2011-05-13T10:26:50-05:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 611334601 Saint Joseph Health System Inc SAIN 8593131000 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON KY 40503 Gary Ermers 2011-05-12 MARK STOCKI 7208741500 2009 2016-02-24 21:20:13Z Eugene Woods ONE SAINT JOSEPH DR Lexington KY 40504 731479594 false 0928 X www.sjhlex.org X 1998 KY SJHS is a faith-based organization united in our unwavering commitment person-centered care. Focused on our quality & our collaboration with our community, we strive to meet our communities' health related needs 16 15 5330 744 1074725 2815475 1132125 648117253 699193371 -2845365 5198932 21526838 25838225 669614201 731362653 870255 365553 0 0 251682702 271326599 0 0 0 400839189 427557228 653392146 699249380 16222055 32113273 671160228 713530972 328874496 337318794 342285732 376212178 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. true false 596542127 365553 699110978 SEE SCHEDULE H 596542127 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 true false false false false false false true true false false true 0 0 5330 true true true false false false false false false false false 16 15 false false false false true true true true true false false true true true true true true true true true false KY X Melinda Evans 8593131694 One Saint Joseph Drive Lexington KY 40504 Ralph Alvarado 10.0 X Mike Ades 2.0 X Jeff Amburgey 2.0 X Jeff Brother 2.0 X David Brown 2.0 X Frank Delzer 3.0 X X Beverly Downs 2.0 X 152853 25681 Mike Fiechter 3.0 X X Robert Granacher 2.0 X Lynn Heper 2.0 X Bob Hewett 3.0 X X Miller Hoffman 2.0 X Maureen Maxfield 2.0 X Pat Rutherford 2.0 X Michael Stahl 2.0 X Liz Wendeln 3.0 X X EUGENE WOODS 60.0 X X 662904 84151 Patrick Kelleher 1.0 X GARY ERMERS 60.0 X 528765 78416 ROBERT BROCK 60.0 X 253142 29040 EDWARD CARTHEW 60.0 X 318105 53734 VIRGINIA DEMPSEY 60.0 X 398367 60458 MELINDA EVANS 60.0 X 208378 23440 GREG GERARD 60.0 X 228298 44280 ERIC GILLIAM 60.0 X 194476 33087 PEGGY GREEN 60.0 X 201402 24701 KEN HAYNES 60.0 X 514066 78831 CARMEL JONES 60.0 X 183309 35542 BRUCE KLOCKARS 60.0 X 450486 59753 Christine Mays 60.0 X 305672 48428 MARK STREETY 60.0 X 359094 69224 KATHY STUMBO 60.0 X 230646 58863 DANIEL VARGA 60.0 X 491938 73217 CARLA WALTER 60.0 X 169055 28599 AMJAD ALI 60.0 X 429478 41487 SHAILESH BHOPATKAR 60.0 X 492919 39686 JEFFREY MILAM 60.0 X 514991 30139 SATHYENDRA MYSORE 60.0 X 553147 42126 JAMES SHOPTAW 60.0 X 441959 40063 James Heitzenrater X 192588 27498 Sherry Tichenor 60.0 X 233177 43960 Patrick Romano X 214078 17577 8107536 815757 1191981 131 true true false Hammes Company 1800 W Sarah Lane Suite 250 Brookfield WI 530455853 General Contractor 48205932 Brasfield Gorrie PO Box 11407 Birmingham AL 352460351 General Contractor 6075895 Anesthesia Associates PO Box 23261 Lexington KY 405023400 Anesthesia Services 3592807 Logan's Healthcare PO Box 643958 Cincinnati OH 452643958 Laundry & Linen Svc 2364856 Dictation Services Group 10161 Centurion Pkwy Suite 170 Jacksonville FL 32256 Med. Transcription 2082505 67 1075444 56681 1132125 Patient Services 900099 692842052 692759659 82393 Rental Income 900099 3862481 3862481 Program Service Revenue 900099 1838188 1838188 Reimbursement of Expenses 900099 477452 477452 Medical Services 900099 119202 119202 53996 53996 699193371 2364499 -17616 2382115 0 0 2884279 67095 116941 2884279 -49846 2834433 2834433 0 0 0 Intercompany Transactions 900099 19105437 19105437 Cafeteria 722100 2716802 232318 2484484 Laboratory Services 621500 1182428 349360 833068 2833558 428270 2405288 25838225 731362653 699110978 1074725 30044825 365553 365553 0 0 0 5825470 5825470 0 206093497 173773553 32319944 10370818 7881822 2488996 33667246 25587107 8080139 15369568 11527176 3842392 0 83273 83273 44995 44995 36000 36000 0 0 88672951 78918926 9754025 0 159136452 151179630 7956822 0 0 10631621 9249510 1382111 871011 496476 374535 0 44569 11142 33427 4663192 4663192 12551652 3891012 8660640 36831451 15100895 21730556 9392864 9298936 93928 Unrelated Business Taxes 1001 1001 Bad debts 69420329 69420329 Intercompany Allocations 11780207 11780207 Kentucky State Provider Tax 11532166 11532166 Repairs and maintenance 3531342 3531342 8332152 8332152 0 699249380 