Bellville Medical Center: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: Bellville Medical Center (EIN 27-4005511)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201911339349304926
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T14:02:32-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1Txt
City	ENGLEWOOD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	274005511	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bellville St Joseph Health Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BELL	BusinessNameControlTxt
Phone	9797763777	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 Franciscan Drive	AddressLine1Txt
City	Bryan	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77802	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AUSTIN JONES	PersonNm
Person Title	VP, FINANCE	PersonTitleTxt
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA NOEL	PreparerPersonNm
PTIN	P01051055	PTIN
Phone	3032989100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 Franciscan Drive	AddressLine1Txt
City	Bryan	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77802	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$12,364,155	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://www.chistjoseph.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE PRIMARY PURPOSE OF THE HOSPITAL IS TO SUPPORT ITS COMMUNITY IN PROVIDING FOR THE HEALTHCARE NEEDS OF ITS COMMUNITY. THE ORGANIZATION WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	40	TotalVolunteersCnt
Total Gross UBI	$3,006	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,006	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,580,876	PYContributionsGrantsAmt
CY Contributions Grants	$77,199	CYContributionsGrantsAmt
PY Program Service Revenue	$9,901,352	PYProgramServiceRevenueAmt
CY Program Service Revenue	$8,900,696	CYProgramServiceRevenueAmt
PY Investment Income	$56,808	PYInvestmentIncomeAmt
CY Investment Income	$133,412	CYInvestmentIncomeAmt
PY Other Revenue	$291,575	PYOtherRevenueAmt
CY Other Revenue	$3,252,848	CYOtherRevenueAmt
PY Total Revenue	$15,830,611	PYTotalRevenueAmt
CY Total Revenue	$12,364,155	CYTotalRevenueAmt
PY Grants And Similar Paid	$65,279	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,447	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,775,344	PYOtherExpensesAmt
CY Other Expenses	$14,061,976	CYOtherExpensesAmt
PY Total Expenses	$14,840,623	PYTotalExpensesAmt
CY Total Expenses	$14,063,423	CYTotalExpensesAmt
PY Revenues Less Expenses	$989,988	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,699,268	CYRevenuesLessExpensesAmt
Total Assets BOY	$15,186,346	TotalAssetsBOYAmt
Total Assets EOY	$14,388,342	TotalAssetsEOYAmt
Total Liabilities BOY	$1,188,622	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,089,886	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$13,997,724	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$12,298,456	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. (CONTINUED ON SCHEDULE O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,009,624	ExpenseAmt
Grant	$385	GrantAmt
Revenue	$1,705,350	RevenueAmt
Desc	EMERGENCY SERVICES: PROVIDED EMERGENCY CARE TO 4,758 PATIENTS	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,629,123	ExpenseAmt
Grant	$209	GrantAmt
Revenue	$1,329,675	RevenueAmt
Desc	LABORATORY SERVICES: PROVIDED 5,492 LABORATORY SERVICES TO PATIENTS	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,033,883	ExpenseAmt
Grant	$132	GrantAmt
Revenue	$1,550,548	RevenueAmt
Desc	DIAGNOSTIC SERVICES: PROVIDED IMAGING SERVICES TO 2,872 PATIENTS	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$5,627,202	ExpenseAmt
Grant	$721	GrantAmt
Revenue	$4,315,123	RevenueAmt
Desc	PROVIDED MEDICAL/SURGICAL, OPERATING ROOM, PHARMACY SERVICES, SERVICES AT MEDICAL CLINIC OF BELLVILLE, CARDIOVASCULAR SERVICES, AND THERAPY SERVICES TO PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$5,627,202	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$721	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$4,315,123	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$11,299,832	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	47	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9797762553	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 Franciscan Drive	AddressLine1Txt
City	Bryan	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77802	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JAMES E BLAIR III
CHAIR	1.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
T DOUGLAS LAWSON
CEO CHI TEXAS DIV. / EX-OFFICIO TRUSTEE	1.0	59.0	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY MORELOS
VICE-CHAIR	1.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
RICKY NAPPER
PRES/CEO SJHS, EX-OFFICIO TRUSTEE (PARTIAL YR THROUGH 12/15/17)	1.0	52.0	Yes (X)	Yes (X)	$0	$608,980	$34,816
KIA PARSI MD
INTERIM PRES/CEO, EX-OFFICIO TRUSTEE	1.0	59.0	Yes (X)	Yes (X)	$0	$419,221	$23,856
ROBERT UPCHURCH
SECRETARY	1.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
ANTONIO ARREOLA-RISA
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
MICHAEL COHEN MD
BOARD MEMBER	1.0	6.0	Yes (X)		$0	$0	$0
Michael Covert
EX-OFFICIO TRUSTEE, PRES/CEO CHI/SLHS (PARTIAL YR THROUGH 12/31/17)	1.0	60.0	Yes (X)		$0	$2,147,178	$42,502
CHARLES A ELLISON
BOARD MEMBER	1.0	9.0	Yes (X)		$0	$0	$0
GINA FLORES
BOARD MEMBER (PARTIAL YEAR THROUGH 9/14/17)	1.0	7.0	Yes (X)		$0	$0	$0
JOHN S GRUBE
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
CAROLINE MCDONALD
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
MARK SCARMARDO
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
MICHAEL STEINES MD
BOARD MEMBER	1.0	50.0	Yes (X)		$0	$687,374	$47,561
BRYAN COLE PHD
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
SR MARY JO MIKE OSF
BOARD MEMBER	1.0	7.0	Yes (X)		$0	$0	$0
CHUCK KONDERLA
BOARD MEMBER (PARTIAL YR 7/2017-10/2017)	1.0	7.0	Yes (X)		$0	$16,303	$978
RICARDO DIAZ
COO	1.0	49.0		Yes (X)	$0	$281,654	$25,972
DANIEL GOGGIN
CFO (PARTIAL YEAR THROUGH 5/18/18)	1.0	49.0		Yes (X)	$0	$351,324	$48,812
WILLIAM PACK
INTERIM CFO / VP, FINANCE-CHI TX DIVISION	1.0	49.0		Yes (X)	$0	$382,455	$42,663

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,894,489	TotReportableCompRltdOrgAmt
Total Other Compensation	$267,160	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BRAZOS VALLEY EMERGENCY PHYSICIANS
LA COSTA CENTRE	6300 LA CALMA DR SUITE 200	AUSTIN	TX	787523825	PHYSICIAN SERVICES	$897,929
AMERICAN ANESTHESIOLOGY OF TEXAS INC
P O BOX 281034		ATLANTA	GA	303841034	ANESTHESIOLOGY SERVICES	$193,113

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Government Grants	$75,000	GovernmentGrantsAmt
All Other Contributions	$2,199	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$77,199	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net patient services	900099	$8,893,074	$8,893,074	$0	$0
Wellness Services	900099	$6,809	$6,809	$0	$0
Medical Records Revenue/Transcription	541200	$813	$813	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$8,900,696	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$133,412	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$133,412	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$190,412	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$190,412	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,412	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$190,412	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Revenue from Medicaid Program	900099	$3,002,420	$0	$3,002,420
Laboratory Services	621500	$24,737	$0	$24,737	$0
Cafeteria	722100	$16,353	$0	$16,353	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,926	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,006	UnrelatedBusinessRevenueAmt
Exclusion	$15,920	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,062,436	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,364,155	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,900,696	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,006	UnrelatedBusinessRevenueAmt
Exclusion	$3,383,254	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,447	TotalAmt
Program Services	$1,447	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,174	TotalAmt
Management And General	$1,174	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,450,993	TotalAmt
Program Services	$5,400,140	ProgramServicesAmt
Management And General	$2,050,854	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,432	TotalAmt
Management And General	$20,432	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$397,959	TotalAmt
Program Services	$288,377	ProgramServicesAmt
Management And General	$109,582	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$342,000	TotalAmt
Management And General	$342,000	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,721,150	TotalAmt
Program Services	$1,721,150	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,942	TotalAmt
Program Services	$16,375	ProgramServicesAmt
Management And General	$5,567	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$766	TotalAmt
Management And General	$766	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,022,284	TotalAmt
Program Services	$1,022,284	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$106,010	TotalAmt
Program Services	$93,289	ProgramServicesAmt
Management And General	$12,721	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad debts	$1,330,670	$1,330,670
Medical Supplies	$1,078,627	$1,078,627
Miscellaneous Expenses	$255,741	$247,613	$8,128
Repairs and maintenance	$220,065	$16,818	$203,247

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$92,163	TotalAmt
Program Services	$83,042	ProgramServicesAmt
Management And General	$9,121	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,063,423	TotalAmt
Program Services	$11,299,832	ProgramServicesAmt
Management And General	$2,763,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$950	BOYAmt
EOY	$950	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,540,970	BOYAmt
EOY	$8,447,151	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,042,046	BOYAmt
EOY	$949,107	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$184,988	BOYAmt
EOY	$212,858	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$129,213	BOYAmt
EOY	$440,709	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,081,750	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,135,167	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,872,457	BOYAmt
EOY	$2,946,583	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$209,082	BOYAmt
EOY	$209,082	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,206,640	BOYAmt
EOY	$1,181,902	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,186,346	BOYAmt
EOY	$14,388,342	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$672,981	BOYAmt
EOY	$831,773	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$600,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$515,641	BOYAmt
EOY	$658,113	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,188,622	BOYAmt
EOY	$2,089,886	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,997,724	BOYAmt
EOY	$12,298,456	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,997,724	BOYAmt
EOY	$12,298,456	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,186,346	BOYAmt
EOY	$14,388,342	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,699,268	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,174	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,174	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 - $474 CATHOLIC HEALTH ASSOCIATION - $415 TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS - $285
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 - $474 CATHOLIC HEALTH ASSOCIATION - $415 TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS - $285

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$0	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,921,741	OtherCostOrOtherBasisAmt
Depreciation	$1,307,531	DepreciationAmt
Book Value	$1,614,210	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,072,465	OtherCostOrOtherBasisAmt
Depreciation	$1,827,636	DepreciationAmt
Book Value	$1,244,829	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,544	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$87,544	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,946,583	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE FROM AFFILIATES	Desc
Book Value	$1,181,902	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,181,902	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$656,505
UNCLAIMED PROPERTY	$1,608

Field	Value	IRS element (for citing)
Total Liability	$658,113	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	BELLVILLE ST JOSEPH HEALTH CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2018, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1231	PersonsServedCnt
Total Community Benefit Expns	$757,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$865,919	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	22	PersonsServedCnt
Total Community Benefit Expns	$9,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$423	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1253	PersonsServedCnt
Total Community Benefit Expns	$766,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$874,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$423	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,671	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,447	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,118	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,118	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1253	PersonsServedCnt
Total Community Benefit Expns	$769,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$874,541	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,541	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,330,670	BadDebtExpenseAmt
Reimbursed By Medicare	$1,827,941	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,780,561	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,952,620	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLVILLE ST JOSEPH HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44 NORTH CUMMINGS	AddressLine1Txt
City	BELLVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77418	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.chistjoseph.org/	WebsiteAddressTxt
State License	100120	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLVILLE ST JOSEPH HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.CHISTJOSEPH.ORG/ABOUT-US/COMMUNITY-BENEFIT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.chistjoseph.org/about-us/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.chistjoseph.org/about-us/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.chistjoseph.org/about-us/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
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Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
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Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA AND INCLUDED IN A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - BELLVILLE ST JOSEPH HEALTH CENTER. IN THE FALL OF 2015, THE BRAZOS COUNTY HEALTH DEPARTMENT ORGANIZED A GROUP OF LOCAL AND REGIONAL HEALTH AND HEALTH RELATED ORGANIZATIONS TO SERVE AS A STEERING COMMITTEE TO PROVIDE GUIDANCE TO THE HEALTH DEPARTMENT IN THEIR PURSUIT OF ACCREDITATION BY THE NATIONAL PUBLIC HEALTH ACCREDITATION BOARD (PHAB). AS PART OF THIS PROCESS, THE STEERING COMMITTEE WOULD ALSO WORK WITH THE HEALTH DEPARTMENT TO ESTABLISH A NEW REGIONAL HEALTH COALITION, WHICH THE HEALTH DEPARTMENT COULD COLLABORATE THROUGH TO ADDRESS REQUIRED COMPONENTS OF THE PHAB ACCREDITATION. THE PROPOSED COALITION, THE BRAZOS VALLEY HEALTH COALITION, WOULD ACT AS A COORDINATED GROUP TO ADDRESS HEALTH ISSUES IN THE BRAZOS VALLEY; CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT; AND CREATE A "COMMUNITY HEALTH IMPROVEMENT PLAN". STEERING COMMITTEE MEMBERS INITIALLY WORKED ON DEVELOPING THE FRAMEWORK FOR THE BRAZOS VALLEY HEALTH COALITION AND THE ASSESSMENT DESIGN AND TIMELINE. ONCE THE COALITION'S PROPOSED MISSION, PURPOSE, AND MEMBERSHIP WERE DETERMINED, COMMITTEE MEMBERS TURNED THEIR FOCUS TO THE ASSESSMENT PROCESS. COMMITTEE MEMBERS PROVIDED FEEDBACK ON THE GEOGRAPHIC SCOPE AND THE COMPONENTS OF THE 2016 ASSESSMENT AND MADE RECOMMENDATIONS ON THE POPULATION SECTORS TO BE INCLUDED IN THE PLANNED COMMUNITY DISCUSSION GROUPS. ADDITIONALLY, THE COMMITTEE IDENTIFIED THE MOST USEFUL TYPE OF SECONDARY DATA TO BE GATHERED, ANALYZED, AND REPORTED ON AS PART OF THE ASSESSMENT. IN JANUARY 2016, THE STEERING COMMITTEE HELD THE ORGANIZATIONAL MEETING OF THE BRAZOS VALLEY HEALTH COALITION TO PRESENT AND GATHER FEEDBACK THE PROPOSED COLLABORATION AND THE PLANNED 2016 ASSESSMENT. OVER FIFTY REPRESENTATIVES OF LOCAL AND REGIONAL HEALTH AND COMMUNITY ORGANIZATIONS, WERE INVITED TO THE INAUGURAL MEETING OF THE BRAZOS VALLEY HEALTH COALITION. PARTICIPANTS WERE SUPPORTIVE OF THE NEW COALITION AND OFFERED INPUT INTO THE ASSESSMENT FORMAT AND PROCESS. AS WAS THE CASE IN EACH OF THE PREVIOUS ASSESSMENTS, THE LOCAL INPUT PROVIDED AID IN THE CUSTOMIZATION OF THE ASSESSMENT PROCESS TO MAXIMIZE USEFULNESS OF THE FINDINGS TO THOSE AUDIENCES.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - BELLVILLE ST JOSEPH HEALTH CENTER. HOSPITAL FACILITIES PARTICIPATING IN THE CHNA WERE COLLEGE STATION MEDICAL CENTER AND CHI ST. JOSEPH HEALTH SYSTEM (INCLUDING ST JOSEPH REGIONAL HEALTH CENTER, GRIMES ST JOSEPH HEALTH CENTER, BURLESON ST JOSEPH HEALTH CENTER, MADISON ST JOSEPH HEALTH CENTER, AND BELLVILLE ST JOSEPH HEALTH CENTER).
