2011-05-13T18:00:30-05:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 910564491 Franciscan Health System FRAN 2535524105 1717 SOUTH J STREET TACOMA WA 98405 mike fitzgerald 2011-05-11 7208741500 2009 2016-02-24 21:20:13Z Joe Wilczek 1717 S J STREET Tacoma WA 98402 1094058235 false 0928 X www.fhshealth.org X 1891 WA FHS was founded on the principle to provide compassionate care to everyone regardless of ability to pay or social status. FHS includes multiple facilities and hospice, and an expanding network of clinics. 19 19 4812 725 6655947 8518211 4334645 904304978 1050152405 -3332765 6564982 32233037 32917803 941723461 1093969835 34552638 51414498 0 0 389731161 446770765 0 0 0 463031567 524371029 887315366 1022556292 54408095 71413543 786760795 826915507 306204768 276698941 480556027 550216566 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 827761389 51414498 1050152408 SEE Schedule h 827761389 true true false true 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 true false false false false true true false false true 0 0 4812 true true true false false false false false false false false 19 19 false false false false true true true true true false false true true true true true true true true true false WA X Mike Fitzgerald 2536804005 1717 South J Street Tacoma WA 98405 Diana Bader 2.0 X Roy Brooks 2.0 X X Jude Connelly 2.0 X James Dawson 2.0 X Diane Dimmer 2.0 X Steve Harlow 2.0 X Dale Howard 2.0 X Jonathon Jin 2.0 X Richard Larson 2.0 X Kathy McAuley 2.0 X Kim Moore 2.0 X Sylvia Parker 2.0 X Jack Peterson 2.0 X Susan Reiter 2.0 X Sumner Schoenike 2.0 X Carolyn Schultz 2.0 X X Guthrie Turner 2.0 X Barbara Watanabe 2.0 X Margaret Whelan 2.0 X Tom Keskey 2.0 X KIMBERLY BULLARD 40.0 X 72696 15178 MIKE FITZGERALD 40.0 X 506741 78505 Joseph Wilczek 60.0 X 1008685 97641 SYDNEY BERSANTE 40.0 X 372585 63155 FRANCES BLACKWELL 40.0 X 214275 25133 LAURIE BROWN 40.0 X 207476 32222 META DOOLEY 40.0 X 283376 59395 JAMES GOOD 40.0 X 252317 41033 ANTHONY HAFTEL 40.0 X 293210 39394 DIANNA KIELIAN 40.0 X 225765 46497 DAVID LAWSON 40.0 X 307417 54725 MICHAEL LIEPMAN 40.0 X 192859 31888 EVERETT NEWCOMB 40.0 X 275072 35220 CLIFF ROBERTSON 40.0 X 497833 41923 GREGORY SEMERDJIAN MD 40.0 X 585097 45990 WILLARD WAGNER 40.0 X 242185 41153 KATHY BRESSLER 40.0 X 277872 59733 Anthony Mclean 40.0 X 320074 52832 Carole Peet 40.0 X 269598 51587 GEORGE JOHNSTON 40.0 X 513429 36944 BAHIRATHAN KRISHNADASAN 40.0 X 503767 37922 THOMAS MOLLOY 40.0 X 526265 42339 MOHAMMED MURAYWID 40.0 X 476097 31885 NALLATHIMMAYYAG REDDY 40.0 X 366595 33927 7197504 1593782 1096221 535 false true false MEDICAL STAFFING NETWORK INC PO Box 840721 Dallas TX 75284 agency 18760633 SELLEN CONSTRUCTION COMPANY INC 227 Westlake Avenue North Seattle WA 98109 General contractor 12221887 FAVORITE NURSES FAVORITE TEMPS PO Box 803356 Kansas City MO 64180 Agency 3550657 ALLIED BARTON SECURITY SVC PO Box 828854 Philadelphia PA 19185 Security 3278054 HOSPITAL CENTRAL SERVICES ASSOCIATI 1300 East Columbia Street Seattle WA 98122 laundry service 3241375 39 4052501 162239 119905 68130 4334645 Patient Services 900099 1048816862 1048816862 Rental Income 900099 1335543 1335543 1050152405 3147183 377 3146806 0 0 3502699 3500 88400 3502699 -84900 3417799 3417799 0 0 0 Laboratory Services 621500 15620747 1482259 14138488 Pharmacy Services 446110 6846669 4107528 2739141 Cafeteria 722100 4119789 4119789 6330598 1065783 5261815 32917803 1093969835 1050152405 6655947 32823838 51414498 51414498 0 0 0 5217288 5217288 0 349191078 302447924 46743154 17227871 14702062 2525809 49010034 41563815 7446219 26124494 21624438 4500056 0 88977 88977 0 0 0 0 97294726 47397424 49897302 6398173 6398173 168066515 151499855 16566660 0 0 13785739 11014630 2771109 1374275 919802 454473 0 86790 39960 46830 9850577 9850577 19393534 19393534 43086685 32055699 11030986 10316606 10316606 Unrelated Business Taxes 8547 8547 Bad debts 131378322 131378322 Income/sales/property taxes 9637350 9595694 41656 Repairs and maintenance 5197465 406516 4790949 Dues & subscriptions 829457 829457 7577291 1020716 6556575 1022556292 827761389 194794903 0 5961798 43051563 27309309 176188705 178476689 355573 2750110 26833571 30580360 661402 948774 831899346 387984191 452169568 443915155 58824195 123840616 22714420 19094494 786760795 826915507 105010709 92483503 2817379 2563020 198376680 181652418 306204768 276698941 X 480556027 550216566 480556027 550216566 786760795 826915507 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 82261 true 54031 false false 136292 false 990 Sch C Supplemental Lobbying Activities Explanation 1B AND 1G: META DOOLEY AND GREG SEMERDJIAN TRAVELED TO WASHINGTON DC. TACOMA TRAUMA LOBBY TRIP ($6,735.34) 1G) INVOICES PAID TO EVERGREEN ASSOCIATES FOR PUBLIC AFFAIRS AND FEDERAL LIASON SERVICES ($47,295.66) 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. $20,568 ($11,975 - AHA; $8,593 - CHA) OF THE AMOUNT SHOWN ON LINE 1F ABOVE REPRESENTS THIS ENTITY'S SHARE OF ALLOCATED LOBBYING EXPENSES. ALSO INCLUDED ON LINE 1F IS THE PORTION OF WASHINGTON STATE HOSPITAL ASSOCIATION MEMBERSHIP DUES DETERMINED TO BE RELATED TO LOBBYING ACTIVITIES PER MEDICARE DEFINITION ($61,693). 