community health services, education, and subsidized care. Community Benefit goes beyond a charity care program and is a planned, managed, organized and measured approach to a healthcare organization's participation in meeting identified community health needs. St. Mary's collaborates with our communities to benefit our residents - particularly people who are economically poor, minorities and other underserved groups - by improving health status and quality of life. St. Mary's Community Benefit program responds to identified community needs and meets at least one of the following criteria: * Generates a low or negative margin * Responds to needs of special populations, such as minorities, frail elderly, poor persons with disabilities, the chronically mentally ill and persons with AIDS * Supplies a service or programs that would likely be discontinued if the decision were made on a purely financial basis. Several programs and services at St. Mary's Healthcare Center represent excellent examples of these criteria. A beautiful, functional and caring Kidney Dialysis Unit (KDU), now called the Sr. Evelyn Kidney Dialysis Unit, was built in the new building program just a few years ago. The new space was allocated to this program to make the experience of kidney dialysis as pleasant as possible, embracing the core values of Reverence, Integrity, Compassion, and Excellence. The KDU unit would never have been built if it was based on funds generated or bottom line. KDU meets all of the criteria for Community Benefit, generating a low margin, responding to special populations, and providing a service that likely would be discontinued if the decision were made on a purely financial basis. Another Community Benefit service is the Community Crisis Room at St. Mary's Healthcare Center. The need for this room was identified several years ago, when people, including youth, in a mental crisis were taken to jail until they could be assessed and either transferred to a behavioral health center or released. The Healthy Community/Healthy Youth Coalition determined the need for a safe, humane, and caring 24 hour crisis room. Funding comes from insurance programs, Hughes County, and the Community Benefit program of St. Mary's Healthcare Center. This room helps keep over 100 people safe each year, with ages starting at 7 years old and stretching to over 80 years old. Traditional Charity Care, unpaid costs of Medicaid, and subsidized health services are all part of a non-profit healthcare center's operational costs, along with Community Benefits to serve the poor and broader community. From July 1, 2009 to June 30, 2010, St. Mary's Healthcare Center contributed $3,350,000 to Community Benefits programs and services. St. Mary's Healthcare Center includes Maryhouse, a 105 bed nursing home which has lost nearly $1.5 million from operations over the last five years. St. Mary's is committed to supporting this facility because it is central to our mission to take care of our vulnerable elderly population. Uncompensated Care In addition to providing $410,000 in traditional charity care in Fiscal 2010, St. Mary's also subsidizes the cost of providing care to Medicaid beneficiaries. St. Mary's Hospital has expenditures of $3,100,000 dollars caring for Medicaid recipients. $739,000 of this expenditure is not covered by Medicaid reimbursement. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT I. Community Outreach for the Poor * Our Disproportionate Share from participation in the Medicaid program is one means by which we provide services targeted to the poor. * Another is our Community Banquet meals offered twice a year. This wonderful event focuses on the extremely poor, fragile, lonely, and sometimes homeless. 