2020-07-13T16:31:10-05:00 2019-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2018-07-01 710236913 CHI St Vincent Hospital Hot Springs (FKA Mercy Hospital Hot Springs) CHIS 3145796100 300 WERNER ST HOT SPRINGS AR 71913 Tim Panks Interim Market CFO 2020-07-13 true ANGELA NOEL P01051055 3032989100 2018 2020-09-23 17:36:50Z CHI St Vincent Hot Springs Chad Aduddell 300 WERNER ST HOT SPRINGS AR 71913 209392248 false 0928 X http://www.chistvincent.com/hospitals-locations/hospitals/st-vincent-hot-springs X 1976 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 14 9 1719 235 2339566 27120 1441174 1253662 226417860 206041381 -61540 8955 1898051 2088250 229695545 209392248 5750968 440034 0 87397736 83654194 0 0 0 120528147 107814867 213676851 191909095 16018694 17483153 433146265 467228265 291415919 308014766 141730346 159213499 SEE SCHEDULE O false false 145121587 440034 203701815 SEE SCHEDULE H 145121587 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 0 0 1719 true true true false false false false false true false false false false false X 14 9 false false false false true true true true true false false false true true true true true false true false AR X Tim Panks 3145796100 300 Werner St Hot Springs AR 71913 CHAD ADUDDELL Board Member/Market CEO 1.0 59.0 X X 0 662506 40194 JAMES NEWMAN BOARD MEMBER/Chair 1.0 2.0 X X 0 0 0 GUS BLASS III BOARD MEMBER/VICE CHAIR 1.0 4.0 X X 0 0 0 ANTHONY HOUSTON BOARD MEMBER/PRESIDENT (Partial year through 1/31/2019) 57.0 3.0 X X 433183 0 58930 DOUGLAS ROSS MD BOARD MEMBER/PRESIDENT 50.0 10.0 X X 16317 431535 41074 TOM ARWOOD BOARD MEMBER 1.0 1.0 X 0 0 0 JAIME CARDENAS MD BOARD MEMBER 1.0 1.0 X 0 592000 39894 FRED DIVERS MD BOARD MEMBER (Partial year through 11/09/2018) 1.0 1.0 X 0 0 0 JOHN HEARNSBERGER BOARD MEMBER (Partial year through 4/30/2019) 1.0 1.0 X 0 0 0 LAWRENCE LEVI BOARD MEMBER 1.0 1.0 X 0 0 0 LANCE PORTER DDS BOARD MEMBER 1.0 1.0 X 0 0 0 CHERYL MARIE QUAVE RSM BOARD MEMBER 1.0 1.0 X 0 0 0 KYLE ROPER MD BOARD MEMBER 1.0 59.0 X 0 387810 38717 DAVID SLAY MD BOARD MEMBER 1.0 1.0 X 0 0 0 GREGORY V WHORTON MD BOARD MEMBER 1.0 59.0 X 0 372389 41000 Libby Vines BOARD MEMBER 1.0 1.0 X 0 0 0 Diane LaFollette BOARD MEMBER 1.0 1.0 X 0 0 0 SHAWN BARNETT Mkt SVP COO CFO/Treasurer 1.0 59.0 X 0 397205 22785 Marilyn Wilson Secretary 40.0 10.0 X 49341 0 17094 CRYSTAL BOHANNAN VP-Operations 60.0 0 X 192921 0 34327 BRYAN WILLIAMS VP-PATIENT CARE SERVICES 59.0 1.0 X 205683 0 34994 LAWRENCE DODD ORTHOPEDIST-GENERAL 10.0 50.0 X 7412 730788 40930 JUSTIN DOWDY NEUROSURGEON 10.0 50.0 X 19816 989503 26298 ZACHARY LARRIMER GENERAL SURGEON 10.0 50.0 X 21743 564436 25753 JOHN W WEBB MD GENERAL SURGEON 10.0 50.0 X 21403 719306 38198 JUSTIN WALDEN ORTHOPEDIST-GENERAL 10.0 50.0 X 16309 592677 42982 CHRISTINA WHATLEY Former Chief Quality Officer 40.0 0 X 0 124008 11629 984128 6564163 554799 76 true true false CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19807 CLEANING SERVICES 1759780 MAYO MEDICAL LABS 200 SW FIRST ST ROCHESTER MN 55805 CONTRACT LAB SERVICES 1174401 HILL & COX CORPORATION 1820 Higdon Ferry Road Suite A Hot Springs AR 71913 Engineering & Construction Services 829267 LINEN KING LLC 1521 W 36th Place Tulsa OK 74107 Laundry Services 603998 HEALTH CAROUSEL LLC 3805 Edwards Road Suite 700 Cincinnati OH 45209 Workforce Solutions 538889 29 0 0 0 204477 988117 61068 0 1253662 Net Patient Services 900099 200444111 198104545 2339566 0 Wellness Services 900099 3616600 3616600 0 0 Intercompany Transactions 900099 1763859 1763859 0 0 Services Sold 900099 216811 216811 0 0 0 0 0 0 0 0 0 0 206041381 8658 0 0 8658 0 0 0 0 0 0 0 0 1000733 0 0 0 1000733 0 1000733 0 0 1000733 297 0 0 0 297 0 297 0 0 297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 722100 1073022 0 0 1073022 Other Miscellaneous Revenue 900099 14495 0 0 14495 0 0 0 0 0 0 0 0 1087517 209392248 203701815 2339566 2097205 X 439562 439562 472 472 899112 726059 173053 65876536 59016281 6860255 3015485 2701459 314026 9173340 65350 9107990 4689721 4689721 26120 26120 45738629 35892330 9846299 0 4911 214 4697 2601431 1020370 1581061 144710 132492 12218 15889 15889 4406931 3007234 1399697 1091020 1091020 Medical Supplies 36306800 36306800 Intracompany allocation 8749622 3099047 5650575 Restructuring / Impairment losses 3300000 1062484 2237516 State Provider Tax 3437056 1106611 2330445 1991748 544822 1446926 0 191909095 145121587 46787508 0 1485 949 2333660 5797893 0 0 31397087 32929000 0 0 0 0 0 4279461 4277976 116413 114683 79298285 29043282 51742142 50255003 68868 75502 0 0 0 0 343207149 373777259 433146265 467228265 256609534 273931307 0 0 741028 759088 0 0 0 0 0 0 0 0 0 34065357 33324371 291415919 308014766 X 141661320 159137997 69026 75502 0 0 141730346 159213499 433146265 467228265 17483153 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26120 26120 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION DUES: $2,063 CATHOLIC HEALTH ASSOCIATION: $1,557 ARKANSAS HOSPITAL ASSOCIATION: $22,500 1568 7591 800 8359 96211 2601 97244 1568 134867 13632 52288 96211 133504 1363 0 134867 102403 31101 0 133504 0.0 0.0 1.0 false false 11735950 11735950 38783625 8425206 30358419 