25182099 25182099 358378209 86317119 272061090 26317581 10737955 15579626 405708650 290929120 114779530 16312806 16312806 443915151 CHI OIP - Fixed Income 64625968 F CHI OIP - Equity Securities 59214648 F 123840616 0 INTERCOMPANY PAYABLES 180635827 ENVIRONMENTAL REMEDIATION LIABILITY 831218 UNCLAIMED PROPERTY 185373 181652418 1093969835 1022556292 71413543 4600859 307981 -6661844 -1753004 69660539 REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SCH D, PART X FRANCISCAN HEALTH SYSEM'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 SCH D, PART XI, LINE 8 Capital Resource Pool Contributions $-8,661,000 CHI Connect Depreciation $ 1,999,156 --------------- Net Adjustment $-6,661,844 =============== true true X false false true true true false true true 20587583 20587583 0.02300 30344944 30344944 0.03410 50932527 50932527 0.05710 111 36098 2738709 179969 2558740 0.00290 23 1060 437697 437697 0.00050 7 48195 6858631 2177709 4680922 0.00530 37 4517 641965 641965 0.00070 178 89870 10677002 2357678 8319324 0.00940 178 89870 61609529 2357678 59251851 0.06650 5 618 618 2 56 64447 64447 0.00010 2 229378 229378 0.00020 9 56 294443 294443 0.00030 true 30051143 0 231469224 298630177 -67160953 X true true St Joseph Medical Center

1717 South J Street Tacoma WA 98405

X X X X St Francis Hospital

34515 9th Avenue South Federal Way WA 98003

X X X X St Clare Hospital

11315 Bridgeport Way SW Lakewood WA 98499

X X X St Anthony Hospital

11567 Canterwood Blvd NW Gig Harbor WA 98332

X 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 ultimate parent organization to Franciscan Health System) 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. Franciscan Health System bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured 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. Franciscan Health System prepares its own annual 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. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, the result is a 27.2% 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. 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 $131,378,322. 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. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Franciscan Health System 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. Franciscan Health System does not issue separate company audited financial statements, thus there is no separate footnote. However, Franciscan Health System 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 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 payor category. the results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. after satisfaction of amounts due from insurance, chi follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility." 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. A).Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Franciscan Health System ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. (B). Franciscan Health System, Inc. believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. 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. Franciscan Health Systems' debt collection policy provides that Franciscan Health System ("FHS") will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through FHS community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the FHS community assistance policy is required to be returned immediately by the third-party collection agent to FHS for appropriate follow-up. FHS requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: - Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; - Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and - No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. Line 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: 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). Community Benefit Annual Report FY 2010 Summary Introduction St. Joseph Hospital was founded in 1891 by the Sisters of St. Francis to provide healthcare to the lumbering community in Tacoma, Washington. In 1990, St. Joseph Hospital, St. Clare