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - BELLVILLE ST JOSEPH HEALTH CENTER. THE CENTER FOR COMMUNITY HEALTH DEVELOPMENT, (CCHD), AT THE TEXAS A&M UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF PUBLIC HEALTH CONDUCTED THE 2016 BRAZOS VALLEY HEALTH ASSESSMENT IN COLLABORATION WITH THE RECENTLY FORMED BRAZOS VALLEY HEALTH COALITION. THE BRAZOS VALLEY HEALTH COALITION INCLUDES THE BRAZOS COUNTY HEALTH DEPARTMENT, THE MENTAL HEALTH MENTAL RETARDATION AUTHORITY OF BRAZOS VALLEY, AND THE BRAZOS VALLEY COUNCIL OF GOVERNMENTS AS WELL AS MANY OTHER GOVERNMENT AND NON-PROFIT ORGANIZATIONS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - BELLVILLE ST JOSEPH HEALTH CENTER. PRIORITIZED LIST OF SIGNIFICANT HEALTH NEEDS GIVEN THE BROAD SCOPE OF COMMUNITY HEALTH ISSUES AND THE TREMENDOUS DIFFERENCES IN HEALTH RESOURCES AVAILABLE IN EACH COMMUNITY, CHI ST. JOSEPH HEALTH SOUGHT TO IDENTIFY PRIORITY NEEDS FOR THE COMMUNITY SERVED WITH THE RESOURCES MOST COMMONLY AVAILABLE IN ALL COMMUNITIES. ALSO TAKEN INTO CONSIDERATION WERE THE PRIORITY NEEDS BASED ON THE CHI NATIONAL STRATEGY PLATFORM, INTERNAL AND EXTERNAL STAKEHOLDER RECOMMENDATIONS, INCLUDING A DISCUSSION WITH THE CHI ST. JOSEPH HEALTH BOARD OF DIRECTORS, ONGOING/EMERGING ISSUES IDENTIFIED IN THE BRAZOS VALLEY HEALTH STATUS ASSESSMENT, AND CURRENT COMMUNITY BENEFIT PROGRAMS. THE TOP FOUR NEEDS THAT CHI ST. JOSEPH HEALTH WILL ADDRESS ARE: DIABETES INCREASE EDUCATION OPPORTUNITIES IN THE COUNTIES THAT WERE IDENTIFIED AS HAVING THE HIGHEST DIABETES-RELATED MORTALITY AND MORBIDITY RATES: BRAZOS, GRIMES, AND AUSTIN COUNTY AND IMPROVE DIABETES EDUCATION REFERRAL PROCESSES. * HIGHER MORBIDITY RATES IN TWO OR MORE COUNTIES FOR TYPE II DIABETES (BRAZOS AND GRIMES) - MORBIDITY RATE REFERS TO THE INCIDENCE OF ILL-HEALTH IN A POPULATION * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR DIABETES DEATHS (AUSTIN, BRAZOS, AND GRIMES) - MORTALITY RATE REFERS TO THE INCIDENCE OF DEATH FOR THE NUMBER OF DEATHS IN A POPULATION ACCESS TO AND AVAILABILITY OF HEALTHY FOODS ENCOURAGE COMMUNITIES TO PROMOTE EFFORTS TO PROVIDE FRUITS AND VEGETABLES IN A VARIETY OF SETTINGS AND ENCOURAGE THE ESTABLISHMENT AND USE OF DIRECT-TO-CONSUMER MARKETING OUTLETS SUCH AS FARMERS' MARKETS AND COMMUNITY GARDENS. * RURAL RESIDENTS REPORT TRAVELING GREATER DISTANCES TO PURCHASE GROCERIES, AVERAGING ALMOST 30 MILES FOR LEON COUNTY RESIDENTS. * FOOD ENVIRONMENT INDEX (1 TO 10 [10 =BETTER]) SCORE FOR COUNTIES VARIES FROM 4.3 FOR BRAZOS COUNTY TO 7.2 FOR AUSTIN COUNTY. TEXAS IS 6.4, WHILE "TOP PERFORMERS" ARE 8.3. * THE PROPORTION OF LOW INCOME FAMILIES IN BRAZOS COUNTY AND THE DISTRIBUTION OF QUALITY SOURCES OF FOOD ARE THE LIKELY CONTRIBUTORS TO THAT LOW SCORE. VIOLENCE PREVENTION AS A HEALTH CARE PROVIDER, CHI WILL ALWAYS CARE FOR VICTIMS OF VIOLENCE. HOWEVER, TO MAKE A DIFFERENCE IN ERADICATING VIOLENCE IN THE COMMUNITIES WE SERVE, WE MUST MOVE BEYOND TREATMENT AND INTERVENTION AND FOCUS EFFORTS ON PREVENTION. THIS WILL BE ACCOMPLISHED BY COLLABORATING AND PARTNERING WITH LOCAL AGENCIES TO INCREASE PREVENTION AND TREATMENT RESOURCES IN THE AREA OF FAMILY/DOMESTIC VIOLENCE AS IT RELATES TO VIOLENT CRIME. * THE LEADING VIOLENT CRIME REPORTED FOR THE GREATER BRAZOS VALLEY WAS FAMILY VIOLENCE, FOLLOWED BY RAPE/SEXUAL ASSAULT. * GIVEN ITS SIGNIFICANTLY LARGER POPULATION, BRAZOS COUNTY HAD THE HIGHEST AVERAGE COUNT OF VIOLENT CRIME, WHILE LEON COUNTY HAD THE LOWEST. INJURY PREVENTION INCREASE INJURY PREVENTION EDUCATION, AWARENESS, AND COLLABORATION WITH OTHER AGENCIES TO EXPAND PROGRAMS/OUTREACH IN THE CHI ST. JOSEPH HEALTH SERVICE AREA. * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR UNINTENTIONAL INJURY DEATHS (BURLESON, LEON, AND MADISON COUNTIES) * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR MOTOR VEHICLE DEATHS (AUSTIN, BRAZOS, BURLESON, GRIMES, LEON, MADISON, AND ROBERTSON) - THE OVERALL MOTOR VEHICLE CRASH DEATH RATE (NUMBER OF FATALITIES PER 100,000 POPULATION) FOR THE STATE OF TEXAS IS 13.1. THE GREATER BRAZOS VALLEY COUNTY AVERAGE IS 18.0. THE RATE VARIES ACROSS THE COUNTIES FROM A LOW OF 12.6 IN BRAZOS COUNTY TO A HIGH OF 31.6 IN LEON COUNTY. SIGNIFICANT HEALTH NEEDS NOT ADDRESSED OTHER SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED BY CHI ST. JOSEPH HEALTH DIRECTLY ARE CURRENTLY BEING ADDRESSED BY A COALITION OF LOCAL ORGANIZATIONS IN THE COMMUNITY. THE BRAZOS VALLEY HEALTH COALITION, LED BY THE BRAZOS COUNTY HEALTH DEPARTMENT, IS DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH THE HELP OF A SHARED NETWORK OF COMMUNITY STAKEHOLDERS AND RESIDENTS THROUGHOUT THE COMMUNITY. THE CHIP IS AN ACTION-ORIENTED STRATEGIC PLAN THAT OUTLINES COMMUNITY-DRIVEN GOALS, OBJECTIVES, STRATEGIES, AND MEASURES FOR ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS: 1) POOR COMMUNICATION AND COORDINATION AROUND HEALTH AND HUMAN SERVICES, 2) LACK OF ACCESS TO PRIMARY CARE, AND 3) ACCESS TO MENTAL HEALTH CARE. THE CHI ST. JOSEPH HEALTH HEALTHY COMMUNITIES DEPARTMENT TEAM SERVES ON THE STEERING COMMITTEE OF THE BRAZOS VALLEY HEALTH COALITION, PROVIDING EXECUTIVE OVERSIGHT FOR THE COMMUNITY HEALTH IMPROVEMENT PLANNING AND IMPLEMENTATION PROCESS. LACK OF RELIABLE, AFFORDABLE PUBLIC TRANSPORTATION WAS ALSO IDENTIFIED AS A SIGNIFICANT ISSUE IN EVERY COUNTY IN THE CHI ST. JOSEPH HEALTH SERVICE AREA. WHILE CHI ST. JOSEPH HEALTH HAS ADDRESSED SOME COMPONENTS OF THIS NEED THROUGH PARTIAL FUNDING OF STAFT FACILITIES, AND TRANSPORTATION FOR THE HEALTH RESOURCE CENTERS IN BURLESON, GRIMES, AND MADISON COUNTIES, THIS IS STILL SEEN AS A MAJOR BARRIER TO ACCESSING NEEDED RESOURCES AND SERVICES. THIS WILL NEED TO BE ADDRESSED AT A HIGHER LEVEL WITH COLLABORATION BETWEEN MULTIPLE COUNTY AND CITY AGENCIES. FINALLY, COLLABORATING ACROSS THE COMMUNITY IS IMPORTANT IN PLANNING AND IMPLEMENTING COMMUNITY BENEFIT PROGRAMS. COLLABORATION WITH LOCAL AGENCIES ALLOWS CHI ST. JOSEPH HEALTH TO 1) LEVERAGE EXISTING ASSETS IN THE COMMUNITY, CREATING THE OPPORTUNITY FOR BROADER IMPACT; 2) AVOID UNNECESSARY DUPLICATION OF PROGRAMS OR SERVICES, THEREBY MAXIMIZING THE USE OF SCARCE RESOURCES; AND 3) HELP BUILD THE CAPACITY OF LOCAL COMMUNITY MEMBERS TO ENGAGE IN CIVIC DIALOG AND COLLABORATIVE PROBLEM SOLVING, POSITIONING THE COMMUNITY TO BUILD UPON AND SUSTAIN HEALTH IMPROVEMENT ACTIVITIES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - BELLVILLE ST JOSEPH HEALTH CENTER. 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI LINES 2 & 4, NEEDS ASSESSMENT AND COMMUNITY INFORMATION	INTRODUCTION CATHOLIC HEALTHCARE ORGANIZATIONS ACROSS THE NATION ARE CHALLENGED TO PROVIDE QUALITY CARE WITH COMPASSION TO THOSE WE SERVE, AS WELL AS TO UNDERSTAND AND RESPOND TO THE NEEDS OF OUR COMMUNITIES. CHI ST. JOSEPH HEALTH (CHISJH) ACTIVELY WORKS TO ASSESS THESE UNIQUE NEEDS AND CREATE PLANS THAT RESPOND TO THEM. THE CHI ST. JOSEPH HEALTH COMMUNITY BENEFIT PROGRAM ENCOMPASSES SERVICES PROVIDED, WITH LITTLE OR NO COMPENSATION, IN RESPONSE TO IDENTIFIED COMMUNITY NEEDS, INCLUDING: COMMUNITY HEALTH EDUCATION ACTIVITIES, COMMUNITY SCREENINGS, CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS, EFFORTS TO IMPROVE ACCESS TO HEALTHCARE, CHARITY CARE TO RESIDENTS AND THE SHORTFALL OF FEDERAL AND STATE HEALTH REIMBURSEMENTS FOR PATIENTS SERVED. ESTABLISHED IN 1936, CHI ST. JOSEPH HEALTH IS A FAITH-BASED, NOT-FOR-PROFIT HEALTH SYSTEM COMMITTED TO EXCELLENCE AND COMPASSION IN CARING FOR THE MIND, BODY AND SPIRIT WHILE ALSO CREATING HEALTHIER COMMUNITIES. CHI ST. JOSEPH HEALTH IS COMPRISED OF FIVE HOSPITAL FACILITIES ACROSS THE