0 0 0 27892706 20270388 7622318 886004 347688 538316 50255003 INTERCOMPANY RECEIVABLES Intercompany Receivables Intercompany Receivables 373777259 373777259 UNCLAIMED PROPERTY DEFERRED GAIN ON SALE/LEASEBACK INTERCOMPANY PAYABLES DEFERRED GAIN ON SALE/LEASEBACK 5187740 INTERCOMPANY PAYABLES 28135647 UNCLAIMED PROPERTY 984 33324371 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CHI St. Vincent Hospital Hot Springs' financial information is included in the consolidated audied financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's FIN 48 (ASC 740) footnote for the year ended June 30, 2019, reads as follows: "CommonSpirit has established its status as an organization exempt from income taxes under the Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2019 and 2018, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax benefits as of June 30, 2019 and 2018. 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". true true X true X 300 true X true true true false true true 3690 1267380 1267380 0.0066 24757 22941810 6543451 16398359 0.0854 0 0.0 0 28447 24209190 6543451 17665739 0.0921 3 465 3799 5000 0 0.0 1 251068 251068 0.0013 1 370079 370079 0.0019 0 0.0 2 800 1661475 1661475 0.0087 7 1265 2286421 5000 2282622 0.0119 7 29712 26495611 6548451 19948361 0.1039 0 0.0 0 0.0 1 1200 1200 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 0 1200 0 1200 0.0000 true 11234169 0 81066531 98943249 -17876718 X true true 1 1 CHI St Vincent Hospital Hot Springs 300 Werner St HOT SPRINGS AR 71913 http://www.chistvincent.com/hospitals-locations/hospitals/st-vincent-hot-springs AR4942 X X X CHI St Vincent Hospital Hot Springs 1 false false true X X X X X X X X X 18 true true false true X http://www.chistvincent.com/health-wellness/community-needs-assessment X true 18 false true false true X 300.0 300.0 X X X X true true X X X true X http://www.chistvincent.com/patients-visitors/financial-assistance X http://www.chistvincent.com/patients-visitors/financial-assistance X http://www.chistvincent.com/patients-visitors/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and were identified through the CHNA by means of extensive data analysis and stakeholder input. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CHI ST. VINCENT HOSPITAL HOT SPRINGS. CHI ST.VINCENT HOT SPRINGS COMPLETED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN FISCAL YEAR 2019. PRIMARY DATA WAS COLLECTED THROUGH FOCUS GROUPS, PERSONAL INTERVIEWS, AND SURVEYS. FOCUS GROUP, INTERVIEW, AND SURVEY PARTICIPANTS REPRESENT A COMPREHENSIVE, BALANCED AND DIVERSE MIX OF COMMUNITY MEMBERS AND OFFICIALS REPRESENTING REGULAR AS WELL AS UNDERSERVED, LOW INCOME, MINORITY POPULATION AND POPULATIONS WITH CHRONIC DISEASE NEEDS. THESE PARTICIPANTS INCLUDE INDIVIDUALS FROM COMMUNITY ORGANIZATIONS, SUCH AS: ARKANSAS DEPARTMENT OF HEALTH GARLAND COUNTY HOMETOWN HEALTH CHARITABLE CHRISTIAN MEDICAL CLINIC GARLAND COUNTY ECONOMIC DEVELOPMENT COUNCIL UNITED WAY OF GRALAND COUNTY HABITAT FOR HUMANITY HOMETOWN HEALTH INITIATIVE METROPOLITAN EMERGENCY MEDICAL SERVICES OF LITTLE ROCK Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. ANTHONY'S HOSPITAL ASSOCIATION. Hospital Schedule H, Part V, Section B, Line 6a Facility , 2 Facility , 2 - ST. VINCENT INFIRMARY MEDICAL CENTER. Hospital Schedule H, Part V, Section B, Line 6a Facility , 3 Facility , 3 - St. Vincent Medical Center North. Hospital Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CHI ST. VINCENT HOSPITAL HOT SPRINGS. Through the most recent CHNA conducted in 2019, three primary health needs emerged: access to care, chronic disease management, and mental health. The hospital has identified several activities that can help address these needs in an organized and effective manner such as: (1) Buidling a community coalition for each focus area. (2) Creating a chartiy care clinic in the primary commitment area. (3) Partner with local senior center in offering social activities for seniors. (4) Design and implement improvement programs. These activities would eventually decrease the number of opioid prescriptions written per capita, increase the number of community members receiving primary and prenatal care, decrease years of potential life lost, increase life expectancy, and decrease infant mortality. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CHI ST. VINCENT HOSPITAL HOT SPRINGS. 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. 