ST CHARLES HEALTH SYSTEM INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ST CHARLES HEALTH SYSTEM INC (EIN 93-0602940)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202333179349311658
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T16:14:46-08:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930602940	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Charles Health System Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STCH	BusinessNameControlTxt
Phone	5417067707	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 NE Neff Rd	AddressLine1Txt
City	BEND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Swafford Matthew	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Signature	2023-11-13	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MATTHEW	PersonFirstNm
Person Last	SWAFFORD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Sluka Joseph	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 NE Neff Rd	AddressLine1Txt
City	BEND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,710,059,417	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://www.stcharleshealthcare.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	Mission: In a spirit of love and compassion, better health, better care, better value. Vision: Creating America's healthiest community, together.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5459	TotalEmployeeCnt
Total Volunteers	578	TotalVolunteersCnt
Total Gross UBI	$8,849,704	TotalGrossUBIAmt
PY Contributions Grants	$2,409,554	PYContributionsGrantsAmt
CY Contributions Grants	$1,881,259	CYContributionsGrantsAmt
PY Program Service Revenue	$973,937,481	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,025,909,044	CYProgramServiceRevenueAmt
PY Investment Income	$12,931,650	PYInvestmentIncomeAmt
CY Investment Income	$59,533,284	CYInvestmentIncomeAmt
PY Other Revenue	$15,860,506	PYOtherRevenueAmt
CY Other Revenue	$11,817,541	CYOtherRevenueAmt
PY Total Revenue	$1,005,139,191	PYTotalRevenueAmt
CY Total Revenue	$1,099,141,128	CYTotalRevenueAmt
PY Grants And Similar Paid	$661,782	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$420,671	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$567,949,933	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$633,617,332	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$499,434	CYTotalFundraisingExpenseAmt
PY Other Expenses	$436,413,605	PYOtherExpensesAmt
CY Other Expenses	$439,355,295	CYOtherExpensesAmt
PY Total Expenses	$1,005,025,320	PYTotalExpensesAmt
CY Total Expenses	$1,073,393,298	CYTotalExpensesAmt
PY Revenues Less Expenses	$113,871	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,747,830	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,474,240,242	TotalAssetsBOYAmt
Total Assets EOY	$1,282,243,802	TotalAssetsEOYAmt
Total Liabilities BOY	$612,639,784	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$552,201,940	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$861,600,458	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$730,041,862	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To own, manage and operate hospitals in Central Oregon, as well as the care of sick, injured and infirm and the carrying on, participation in and sponsorship of health-related services and activities in the communities.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$573,075,317	ExpenseAmt
Grant	$420,671	GrantAmt
Revenue	$734,118,082	RevenueAmt
Desc	St Charles - Bend CampusSCMC'S BEND CAMPUS PROVIDED SERVICES FOR 17,030 INPATIENTS, 2,139 BIRTHS, 16,499 SURGICAL CASES, 46,478 EMERGENCY ROOM VISITS, AND 127,581 OTHER OUTPATIENT VISITS IN 2022. AS ONE OF THE PACIFIC NORTHWEST'S LEADING REGIONAL HEALTH CARE FACILITIES, ST. CHARLES BEND PROVIDES SERVICES TYPICALLY FOUND IN MARKETS MANY TIMES ITS SIZE. FOR 100 YEARS, ST. CHARLES BEND HAS TAKEN RESPONSIBILITY FOR THE HEALTH AND WELL-BEING OF GENERATIONS OF OREGONIANS, DEVELOPING INTO A LEVEL II REGIONAL TRAUMA CENTER WITH SPECIALIZED PARTNERSHIPS IN HEART, CANCER, ORTHOPEDICS AND NEUROSURGERY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$105,779,985	ExpenseAmt
Revenue	$66,449,711	RevenueAmt
Desc	ST CHARLES CLINICSST CHARLES CLINICS INCLUDES A GROUP OF MEDICAL CLINICS OWNED AND OPERATED BY ST. CHARLES HEALTH SYSTEM. THESE CLINICS ARE LOCATED THROUGHOUT THE REGION AND PROVIDE OUTPATIENT SERVICES SUCH AS CANCER CARE, OB/GYN, PULMONARY CARE, SLEEP DISORDER RESOURCES, HEART SERVICES AND PRIMARY CARE. SCMG PROVIDED OVER 156,600 VISITS IN BEND CLINICS, 72,400 VISITS IN REDMOND CLINICS, 8,400 VISITS IN THE SISTERS CLINIC, 26,500 VISITS IN PRINEVILLE CLINICS, 12,800 IN THE MADRAS CLINICS AND 9,600 IN LA PINE CLINICS IN 2022. SCMG ALSO OPERATES THREE IMMEDIATE CARE CLINICS TO PROVIDE LOW-COST URGENT CARE SERVICES TO THE COMMUNITY; THE URGENT CARE CLINICS PROVIDED SERVICES FOR MORE THAN 48,000 PATIENT VISITS IN 2022.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$86,127,044	ExpenseAmt
Revenue	$87,542,962	RevenueAmt
Desc	St Charles - Redmond CampusSCMC'S REDMOND CAMPUS PROVIDED SERVICES FOR 2,166 INPATIENTS, 4,636 SURGICAL CASES, 23,131 EMERGENCY ROOM VISITS, AND 47,836 OTHER OUTPATIENT VISITS IN 2022. AT ST. CHARLES REDMOND, THE PATIENT EXPERIENCE REMAINS AT THE CENTER OF ALL WE DO AND EACH PATIENT IS EMPOWERED TO PLAY AN ACTIVE ROLE IN HIS OR HER OWN CARE AND HEALING. SURGERIES ARE PERFORMED IN FOUR OF OREGON'S NEWEST AND MOST ADVANCED SURGICAL SUITES. PATIENTS AND THEIR FAMILIES ENJOY THE COMFORT OF STATE-OF-THE-ART PATIENT ROOMS. EVERYONE RECEIVES THE LEVEL OF CARE THAT IS EXPECTED OF A LEADING REGIONAL HEALTH CARE FACILITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$102,082,044	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$140,623,610	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$867,064,390	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	302	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5459	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATTHEW SWAFFORD	PersonNm
Phone	5417067707	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 NE Neff Rd	AddressLine1Txt
City	BEND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Sluka Joseph
President	50.00	1.00	Yes (X)	$1,125,745	$0	$130,957
Slater Matthew MD
Physician	50.00	0.00		$887,947	$0	$40,493
Absalon Jeffrey MD
CHIEF PHYSICIAN EXECUTIVE	50.00	0.00		$823,620	$0	$78,963
Dixon Jennifer MD
Physician	50.00	0.00		$849,783	$0	$40,390
Clover Todd MD
Physician	50.00	0.00		$790,666	$0	$48,087
Gulvin Joshua MD
Physician	50.00	0.00		$780,019	$0	$47,910
Martin William MD
Physician	50.00	0.00		$728,935	$0	$48,109
SIMMONS IMAN
SVP COO	50.00	1.00		$667,673	$0	$105,040
Swafford Matthew
Senior VP/CFO	50.00	0.00	Yes (X)	$613,903	$0	$109,624
Binder Darren
Secretary	50.00	1.00	Yes (X)	$570,666	$0	$95,327
Gordon Steve
President	50.00	1.00	Yes (X)	$637,679	$0	$8,477
Adams Aaron
CEO Bend & Redmond	50.00	0.00		$607,455	$0	$21,159
HALLETT MARK
Chief Clinical Officer	50.00	0.00		$552,313	$0	$73,912
BRICKHOUSE JEREMIAH
SVP/CIO	50.00	1.00		$502,377	$0	$87,003
MARCHIANDO ROD
SVP IMPROVEMENT & STRATEGY	20.00	20.00		$523,181	$0	$55,942
FREEMAN RICHARD
PRESIDENT SCMG	50.00	0.00		$553,033	$0	$13,836
BERRY REBECCA
VP HUMAN RESOURCES	50.00	0.00		$466,910	$0	$69,834
GUYN JIM MD
SVP POPULATION HEALTH	50.00	1.00		$441,731	$0	$76,904
CHING JOAN
VP CHIEF NURSING	50.00	1.00		$427,485	$0	$39,302
GOLDA DAVID
VP HOSPITAL ADMIN BEND/REDMOND	50.00	0.00		$267,877	$0	$41,876
ROBINSON DEBRA
CNO BEND	50.00	0.00		$260,497	$0	$38,882
SHIELDS TODD
VP HOSPITAL ADMIN PRINEVILLE/MADRAS	50.00	0.00		$233,341	$0	$39,645
OSTROM JULIE
SR DIRECTOR PERIOP & CARDIO	50.00	0.00		$221,105	$0	$39,507
POWELL MICHAEL
CHIEF PHARMACY OFFICER	50.00	0.00		$218,028	$0	$38,974
Orlikoff James
Chairman	15.00	0.00	Yes (X)	$44,000	$0	$0	Yes (X)
Schuette Dan
Director	10.00	0.00		$37,500	$0	$0	Yes (X)
Handkins Shelly
Director	5.00	0.00		$27,500	$0	$0	Yes (X)
Rhoads Ann
Director	5.00	0.00		$25,000	$0	$0	Yes (X)
Schmid Corey
Director	5.00	0.00		$22,500	$0	$0	Yes (X)
O'Brien Jenny
Director	5.00	0.00		$20,000	$0	$0	Yes (X)
Terhes John MD
Director	5.00	0.00		$12,500	$0	$0	Yes (X)
Bullock Jon
Director	5.00	0.00		$10,000	$0	$0	Yes (X)
Jarvis Sam
Director	5.00	0.00		$10,000	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,960,969	TotalReportableCompFromOrgAmt
Total Other Compensation	$1,390,153	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1424	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CASCADE MEDICAL IMAGING LLC
1460 NE MEDICAL CENTER DR	BEND	OR	97701	IMAGING SERVICES	$47,673,579
CENTRAL OREGON MRI LLC
PO BOX 6059	BEND	OR	97708	MRI SERVICES	$6,140,565
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	55480	LAB SERVICES	$2,879,180
BEND ANESTHESIOLOGY GROUP
150 W CIVIC CENTER DR STE 200	SANDY	UT	84070	ANESTHESIOLOGY	$2,625,770
OBHG OREGON PC
777 LOWNDES HILL RD BUILDING 1	GREENVILLE	SC	29607	HOSPITALIST SERVICES	$1,455,505

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,371,544	RelatedOrganizationsAmt
Government Grants	$489,114	GovernmentGrantsAmt
All Other Contributions	$20,601	AllOtherContributionsAmt
Noncash Contributions	$32,551	NoncashContributionsAmt
Total Contributions	$1,881,259	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ST CHARLES BEND CAMPUS	900099	$734,118,082	$734,118,082
ST CHARLES CLINICS	621110	$66,449,711	$66,449,711
ST CHARLES MADRAS CAH	900099	$56,567,280	$56,567,280
ST CHARLES PRINEVILLE CAH	900099	$52,348,336	$52,348,336
ST CHARLES REDMOND CAMPUS	900099	$87,542,962	$87,542,962

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,882,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,882,673	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,025,909,044	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$214,177	TotalRevenueColumnAmt
Exclusion	$214,177	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$143,682	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,169	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$142,513	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,513	TotalRevenueColumnAmt
Exclusion	$142,513	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$668,204,479	SecuritiesAmt
Other	$1,824,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$609,205,572	SecuritiesAmt
Other	$1,504,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$58,998,907	SecuritiesAmt
Other	$320,200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,319,107	TotalRevenueColumnAmt
Exclusion	$59,319,107	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$339,436	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$207,548	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,888	TotalRevenueColumnAmt
Related Or Exempt Func Income	$131,888	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Healthcare JV Income	900099	$1,727,162	$1,727,162
IT Support	540000	$8,849,704		$8,849,704