300-400 community members are fed every Thursday night. St. Mary's works with other community organizations and hosts the dinner twice a year. The program has been in existence for 20 years. The outcomes include social interaction, nourishment, and help with the individual's mental health and their spiritual well being. The group is led in prayer before each meal. Community Outreach for the Broader Community St. Mary's many Community Benefit programs include programs for the broader community, bringing education, training, information and health news to people in a variety of ways, including: * Farm Safety Camp. This program helps grade school students. Kids were getting hurt and sometimes killed in farm accidents. Awareness on farm safety is emphasized. The program was developed with county extension agents and our in-house healthcare professionals. * Diabetic Education. We have two programs: Diabetes education and Metabolic Syndrome Class. Both programs target persons with identified conditions, the later is aimed at high risk individuals. We are the only provider offering this important service. Participants learn to manage their illness or learn to avoid it completely. A community advisory board meets twice a year to study program development and measure outcomes. * United Blood Services. This is a program that encourages St. Mary's employees to give blood to fund the blood bank. This is an opportunity for the staff to get involved and help those in need across the community. * Suicide Prevention programs. The target population is youths but it also extends to all ages. The need was defined in 1998 when there was an epidemic of teen suicides. Completed suicide rates have gone down in recent years. Contacts to our Crisis Room, (located on campus) has risen which speaks to the success of the program. More people are now able to access help before an attempt. The responders in the community have become better educated on what to do in the case of an attempt through the experience gained in the program. Many local agencies collaborate in this effort including the police, fire department, and safety agencies, along with St. Mary's. This is a program that is subsidized by St. Mary's. It does not contribute a margin for the Hospital. * Health Fairs. This supports the general community and meets a need by offering scre 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. All patients that present to the hospital in a self pay status are provided financial counseling. The details of the hospital's Financial Aid Policy are reviewed by a counselor with the patient and the patient is provided with applications for assistance. All self pay balances are eligible for the assistance program including self pay after insurance. The application process is the same. Patients are educated on all available federal, state or local government programs, as well as the hospitals' charity care policy. 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. St. Mary's Healthcare Center is part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Denver, 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. St. Mary's Healthcare Center operates to serve the health care needs of Pierre, South Dakota and the surrounding rural counties of central South Dakota. true St Mary's Foundation 800 E Dakota Ave Pierre SD 57501 460378424 501(C)(3) 25000 General Support Retired Senior Volunteer Program 800 E Dakota Ave Pierre SD 57501 510236514 501(c)(3) 10000 General Support United Way of PierreFt Pierre PO Box 1111 Pierre SD 57501 460403398 501(C)(3) 8997 General Support 3 Schedule I Part I Q2 Procedures for monitoring the use of grants Grants are monitored through reports received from the grantee organization containing financial and narrative information describing the use of the funds. X true true false true false false false false false true false CHAD Cooper 232591 68004 23926 20441 33184 378146 Steven Case 126368 1034 81 27956 154405 1034 JEFFREY DROP 348817 96464 84297 25583 44357 599518 Sandra Jacobson 120117 20132 2527 31169 173945 Christopher Olson 166309 39207 140 35810 241466 Adam Paul 132888 27747 155 18701 179491 Rita Wendt 176344 33844 1964 41736 253888 David Goode 453182 120573 459299 126 43341 1076521 410385 PROCESS FOR DETERMINING CEO's COMPENSATION Sch J Pt I Q3 Compensation for the top management official was established and paid by catholic health initiatives, (CHI), a related organization. CHI used the following to establish top management official's compensation: (1) compensation committee; (2) independent compensation consultant; (3) written employment contracts; (4) compensation survey or study; (5) approval by the board compensation committee. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN Sch J Pt I Q4B DURING THE 2009 CALENDAR YEAR, CHI MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR Senior VICE PRESIDENTS AND ABOVE, INCLUDING MBO CEOs. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: CHAD COOPER, DAVID GOODE and Jeffrey Drop. The CONTRIBUTIONS made TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR as follows: Chad Cooper - $20,441 Jeffrey Drop - $25,583 David Goode - $126 The following individuals received payments from the supplemental non-qualified deferred compensation plan during 2009 and the following amounts were included in the individual's reportable compensation for Sch J: David Goode- - $410,385 NON-FIXED PAYMENTS Schedule J, PART I, Q. 7 CHI MAINTAINS A VARIABLE PAY PROGRAM FOR SENIOR VICE PRESIDENTS AND ABOVE, INCLUDING MBO CEOS, THAT PUTS AN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PATIENT SERVICE REVENUES TARGETS. HOWEVER, NO AWARD IS PAYABLE UNDER THIS PROGRAM UNLESS ESTABLISHED FINANCIAL AND NON-FINANCIAL OBJECTIVES ARE MET. IN ADDITION, THE ORGANIZATION MAINTAINS A BONUS PROGRAM FOR DIRECTORS AND ABOVE. PAYOUTS ARE MADE ACCORDING TO ORGANIZATIONAL AND INDIVIDUAL ACHIEVEMENT RELATIVE TO OPERATIONAL PERFORMANCE GOALS. PERFORMANCE IS MEASURED USING THE "LEADERSHIP EVALUATION MANAGER" TOOL CREATED BY THE STUDER GROUP. POST-TERMINATION SEVERANCE PAYMENTS Sch J Pt I Q4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CHI'S VP's and above, including the MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2009 CALENDAR YEAR. BENEFITS PROVIDED IN PART 1A Sch J Pt I Q1a BOARD MEMBERS ARE ELIGIBLE FOR FIRST-CLASS/CHARTER TRAVEL AND TRAVEL FOR COMPANIONS, PURSUANT TO A WRITTEN POLICY REGARDING PAYMENT AND REIMBURSEMENT OF SUCH EXPENSES. ALL INDIVIDUALS AVAILING THEMSELVES OF THESE BENEFITS ARE REQUIRED TO PROVIDE SUBSTANTIATION OF THE EXPENSES INCURRED, AND THE REIMBURSEMENTS ARE REPORTED AS TAXABLE COMPENSATION ON THE MEMBER'S FORM W-2 WHERE APPROPRIATE. EXECUTIVE COMMITTEE FORM 990, PART VI, Q. 1A Pursuant to Section 8.6 of the Bylaws of St. Mary's Healthcare Center, The Executive Committee is COMPOSED OF THE BOARD CHAIR, VICE CHAIR AND THE PRESIDENT AND CEO OF THE ORGANIZATION (who is also a voting member of the board). Each individual appointed to the Executive Committee HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, Q. 6 THE SOLE CORPORATE MEMBER OF ST. MARY'S HEALTHCARE CENTER IS CATHOLIC HEALTH INITIATIVES (CHI), A COLORADO NONPROFIT CORPORATION. ELECTING BOARD MEMBERS FORM 990, PART VI, Q 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO REMOVE, REPLACE OR APPOINT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. GOVERNING POWERS FORM 990, PART VI, Q. 7B THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. MARY'S HEALTHCARE CENTER * AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. MARY'S HEALTHCARE CENTER * APPROVE MEMBERS OF ST. MARY'S HEALTHCARE CENTER * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. MARY'S HEALTHCARE CENTER * APPROVAL OF ISSUANCE OF DEBT BY ST. MARY'S HEALTHCARE CENTER * APPROVAL OF PARTICIPATION OF ST. MARY'S HEALTHCARE CENTER IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. MARY'S HEALTHCARE CENTER * APPROVAL OF A MERGER INVOLVING ST. MARY'S HEALTHCARE CENTER * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. MARY'S HEALTHCARE CENTER * TO REQUIRE THE TRANSFER OF ASSETS BY THE ST. MARY'S HEALTHCARE CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG-RANGE AND STRATEGIC PLANS FOR ST. MARY'S HEALTHCARE CENTER. PURSUANT TO 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 ORGANIZATON, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 Form 990, Part VI, Q. 11 The CFO is responsible for reviewing the form 990. A copy of the return will be provided to the board prior to filing with IRS. Subsequently, the CHI 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. Procedures for monitoring and enforcing the COI policy Form 990, Part VI, Q. 12c Conflicts of interest for all employees