Hospital, and St. Francis Hospital joined to become Franciscan Health System ("FHS"). FHS is affiliated with Catholic Health Initiatives as a market-based organization, and shares CHI's mission: 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 for persons of all ages. In keeping with our mission, FHS provides care for all regardless of ability to pay. In fiscal year 2010, FHS gave $59.6 million to underprivileged individuals and the broader community in charity care, community education and outreach, and unpaid costs of Medicaid. Quality healthcare is delivered in a service area of over one million residents in Pierce, King and Kitsap counties. Facilities include five hospitals, St. Joseph Medical Center, St. Francis Hospital, St. Clare Hospital, St. Anthony Hospital, and Enumclaw Regional Hospital ( a separate legal entity), seventy medical and specialty clinics, and a residential hospice facility. Uncompensated Care Franciscan Health System provides a significant amount of uncompensated care each year. In fiscal year 2010, the cost of traditional charity care provided was $20.5 million. FHS also incurred $30.3 million in unreimbursed costs for services provided to Medicaid patients. Frequently, the costs of providing services to. participants of Medicaid are greater than the payments received from the program. The same is true for Medicare. FHS incurred $47.1 million in unreimbursed costs for Medicare Community Outreach for Persons who are Poor Lakewood Community Dental Van Dental care provided to low-income or unemployed adults without access to other low-cost dental services. The Dental Van is a partnership with CloverPark Technical College, Medical Teams International and St. Clare Hospital. The dental van also provides care for the underserved in the Federal Way community at St. Francis Hospital. Collectively 170 adults were served for in-kind dental services totaling over $75,000. Sober Living House The Sober Living House is a joint effort with Franciscan Health System, Pierce County Metropolitan Development Council, Multicare Health System, Tacoma Police Dept, EMS, and the City of Tacoma to relieve the pressures in the local emergency rooms in caring for the chronic homeless inebriant, whereby as soon as an individual is assessed, treated and discharged they are transferred to the Sober Living facility to "sober up" and receive the appropriate care including meals, counseling and opportunity for treatment. Pharmacy Indigent Care Program FHS provides prescription medications to persons who do not have the means to purchase them. Provisions of these medications helps the recipients to recover more quickly from their illnesses better manage chronic conditions and avoid costly hospitalizations. In fiscal year 2010 prescription drugs valued at $90,000 were provided to 1063 individuals. This amount includes the pharmaceuticals provided for the free Neighborhood Clinic that is staffed by all volunteer physicians and nurses. Hilltop Spring Clean-up Every spring St. Joe's Neighbors, a subcommittee of Hilltop Action Coalition has a Spring Cleanup that teams Hilltop residents and SJMC employees and families who go out into the neighborhood to pick up litter and clean up the streets. This year we had 32 employees and 42 residents join. It is a great opportunity to show the pride we all have in our neighborhood. Women, Infant and Children (WIC) Nutrition Program This program provides food coupons and nutritional counseling for women and their children. Well child check-ups are performed along with immunizations. Children are seen up to the age of five. Over 9000 clients are served annually. Children's Immunizations FHS has provided 3,186 free vaccines to over 1006 children at a value of $110,000. This program helps prevent illness and fulfills the public health requirement of children between the ages of 2 years old and 19 years old. Mammogram Assistance FHS sponsors a program that provides free mammograms to women who lack insurance or the ability to pay. Hospitality Kitchen Resident Chaplain Program This special program offers ministerial guidance for homeless and mentally ill individuals. Community Outreach for the Broader Community Autumn Leaf Festival The Autumn Leaf Health & Safety Festival is a collaborative effort between St. Clare Hospital, and many community partners. Over seventy-seven programs were exhibited from a variety of health services including those from within Franciscan Health System. There were over 900 Lakewood residents who attended, including children who needed immunizations to begin the school year. Sports