Medical Records & Dues	900099	$265,799	$265,799

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$700,475	TotalRevenueColumnAmt
Related Or Exempt Func Income	$700,475	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,543,140	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,099,141,128	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,028,734,368	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,849,704	UnrelatedBusinessRevenueAmt
Exclusion	$59,675,797	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$420,671	TotalAmt
Program Services	$420,671	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,088,785	TotalAmt
Management And General	$11,088,785	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$503,671,117	TotalAmt
Program Services	$423,982,243	ProgramServicesAmt
Management And General	$79,401,291	ManagementAndGeneralAmt
Fundraising	$287,583	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,067,909	TotalAmt
Program Services	$15,394,931	ProgramServicesAmt
Management And General	$2,659,322	ManagementAndGeneralAmt
Fundraising	$13,656	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$71,616,195	TotalAmt
Program Services	$51,582,989	ProgramServicesAmt
Management And General	$19,958,257	ManagementAndGeneralAmt
Fundraising	$74,949	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,173,326	TotalAmt
Program Services	$23,430,106	ProgramServicesAmt
Management And General	$5,723,962	ManagementAndGeneralAmt
Fundraising	$19,258	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,547,229	TotalAmt
Program Services	$294	ProgramServicesAmt
Management And General	$5,546,935	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$292,714	TotalAmt
Management And General	$292,714	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,000	TotalAmt
Management And General	$70,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,204,107	TotalAmt
Management And General	$2,204,107	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$94,732,096	TotalAmt
Program Services	$74,571,646	ProgramServicesAmt
Management And General	$20,102,079	ManagementAndGeneralAmt
Fundraising	$58,371	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$571,627	TotalAmt
Program Services	$93,616	ProgramServicesAmt
Management And General	$477,971	ManagementAndGeneralAmt
Fundraising	$40	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,451,330	TotalAmt
Program Services	$6,123,520	ProgramServicesAmt
Management And General	$1,320,664	ManagementAndGeneralAmt
Fundraising	$7,146	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,824,129	TotalAmt
Program Services	$291,292	ProgramServicesAmt
Management And General	$24,529,545	ManagementAndGeneralAmt
Fundraising	$3,292	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,221,416	TotalAmt
Program Services	$8,404,565	ProgramServicesAmt
Management And General	$1,816,851	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,194,369	TotalAmt
Program Services	$936,011	ProgramServicesAmt
Management And General	$255,860	ManagementAndGeneralAmt
Fundraising	$2,498	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,036,594	TotalAmt
Program Services	$459,827	ProgramServicesAmt
Management And General	$559,412	ManagementAndGeneralAmt
Fundraising	$17,355	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,767,628	TotalAmt
Program Services	$166,183	ProgramServicesAmt
Management And General	$11,601,445	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$1,947,335	TotalAmt
Program Services	$753,591	ProgramServicesAmt
Management And General	$1,191,392	ManagementAndGeneralAmt
Fundraising	$2,352	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,186,302	TotalAmt
Program Services	$28,878,205	ProgramServicesAmt
Management And General	$11,308,097	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,116,372	TotalAmt
Program Services	$2,269	ProgramServicesAmt
Management And General	$3,114,103	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$164,034,057	$164,780,540	-$746,483
PROVIDER TAX EXPENSE	$47,999,115	$47,999,115
MAINTENTANCE AND REPAIRS	$9,780,464	$8,025,633	$1,754,831
PATIENT SUPPORT	$5,966,239	$5,425,924	$540,315

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,412,172	TotalAmt
Program Services	$5,341,219	ProgramServicesAmt
Management And General	$1,058,019	ManagementAndGeneralAmt
Fundraising	$12,934	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,073,393,298	TotalAmt
Program Services	$867,064,390	ProgramServicesAmt
Management And General	$205,829,474	ManagementAndGeneralAmt
Fundraising	$499,434	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$84,941,955	BOYAmt
EOY	$32,297,191	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$39,783,995	BOYAmt
EOY	$59,788,018	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$124,967,770	BOYAmt
EOY	$124,132,362	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,078,842	BOYAmt
EOY	$17,069,644	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,921,558	BOYAmt
EOY	$15,638,658	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$899,055,289	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$523,087,309	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$404,044,209	BOYAmt
EOY	$375,967,980	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$714,991,766	BOYAmt
EOY	$578,755,147	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$57,600,066	BOYAmt
EOY	$57,581,065	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,742,636	BOYAmt
EOY	$3,754,883	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,555,930	BOYAmt
EOY	$4,544,402	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,611,515	BOYAmt
EOY	$12,714,452	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,474,240,242	BOYAmt
EOY	$1,282,243,802	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$136,465,358	BOYAmt
EOY	$140,729,527	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$65,803,857	BOYAmt
EOY	$6,328,516	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$369,522,227	BOYAmt
EOY	$362,597,544	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$25,492,308	BOYAmt
EOY	$27,853,925	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,356,034	BOYAmt
EOY	$14,692,428	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$612,639,784	BOYAmt
EOY	$552,201,940	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$861,600,458	BOYAmt
EOY	$730,041,862	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$861,600,458	BOYAmt
EOY	$730,041,862	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,474,240,242	BOYAmt
EOY	$1,282,243,802	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,747,830	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$146,177,513	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,128,913	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$8,097	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$118,958	OtherActivitiesAmt
Total Lobbying Expenditures	$127,055	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	ST. CHARLES UNDERTAKES LIMITED LOBBYING ACTIVITIES AIMED AT INFLUENCING STATE AND FEDERAL OFFICIALS ON HEALTHCARE MATTERS AFFECTING THE PROVISION AND FINANCING OF HEALTHCARE SERVICES BY NON-PROFIT HEALTH SYSTEMS IN OREGON.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,371,633	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$455,516	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$57,904	GrantsOrScholarshipsAmt
Administrative Expenses	$28,151	AdministrativeExpensesAmt
End Year Balance	$5,830,062	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,634,453	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,023,377	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$256,941	GrantsOrScholarshipsAmt
Administrative Expenses	$29,256	AdministrativeExpensesAmt
End Year Balance	$6,371,633	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,295,153	BeginningYearBalanceAmt
Contributions	$100,250	ContributionsAmt
Investment Earnings Or Losses	$493,847	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$58,150	GrantsOrScholarshipsAmt
Other Expenditures	$169,830	OtherExpendituresAmt
Administrative Expenses	$26,817	AdministrativeExpensesAmt
End Year Balance	$5,634,453	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,702,154	BeginningYearBalanceAmt
Contributions	$325	ContributionsAmt
Investment Earnings Or Losses	$728,943	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$113,389	GrantsOrScholarshipsAmt
Administrative Expenses	$22,880	AdministrativeExpensesAmt
End Year Balance	$5,295,153	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,902,009	BeginningYearBalanceAmt
Contributions	$2,440	ContributionsAmt
Investment Earnings Or Losses	-$127,411	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$51,407	GrantsOrScholarshipsAmt
Administrative Expenses	$23,477	AdministrativeExpensesAmt
End Year Balance	$4,702,154	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.60170	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10930	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,352,207	OtherCostOrOtherBasisAmt
Book Value	$20,352,207	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$500,739,152	OtherCostOrOtherBasisAmt
Depreciation	$235,608,375	DepreciationAmt
Book Value	$265,130,777	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,503,085	OtherCostOrOtherBasisAmt
Depreciation	$6,982,157	DepreciationAmt
Book Value	$1,520,928	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$339,975,451	OtherCostOrOtherBasisAmt
Depreciation	$262,295,503	DepreciationAmt
Book Value	$77,679,948	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,485,394	OtherCostOrOtherBasisAmt
Depreciation	$18,201,274	DepreciationAmt
Book Value	$11,284,120	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$375,967,980	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	JOINT VENTURES	Desc
Book Value	$3,754,883	BookValueAmt
Method Valuation	C	MethodValuationCd

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
COST REPORT SETTLEMENT EST LIABILITIES	$4,563,428
PROF LIAB INSURANCE	$10,129,000

Field	Value	IRS element (for citing)
Total Liability	$14,692,428	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Endowment Funds are reported in this section because they are held by St. Charles Foundation, Inc., a related entity of SCHS. Permanently restricted endowment funds are primarily to be used for continuing education scholarships for caregivers and the professional medical community, support of SCHS' Community Benefit Programs, and in the area of greatest need. The Floyd Dement Hospital Trust Fund Testamentary Trust is administered by the Union Bank of California under a trust agreement which provides that the annual income be distributed to the Foundation for charity care to be provided to St. Charles Bend.St. Charles Foundation Board Designated endowments consist of two individual funds established for community benefit and indigent care.