596542127 102707253 0 137072 879326 54965821 47181397 165376597 121011667 1335088 321319 9979324 9820894 1601073 1561307 715603134 291260329 356081512 424342806 4141827 3581550 67796419 96925055 7636793 6390840 2108702 1514811 671160228 713530972 156263635 91784132 1128979 1683177 52604 16943 83997278 222594007 87432000 21240535 328874496 337318794 X 341447430 375355542 838302 856636 342285732 376212178 671160228 713530972 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 13039 true 47323 false false 60362 false Form 990, Sch. C Supplemental Lobbying Activities Explanation Line 1 (B) and (G): Saint Joseph Health System (SJHS) has contracted with Gene Huff for services as a consultant, which include lobbying activities of $36,000 to work on behalf of SJHS in connection with Kentucky legislation of interest to the hospitals. He also monitors state legislative developments and reports to SJHS any developments or potential developments that he becomes aware of that could affect SJHS. In addition, Marie A. Cull, outside legal counsel, performed lobbying activities on behalf of SJHS. She was paid $11,323 for these services during FY 2010. Her lobbying activities included the state health plan, house bills 1, 290, 41, 408, 500, and senate bills SB99, SB4, SB55, SB60, SB84, as well as CON Issues. Line 1 (F): Dues paid to AHA = $33,233 - Portion of dues used for lobbying $7,896. Dues paid to CHA = $99,858 - Portion of dues used for lobbying $5,143. 17125608 17125608 332209429 147676185 184533244 4920585 3291807 1628778 205568499 138571051 66997448 155779013 1721285 154057728 424342806 CHI OIP - FIXED INCOME 50496578 F CHI OIP - EQUITY SECURITIES 46428477 F 96925055 0 INTERCOMPANY PAYABLES 20738514 Environmental Remediation 250710 Professional Staff Fund 163289 Special Programs Payable 88022 21240535 731362653 699249380 32113273 4212127 -2398954 1813173 33926446 OTHER CHANGES IN NET ASSETS Schedule D, Part XI, Line 8 CAPITAL RESOURCE POOL CONTRIBUTION ($4,603,314) CHI CONNECT DEPRECIATION $1,416,078 DISTRIBUTION FROM BLUEGRASS REGIONAL IMAGING CENTER $788,282 FIN 48 FOOTNOTE Schedule D, Part X SAINT JOSEPH HEALTH SYSTEM'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." true true X false false true true true false true true 18456 33133761 33133761 0.05260 58126 59774933 46280034 13494899 0.02140 8693844 8693844 0.01380 76582 101602538 46280034 55322504 0.08780 40 41227 836572 41120 795452 0.00130 9 165 498608 8240 490368 0.00080 1 2877 485363 162246 323117 0.00050 20 15833 285708 285708 0.00050 70 60102 2106251 211606 1894645 0.00310 70 136684 103708789 46491640 57217149 0.09090 1 376 376 5 50 98007 98007 0.00020 1 9 7733 7733 4 917 12932 12932 1 425 6652 6652 1 17804 17804 2 9 1171 140 1031 15 1410 144675 140 144535 0.00020 true 150295014 0 205617516 225587834 -19970318 X true true Saint Joseph Hospital

One Saint Joseph Drive Lexington KY 40504

X X X Saint Joseph East

150 North Eagle Creek Drive Lexington KY 40509

X X X Saint Joseph Jessamine

1250 Keene Road Nicholasville KY 40356

X Ambulatory Care Center Saint Joseph - Mount Sterling

50 Sterling Avenue Mount Sterling KY 40353

X X X Saint Joseph - Berea

305 Estill Street Berea KY 40403

X X X X Saint Joseph - London

1001 St Joseph Lane London KY 40741

X X X Saint Joseph - Martin

11203 Main Street Martin KY 41649

X 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 Saint Joseph 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. Saint Joseph 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, medical necessity (determined by patient medical history), physician's order and/or medical documentation, and other extenuating circumstances are also a factor. 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. Saint Joseph Health System, Inc. 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, $685,965,218/1,664,902,131 results in a 41.20% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio. 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 $69,420,329. (A) 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. (B) 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. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Saint Joseph 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. Saint Joseph Health System does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management 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." (A) 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. (B) 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). Saint Joseph Health System used the FY 2009 cost report to obtain the total Medicare allowable costs. (B). Saint Joseph Health System 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. Saint Joseph Health System's debt collection policy provides that Saint Joseph Health System 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 Saint Joseph Health System'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 Saint Joseph Health System community assistance policy is required to be returned immediately by the third-party collection agent to Saint Joseph Health System for appropriate follow-up. Saint Joseph Health System 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. 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). It is the mission of Saint Joseph Health System ("SJHS" or "The System") and Catholic Health Initiatives ("CHI") to nurture the healing ministry of the Catholic Church by bringing it new life, energy, and vitality in the 21st century. It is our fidelity to the gospel message that urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. Saint Joseph Health System includes Flaget Memorial Hospital, Saint Joseph London, Saint Joseph Martin, Saint Joseph Hospital, Saint Joseph East, Saint Joseph Jessamine, Saint Joseph Berea, Saint Joseph Mount Sterling, Flaget Memorial Hospital Foundation, Saint Joseph London Foundation, Saint Joseph Hospital Foundation, Saint Joseph Berea Hospital Foundation, and Saint Joseph Medical Foundation. However, Flaget Memorial Hospital, Flaget Memorial Hospital Foundation, Saint Joseph London Foundation, Saint Joseph Hospital Foundation, Saint Joseph Berea Foundation and Saint Joseph Medical Foundation have separate tax identification numbers and submit their own Form 990 community benefit narratives and tax returns. SJHS has 981 licensed beds, approximately 5,000 employees and 1,300 physicians on its medical staffs. By combining the technology, services, expertise and caring of eight of the best health care facilities in the region, everyone in every community we serve benefits. Together as SJHS, we can provide more state-of-the-art care reaching out to more communities, more specialists able to serve more patients, and more of the latest technology. Combined, the member facilities have received the following honors: Recognized 18 times as being among the 100 Top Hospitals in the nation by Thomson Reuters; Winner of the Joint Commission's Codman Award for quality improvements; Named one of Kentucky's Best Places to Work four years in a row; Awarded the highest honor by the Kentucky Center for Performance Excellence. Saint Joseph Health System's commitment to community outreach is deeply rooted in the work of the founding congregations of religious women - the Sisters of Charity of Nazareth, Congregation of Divine Providence, and the Sisters of Charity of Cincinnati. The heart and soul of these pioneer women in health care was their commitment to community outreach to the poor and underserved. This tradition is carried on today in each of the facilities comprising the Saint Joseph Health System. The following facilities make up Saint Joseph Health System: - Saint Joseph Hospital, Lexington's first hospital, remains the first choice for health care today. Founded in 1877, it has grown into a 468-bed medical center, with a full range of services, including the nationally award-winning Heart Institute and leading edge "da Vinci robotic" surgery. Also known as Lexington's "heart hospital", Saint Joseph has pioneered many firsts in the health care community. Saint Joseph has also been nationally recognized for treatment in the areas of cardiology, orthopedics and stroke, by Thomson Reuters and U.S. News and World Report. - Saint Joseph East, a community hospital with 215 beds, is located in the rapidly growing southeastern part of Lexington, Kentucky. Saint Joseph East complements Saint Joseph Hospital's 131-year health care mission through