are covered in standards of conduct, found in "Our Values and Ethics at Work", a resource which is given to all employees on hire and completion of the acknowledgement and certification statement is required as a condition of employment. Our HR policy addresses conflict of interest situations and describes the consequences of proven conflicts of interest. Additionally, the CFO requires that key employees annually sign a conflict of interest statement that is kept on file by the CFO. The CRO investigates any reported potential conflicts of interest and recommends appropriate action based on findings. St. Mary's Healthcare Center has a Board Policy that references the duality of interest and conflict of interest policies provided by CHI National. At the annual Board and Board committee meetings all members are requested to sign conflict of interest statements. The signed statements are retained in the administrative files. All members are requested to declare potential conflicts of interest at each Board and/or Committee Meetings of the Board. If the Board finds that a conflict does exist regarding the agenda items to be presented for action, members are requested to abstain from voting. In addition a questionnaire is sent annually to all Board members and top paid employees asking them to disclose any business or family relationships. PROCESS FOR DETERMINING COMPENSATION - CEO/EXECUTIVE DIRECTOR FORM 990, PART VI, Q. 15A St. Mary's Health Care Center'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) is 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 OTHER COMPENSATION FORM 990, PART VI, Q. 15B ANY TOP MANAGEMENT COMPENSATION PAID BY THE ORGANIZATION WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH ST. MARY'S HEALTHCARE CENTER'S COMPENSATION PHILOSOPHY. EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS FORM 990, PART VI, Q. 16B ST. MARY'S HEALTHCARE CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, 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. Governing documents - COI Policy - Financial Statements available Form 990, Part VI, Q. 19 The organization's FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS are not publicly available. ESTIMATE OF HOURS 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 Physical Therapy NE CHI Related 1816979 2933623 false 5050 false Mercy West Endoscopy LLC 1601 NW 114th St Suite 244 Clive IA 50325 900129077 Ambulatory Surg IA CHI-IA Corp Related 1917716 1695121 false false Audubon Land Company LLC 5390 N Academy Blvd Suite 300 Colorado Springs CO 80918 841513085 Real Estate CO THC Related 67577 9001605 false false Breckenridge Medical Clinic LLC 555 South Park Avenue Plaza 11 Breckenridge CO 80424 651295958 Medical Clinic CO THC Related false false Penrad Imaging 1390 Kelly Johnson Blvd Colorado Springs CO 80920 841072619 Medical Imaging CO THC Related 1922441 8248492 false false St Anthony Regional Mtn Cancer Center 4231 W 16th Avenue Denver CO 80112 371568013 Cancer Center CO THC Related 60513 318803 false false St Francis Land Company 5390 N Academy Blvd Suite 300 Colorado Springs CO 80918 263134100 Real Estate CO THC Related -180979 14886022 false false OrthoColorado LLC 11650 West 2nd Place Lakewood CO 80255 371577105 Ortho Hospital CO THC Related -5375165 15265510 false false Mercy Outpatient Surgery Center LLC 1512 12th Avenue Road Nampa ID 83686 841380439 Surgery Center ID MMC Related -812036 949357 false 4620 true Peninsula Radiation Oncology 314 Martin Luther King Jr Way 11 Tacoma WA 98405 870808610 Healthcare Srvc WA FHS Related -516076 3860362 false false Healthcare Support Services LLC PO Box 9804 Grand Island NE 68802 721546196 Laundry NE CHI Related 199968 3913481 false 58436 false Bluegrass Regional Imaging Center 1218 South Broadway Suite 310 Lexington KY 40504 611386736 Diagnostic KY SJ HospitalLex Related 242456 3773725 false false North River Surgery Center LLC 2209 Wildwood Avenue Sherwood AR 72120 710799771 Ambul Surg Ctr AR SVIMC Related 213989 1696001 false false CHI Operating Investment Program LP 198 Inverness Drive West Englewood CO 80112 470727942 Investments CO CHI Investment 58022 4069968 false 