2022-05-14T18:20:52-05:00 2021-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2020-07-01 742761145 MADISON ST JOSEPH HEALTH CENTER MADI 9797763777 2801 FRANCISCAN DRIVE BRYAN TX 77802 KEVIN WALTERS VP OF FINANCE 9797763777 2022-05-14 1 KEVIN WALTERS 999009999 ANGELA NOEL P01051055 3032989100 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z THERON PARK 2801 FRANCISCAN DRIVE BRYAN TX 77802 14134038 0 0928 X HTTPS://STJOSEPH.STLUKESHEALTH.ORG/ X 1995 TX TO PROVIDE EXCELLENT HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT THE BRAZOS VALLEY. 17 14 182 0 0 0 656563 291528 12534298 13742963 1369 3040 102002 96507 13294232 14134038 500 0 0 0 0 6544058 0 0 0 12614874 6366684 12615374 12910742 678858 1223296 17302400 18837955 5232427 2408687 12069973 16429268 X AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 3551392 4661438 CHI ST. JOSEPH HEALTH MADISON HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL IN MADISONVILLE, TEXAS OFFERING A LEVEL IV TRAUMA CENTER, IN-PATIENT AND OUT-PATIENT SERVICES, THERAPY, EMERGENCY CARE, SKILLED NURSING CARE, INJURY TREATMENT AND MORE.EMERGENCY CARE: MADISON ST. JOSEPH PROVIDED EMERGENCY CARE TO 7,102 PATIENTS DURING FYE 6/30/2021. 2882787 3783849 INPATIENT MEDICAL FLOOR: MADISON ST. JOSEPH PROVIDED INPATIENT MEDICAL SERVICES OVER 3,080 INPATIENT DAYS UNDER FYE 6/30/2021. 1360245 1785411 LABORATORY SERVICES: MADISON ST. JOSEPH PROVIDED 48,687 LAB PROCEDURES TO INPATIENTS, OUTPATIENTS, AND EMERGENCY DEPARTMET PATIENTS DURING FYE 6/30/2021. 2675875 3512265 OTHER PROGRAM SERVICES INCLUDE CARDIOPULMONAY SERVICES, PHAMACY SERVICES, PHYSICIAL THERAPY SERVICES, SUPPLIES TO PATIENTS, RADIOLOGY SERVICES, GERIATRIC PSYCHIATRIC OUTPATIENT SERVICES, DIETARY CONSULTATION SERVICES, AMONG OTHERS. 2675875 3512265 10470299 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 182 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X THERON PARK 9797762553 2801 FRANCISCAN DRIVE BRYAN TX 77802 T DOUGLAS LAWSON PHD CEO CSH TEXAS DIV. / EX-OFFICIO TRUSTEE 1.00 59.00 X X 0 2116319 203814 JAMES WHITE MD BOARD MEMBER 1.00 50.00 X 0 1189287 52211 THERON PARK MARKET PRESIDENT/CEO/CSH SJH 1.00 50.00 X X 0 793976 96070 MICHAEL STEINES MD BOARD MEMBER 1.00 50.00 X 0 636106 48051 KIA PARSI MD FORMER INTERIM PRES/CEO, EX-OFFICIO TRUSTEE 0.00 60.00 X 0 532473 49884 RICARDO DIAZ FORMER COO 0.00 50.00 X 0 373491 41830 AUSTIN JONES VP OF FINANCE 1.00 50.00 X 0 247863 45297 FLORENCIA LACANDOLA RN 40.00 0.00 X 52469 149776 20882 SHERI POUNDS DIRECTOR PATIENT CARE 40.00 0.00 X 7978 163891 18652 SHELLEY WALKER RN 40.00 0.00 X 4933 156404 8093 GIA CHESTER RN 40.00 0.00 X 2537 139877 10359 KATHERINE HAVEL MANAGER THERAPY SVCS 40.00 0.00 X 1724 139394 11621 ANTONIO ARREOLA-RISA PHD BOARD MEMBER 1.00 7.00 X 0 0 0 FRANK ASHLEY BOARD MEMBER 1.00 7.00 X 0 0 0 JAMES BLAIR III CHAIR 1.00 7.00 X X 0 0 0 KAREN BOONE RN BOARD MEMBER 1.00 7.00 X 0 0 0 MICHAEL COHEN MD BOARD MEMBER 1.00 7.00 X 0 0 0 BRYAN COLE PHD BOARD MEMBER 1.00 7.00 X 0 0 0 CHUCK ELLISON VICE-CHAIR 1.00 7.00 X X 0 0 0 GINA FLORES BOARD MEMBER 1.00 7.00 X 0 0 0 CAROLINE MCDONALD BOARD MEMBER 1.00 7.00 X 0 0 0 MARCIA ORY PHD BOARD MEMBER 1.00 7.00 X 0 0 0 MARK SCARMARDO BOARD MEMBER 1.00 7.00 X 0 0 0 JOHN SMITH BOARD MEMBER 1.00 7.00 X 0 0 0 SR NANCY SURMA BOARD MEMBER 1.00 7.00 X 0 0 0 ROBERT UPCHURCH SECRETARY 1.00 7.00 X X 0 0 0 69641 6638857 606764 10 1 1 0 BRAZOS VALLEY EMERGENCY PHYSICIANS 4535 DRESSLER RD NW CANTON OH 44718 EMERGENCY PHYSICIAN CALL COVERAGE 820073 COTTON COMMERCIAL USA INC 5443 KATY HOCKLEY CUTOFF RD KATY TX 77493 INFRASTRUCTURE SUPPORT SERVICES 516157 TEN BROECK HEALTHCARE INC 603 MAIN STREET WINDERMERE FL 34786 HEALTHCARE SERVICES 167500 3 291528 291528 NET PATIENT SERVICES 900099 13742963 13742963 0 0 13742963 3040 3040 87292 0 87292 87292 87292 CAFETERIA 722100 6011 0 0 6011 INSURANCE 524298 3204 0 0 3204 9215 14134038 13742963 0 99547 X 5296528 5031702 264826 252224 239613 12611 639339 607372 31967 355967 338168 17799 975 926 49 724 724 3712451 2673486 1038965 4559 228 4331 258882 64721 194161 148539 17825 130714 24728 19782 4946 568 539 29 276423 276423 50114 50114 MISCELLANEOUS EXPENSES 920180 818960 101220 0 MEDICAL SUPPLIES 665714 652400 13314 0 REPAIRS AND MAINTENANCE 290695 0 290695 0 DUES & SUBSCRIPTIONS 8792 3165 5627 0 3340 1412 1928 12910742 10470299 2440443 0 700 701 65860 125893 0 1413260 3654323 0 0 0 0 0 0 186857 185396 871463 412443 4956571 2688541 2514703 2268030 0 0 0 0 189504 189504 12060053 12001665 17302400 18837955 1692624 2050165 0 0 3179731 0 0 0 0 0 0 0 0 0 0 360072 358522 5232427 2408687 X 12069973 16429268 0 0 12069973 16429268 17302400 18837955 X 1223296 210887 2925112 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 724 0 0 0 724 0 SCHEDULE C, PART II-B, LINE 1 - DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $473 CATHOLIC HEALTH ASSOCIATION - $251 90000 90000 3364497 1477444 1887053 1370799 1082993 287806 131275 128104 3171 2268030 INTERCOMPANY RECEIVABLES 12001665 12001665 ENVIRONMENTAL REMEDIATION LIABILITY 358522 358522 X PART X, LINE 2: MADISON ST. JOSEPH HEALTH CENTER'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 1529 932362 363035 569327 0.04410 2039 1484543 1496624 0 0.00000 432 426314 554939 0 0.00000 4000 2843219 2414598 569327 0.04410 101 9470 9470 0.00070 4088 4088 0.00030 54772 54772 0.00420 101 68330 68330 0.00520 4101 2911549 2414598 637657 0.04930 1 3373015 4049304 1819178 2230126 X 1 1 1 1 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 HTTPS://WWW.CHISTJOSEPH.ORG/ 47 X X X MADISON ST JOSEPH HEALTH CENTER 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE STATEMENT X 1 19 1 SEE STATEMENT 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE STATEMENT X SEE STATEMENT X SEE STATEMENT X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: THE 2019 BRAZOS VALLEY REGIONAL HEALTH ASSESSMENT INCORPORATES DATA FROM THREE SOURCES: (1) SECONDARY DATA (EXISTING DATA AVAILABLE FROM PUBLIC SOURCES), (2) QUALITATIVE DATA FROM COMMUNITY DISCUSSION GROUPS HELD ACROSS THE BRAZOS VALLEY REGION, AND (3) A RANDOMLY SAMPLED HOUSEHOLD AND PURPOSIVE SAMPLED CLINIC BASED SURVEY. COLLECTIVELY, THESE DATA ILLUSTRATE CURRENT AND PROJECTED POPULATION GROWTH, THE MOST PREVALENT LOCAL HEALTH CONDITIONS AND ISSUES, AND THE AVAILABILITY OF HEALTHCARE RESOURCES.THE USE OF ALL THREE DATA SOURCES PROVIDES THE OPPORTUNITY TO DOCUMENT AND VALIDATE COMMUNITY PERCEPTIONS OF VARIOUS ISSUES, AS WELL AS TRIANGULATE FINDINGS FROM DIFFERENT PERSPECTIVES. FOR INSTANCE, INFORMATION GATHERED IN COMMUNITY DISCUSSION GROUPS IDENTIFIED: 1) LOCAL ISSUES SEEN AS A PRIORITY; 2) LOCAL RESOURCES AVAILABLE TO HELP ADDRESS IDENTIFIED ISSUES; AND 3) HOW AND WITH WHOM TO WORK WITH TO ADDRESS COMMUNITY ISSUES AND/OR TO TAKE ADVANTAGE OF COMMUNITY OPPORTUNITIES.SECONDARY DATA ANALYSISA VARIETY OF CREDIBLE LOCAL, STATE, AND FEDERAL SOURCES WERE USED TO PROVIDE A CONTEXT FOR ANALYZING AND INTERPRETING THE 2019 SURVEY DATA. SECONDARY DATA WERE COMPILED FROM A VARIETY OF SOURCES INCLUDING THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (DSHS), THE U.S. CENSUS BUREAU, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), THE TEXAS WORKFORCE COMMISSION, KAISER FAMILY FOUNDATION, THE TEXAS DEPARTMENT OF PUBLIC SAFETY, THE EPISCOPAL HEALTH FOUNDATION, AND THE COUNTY HEALTH RANKINGS PROJECT AT THE UNIVERSITY OF WISCONSIN (SPONSORED BY THE ROBERT WOOD JOHNSON FOUNDATION). ADDITIONAL NATIONAL RESOURCES WERE ALSO USED TO PROVIDE PERSPECTIVE AS TO THE COMMUNITY'S PERFORMANCE COMPARED TO NOTABLE NATIONAL HEALTH ORGANIZATION'S GOALS, GUIDELINES, AND/OR PRIORITIES, SUCH AS, OBJECTIVES AND PRIORITIES SET BY HEALTHY PEOPLE 2020, COUNTY HEALTH RANKINGS, U.S. PREVENTIVE SERVICES TASK FORCE GUIDELINES, AMONG OTHERS. HOUSEHOLD SURVEY AS HAS BEEN THE CASE WITH PREVIOUS ASSESSMENT SURVEYS, A SURVEY DEVELOPMENT COMMITTEE WAS ORGANIZED TO HELP TAILOR THE SURVEY FOR LOCAL INTERESTS, TERMINOLOGY/ JARGON, AND TO ENCOURAGE COMMUNITY OWNERSHIP OF THE ASSESSMENT RESULTS. THE MEMBERS OF THE BRAZOS VALLEY HEALTH COALITION SERVED AS THE 2019 ASSESSMENT COMMITTEE.COMMUNITY DISCUSSION GROUPS/INTERVIEWS COMMUNITY DISCUSSION GROUPS, SIMILAR TO TOWN HALL MEETINGS, WERE ORGANIZED WITH ASSISTANCE FROM LOCAL COMMUNITY CONTACTS ACROSS THE EIGHT-COUNTY REGION. DISCUSSION GROUPS WERE CONVENED WITH THREE COMMUNITY SUBGROUPS WHICH WERE ORGANIZED BY TYPE IN ORDER TO MAXIMIZE PARTICIPATION BY MINIMIZING EFFECTS OF DIFFERENTIAL STATUS OR POWER WITHIN GROUPS. SUBGROUPS