3 MCAULEY SENIOR COMMUNITY CENTER 5010 HIGHWAY 7 NORTH HOT SPRINGS VILLAGE AR 71900 URGENT CARE MERCY HOME HEALTH 174 CORNERSTONE CT HOT SRPINGS AR 71913 HOME CARE MERCY WOUND CARE 221 MCAULEY COURT HOT SPRINGS AR 71913 PHYSICIAN CLINIC/PRACTICE Schedule H, Part I, Line 3c FINANCIAL ELIGIBILITY UNLESS 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. Schedule H, Part VI LINES 2 & 4 COMMUNITY BENEFIT NARRATIVE: Our primary tax-exempt purpose St. Vincent Hot Springs (SVHS) is a tax-exempt organization and is included in a group ruling issued in 2003 to the United States Conference of Catholic Bishops which applied for recognition of exemption on behalf of subordinate organizations. Our mission, vision and primary tax-exempt purpose are fulfilled through a comprehensive network of health services that address the needs of citizens residing in the greater Hot Springs metropolitan area, central Arkansas and beyond. St. Vincent has been in the Hot Springs community since 1888 (formerly known as St. Joseph's Mercy Hospital) and has compiled a distinguished record of service throughout this 131-year period. SVHS, located in Hot Springs, Arkansas is one of four hospitals in the CHI St. Vincent Health System, a wholly-owned subsidiary of CommonSpirit Health. The hospital is licensed for 309 beds, is a Level II Trauma Center, and has since 1888 furthered the healing ministry of the Catholic Church in the greater Hot Springs community. Primary Service Area The primary service area was determined by our Strategy and Business Development Office. Using 75% of patient discharges as the threshold, Garland County was identified as the SVHS primary service area. SVHS operates its facilities, programs, and services on a nondiscriminatory basis. Its emergency department is open to all people, regardless of their ability to pay. It has a board of directors on which community representatives serve with energy and commitment. It supports the training and education of various health professionals. It participates in government-sponsored health care programs. The organization provides a significant amount of charity care each year and is known for its community outreach to those in need. Community benefit approach: The 2019 CHNA defines its primary commitment areas per IRS guidelines as the demographic zones from which the majority of hospital admissions originate. Demographic zones are identified by zip codes for unique patient medical records. Zip codes are then plotted by county to identify primary commitment areas. Secondary commitment areas are those counties immediately adjacent to primary commitment areas or those from which the largest number of hospital inpatient patient admissions originate. Although CHI ST. Vincent Hot Springs and Christus Dubuis Hospital community benefit activities may reach beyond these demographic zones, efforts will be focused in these areas. Through this methodology, CHI St. Vincent Hot Springs identified Garland County as the Primary Service Area, and Perry, Yell, Saline, Hot Spring, and Montgomery Counties as Secondary Service Area. Several findings are notable in the demographic information for Garland and surrounding counties. First, the predominant race is white. At just over 82% of the population, this demographic is more than 35% higher. CHI St. Vincent Hot Springs / Christus Dubuis Hospital Commitment Areas the national average. Also of note, there is a disproportionately high population of adults over the age of 65 concentrated in Garland County. Nearly 23% of county residents are in this age group, which is higher than any other county in the state. Furthermore, the proportion of adults over the age of 65 is more than 50% higher than the national average. Concurrently, the number of persons living in poverty is nearly 30% higher than the national average. From this, researchers concluded that low-income seniors were a particularly vulnerable population in Garland County. CHI St. Vincent Hot Springs (SVHS) completed an extensive Community Health Needs Assessment (CHNA) in fiscal year 2019. Our CHNA was approved by our hospital board at the end of fiscal year 2019. A CHNA is a comprehensive evaluation of the health needs of the SVHS community. Following the community health needs assessment, a health implementation plan was created to focus improvement on several areas such as: lack of access to care (primary care, perinatal care, geriatric behavioral health, and chronic disease management), and mental health concerns (suicide prevention, reduce substance abuse and opioid abuse). The hospital has implemented several ongoing initiatives in response to its community health needs assessment and its implementation plan. We collaborated with city, county and state officials to impact the built environment and address the social determinants of health while maintaining our work around prevention, behavior and treatment. St. Vincent has strong collaborative relationships with many organizations in the community. These include, but are not limited to, the Arkansas Department of Health, Garland County Hometown Health, the Charitable Christian Medical Clinic, the Garland County Economic Development Council, United Way of Garland County and Habitat for Humanity. The hospital works closely with the Hometown Health Initiative and the city of Hot Springs in addressing pressing social challenges. St. Vincent leaders serve on a variety of community boards and consistently attend community events designed to strengthen local programs and services. A concerted effort is made to be a very good corporate citizen and to give back to the community. Also, with respect to community benefit at St. Vincent, mission and finance work closely together and see its oversight as a shared responsibility. St. Vincent maintains and administers its charity care and self-pay policies. It