BRAZOS VALLEY, INCLUDING CHI ST. JOSEPH HEALTH REGIONAL HOSPITAL, THE REGION'S HIGHEST LEVEL TRAUMA CENTER. CHI ST. JOSEPH HEALTH IS A PART OF CATHOLIC HEALTH INITIATIVES (CHI), ONE OF THE NATION'S LARGEST CATHOLIC HEALTH SYSTEMS. AS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES, CHI ST. JOSEPH HEALTH IS A LEADER IN HEALTH IMPROVEMENT AND ACCESS AND IS PROUD TO PRESENT THE 2018 ANNUAL REPORT OF COMMUNITY BENEFIT INITIATIVES. CHI ST. JOSEPH HEALTH ASSESSES THE HEALTH NEEDS OF THE COMMUNITY USING INTERNAL AND EXTERNAL INFORMATION. THE PRIMARY ASSESSMENT TOOL IS THE REGIONAL HEALTH PARTNERSHIP 17 HEALTH ASSESSMENT, WHICH INCLUDES AN ASSESSMENT OF THE BRAZOS VALLEY. THIS ASSESSMENT IS CONDUCTED EVERY THREE YEARS. USING INFORMATION FROM THE 2016 HEALTH NEEDS ASSESSMENT, CHI ST. JOSEPH HEALTH PROVIDED PROGRAMS IN 2018 TO IMPROVE THE HEALTH OF RESIDENTS, SUCH AS COMMUNITY-BASED HEALTH SCREENINGS, EDUCATION, AWARENESS AND PREVENTION PROGRAMS, AS WELL AS PROGRAMS DESIGNED TO IMPROVE ACCESS TO PRIMARY CARE PROVIDERS. CHI ST. JOSEPH HEALTH ALSO DELIVERS UNCOMPENSATED HEALTH SERVICES TO RESIDENTS QUALIFYING FOR CHARITABLE CARE OR THOSE COVERED THROUGH STATE AND FEDERAL PROGRAMS, SUCH AS MEDICARE AND MEDICAID, WHERE THE REIMBURSEMENT FOR SERVICES PROVIDED ARE LESS THAN THE COSTS OF PROVIDING THAT SERVICE. CHI ST. JOSEPH HEALTH 2018 COMMUNITY BENEFIT COMMUNITY BENEFIT PROVIDED BY CHI ST. JOSEPH HEALTH CAN BE BROKEN DOWN INTO THREE PRIMARY AREAS: * HEALTHCARE SERVICES DELIVERED TO PATIENTS MEETING QUALIFICATIONS OF THE HEALTH SYSTEM'S CHARITY CARE POLICY OR GOVERNMENT-SPONSORED INDIGENT HEALTH CARE PROGRAMS; * SUBSIDIZED HEALTHCARE SERVICES AND * PROGRAMS AIMED AT IMPROVING COMMUNITY HEALTH OVERALL. HEALTHCARE NEEDS OF THE BRAZOS VALLEY COMMUNITY HEALTH INITIATIVES COMPLETED BY CHI ST. JOSEPH HEALTH IN FY18 WERE BASED UPON RESULTS OF THE 2016 REGIONAL HEALTH PARTNERSHIP 17 HEALTH ASSESSMENT, AS WELL AS STATE AND NATIONAL DATA. THOSE SOURCES IDENTIFIED THE LEADING CAUSES OF DEATH IN THE BRAZOS VALLEY AS: MOTOR VEHICLE, DIABETES, UNINTENTIONAL INJURY, AND CORONARY HEART DISEASE-RELATED DEATHS. THE MOST FREQUENTLY REPORTED CHRONIC DISEASES AND CONDITIONS INCLUDED: ALZHEIMER'S DISEASE, ADULT DIABETES AND OLDER ADULT DEPRESSION. AS A PART OF THE RHP 17 ASSESSMENT, THE BRAZOS VALLEY REGION INCLUDED AUSTIN, BRAZOS, BURLESON, GRIMES, LEON, MADISON, ROBERTSON AND WASHINGTON COUNTIES. THE LEADING HEALTHCARE NEEDS IN THE REGION THAT CHI ST. JOSEPH CHOSE TO ADDRESS INCLUDE: DIABETES, ACCESS TO AND AVAILABILITY OF HEALTHY FOODS, VIOLENCE PREVENTION AND INJURY PREVENTION. COMMUNITY BENEFIT PLAN GIVEN 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 2016 RHP 17 HEALTH ASSESSMENT IDENTIFIED THE FOLLOWING ISSUES IN THE BRAZOS VALLEY: DIABETES * HIGHER MORBIDITY RATES IN TWO OR MORE COUNTIES FOR TYPE II DIABETES (BRAZOS AND GRIMES). * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR DIABETES DEATHS (AUSTIN, BRAZOS AND GRIMES). ACCESS TO AND AVAILABILITY OF HEALTHY FOODS * RURAL RESIDENTS REPORT TRAVELING GREATER DISTANCES TO PURCHASE GROCERIES, AVERAGING ALMOST 30 MILES FOR LEON COUNTY RESIDENTS. * FOOD ENVIRONMENT INDEX (1 TO 10 [10=BETTER]) SCORE FOR COUNTIES VARIES FROM 4.3 FOR BRAZOS COUNTY TO 7.2 FOR AUSTIN COUNTY. TEXAS IS 6.4, WHILE "TOP PERFORMERS" ARE 8.3. * THE PROPORTION OF LOW INCOME FAMILIES IN BRAZOS COUNTY AND THE DISTRIBUTION OF QUALITY SOURCES OF FOOD ARE LIKELY CONTRIBUTORS TO THAT LOW SCORE. VIOLENCE PREVENTION * THE LEADING VIOLENT CRIME REPORTED FOR THE GREATER BRAZOS VALLEY WAS FAMILY VIOLENCE, FOLLOWED BY RAPE/SEXUAL ASSAULT. * GIVEN ITS SIGNIFICANTLY LARGER POPULATION, BRAZOS COUNTY HAD THE HIGHEST AVERAGE COUNT OF VIOLENT CRIME, WHILE LEON COUNTY HAD THE LOWEST. INJURY PREVENTION * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR UNINTENTIONAL INJURY DEATHS (BURLESON, LEON AND MADISON COUNTIES). * HIGHER DEATH RATES IN THREE OR MORE COUNTIES FOR MOTOR VEHICLE DEATHS (AUSTIN, BRAZOS, BURLESON, GRIMES, LEON, MADISON AND ROBERTSON). * THE OVERALL MOTOR VEHICLE CRASH DEATH RATE (NUMBER OF FATALITIES PER 100,000 POPULATION) FOR THE STATE OF TEXAS IS 13.1. THE GREATER BRAZOS VALLEY COUNTY AVERAGE IS 18.0. THE RATE VARIES ACROSS THE COUNTIES FROM A LOW OF 12.6 IN BRAZOS COUNTY TO A HIGH OF 31.6 IN LEON COUNTY. AS PART OF BROADER STEPS TO ADDRESS POPULATION HEALTH AND ACCESS, CHI ST. JOSEPH HEALTH TOOK AN ACTIVE ROLE IN THE ESTABLISHMENT OF THE BRAZOS VALLEY HEALTH COALITION (BVHC) IN JANUARY 2016. A COLLABORATION OF LOCAL HEALTH AND HUMAN SERVICES AUTHORITIES FROM BOTH THE PUBLIC AND PRIVATE HEALTH SECTOR, THE BVHC'S PURPOSE IS TO: * COLLECTIVELY ADDRESS HEALTH ISSUES IN THE BRAZOS VALLEY; * CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY THE HEALTH NEEDS AND STRENGTHS OF THE REGION; * CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN, TO BE COMPLETED IN FEBRUARY 2018, TO DETERMINE HEALTH PRIORITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THE ISSUES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT. DIABETES CHI ST. JOSEPH HEALTH CONTINUES TO INCREASE EDUCATION OPPORTUNITIES IN THE COUNTIES THAT WERE IDENTIFIED AS HAVING THE HIGHEST DIABETES-RELATED MORTALITY AND MORBIDITY RATES: BRAZOS, GRIMES AND AUSTIN COUNTY - AND TO IMPROVE DIABETES EDUCATION REFERRAL PROCESSES. CHI ST. JOSEPH HEALTH PROVIDES FREE COMMUNITY EDUCATION FOR DIABETES PREVENTION AND MANAGEMENT. THE LIVING WELL WITH DIABETES PROGRAM FOCUSES ON TYPE 2 DIABETES AND PREDIABETES AND IS TAUGHT BY A CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETITIAN. THE PROGRAM INCLUDES TWO, THREE-HOUR CORE SESSIONS (OFFERED BI-MONTHLY) THAT FOCUS ON PROPER NUTRITION USING CARBOHYDRATE COUNTING, EXERCISE, BLOOD GLUCOSE MONITORING, FOOT CARE AND OTHER TOPICS. A ONE-HOUR GROCERY STORE TOUR LED BY A REGISTERED DIETICIAN IS ALSO OFFERED EACH MONTH AS PART OF THIS PROGRAM. IT HAS BEEN EXPANDED TO MULTIPLE LOCATIONS IN AN EFFORT TO BETTER SERVE COMMUNITY DEMOGRAPHICS AND GIVE PARTICIPANTS A CHANCE TO PUT NEWLY LEARNED INFORMATION INTO PRACTICE IN A REAL-LIFE SCENARIO. THE THIRD COMPONENT OF THIS PROGRAM INCLUDES ADDITIONAL ONE-HOUR SEMINARS COVERING TOPICS LIKE HEALTHY HOLIDAY EATING, STRESS MANAGEMENT AND DEPRESSION, STRENGTH TRAINING AND DIABETES, HEALTHY HOLIDAY EATING, AND DINING OUT AND ALCOHOL USE AND MORE. THESE ONE-HOUR SEMINARS EXPAND ON TOPICS BRIEFLY COVERED IN THE CORE PROGRAM AND ALSO AFFORD PARTICIPANTS THE OPPORTUNITY TO RETURN TO CLASS WITH THEIR QUESTIONS FOR THE EDUCATORS AND EXPERIENCE GROUP SUPPORT FROM OTHER PARTICIPANTS. PARTICIPANTS RECEIVE A ONE-MONTH MEMBERSHIP IN THE CHI ST. JOSEPH HEALTH WELLNESS PROGRAM. LOCAL HEALTHCARE PROVIDERS REFER NEWLY DIAGNOSED PATIENTS TO THE BI-MONTHLY DIABETES EDUCATION PROGRAM. CHI ST. JOSEPH HEALTH DIETITIANS ALSO PROVIDE PROGRAM INFORMATION TO DIABETES AND PREDIABETES PATIENTS IN ALL OF ITS FACILITIES. IN ADDITION TO THE LIVING WELL WITH DIABETES PROGRAM HELD AT THE REGIONAL HOSPITAL, EFFORTS ARE UNDERWAY TO EXPAND THIS PROGRAM TO DESIGNATED CRITICAL ACCESS SERVICE AREAS. SEVERAL OF THESE AREAS WERE IDENTIFIED AS HAVING THE HIGHEST DIABETES-RELATED MORBIDITY AND MORTALITY RATES AND ARE THE AREAS THAT ARE BEING FOCUSED ON FOR EXPANSION. EDUCATION EFFORTS HAVE ALSO CONTINUED WITH PARTICIPATION IN AREA HEALTH FAIRS BY PROVIDING DIABETES EDUCATION AND GLUCOSE SCREENINGS. EFFORTS TO EXPAND DIABETES EDUCATION TO OUR RURAL SERVICE AREAS ARE CURRENTLY IN PROGRESS. WE WORK CLOSELY WITH OUR PRIMARY CARE PROVIDERS IN CALDWELL TO IDENTIFY PATIENTS WHO WOULD BENEFIT FROM THE EDUCATION AND MAKE REFERRALS.