multiple services and specialties. At Saint Joseph East, maternal and childcare, cardiology services, ambulatory surgery and 24-hour emergency care are supported through traditional inpatient and outpatient programs. Additional specialty services include the Heart Institute, Breast Center, Kid Traxx (after-hours pediatric emergency center), Sleep Wellness Center and the Center for Weight Loss Surgery. Saint Joseph East was named one of the nation's 100 Top Hospitals by Solucient/Thomson. In March 2010, The Women's Hospital, a state-of-the art maternity building dedicated exclusively to women's services, opened at Saint Joseph - East. - Saint Joseph Berea was established on the grounds of Berea College in 1898. Saint Joseph Berea, a 25 bed critical care access hospital, serves the residents of Madison, Jackson, Rockcastle, Estill and Garrard counties. The hospital includes a fully staffed 24-hour emergency department, Berea Family Medicine, Berea Specialty Clinic, Diabetes and Nutrition Center, Heart Institute, Rehabilitation Services, Sleep Wellness Center and Surgical Services. In 2010, three additional services were added: Senior Renewal Center serving adults age 55 and older, Wound Center, and Pain Center. - Saint Joseph London, formerly Marymount Medical Center, an 89 bed general, acute-care hospital, provides a full range of medical, surgical, and obstetrical services. Other services include respiratory and cardiovascular care, outpatient pediatrics, home health and hospice. Saint Joseph London received national recognition as one of the nation's Top 100 hospitals in 2008 and Top 100 Cardiology facilities in the nation in 2008, 2009 and 2011. The hospital's primary service area covers Laurel, Jackson, Clay and Whitley counties. - Saint Joseph Martin, formerly known as Our Lady of the Way Hospital, may be small in size compared to some of today's newest hospitals, but what it lacks in size, it makes up for in tradition and care. The 25-bed critical care access facility in Floyd County, Kentucky, provides patients with holistic, personalized care. In March 2008, Saint Joseph - Martin received the Top Performer for Pneumonia Care - Core Measure award at Catholic Health Initiatives' Quality and Risk Management Conference. Three new services devoted to improving health and wellness in the community have been added: Anticoagulation Clinic, Sleep Center, and Senior Renewal Center. - Saint Joseph Mount Sterling, formerly Mary Chiles Hospital, became a member of Saint Joseph Health System on August 1, 2007. From its founding in 1875; the hospital has been committed to a goal of serving the people of the Mt. Sterling area, including Montgomery, Bath, Menifee and Powell counties. Saint Joseph - Mount Sterling delivers a wide range of services, including a 24-hour emergency department, cardiac and pulmonary rehab, Diabetes and Nutrition Center, Joint Center, maternity services, Sleep Wellness Center and surgical services. In 2009, Saint Joseph - Mount Sterling was one of only two hospitals in Kentucky to receive the Anthem Blue Cross and Blue Shield "Successful Practice Award for its Orthopedic Joint Care Program." - Saint Joseph Jessamine RJ Corman Ambulatory Care Center opened on January 2, 2009. It is Jessamine County's first and only full service, 24/7 emergency department. It also provides diagnostic imaging, laboratory services and offices for doctors and staff. Saint Joseph Jessamine is a provider based service operating under the provider number of Saint Joseph Hospital. Primary Tax Exempt Purpose: Throughout SJHS the emergency departments frequently serve as the primary source of care for many of the uninsured and underinsured of their respective communities. This year 203,327 visits (outpatient ED visits) were made to the emergency rooms throughout the System. A hospital board comprised of business, physicians, and religious leaders advises and directs the CEO on issues impacting the System, as well as, strategic planning and community health needs. All hospitals participate in Medicare, Medicaid, CHAMPUS, TRICARE and/or other government sponsored health care programs. II. COMMUNITY BENEFIT APPROACH Our mission to create healthy communities continually