14031 true Ruxton Surgicenter LLC 8322 Bellona Avenue Suite 201 Baltimore MD 21204 522095835 Surgery Center MD SJMC Related -75716 3421084 false true Central Nebraska Home Care Services PO Box 1146-4510 Second Avenue Kearney NE 68848 470692112 Healthcare Srvc NE HSEINC Related -102982 1021500 false true Mercy Health Services Corporation 2727 McClelland Blvd Joplin MO 64804 431457881 DME MO St John's RMC C Corp -1033832 2093683 1.00000 Mountain Management Services Inc 6028D Shallowford Road Chattanooga TN 37422 621570739 mgmt svc org TN MHCS C Corp 348642 4530845 1.00000 MedQuest 1301 15th Avenue West Williston ND 58801 450392137 Sale of DME ND MHof Williston C Corp -16794 911494 1.00000 St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR St Anthony H C Corp 41861 3047938 1.00000 GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY NE 68848 470659440 MEDICAL CLINIC NE CHI Nebraska C Corp -2491623 840232 1.00000 HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY NE 68848 470664558 MANAGEMENT NE GSH C Corp 10957 1559747 1.00000 Mercy Park Apartments Ltd 1111 6th Avenue Des Moines IA 50314 421202422 Housing IA CHI-IA Corp C Corp 227244 1806199 1.00000 Des Moines Medical Center Inc 1111 6th Avenue Des Moines IA 50314 420837382 Real Estate IA CHI-IA Corp C Corp 1123173 0.92980 Comcare Services 4231 W 16th Avenue Denver CO 80204 840904813 Inactive CO CHIC C Corp 1.00000 Mednow Inc 1512 12th Avenue Road Nampa ID 83686 820389927 Outpat Pharmacy ID Mercy Med Ctr C Corp -672954 5348476 1.00000 Saint Clare's Primary Care Inc 66 Ford Road Denville NJ 07834 222441202 Billing Services NJ SCCC C Corp -350630 2590487 1.00000 Healthcare Mgmt Services Org Inc 1149 Market St Tacoma WA 98402 911865474 Health Org. WA FHS C Corp 1.00000 Physician Health System Network 1149 Market St Tacoma WA 98402 911746721 Health Org. WA FHS C Corp 1.00000 Mercy Services Corp 2700 Stewart Parkway Roseburg OR 97470 930824308 Retail Sales OR Mercy Medical C Corp -499409 1403001 1.00000 Caduceus Medical Associates Inc 6028 Shallowford Road Suite D Chattanooga TN 37422 621570736 Healthcare TN MHCS C Corp 1008 1.00000 CENTRAL KANSAS HEALTH SERVICES ASSOCIATI 3515 Broadway Great Bend KS 67530 481042853 MEDICAL EQUIPMENT KS CKMC C Corp 110125 1.00000 St Vincent Community Health Services In Two St Vincent Circle Little Rock AR 72205 710710785 Healthcare AR SVIMC C Corp 2404944 10195000 1.00000 Alternative Insurance Management Service 3900 Olympic Boulevard Suite 400 Erlanger KY 41018 841112049 Management Servic CO CHI C Corp 3272176 1.00000 Nazareth Assurance Company 76 St Paul Street Suite 500 Burlington VT 05401 030304831 Insurance VT CHI C Corp 1.00000 Franciscan Services Inc 198 Inverness Drive West Englewood CO 80112 232487967 Healthcare CO CHI C Corp 194756 12598258 1.00000 SJH Services Corporation 198 Inverness Drive West Englewood CO 80112 232307408 Healthcare CO FSI C Corp 314346 3423012 1.00000 St Joseph Development Company Inc 1717 South J Street Tacoma WA 98405 911480569 Rental WA FSI C Corp 1677122 11984725 1.00000 Towson Management Inc 7601 Osler Drive Towson MD 21204 521710750 Management Servic MD FSI C Corp 99315 498383 1.00000 Captive Management Initiatives 980663022 Captive Managemen CJ CHI C Corp 1.00000 First Initiatives Insurance Ltd 980203038 Insurance CJ CHI C Corp 1.00000 Center for Translational Research 198 Inverness Drive West Englewood CO 80112 272269511 Healthcare CO CHI C Corp -840949 1746201 1.00000 Samaritan Family Care Inc 40 W Fourth St 1700 Dayton OH 45402 311299450 Healthcare OH SHP LLC -1199836 4894397 1.00000 SJL Physician Management Services Inc 424 Lewis Hargett Cr 160 Lexington KY 40503 999999999 Management KY SJHS C Corp 1.00000 CGH Realty Company Inc 215 N 12th St Reading PA 19603 232326801 Real Estate PA SJHM C Corp 1007 42415 1.00000 St Joseph Office Park Association 1401 HarrodsBurg Road Bldg B70 Lexington KY 40504 611079899 Management KY SJHS C Corp 10217 572843 0.85000 false false false false false false false false false false false true false false true false true false Catholic Health Initiatives l 7375714 Catholic Health Initiatives o 509629 Catholic Health Initiatives q 630095