Schedule H, Part VI LINES 2 & 4, NEEDS ASSESSMENT AND COMMUNITY INFORMATION	ACCESS TO AND AVAILABILITY OF HEALTHY FOODS CHI ST. JOSEPH HEALTH ENCOURAGES COMMUNITIES TO PROMOTE EFFORTS TO PROVIDE FRUITS AND VEGETABLES IN A VARIETY OF SETTINGS AND ENCOURAGES THE ESTABLISHMENT AND USE OF DIRECT-TO-CONSUMER MARKETING OUTLETS SUCH AS FARMERS' MARKETS AND COMMUNITY GARDENS. TEAM MEMBERS ALSO PARTICIPATED IN A SYSTEM-WIDE FOOD DRIVE BENEFITTING AREA FOOD BANKS, COLLECTING NEARLY 9,500 DONATED ITEMS. CHI ST. JOSEPH HEALTH FOLLOWED UP OUR TEAM MEMBERS' GENEROSITY AND HANDS-ON EFFORT TO SUPPORT OUR MISSION AND VALUES BY CONTRIBUTING A CASH MATCH FOR ALL DONATED ITEMS. 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 $9,477.31 EQUATED TO THE ABILITY TO PURCHASE OVER 56,000 POUNDS OF FOOD. IN BELLVILLE SPECIFICALLY, OUR TEAM MEMBERS DONATED 205 ITEMS WHICH WERE DISTRIBUTED TO LOCAL FOOD BANKS. MATCHING FUNDS ALSO WENT TO LOCAL AUSTIN COUNTY FOOD BANK LOCATIONS. VIOLENCE PREVENTION AS A HEALTHCARE PROVIDER, CHI ST. JOSEPH HEALTH WILL ALWAYS CARE FOR VICTIMS OF VIOLENCE. THE HEALTH SYSTEM SEEKS TO MOVE BEYOND TREATMENT AND INTERVENTION AND FOCUS EFFORTS ON PREVENTION BY COLLABORATING AND PARTNERING WITH LOCAL AGENCIES TO INCREASE PREVENTION AND TREATMENT RESOURCES IN THE AREA OF FAMILY/DOMESTIC VIOLENCE AS IT RELATES TO VIOLENT CRIME. IN AN EFFORT TO INCREASE VIOLENCE PREVENTION EDUCATION OPPORTUNITIES FOR PROFESSIONALS IN THE BRAZOS VALLEY WHO MAY COME INTO CONTACT WITH A CRIME VICTIM AND/OR THEIR FAMILY, CHI ST. JOSEPH HEALTH HELPS SUPPORT THE EVERY VICTIM EVERY TIME CONFERENCE THAT IS HELD IN BRAZOS COUNTY EACH YEAR. THIS ANNUAL CONFERENCE PROVIDES QUALITY, EFFECTIVE AND AFFORDABLE VICTIM SERVICES TRAINING FOR LOCAL PROFESSIONALS AS WELL AS SCHOLARSHIPS FOR THE CHILDREN OF LOCAL LAW-ENFORCEMENT OFFICERS ACROSS THE BRAZOS VALLEY REGION. SPONSORSHIP DONATIONS ALSO HELP COVER THE COST OF FACILITY RENTALS, SPEAKER FEES, ETC. OVER 800 PROFESSIONALS ATTENDED THIS EVENT AND RECEIVED VALUABLE TRAINING. INJURY PREVENTION CHI ST. JOSEPH HEALTH SEEKS TO INCREASE INJURY PREVENTION EDUCATION, AWARENESS AND COLLABORATION WITH OTHER AGENCIES TO EXPAND PROGRAMS/OUTREACH IN THE CHI ST. JOSEPH HEALTH SERVICE AREA. CHI ST. JOSEPH HEALTH BELLVILLE HOSPITAL HOSTED A CHILD PASSENGER SAFETY CHECK-UP EVENT IN THE SPRING. THE PROPER USE OF CHILD SAFETY SEATS REDUCES THE RISK OF INJURY AND DEATH, LEADING TO REDUCED MEDICAL COSTS, AVOIDANCE OF LOSS OF FUTURE EARNINGS AND IMPROVED QUALITY OF LIFE. THIS FREE EVENT ASSISTED THIRTY SIX FAMILIES THAT ARE NOW TRAVELING SAFER BECAUSE OF THESE DIRECT EFFORTS. BELLVILLE HOSPITAL ALSO HOSTED A SAFE SITTER CLASS DURING THE MONTH OF AUGUST. SAFE SITTER IS AN EVIDENCE BASED CURRICULUM THAT TEACHES INJURY PREVENTION, BEHAVIOR MODIFICATION, AND LIFE-SAVING RESCUE SKILLS TO CHILDREN THAT BABYSIT OTHERS OR STAY HOME ALONE. THE HOSPITAL ALSO PARTICIPATED IN A DRUG AWARENESS & PREVENTION PROGRAM AND AUSTIN COUNTY SAFETY DAY.
Schedule H, Part VI LINES 2 & 4, NEEDS ASSESSMENT AND COMMUNITY INFORMATION	SPECIAL EVENTS IN AUSTIN, CHI ST. JOSEPH HEALTH BELLVILLE HOSPITAL SUPPORTS SPECIAL HEALTH AND WELLNESS EVENTS IN THE COMMUNITY. EACH YEAR, CHI ST. JOSEPH HEALTH BELLVILLE HOSPITAL PROVIDES FLU VACCINATIONS TO COMMUNITY MEMBERS IN NEED. THIS YEAR OVER 100 FREE VACCINATIONS WERE PROVIDED TO AUSTIN COUNTY RESIDENTS. BELLVILLE HOSPITAL ALSO DONATED NEEDED SUPPLIES TO LOCAL ANIMAL RESCUES AND COORDINATED A BLOOD DRIVE. COMMUNITY SUPPORT WAS ALSO GIVEN DURING SEVERAL SPEAKING ENGAGEMENTS BY ADMINISTRATIVE AND MEDICAL STAFF AS WELL AS AN EDUCATIONAL VISIT FROM ST. MARY'S DAY SCHOOL. TEAM MEMBERS FROM BELLVILLE HOSPITAL ALSO HELPED TO PROVIDE LUNCH FOR WALLER COUNTY EMS AND SERVED AS VOLUNTEERS FOR THE LOCAL FIREMAN'S CELEBRATION. PERFORMANCE NET PATIENT REVENUE FOR THE HOSPITAL, EXCLUDING DSRIP, TOTALED $11,688,681 AND EXPENSES TOTALED $9,981,495. DUE TO THE HOSPITAL BEING LOCATED IN A COUNTY WITH LESS THAN 50,000 POPULATION AND HAVING A WHOLE COUNTY HEALTH PROFESSIONAL SHORTAGE AREA DESIGNATION (HPSA), IT IS EXEMPT FROM REPORTING CHARITY CARE AND COMMUNITY BENEFIT INFORMATION UNDER TEXAS HEALTH AND SAFETY CODE, CHAPTER 311, SUBCHAPTERS C AND D. UNREIMBURSED COST OF MISCELLANEOUS OTHER COMMUNITY BENEFITS THE ESTIMATED UNREIMBURSED COST OF MISCELLANEOUS OTHER COMMUNITY BENEFITS PROVIDED BY CHI ST. JOSEPH HEALTH BELLVILLE HOSPITAL FOR 2018 WAS $3,118, DETAILED AS FOLLOWS: * DONATIONS MADE BY THE HOSPITAL $ 1,447 * EDUCATION RELATED COSTS $ 1,671 * TOTAL $ 3,118 TOTAL UNREIMBURSED COST OF COMMUNITY BENEFITS THE TOTAL AMOUNT OF COMMUNITY BENEFITS RENDERED BY CHI ST. JOSEPH HEALTH BELLVILLE HOSPITAL FOR 2018, INCLUDING CHARITY CARE AND GOVERNMENT-SPONSORED INDIGENT HEALTH CARE, OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AND MISCELLANEOUS OTHER COMMUNITY BENEFITS WERE $3,118, OR 0.03% OF NET PATIENT REVENUES. REPORTING AND DISCLOSURE THE ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN HAS BEEN FILED WITH THE CENTER FOR HEALTH STATISTICS AT THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. IN ADDITION TO THE ANNUAL REPORT, A COMPLETED WORKSHEET, AS REQUIRED BY SUBSECTION (A)(5), WILL BE FILED NO LATER THAN 10 WORKING DAYS AFTER THE DATE THE HOSPITAL FILES ITS MEDICARE COST REPORT. A STATEMENT HAS BEEN PREPARED THAT NOTIFIES THE PUBLIC THAT THE ANNUAL REPORT OF THE COMMUNITY BENEFITS PLAN IS PUBLIC INFORMATION, THAT IT HAS BEEN FILED WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND THAT IT IS AVAILABLE TO THE PUBLIC ON REQUEST FROM THE DEPARTMENT. THE STATEMENT WILL BE POSTED IN PROMINENT PLACES THROUGHOUT THE HOSPITAL, INCLUDING BUT NOT LIMITED TO THE EMERGENCY ROOM WAITING AREA AND THE ADMISSIONS OFFICE WAITING AREA. THE STATEMENT WILL ALSO BE PRINTED IN THE HOSPITAL PATIENT GUIDE OR OTHER MATERIAL THAT PROVIDES THE PATIENT WITH INFORMATION ABOUT THE ADMISSIONS CRITERIA OF THE HOSPITAL. THE HOSPITAL WILL PROVIDE, TO EACH PERSON WHO SEEKS ANY HEALTH CARE SERVICE AT THE HOSPITAL, NOTICE IN APPROPRIATE LANGUAGES, IF POSSIBLE, ABOUT THE CHARITY CARE PROGRAM, INCLUDING THE CHARITY CARE AND ELIGIBILITY POLICIES OF THE PROGRAM, AND HOW TO APPLY FOR CHARITY CARE. THESE NOTICES WILL BE CONSPICUOUSLY POSTED IN THE GENERAL WAITING AREA, IN THE WAITING AREA FOR EMERGENCY SERVICES, IN THE BUSINESS OFFICE AND IN SUCH OTHER LOCATIONS AS THE HOSPITAL DEEMS LIKELY TO GIVE NOTICE OF THE CHARITY CARE PROGRAM AND POLICIES. THE HOSPITAL WILL ANNUALLY PUBLISH NOTICE OF ITS CHARITY CARE PROGRAM AND POLICIES IN A LOCAL NEWSPAPER OF GENERAL CIRCULATION IN THE COUNTY.