challenges us to explore with representatives of business, social agencies, and religious organizations opportunities for addressing the changing needs of our communities. We seek new ways to extend our healing ministry through projects focused on improving the health and quality of life of those we serve, especially, the poor, the underinsured and uninsured. Through the establishment of a Healthy Communities Council, SJHS is working with representatives from each community we serve to identify existing programs, explore community needs throughout the system and develop projects. We are currently working to develop a Violence Prevention Pilot Project with the intent it will be a model to be used throughout the system. Partnerships are key to the success of any endeavor. Plans often include collaborative efforts with County Health Departments, community agen 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. Saint Joseph Health System communicates the charity program to all patients through signage, information in the patient handbook, and oral communication. Any patient presenting to a facility without insurance is apprised of the available assistance programs including charity, Medicaid, and the Kentucky Hospital Care program. Financial Counselors are available to meet with patients and discuss financial assistance options. Staff counselors are at all facilities in the registration department, in the Emergency Department and at any offsite ancillary location. Financial Counselors are also available by phone and do a great deal of follow-up work by contacting patients soon to be turned over to a collection agency as a last effort to communicate available financial assistance alternatives. Patients are provided financial assistance applications upon registration, all patient statements have financial assistance applications on the back including statements sent by third party collection agencies. 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. Saint Joseph Health System (SJHS) is a member of Catholic Health Initiatives (CHI) a national nonprofit health organization with headquarters in Denver. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. The total amount of community benefit and charity care for Saint Joseph Health System for FY 2010 was $57,217,149. The following facilities make up Saint Joseph Health System: Saint Joseph Hospital Saint Joseph East Saint Joseph Berea Saint Joseph London Saint Joseph - Martin Saint Joseph Mount Sterling Saint Joseph Jessamine RJ Corman Ambulatory Care Center. KY true Wesley Village 1125 Lexington Road Wilmore KY 40390 611164550 501(c)(3) 5500 Lexington Strides Ahead 330 East Main Street Lexington KY 40507 611322448 501(c)(6) 15000 American Cancer Society 1504 College Way Lexington KY 40502 640329009 501(c)(3) 14900 American Heart Association 210 Malabu Drive 125 Lexington KY 40502 135613797 501(c)(3) 9722 Lexington Clinic Foundation 350 Elaine Drive Lexington KY 40504 616037046 501(c)(3) 10000 Donation United Way of Laurel County PO Box 5004 London KY 40743 611240648 501(c)(3) 10000 Children's Healthy Initiative 310 East Ninth Street London KY 40741 611334601 501(c)(3) 48940 Promote Health 6 1 Schedule I, Part I, Q. 2 Procedures for monitoring the use of grants Requests for contributions are monitored by the CEO and VP of Mission Integration. true true false false false false false true false AMJAD ALI 286094 70576 72809 41487 470965 SHAILESH BHOPATKAR 492402 517 39686 532605 ROBERT BROCK 199655 43598 9889 29040 282182 EDWARD CARTHEW 239067 67877 11161 20845 32889 371839 Beverly Downs 124789 27668 395 25681 178534 VIRGINIA DEMPSEY 283292 99691 15385 24750 35708 458825 GARY ERMERS 365749 102727 60289 32160 46256 607181 39291 MELINDA EVANS 183327 24823 227 23440 231818 James Heitzenrater 57520 135069 27498 220086 GREG GERARD 167602 51536 9161 14648 29632 272578 ERIC GILLIAM 170278 24011 187 33087 227563 PEGGY GREEN 165746 34777 879 24701 226103 KEN HAYNES 406153 95619 12294 35640 43191 592897 CARMEL JONES 148166 32182 2962 35542 218851 BRUCE KLOCKARS 295514 94937 60035 18091 41662 510239 43566 Christine Mays 267493 37521 657 48428 354100 JEFFREY MILAM 513831 1160 30139 545130 SATHYENDRA MYSORE 552690 457 42126 