communicates the content of these policies through a variety of methods that include visible signage, as well as information delivered face-to-face and by telephone to the general public by trained staff. We partner with the Charitable Christian Medical Clinic and other providers including our affiliated physician clinics to serve the needs of the poor and vulnerable. Qualitative description of community benefit Community outreach for the poor St. Vincent continues to provide ancillary lab, radiology and other services to the Charitable Christian Medical Clinic as they serve the poor. Our hospital facilities and operating rooms are available to specialists wishing to treat patients at no cost including all types of surgery and specialized procedures. We operate a pregnancy clinic to care for low income women who are uninsured or underinsured to give them specialized pre-natal care and address low birthweight infants and other complications. Our breast center and mobile mammography van have a particular focus on serving the needs of the poor and uninsured and our van travels the state providing free mammograms to women who are unable to pay for such services. Beyond the direct care provided at these clinics, St. Vincent has donated medical supplies in several instances where needed, as well as medications that patients otherwise could not afford. In terms of primary care clinics, we also maintain our partnership with the Mcauley Clinic that serves the uninsured and Medicaid population in our community. Community outreach for the broader community St Vincent has a particular concern and commitment to the elderly population. We operate two senior centers and the meals on wheels program for Garland County. We regularly hold health fairs for seniors at the Mount Ida Senior Center. Although these programs receive funding through the Older Americans Act and other sources we leverage these funds to provide enhanced services to the elderly through donations of space, ancillary support, administrative support, grant writing etc. We currently serve approximately 500 meals on wheels recipients and 300 congregate meal recipients. We also partner with the Oaklawn Center on Aging to provide programming and biometric screenings for the large senior citizen population. Additionally, we also provide free space to allow the senior citizen population to learn computer programming. All this is provided at no cost. St. Vincent also partnered with the Gethsemene RICE Project to provide screenings to the residents of a local low-to-no-income men's home. St. Vincent's trauma program fulfills a crucial need serving the majority of southwest Arkansas. This program is run at a substantial loss but serves a significant community need. There is no other Level II trauma center in our part of the state and our hospital provides the majority of neurosurgical and orthopedic care to our part of the state. St. Vincent serves as a training site for nursing interns allowing first and second year students from various educational programs around Garland County complete their training at St. Vincent. In addition, these students also give back to the community by volunteering at various events. Schedule H, Part VI LINES 2 & 4 St. Vincent continues to be an engaged community partner engaging in health promotion activities including health fair screening for low income communities like the Latino community (in conjunction with the Mexican embassy) and minority health fairs at Our Lady of Guadalupe Church in Glenwood and at the Webb Center. We also held community health education events for various diseases such as the HPV Virus and the importance of the HPV Vaccine St. Vincent also donates free meeting spaces for various student associations, professional associations, local support groups and several clinical organizations. These meeting spaces help host a variety of educational and community events that bring together people of all ages for professional and personal growth. St. Vincent also held a number of events and trainings on mental health education, suicide awareness, suicide intervention skills, and bullying prevention presentations. These events were held at different locations such as Garland County Sheriff's Office, National Park College, Advocates for Arkansas Children, River Valley Prevention Coalition, and Garland County Detention Center and at several schools in Crossett, Dardanelle and Hot Springs County. St. Vincent continues to sponsor numerous support groups through its cancer center and other service lines. Its "Look Good Feel Better" program assists women fighting breast cancer. This effort provides needed supplies and emotional support to women across Arkansas recovering from various forms and stages of cancer. It does so at no cost to these recipients. The Cancer center provides other resources such as support groups for patients and survivors, food assistance programs, discounted gas cards and other educational materials for dealing with the disease. In FY 2019, helped organize and host the local American Cancer Society - Relay for Life Event which drew over 800 participants. New Outlook