Part X : FIN48 Footnote

The audited financial statements contain the following footnote: Accounting principles generally accepted in the United States of America require SCHS management to evaluate tax positions taken by the Corporation and recognize a tax liability (or asset) if the Corporation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. Management has analyzed tax positions taken by the Corporation and has concluded that as of December 31, 2022, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The Corporation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Corporation's management believes it is no longer subject to income tax examinations for years prior to 2019.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	33267	PersonsServedCnt
Total Community Benefit Expns	$13,205,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,205,238	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	208836	PersonsServedCnt
Total Community Benefit Expns	$254,343,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,134,780	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,208,228	NetCommunityBenefitExpnsAmt
Total Expense	0.07290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	242103	PersonsServedCnt
Total Community Benefit Expns	$267,548,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,134,780	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,413,466	NetCommunityBenefitExpnsAmt
Total Expense	0.08520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	6037	PersonsServedCnt
Total Community Benefit Expns	$756,887	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$756,887	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	2282	PersonsServedCnt
Total Community Benefit Expns	$1,705,711	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$395,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,310,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	499	PersonsServedCnt
Total Community Benefit Expns	$27,457	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,457	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	2000	PersonsServedCnt
Total Community Benefit Expns	$1,223,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,223,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	10818	PersonsServedCnt
Total Community Benefit Expns	$3,713,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$395,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,318,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	252921	PersonsServedCnt
Total Community Benefit Expns	$271,261,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,530,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,731,880	NetCommunityBenefitExpnsAmt
Total Expense	0.08820	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	205634	PersonsServedCnt
Total Community Benefit Expns	$317,159	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	205634	PersonsServedCnt
Total Community Benefit Expns	$317,159	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$203,798,739	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$253,718,025	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,919,286	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Cascade Medical Imaging LLC
CT, Mammography and Other	0.70000	0.30000
Central Oregon Magnetic Res
Magnetic Resonance Imaging	0.33300	0.66700
Heart Center of the Cascade
Owns & manages a medical bu	0.50000	0.50000
Cascade SurgiCenter LLC
Outpatient surgery	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
St Charles Bend
1	2500 NE NEFF RD	BEND	OR	97701	Yes (X)	Yes (X)	Yes (X)	A
St Charles Prineville
2	384 SE COMBS FLAT RD	PRINEVILLE	OR	97754	Yes (X)	Yes (X)	Yes (X)	B	Yes (X)
St Charles Madras
3	470 NE A St	Madras	OR	97741	Yes (X)	Yes (X)	Yes (X)	B	Yes (X)
St Charles Redmond
4	1253 NW Canal Boulevard	Redmond	OR	97756	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
14	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	Yes (true)	22	Yes (true)	SEE PART V SECTION C SUPPLEMENTAL INFO	false	false	Yes (true)	Yes (X)	300.0000	400.0000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
23	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	false	false	Yes (true)	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	Yes (true)	22	Yes (true)	SEE PART V SECTION C SUPPLEMENTAL INFO	false	false	Yes (true)	Yes (X)	300.0000	400.0000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	SEE PART V SECTION C SUPPLEMENTAL INFO	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: A 1, 4 - Part V, Section B, Line 5	The CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. A link to the full DHM Research questionnaire and results can be found in the References page. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. You can see a list of contributors by accessing the 2019 Central Oregon Regional Health Assessment, link is provided in the Reference page section of this CHNA. Methodologysecondary research The process began by compiling, reviewing and analyzing secondary information available including information at the local, state and national level of the populations health. All information used in this report was taken from the most recent information available from the listed resources.
Facility: B 2, 3 - Part V, Section B, Line 5	The CHNA was conducted using many forms of data collection and analysis including the following primary research: Surveys: DHM Research conducted telephone interviews of 700 residents throughout the communities (Crook, Deschutes and Jefferson Counties), served by a St. Charles facility to determine the health-related priorities of the population residing in Central Oregon. The survey was designed to establish a baseline of importance, priorities and needs around health and wellness, including access, quality and cost. Respondents were contacted from a list of registered voters, which included cell phones. In gathering responses, a variety of quality control measures were employed, including questionnaire pre-testing and validation. A link to the full DHM Research questionnaire and results can be found in the References page. Community Input: Community input was gathered via a collaboration between the St. Charles Health System Community Benefit department and Central Oregon Health Council. The CHNA was developed with data, input, and information from a wide variety of health and community based organizations, stakeholders and community members. The input was gathered from the Central Oregon Health Councils Community Advisory Council, a number of health-related advisory boards and groups, and via numerous community focus groups throughout the region. Individuals (such as traditional health workers/peer support specialists/community health workers) and organizations were asked to share their expertise through a health equity and social determinants of health lens. You can see a list of contributors by accessing the 2019 Central Oregon Regional Health Assessment, link is provided in the Reference page section of this CHNA. Methodologysecondary research The process began by compiling, reviewing and analyzing secondary information available including information at the local, state and national level of the populations health. All information used in this report was taken from the most recent information available from the listed resources.
Facility: A 1, 4 - Part V, Section B, Line 6a	St. Charles Bend & St. Charles Redmond
Facility: A 1, 4 - Part V, Section B, Line 11	To prioritize the varied health needs of Deschutes County - the defined community served by St. Charles Flagship hospital (Bend and Redmond), Jefferson County - the defined community served by St. Charles Madras and Crook County - the defined community served by St. Charles Prineville, an extensive review of existing data, community partner information and a professionally facilitated phone survey were conducted and completed as part of the CHNA research. Once the initial analysis of available secondary data was collated, the phone survey completed and input collected from key stakeholders, the Community Benefit department prioritized significant health needs as follows: St. Charles (Flagship Hospital):1. Behavioral Health: Increase Access and Coordination 2. Stable Housing and Supports 3. Substance and Alcohol Misuse Prevention and Treatment 4. Address Poverty and Enhance Self Sufficiency 5. Upstream Prevention: Promotion of Individual Well-Being 6. Promote Enhanced Physical Health Across CommunitiesSt. Charles Prineville & St. Charles Madras Hospitals:1. Stable Housing and Support2. Address Poverty and Enhance Self Sufficiency3. Upstream Prevention: Promotion of Individual Well-Being4. Substance and Alcohol Misuse Prevention and Treatment5. Behavioral Health: Increase Access and Coordination6. Promote Enhanced Physical Health Across CommunitiesCriteria determining needs to be addressed:When determining which of the above significant health needs would be selected as the health priorities to be addressed, St. Charles considered the following criteria: Severity of issue Ability to impact Community Resources St. Charles Bend and Redmond campuses available resources and expertise St. Charles Prineville campus available resources and expertise St. Charles Madras campus available resources and expertise St. Charles Health System strategic plan St. Charles Hospitals' Prioritized Need(s):The Community Health Needs Assessment (CHNA) identified that access to affordable housing, living wage jobs and mental health services would most improve the health of our community. After careful consideration, St. Charles Hospitals will focus on efforts that reduce feelings of loneliness and social isolation while fostering a sense of belonging for the 2023-2025 regional health implementation strategy (RHIS) to start addressing mental health concerns and promoting individual well-being. The CDC defines loneliness as the feeling of being alone, regardless of the amount of social contact. Social isolation is a lack of social connections. Social isolation can lead to loneliness in some people, while others can feel lonely without being socially isolated.About one in five Americans suffer from chronic loneliness, with a survey in 2020 revealing that young adults suffer the most. Older adults are also at higher risk for social isolation and loneliness due to changes in health and social connections that can come with growing older, hearing, vision, and memory loss, disability, trouble getting around and/or the loss of family and friends. Loneliness has broader implications for our mental and physical health too. Its not difficult to understand how loneliness leads to depression, a growing problem in the United States. Among older adults, loneliness increases the risk of developing dementia, slows down their walking speeds, interferes with their ability to take care of themselves, and increases their risk of heart disease and stroke. Loneliness is even associated with dying earlier. Among adolescents and young adults, loneliness increases the likelihood of headaches, stomach aches, sleep disturbances, and compulsive internet use. Chronic loneliness is said to have similar impacts on health as smoking a pack of cigarettes a day. Furthermore, according to Thomas Joiner, a leading expert on suicide, when people hold two specific psychological states in their minds simultaneously, and when they do so for long enough, they develop the desire for death. The two psychological states are perceived burdensomeness and a sense of low belongingness or social alienation. In 2017, Angus Deaton and Anne Case discovered that 158,000 Americans died through the process of addiction to alcohol, painkillers, or other drugs or by suicide and this number has grown year over year. They also attribute these statistics to social isolation or feeling disconnected. Acknowledging that mental health issues are complex and intertwined, creating opportunities for engagement and socialization outside of medical interventions is the first step to begin addressing the loneliness epidemic that was amplified by the COVID-19 pandemic. During our Regional Health Implementation Strategy (RHIS) key informant interviews, a majority of participants felt that loneliness was a major contributor to the mental and behavioral health issues in our communities. When informants were asked if they had ideas to combat loneliness and social isolation, the ideas unanimously centered on the concept of creating opportunities for individuals and families to come together and rediscover what it means to belong within their own community. Belonging is often defined as the feeling of security and support when there is a sense of acceptance, inclusion, and identity for a member of a certain group and it has been identified as a pillar in Maslows Hierarchy of Needs. Maslows Hierarchy of Needs is the idea that our needs range from the very basic, such as the things required for our survival, through to higher goals such as altruism and spirituality. Maslow included social belonging because we need friendships, family connections and emotional intimacy with others. People in different societies meet this need in different ways: for some people, their need for social belonging might be met entirely within their extended family; for others, it might be organized activities such as a church community; for others, it might be a network of friendships and romantic relationships that meet this need. Its worth noting that meeting this need can enable us to overcome a lack of our basic needs through the strength of our relationships with others. We truly are stronger together than we are alone. To that end, St. Charles Health System aims to come alongside community members, partners, and caregivers to help older adults, youth and those who are feeling lonely establish a sense of belonging.The following are the significant health needs identified in the St. Charles CHNAs that will not be addressed in this implementation strategy: Behavioral Health Stable Housing and Supports Substance and Alcohol Misuse Prevention and Treatment Address Poverty and Enhance Self Sufficiency Promote Enhanced Physical Health Across Communities To achieve real improvement, this plan will focus on issues the organization has the most ability to impact alongside our community partners. By selecting one priority, a more focused effort can be made by the caregivers at all St. Charles campuses, in collaboration with local partners, to improve the health of those the health system serves. While all of the needs listed above are important, St. Charles leaders have decided to focus Community Benefit resources and efforts on the issue of reducing loneliness and increasing belonging. Having a laser focus on this issue will ensure real progress is made. Work will also continue on each of the other identified needs listed above through internal St. Charles departments and through external community partners. In addition, focusing on belonging could ultimately positively impact these other identified needs.