595273 Sherry Tichenor 203585 28600 992 43960 277137 JAMES SHOPTAW 441412 548 40063 482022 MARK STREETY 266962 69293 22840 23428 45796 428318 KATHY STUMBO 167093 54191 9361 13561 45302 289509 EUGENE WOODS 514665 124654 23585 43858 40293 747055 DANIEL VARGA 410596 70820 10522 36000 37217 565155 CARLA WALTER 143797 25135 123 28599 197654 Patrick Romano 214078 17577 231655 Schedule J, Part I, Q. 3 Methods Used to Establish CEO Compensation Compensation for the top management official of saint joseph health system was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract. Schedule J, Part I, Q. 4A Severance Payments Saint Joseph Health System's severance may be offered to regular full-time or part-time employees based on years of service and scheduled hours. To be eligible for severance, an employee must stay with the organization through the end of the announced separation date and not accept another regular full-time or part-time position within the organization. An employee will not be eligible for severance if he or she separates from the organization due to performance issues prior to the job elimination date. Management has the right to change severance pay amounts at any time as business needs change. The severance period will immediately follow termination of employment. Employees must sign a valid and complete waiver of all claims prior to commencement of severance pay. The following reportable individuals received severance payments from Saint Joseph Health System during the 2009 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: James Heitzenrater $120,059; Patrick Romano $231,655. Schedule J, Part I, Q. 4B Supplemental Nonqualified Compensation During the 2009 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: Edward Carthew, Virginia Dempsey, Gary Ermers, Gerg Gerard, Ken Haynes, Bruce Klockars, Mark Streety, Kathy Stumbo, Eugene Woods, and Daniel Varga. During 2009 the following contributions were made by CHI to the deferred compensation plan: Edward Carthew $20,845; Virginia Dempsey $24,750; Gary Ermers $32,160; Greg Gerard $14,648; Ken Haynes $35,640; Bruce Klockars $18,091; Mark Streety $23,428; Kathy Stumbo $13,561; Eugene Woods $43,858; Daniel Varga $36,000. During 2009 the following distributions were made by CHI from the deferred compensation plan: Gary Ermers $39,291; Bruce Klockars $43,566. Schedule J, Part I, Q. 7 Incentive Compensation SJHS has an incentive plan for employed physicians. The plan is based on a combination of physician productivity, quality, and patient satisfaction goals. Krystal Woods niece of CEO 32293 Compensation of earned wages false Scott Mays son of key employee 27706 Compensation of earned wages false Form 990, Part III, Q. 2 undertake any significant program services During FY 2010, Saint Joseph Health System had the following program services added: Saint Joseph Hospital - Radiation Oncology; Saint Joseph Martin Hospital - OP Geri Psych & Sleep Center; Saint Joseph Berea Hospital - Wound Care & OP Geri Psych. FORM 990, PART VI, Q. 1A Executive committee composition and authority Pursuant to Section 8.1 of the Bylaws of Saint Joseph Health System Inc., directors then in office, establish one or more committees, as need or required to conduct and transact the business of the Corporation. A motion to approve the appointment of the Board Executive Committee was made and approved on June 28, 2008. The Committee consists of the Chairman, Vice Chair, Secretary, Treasurer, and CEO (ex officio). The committee is granted the authority to act on behalf of the Board of Directors. Form 990, Part VI, Line 6 Members or Stockholders ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. Form 990, Part VI, Line 7A ELECTING DIRECTORS ACCORDING TO THE ORGANIZATION'S ARTICLES AND BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Form 990, Part VI, Line 7B GOVERNING POWERS Saint Joseph Health System's (SJHS) corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of SJHS'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 SJHS - Amendment of the corporate documents of SJHS - Approve members of the SJHS board - Removal of a member of the governing body of SJHS - Approval of issuance of debt by SJHS - Approval of