physicals were provided by the Franciscan Medical Group physicians. A variety of screenings were offered during the festival including cholesterol, diabetes, prostate, skin cancer and blood pressure checks. Partnership with Bethlehem Baptist Nurses Ministries and Health Coalition for Communities of Color Bethlehem Baptist Nurses Ministry - 5th Annual Women of Color Cancer Awareness - A Program that addresses issues of prevention, support for current patients, and celebrating survivors of cancer in a culturally relevant manner featuring speakers, food and entertainment. Over 150 women attended. Health Coalition for Communities of Color Heart Health Fair - this event provided information on nutrition, exercise and how to prevent and manage heart issues. More than 75 people attended. Jack and Jill Youth Health Fair - Interactive booths with information on youth related health topics including nutrition, exercise, dental health, HIV/AIDS, drugs and tobacco. More than 50 youth and adults attended. Hospice SOUL Program Service Opportunities for Understanding Life (SOUL) provides potentially life-changing opportunities for youths in our hospice-care setting. McCarver Elementary School Partnership - Thanksgiving - employees donated over $6000.00 in Safeway and Fred Meyer gift cards for families in need to provide food for the Thanksgiving holiday. - Christmas - Through our McCarver Giving Tree we collected enough toys to provide all the families in need with Christmas gifts for their families. Well over 200 toys and games were donated by our generous employees. - Pizza with the Principal - Sponsored pizza, drinks and dessert monthly for those students who had earned pride points during the month for exhibiting good behavior and citizenship. Each time the students were awarded pride points they were entered into a drawing for the opportunity to have pizza with the principal. - Family Night - connected the dietary management staff with the teachers from McCarver, coordinating this event to provide nutritional information to families during one of the Family Nights. There were close to 100 people in attendance. Congregational Health Ministries Partnership The Congregational Health Ministries Partnership is a network of dedicated health ministers and parish nurses in churches. This network provides opportunities to integrate health and faith in the local church while at the same time tending to the total wellness of parish members' minds, bodies, and spirits. An average of 675 hours of service per month is provided by parish nurses. During the second quarter of FY10 the parish nurses/health ministers provided over 1300 of flu vaccinations for adults and children. End of Life Program Franciscan Health System and the Korean Women's Association launched a unique program to help the region's Asian and Pacific Islander populations navigate cultural and language barriers to end-of-life services. Partnerships Adopted Tyee Park Elementary in Lakewood to make a difference and help keep Lakewood's Promise by providing caring adults and kids a healthy start. Twenty-two people have volunteered their time to date. Walking program expanded to include a partnership with Lakewold Gardens for walking. Hike for Your Health/Passport to Adventure Kick off part 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. Franciscan Health System provided several ways to inform patients of their eligibility for financial assistance: 1.At the time of admission, if individual indicates they are unable to pay, a financial counselor assists them with making application for appropriate assistance. The FHS website has a contact number for individuals needing assistance. Information is readily posted in all emergency rooms. 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. Franciscan Health System, 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 MBO's. 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 MBO's 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 MBO's. 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 MBO's. 