Women's Cancer Recovery Program: St. Vincent continues to sponsor its New Outlook women's cancer recovery program. The purpose of the program is to offer all Arkansas women diagnosed with cancer a full range of supportive, non-medical services to strengthen the whole woman (body, mind and spirit) regardless of her economic situation or where she is receiving treatment. New Outlook services reach into every county in Arkansas, and even other states when women seek treatment in Arkansas. New Outlook also assists children and men undergoing cancer treatment. Services provided by New Outlook include counseling, regular support group meetings at multiple locations, wigs and headwear, cosmetic makeovers, access to a medical library, stress management classes, mastectomy and lymphedema services, and referrals to physicians for various services. Perinatal bereavement services' journey program St. Vincent offers perinatal bereavement services at no cost to families who have suffered infant loss through ectopic pregnancy, stillbirth, miscarriage and neonatal death. These issues affect families irrespective of socioeconomic status and this program has received considerable acclaim for the sensitive, comprehensive manner in which it helps the grief-stricken to deal with their loss. An average of 30 families are served/month on an inpatient basis. In addition, approximately 15 consultation requests are received monthly from people living outside St. Vincent's primary service area. Finally, a monthly support group serves an average of 6 people at each session. Project Search Arkansas: Access Initiative is an innovative job-training program providing a nine-month internship for young adults with developmental disabilities. Interns in the program complete (3) ten-week rotations at a partnering business with the goal of gaining necessary skills to obtain competitive employment. Upon completion of the program, staff provide assistance with finding employment within the community and continued support during employment. In addition to providing internships to young adults with developmental disabilities, St. Vincent Hot Springs also donates space for the program and required supplies. Multiple leaders from the staff spend their time with the interns training them during their internship and providing them professional counseling. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/2019 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA THE COST TO CHARGE RATIO IS 19.0774%. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DO NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology CHI ST. VINCENT HOSPITAL HOT SPRINGS 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote CHI ST. VINCENT HOSPITAL HOT SPRINGS 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 is 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 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 change in net assets. Bad debt expense for 2019 was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. CHI ST. VINCENT HOSPITAL HOT SPRINGS' ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $81,066,531 Total Medicare costs: $98,943,249 Surplus or Shortfall ($17,876,718) CHI ST. VINCENT HOSPITAL HOT SPRINGS believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The 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. Schedule H, Part V, Section B, Line 16a FAP website - CHI St. Vincent Hospital Hot Springs: Line 16a URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - CHI St. Vincent Hospital Hot Springs: Line 16b URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CHI St. Vincent Hospital Hot Springs: Line 16c URL: http://www.chistvincent.com/patients-visitors/financial-assistance; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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, www.catholichealth.net, 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. Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facility(ies) 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(ies) 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. Schedule H, Part VI, Line 6 Affiliated health care system The organization is affiliated with CommonSpirit Health. CommonSpirit Health was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry 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 comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 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 2019, CommonSpirit Health provided more than $2.1 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 $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share 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. Schedule H, Part VI, Line 7 State filing of community benefit report AR true HENDERSON STATE UNIVERSITY Foundation HSU BOX 7550 Arkadelphia AR 71999 710559008 501(C)(3) 172917 NURSING PROGRAM NATL PARK COMM COLLEGE Foundation Inc 101 College Dr Hot Springs AR 71913 710559526 501(C)(3) 166667 NURSING PROGRAM Garland County Economic Development Corporation PO BOX 9060 Hot Springs AR 71902 710433897 501(C)(6) 25000 CORPORATE DONATION ST JOHNS Catholic SCHOOL 583 W Grand Ave Hot Springs AR 