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 I, Line 7a FINANCIAL ASSISTANCE AT COST	THE LOCAL HOSPITAL DISTRICT AND COUNTY OFFER INDIGENT CARE PROGRAMS TO THOSE IN NEED OF ASSISTANCE, THEREFORE, PATIENTS OF BELLVILLE ST. JOSEPH HEALTH CENTER RECEIVE FINANCIAL ASSISTANCE THROUGH THE HOSPITAL DISTRICT AND COUNTY PROGRAMS RATHER THAN APPLYING FOR FINANCIAL ASSISTANCE WITH BELLVILLE ST. JOSEPH HEALTH CENTER. NO CHARITY CARE WAS REPORTED FOR FISCAL YEAR ENDING 6/30/2018.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	St Joseph Regional Health Center - EIN 74-1282696
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1330670
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COST ACCOUNTING DATA AND GENERAL LEDGER AMOUNTS, LESS BAD DEBT AND COST OF CHARITY CARE, WERE USED TO COMPLETE THE MEDICAID (LINE 7B) AND OTHER MEANS TESTED GOVERNMENT PROGRAMS (LINE 7C) LINES. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE OTHER BENEFITS SECTION (LINE 7E - 7I.)
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BELLVILLE ST JOSEPH HEALTH 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	BELLVILLE ST JOSEPH HEALTH CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED IN THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
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. BELLVILLE ST JOSEPH HEALTH CENTER'S 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: $ 1,827,941 TOTAL MEDICARE COSTS: $ 3,780,561 SURPLUS OR SHORTFALL ($1,952,620) BELLVILLE ST JOSEPH HEALTH CENTER 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	- BELLVILLE ST JOSEPH HEALTH CENTER: Line 16a URL: http://www.chistjoseph.org/about-us/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- BELLVILLE ST JOSEPH HEALTH CENTER: Line 16b URL: http://www.chistjoseph.org/about-us/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- BELLVILLE ST JOSEPH HEALTH CENTER: Line 16c URL: http://www.chistjoseph.org/about-us/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 FACILITIES 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 FACILITIES 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 FACILITIES 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 WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH. THE NARRATIVE BELOW REFLECTS THE ACTIVITIES OF THE ORGANIZATION'S AFFILIATE, CHI, AS OF AND FOR THE YEAR ENDED 6/30/18: CHI, A NONPROFIT, FAITH-BASED HEALTH SYSTEM FORMED IN 1996 THROUGH THE CONSOLIDATION OF FOUR CATHOLIC HEALTH SYSTEMS, EXPRESSES ITS MISSION EACH DAY BY CREATING AND NURTURING HEALTHY COMMUNITIES IN THE HUNDREDS OF SITES ACROSS THE NATION WHERE WE PROVIDE CARE. ONE OF THE NATION'S LARGEST NONPROFIT HEALTH SYSTEMS, ENGLEWOOD, COLORADO-BASED CHI SERVES AS THE PARENT COMPANY OF THE SYSTEM. IT OPERATES IN 18 STATES AND COMPRISES 100 HOSPITALS, INCLUDING TWO ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS AS WELL AS 29 CRITICAL-ACCESS FACILITIES; COMMUNITY HEALTH-SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME-HEALTH AGENCIES; LIVING COMMUNITIES; AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2018, CHI PROVIDED MORE THAN $1.1 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 $2.0 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $14.98 BILLION IN FISCAL YEAR 2018, HAS TOTAL ASSETS OF APPROXIMATELY $20.6 BILLION. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARE SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICKY NAPPER
PRES/CEO SJHS, EX-OFFICIO TRUSTEE (PARTIAL YR THROUGH 12/15/17)	$0	$444,969	$0	$102,862	$0	$61,149	$0	$16,075	$0	$18,741	$0	$643,796	$0	$34,200
KIA PARSI MD
INTERIM PRES/CEO, EX-OFFICIO TRUSTEE	$0	$415,221	$0	$4,000	$0	$0	$0	$18,000	$0	$5,856	$0	$443,077	$0	$0
Michael Covert
EX-OFFICIO TRUSTEE, PRES/CEO CHI/SLHS (PARTIAL YR THROUGH 12/31/17)	$0	$1,146,287	$0	$794,040	$0	$206,851	$0	$15,375	$0	$27,127	$0	$2,189,680	$0	$0
MICHAEL STEINES MD
BOARD MEMBER	$0	$524,327	$0	$163,047	$0	$0	$0	$42,000	$0	$5,561	$0	$734,935	$0	$0
RICARDO DIAZ
COO	$0	$279,154	$0	$2,500	$0	$0	$0	$17,382	$0	$8,590	$0	$307,626	$0	$0
DANIEL GOGGIN
CFO (PARTIAL YEAR THROUGH 5/18/18)	$0	$348,824	$0	$2,500	$0	$0	$0	$39,561	$0	$9,251	$0	$400,136	$0	$0
WILLIAM PACK
INTERIM CFO / VP, FINANCE-CHI TX DIVISION	$0	$363,023	$0	$12,500	$0	$6,932	$0	$15,248	$0	$27,415	$0	$425,118	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a SEVERANCE PAYMENTS	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") 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. NO REPORTABLE INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2017.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE 2017 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. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: RICKY NAPPER MICHAEL COVERT DURING 2017 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: RICKY NAPPER - $ 34,200 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 2017 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 2017, THE FOLLOWING CONTRIBUTIONS AND ASSOCIATED GAINS OR LOSSES THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MICHAEL COVERT - $184,783

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 5,627,202 including grants of $ 721)(Revenue $ 4,315,123) PROVIDED MEDICAL/SURGICAL, OPERATING ROOM, PHARMACY SERVICES, SERVICES AT MEDICAL CLINIC OF BELLVILLE, CARDIOVASCULAR SERVICES, AND THERAPY SERVICES TO PATIENTS.
Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE KORN FERRY HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE KORN FERRY HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY KORN FERRY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 11, 2017. IN ADDITION, KORN FERRY HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE IN THE FALL OF 2014 TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS	DURING THE TAX YEAR ENDED 6/30/2018, 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, Line 12c CONFLICT OF INTEREST POLICY	THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH 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 WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THE COI POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE 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, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH 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 WITHIN THE COI POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE EXECUTIVE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD. THE BOARD SHALL CAREFULLY SCRUTINIZE 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 CORPORATE OFFICER EITHER: * HAS A MATERIAL FINANCIAL INTEREST; OR * IS A TRUSTEE OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A CHI-AFFILIATED ORGANIZATION). THE BOARD MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE TRUSTEES ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY INDIVIDUAL WHO HAS AN INTEREST IN THE TRANSACTION. 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 SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO CHI OR THE CHI ENTITY. THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE 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.). BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE TRUSTEE OR CORPORATE OFFICER UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CHI OR THE CHI ENTITY. THE BOARD SHOULD CONSULT WITH THE GENERAL COUNSEL OF CHI OR HIS OR HER DESIGNEE WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN ANY CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD, THE TRUSTEE OR CORPORATE OFFICER, AS APPROPRIATE, MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE TRUSTEE SHALL NOT VOTE AND THE TRUSTEE OR CORPORATE OFFICER SHALL NOT USE HIS OR HER PERSONAL INFLUENCE ON THE 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 OF SIGNIFICANT IMPORTANCE. THE TRUSTEE OR CORPORATE OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. MINUTES OF THE BOARD SHALL REFLECT THE FOLLOWING: 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. IF THE BOARD REASONABLY BELIEVES THAT A TRUSTEE OR CORPORATE OFFICER HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THE COI POLICY, THE TRUSTEE OR CORPORATE OFFICER WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE TRUSTEE OR CORPORATE OFFICER, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE TRUSTEE OR CORPORATE OFFICER HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE COI POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. ALL DETERMINATIONS OF CONFLICTS OF INTEREST ARE REPORTED AS REQUIRED BY LAW, REGULATIONS, AND CHI POLICY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF BELLVILLE ST JOSEPH HEALTH CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. 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, Line 6 Classes of members or stockholders	ACCORDING TO THE BYLAWS OF BELLVILLE ST JOSEPH HEALTH CENTER, THE ENTITY'S SOLE MEMBER IS ST JOSEPH SERVICES CORPORATION D/B/A ST JOSEPH HEALTH SYSTEM, A TEXAS NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ACCORDING TO THE ORGANIZATION'S BYLAWS, FOUR OF THE SEVEN DIRECTOR POSITIONS SHALL BE APPOINTED BY THE CORPORATE MEMBER. THE REMAINING THREE DIRECTOR POSITIONS SHALL BE APPOINTED BY THOSE FIVE PERSONS WHO SERVED AS DIRECTORS IMMEDIATELY PRIOR TO THE ADOPTION OF THE AMENDED AND RESTATED BYLAWS. THE PRESIDENT SHALL BE ONE OF THE THREE DIRECTORS APPOINTED BY THOSE FIVE PERSONS. THE PRESIDENT SHALL ALSO SERVE ON THE BOARD OF TRUSTEES OF THE CORPORATE MEMBER WITH A VOTE. ANY VACANCY OCCURRING OF A DIRECTOR POSITION HELD BY ONE OF THE FOUR POSITIONS APPOINTED BY THE CORPORATE MEMBER SHALL BE FILLED BY THE CORPORATE MEMBER. ANY VACANCY OCCURRING OF A POSITION HELD BY ONE OF THE THREE RESIDENTS OF BELLVILLE, TEXAS ON THE BOARD OF DIRECTORS SHALL BE FILLED BY APPOINTMENT BY THE OUTGOING DIRECTOR AND THE REMAINING TWO DIRECTORS WHO ARE RESIDENTS OF BELLVILLE, TEXAS. 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 FOLLOWING MATTERS ARE RESERVED SOLELY TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: * APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS OF BELLVILLE ST JOSEPH HEALTH CENTER AFTER CONSULTATION ON THE OPERATING AND CAPITAL BUDGETS WITH THE BOARD OF DIRECTORS; * MERGER, SALE, ACQUISITION, CONSOLIDATION, OR DISSOLUTION OF BELLVILLE ST JOSEPH HEALTH CENTER, PROVIDED SUCH MERGER, SALE, ACQUISITION, CONSOLIDATION, OR DISSOLUTION OF BELLVILLE ST JOSEPH HEALTH CENTER HAS BEEN ADOPTED BY A VOTE OF AT LEAST TWO-THIRDS OF THE BOARD THEN IN OUR OFFICE, AT ANY REGULAR SPECIAL MEETING OF THE BOARD CALLED FOR SUCH PURPOSE; * BORROWING OR LENDING OF MONEY, INCURRENCE OF DEBT, OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; * TO REMOVE THE FOUR MEMBER-APPOINTED DIRECTORS WITH OR WITHOUT CAUSE; * MAKE A LEGAL COMMITMENT OR APPROVE AN EXPENDITURE OF MONEY THAT MATERIALLY DEVIATES FROM THE BUDGET OF BELLVILLE ST JOSEPH HEALTH CENTER; * AMEND OR REPEAL THE AMENDED AND RESTATED CERTIFICATE OF FORMATION AND THE AMENDED AND RESTATED BYLAWS OF BELLVILLE ST JOSEPH HEALTH CENTER; AND * TO TAKE ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF BELLVILLE ST JOSEPH HEALTH CENTER AND OF ORGANIZATIONS CONTROLLED BY BELLVILLE ST JOSEPH HEALTH CENTER WITH THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS THEY MAY BE IN EFFECT FROM TIME TO TIME. THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE RELIEVED FROM LIABILITY FOR MANAGERIAL ACTS OR OMISSIONS IMPOSED UPON MEMBERS OF BOARDS OF DIRECTORS BY LAW, TO THE EXTENT THAT, AND AS LONG AS, ANY DISCRETIONARY POWER IN THE MANAGEMENT OF CORPORATE AFFAIRS IS EXERCISED BY THE MEMBER PURSUANT TO THIS SECTION AND THE CERTIFICATE OF FORMATION. 