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 MBO's to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. Franciscan Health System operates with its wholly owned affiliates and community partners, along with its fundraising arm, the Franciscan Foundation, to serve the health care needs of the Tacoma, Washington communities. true Bellarmine Preparatory School 2300 South Washington Street Tacoma WA 98402 911109930 501(c)(3) 23720 Pierce County Medical Society 223 Tacoma Ave South Tacoma WA 98402 910366010 501(c)(3) 60722 Metropolitan Development Center 721 Fawcett StreetSuite 201 Tacoma WA 98402 910780533 501(c)(3) 98674 Franciscan Ministries Foundation 609 South Convent Road Ashton PA 19014 232784568 501(c)(3) 47439 Washington Poison Control 155 NE 100th Street Seattle WA 98125 943214587 501(c)(3) 7116 Medical Teams International 4000 Kruse Way Place 2-100 Lake Oswego OR 97025 930878944 501(c)(3) 9488 CHUMA International 2601 Williamatte Drive SE Lacey WA 98516 510216586 501(c)(3) 28628 unused medical equip Franciscan Foundation 1149 Market Street Tacoma WA 98402 911145592 501(c)(3) 1872028 Franciscan Medical Group 1149 Market Street Tacoma WA 98402 911939739 501(c)(3) 45170849 St Elizabeth Hospital 1455 Battersby Avenue Enumclaw WA 98022 910715805 501(c)(3) 4071340 TRANSFER TO SEH 10 Schedule I Part I Q2 Procedures for monitoring the use of grants Grants made to Franciscan Medical Group and Franciscan Foundation are in the form of transfers to affiliates and are tracked based on the grant restriction. FHS only grants to 501(c)(3) and 501(c)(6) organizations to ensure the funds will be used properly. true true false false false false false false false SYDNEY BERSANTE 327062 33384 12140 27666 35489 435740 FRANCES BLACKWELL 190601 18390 5283 25133 239408 LAURIE BROWN 174862 17776 14838 32222 239698 META DOOLEY 246381 26064 10931 21600 37795 342771 MIKE FITZGERALD 403504 43526 59711 34636 43869 585246 JAMES GOOD 213644 22968 15706 41033 293350 ANTHONY HAFTEL 261942 27774 3494 39394 332604 GEORGE JOHNSTON 467714 40000 5715 36944 550373 DIANNA KIELIAN 190487 20267 15012 16568 29929 272262 BAHIRATHAN KRISHNADASAN 414946 88085 737 37922 541689 DAVID LAWSON 235685 24624 47107 20038 34687 362142 MICHAEL LIEPMAN 100574 92285 31888 224747 THOMAS MOLLOY 485080 40000 1185 42339 568604 MOHAMMED MURAYWID 243160 232530 407 31885 507982 EVERETT NEWCOMB 239728 35344 35220 310292 NALLATHIMMAYYAG REDDY 225858 139555 1182 33927 400522 CLIFF ROBERTSON 425312 47988 24533 38700 41923 578456 GREGORY SEMERDJIAN MD 337349 50203 197545 45990 631087 173523 WILLARD WAGNER 192666 18306 31213 41153 283338 Joseph Wilczek 685312 168899 154473 59657 37984 1106326 124459 KATHY BRESSLER 227914 26015 23942 19860 39873 337605 Anthony Mclean 286655 22399 11020 24750 28082 372906 Carole Peet 223375 23886 22337 19350 32237 321185 BENEFITS TO REPORTABLE INDIVIDUALS SCH J, PART I, Q 1A The organization offers a work/life balance allowance to Vice Presidents and above that can be used for a multitude of things, including but not limited to healthclub membership. These benefits are treated as taxable income to the individuals and require the individual to submit receipts pursuant to the written policy regarding reimbursement. EXECUTIVE COMPENSATION SCH. J, PART I, Q. 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES, (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. POST-TERMINATION PAYMENTS SCH. J, PART I, Q. 4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CHI'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. POST-TERMINATION PAYMENTS FROM FRANCISCAN HEALTH SYSTEM ARE DETERMINED AT THE DISCRETION OF TOP MANAGEMENT OFFICIALS AND PAYOUT IS BASED UPON VARIOUS FACTORS INCLUDING TENURE AND POSITION. DURING THE CALENDAR YEAR 2009, THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED SEVERANCE PAY FROM FRANCISCAN HEALTH SYSTEM AND THE FOLLOWING AMOUNT WAS INCLUDED IN HIS REPORTABLE COMPENSATION ON SCHEDULE J: MICHAEL LIEPMAN; $85,730. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCH. J, PART I, Q. 4B DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALs Were ELIGIBLE TO PARTICIPATE: JOSEPH WILCZEK, GREGORY SEMERDJIAN and cliff robertson. THERE WERE CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR ON BEHALF OF JOSEPH WILCZEK AND cliff robertson IN THE AMOUNTS OF; $59,657 AND $38,700 RESPECTIVELY. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNT WAS INCLUDED IN THE INDIVIDUALS' REPORTABLE COMPENSATION FOR SCHEDULE J: JOSEPH WILCZEK; $124,459 AND GREGORY SEMERDJIAN; $173,523. DURING THE CALENDAR YEAR FRANCISCAN HEALTH SYSTEM MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR FRANCISCAN HEALTH SYSTEM SENIOR LEADERSHIP. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: SYDNEY BERSANTE, META DOOLEY, MIKE FITZGERALD, DIANNA KIELIAN, DAVID LAWSON, KATHY BRESSLER, ANTHONY MCLEAN AND CAROLE PEET. THERE WERE CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR ON BEHALF OF: SYDNEY BERSANTE; $27,666, META DOOLEY; $21,600, MIKE FITZGERALD; $34,636, DIANNA KIELIAN; $16,568, DAVID LAWSON; $20,038, KATHY BRESSLER; $19,860, ANTHONY MCLEAN; $24,750 AND CAROLE PEET; $19,350. X LTV Transport Ventilator Packages 1 68130 Cost Method false false false SCH M PART I, LINE 25 COL(B) LINE 25, COL (B) SCHEDULE M, LINE 25, COLUMN (B) INDICATES THE NUMBER OF CONTRIBUTIONS. EXECUTIVE COMMITTEE FORM 990, PART VI, Q. 1A The Executive Committee CONSISTS only OF directors of the Corporation and IS composed of the Chairperson of the Board, the Vice Chairperson of the Board, both of whom serve as ex officio voting members of the Executive Committee, and at least one member of a religious institute of the Catholic Church with a preference for the Sisters of St. Francis of Philadelphia. 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. MEMBERS OR SHAREHOLDERS FORM 990, PART VI, Q. 6 THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD FORM 990, PART VI, Q. 7A THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. GOVERNING POWERS FORM 990, PART VI, Q. 7B The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Article V, Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: - Substantial change in the mission or philosophy of the Franciscan Health System (FHS) - Amendment of the corporate documents of FHS - Approve members of FHS board - Removal of a member of the governing body of FHS - Approval of issuance of debt by FHS - Approval of participation of FHS in a joint venture - Approval of formation of a new corporation by FHS - Approval of a merger involving FHS - Approval of the sale of all or substantially all of the assets of FHS - To require the transfer of assets by FHS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for FHS. Pursuant to Article V, 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, IF ANY, THE ORGANIZATION USES TO REVIEW FORM 990 FORM 990, PART VI, Q. 11 THE CFO REVIEWS THE FORM AND ANY NECESSARY CHANGES ARE INCLUDED IN THE FINAL VERSION THAT IS APPROVED FOR FILING WITH THE IRS. The CFO also provides the return to the board, and all board members have the opportunity to review the 990 prior to filing with the IRS. Subsequent to review, 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 resubmitted to the board. PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICY FORM 990, PART VI, Q. 12C Each employee is educated regarding Conflicts of Interest at New Employee Orientation. on the annual performance review the following statement is initialed by employees: Conflict of Interest: I will comply with the standards and guidelines contained in the Conflict of Interest Policy. I understand that I am responsible for recognizing any situation in which a conflict of interest is present or might arise. I will immediately report any such situation to my Manager/Vice President and will take appropriate action to eliminate or prevent a conflict. Governance is required annually to declare conflicts of interests, along with Medical Staff leaders. When a conflict is acknowledged, the Individuals are prohibited from deliberations and decisions in the transaction. The Executive Committee of the Board reviews all governance conflicts of interests, and at each board meeting the Chairperson asks if there are any conflicts of interests related to current agenda items. Conflicts of Interests are reviewed by the CFO, CEO, Legal or at the most immediately senior level of management depending on the nature of the conflict of interest. PROCESS FOR DETERMINING EXECUTIVE COMPENSATION FORM 990, PART VI, LINE 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 FORM 990, PART VI, LINE 15B All Executive Compensation arrangements with any person of substantial influence are subject to review and approval by the Board of Directors, or an authorized committee of the Board, in accordance with the Executive Compensation Review Policy. Executive compensation arrangements with any physician who is a person of substantial influence are not subject to this policy, but shall be reviewed and approved in accordance with the system's physician transaction review policy. EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS FORM 990, PART VI, Q 16B Franciscan Health Systems 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 governing documents are available on the Washington Secretary of State's website. The organization's conflict of interest policy and governing documents are available to the public upon request. 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 EMPLOYEES. REPORTABLE INDIVIDUALS EMPLOYED BY CHI AND FRANCISCAN HEALTH SYSTEM ARE COMPENSATED IN EXCHANGE FOR 60 AND 40 HOUR WORK WEEKS RESPECTIVELY. 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 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