71901 710539026 501(C)(3) 15000 ANNUAL BAZAAR UNIVERSITY OF ARKANSAS PO BOX 1404 Fayetteville AR 72702 716003252 501(C)(3) 10000 SPONSORSHIP MERCY HEALTH FOUNDATION 216 Mcauley Court Hot Springs AR 71913 710804718 501(C)(3) 10000 SPONSORSHIP HOT SPRINGS AIDS RESOURCE CENTER 1801 Central Ave Hot Springs AR 71901 710778076 501(C)(3) 7700 CORPORATE DONATION UNIVERSITY OF ARKANSAS Foundation Inc 535 Research CTR BLVD Fayetteville AR 72701 716056774 501(C)(3) 7500 SPONSORSHIP COOP CHRISTIAN MINISTRies & Clinic 133 Arbor Hot Springs AR 71901 621671396 501(C)(3) 6000 CORPORATE DONATION 8 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. false true false false false false false true false CHAD ADUDDELL Board Member/Market CEO 0 550871 0 0 0 111635 0 15080 0 25114 0 702700 0 41672 ANTHONY HOUSTON BOARD MEMBER/PRESIDENT (Partial year through 1/31/2019) 398745 0 0 0 34438 0 36719 0 22211 0 492113 0 15970 0 DOUGLAS ROSS MD BOARD MEMBER/PRESIDENT 16286 391391 0 25279 31 14865 0 15912 353 24809 16670 472256 0 0 JAIME CARDENAS MD BOARD MEMBER 0 575755 0 14985 0 1260 0 15152 0 24742 0 631894 0 0 KYLE ROPER MD BOARD MEMBER 0 374142 0 12373 0 1295 0 15870 0 22847 0 426527 0 0 GREGORY V WHORTON MD BOARD MEMBER 0 371129 0 0 0 1260 0 16258 0 24742 0 413389 0 0 SHAWN BARNETT Mkt SVP COO CFO/Treasurer 0 351546 0 10000 0 35659 0 3607 0 19178 0 419990 0 0 CHRISTINA WHATLEY Former Chief Quality Officer 0 98685 0 25000 0 323 0 4429 0 7200 0 135637 0 0 CRYSTAL BOHANNAN VP-Operations 170200 0 17750 0 4971 0 9805 0 24522 0 227248 0 0 0 BRYAN WILLIAMS VP-PATIENT CARE SERVICES 205008 0 0 0 675 0 12659 0 22335 0 240677 0 0 0 LAWRENCE DODD ORTHOPEDIST-GENERAL 7412 675604 0 36032 0 19152 16188 0 16828 7914 40428 738702 0 0 JUSTIN DOWDY NEUROSURGEON 19816 953815 0 0 0 35688 4475 0 16778 5045 41069 994548 0 0 ZACHARY LARRIMER GENERAL SURGEON 21743 545317 0 18363 0 756 16116 0 7573 2064 45432 566500 0 0 JOHN W WEBB MD GENERAL SURGEON 21403 648221 0 69179 0 1906 16375 0 16920 4903 54698 724209 0 0 JUSTIN WALDEN ORTHOPEDIST-GENERAL 16309 530573 0 48733 0 13371 18659 0 16679 7644 51647 600321 0 0 Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT During the calendar year 2018, post-termination payments were addressed in executive employment agreements for Catholic Health Initiatives and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation During the calendar year 2018, compensation for the top management official was established and paid by St. Vincent Infirmary Medical Center, a related organization. St. Vincent Infirmary Medical Center used the following to establish the top management official's compensation: (2) Independent Compensation Consultant and (5) Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Chad Aduddell - $41,694 Anthony A Houston - $19,194 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Chad Aduddell - $49,681 Schedule J, Part I, Line 7 Non-fixed payments THE ORGANIZATION MAINTAINS A VARIABLE PAY PROGRAM FOR CERTAIN ELIGIBLE EMPLOYEES THAT PUTS A PORTION OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION ARE MADE BASED UPON CERTAIN CRITERIA INCLUDING WORK HISTORY, KEY ROLE, EXECUTIVE TURNOVER AND FUTURE NEEDS. Form 990, Part III, Line 1 ORGANIZATION'S MISSION 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. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL The top management official was paid by St. Vincent Infirmary Medical Center, a related organization. St. Vincent Infirmary Med Center used Gallagher as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Gallagher reviewed both market data and total compensation for overall reasonableness and for comparability to the not-for-profit healthcare market. This independent review was delivered by Gallagher to the St. Vincent Board committee at their December 2019 meeting. Form 990, Part VI, Line 12c Conflict of Interest Policy c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO SECTION 8.1 OF THE BYLAWS OF CHI ST. VINCENT HOSPITAL HOT SPRINGS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. A MOTION TO APPROVE THE APPOINTMENT OF THE BOARD EXECUTIVE COMMITTEE WAS MADE AND APPROVED ON JUNE 28, 2008. THE COMMITTEE CONSISTS OF THE CHAIRMAN, VICE CHAIR, THE PRESIDENT AND CEO (EX OFFICIO). THE COMMITTEE IS GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.6 OF THE BYLAWS OF CHI ST. VINCENT HOSPITAL HOT SPRINGS, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, WITH ONE OR TWO OTHER 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. Form 990, Part VI, Line 6 Classes of members or stockholders ACCORDING TO THE BYLAWS OF CHI ST. VINCENT HOSPITAL HOT SPRINGS, THE ENTITY'S SOLE MEMBER IS CHI ST. VINCENT HOT SPRINGS (FORMERLY KNOWN AS MERCY HEALTH HOT SPRINGS COMMUNITIES), AN ARKANSAS NONPROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders The organization's corporate member is CHI ST. VINCENT HOT SPRINGS. Pursuant to Section 5.4 of the organization's bylaws, both CHI ST. VINCENT HOT SPRINGS and CommonSpirit Health (ST. VINCENT INFIRMARY MEDICAL CENTER'S SOLE CORPORATE MEMBER WHO IS ST. VINCENT HOT SPRING'S SOLE MEMBER) have reserved powers as outlined in the CommonSpirit Health governance