Facility: B 2, 3 - Part V, Section B, Line 11	To prioritize the varied health needs of Deschutes County - the defined community served by St. Charles Flagship hospital (Bend and Redmond), Jefferson County - the defined community served by St. Charles Madras and Crook County - the defined community served by St. Charles Prineville, an extensive review of existing data, community partner information and a professionally facilitated phone survey were conducted and completed as part of the CHNA research. Once the initial analysis of available secondary data was collated, the phone survey completed and input collected from key stakeholders, the Community Benefit department prioritized significant health needs as follows: St. Charles (Flagship Hospital):1. Behavioral Health: Increase Access and Coordination 2. Stable Housing and Supports 3. Substance and Alcohol Misuse Prevention and Treatment 4. Address Poverty and Enhance Self Sufficiency 5. Upstream Prevention: Promotion of Individual Well-Being 6. Promote Enhanced Physical Health Across CommunitiesSt. Charles Prineville & St. Charles Madras Hospitals:1. Stable Housing and Support2. Address Poverty and Enhance Self Sufficiency3. Upstream Prevention: Promotion of Individual Well-Being4. Substance and Alcohol Misuse Prevention and Treatment5. Behavioral Health: Increase Access and Coordination6. Promote Enhanced Physical Health Across CommunitiesCriteria determining needs to be addressed:When determining which of the above significant health needs would be selected as the health priorities to be addressed, St. Charles considered the following criteria: Severity of issue Ability to impact Community Resources St. Charles Bend and Redmond campuses available resources and expertise St. Charles Prineville campus available resources and expertise St. Charles Madras campus available resources and expertise St. Charles Health System strategic plan St. Charles Hospitals' Prioritized Need(s):The Community Health Needs Assessment (CHNA) identified that access to affordable housing, living wage jobs and mental health services would most improve the health of our community. After careful consideration, St. Charles Hospitals will focus on efforts that reduce feelings of loneliness and social isolation while fostering a sense of belonging for the 2023-2025 regional health implementation strategy (RHIS) to start addressing mental health concerns and promoting individual well-being. The CDC defines loneliness as the feeling of being alone, regardless of the amount of social contact. Social isolation is a lack of social connections. Social isolation can lead to loneliness in some people, while others can feel lonely without being socially isolated.About one in five Americans suffer from chronic loneliness, with a survey in 2020 revealing that young adults suffer the most. Older adults are also at higher risk for social isolation and loneliness due to changes in health and social connections that can come with growing older, hearing, vision, and memory loss, disability, trouble getting around and/or the loss of family and friends. Loneliness has broader implications for our mental and physical health too. Its not difficult to understand how loneliness leads to depression, a growing problem in the United States. Among older adults, loneliness increases the risk of developing dementia, slows down their walking speeds, interferes with their ability to take care of themselves, and increases their risk of heart disease and stroke. Loneliness is even associated with dying earlier. Among adolescents and young adults, loneliness increases the likelihood of headaches, stomach aches, sleep disturbances, and compulsive internet use. Chronic loneliness is said to have similar impacts on health as smoking a pack of cigarettes a day. Furthermore, according to Thomas Joiner, a leading expert on suicide, when people hold two specific psychological states in their minds simultaneously, and when they do so for long enough, they develop the desire for death. The two psychological states are perceived burdensomeness and a sense of low belongingness or social alienation. In 2017, Angus Deaton and Anne Case discovered that 158,000 Americans died through the process of addiction to alcohol, painkillers, or other drugs or by suicide and this number has grown year over year. They also attribute these statistics to social isolation or feeling disconnected. Acknowledging that mental health issues are complex and intertwined, creating opportunities for engagement and socialization outside of medical interventions is the first step to begin addressing the loneliness epidemic that was amplified by the COVID-19 pandemic. During our Regional Health Implementation Strategy (RHIS) key informant interviews, a majority of participants felt that loneliness was a major contributor to the mental and behavioral health issues in our communities. When informants were asked if they had ideas to combat loneliness and social isolation, the ideas unanimously centered on the concept of creating opportunities for individuals and families to come together and rediscover what it means to belong within their own community. Belonging is often defined as the feeling of security and support when there is a sense of acceptance, inclusion, and identity for a member of a certain group and it has been identified as a pillar in Maslows Hierarchy of Needs. Maslows Hierarchy of Needs is the idea that our needs range from the very basic, such as the things required for our survival, through to higher goals such as altruism and spirituality. Maslow included social belonging because we need friendships, family connections and emotional intimacy with others. People in different societies meet this need in different ways: for some people, their need for social belonging might be met entirely within their extended family; for others, it might be organized activities such as a church community; for others, it might be a network of friendships and romantic relationships that meet this need. Its worth noting that meeting this need can enable us to overcome a lack of our basic needs through the strength of our relationships with others. We truly are stronger together than we are alone. To that end, St. Charles Health System aims to come alongside community members, partners, and caregivers to help older adults, youth and those who are feeling lonely establish a sense of belonging.The following are the significant health needs identified in the St. Charles CHNAs that will not be addressed in this implementation strategy: Behavioral Health Stable Housing and Supports Substance and Alcohol Misuse Prevention and Treatment Address Poverty and Enhance Self Sufficiency Promote Enhanced Physical Health Across Communities To achieve real improvement, this plan will focus on issues the organization has the most ability to impact alongside our community partners. By selecting one priority, a more focused effort can be made by the caregivers at all St. Charles campuses, in collaboration with local partners, to improve the health of those the health system serves. While all of the needs listed above are important, St. Charles leaders have decided to focus Community Benefit resources and efforts on the issue of reducing loneliness and increasing belonging. Having a laser focus on this issue will ensure real progress is made. Work will also continue on each of the other identified needs listed above through internal St. Charles departments and through external community partners. In addition, focusing on belonging could ultimately positively impact these other identified needs.
Facility: A 1, 4 - Part V, Section B, Line 16j	A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.
Facility: B 2, 3 - Part V, Section B, Line 16j	A REFERENCE TO THE FINANCIAL ASSISTANCE PROGRAM WAS INCLUDED ON BILLING STATEMENTS AS WELL AS VOICE MESSAGING ON CUSTOMER SERVICE PHONE LINES & PROMPTS.
Facility: A 1, 4 - Part V, Section B, Line 20e	BEFORE INITIATING EAC'S, PATIENTS ARE SCREENED FOR FPL under 200%. IF FPL IS 200% OR BELOW, A FINANCIAL ASSISTANCE POLICY & FINANCIAL ASSISTANCE APPLICATION ARE MAILED TO THE GUARANTOR. IF THE GUARANTOR FAILS TO COMPLETE AND RETURN THE APPLICATION, OR FAILS TO PAY THE ACCOUNT IN FULL, OR FAILS TO SET UP A PAYMENT PLAN WITHIN 45-DAYS OF MAILING THE POLICY APPLICATION, THE ACCOUNTS ARE ASSIGNED TO A BAD DEBT AGENCY.