WERE CLINICAL AND OTHER MEDICAL/HEALTH/HUMAN SERVICE PROVIDERS, COMMUNITY LEADERS, AND GENERAL CONSUMERS OF HEALTH AND HEALTH-RELATED CARE IN EACH OF THE COUNTIES. DURING THE COURSE OF THE ASSESSMENT, OVER 300 INDIVIDUALS PARTICIPATED IN 21 DISCUSSION GROUP MEETINGS ACROSS THE GREATER BRAZOS VALLEY REGION. PART V, SECTION B, LINE 6A: HOSPITAL FACILITIES PARTICIPATING IN THE CHNA WERE CHI ST. JOSEPH HEALTH REGIONAL HOSPITAL, CHI ST. JOSEPH HEALTH COLLEGE STATION HOSPITAL, CHI ST. JOSEPH HEALTH JV REHAB HOSPITAL, CHI ST. JOSEPH HEALTH BURLESON HOSPITAL, CHI ST. JOSEPH HEALTH GRIMES HOSPITAL, AND CHI ST. JOSEPH HEALTH MADISON HOSPITAL. PART V, SECTION B, LINE 6B: THE CENTER FOR COMMUNITY HEALTH DEVELOPMENT AT THE TEXAS A&M SCHOOL OF PUBLIC HEALTH ASSISTED IN CONDUCTING THE 2019 BRAZOS VALLEY REGIONAL HEALTH ASSESSMENT IN COLLABORATION WITH TEXAS A&M CENTER FOR POPULATION HEALTH & AGING, TEXAS A&M SOUTHWEST RURAL HEALTH RESEARCH CENTER, TEXAS A&M OFFICE OF CULTURAL COMPETENCY, DIVERSITY, AND INCLUSION, BRAZOS COUNTY HEALTH DISTRICT, BRAZOS VALLEY COUNCIL OF GOVERNMENTS, BRAZOS VALLEY COMMUNITY ACTION AGENCY, AND CHI ST. JOSEPH HEALTH. PART V, SECTION B, LINE 7A: STJOSEPH.STLUKESHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT PART V, SECTION B, LINE 10A: STJOSEPH.STLUKESHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT PART V, SECTION B, LINE 11: COMMUNITY BENEFIT PLANGIVEN THE BROAD SCOPE OF COMMUNITY HEALTH ISSUES AND THE TREMENDOUS DIFFERENCES IN THE TYPES OF HEALTH RESOURCES AVAILABLE IN EACH COMMUNITY, CHI ST. JOSEPH HEALTH SOUGHT TO IDENTIFY GOALS THAT WOULD IMPACT AS MANY HEALTH NEEDS AS POSSIBLE WITH THE RESOURCES MOST COMMONLY AVAILABLE IN ALL COUNTIES. THE LEADING HEALTHCARE NEEDS IN THE REGION THAT CHI ST. JOSEPH CHOSE TO ADDRESS: MENTAL HEALTH SERVICES, ACCESS TO HEALTH-RELATED CARE, RISK FACTORS, AND COMMUNICATION AND COORDINATION. MENTAL HEALTH SERVICESTHE DEMAND FOR QUALIFIED MENTAL HEALTH SPECIALISTS HAS INCREASED SIGNIFICANTLY IN RECENT YEARS, THUS INCREASING THE LACK OF QUALIFIED MENTAL HEALTH SPECIALISTS, PARTICULARLY IN RURAL POPULATIONS, SUCH AS THE GREATER BRAZOS VALLEY REGION. THE U.S. TOP PERFORMERS HAVE A RATIO OF 310:1; TEXAS HAS A RATIO OF 957:1.IN AN EFFORT TO SUPPORT AN INCREASE IN MENTAL HEALTH SERVICES OFFERED TO OUR AREA, CHI ST. JOSEPH HEALTH PROVIDES SUPPORT TO LOCAL AND RURAL MENTAL HEALTH SERVICES; SENIOR RENEWAL AND TELEHEALTH COUNSELING SERVICES. THROUGH THE SENIOR RENEWAL PROGRAM, INDIVIDUALS LEARN EFFECTIVE WAYS TO COPE WITH CONCERNS THROUGH A COMBINATION OF THERAPIES, NURSING CARE, AND AN INDIVIDUALIZED TREATMENT PLAN THAT MAY INCLUDE REFERRALS TO COMMUNITY RESOURCES, GROUP THERAPY WITH OTHER SENIOR ADULTS WITH SIMILAR CONCERNS, INDIVIDUAL AND OR FAMILY THERAPY, AND CONTINUOUS COMMUNICATION WITH THEIR PHYSICIAN. CHI ST. JOSEPH HEALTH BURLESON, GRIMES, AND MADISON HOSPITALS PROVIDE SPACE, UTILITIES, SUPPLIES, AND PAY FOR THE STAFF THAT RUN THE SENIOR RENEWAL PROGRAM.TELEHEALTH COUNSELING CLINIC SERVICES ADDRESS DISPARITIES IN ACCESS TO HIGH QUALITY BEHAVIORAL HEALTHCARE TO DIVERSE COMMUNITIES THROUGH COLLABORATIVE PARTNERSHIPS AND THE APPLICATION OF SCIENTIFIC KNOWLEDGE. THE HOSPITAL PROVIDES SPACE, NETWORK CONNECTIONS, AND REFERRALS TO THIS PROGRAM. CHI ST. JOSEPH HEALTH AND TEXAS A&M TELE-BEHAVIORAL CARE (TAMU-TBC) PROGRAM HAVE PARTNERED TO PROVIDE ACCESS TO COUNSELING FOR PATIENTS IN THE BRAZOS VALLEY. TAMU-TBC PROVIDES INDIVIDUAL, COUPLES, AND GROUP COUNSELING VIA VIDEO AND TELEPHONE. THE PARTNERSHIP WILL INCREASE ACCESS TO BEHAVIORAL HEALTH CARE FOR PATIENTS AND COMMUNITY MEMBERS AND IMPROVE MENTAL HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS SERVED. THE HOSPITAL PROVIDES SPACE, NETWORK CONNECTIONS, AND REFERRALS TO THIS PROGRAM. EFFORTS ARE CURRENTLY UNDERWAY TO ESTABLISH TELEHEALTH COUNSELING SERVICES IN HEARNE AND FRANKLIN. WITH THESE ADDITIONAL LOCATIONS, TELEHEALTH SERVICES WILL BE AVAILABLE IN THE PATIENTS' COMMUNITY THUS INCREASING REFERRALS TO THE COUNSELING SERVICES AND INCREASING THE NUMBER OF PATIENTS SERVED BY TELEHEALTH.ACCESS TO HEALTH-RELATED CARETHERE ARE MANY REASONS FOR DELAYS IN HEALTH-RELATED CARE INCLUDING, FOR EXAMPLE, ASSOCIATED COST, LACK OF INSURANCE, AND NOT KNOWING WHERE TO GET CARE. WHEN SURVEY RESPONDENTS WERE ASKED ABOUT THEIR ED UTILIZATION IN THE LAST 12 MONTHS, 7.2% USED THE EMERGENCY ROOM BECAUSE THEY "DO NOT HAVE A REGULAR PLACE TO GO FOR HEALTH CARE." IN RESPONSE TO THESE IDENTIFIED NEEDS, CHI ST. JOSEPH HEALTH REGIONAL HOSPITAL HAS CHOSEN TO FOCUS ON THE EMERGENCY DEPARTMENT (ED) DIVERSION AND PATIENT NAVIGATION PROGRAM AND THE HOME VISIT PROGRAM. THESE PROGRAMS ARE CURRENTLY OFFERED THROUGH THE REGIONAL HOSPITAL IN BRYAN BUT EFFORTS ARE UNDERWAY TO EXPAND THIS DSRIP PROGRAM TO OUR COLLEGE STATION HOSPITAL.THE ED DIVERSION AND PATIENT NAVIGATION PROGRAM WAS IMPLEMENTED AS PART OF THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (1115 WAIVER). THIS PROGRAM FOCUSES ON THE MEDICAID, DUAL ELIGIBLE, AND UNINSURED POPULATION THAT UTILIZES OUR HEALTH SYSTEM EMERGENCY DEPARTMENTS FOR AMBULATORY CARE SENSITIVE CONDITIONS (CHRONIC AND ACUTE AVOIDABLE VISITS). THE PURPOSE OF THE PROGRAM IMPLEMENTED IN THE REGIONAL ED IS TO ENROLL ELIGIBLE PATIENTS IN OUR NAVIGATION PROGRAM EDUCATING THEM ON AVAILABLE RESOURCES AND PROPER HEALTHCARE SYSTEM UTILIZATION; AND ESTABLISH THEM WITH A MEDICAL HOME WITH OUR LOCAL FQHC PARTNER HEALTHPOINT. THE GOAL IS REDUCE AVOIDABLE ED UTILIZATION, IMPROVE PATIENT ACCESS TO HEALTH-RELATED CARE, AND MANAGEMENT OF CHRONIC CONDITIONS. THE HOME VISIT PROGRAM IS A RESOURCE FOR PATIENTS THAT HAVE DIFFICULTY ATTENDING PRIMARY CARE APPOINTMENTS IN A CLINIC OR NEED CLOSE MONITORING OF THEIR CONDITION. THIS IS ACCOMPLISHED BY A HOME VISIT NURSE PRACTITIONER WITH A TEAM OF MEDICAL, NURSING, AND PUBLIC HEALTH STUDENTS ENTERING A PATIENT'S HOME TO ASSESS NEEDS AND PROVIDE CARE. THE PATIENTS ELIGIBLE TO THE HOME VISIT PROGRAM INCLUDE HIGH UTILIZERS OF THE ED THAT HAVE A CHRONIC CONDITION INCLUDING DIABETES, HEART FAILURE, COPD, AND ASTHMA. THE INITIATIVE IS MEASURED BY TRACKING THE NUMBER OF PATIENTS ENROLLED IN THE HOME VISIT PROGRAM AND THE REDUCTION OF ER VISITS FOR THE AVOIDABLE CHRONIC CONDITIONS. ONCE A PATIENT IS ENROLLED AND SCHEDULED WITH THE MEDICAL HOME OR HOME VISIT PROGRAM, OUR NAVIGATION TEAM FINANCIALLY ASSISTS WITH ASSESSED BARRIERS INCLUDING CO-PAYS, TRANSPORTATION, DMES, MEDICATION, AND SPECIALTY REFERRALS (AS NEEDED). DURING THEIR ENROLLMENT WE PROVIDE CONSISTENT FOLLOW UP CALLS (BOTH SOCIAL AND CLINICAL IF APPLICABLE) AND REMINDER CALLS FOR APPOINTMENTS. ELIGIBLE PATIENTS ARE STRATIFIED BASED ON CLINICAL NEEDS AND HISTORICAL ED UTILIZATION. WHEN PATIENTS ARE NEARING THE END OF THE ENROLLMENT PERIOD WITH DSRIP NAVIGATION, WE REFER PATIENTS TO THE BRAZOS HEALTH RESOURCE CENTER FOR CONTINUED RESOURCES IN THE FUTURE.RISK FACTORSOVERALL HEALTH STATUS IS DRIVEN BY BOTH INDIVIDUAL AND SOCIAL FACTORS. RISK FACTORS ARE HEALTH-RELATED BEHAVIORS AMONG THE INDIVIDUAL FACTORS WHICH CONTRIBUTE TO THE DEVELOPMENT OF CHRONIC DISEASES. EXAMPLES INCLUDE SMOKING, OBESITY (AS RELATED TO HEALTHY EATING AND PHYSICAL ACTIVITY), AND PREVENTIVE SCREENING PARTICIPATION, AMONG OTHERS.CHI ST. JOSEPH HEALTH HAS CHOSEN TO FOCUS ON THE MAKING MOVES WITH DIABETES PROGRAM AND THE STAYING THE COURSE SUPPORT GROUP. BOTH OF THESE PROGRAMS WERE ABLE TO BE OFFERED REMOTELY DURING THE PANDEMIC SHUT DOWN.THE MAKING MOVES WITH DIABETES (MMWD) PROGRAM IS AN AMERICAN DIABETES ASSOCIATION (ADA) RECOGNIZED PROGRAM DESIGNED TO HELP INDIVIDUALS MANAGE THEIR DIABETES WITH MINIMAL IMPACT TO THEIR CURRENT LIFESTYLE. THIS PROGRAM IS OFFERED IN COLLABORATION WITH THE TEXAS A&M UNIVERSITY CENTER FOR POPULATION HEALTH AND AGING DEPARTMENT. WITH THE GUIDANCE OF A DIABETES CARE TEAM, PARTICIPANTS WILL HAVE ACCESS TO A REGISTERED NURSE, REGISTERED DIETICIAN, AND A CERTIFIED COMMUNITY HEALTH WORKER WHO WILL CONNECT THEM WITH COMMUNITY RESOURCES WITHIN THE GREATER BRAZOS VALLEY AREA TO HELP MANAGE THEIR DIABETES. THE HOSPITAL PROVIDES AN RN EDUCATOR, REGISTERED DIETICIAN, AND DIRECT REFERRALS FROM PHYSICIANS, MATERIALS, SPACE, ETC. THE PROGRAM'S GOAL IS TO INCREASE EDUCATION, DIRECT PHYSICIAN REFERRALS, A1C TESTING RATES FOR CHI ST. JOSEPH PATIENTS, AND TO ASSIST IN THE REDUCTION OF READMISSION RATES. DURING FY21, CLOSE TO 150 RESIDENTS OF THE BRAZOS VALLEY RECEIVED DIABETES EDUCATION THROUGH THIS PROGRAM. STAYING THE COURSE IS A MONTHLY GROUP DEDICATED TO IMPROVING HEALTH AND AGING WITH LIFESTYLE AND BEHAVIOR MODIFICATION. THIS GROUP OFFERS ENGAGING ONGOING DISCUSSIONS, TIPS AND EDUCATION RELATED TO HOW OUR BEHAVIORS IMPACT OUR HEALTH AND AGING. OVER 80 PEOPLE BENEFITTED FROM THIS UNIQUE EDUCATION/SUPPORT GROUP. PART V, SECTION B, LINE 11 (CONTINUED): COMMUNICATION AND COORDINATIONWHEN SURVEYED, RESIDENTS IN EVERY COMMUNITY EXPRESSED CONCERN WITH COMMUNICATION AND ITS IMPACT ON ACCESS TO SERVICES. SPECIFIC ISSUES RAISED INCLUDE HOW TO INFORM RESIDENTS OF THE RESOURCES AVAILABLE TO THEM, THE NEED FOR OUTREACH TO A GROWING HISPANIC COMMUNITY, AND HOW TO IMPROVE COMMUNICATION AND COORDINATION AMONG/BETWEEN SERVICE PROVIDERS. OUR EFFORT TO ADDRESS THESE CONCERNS WILL INCLUDE FOCUSING ON THE ROLE OF THE HEALTH NAVIGATOR AND HEALTH RESOURCE CENTER IN OUR HOSPITAL SYSTEM AND COMMUNITY SERVICE AREA.CHI ST. JOSEPH HEALTH NOW EMPLOYS FOUR HEALTH NAVIGATORS; SENIOR ADVOCATE, HEALTH COACH, BREAST HEALTH, CARDIAC, THAT COVER A MULTITUDE OF PATIENT AND RESIDENT POPULATIONS. 