matrix. Pursuant to the governance matrix the following rights are held by the CHI ST. VINCENT HOT SPRINGS Board: * Approve members of the CHI ST. VINCENT HOSPITAL HOT SPRINGS board * Amendment of the corporate documents of the CHI ST. VINCENT HOSPITAL HOT SPRINGS * Approve removal of a member of the governing body of the CHI ST. VINCENT HOSPITAL HOT SPRINGS * Adoption of long range and strategic plans for the CHI ST. VINCENT HOSPITAL HOT SPRINGS 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 the CHI ST. VINCENT HOSPITAL HOT SPRINGS * Removal of a member of the governing body of the CHI ST. VINCENT HOSPITAL HOT SPRINGS * Approval of issuance of debt by CHI ST. VINCENT HOSPITAL HOT SPRINGS * Approval of participation of CHI ST. VINCENT HOSPITAL HOT SPRINGS in a joint venture * Approval of formation of a new corporation by CHI ST. VINCENT HOSPITAL HOT SPRINGS * Approval of a merger involving the CHI ST. VINCENT HOSPITAL HOT SPRINGS * Approval of the sale of all or substantially all of the assets of the CHI ST. VINCENT HOSPITAL HOT SPRINGS * To require the transfer of assets by the CHI ST. VINCENT HOSPITAL HOT SPRINGS 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, CHI ST. VINCENT HOT SPRINGS 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, Line 11b Review of form 990 by governing body ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. AFTER THE RETURN IS REVIEWED BY THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE CFO. Form 990, Part VI, Line 12c Conflict of interest policy The organization has a conflicts of interest ("COI") policy (the "policy") in place to maintain the integrity of its activities. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. Notwithstanding the foregoing, at its sole discretion, an entity may reject a person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. (CONTINUED ON SCHEDULE O) Form 990, Part VI, Line 15b Process to establish compensation of other employees FOR THOSE CLASSIFIED AS OFFICERS AND KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. Form 990, Part VI, Line 19 Required documents available to the public 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 or www.catholichealthinitiatives.org. Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 25646884, Program Service Expense: 19636362, Management and General Expenses: 6010522, Fundraising Expenses: 0; Contract Labor - Total Expense: 9894338, Program Service Expense: 8005379, Management and General Expenses: 1888959, Fundraising Expenses: 0; Other Fees for Services - Total Expense: 8543141, Program Service Expense: 6912145, Management and General Expenses: 1630996, Fundraising Expenses: 0; Contract Services - Total Expense: 1625915, Program Service Expense: 1315507, Management and General Expenses: 310408, Fundraising Expenses: 0; Consulting - Total Expense: 28351, Program Service Expense: 22937, Management and General Expenses: 5414, Fundraising Expenses: 0; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false Arroyo Grande Community Hospital Foundation 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 DCC false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FUNDRAISING AZ 501(c)(3) 7 DH false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) Type I SLCHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) Type I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(c)(3) Type I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HOSPITAL CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 HEALTHCARE CO 501(c)(3) Type I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(c)(3) Type I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(c)(3) 10 MMC false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 HOSPITAL KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 FUNDRAISING FOUNDATION MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH false CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CSH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CSH false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC false CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(c)(3) 3 CHISVHS false COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 HOSPITAL CA 501(c)(3) 3 DCC false COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 HOSPITAL KY 501(c)(3) 3 SJHS false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 HOSPITAL CO 501(c)(3) 3 NA false DIGNITY HEALTH 185 BERRY STREET STE 300 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center Services CA 501(c)(3) 7 DH false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation - Inland Empire 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Self Insurance CA 501(c)(3) Type I DH false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Insurance NV 501(c)(3) Type I DH false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC false Dignity Health Workers Comp Self-Insurance Trust 185 Berry Street San Francisco CA 94107 946612446 Self Insurance CA 501(c)(3) Type I DH false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Health System CA 501(c)(3) Type I DH false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(c)(3) 3 