Facility: B 2, 3 - Part V, Section B, Line 20e	BEFORE INITIATING EAC'S, PATIENTS ARE SCREENED FOR FPL under 200%. IF FPL IS 200% OR BELOW, A FINANCIAL ASSISTANCE POLICY & FINANCIAL ASSISTANCE APPLICATION ARE MAILED TO THE GUARANTOR. IF THE GUARANTOR FAILS TO COMPLETE AND RETURN THE APPLICATION, OR FAILS TO PAY THE ACCOUNT IN FULL, OR FAILS TO SET UP A PAYMENT PLAN WITHIN 45-DAYS OF MAILING THE POLICY APPLICATION, THE ACCOUNTS ARE ASSIGNED TO A BAD DEBT AGENCY.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
St Charles Heart & Lung Specialists
2500 NE Neff Rd	Bend	OR	97701	Heart and Lung Services
Cascade Medical Imaging
1460 NE Medical Center Dr	Bend	OR	97701	Diagnostic imaging clinic
St Charles Surgical Specialists Redmond
1245 NW 4th Street STE 101	Remdond	OR	97756	Surgical Specialists
St Charles Center for Womens Health Redmond
340 NW 5th Street Ste 101	Redmond	OR	97756	OB/GYN Clinic
St Charles Family Care Redmond
211 NW Larch Ave	Redmond	OR	97756	Primary Care Clinic
St Charles Cancer Center
2500 NE Neff Rd	Bend	OR	97701	Outpatient Cancer center
Sage View
1885 NE Purcell Blvd	Bend	OR	97701	Mental Health Services
St Charles Family Care Bend East
2600 NE Neff Rd	Bend	OR	97701	Primary Care Clinic
St Charles Family Care Prineville
384 SE Combs Flat Road	Prineville	OR	97754	Rural Health Clinic
Wound Care & Ostomy Clinic Bend
2275 NE Doctors Dr Suite 9	Bend	OR	97701	Wound & Ostomy Care
St Charles Trauma & Acute Care
2275 NE Doctors Dr Suite 6	Bend	OR	97701	Trauma and & Surgical Services
St Charles Urgent Care South Bend
61250 SE Coombs Place	Bend	OR	97702	Urgent Care Clinic
St Charles Hospice
2275 NE Doctors Dr Suite 5	Bend	OR	97701	Hospice Care
St Charles Sleep Center Bend
2042 NE Williamson Ct	Bend	OR	97701	Sleep Lab
St Charles Family Care Bend South
61250 SE Coombs Place	Bend	OR	97702	Primary Care Clinic
Behavioral Health
360 NW Bond St Suite 330	Bend	OR	97701	Behavioral Health clinic
St Charles Urgent Care La Pine
51781 Huntington Rd	La Pine	OR	97739	Urgent Care Clinic
St Charles Urgent Care Prineville
384 SE Combs Flat Road	Prineville	OR	97754	Urgent Care Clinic
St Charles Family Care Madras
480 NE A St	Madras	OR	97741	Primary Care Clinic
Cascade Surgicenter
2200 NE Neff Rd 100	Bend	OR	97701	Surgery Center
St Charles Family Care La Pine
51781 Huntington Rd	La Pine	OR	97739	Primary Care Clinic
St Charles Rheumatology
2600 NE Neff Rd	Bend	OR	97701	Rheumatology Clinic
St Charles Neonatology
2500 NE Neff Rd	Bend	OR	97701	Neonatology Intensive Care Unit
St Charles Family Care Sisters
630 N Arrowleaf Trail	Sisters	OR	97759	Primary Care Clinic
St Charles Pulmonary Clinic Bend
2500 NE Neff Rd	Bend	OR	97701	Lung clinic
St Charles Anticoagulation Clinic Bend
2275 NE Doctors Dr Suite 7	Bend	OR	97701	Anticoag Clinic
St Charles PEDAL Clinic
2036 NW Williamson Court	Bend	OR	97701	Pediatric Behavioral Health
St Charles Sleep Center Redmond
655 NW Jackpine Ave	Redmond	OR	97756	Sleep Lab
Central Oregon Magnetic Resonance Imaging
1460 NE Medical Center Dr	Bend	OR	97701	MRI Center
St Charles Palliative Care
2275 NE Doctors Dr Suite 5	Bend	OR	97701	Palliative Care
St Charles East Infusion
2600 NE Neff Rd	Bend	OR	97701	Infusion Therapy Clinic
St Charles Preoperative Medicine
2275 NE Doctors Dr Suite 6	Bend	OR	97701	Care for Surgery Patients
SCMG Imaging Redmond
211 NW Larch Ave	Redmond	OR	97756	Imaging Services
St Charles Pulmonary Clinic Redmond
655 NW Jackpine Ave	Redmond	OR	97756	Lung clinic
St Charles Infectious Disease
2965 NE Conners Ave Suite 127	Bend	OR	97701	Infectious Disease Clinic
Sisters School Based Health Clinic
640 N Arrowleaf Trail	Sisters	OR	97759	School Based Clinic
St Charles Dietitians & Community Outreach
2036 NE Williamson Court	Bend	OR	97701	nutrition education and counseling
Sister Diagnostic Radiology
630 N Arrowleaf Trail	Sister	OR	97759	Radiology Services
St Charles Imaging Bend East
2600 NE Neff Rd	Bend	OR	97701	Imaging Services
St Charles Imaging La Pine
51781 Huntington Rd	La Pine	OR	97739	Imaging Services
St Charles Diabetes Clinic
2036 NE Williamson Court	Bend	OR	97701	Diabetes Clinic
St Charles Urgent Care East Bend
2600 NE Neff Rd	Bend	OR	97701	Urgent Care Clinic
St Charles Anticoagulation Clinic Redmond
655 NW Jackpine Ave	Redmond	OR	97756	Anticoag Clinic
St Charles Laboratory Services La Pine
51781 Huntington Rd	La Pine	OR	97739	Outpatient Lab
St Charles Preoperative Medicine LaPine
51781 Huntington Rd	La Pine	OR	97739	Periop Services
Wound Care & Ostomy Clinic Madras
470 NE A Street	Madras	OR	97741	Wound & Ostomy Care
St Charles Cancer Center Redmond
1541 NW Canal Blvd	Redmond	OR	97756	Outpatient Cancer Center
St Charles Laboratory Services Redmond
1245 NW 4th Street	Redmond	OR	97756	Outpatient Lab
Behavioral Health Redmond
916 SW 17th St Suite 202	Redmond	OR	97756	Behavioral Health clinic
St Charles Surgical Specialists Prineville
384 SE Combs Flat Rd Suite 1200	Prineville	OR	97754	Surgical Specialists
St Charles Surgical Specialists Madras
470 NE A St	Madras	OR	97741	Surgical Specialists
St Charles Laboratory Services Madras
470 NE A Street	Madras	OR	97741	Outpatient Lab
St Charles Preoperative Medicine Redmond
916 SW 17th St	Redmond	OR	97756	Periop Services
St Charles Heart & Lung Specialists Redmond
655 NW Jackpine Ave	Redmond	OR	97756	Heart and Lung Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	The costing methodology used was derived from SCHS's financial systems, which address all hospital-based patient segments and other services provided. A cost-to-charge ratio from the financial systems was used to calculate the cost of Financial Assistance in line 7a. Numbers reported in column (b) in lines 7a and 7b refer to the number of patient encounters.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	When SCHS provides care to patients, it does not require collateral; however, itmaintains an estimated allowance for doubtful accounts. The primary collection risksrelate to uninsured patient accounts and patient accounts for which the primaryinsurance payor has paid, but patient responsibility amounts (generally deductiblesand copayments) remain outstanding. The reserves against accounts receivable is estimated based primarily upon SCHS historical collection experience, the age of the patient's account, management's estimate of the patient's economic ability to pay, and the effectiveness of collection efforts. Patient accounts receivable balances are routinely reviewed in conjunction with historical collection rates and other economic conditions that might ultimately affect the collectability of patientaccounts when considering the adequacy of the amounts recorded as net patient revenues. Actual write offs have historically been within management'sexpectations.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	SCHS currently has no reasonable way to track or estimate the amount of bad debt expense attributable to charity care, and accordingly this line has been left blank.
Part III, Line 4 - Bad Debt Expense	See page 14, footnote 4 "Net Patient Service Revenue", in the attached Audited Financial Statements.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	As a response to efforts to improve the health and quality of life of people living in the community, SCHS provided approximately $50 million in unreimbursed services to patients enrolled in traditional Medicare programs. SCHS believes that the Medicare shortfall should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. If SCHS should cease to exist, this shortfall would have to be absorbed by another health care provider. Costs are from the Medicare Cost Report, but none of these costs are being claimed as a community benefit in Part I, line 7.SCHS had a total medicare shortfall of approximately $139M which differs from the shortfall of $50M reported in Part III Section B because Part III Section B includes only those costs allowed in the Medicare Cost Report which excludes the Medicare Advantage shortfall.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Collection policies are the same for all patients. Every effort is made to identify patients who may need financial assistance at the earliest point during the patients experience with St. Charles. Patients may be identified as a candidate for financial assistance at any time before, during or after services are delivered. If at any point during the collection process documentation or information is received that indicates the patient may be eligible for our financial assistance program, the account is reviewed by our financial assistance team for eligibility. Prior to sending an account to collections, patient accounts are reviewed for Federal Poverty Level(FPL). If FPL is 200% or below, a Financial Assistance policy & Financial Assistance application are mailed to the guarantor. If the guarantor fails to complete and return the application, or fails to pay the account in full, or fails to set up a payment plan within 45-days of mailing the policy application, the accounts are assigned to a bad debt agency.