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 FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES' PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO THE IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES' REVIEW BEFORE THE FINAL FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO THE IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR TAX RETURN PREPARERS, CATHOLIC HEALTH INITIATIVES, 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 RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	CATHOLIC HEALTH INITIATIVES ("CHI") HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ALL OF ITS ACTIVITIES. THE POLICY APPLIES TO CHI BOARD OF STEWARDSHIP TRUSTEES AND MEMBERS OF ITS COMMITTEES; ALL CHI ENTITY BOARD AND BOARD COMMITTEE MEMBERS; ALL CHI EMPLOYEES; AND ALL CHI RESEARCH PERSONNEL (BOTH EMPLOYED AND NON-EMPLOYED). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON MUST 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 WHERE THE PERSON MAY BE IN DOUBT, A FULL DISCLOSURE SHOULD BE MADE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. IN ADDITION TO THE GENERAL ONGOING OBLIGATION, THERE ARE INITIAL DISCLOSURE OBLIGATIONS. AT THE TIME OF INITIAL APPOINTMENT, A COPY OF THE POLICY SHALL BE DISTRIBUTED TO THE BOARD OR COMMITTEE MEMBER ALONG WITH A CONFLICT OF INTEREST DISCLOSURE. THE BOARD OR COMMITTEE MEMBER WILL COMPLETE AND SUBMIT THE DISCLOSURE. THE COMPLETED DISCLOSURE SHALL BE MAINTAINED IN CONFIDENCE AND ACCESS SHALL BE LIMITED TO PERSONS WHO HAVE A REASONABLE NEED TO KNOW THE CONTENTS. AT THE TIME OF HIRING, A COPY OF THE POLICY SHALL BE DISTRIBUTED TO ALL EMPLOYEES. IN ADDITION, A CONFLICT OF INTEREST DISCLOSURE WILL BE PROVIDED. THE EMPLOYEE MUST COMPLETE AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE COMPLETED DISCLOSURE SHALL BE MAINTAINED IN CONFIDENCE AND ACCESS SHALL BE LIMITED TO PERSONS WHO HAVE A REASONABLE NEED TO KNOW THE CONTENTS. IN ADDITION TO THE GENERAL ONGOING AND INITIAL DISCLOSURE OBLIGATIONS, THERE IS AN ANNUAL DISCLOSURE OBLIGATION. ON AN ANNUAL BASIS, THE FOLLOWING PERSONS MUST COMPLETE A NEW CONFLICT OF INTEREST DISCLOSURE: * BOARD AND BOARD COMMITTEE MEMBERS; * EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE; * RESEARCHERS; * SUPPLY CHAIN EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE AND THOSE EMPLOYEES INVOLVED IN CONTRACTING REGARDLESS OF EMPLOYMENT LEVEL; * OTHER EMPLOYEES AS DEEMED APPLICABLE BY CHI LEADERSHIP; DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS INVOLVING FINANCIAL INTERESTS ARE FORWARDED TO THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC"), NATIONAL OR REGIONAL LEGAL SERVICES, NATIONAL, ENTITY, OR RESEARCH CORPORATE RESPONSIBILITY PROGRAM, OR THE EXECUTIVE COMMITTEE OF THE BOARD OR BOARD CHAIR, FOR REVIEW DEPENDING ON THE POSITION OF THE PERSON INVOLVED. AMONG THE FACTORS THAT SHOULD BE CONSIDERED IN DETERMINING WHETHER A CONFLICT EXISTS ARE THE NATURE AND MAGNITUDE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE DEGREE TO WHICH IT IS RELATED TO CHI'S BUSINESS, WHETHER THE PERSON WITH THE CONFLICT IS THE ULTIMATE DECISION-MAKER OR HOLDS SIGNIFICANT INFLUENCE OVER THE ULTIMATE DECISION-MAKER (I.E., DEGREE OF INDEPENDENCE OF THE DECISION-MAKING PROCESS), THE UNIQUE NATURE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF OTHER VIABLE ALTERNATIVES AND THE QUALITY OF THOSE ALTERNATIVES, AND WHAT IS CUSTOMARY AND REASONABLE IN THE HEALTH CARE OR RESEARCH INDUSTRY. WHEN A PERSON HAS, OR IS CONSIDERING INITIATING, A BUSINESS INTEREST OR RELATIONSHIP OUTSIDE OF CHI BUT IS UNCERTAIN WHETHER THE INTEREST CONSTITUTES A CONFLICT OF INTEREST REQUIRING DISCLOSURE UNDER THIS POLICY, THE PERSON SHOULD CONSULT WITH LOCAL CORPORATE RESPONSIBILITY PROGRAM (CRP) STAFF OR CHI LEGAL SERVICES GROUP (LSG) STAFF, AS APPROPRIATE. AS APPROPRIATE, A COI MANAGEMENT PLAN WILL BE DEVELOPED. WITH RESPECT TO THOSE AUDIENCES FOR WHICH THE C-CIRC HAS REVIEW RESPONSIBILITY, THE C-CIRC WILL FACILITATE DEVELOPMENT OF ANY SUCH COI MANAGEMENT PLAN IN COLLABORATION WITH LOCAL CRP STAFF OR CHI LSG STAFF, AS APPROPRIATE. THIS PLAN WILL INCLUDE DOCUMENTATION OF THE C-CIRC'S DETERMINATIONS AND RECOMMENDATIONS. AS NECESSARY, REPORTS TO AN APPROPRIATE GOVERNMENTAL AGENCY OR SPONSOR WILL BE MADE ACCORDING TO THE RELEVANT APPENDICES TO THIS POLICY TO PROVIDE REQUIRED INFORMATION REGARDING HOW THE CONFLICT OF INTEREST WILL BE MANAGED, REDUCED, OR ELIMINATED. DESIGNATED CHI ENTITY STAFF ARE RESPONSIBLE FOR MONITORING THE COI MANAGEMENT PLAN AND FOR DOCUMENTING MONITORING ACTIVITIES. AT ITS SOLE DISCRETION, A CHI 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. THE C-CIRC WILL DETERMINE WHETHER A DISCLOSED OR OTHERWISE IDENTIFIED INTEREST IS A CONFLICT OF INTEREST. IF THE C-CIRC DETERMINES THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THAT DOES NOT CURRENTLY HAVE APPROPRIATE CONTROLS TO ADDRESS THE CONFLICT OF INTEREST, IT MAY RECOMMEND THAT THE DISCLOSING PERSON BE ALLOWED TO PARTICIPATE IN THE ACTIVITY OR TRANSACTION SUBJECT TO RESTRICTIONS AS OUTLINED IN A WRITTEN COI MANAGEMENT PLAN. ALL DETERMINATIONS OF CONFLICTS OF INTEREST WILL BE REPORTED AS REQUIRED BY LAW, REGULATIONS, AND CHI POLICY. IF A PERSON, OTHER THAN A BOARD OR BOARD COMMITTEE MEMBER OR CORPORATE OFFICER, REQUIRED TO COMPLETE A COI DISCLOSURE 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 FOLLOWING STEPS SHOULD BE FOLLOWED. WITHIN A REASONABLE PERIOD OF TIME AFTER RECEIVING NOTICE OF THE C-CIRC'S DECISION, THE PERSON MUST PRESENT THE MATTER TO THE PERSON'S IMMEDIATE DIRECT MANAGER OR SUPERVISOR (OR IN THE CASE OF A RESEARCHER, TO [FILL IN THE TITLE OR POSITION TO WHOM RESEARCHERS REPORT]) AND REQUEST RECONSIDERATION, SUBMITTING AT THAT TIME ANY NEW OR ADDITIONAL INFORMATION THAT MAY SUPPORT OR RECOMMEND RECONSIDERATION. IF THE PERSON'S MANAGER INDIVIDUALLY OR IN CONSULTATION WITH THE MANAGER'S VICE PRESIDENT (OR HIGHER IF THE MANAGER IS A VICE PRESIDENT) FINDS THAT NEW INFORMATION SUPPORTING RECONSIDERATION HAS BEEN PRESENTED, THE MANAGER WILL CONTACT LOCAL OR NATIONAL CRP STAFF, AS APPROPRIATE, AND REQUEST THAT THE MATTER BE RE-PRESENTED TO THE C-CIRC. THE C-CIRC WILL BE RECONVENED FOR THIS PURPOSE AND, FOLLOWING SUCH RECONSIDERATION, ISSUE A FINAL DETERMINATION. THIS APPEALS PROCESS IS INTENDED TO BE NARROWLY APPLIED, AS PERSONS SEEKING CONFLICT OF INTEREST EXEMPTIONS OR EXCEPTIONS ARE EXPECTED TO OFFER ALL AVAILABLE INFORMATION SUPPORTING AN EXEMPTION OR EXCEPTION AT THE TIME THE MATTER IS FIRST PRESENTED TO THE C-CIRC. MANAGEMENT OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST OF BOARD OR BOARD COMMITTEE MEMBERS AND CORPORATE OFFICERS WILL BE DETERMINED BY THE APPROPRIATE BOARD, AS REFLECTED IN THE POLICY. REVIEWS AND DETERMINATIONS INVOLVING BOARD AND BOARD COMMITTEE MEMBERS AND CORPORATE OFFICERS WILL BE THE RESPONSIBILITY OF THE BOARD, BOARD EXECUTIVE COMMITTEE, OR BOARD CHAIR, WITH GUIDANCE FROM THE LEGAL SERVICES GROUP (LSG). EACH TRUSTEE AND CORPORATE OFFICER MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN ANY SITUATION WHEN A TRUSTEE OR CORPORATE OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, ALL TRUSTEES AND CORPORATE OFFICERS SHALL COMPLETE A COI DISCLOSURE QUESTIONNAIRE ON AN ANNUAL BASIS. A COPY OF THE COI POLICY SHALL BE AVAILABLE TO TRUSTEES AND CORPORATE OFFICERS. DEFINITIONS OF TERMS USED IN THE DISCLOSURE QUESTIONNAIRE/FORM SHALL ALSO BE INCLUDED. EACH TRUSTEE AND CORPORATE OFFICER MUST PROMPTLY COMPLETE THE COI DISCLOSURE. COI DISCLOSURES THAT INVOLVE NO DISCLOSURES OF CONFLICTS OF INTEREST WILL NOT REQUIRE REVIEW. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ON THE COI QUESTIONNAIRE INVOLVING FINANCIAL INTERESTS WILL BE REVIEWED BY NATIONAL OR REGIONAL LSG. (CONTINUED ON SCHEDULE O)
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY 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.CATHOLICHEALTHINITIATIVES.ORG. GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Miscellaneous Revenue - Total Revenue: 18926, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 3006, Revenue Excluded from Tax Under Sections 512, 513, or 514: 15920;
Form 990, Part IX, Line 11g Other Fees	Other Fees for Services - Total Expense: 1020439, Program Service Expense: 1020439, Management and General Expenses: 0, Fundraising Expenses: 0; Consulting - Total Expense: 274490, Program Service Expense: 141749, Management and General Expenses: 132740, Fundraising Expenses: 0; Contract Services - Total Expense: 5943286, Program Service Expense: 4063788, Management and General Expenses: 1879498, Fundraising Expenses: 0; Contract Labor - Total Expense: 134775, Program Service Expense: 128407, Management and General Expenses: 6368, Fundraising Expenses: 0; Purchased Services - Total Expense: 78004, Program Service Expense: 45757, Management and General Expenses: 32247, Fundraising Expenses: 0;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (186 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HEALTHCARE	NE	501(c)(3)	3	ACH	Yes (true)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING	NE	501(c)(3)	7	ACH	Yes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HEALTHCARE	IA	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(c)(3)	10	CHI	Yes (true)
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(c)(3)	10	SFH	Yes (true)
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	Yes (true)
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(c)(3)	3	SLHS	Yes (true)
BELLEVILLE ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	274005511	HEALTHCARE	TX	501(c)(3)	3	SHSC	Yes (true)
BISHOP DRUMM RETIREMENT CENTER
5837 Winwood Dr	Johnston	IA	50131	420725196	LTERM CARE	IA	501(c)(3)	10	CHI-IA CORP	Yes (true)
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	HEALTHCARE	CO	501(c)(3)	Type I	CHI	Yes (true)
BRAZOSPORT HEALTH FOUNDATION INC
1 West Way Ct	LAKE JACKSON	TX	77566	760080110	FUNDRAISING	TX	501(c)(3)	Type I	BRHS	Yes (true)
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	800240261	HEALTHCARE	TX	501(c)(3)	3	BRHS	Yes (true)
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HEALTHCARE	TX	501(c)(3)	3	SJSC	Yes (true)
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	HEALTHCARE	TX	501(c)(3)	10	SJSC	Yes (true)
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral Circle	Centennial	CO	80112	840405257	HEALTHCARE	CO	501(c)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(c)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	840902211	FUNDRAISING	CO	501(c)(3)	7	CHIC	Yes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	270930004	FUNDRAISING	CO	501(c)(3)	Type I	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	HEALTHCARE	CO	501(c)(3)	Type I	CHINS	Yes (true)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	PHYSICIANS	OR	501(c)(3)	10	MMC	Yes (true)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CENTER	KS	501(c)(3)	3	CHI	Yes (true)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	HEALTHCARE	ND	501(c)(3)	10	CHI	Yes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(c)(3)	Type I	CHI	Yes (true)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(c)(3)	Type I	CHI	Yes (true)