1) THE SENIOR ADVOCATE IS A MULTI-DISCIPLINARY EXPERTISE DESIGNED TO CONNECT INDIVIDUALS WITH SERVICES, RESOURCES, PROVIDERS, AND CARE COORDINATORS, EFFECTIVELY ELIMINATING BARRIERS TO HEALTHCARE AND PROMOTING HEALTH MANAGEMENT OUTSIDE OF THE ACUTE CARE SETTING FOR THOSE AGED 55 AND OLDER. 2) OUR HEALTH COACH WORKS ONE-ON-ONE WITH THE PATIENT TO DEVELOP A PERSONALIZED WELLNESS PLAN THAT FITS THEIR SPECIFIC HEALTH NEEDS BY SETTING WELLNESS GOALS AND PROVIDING RESOURCES NEEDED TO LIVE A HEALTHIER LIFE. 3) THE BREAST HEALTH NAVIGATOR IS A MULTIDISCIPLINARY EXPERTISE USED TO CONNECT INDIVIDUALS WITH SERVICES, RESOURCES, PROVIDERS, AND CARE COORDINATORS, EFFECTIVELY ELIMINATING BARRIERS TO HEALTHCARE AND PROMOTING HEALTH MANAGEMENT FOR THOSE GOING THROUGH BREAST CANCER TREATMENT. THE NAVIGATOR SERVES AS A CENTRAL POINT OF TIMELY AND PRECISE COMMUNICATION BETWEEN THE PATIENT, TREATMENT TEAM, AND THE REFERRING PHYSICIAN. THEY ENSURE THE PATIENT AND THEIR FAMILY HAS A CLEAR UNDERSTANDING OF THEIR DISEASE PROCESS AND OPTIONS. 4) THE CARDIAC NAVIGATOR ROLE IS ALSO A MULTI-DISCIPLINARY EXPERTISE USED TO CONNECT INDIVIDUALS WITH SERVICES, RESOURCES, PROVIDERS, AND CARE COORDINATORS, EFFECTIVELY ELIMINATING BARRIERS TO HEALTHCARE AND PROMOTING HEALTH. THE GOAL OF THE HEALTH NAVIGATOR ROLE(S) IS TO IMPROVE COMMUNICATION AND COORDINATION, IMPROVE OUTCOMES, AND REDUCE READMISSIONS.CHI ST. JOSEPH HEALTH OPENED A NEW HEALTH RESOURCE CENTER IN BRYAN IN JULY 2016. THE OPENING OF THIS HRC EXPANDED THE CONCEPT OF SIMILAR CENTERS BASED NEAR OUR CRITICAL ACCESS HOSPITALS. THIS WAS MADE POSSIBLE THROUGH A $432,351 GRANT FROM EPISCOPAL HEALTH FOUNDATION. THE EHF IS A 501 (3) NOT-FOR-PROFIT CORPORATION THAT OPERATES AS A SUPPORTING ORGANIZATION OF THE EPISCOPAL DIOCESE OF TEXAS. IT FORMED IN 2013 WHEN THE DIOCESE SOLD ST. LUKE'S SYSTEM IN HOUSTON TO CHI. THE CENTER IS DESIGNED TO ASSESS AN INDIVIDUAL'S NEEDS AND CONNECT THEM TO VARIOUS AGENCIES THROUGHOUT OUR COMMUNITY THAT PROVIDE SERVICES RANGING FROM BASIC FOOD AND SHELTER TO BEHAVIORAL HEALTH COUNSELING. THE BRYAN HRC NOT ONLY HELPS US REACH THE UNDERSERVED AND VULNERABLE IN BRYAN-COLLEGE STATION, IT ALSO SERVES AS A POINT OF CONNECTION FOR OUR HRCS IN SURROUNDING COUNTIES. A CENTRAL FOCUS OF THE CENTER IS TO HELP INDIVIDUALS BECOME MORE SELF-SUFFICIENT, RATHER THAN CONTINUING TO NEED CHARITY CARE. IN THE FIRST YEAR OF SERVICE, THE RESOURCE CENTER HELPED MORE THAN 570 FAMILIES VALUED AT OVER $57,000 OF ASSISTANCE, WITH VIRTUALLY NO BUDGET FOR DIRECT ASSISTANCE OF THEIR OWN. DURING FY21, OVER 700 INDIVIDUALS RECEIVED RESOURCE COORDINATION ASSISTANCE. THE 700+ INDIVIDUALS RECEIVED OVER $45,000 IS MONETARY ASSISTANCE. THE ASSISTANCE IS PAYMENT FOR DOCTOR OR CLINIC VISITS, MEDICATION, AND EQUIPMENT LIKE OXYGEN RENTAL, FOR SHORT TERM NEEDS. LOCAL COMMUNITY PARTNERS ASSISTED TO PAY OTHER NEEDS LIKE RENT, UTILITIES, PHONE CARDS OR SOME DURABLE EQUIPMENT LIKE ROLLING WALKERS OR GLUCOMETERS.CHI ST. JOSEPH HEALTH ALSO SUPPORTS THE BURLESON HEALTH RESOURCE CENTER, GRIMES HEALTH RESOURCE CENTER, AND THE MADISON HEALTH RESOURCE CENTER BY PROVIDING UTILITY ASSISTANCE, OFFICE SPACE, AND OTHER MEANS OF SUPPORT. EACH OF THESE CHRCS SERVE AS A "ONE-STOP-SHOP" FOR LOCAL RESIDENTS TO GAIN ACCESS TO MULTIPLE RESOURCES SIMULTANEOUSLY INSTEAD OF HAVING TO VISIT MULTIPLE PROVIDER LOCATIONS. EACH CHRC PROVIDES DIFFERENT SERVICES, DEPENDING ON THE LOCAL NEEDS AND RESOURCES AVAILABLE IN THE COMMUNITY. SIGNIFICANT NEEDS THE HOSPITAL DOES NOT INTEND TO ADDRESS:CHI ST. JOSEPH HEALTH HAS CHOSEN NOT TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS. THESE HEALTH NEEDS DO NOT FIT WITHIN OUR SCOPE OF SERVICES, OUR MISSION, OR OTHER ORGANIZATIONS IN THE COMMUNITY ARE WORKING TO ADDRESS THESE NEEDS: TRANSPORTATION, FINANCIAL STABILITY, LACK OF RECREATIONAL ACTIVITIES, INCREASED CRIME RATE, ALCOHOL & SUBSTANCE ABUSE, ILLEGAL DRUG USE, LACK OF JOBS FOR UNSKILLED WORKERS, POVERTY AND LACK OF AFFORDABLE HOUSING. PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 16A: STJOSEPH.STLUKESHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: STJOSEPH.STLUKESHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C: STJOSEPH.STLUKESHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART I, LINE 3C: CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CAREUNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: * THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. * THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. * THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. * THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: * RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; * HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; * PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); * FOOD STAMP ELIGIBILITY; * SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; * ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); * LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR * PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART I, LINE 6A: ST. JOSEPH REGIONAL HEALTH CENTER EIN 74-1282696 PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLECOST ACCOUNTING DATA AND GENERAL LEDGER AMOUNTS, LESS BAD DEBT AND COST OF CHARITY CARE, WERE USED TO COMPLETE THE MEDICAID (LINE 7B) AND OTHE MEANS TESTED GOVERNMENT PROGRAMS (LINE 7C) LINES. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE OTHER BENEFITS SECTION (LINE 73 - 7I). PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 3: FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGYMADISON ST. JOSEPH HEALH CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: MADISON ST. JOSEPH HEALTH CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 AND 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. MADISON ST. JOSEPH HEALTH CENTER'S SURPLUS, AS REPORTED ON PART III, SECTION B, LINE 7, OF $2,230,126 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCETHE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. PART VI, LINE 2: THE CHNA IS THE PRIMARY MEANS OF ASSESSING COMMUNITY NEEDS, BUT IS SUPPLEMENTED THROUGHOUT THE YEAR BY INTERACTIONS WITH OUR PARTNER AGENCIES ON PROGRAMS AND SERVICES DESCRIBED IN RESPONSE TO OTHER QUESTIONS. PART VI, LINE 3: NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: * CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; * NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND * PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: BRAZOS COUNTY:2010-2018 POPULATION GROWN PERCENTAGE ESTIMATE IN BRAZOS COUNTY - 16.4%ESTIMATED POPULATION GROWTH PERCENTAGE IN 2015 IN BRAZOS COUNTY - 10.3%MEDIAN AGE AND PERCENT FEMALE POPULATION IN BRAZOS COUNTY - 25.8 YEARS AND 49.4% FEMALERACIAL AND ETHNIC DISTRIBUTION IN BRAZOS COUNTY:*WHITE, NOT HISPANIC - 56%*BLACK/AFRICAN AMERICAN, NOT HISPANIC - 11%*HISPANIC - 26%*ALL OTHER - 7%TOTAL HOUSEHOLDS IN BRAZOS COUNTY - 77,480. OF THOSE, 2% ARE MALE SINGLE HEAD OF HOUSEHOLD WITH CHILDREN UNDER 18, AND 7% FEMALE SINGLE HEAD OF HOUSEHOLD WITH CHILDREN UNDER 18.EDUCATION ATTAINMENT IN BRAZOS COUNTY:*LESS THAN HIGH SCHOOL - 14%*HIGH SCHOOL GRADUATE - 20%*SOME COLLEGE - 26%*BACHELOR DEGREE OR HIGHER - 40%UNEMPLOYMENT, HOME OWNERSHIP AND INCOME CHARACTERISTICS OF BRAZOS COUNTY:*UNEMPLOYMENT RATE - 2.8%*HOME OWNERSHIP RATE - 45.5%*PER CAPITA INCOME - $25,337*MEDIAN HOUSEHOLD INCOME - $43,907*PERSONS BELOW 100% FEDERAL POVERTY RATE - 23.9%*PERSONS BELOW 200% FEDERAL POVERTY RATE - 40%PERCENT OF POPULATION