CSH false FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false French Hospital Medical Center Foundation 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(c)(3) 3 SAMC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH false HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(c)(3) 3 FHS false HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING FOUNDATION WA 501(c)(3) 7 HMC false HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(c)(3) Type II KOH false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC false HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(c)(3) 3 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HOSPITAL KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC false LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(c)(3) 3 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(c)(3) 3 SJSC false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC false Marian Regional Medical Center Foundation 1400 E Church Street Santa Maria CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 HOSPITAL CA 501(c)(3) 3 NA false MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(c)(3) 3 SLHS false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HOSPITAL TX 501(c)(3) 3 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP false MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP false Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING FOUNDATION IA 501(c)(3) 7 CHI-IA CORP false MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(c)(3) 7 MMC false MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHMH-Corning false MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(c)(3) Type I MHVC false MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHBMHS false MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(c)(3) 3 CSH false MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(c)(3) 7 MHDL false MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(c)(3) 3 CSH false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 Senior Citizen's Housing/Retirement Communities CA 501(c)(3) 10 DCC false MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(c)(3) 3 CSH false MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton IA 50314 421470935 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false Mercy Medical Center Merced Foundation 301 E 13th Street Merced CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(c)(3) 3 CSH false MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(c)(3) Type I MMC false NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck ND 58501 911845296 MANAGEMENT ND 501(c)(3) 7 NCHA false Northridge Hospital Foundation 18300 Roscoe Blvd Northridge CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(c)(3) 3 CSH false OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(c)(3) Type I OCH false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DH false PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 HOSPITAL CA 501(c)(3) 3 DH false PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC false PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC false PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC false PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC false REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 Sylvester Road SW Burien WA 98166 911170040 HOSPITAL WA 501(c)(3) 3 FHS false SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 Senior Center Services CO 501(c)(3) 7 CHIC false SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS false SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING FOUNDATION NJ 501(c)(3) 7 SCHS false SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CSH false SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 3 SCHS false SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(c)(3) 7 SERMC false SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HOSPITAL NE 501(c)(3) 3 SERMC false SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(c)(3) 7 SFMC false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 HOSPITAL CA 501(c)(3) 3 DCC false SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HOSPITAL KY 501(c)(3) 3 KOH false SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(c)(3) Type I SJHS false SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(c)(3) Type I SJHHC false San Gabriel Valley Medical Center Foundation 438 West Las Tunas Drive San Gabriel CA 91776 953430341 INACTIVE CA 501(c)(3) Type I DH false SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(c)(3) Type I AHMHS false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 HOSPITAL CA 501(c)(3) 3 DCC false SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HOSPITAL MO 501(c)(3) 3 CSH false St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) Type I DH false St Johns Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Josephs Foundation (Phoenix) 350 West Thomas Road Phoenix AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false St Josephs Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Mary Professional Building Inc 1050 Linden Avenue Long 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