participation of SJHS in a joint venture - Approval of formation of a new corporation by SJHS - Approval of a merger involving SJHS - Approval of the sale of all or substantially all of the assets of SJHS - To require the transfer of assets by SJHS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for SJHS In addition, pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. Form 990, Part VI, Q 11A Process the organization uses to review Form 990 THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER BEFORE THE CFO PRESENTS THE RETURN TO THE BOARD AT ITS BOARD MEETING. SUBSEQUENT TO THE BOARD AND CFO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Form 990, Part VI, Q. 12c Procedures for monitoring and enforcing the COI policy Conflict of Interest Statements are reviewed by the facility President and then presented to the Board Chair for Directors and Board Members. The process of resolving potential conflicts begins when the President presents the information to the Board Chair. The Board Chair further investigates and reports to the Executive Committee of the Board for final determination. For employees, conflict disclosure statements are reviewed by Human Resources and the President if there are any potential conflicts. Form 990, Part VI, Q. 15A Process for Determining Compensation - CEO 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. Form 990, Part VI, Q. 15B Process for Determining Compensation Saint Joseph Health System's Executive leadership compensation is reviewed by the Executive Committee to the Board. An outside consultant provided comparative data based on base compensation, total compensation, and executive benefits. Physician compensation is reviewed and approved by PLC, management PTRC, Board PTRC, and ultimately the full board. Form 990, Part VI, Q. 16B Formal Policies Concerning Participation in Joint Ventures Saint Joseph Health System has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Form 990, Part VI, Q. 19 Availability of Governing documents, COI Policy, Financial Statements THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINACIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. Form 990, Part VII Estimate of Hours Devoted to Related Organizations 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 1001 St Joseph Lane London KY 40741 260438748 Foundation KY 501(c)(3) 11a SJHS Samaritan Behavioral Health 601 S Edwin C Moses Blvd Dayton OH 45408 020633634 Hospital OH 501(c)(3) 3 SHP Mercy Medical Center 1512 12th Avenue Road Nampa ID 83686 820200896 Hospital ID 501(c)(3) 3 CHI Mercy Medical Center Foundation 1512 12th Avenue Road Nampa ID 83686 261737256 Foundation ID 501(c)(3) 11a Mercy Med Ct Mercy Physician Group Inc 1512 12th Avenue Road Nampa ID 83686 208192593 Phys Group ID 501(c)(3) 9 Mercy Med Ct St Mary's Hospital 1314 3rd Avenue Nebraska City NE 68410 470443636 Hospital NE 501(c)(3) 3 CHI Nebraska St Mary's Hospital Foundation 1314 3rd Avenue Nebraska City NE 68410 470707604 Foundation NE 501(c)(3) 7 SMH Oakes Community Hospital 314 South 8th Street Oakes ND 58474 450231675 Hospital ND 501(c)(3) 3 CHI Oakes Community Hospital Foundation 314 South 8th Street Oakes ND 58474 710966606 Foundation ND 501(c)(3) 11a OCH St Dominic at Ontario 351 SW 9th Street Ontario OR 97914 930433692 Hospital OR 501(c)(3) 3 CHI Holy Rosary Medical Center Foundation 351 SW 9th Street Ontario OR 97914 202683560 Foundation OR 501(c)(3) 11a HRMC St Joseph's Area Health Services 600 Pleasant Avenue Park Rapids MN 56470 410695603 Hospital MN 501(c)(3) 3 CHI St Anthony Hospital 1601 SE Court Avenue Pendleton OR 97801 930391614 Hospital OR 501(c)(3) 3 CHI St Anthony Hospital Foundation 1601 SE Court Avenue Pendleton OR 97801 930992727 Foundation OR 501(c)(3) 11a SA Hospital Gettysburg Medical Center 606 East Garfield Avenue Gettysburg SD 57442 460234354 Hospital SD 501(c)(3) 3 SMHC St Mary's Healthcare Center 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare SD 501(c)(3) 3 CHI Mt St Joseph Inc 3060 SE Stark Street Portland OR 97214 930386870 Nursing Care OR 501(c)(3) 9 CHI Pueblo Stepup 1925 East Orman Avenue Suite G52 Pueblo CO 81004 841234295 Community CO 501(c)(3) 7 CHI Bornemann Healthcare Corporation 2500 Bernville Road