Part VI, Line 2 - Needs Assessment	St. Charles Health System (SCHS) assesses the needs of each of our communities in many different ways other than the facility community health needs assessments. SCHS partners with many organizations from around the community. We collaborated with the Central Oregon Health Council (COHC) to establish a local community data website. The data is provide by Healthy Communities Institute (HCI) and COHC staff manages the website. The website will have dashboards of each community and population risk profiling data that is continuously updated and accessible to the community. This information helps SCHS to keep a finger on the pulse of each population's many health indicators, helping us to continually assess each community's needs, positive changes and/or opportunities for improvement. This information can be found at http://www.centraloregonhealthdata.org. Each year St. Charles also produces the St. Charles Health System Annual Report. This report is comprised of a summary of each of the following: Community BenefitTotalsFinancial OverviewDays cash on handOperating marginExcess marginOperating ExpensesFull time employee countEach health system facility (St. Charles Bend, St. Charles Redmond, St. Charles Prineville and St. Charles Madras) BirthsDischargesIn-patient casesOut-patient casesEmergency visitsSt. Charles Medical GroupPatient visits for each clinicsThe 2021 Annual Report is posted online on the St. Charles Health System website at https://www.stcharleshealthcare.org/about-us/st-charles-annual-report. This report and the primary data collected for its creation let us know what the trends are for different hospital stays, conditions and out-patient visits, helping to decide what services we offer and where the needs are. St. Charles also plays a significant role in local, regional and State groups in order to stay abreast of the newest information, trends, health data and best practices. SCHS has representation on the Central Oregon Health Council (COHC), the governance entity over the region's Coordinated Care Organization, PacificSource Community Solutions, County Commissions, patients, community members & local medical clinics. BY PARTICIPATING ON THIS COUNCIL, ST. CHARLES IS ABLE TO WORK WITH THE EXPERTS IN EACH OF THE THREE COUNTIES TO HEAR FIRSTHAND HOW EACH COMMUNITY IS DOING AND WHAT THEIR HEALTH NEEDS ARE. ST. CHARLES ALSO SITS ON DIFFERENT COMMITTEES FOR THE OREGON ASSOCIATION FOR HOSPITALS AND HEALTH SYSTEMS (OAHHS) AND LOCAL NON-PROFITS. BEING PART OF THESE GROUPS HELPS ST. CHARLES TO BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITIES WHILE ALSO LEARNING HOW TO BETTER COLLECT, TRACK, REPORT AND IMPROVE UPON COLLECTED INFORMATION.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	The Financial assistance program policy is posted on the SCHS website.Financial Counselors and registration staff in our facilities & primary care clinics offer financial assistance to patients, both upon request and when patients are uninsured.SCHS works to identify patients who may qualify for coverage through the following government programs (uninsured patients seen in our Emergency departments & those admitted to all of our facilities are automatically referred to a Financial Counseling Patient Advocate): CobraCrime Victims AssistanceEmergency Medicaid for Aliens Medicaid for pregnant women and children Medicaid, Medicare Supplemental Security Income (SSI)Temporary Aid for Needy Families (TANF) VeteransOur Financial Counseling Patient Advocate will work with these individuals through the process of qualifying for coverage or denial of coverage from all applicable government programs.Patients working with the Financial Counseling Patient Advocate have their accounts put on hold from collections. Patients will be referred to the SCHS Financial Assistance Department for follow-up.
Part VI, Line 4 - Community Information	DESCHUTES COUNTY: (ST. CHARLES BEND AND ST. CHARLES REDMOND) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU(HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/DESCHUTESCOUNTYOREGON) UNLESS OTHERWISE NOTED:URBANLAND AREA IN SQUARE MILES (2020): 3,018POPULATION (2022): 206,549UNDER 5 YEARS: 4.7%UNDER 18 YEARS: 19.4%65 YEARS AND OVER: 20.6%FEMALE: 50.1%HOUSEHOLDS (2017-2021): 79,329PERSONS PER HOUSEHOLD (2017-2021): 2.44MEDIAN HOUSEHOLD INCOME (2017-2021): $74,082PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2017-2021): 8.7%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2017-2021): 94.3%POPULATION BY RACE (2021):WHITE ALONE, NOT HISPANIC: 93.7% HISPANIC OR LATINO: 8.6%TWO OR MORE RACES: 3%AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.1% ASIAN ALONE: 1.4%BLACK OR AFRICAN AMERICAN ALONE: .6%NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.2%HEALTH CARE PROVIDER ASSETS IN DESCHUTES COUNTY (OUTSIDE OF ST. CHARLES BEND AND REDMOND): MOSAIC MEDICAL CLINIC, (BEND AND REDMOND) (FQHC) LYNCH COMMUNITY CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL, REDMOND SCHOOL DISTRICT AND DESCHUTES COUNTY) ENSWORTH COMMUNITY SCHOOL-BASED HEALTH CENTER (PARTNERSHIP BETWEEN MOSAIC MEDICAL, BEND-LAPINE SCHOOL DISTRICT AND DESCHUTES COUNTY) BEND MEMORIAL CLINIC, (BEND, REDMOND AND SISTERS) HIGH LAKES HEALTH CARE (BEND, REDMOND AND SISTERS).CROOK COUNTY: (ST. CHARLES PRINEVILLE) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU (HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/CROOKCOUNTYOREGON) UNLESS OTHERWISE NOTED: RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2020): 2.979POPULATION (2022 ESTIMATE): 26,375UNDER 5 YEARS: 5.3%UNDER 18 YEARS: 19.9%65 YEARS AND OVER: 25.2%FEMALE: 49.9%HOUSEHOLDS (2017-2021): 9,951PERSONS PER HOUSEHOLD (2017-2021): 2.43 MEDIAN HOUSEHOLD INCOME (2017-2021): $64,820PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2017-2021): 12.0%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2017-2021): 90.8%POPULATION BY RACE (2021):WHITE ALONE, NOT HISPANIC: 94.4% HISPANIC OR LATINO: 8%TWO OR MORE RACES: 2.6%AMERICAN INDIAN AND ALASKA NATIVE ALONE: 1.8% ASIAN ALONE: 0.7%BLACK OR AFRICAN AMERICAN ALONE: 0.5%NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: 0.1%HEALTH CARE PROVIDER ASSETS IN CROOK COUNTY (OUTSIDE OF ST. CHARLES PRINEVILLE): MOSAIC MEDICAL (FQHC)CROOK KIDS CLINIC (SCHOOL-BASED HEALTH CENTER PARTNERSHIP BETWEEN MOSAIC MEDICAL AND CROOK COUNTY SCHOOL DISTRICT).JEFFERSON COUNTY: (ST. CHARLES MADRAS) INFORMATION TAKEN FROM UNITED STATES CENSUS BUREAU (HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/JEFFERSONCOUNTYOREGON)UNLESS OTHERWISE NOTED: RURALMEDICALLY UNDERSERVED AREA (MUA)LAND AREA IN SQUARE MILES (2020): 1,782POPULATION (2022 ESTIMATE): 25,330UNDER 5 YEARS: 5.9%UNDER 18 YEARS: 23.3%65 YEARS AND OVER: 19.7%FEMALE: 48.0%HOUSEHOLDS (2017-2021): 8,244PERSONS PER HOUSEHOLD (2017-2021): 2.79MEDIAN HOUSEHOLD INCOME (2017-2021): $59,748PERCENTAGE OF PERSONS BELOW POVERTY LEVEL (2017-2021): 15.9%HIGH SCHOOL GRADUATE OR HIGHER, PERCENT OF PERSONS AGE 25+ (2015-2019): 87.8%POPULATION BY RACE (2022):WHITE ALONE, NOT HISPANIC: 75.7% HISPANIC OR LATINO: 20.8%TWO OR MORE RACES: 3.7%AMERICAN INDIAN AND ALASKA NATIVE ALONE: 18.3%
Part VI, Line 4 - Community Building Activities	Our community building activities focused on workforce development activities which support the community by offering the expertise and resources of our hospital systems caregivers for the betterment of the community. Specifically these programs address community-wide workforce issues, potentially providing health care workers to promote the health of the community.
Part VI, Line 5 - Promotion of Community Health	SCHS provides services without charge, or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. SCHS criteria for the determination of charity care include the patientsor other responsible partys annual household income, number of people in the home and amount claimed on taxes, credit history, existing medical debt obligations and other indicators of the patient's ability to pay. Generally, those individuals with an annual household income at or less than 300% of the Federal Poverty Guidelines (the Guidelines) qualify for charity care under SCHS policy. In addition, SCHS provides discounts on a sliding scale to those individuals with an annual household income of between 300% and 400% of the Guidelines. Since SCHS does not pursue collection of amounts determined to qualify as charity care, those amounts are not reported as net patient service revenue.BECAUSE MADRAS PRINEVILLE AND LA PINE ARE LOCATED IN MEDICALLY UNDERSERVED AREAS(MUAS), THE RESOURCES USED FOR PROVIDER RECRUITMENT IN THOSE COMMUNITIES ARE COUNTED AS COMMUNITY BENEFIT. ST. CHARLES ALSO ALLOWS NURSING STUDENTS, HIGH SCHOOL STUDENTS AND OTHER PROVIDERS TO PARTAKE IN JOB-SHADOWING WITH OUR PAID CAREGIVERS TO HELP THEM COMPLETE THEIR COURSE WORK AND/OR EARN CREDITS, WITHOUT RESTRICTIONS RELATED TO FUTURE EMPLOYMENT. THE ST. CHARLES HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF MEMBERS FROM MULTIPLE COMMUNITIES SERVED BY THE SYSTEMBEND, PRINEVILLE, SISTERS,ETC.ALLOWING FOR DIVERSE VIEWS AND LEADERSHIP RELATED TO PROMOTING THE HEALTH OF THE COMMUNITY. VARIOUS COMMUNITY CLASSES ARE OFFERED VIRTUALLY OR IN PERSON FOR EACH CAMPUS, INCLUDING CHILDBIRTH EDUCATION, HEALTH HEART EDUCATION, ETC. IN ORDER TO CONTINUE TO PROMOTE HEALTH IN THE COMMUNITY AND ELIMINATE BARRIERS, SCHOLARSHIPS ARE AVAILABLE FOR THOSE WHO ARE UNABLE TO PAY BUT WOULD STILL LIKE TO PARTICIPATE IN ANY OF THESE CLASSES. DUE TO COVID-19, WE SHIFTED RESOURCES AND ASSETS TO COLLABORATING WITH OUR LOCAL PARTNERS TO HELP TACKLE THE ISSUES THAT HAVE ARISED BECAUSE OF THE PANDEMIC. BEING THE ONLY HEALTH CARE SYSTEM IN CENTRAL OREGON, MANY NON-PROFIT COMMUNITYORGANIZATIONS COME TO ST. CHARLES NEEDING FUNDS AND OTHER DONATIONS, SUCH AS IN-KIND SUPPORT. DURING 2021 ST. CHARLES FACILITY CAREGIVERS PROVIDED HUNDREDS OF HOURS OF IN-KIND SUPPORT TO THESE ORGANIZATIONS WHO SHARE IN ST. CHARLES VISION OF CREATING AMERICAS HEALTHIEST COMMUNITY, TOGETHER. IN-KIND SUPPORT ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO MEMBERSHIP ON NON-PROFIT COMMUNITY ORGANIZATION BOARDS, BELOW FAIRMARKET VALUE RENT FEES, FREE CLEANING AND LANDSCAPING SERVICES AND HOURS SPENT COORDINATING EVENTS PROMOTING HEALTH IMPROVEMENT FOR VULNERABLE AND LOW-INCOME COMMUNITY MEMBERS.