WITH NO HEALTH INSURANCE IN BRAZOS COUNTY - 16.5%POPULATION TO PRIMARY CARE PHYSICIAN RATIO IN BRAZOS COUNTY - 1,166:1POPULATION TO DENTIST PROVIDER RATIO IN BRAZOS COUNTY - 1,972:1POPULATION TO MENTAL HEALTH PROVIDER RATIO IN BRAZOS COUNTY - 1,198:1GRIMES COUNTY:2010-2018 POPULATION GROWN PERCENTAGE ESTIMATE IN GRIMES COUNTY - 6.6%ESTIMATED POPULATION GROWTH PERCENTAGE IN 2015 IN GRIMES COUNTY - 5.6%MEDIAN AGE AND PERCENT FEMALE POPULATION IN GRIMES COUNTY - 40.4 YEARS AND 45.4% FEMALERACIAL AND ETHNIC DISTRIBUTION IN GRIMES COUNTY:*WHITE, NOT HISPANIC - 58%*BLACK/AFRICAN AMERICAN, NOT HISPANIC - 16%*HISPANIC - 24%*ALL OTHER - 2%TOTAL HOUSEHOLDS IN GRIMES COUNTY - 8,980. OF THOSE, 2% ARE MALE SINGLE HEAD OF HOUSEHOLD WITH CHILDREN UNDER 18, AND 10% FEMALE SINGLE HEAD OF HOUSEHOLD WITH CHILDREN UNDER 18.EDUCATION ATTAINMENT IN GRIMES COUNTY:*LESS THAN HIGH SCHOOL - 21%*HIGH SCHOOL GRADUATE - 35%*SOME COLLEGE - 30%*BACHELOR DEGREE OR HIGHER - 14%UNEMPLOYMENT, HOME OWNERSHIP AND INCOME CHARACTERISTICS OF GRIMES COUNTY:*UNEMPLOYMENT RATE - 4.1%*HOME OWNERSHIP RATE - 77.8%*PER CAPITA INCOME - $23,585*MEDIAN HOUSEHOLD INCOME - $49,745*PERSONS BELOW 100% FEDERAL POVERTY RATE - 18%*PERSONS BELOW 200% FEDERAL POVERTY RATE - 35%PERCENT OF POPULATION WITH NO HEALTH INSURANCE IN GRIMES COUNTY - 21%POPULATION TO PRIMARY CARE PHYSICIAN RATIO IN GRIMES COUNTY - 4,612:1POPULATION TO DENTIST PROVIDER RATIO IN GRIMES COUNTY - 4,680:1POPULATION TO MENTAL HEALTH PROVIDER RATIO IN GRIMES COUNTY - 7,021:1 PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL FACILITY PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITY HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITY(IES) TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. CHI ST. JOSEPH HEALTH IMPLEMENTS, PROMOTES, AND SUPPORTS NUMEROUS HEALTH AND SAFETY EDUCATION EVENTS AND ACTIVITIES THROUGHOUT THE YEAR ACROSS THE BRAZOS VALLEY. SOME BUT NOT ALL OF THESE EVENTS AND ACTIVITIES ARE EXPLAINED BELOW. DURING FY21, MANY PROGRAMS WERE PUT ON HOLD AND/OR ADAPTED DUE TO THE COVID-19 PANDEMIC.ONE IN FOUR RESIDENTS OF THE BRAZOS VALLEY REPORT THAT AT LEAST ONE MONTH IN THE PAST YEAR WHEN THEY DID NOT HAVE ENOUGH FOOD OR MONEY TO BUY FOOD FOR THEMSELVES AND/OR THEIR FAMILY. 10.7% OF SURVEY RESPONDENTS REPORTED RECEIVING FOOD FROM A FOOD BANK OR FOOD PANTRY IN THE PAST 6 MONTHS. IN AN EFFORT TO ADDRESS THIS COMMUNITY NEED, ST. JOSEPH HEALTH MADISON HOSPITAL PARTICIPATED IN A SYSTEM-WIDE FOOD DRIVE BENEFITING AREA FOOD BANKS DURING THE MONTHS OF NOVEMBER AND DECEMBER. TEAM MEMBERS ACROSS THE SYSTEM COLLECTED MORE THAN 10,000 NON-PERISHABLE FOOD AND PERSONAL CARE ITEMS. CHI ST. JOSEPH HEALTH FOLLOWED UP OUR TEAM MEMBER'S GENEROSITY AND HANDS-ON EFFORT TO SUPPORT OUR MISSION AND VALUES BY CONTRIBUTING A CASH MATCH OF $10,000. FOOD PANTRIES HAVE MORE BUYING POWER THAN THE EVERY-DAY CONSUMER. THEY ARE ABLE TO PURCHASE SIX POUNDS OF FOOD FOR EVERY DOLLAR DONATED. THE CASH DONATION OF $10,000 EQUATED TO THE ABILITY TO PURCHASE APPROXIMATELY 60,000 POUNDS OF FOOD FOR OUR COMMUNITY.THE ST. JOSEPH MADISON HOSPITAL HOSTS AN ANNUAL HEALTH FAIR EACH YEAR. COMMUNITY HEALTH FAIRS PROVIDE AN AVENUE FOR INCREASING ACCESS TO CARE AND PROMOTING WELLNESS FOR RESIDENTS ACROSS MADISON COUNTY AND SURROUNDING AREAS. THIS YEAR, IN AN EFFORT TO KEEP THE RESIDENTS OF MADISON COUNTY SAFE, A DRIVE THRU HEALTH FAIR AND FLU SHOT CLINIC WAS OFFERED. 40 PEOPLE RECEIVED FREE FLU VACCINATIONS AND HEALTH INFORMATION. BURLESON HOSPITAL EMPLOYEES ALSO PROVIDED HANDWASHING EDUCATION TO THE MADISONVILLE ELEMENTARY SCHOOL TO 50 STUDENTS AND 42 PEOPLE PARTICIPATED IN BLOOD DRIVES OFFERED BY THE HOSPITAL. STROKE EDUCATION WAS ALSO PROVIDED AT A LOCAL CATHOLIC CHURCH TO CONGREGATION MEMBERS.IN RESPONSE TO THE COVID-19 PANDEMIC, BURLESON HOSPITAL EMPLOYEES PROVIDED 300 COVID-19 VACCINES TO FRONT LINE WORKERS AND HIGH RISK RESIDENTS.EMS PROVIDED STANDBY COMMUNITY BASED CLINICAL SERVICES AT 21 LOCAL EVENTS IN FY21. COMMUNITY BUILDING ACTIVITIES INCLUDED A MADISON COUNTY FAIR ASSOCIATION AND MADISON CISD SPONSORSHIP, A BACK-TO-SCHOOL DRIVE-THRU SUPPLY GIVEAWAY, AND FOOD AND A GUEST SPEAKER WAS PROVIDED AT A LOCAL PRAYER VIGIL.ASSISTANCE TO ENROLL IN GOVERNMENTAL HEALTH INSURANCE PROGRAMS FOR LOW-INCOME PERSONS, SUCH AS CHIP AND MEDICAID WAS PROVIDED TO OVER 100 MADISON COUNTY RESIDENTS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF MORE THAN 1,500 CARE SITES, CONSISTING OF 140 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2021, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.5 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.25 BILLION IN FISCAL YEAR 2021, HAS TOTAL ASSETS OF APPROXIMATELY $54.87 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES TX 0 1 0 0 0 0 0 0 0 T DOUGLAS LAWSON PHD CEO CSH TEXAS DIV. / EX-OFFICIO TRUS 0 958843 0 1006996 0 150480 0 182377 0 21437 0 2320133 0 117000 JAMES WHITE MD BOARD MEMBER 0 1187286 0 0 0 2001 0 16655 0 35556 0 1241498 0 0 THERON PARK MARKET PRESIDENT/CEO/CSH SJH 0 472546 0 299859 0 21571 0 62335 0 33735 0 890046 0 18000 MICHAEL STEINES MD BOARD MEMBER 0 632355 0 0 0 3751 0 16975 0 31076 0 684157 0 0 KIA PARSI MD FORMER INTERIM PRES/CEO, EX-OFFICIO 0 419872 0 109515 0 3086 0 16975 0 32909 0 582357 0 0 RICARDO DIAZ FORMER COO 0 281070 0 90974 0 1447 0 10350 0 31480 0 415321 0 0 AUSTIN JONES VP OF FINANCE 0 217295 0 29283 0 1285 0 14671 0 30626 0 293160 0 0 FLORENCIA LACANDOLA RN 52469 148424 0 1152 0 200 0 10899 564 9419 53033 170094 0 0 SHERI POUNDS DIRECTOR PATIENT CARE 7978 150588 0 12999 0 304 0 9698 431 8523 8409 182112 0 0 SHELLEY WALKER RN 4933 151277 0 2954 0 2173 0 8093 0 0 4933 164497 0 0 GIA CHESTER RN 2537 138644 0 625 0 608 0 7917 55 2387 2592 150181 0 0 KATHERINE HAVEL MANAGER THERAPY SVCS 1724 133787 0 5165 0 442 0 8184 39 3398 1763 150976 0 0 PART I, LINE 3: DURING THE CALENDAR YEAR 2020, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A: FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY THE COMMONSPIRIT HEALTH EXECUTIVE SEVERANCE POLICY. THIS POLICY PROVIDES FOR SEVERANCE PAY WHICH VARIES BASED UPON THE EXECUTIVE'S POSITION LEVEL, IN THE EVENT OF A POSITION ELIMINATION OR OTHER QUALIFYING EVENT, IN ACCORDANCE WITH THE GUIDELINES OF THE EXECUTIVE SEVERANCE POLICY. AN EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT SHALL CONTROL WHERE THE SEVERANCE PAY AMOUNTS IN THE POLICY CONFLICT WITH THE EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT. IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT OF CLAIMS. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. PART I, LINE 4B: DURING THE 2020 CALENDAR YEAR, COMMONSPIRIT ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2020 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: THERON PARK - $18,186 AND T. DOUGLAS LAWSON - $136,636 DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2020 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. FORM 990, PART VI, SECTION A, LINE 1 PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MADISON ST. JOSEPH HEALTH CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF MADISON ST. JOSEPH HEALTH CENTER, THE ENTITY'S SOLE MEMBER IS ST. JOSEPH SERVICES CORPORATION D/B/A ST. JOSEPH HEALTH SYSTEM, A TEXAS NONPROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS ST. JOSEPH SERVICES CORPORATION, D/B/A ST. JOSEPH HEALTH SYSTEM. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH ST. JOSEPH HEALTH SYSTEM AND COMMONSPIRIT HEALTH (ST. JOSEPH HEALTH SYSTEM'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE ST. JOSEPH HEALTH SYSTEM BOARD: *APPROVE MEMBERS OF THE MADISON ST. JOSEPH HEALTH CENTER BOARD *AMENDMENT OF THE CORPORATE DOCUMENTS OF MADISON ST. JOSEPH HEALTH CENTER *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MADISON ST. JOSEPH HEALTH CENTER *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MADISON ST. JOSEPH HEALTH CENTER THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MADISON ST. JOSEPH HEALTH CENTER *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MADISON ST. JOSEPH HEALTH CENTER *APPROVAL OF ISSUANCE OF DEBT BY MADISON ST. JOSEPH HEALTH CENTER *APPROVAL OF PARTICIPATION OF MADISON ST. JOSEPH HEALTH CENTER IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY MADISON ST. JOSEPH HEALTH CENTER *APPROVAL OF A MERGER INVOLVING MADISON ST. JOSEPH HEALTH CENTER *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MADISON ST. JOSEPH HEALTH CENTER *TO REQUIRE THE TRANSFER OF ASSETS BY MADISON ST. JOSEPH HEALTH CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, ST. JOSEPH HEALTH SYSTEM OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, THE FORM 990 AND ACCOMPANYING SCHEDULES ARE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE. THE DRAFT IS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES' REVIEW. THE REVIEW IS UNDER THE DIRECTION OF THE CFO AND/OR TAX RETURN PREPARERS, IF REQUESTED BY THE TRUSTEES. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: *MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES *MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES *MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT *CORPORATE OFFICERS OF SYSTEM ENTITIES *EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE *ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY. *SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP (WHICH INCLUDES KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE). DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. LINE 15B: DURING THE TAX YEAR ENDED 6/30/2021, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 989,506. MANAGEMENT AND GENERAL EXPENSES 384,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,373,589. CONSULTING: PROGRAM SERVICE EXPENSES 27,389. MANAGEMENT AND GENERAL EXPENSES 10,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,040. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 71,940. MANAGEMENT AND GENERAL EXPENSES 27,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,917. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,007,112. MANAGEMENT AND GENERAL EXPENSES 391,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,398,767. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 577,539. MANAGEMENT AND GENERAL EXPENSES 224,599. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 802,138. FORM 990, PART XI, LINE 9: REALLOCATION OF CARES ACT REVENUE 2,925,112. FORM 990, PART XI, LINE 8: PRIOR PERIOD ADJUSTMENT: CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSP OF MO VALLEYIA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) LINE 10 SFH 0 ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION 345 S HALCYON RD ARROYO GRANDE CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93301 951802779 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 BARROW NEUROLOGICAL FOUNDATION 350 WEST THOMAS ROAD PHOENIX AZ 85013 860174371 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 7 DH 0 BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(C)(3) LINE 12A, I SLHS 0 BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT HEALTH FOUNDATION INC 1 WEST WAY CT LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I TCHB 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840405257 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 9100 EAST MINERAL CIRCLE CENTENNIAL CO 80112 840902211 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CHIC 0 CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 KELLY JOHNSON BLVD 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 12A, I CSH 0 CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 TELEHEALTH CO 501(C)(3) LINE 12A, I CHI NS 0 CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(C)(3) LINE 10 MMC - ROSEBURG 0 CENTRAL CALIFORNIA HEALTH CENTERS 300 OLD RIVER ROAD STE 200 BAKERSFIELD CA 93311 844171789 CLINIC CA 501(C)(3) LINE 3 DCC 0 CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 INACTIVE KS 501(C)(3) LINE 3 CSH 0 CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 SENIOR LIVING MN 501(C)(3) LINE 10 CSH 0 CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 ACH 0 CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 INVESTMENTS KY 501(C)(3) LINE 12A, I CSH 0 CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 SENIOR LIVING OH 501(C)(3) LINE 12A, I SFH-OH 0 CHI MEMORIAL HOSPITAL - GEORGIA 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(C)(3) LINE 3 MHCS 0 CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HOME HEALTH CO 501(C)(3) LINE 10 CHI NS 0 CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HOLDING CO CO 501(C)(3) LINE 12A, I CSH 0 CHI NEBRASKA 12809 WEST DODGE ROAD OMAHA NE 68510 363233121 HOLDING CO NE 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHISVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHISVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 501(C)(3) LINE 12A, I CSH 0 COMMONSPIRIT HEALTH RESEARCH INSTITUTE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 RESEARCH CO 501(C)(3) LINE 12A, I CSH 0 COMMUNITY HOSPITAL OF SAN BERNARDINO 1805 MEDICAL CENTER DRIVE SAN BERNARDINO CA 92411 951643373 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 COMMUNITY LIMITED CARE DIALYSIS CENTER 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 237419853 HOLDING CO OH 501(C)(4) GSH 0 COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AH-CMHMV 0 CONTINUING CARE HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611400619 HOSPITAL KY 501(C)(3) LINE 3 SJHS 0 DIGNITY COMMUNITY CARE 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 815009488 HOSPITAL CO 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(C)(3) LINE 3 CSH 0 DIGNITY HEALTH CONNECTED LIVING 200 MERCY OAKS DRIVE REDDING CA 96003 237115371 SENIOR CENTER SERVICES CA 501(C)(3) LINE 7 DH 0 DIGNITY HEALTH FOUNDATION 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION - INLAND EMPIRE 2101 N WATERMAN AVENUE SAN BERNARDINO CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH FOUNDATION EAST VALLEY 475 SOUTH DOBSON ROAD CHANDLER AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH HPL SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 943006034 SELF INSURANCE CA 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH INSURANCE NEVADA LTD 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 813800752 SELF INSURANCE NV 501(C)(3) LINE 12A, I DH 0 DIGNITY HEALTH MEDICAL FOUNDATION 3400 DATA DRIVE RANCHO CORDOVA CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(C)(3) LINE 12A, I DCC 0 DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 946612446 SELF INSURANCE CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HEALTH SERVICES 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770056778 COMMUNITY HEALTH SYSTEM CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN HOSPITAL FOUNDATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 DOMINICAN OAKS CORPORATION 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770127719 OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS CA 501(C)(3) LINE 10 DHS 0 EAST TEXAS CLINICAL SERVICES 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(C)(3) LINE 12A, I SLHS 0 ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I FH 0 FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(C)(3) LINE 10 CHILC 0 FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(C)(3) LINE 3 CSH 0 FRANCISCAN HEALTH VENTURES TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 INACTIVE MO 501(C)(3) LINE 10 CSH 0 FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 PHYSICIANS WA 501(C)(3) LINE 10 FHS 0 FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 INACTIVE WI 501(C)(3) LINE 10 CSH 0 FRENCH HOSPITAL MEDICAL CENTER FOUNDATION 1911 JOHNSON AVENUE SAN LUIS OBISPO CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(C)(3) LINE 3 SAMC 0 GLENDALE MEMORIAL HEALTH FOUNDATION 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 INACTIVE CO 501(C)(3) LINE 12A, I CSH 0 GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311778403 EDUCATION OH 501(C)(3) LINE 2 GSH 0 GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 311206047 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I GSH 0 GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 GSH-KN 0 HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING FOUNDATION WA 501(C)(3) LINE 7 HMC 0 HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(C)(3) LINE 12A, I SFMC-MN 0 HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(C)(3) LINE 3 FHS 0 HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 ASSIST LIVING IA 501(C)(3) LINE 7 CHI-IA CORP 0 JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029768 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E LIBERTY ST STE 800 LOUISVILLE KY 40202 611352729 PHYSICIANS KY 501(C)(3) LINE 10 JHSMH 0 KENTUCKYONE HEALTH INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611029769 HEALTHCARE KY 501(C)(3) LINE 12A, I CSH 0 LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 LHC 0 LEGACY FOUNDATION OF KENTUCKIANA INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I KOH 0 LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 ASSIST LIVING KY 501(C)(3) LINE 10 CHILC 0 MARIAN REGIONAL MEDICAL CENTER FOUNDATION 1400 E CHURCH STREET SANTA MARIA CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(C)(3) LINE 7 MHCS 0 MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(C)(3) LINE 3 CSH 0 MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) LINE 10 MHCS 0 MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(C)(3) LINE 3 MHSET 0 MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(C)(3) LINE 3 MHSET 0 MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(C)(3) LINE 12A, I MHSET 0 MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 INACTIVE TX 501(C)(3) LINE 3 MHSET 0 MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(C)(3) LINE 12A, I MF-DM IA 0 MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(C)(3) LINE 10 CHI-IA CORP 0 MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(C)(3) LINE 2 CHI-IA CORP 0 MERCY FOUNDATION BAKERSFIELD PO BOX 119 BAKERSFIELD CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 7 CHI-IA CORP 0 MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 7 MMC - ROSEBURG 0 MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHMH-CORNING 0 MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MHVC 0 MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING FOUNDATION IA 501(C)(3) LINE 12A, I AHBMHS 0 MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 7 MHDL 0 MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MCMAHON TERRACE 3865 J STREET SACRAMENTO CA 95816 680117340 SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES CA 501(C)(3) LINE 10 DH 0 MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP 0 MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4TH AVE E NEWTON IA 50314 421470935 HOSPITAL IA 501(C)(3) LINE 3 CHI-IA CORP 0 MERCY MEDICAL CENTER MERCED FOUNDATION 301 E 13TH STREET MERCED CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I MMC WILLISTON 0 NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 NORTHLAND HEALTHCARE ALLIANCE 2223 EAST ROSSER AVENUE BISMARCK ND 58501 911845296 MANAGEMENT ND 501(C)(3) LINE 7 SAMC 0 NORTHRIDGE HOSPITAL FOUNDATION 18300 ROSCOE BLVD NORTHRIDGE CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I OCH 0 PACIFIC CENTRAL COAST HEALTH CENTERS 1400 E CHURCH STREET SANTA MARIA CA 93454 770447575 CLINIC CA 501(C)(3) LINE 3 DCC 0 PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(C)(3) LINE 12A, I MHSET 0 PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA CA 95670 465322209 HOSPITAL CA 501(C)(3) LINE 3 DH 0 PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 LTERM CARE OH 501(C)(3) LINE 10 CHILC 0 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) LINE 7 CHIC 0 SET OF COLORADO SPRINGS INC 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 841183335 SENIOR CENTER SERVICES CO 501(C)(3) LINE 7 CHIC 0 SAINT CLARE'S COMMUNITY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222876836 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 SAINT CLARE'S HEALTH SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223639733 INACTIVE NJ 501(C)(3) LINE 10 CSH 0 SAINT CLARE'S HOSPITAL INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 223319886 INACTIVE NJ 501(C)(3) LINE 3 SCHS 0 SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SERMC 0 SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 INACTIVE NE 501(C)(3) LINE 3 SERMC 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SFMC-NE 0 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE STREET SAN FRANCISCO CA 94109 941156295 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH HEALTH SYSTEM INC ONE ST JOSEPHS DRIVE LEXINGTON KY 40504 611334601 HOSPITAL KY 501(C)(3) LINE 3 KOH 0 SAINT JOSEPH HOSPITAL FOUNDATION INC 701 BOB OLINK DR 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 12A, I SJHS 0 SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(C)(3) LINE 7 SJHS 0 SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 FAIRWAY STREET DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(C)(3) LINE 12A, I SJHHC 0 SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION 438 WEST LAS TUNAS DRIVE SAN GABRIEL CA 91776 953430341 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 12A, I AHMHS 0 SIERRA NEVADA MEMORIAL-MINERS HOSPITAL 155 GLASSON WAY GRASS VALLEY CA 95945 941439787 HOSPITAL CA 501(C)(3) LINE 3 DCC 0 SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HOSPITAL MO 501(C)(3) LINE 3 CSH 0 ST FRANCIS FOUNDATION OF SANTA BARBARA 2323 DE LA VINA ST SUITE 104 SANTA BARBARA CA 93105 237137119 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST FRANCIS HOSPITAL SUPPORT CORPORATION 601 E MICHELTORENA STREET SANTA BARBARA CA 93103 770022302 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST JOHNS HEALTHCARE FOUNDATION 1600 NORTH ROSE AVENUE OXNARD CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST JOSEPHS FOUNDATION (PHOENIX) 350 WEST THOMAS ROAD PHOENIX AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I DH 0 ST JOSEPHS FOUNDATION OF SAN JOAQUIN 1800 N CALIFORNIA STREET STOCKTON CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY MEDICAL CENTER FOUNDATION 1050 LINDEN AVENUE LONG BEACH CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST MARY PROFESSIONAL BUILDING INC 1050 LINDEN AVENUE LONG BEACH CA 90813 237373088 INACTIVE CA 501(C)(3) LINE 12A, I DH 0 ST MARYS MEDICAL CENTER FOUNDATION 450 STANYAN STREET SAN FRANCISCO CA 94117 943336143 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DH 0 ST ROSE DOMINICAN HEALTH FOUNDATION 3001 ST ROSE PARKWAY HENDERSON NV 89052 880349432 FUNDRAISING FOUNDATION NV 501(C)(3) LINE 12A, I DH 0 ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST ANNE OC 1145 BROADWAY PLAZA STE 1200 TACOMA WA 98402 863590968 INACTIVE WA 501(C)(3) LINE 10 FHS 0 ST ANTHONY HOSPITAL 2801 ST ANTHONY WAY PENDLETON OR 97801 930391614 HOSPITAL OR 501(C)(3) LINE 3 CSH 0 ST ANTHONY HOSPITAL FOUNDATION 2801 ST ANTHONY WAY PENDLETON OR 97801 930992727 FUNDRAISING FOUNDATION OR 501(C)(3) LINE 12A, I SAH 0 ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(C)(3) LINE 3 SVIMC 0 ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(C)(3) LINE 3 CSH 0 ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING FOUNDATION KS 501(C)(3) LINE 12A, I SCH 0 ST CLARE COMMONS 12469 FIVE POINT ROAD TOLEDO OH 43551 270163752 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 INVESTMENTS OR 501(C)(4) CSH 0 ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 ST FRANCIS LIFE CARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222536017 INACTIVE NJ 501(C)(3) LINE 8 SCHS 0 ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I SJSC 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 LTERM CARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH MEDICAL CENTER INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 520591461 INACTIVE MD 501(C)(3) LINE 3 CSH 0 ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIANS TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH PHYSICIAN ENTERPRISE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521311775 INACTIVE MD 501(C)(3) LINE 12A, I SJMC 0 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(C)(3) LINE 10 SJSC 0 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(C)(3) LINE 12A, I SLHS 0 ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 FAIRWAY ST DICKINSON ND 58601 450226429 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(C)(3) LINE 10 CHILC 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 7 SLHS 0 ST LUKE'S HEALTH SYSTEM CORPORATION PO BOX 20269 HOUSTON TX 77225 760536232 MANAGEMENT TX 501(C)(3) LINE 12A, I CSH 0 ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 ST LUKE'S PROPERTIES CORPORATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 760531716 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLHS 0 ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(C)(3) LINE 12A, I SLCDC-SL 0 ST MARY'S COMMUNITY HOSPITAL 1301 GRUNDMAN BOULEVARD NEBRASKA CITY NE 68410 470443636 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING FOUNDATION NE 501(C)(3) LINE 7 SMCH 0 ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING FOUNDATION AR 501(C)(3) LINE 12A, I SVIMC 0 ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HOSPITAL AR 501(C)(3) LINE 3 CSH 0 ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 PHYSICIANS AR 501(C)(3) LINE 10 SVIMC 0 SYLVANIA FRANCISCAN HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 341412964 HOLDING CO OH 501(C)(3) LINE 12A, I CSH 0 SYLVANIA FRANCISCAN HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 455357161 INACTIVE OH 501(C)(3) LINE 12A, I SFH-OH 0 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSIST LIVING OH 501(C)(3) LINE 10 CHILC 0 THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HOSPITAL TX 501(C)(3) LINE 3 SLHS 0 THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 625 EDEN PARK DRIVE 7TH FLOOR CINCINNATI OH 45202 310537486 HOSPITAL OH 501(C)(3) LINE 3 CSH 0 THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(C)(3) LINE 12A, I CHI NEBRASKA 0 TOTAL HEALTHCARE 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840927232 INACTIVE CO 501(C)(3) LINE 3 CHIC 0 TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING FOUNDATION OH 501(C)(3) LINE 12A, I THS 0 TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(C)(3) LINE 12A, I N/A 0 TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HOSPITAL OH 501(C)(3) LINE 3 THS 0 TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSIST LIVING OH 501(C)(3) LINE 7 THS 0 UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HOSPITAL MN 501(C)(3) LINE 3 CSH 0 VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(C)(3) LINE 10 CSH 0 VISITING NURSE ASSOCIATION OF ST CLARE'S INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 221768334 INACTIVE NJ 501(C)(3) LINE 10 SCHS 0 YAVAPAI COMMUNITY HOSPITAL ASSOC 1003 WILLO CREEK ROAD PRESCOTT AZ 86301 860098923 HOSPITAL AZ 501(C)(3) LINE 3 DCC 0 YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION 1003 WILLO CREEK ROAD PRESCOTT AZ 86301 861038463 FUNDRAISING FOUNDATION AZ 501(C)(3) LINE 12A, I YRMC 0 AMERICAN MERCY HOME CARE LLC 1700 EDISON DR MILFORD OH 45150 830486150 HOME HEALTH OH N/A N/A 0 0 ARIZONA CARE NETWORK - NEXT LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 474696671 CARE NETWORK AZ N/A N/A 0 0 ARIZONA CARE NETWORK LLC (ACN LLC) 4222 E THOMAS RD STE 400 PHOENIX AZ 85013 454494682 CARE NETWORK AZ N/A N/A 0 0 ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC 1510 COTNER AVENUE LOS ANGELES CA 90025 851067265 DIAGNOSTIC SERVICES CA N/A N/A 0 0 AUDUBON LAND COMPANY LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 841513085 REAL ESTATE CO N/A N/A 0 0 BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 FANNIN ST STE 1100 HOUSTON TX 77030 472079184 HEALTHCARE SRVC TX N/A N/A 0 0 BERGAN MERCY SURGERY CENTER LLC 7710 MERCY RD STE 200 OMAHA NE 68124 208671994 AMBUL SURG CTR NE N/A N/A 0 0 BERYWOOD OFFICE PROPERTIES LLC 2501 CITICO AVENUE CHATTANOGA TN 37404 621875199 PHYS OFFICE TN N/A N/A 0 0 BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD 709 WING ON PLAZA 62 MODY ROAD TS HONG KONG CH HEALTH SERVICES CH N/A N/A 0 0 BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC IMAGING KY N/A N/A 0 0 CBCC OUTSMARTING CANCER LLC 6501 TRUXTUN AVENUE BAKERSFIELD CA 93309 461602286 RADIATION / ONCOLOGY CA N/A N/A 0 0 CENTRAL NEBRASKA REHAB SVCS LLC 3004 W FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 PHYSICAL THERAPY NE N/A N/A 0 0 CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM AL 35209 474823023 OP SURGERY CENTER AL N/A N/A 0 0 CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470727942 INVESTMENTS CO N/A N/A 0 0 CHICAMSURG SURGERY CENTERS LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 465683027 SURGERY CENTER CO N/A N/A 0 0 COLORADO SPRINGS CK LEASING LLC 630 SOUTHPOINTE COURT 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO N/A N/A 0 0 COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC 1700 EDISON DR MILFORD OH 45150 311746556 HOME HEALTH OH N/A N/A 0 0 DE JV LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 320496548 EMERGENCY CARE NV N/A N/A 0 0 DHHP SURGERY CENTERS LLC 1513 S GRAND AVENUE STE 350 LOS ANGELES CA 90015 831847466 SURGERY DE N/A N/A 0 0 DHRT HOLDINGS LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 352484591 HOLDING COMPANY DE N/A N/A 0 0 DIGNITY- GOHEALTHURGENT CARE MGMT LLC 5555 GLENRIDGE CONNECTOR STE 700 ATLANTA GA 30342 352548698 MANAGEMENT SERVICES DE N/A N/A 0 0 DIGNITY HEALTH AT HOME LLC 1700 EDISON DR MILFORD OH 45150 824674115 HEALTHCARE SRVC DE N/A N/A 0 0 DIGNITY HEALTH SPECIALTY PHARMACY LLC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 320589462 SPECIALTY PHARMACY SERVICES DE N/A N/A 0 0 DIGNITY HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE TN 37203 832832522 HOME RECOVERY PROGRAM DE N/A N/A 0 0 DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202999237 SURGERY TX N/A N/A 0 0 DIGNITYUSP NORCAL SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 202468509 SURGERY TX N/A N/A 0 0 DIGNITYUSP PHOENIX SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 134248908 SURGERY TX N/A N/A 0 0 DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 352584991 SURGERY TX N/A N/A 0 0 DIGNITY-ABRAZO HEALTH NETWORK LLC 4222 E THOMAS RD STE 400 PHOENIX AZ 85018 465477985 MANAGEMENT SERVICES AZ N/A N/A 0 0 DOMINICAN MAGNETIC RESONANCE IMAGING CENTER 1545 SOQUEL DRIVE SANTA CRUZ CA 94065 770095477 IMAGING CENTER CA N/A N/A 0 0 ECCS ACQUISITION COMPANY LLC 2940 NORTH CIRCLE DRIVE COLORADO SPRINGS CO 80909 352656413 AMBUL SURG CTR CO N/A N/A 0 0 ENDOSCOPY CENTER OF ARKANSAS 1024 NORTH UNIVERSITY AVE LITTLE ROCK AR 72207 201337002 DIAGNOSTIC SERVICES AR N/A N/A 0 0 FOLSOM SIERRA ENDOSCOPY CENTER LP 1671 CREEKSIDE DRIVE SUITE 100 FOLSOM CA 95630 680482416 ENDOSCOPY CA N/A N/A 0 0 FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC 6622 WOLLOCHET DR NW GIG HARBOR WA 98335 463494108 REAL ESTATE WA N/A N/A 0 0 FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 813725123 HEALTHCARE SRVC WA N/A N/A 0 0 GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC 1700 EDISON DR MILFORD OH 45150 201792869 HOME HEALTH OH N/A N/A 0 0 HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD WI 53045 270453767 PROPERTY HOLDING WI N/A N/A 0 0 HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 LAUNDRY NE N/A N/A 0 0 HEARTLAND ONCOLOGY LLC 2337 E CRAWFORD ST SALINA KS 67401 464265403 ONCOLOGY KS N/A N/A 0 0 LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA NE 68130 204267902 AMBUL SURG CTR NE N/A N/A 0 0 LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY SRVC NE N/A N/A 0 0 LEXINGTON MBO PARTNERS LTD 5050 SOUTH SYRACUSE ST STE 800 DENVER CO 80237 651132855 REAL ESTATE CO N/A N/A 0 0 LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET LINCOLN NE 68510 262496856 REAL ESTATE NE N/A N/A 0 0 MEMORIAL MEDICAL PLAZA 3838 SAN DIMAS SUITE B 201 BAKERSFIELD CA 93301 364510880 REAL ESTATE CA N/A N/A 0 0 MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC 2740 M STREET MERCED CA 95340 943358445 MANAGEMENT OF CANCER CENTER CA N/A N/A 0 0 MERCY REHABILITATION HOSPITAL LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 814437201 HEALTHCARE SRVC TX N/A N/A 0 0 MILITARY ROAD PROPERTIES LLC 181 S 333RD STREET STE 250 FEDERAL WAY WA 98003 912067879 REAL ESTATE WA N/A N/A 0 0 NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE N/A N/A 0 0 NICU OPERATING CO OF SANTA CRUZ LLC 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 460502935 NEONATAL HEALTHCARE CA N/A N/A 0 0 NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR N/A N/A 0 0 NORTHERN PLAINS LABORATORY LLC 401 N 9 STREET BISMARK ND 58501 841641341 DIAGNOSTIC SERVICES ND N/A N/A 0 0 NSC CHANNEL ISLANDS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 770409291 AMBULATORY SURGICAL CENTER CA N/A N/A 0 0 ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80228 371577105 ORTHO HOSPITAL CO N/A N/A 0 0 PARK RAPIDS AREA HEALTH CARE 600 PLEASANT AVENUE S PARK RAPIDS MN 56470 204926259 HEALTHCARE SRVC MN N/A N/A 0 0 PATIENT TRANSPORT SERVICES OF COLUMBUS INC 1700 EDISON DR MILFORD OH 45150 264601285 AMBULANCE OH N/A N/A 0 0 PENINSULA RADIATION ONCOLOGY CENTER LLC 314 MLK JR WAY STE 11 TACOMA WA 98405 870808610 HEALTHCARE SRVC WA N/A N/A 0 0 PENRAD IMAGING LLC 1390 KELLY JOHNSON BLVD COLORADO SPRINGS CO 80920 841072619 MEDICAL IMAGING CO N/A N/A 0 0 PERFORMANCE MED EQUIP & RESPIR SVSC LLC 19625 62ND AVE S STE 101 KENT WA 98032 452901632 HOLDING COMPANY WA N/A N/A 0 0 PLAZA SURGERY CENTER LP 525 E PLAZA DRIVE SUITE 100 SANTA MARIA CA 93454 770573567 SURGERY CA N/A N/A 0 0 PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON TX 77002 273280598 HOSPITAL TX N/A N/A 0 0 PRECISION MEDICINE ALLIANCE LLC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 352569159 DIAGNOSTIC SERVICES CO N/A N/A 0 0 RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA N/A N/A 0 0 RBR MANAGEMENT LLC 91 CORPORATE PARK DRIVE SUITE 120 HENDERSON NV 89074 271466450 AMBULANCE NV N/A N/A 0 0 REID-ANC HOME CARE SERVICES LLC 1700 EDISON DR MILFORD OH 45150 371454747 HOME HEALTH IN N/A N/A 0 0 SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRODSBURG RD LEXINGTON KY 40503 453801157 INACTIVE DE N/A N/A 0 0 SAINT JOSEPH HEALTH ASC LLC 1 SAINT JOSEPH DRIVE LEXINGTON KY 40504 852155230 SURGERY KY N/A N/A 0 0 SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD OH 45150 263330545 HOME HEALTH KY N/A N/A 0 0 SANTA CRUZ COMPREHENSIVE IMAGING LLC 1661 SOQUEL DRIVE SUITE G SANTA CRUZ CA 95065 010550623 IMAGING CA N/A N/A 0 0 SANTA CRUZ LAND & BUILDING LP 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 770285236 REAL ESTATE CA N/A N/A 0 0 SANTA CRUZ SURGERY CENTER LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA N/A N/A 0 0 SEVEN OAKS SURGERY CENTER LLC 1801 ORANGE TREE LANE SUITE 200 REDLANDS CA 92374 851559544 SURGERY CA N/A N/A 0 0 SOUTHEASTERN HOME CARE LLC 1700 EDISON DR MILFORD OH 45150 271219638 HOME HEALTH OH N/A N/A 0 0 ST JOSEPH'S SURGERY CENTER LP 15305 DALLAS PARKWAY SUITE 1600 LB ADDISON TX 75001 201019390 SURGERY TX N/A N/A 0 0 ST ELIZABETH HOME CARE SERVICES LLC 1700 EDISON DR MILFORD OH 45150 261236191 HOME HEALTH KY N/A N/A 0 0 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO N/A N/A 0 0 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTIC SERVICES TX N/A N/A 0 0 ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX N/A N/A 0 0 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON TX 77030 462795726 DIAGNOSTIC SERVICES TX N/A N/A 0 0 TEMPLETON SURGERY CENTER LLC 1310 LAS TABLAS ROAD SUITE 104 TEMPLETON CA 94365 202246616 SURGERY CA N/A N/A 0 0 THE MEDICAL PAVILION AT ST JOHN'S 1600 ROSE AVENUE OXNARD CA 93030 770332349 REAL ESTATE CA N/A N/A 0 0 THREE SPRING IMAGING LLC 1 MERCADO ST STE 200A DURANGO CO 81301 813571570 HEALTHCARE SRVC CO N/A N/A 0 0 TIA ARIZONA LLC 3030 N CENTRAL AVENUE SUITE 1402 PHOENIX AZ 85012 863158670 CLINIC AZ N/A N/A 0 0 VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC 18330 ROSCOE BLVD NORTHRIDGE CA 91328 800864336 SURGERY CA N/A N/A 0 0 ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC 12809 WEST DODGE RD OMAHA NE 68154 470802396 MANAGED CARE NE N/A C 0 ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 10073 APO GEORGETOWN GRAND CAYMAN CJ 980556913 INSURANCE CJ N/A C 0 ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 HEALTHCARE TX N/A C 0 ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 841112049 MANAGEMENT SERVICES CO N/A C 0 AMERICAN NURSING CARE INC 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH N/A C 0 AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH N/A C 0 BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 INACTIVE KY N/A C 0 BRAZOSPORT HEALTH ALLIANCE 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 HEALTHCARE TX N/A C 0 CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD STE 500 CHATTANOOGA TN 37411 621570736 HEALTHCARE TN N/A C 0 CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 272269511 RESEARCH CO N/A C 0 CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC 1201 W FRANK AVE LUFKIN TX 75904 834184717 CONDO ASSOC TX N/A C 0 CLEARRIVER HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464495960 INSURANCE TN N/A C 0 COASTAL SURGICAL SPECIALISTS INC 921 OAK PARK BLVD SUITE 101 PISMO BEACH CA 93449 743000596 AMBULATORY SURGERY CENTER CA N/A S 0 COMCARE SERVICES INC 9100 E MINERAL CIRCLE CENTENNIAL CO 80112 840904813 INACTIVE CO N/A C 0 CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH N/A C 0 DES MOINES MEDICAL CENTER INC 1111 6TH AVE DES MOINES IA 50314 420837382 REAL ESTATE IA N/A C 0 DIGNITY HEALTH HOLDING CORPORATION 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 460675371 HOLDING CO NV N/A C 0 DIGNITY HEALTH INSURANCE LTD PO BOX 1051 GRAND CAYMAN ISLANDS GRAND CAYMAN CJ 981065338 CAPTIVE INSURANCE CJ N/A C 0 DIGNITY HEALTH PROVIDER RESOURCES INC 185 BERRY STREET SUITE 200 SAN FRANCISCO CA 94107 473366764 HEALTH PLAN CA N/A C 0 DIVERSIFIED HEALTH RESOURCES INC 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 HEALTHCARE TX N/A C 0 FRANCISCAN CITY URGENT CARE SRVS PS C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK NY 10105 812174959 INACTIVE NY N/A C 0 FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232487967 HOLDING CO CO N/A C 0 GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY NE 68848 470659440 MEDICAL CLINIC NE N/A C 0 HARVESTPLAINS HEALTH OF IOWA 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473451750 INSURANCE WA N/A C 0 HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC 1400 E CHURCH STREET SANTA MARIA CA 93454 770074057 HEALTHCARE CA N/A C 0 HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY NE 68848 470664558 MGMT NE N/A C 0 HEALTHCARE MGMT SERVICES ORGANIZATION INC 1149 MARKET ST TACOMA WA 98402 911865474 INACTIVE WA N/A C 0 HEARTLANDPLAINS HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464368223 INSURANCE NE N/A C 0 HIGHLINE MEDICAL GROUP 1717 S J STREET TACOMA WA 98405 911407026 MEDICAL SERVICES WA N/A C 0 INTEGRATED MEDICAL SERVICES 9250 N 3RD STREET SUITE 4010 PHOENIX AZ 85020 860783428 MULTI-SPECIALTY PHYSICIANS GROUP AZ N/A C 0 KOMG-LOUISVILLE REGION INC 201 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 832481198 HEALTHCARE KY N/A C 0 MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC 300 WERNER ST HOT SPRINGS AR 71913 710720429 REAL ESTATE AR N/A C 0 MEDQUEST 1301 15TH AVENUE WEST WILLISTON ND 58801 450392137 SALE OF DME ND N/A C 0 MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC 1201 W FRANK AVE LUFKIN TX 75904 463622849 INACTIVE TX N/A C 0 MERCY PARK APARTMENTS LTD 1111 6TH AVE DES MOINES IA 50314 421202422 INACTIVE IA N/A C 0 MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG OR 97471 930824308 RETAIL SALES OR N/A C 0 MHI CLINICAL SERVICES 1201 W FRANK AVE LUFKIN TX 75904 461967952 HEALTHCARE TX N/A C 0 MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY 200 BAKERSFIELD CA 93311 770513445 HEALTHCARE CA N/A S 0 MOUNTAIN MANAGEMENT SERVICES INC 6028 SHALLOWFORD RD CHATTANOOGA TN 37421 621570739 MGMT SVC ORG TN N/A C 0 NORTH CENTRAL HEALTH CARE ALLIANCE PO BOX 5538 BISMARK ND 58506 450439894 HEALTHCARE ND N/A C 0 PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH N/A C 0 QUALCHOICE ADVANTAGE 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 INSURANCE WA N/A C 0 QUALCHOICE HEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461224037 ADMIN SERVICES CO N/A C 0 QUALCHOICE HEALTH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 461222808 HOLDING CO CO N/A C 0 QUALCHOICE HOLDINGS INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 274075520 HOLDING CO AR N/A C 0 QUALCHOICE OF NEBRASKA 2401 S 73RD ST OMAHA NE 68124 810738827 INACTIVE NE N/A C 0 RIVERLINK HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464380824 INSURANCE OH N/A C 0 RIVERLINK HEALTH OF KENTUCKY INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 464828332 INSURANCE KY N/A C 0 ROSS PARK PHARMACY INC 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 PHARMACY OH N/A C 0 SAINT CLARE'S PRIMARY CARE INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 222441202 INACTIVE NJ N/A C 0 SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232307408 INACTIVE CO N/A C 0 SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 LEXINGTON KY 40503 270164198 INACTIVE KY N/A C 0 SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 421720801 INSURANCE WA N/A C 0 ST MARY HEALTH VENTURES INC 1050 LINDEN AVENUE LONG BEACH CA 90813 951912528 RETAIL PHARMACY CA N/A C 0 ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON OR 97801 931216943 ATHLETIC CLUB OR N/A C 0 ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J ST TACOMA WA 98405 911480569 RENTAL WA N/A C 0 ST LUKE'S HEALTH SYSTEM HOLDINGS INC 6624 FANNIN STE 800 HOUSTON TX 77030 760637138 HOLDING CO TX N/A C 0 ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710710785 HEALTHCARE AR N/A C 0 STE HOLDINGS 12809 WEST DODGE RD OMAHA NE 68154 822383629 HOLDING CO NE N/A C 0 SUGAR LAND DOCTOR GROUP 1317 LAKE POINT PARKWAY SUGAR LAND TX 77478 454270163 INACTIVE TX N/A C 0 TOWSON MANAGEMENT INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 521710750 INACTIVE MD N/A C 0 TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 MGMT SERVICES OH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0