PO Box 316 Reading PA 19603 232187242 Healthcare PA 501(c)(3) 11a CHI St Joseph Medical Center Foundation 2500 Bernville Road PO Box 316 Reading PA 19603 232649362 Foundation PA 501(c)(3) 11a SJRHN St Joseph Medical Group 2500 Bernville Road PO Box 316 Reading PA 19603 208544021 Healthcare PA 501(c)(3) 9 BHC St Joseph Regional Health Network 2500 Bernville Road PO Box 316 Reading PA 19603 231352211 Healthcare PA 501(c)(3) 3 CHI Linus Oakes Inc 2700 Stewart Parkway Roseburg OR 97470 930821381 Senior Living OR 501(c)(3) 9 MMC Mercy Foundation Inc 2700 Stewart Parkway Roseburg OR 97470 936088946 Foundation OR 501(c)(3) 7 MMC Mercy Medical Center 2700 Stewart Parkway Roseburg OR 97470 930386868 Hospital OR 501(c)(3) 3 CHI Franciscan Villa of South Milwaukee Inc 3601 South Chicago Avenue South Milwaukee WI 53172 391093829 Healthcare WI 501(c)(3) 9 CHI Enumclaw Community Hospital 1450 Battersby Avenue Enumclaw WA 98022 910715805 Hospital WA 501(c)(3) 3 FHS Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 Fundraising WA 501(c)(3) 9 FHS Franciscan Health System FKA Franciscan 1717 South J Street Tacoma WA 98405 910564491 Healthcare WA 501(c)(3) 3 CHI Franciscan Medical Group 1708 South Yakima Avenue Tacoma WA 98405 911939739 Healthcare WA 501(c)(3) 9 FHS St Joseph Medical Center Foundation In 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 7 SJMC St Joseph Medical Center Inc 7601 Osler Drive Towson MD 21204 520591461 Hospital MD 501(c)(3) 3 CHI St Joseph Physician Enterprises 7601 Osler Drive Towson MD 21204 521311775 Physicians MD 501(c)(3) 11a CHI Samaritan Health Foundation 2222 Philadelphia Drive Dayton OH 45406 237296923 Foundation OH 501(c)(3) 7 SHP Mercy Hospital of Valley City 570 Chautauqua Boulevard Valley City ND 58072 450226553 Hospital ND 501(c)(3) 3 CHI Mercy Medical Center 1301 15th Avenue West Williston ND 58801 450231183 Healthcare ND 501(c)(3) 3 CHI Mercy Medical Foundation 1301 15th Avenue West Williston ND 58801 450381803 Foundation ND 501(c)(3) 11a MMC Samaritan Health Partners 2222 Philadelphia Drive Dayton OH 45406 311107411 Healthcare OH 501(c)(3) 11a CHI St Vincent Foundation Two St Vincent Circle Little Rock AR 72205 510169537 Fundraising AR 501(c)(3) 11a SVIMC Auxiliary of Holy Rosary Hospital Inc 351 SW 9th Street Ontario OR 97914 943059469 Hospital OR 501(c)(3) 9 HRMC The Mercy Hospital of Devils Lake Fdn 1031 East Seventh Street Devils Lake ND 58301 352367360 Foundation ND 501(c)(3) 11a MHDL Alegent Health - Bergan Mercy Health Sys 7500 Mercy Road Omaha NE 68124 470484764 Hospital NE 501(c)(3) 3 CHI Alegent Health - Mercy Hospital Corning PO Box 368 Corning IA 50841 420782518 Hospital IA 501(c)(3) 3 AHBMHS Mercy Health Care Foundation PO Box 368 Corning IA 50841 421461064 Foundation NE 501(c)(3) 11a AHMH Mercy Hospital Foundation Council Bluff 800 Mercy Drive Council Bluffs IA 51503 421178204 Foundation IA 501(c)(3) 11a AHBMHS CHI Institute For Research and Innovatio 198 Inverness Drive West Englewood CO 80112 271050565 Healthcare CO 501(c)(3) 11a CHI CHI Colorado 188 Inverness Drive West Englewood CO 80112 840405257 Healthcare CO 501(c)(3) 3 CHI Saint Joseph Mount Sterling Foundation 50 Sterling Avenue Mount Sterling KY 40353 272884584 Foundation KY 501(c)(3) 7 SJHS Centennial Medical Group Inc 2700 Stewart Parkway Roseburg OR 97470 900433062 Physicians OR 501(c)(3) 9 MMC CHI National Foundation 198 Inverness Drive West Englewood CO 80112 270930004 Foundation CO 501(c)(3) 11a CHI Saint Clare's Health Services Inc 25 Pocono Road Denville NJ 07834 223639733 Management NJ 501(c)(3) 7 CHI Good Samaritan Hospital 2222 Philadelphia Drive Dayton OH 45406 310536981 Hospital OH 501(c)(3) 3 SHP Superior Medical Imaging LLC 5000 North 26th Street Lincoln NE 68521 262884555 OP Diagnostics NE SERMC Related -155495 993429 false 272 false Central Nebraska Rehab Services 3004 W Faidley Ave Grand Island NE 68802 810653461 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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 CHI 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 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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. 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