Part VI, Line 7 - States Filing of Community Benefit Report	OR
Part VI - Additional Information	URL of CHNA and Implementation Strategy:https://www.stcharleshealthcare.org/community-health/community-health-needs-assessmentWebsite where FAP, FAP application, and plain language summary was widely available:https://www.stcharleshealthcare.org/patients/billing-and-insurance/patient-financial-assistance

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CASA OF CENTRAL OR
1029 NW 14TH ST STE 100	BEND	OR	97703	931062982	501(C)(3)	$9,500	$0	YOUTH FOSTER CARE
CO COMMUNITY COLLEGE
2600 NW COLLEGE WAY	BEND	OR	97701	930505827	MUNI CORP	$7,500	$0	COLLEGE NURSING PROGRAM
CO COUNCIL ON AGING
373 NE Greenwood Ave	BEND	OR	97701	930661229	501(C)(3)	$15,000	$0	MEALS ON WHEELS PROGRAM
CO VETERANS RANCH
65920 61st St	BEND	OR	97703	371755279	501(C)(3)	$20,000	$0	IMPROVE QUALITY OF LIFE FOR VETS
FAMILY ACCESS NETWORK
2125 NE DAGGETT LN	BEND	OR	97701	203534560	501(C)(3)	$8,500	$0	Access to basic needs for children
FAMILY KITCHEN
469 NW WALL ST	BEND	OR	97701	930427371	501(C)(3)	$10,000	$0	FREE COMMUNITY MEALS
GIVING PLATE
61445 S HWY 97 S	BEND	OR	97702	800553186	501(C)(3)	$10,000	$0	COMMUNITY FOOD BANK
J BAR J YOUTH SERVICES
62895 Hamby Rd	BEND	OR	97701	930677650	501(C)(3)	$10,000	$0	FACILITY SERVING YOUTH OFFENDERS
JEFFERSON CNTY FAITH BASED
278 Southeast 8th Street	MADRAS	OR	97741	461018517	501(C)(3)	$10,000	$0	COMMUNITY IMPROVEMENT
KIDS CLUB JEFFERSON COUNTY
410 SW 4TH ST	MADRAS	OR	97741	461018517	501(C)(3)	$10,000	$0	KIDS OPPORTUNITIES AND ACTIVITIES
LA PINE COMMUNITY KITCHEN
16480 FINLEY BUTTE RD	LA PINE	OR	97739	202087631	501(C)(3)	$6,900	$0	Provide food & clothing
LEADERSHIP BEND FOUNDATION
777 nw Wall St STE 200	BEND	OR	97701	931224982	501(C)(3)	$11,500	$0	Community leadership development
MADRAS AQUATIC CENTER SPECIAL
1195 SE Kemper Way	MADRAS	OR	97441	205757201	SPECIAL DISTRICT	$28,790	$0	After school and summer programs
PRINEVILLE SNR CENTER TRUST
180 NE BLEKNAP ST	PRINEVILLE	OR	97754	931326625	501(C)(3)	$7,000	$0	SERVICES FOR SENIORS
REDMOND OASIS VILLAGE PROJECT
PO BOX 553	PRINEVILLE	OR	97754	931326625	501(C)(3)	$8,475	$0	Alcohol Misuse Prevention
RONALD MCDONALD HOUSE
1700 NE PURCELL BLVD	BEND	OR	97701	931125838	501(C)(3)	$9,000	$0	LODGING FOR FAMILIES
SAMARA LEARNING CENTER
230 NE 9TH ST	BEND	OR	97701	465701194	501(C)(3)	$7,000	$0	DIVERSITY TRAINING
SAVING GRACE
1004 NW MILWAUKEE AVE 100	BEND	OR	97701	930797194	501(C)(3)	$10,000	$0	Family Violence Abuse & Services
SERENITY LANE
PO BOX 8549	COBURG	OR	97408	930606316	501(C)(3)	$10,500	$0	ALCOHOL MISUSE PREVENTION
SHEPHERDS HOUSE
PO Box 5484	BEND	OR	97708	753207723	501(C)(3)	$10,550	$0	Homeless shelter and services
SISTERS COLD WEATHER SHELTER
PO BOX 1782	SISTERS	OR	97759	930716745	501(C)(3)	$7,500	$0	BASIC NEEDS
SISTERS RODEO ASSN
67637 HWY 220	SISTERS	OR	97759	930716745	501(c)(4)	$6,000	$0	Community Event Sponsorship
ST CHARLES FOUNDATION
2500 NE Neff Rd	BEND	OR	97701	943076293	501(c)(3)	$15,695	$0	To support fundraising activities
STOKE AWARENESS OREGON
695 SW Mill View Way	BEND	OR	97701	824216575	501(C)(3)	$5,750	$0	Support for Seniors in the Communit
TOUR DES CHUTES
70 SW Century Dr STE 100-273	BEND	OR	97702	202006038	501(C)(3)	$10,000	$0	SUPPORTS CANCER CARE

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Absalon Jeffrey MD
CHIEF PHYSICIAN EXECUTIVE	$348,995	$50,000	$424,625	$61,935	$17,028	$902,583	$207,173
Adams Aaron
CEO Bend & Redmond	$159,988		$447,467	$11,200	$9,959	$628,614
BERRY REBECCA
VP HUMAN RESOURCES	$302,703	$100,000	$64,207	$50,777	$19,057	$536,744	$31,223
Binder Darren
Secretary	$370,045	$100,000	$100,621	$65,747	$29,580	$665,993	$68,478
BRICKHOUSE JEREMIAH
SVP/CIO	$347,636	$102,500	$52,241	$60,944	$26,059	$589,380	$39,764
CHING JOAN
VP CHIEF NURSING	$325,269	$100,000	$2,216	$18,300	$21,002	$466,787
Clover Todd MD
Physician	$686,091	$83,303	$21,272	$18,300	$29,787	$838,753
Dixon Jennifer MD
Physician	$828,738		$21,045	$18,300	$22,090	$890,173
FREEMAN RICHARD
PRESIDENT SCMG	$87,233		$465,800	$8,498	$5,338	$566,869
GOLDA DAVID
VP HOSPITAL ADMIN BEND/REDMOND	$259,662	$280	$7,935	$16,561	$25,315	$309,753
Gordon Steve
President	$516,732		$120,947		$8,477	$646,156
Gulvin Joshua MD
Physician	$669,996	$83,998	$26,025	$18,300	$29,610	$827,929
GUYN JIM MD
SVP POPULATION HEALTH	$293,173	$100,000	$48,558	$56,569	$20,335	$518,635	$38,269
HALLETT MARK
Chief Clinical Officer	$490,115	$2,500	$59,698	$52,800	$21,112	$626,225
MARCHIANDO ROD
SVP IMPROVEMENT & STRATEGY	$174,982	$50,000	$298,199	$39,028	$16,914	$579,123	$99,287
Martin William MD
Physician	$627,501	$80,107	$21,327	$18,300	$29,809	$777,044
OSTROM JULIE
SR DIRECTOR PERIOP & CARDIO	$210,218	$2,500	$8,387	$13,808	$25,699	$260,612
POWELL MICHAEL
CHIEF PHARMACY OFFICER	$212,366		$5,662	$13,630	$25,344	$257,002
ROBINSON DEBRA
CNO BEND	$248,492	$500	$11,505	$15,920	$22,962	$299,379
SHIELDS TODD
VP HOSPITAL ADMIN PRINEVILLE/MADRAS	$225,192		$8,149	$14,578	$25,067	$272,986
SIMMONS IMAN
SVP COO	$484,783	$102,500	$80,390	$78,823	$26,217	$772,713	$55,731
Slater Matthew MD
Physician	$869,709		$18,238	$18,300	$22,193	$928,440
Sluka Joseph
President	$710,204	$52,407	$363,134	$114,117	$16,840	$1,256,702	$205,159
Swafford Matthew
Senior VP/CFO	$505,445	$100,000	$8,458	$80,101	$29,523	$723,527

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.
Part I, Line 7: Non-Fixed payments not listed above	The St. Charles Board of Directors approved a discretionary bonus to recognize the executive team for their extraordinary work and efforts in leading during the COVID-19 pandemic and to ensure retention. Other key employees received bonuses for recognition of services above and beyond to St. Charles, referral bonuses, or wellness bonuses.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL FACILITY AUTHORI
A	930991182	000000000	2022-05-17	$75,260,000	SEE PART VI	false	false	false
HOSPITAL FACILITY AUTHORI
B	930991182	250336DY7	2016-10-12	$114,801,653	SEE PART VI	false	false	false
HOSPITAL FACILITY AUTHORI
C	930991182	250336EY6	2020-10-22	$51,302,850	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	UnspentUnspentAmt
A	$75,260,000	$260,000	$75,000,000	Yes (true)	false	Yes (true)	Yes (true)
B	$115,768,627	$1,200,176	$45,969,500	false	Yes (true)	Yes (true)	Yes (true)	$7,055,000	$2,334	$68,596,617	2020
C	$51,343,229			false	false	false	Yes (true)					$51,343,229

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	Yes (true)	false	Yes (true)	Yes (true)	0.00700	0.00700	Yes (true)	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)			Yes (true)	false	Yes (true)	Yes (true)
C	false	false	false	false				Yes (true)	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	Yes (true)	Yes (true)
C	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Column A: Part I (f) - The Bonds were issued for the purpose of making a loan to the Borrower. The proceeds were used to (i) refinance the Authority's Series 2014 Bonds originally issued on 4/1/2014, and (ii) to pay costs of issuance.Column A: Part III, line 7 - As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.Column A: Part IV, Line 2(b) - The current refunding portion of the bonds met the 6-month exception to rebate.Column B: Part I(f) - The Series 2016A Bonds were issued to finance capital projects, advance refunded the Borrower's 2005B Bonds which were issued on December 21, 2005 and to pay costs of issuance relating to the Column B: Part II, Line 3 - The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, (e) due to interest earnings on invested proceeds.Column B: Part III, line 7 - As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.Column B: Part IV, Line 2C - The rebate computation for Series 2016A dated November 28, 2021 was completed by BLX Group LLC and states no rebate due.Column C: Part I (f) - The Bonds were issued to pay costs of capital improvements to the Borrower's health care system.Column C: Part II, Line 3 - The total proceeds shown in Part II, Line 3 differs from the Issue Price shown in Part I, (e) due to interest earnings on invested proceeds.Column C: Part III, line 7 - As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private security or payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security or payment test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	David Liedman	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Employee	RelationshipDescriptionTxt
Transaction	$65,875	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Part IV: David Liedman was employed at St. Charles Health System Inc. He is a family member of an officer of St. Charles, who is listed on Form 990, Part VII.	ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	45	ContributionCnt
Noncash Contributions Rpt F990	$32,551	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR STATED	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d	OTHER PROGRAM SERVICES 4: Behavioral Health, Psychiatric Emergency and rents from affiliates. OTHER PROGRAM SERVICES 5: ST CHARLES PRINEVILLE CAH OTHER PROGRAM SERVICES 6: ST CHARLES CLINICSST CHARLES CLINICS INCLUDES A GROUP OF MEDICAL CLINICS OWNED AND OPERATED BY ST. CHARLES HEALTH SYSTEM. THESE CLINICS ARE LOCATED THROUGHOUT THE REGION AND PROVIDE OUTPATIENT SERVICES SUCH AS CANCER CARE, OB/GYN, PULMONARY CARE, SLEEP DISORDER RESOURCES, HEART SERVICES AND PRIMARY CARE. SCMG PROVIDED OVER 156,600 VISITS IN BEND CLINICS, 72,400 VISITS IN REDMOND CLINICS, 8,400 VISITS IN THE SISTERS CLINIC, 26,500 VISITS IN PRINEVILLE CLINICS, 12,800 IN THE MADRAS CLINICS AND 9,600 IN LA PINE CLINICS IN 2022. SCMG ALSO OPERATES THREE IMMEDIATE CARE CLINICS TO PROVIDE LOW-COST URGENT CARE SERVICES TO THE COMMUNITY; THE URGENT CARE CLINICS PROVIDED SERVICES FOR MORE THAN 48,000 PATIENT VISITS IN 2022. OTHER PROGRAM SERVICES 7: Home Health/Hospice OTHER PROGRAM SERVICES 8: Net Gain/(Loss)on sale of inventory OTHER PROGRAM SERVICES 9: Healthcare JV Income/(Loss) OTHER PROGRAM SERVICES 10: OTHER PROGRAM SERVICES 11: Medical Records & Dues OTHER PROGRAM SERVICES 12: Supply Sales & Service Fees OTHER PROGRAM SERVICES 13: Education Programs OTHER PROGRAM SERVICES 14: Other Fees OTHER PROGRAM SERVICES 15: Interest OTHER PROGRAM SERVICES 16: Reimbursed Salaries
Form 990, Part VI, Section A, Line 4	In 2022, the Board approved its Tenth Amended and Restaed Bylaws to clarify the staggering of director terms and to add an evaluative term for new directors. The Board also approved its Eleventh Amended and restated Bylays which decreased the minimum number of directors from 10 to 9.
Form 990, Part VI, Section B, Line 11b	The 990 was prepared internally and reviewed by an external consultant. It was also reviewed by the organization's VP Finance and CFO. It was provided to the Audit & Compliance Committee to provide them an opportunity to review before filing.
Form 990, Part VI, Section B, Line 12c	The policy covers any SCHS director, principal officer, or member of a committee (hereinafter referred to as fiduciary) with powers delegated by the SCHS Board of Directors (the Board) who has a direct or indirect financial interest in SCHS or any entity within SCHS. This policy is intended to ensure that the business conducted by SCHS is free from the influence of actual or potential conflicts of interests by any SCHS fiduciary. Each fiduciary shall annually complete the Conflict of Interest Questionnaire. This completed form is automatically submitted to the SCHS VP Chief Compliance Officer who will evaluate the completed forms and present a report to the Governance Committee . The fiduciary is also required to update his/her responses to the Conflict of Interest Questionnaire should any new information regarding an actual or potential conflict of interest for that fiduciary arise. In addition, should a subsequent conflict arise after the submission of the previously completed Conflict of Interest Questionnaire each fiduciary shall orally disclose, prior to the Boards or the relevant committees consideration of a proposed transaction or arrangement, the existence of any financial interest that he or she may have with respect to the transaction or arrangement. The board will then review the transaction or arrangement to determine if it is in SCHS's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, it shall make its decision as to whether to enter into the transaction or arrangement.
Form 990, Part VI, Section B, Line 15a	SCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the CEO and top management officials. The analysis covers all elements of total compensation. The CEO's compensation is reviewed and approved by the Board of Directors following a compensation review. The most recent study for the CEO and top management officials was performed in November of 2021.
Form 990, Part VI, Section B, Line 15b	SCHS utilizes an independent outside consultant to provide comparability data regarding compensation for the Key Employees. The analysis covers all elements of total compensation. The compensation is reviewed by the Board of Directors following a compensation review. The evaluation and review process is prescribed in an internal policy and the process is documented. The most recent study for the key employees was performed in November of 2021.SCHS utilized an independent outside consultant to determine the pros and cons of establishing board compensation. In February 2010 the consultant presented its findings to the St. Charles board governance committee advising that board members not be involved in determining any level of compensation for the board. An external committee was selected to review the consultants analysis along with management recommendations and agreed that compensation for the SCHS board of directors is warranted and will assist in retaining and recruiting highly qualified board members.
Form 990, Part VI, Section C, Line 19	Governing documents are available upon request. The Conflict of Interest policy is available to employees through a shared document management system. Financial reports are shared with employees monthly. Audited financial statements are available to the public upon request and on the internet at https://emma.msrb.org/Home/Index.
Form 990, Part XI, Line 9	DISTRIBUTIONS PAID TO NONCONTROLLING JOINT VENTURE OWNERS = -$11186350
Form 990, Part XI, Line 9	JOINT VENTURE ASSET ADJUSTMENT = $57437

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Cascade Medical Buildings LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 NE Neff Rd	AddressLine1Txt
City	Bend	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Field	Value	IRS element (for citing)
EIN	270037327	EIN
Primary Activities	Real Estate Rental	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Total Income	$1,418,373	TotalIncomeAmt
End Of Year Assets	$28,508,815	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Charles Health System Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST CHARLES FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 NE NEFF ROAD	AddressLine1Txt
City	BEND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Field	Value	IRS element (for citing)
EIN	943076293	EIN
Primary Activities	RAISES FUNDS FOR SCHS & CMNTY PROGRAMS	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SCHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CASCADE MEDICAL IMAGING LLC
1460 NE MEDICAL CENTER DRIVE	BEND	OR	97701	850484640	IMAGING SERVICES	OR	SCHS	RELATED	$23,867,861	$2,896,292	false	Yes (true)	0.70000
HEART CENTER OF THE CASCADES
2500 NE NEFF RD	BEND	OR	97701	383724947	MEDICAL BUILDING	OR	NA	RELATED	$359,810	$159,395	false	Yes (true)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHARITABLE REMAINDER TRUST	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 NE NEFF RD	AddressLine1Txt
City	BEND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97701	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	CRUT	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	TRUST	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST CHARLES FOUNDATION
b	$15,695	BOOK VALUE
ST CHARLES FOUNDATION
c	$1,371,544	BOOK VALUE
ST CHARLES FOUNDATION
o	$395,129	BOOK VALUE
ST CHARLES FOUNDATION
p	$104,304	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
j	$210,682	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
l	$1,309	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
m	$48,601,117	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
p	$195,145	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
q	$4,893,375	BOOK VALUE
CASCADE MEDICAL IMAGING LLC
s	$26,101,484	CASH
HEART CENTER OF THE CASCADES
d	$3,226,000	BOOK VALUE
HEART CENTER OF THE CASCADES
j	$113,600	BOOK VALUE
HEART CENTER OF THE CASCADES
k	$1,722,853	BOOK VALUE
HEART CENTER OF THE CASCADES
m	$331,930	BOOK VALUE
HEART CENTER OF THE CASCADES
s	$240,000	CASH