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	HEALTHCARE	OH	501(c)(3)	Type II	SFH	Yes (true)
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HEALTHCARE	GA	501(c)(3)	3	MHCS	Yes (true)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(c)(3)	10	CHI NS	Yes (true)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(c)(3)	Type I	CHI	Yes (true)
CHI NEBRASKA
12809 West Dodge Road	Omaha	NE	68510	363233121	HEALTHCARE	NE	501(c)(3)	Type I	CHI	Yes (true)
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(c)(3)	Type I	CHI	Yes (true)
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(c)(3)	Type I	CHI	Yes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN ST 1100	HOUSTON	TX	77030	741161938	HEALTHCARE	TX	501(c)(3)	3	SLHS	Yes (true)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HEALTHCARE	AR	501(c)(3)	3	CHISVHS	Yes (true)
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(c)(3)	Type II	SVIMC	Yes (true)
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	HEALTHCARE	AR	501(c)(3)	3	CHISVHS	Yes (true)
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(c)(3)	Type I	NA	Yes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(c)(4)		GSH	Yes (true)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING	IA	501(c)(3)	Type I	AH-CMHMV	Yes (true)
CONTINUING CARE HOSPITAL
One Saint Joseph Drive	LEXINGTON	KY	40504	611400619	LT ACH	KY	501(c)(3)	3	SJHS	Yes (true)
East Texas Clinical Services
2801 VIA FORTUNA SUITE 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	501(c)(3)	Type I	MHSET	Yes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(c)(3)	3	FHS	Yes (true)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(c)(3)	3	KOH	Yes (true)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(c)(3)	Type I	FH	Yes (true)
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(c)(3)	10	FLC	Yes (true)
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(c)(3)	10	FHS	Yes (true)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(c)(3)	3	CHI	Yes (true)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	WA	501(c)(3)	10	CHI	Yes (true)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(c)(3)	10	FHS	Yes (true)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(c)(3)	10	CHI	Yes (true)
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST	GARRISON	ND	58540	450227752	HEALTHCARE	ND	501(c)(3)	3	SAMC	Yes (true)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(c)(3)	Type I	CHI	Yes (true)
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(c)(3)	2	GSH	Yes (true)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(c)(3)	Type I	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL
110 N MAIN ST STE 500	DAYTON	OH	45402	310536981	HEALTHCARE	OH	501(c)(3)	3	SHP	Yes (true)
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(c)(3)	7	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500	DAYTON	OH	45402	237296923	FUNDRAISING	OH	501(c)(3)	7	SHP	Yes (true)
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HEALTHCARE	WA	501(c)(3)	3	FHS	Yes (true)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING	WA	501(c)(3)	7	HMC	Yes (true)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(c)(3)	Type I	SFMC	Yes (true)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HEALTHCARE	WA	501(c)(3)	3	FHS	Yes (true)
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(c)(3)	7	CHI-IA CORP	Yes (true)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(c)(3)	3	KOH	Yes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(c)(3)	10	JHSMH	Yes (true)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(c)(3)	Type II	CHI	Yes (true)
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(c)(3)	3	CHI	Yes (true)
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUNDRAISING	MN	501(c)(3)	7	LHC	Yes (true)
LINUS OAKES INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930821381	SENIOR LIVING	OR	501(c)(3)	10	MMC	Yes (true)
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET	Yes (true)
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HEALTHCARE	TX	501(c)(3)	3	SJSC	Yes (true)
MADONNA MANOR INC
2344 AMSTERDAM ROAD	VILLA HILLS	KY	51017	610654635	LIVING ASSIST	KY	501(c)(3)	10	FLC	Yes (true)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(c)(3)	7	MHCS	Yes (true)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(c)(3)	3	CHI	Yes (true)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(c)(3)	10	MHCS	Yes (true)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HEALTHCARE	TX	501(c)(3)	3	CHI	Yes (true)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HEALTHCARE	TX	501(c)(3)	3	MHSET	Yes (true)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HEALTHCARE	TX	501(c)(3)	3	MHSET	Yes (true)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(c)(3)	Type I	MHSET	Yes (true)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HEALTHCARE	TX	501(c)(3)	3	MHSET	Yes (true)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(c)(3)	Type I	MF-DM IA	Yes (true)
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(c)(3)	10	CHI-IA CORP	Yes (true)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(c)(3)	2	CHI-IA CORP	Yes (true)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(c)(3)	7	CHI-IA CORP	Yes (true)
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING	OR	501(c)(3)	7	MMC	Yes (true)
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	IA	501(c)(3)	Type I	AHMH-Corning	Yes (true)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING	ND	501(c)(3)	Type I	MHVC	Yes (true)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(c)(3)	Type I	AHBMHS	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(c)(3)	7	MHDL	Yes (true)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(c)(3)	3	CHI-IA CORP	Yes (true)
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4th Ave E	Newton	IA	50314	421470935	PHYSICIANS	IA	501(c)(3)	3	CHI-IA CORP	Yes (true)
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HEALTHCARE	OR	501(c)(3)	3	CHI	Yes (true)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(c)(3)	Type I	MMC	Yes (true)
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
North Central Health Care Alliance dba PrimeCare Health Group
401 N 9th St	BISMARCK	ND	585014507	450439894	HEALTHCARE	ND	501(c)(3)	7	NHCA	Yes (true)
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(c)(3)	Type I	OCH	Yes (true)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET	Yes (true)
PROVIDENCE CARE CENTER
2025 HAYES AVENUE	SANDUSKY	OH	44870	341658625	HEALTHCARE	OH	501(c)(3)	10	FLC	Yes (true)
PROVIDENCE CARE CENTERS
2025 HAYES AVENUE	SANDUSKY	OH	44870	341826099	HOLDING CO	OH	501(c)(3)	Type II	FLC	Yes (true)
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(c)(3)	10	FLC	Yes (true)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(c)(3)	7	CHIC	Yes (true)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 Sylvester Road SW	Burien	WA	98166	911170040	HEALTHCARE	WA	501(c)(3)	3	FHS	Yes (true)
SET OF COLORADO SPRINGS INC
9100 E Mineral Circle	Centennial	CO	80112	841183335	LTERM CARE	CO	501(c)(3)	7	CHIC	Yes (true)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(c)(3)	10	SCHS	Yes (true)
SAINT CLARE'S FOUNDATION INC
25 POCONO RD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(c)(3)	7	SCHS	Yes (true)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(c)(3)	10	CHI	Yes (true)
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(c)(3)	3	SCHS	Yes (true)
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(c)(3)	7	SERMC	Yes (true)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(c)(3)	3	SERMC	Yes (true)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(c)(3)	7	SFMC	Yes (true)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(c)(3)	7	SJHS	Yes (true)
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611334601	HEALTHCARE	KY	501(c)(3)	3	KOH	Yes (true)
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(c)(3)	Type I	SJHS	Yes (true)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(c)(3)	7	SJHS	Yes (true)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(c)(3)	7	SJHS	Yes (true)
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway Street	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(c)(3)	Type I	SJHHC	Yes (true)
SAMARITAN BEHAVIORAL HEALTH INC
110 N MAIN ST STE 500	DAYTON	OH	45402	020633634	HEALTHCARE	OH	501(c)(3)	7	SHP	Yes (true)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500	DAYTON	OH	45402	311107411	HEALTHCARE	OH	501(c)(3)	Type I	CHI	Yes (true)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING	NE	501(c)(3)	Type I	AHMHS	Yes (true)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HEALTHCARE	CO	501(c)(3)	3	CHI	Yes (true)
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE	BISMARCK	ND	58501	450226711	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
ST ANTHONY HOSPITAL
2801 St Anthony Way	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(c)(3)	3	CHI	Yes (true)
ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony Way	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(c)(3)	Type I	SAH	Yes (true)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(c)(3)	3	SVIMC	Yes (true)
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(c)(3)	3	CHI	Yes (true)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(c)(3)	Type I	SCH	Yes (true)
ST CLARE COMMONS
12469 Five Point Road	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(c)(3)	10	FLC	Yes (true)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	CO	501(c)(4)		CHI	Yes (true)
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(c)(3)	10	CHI	Yes (true)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(c)(3)	10	SCHS	Yes (true)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(c)(3)	3	CHI	Yes (true)
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742351158	FUNDRAISING	TX	501(c)(3)	Type II	SJSC	Yes (true)
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	HEALTHCARE	TX	501(c)(3)	10	SJSC	Yes (true)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HEALTHCARE	MD	501(c)(3)	3	CHI	Yes (true)
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	HEALTHCARE	TX	501(c)(3)	3	SJSC	Yes (true)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(c)(3)	Type I	SJMC	Yes (true)
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HEALTHCARE	TX	501(c)(3)	3	SJSC	Yes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HEALTHCARE	TX	501(c)(3)	3	SJSC	Yes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(c)(3)	10	SJSC	Yes (true)
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(c)(3)	Type I	SFH	Yes (true)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(c)(3)	3	CHI	Yes (true)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway St	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(c)(3)	3	CHI	Yes (true)
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(c)(3)	10	FLC	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HEALTHCARE	TX	501(c)(3)	3	SLCDC	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HEALTHCARE	TX	501(c)(3)	3	SLHS	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HEALTHCARE	TX	501(c)(3)	3	SLCDC	Yes (true)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HEALTHCARE	TX	501(c)(3)	3	SLHS	Yes (true)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING	TX	501(c)(3)	7	SLHS	Yes (true)
ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(c)(3)	Type I	CHI	Yes (true)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HEALTHCARE	TX	501(c)(3)	3	SLHS	Yes (true)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531713	PROPERTY MGMT	TX	501(c)(3)	Type I	CHI-SLH	Yes (true)
ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(c)(3)	Type I	SLHS	Yes (true)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(c)(3)	Type I	SLCDC-SL	Yes (true)
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(c)(3)	3	CHI NEBRASKA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(c)(3)	7	SMCH	Yes (true)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(c)(3)	Type I	SVIMC	Yes (true)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(c)(3)	3	CHI	Yes (true)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(c)(3)	10	SVIMC	Yes (true)
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	341412964	HEALTHCARE	OH	501(c)(3)	Type I	CHI	Yes (true)
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	455357161	FUNDRAISING	OH	501(c)(3)	Type I	FLC	Yes (true)
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSIST LIVING	OH	501(c)(3)	10	FLC	Yes (true)
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HEALTHCARE	TX	501(c)(3)	3	SLHS	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(c)(3)	3	CHI	Yes (true)
THE HEART INSTITUTE OF DAYTON
110 N MAIN ST STE 500	DAYTON	OH	45402	300502367	HEALTHCARE	OH	501(c)(3)	10	CHS	Yes (true)
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(c)(3)	Type I	CHI NEBRASKA	Yes (true)
TOTAL HEALTHCARE
9100 E Mineral Circle	Centennial	CO	80112	840927232	HEALTHCARE	CO	501(c)(3)	3	CHIC	Yes (true)
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING	OH	501(c)(3)	Type I	THS	Yes (true)
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(c)(3)	Type I	SFH	Yes (true)
TRINITY HEALTH SYSTEM GROUP
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	300752920	HEALTHCARE	OH	501(c)(3)	Type II	THS	Yes (true)
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HEALTHCARE	OH	501(c)(3)	3	SFH	Yes (true)
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSIST LIVING	OH	501(c)(3)	7	THS	Yes (true)
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(c)(3)	3	CHI	Yes (true)
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(c)(3)	10	CHI	Yes (true)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(c)(3)	10	SCHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Audubon Land Company LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	841513085	Real Estate	CO	CHIC	Related	$298,037	$20,270,617	false	false	0.73
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E Mineral Circle	Centennial	CO	80112	811727282	HEALTHCARE SRVC	CO	CHIC	Related	-$757,555	$6,191,153	false	Yes (true)	0.77
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100	HOUSTON	TX	77030	472079184	HEALTHCARE SRVC	TX	SLHS	Related	$0	$3,250,000	false	Yes (true)	0.65
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	Related	$1,187,048	$2,549,504	false	false	0.53
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico Avenue	CHATTANOGA	TN	37404	621875199	PHYS OFFICE	TN	MHCS	Related	$133,390	$918,922	false	Yes (true)	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	SJHS	Related	$122,291	$3,216,558	false	false	0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	462945938	PRACTICE MGMT SRVC	CO	CHI	Related	$1,263,355	-$272,620	false	Yes (true)	1
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	Physical Therapy	NE	SFMC	Related	$3,422,589	$3,722,591	false	false	0.51
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CENTER	AL	CHIC	Related	$1,734,228	$2,020,115	false	Yes (true)	0.65
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	Unrelated	$468,697,209	$6,697,320,773	false	Yes (true)	1	$1,194,677
CHICAMSURG Surgery Centers LLC
1A Burton Hills Blvd	Nashville	TN	37215	465683027	SURGERY CENTER	TN	CHIC	Related	$76,843	$134,172	false	false	0.51
CHICLARKIN VENTURES LLC
9100 E Mineral Circle	Centennial	CO	80112	474210888	URGENT CARE	CO	CHIC	Related	$167,285	$7,823,355	false	Yes (true)	0.87
Colorado Springs CK Leasing LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	CHIC	Related	$668,738	-$132,333	false	Yes (true)	0.52
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	813725123	HEALTHCARE SRVC	KY	FHS	Related	$0	$101,598	false	Yes (true)	0.51
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	SL HOSP-VINTAGE	Related	$1,686,676	$52,912,453	false	false	0.51
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	na	Related	$376,035	$4,358,356	false	false	1
Heartland Oncology LLC
2337 E Crawford St	Salina	KS	67401	464265403	ONCOLOGY	KS	SCH	Related	-$403,368	$850,579	false	false	0.51
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	Related	$3,108,510	$2,029,071	false	false	0.6
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	Related	$699,620	$777,431	false	false	0.51
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	Lincoln	NE	68510	262496856	Real Estate	NE	SERMC	Related	$812,108	$301,911	false	false	0.54
Mercy Rehabilitation Hospital LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	814437201	HEALTHCARE SRVC	KY	CHI IA	Related	$0	$1,138,872	false	false	0.51
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	Related	$11,039,563	$19,771,159	false	false	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	Related	$279,520	$1,700,868	false	false	0.67
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	CHIC	Related	$15,065,598	$3,364,245	false	false	0.6
Pasadena Urgency Center LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	812482854	URGENT CARE	TX	SLHS	Related	-$1,031,166	$1,686,969	false	false	0.57
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	Related	$377,689	$1,738,875	false	false	0.6
Penrad Imaging LLC
1390 Kelly Johnson Blvd	COLORADO SPRINGS	CO	80920	841072619	Medical Imaging	CO	CHIC	Related	-$2,396,662	$1,744,893	false	false	0.7
PMC HOSPITAL LLC
3100 MAIN ST STE 500	HOUSTON	TX	77002	273280598	HOSPITAL	TX	SL CDC-PMC	Related	$3,630,803	$64,361,393	false	Yes (true)	0.51
Pueblo Ambulatory Surgery Center LLC
25 Montebello Rd	Pueblo	CO	81003	621488737	SURGERY CENTER	CO	CHIC	Related	-$74,501	$210,538	false	false	0.51
Saint JOSEPH - PAML LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	452116736	MGMT SVCS	KY	SJHS	Related	-$19,517	$1,393,440	false	Yes (true)	0.63
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RD	LEXINGTON	KY	40503	453801157	OP SURGERY	KY	SJHS	Related	$0	$0	false	Yes (true)	0.51
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	OH	CHINHC	Related	$4,139,859	$13,245,757	false	false	1
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	Related	$151,050	$13,285,935	false	false	0.59
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	SLHS HOLDINGS	Related	$469,596	$609,938	false	Yes (true)	0.45
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC-W	Related	$1,269,122	$36,450,234	false	Yes (true)	0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	SLHSH	Related	-$76,895	$1,135,073	false	Yes (true)	0.51
SURGERY CENTER OF LEXINGTON LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179539	SURGERY CENTER	KY	SJHS	Related	-$108,052	$0	false	Yes (true)	0.51
THREE SPRING IMAGING LLC
1 Mercado St STE 200A	DURANGO	CO	81301	813571570	HEALTHCARE SRVC	CO	CHIC	Related	$76,753	$84,093	false	Yes (true)	0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
Alegent HealthCreighton St Joseph Managed Care Services Inc
12809 West Dodge Rd	Omaha	NE	68154	470802396	Managed Care	NE	CHI Nebraska	C Corporation	$9,217,638	$22,568,323	1	Yes (true)
All Saints Insurance Company SPC Ltd
				980556913	Insurance		CHI	C Corporation	$0	$0	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	Healthcare	TX	SJSC	C Corporation	$236,684	$699,916	1	Yes (true)
Alternative Insurance Management Service Inc
3900 OLYMPIC BLVD STE 400	Erlanger	KY	41018	841112049	Management Services	KY	CHI	C Corporation	$5,601	$6,045,874	1	Yes (true)
AMERICAN NURSING CARE Inc
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C Corporation	$91,529,470	$56,968,045	1	Yes (true)
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C Corporation	$21,023,902	$15,079,827	1	Yes (true)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	Fitness Club	KY	JHSMH	C Corporation	$0	$0	1	Yes (true)
BrazoSport Health Alliance
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	Health Care	TX	BRHS	C Corporation	$134,400	$35,529	1	Yes (true)
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500	Chattanooga	TN	37411	621570736	Healthcare	TN	MHCS	C Corporation	$0	$1,008	1	Yes (true)
Captive Management Initiatives Ltd
				980663022	Captive Management		CHI	C Corporation	$3,500	$176,569	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
Carmona-DeSoto Building Horizontal Property Regime Inc
300 Werner St	Hot Springs	AR	71913	710771076	Healthcare	AR	CHI-SVHS	C Corporation	$0	$0	1	Yes (true)
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WEST	Englewood	CO	80112	272269511	Research	CO	CIRI	C Corporation	$497,688	$1,989,262	1	Yes (true)
CHI St Luke's Health Baylor College of Medicine Medical Center Condominium
6624 Fannin STE 1100	Houston	TX	77030	465079545	Condo Assoc	TX	CHI-SLHBCM	C Corporation	$0	$0	1	Yes (true)							Assoc
ClearRiver Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464495960	Insurance	CO	PHPSI	C Corporation	$80,448	$5,368,013	1	Yes (true)
Comcare Services Inc
5570 DTC Parkway	Englewood	CO	80111	840904813	Inactive	CO	CHIC	C Corporation	$0	$0	1	Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C Corporation	$1,295,835	$52,264,929	1	Yes (true)
Des Moines Medical Center Inc
1111 6TH AVE	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corporation	$71,628	$1,079,124	0.93	Yes (true)
Diversified Health Resources Inc
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	Health Care	TX	BRHS	C Corporation	$22,442	$182,538	1	Yes (true)
First Initiatives Insurance LTD
				980203038	Insurance		CHI	C Corporation	$0	$0	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car
C/O CPGUSA 1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	812174959	Healthcare	NY	FHS	C Corporation	$3,755,671	$1,106,230	1	Yes (true)							e
Franciscan Services Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corporation	$0	$15,522,048	1	Yes (true)
Good Samaritan Outreach Services
PO Box 1990	Kearney	NE	68848	470659440	Medical Clinic	NE	CHI Nebraska	C Corporation	$260,344	$212,541	1	Yes (true)
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201	FEDERAL WAY	WA	98001	473451750	Insurance	WA	QCHPS	C Corporation	$45,119	$3,244,070	1	Yes (true)
Health Systems Enterprises Inc
PO BOX 1990	Kearney	NE	68848	470664558	MGMT	NE	GSH	C Corporation	$150,551	$1,318,274	1	Yes (true)
Healthcare MGMT Services Organization INC
1149 MARKET ST	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corporation	$0	$0	1	Yes (true)
HeartlandPlains Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464368223	Insurance	CO	PHPSI	C Corporation	$5,739,433	$5,513,263	1	Yes (true)
Highline Medical Group
1717 S J Street	Tacoma	WA	98405	911407026	Medical Services	WA	HMC	C Corporation	$0	$0	1	Yes (true)
Medical Office Building Horizontal Property Regime Inc
300 Werner St	Hot Springs	AR	71913	710720429	Real Estate	AR	CHI-SVHS	C Corporation	$177,558	$81,158	0.77	Yes (true)
Medquest
1301 15TH AVENUE WEST	Williston	ND	58801	450392137	Sale of DME	ND	MMC Williston	C Corporation	$561,543	$852,276	1	Yes (true)
Memorial CV Service Line Management Company LLC
1201 W Frank Ave	Lufkin	TX	75904	463622849	Heath Care	TX	MHSET	C Corporation	$0	$0	1	Yes (true)
Mercy Park Apartments LTD
1111 6th AVE	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corporation	$951,900	$0	1	Yes (true)
Mercy Services Corp
2700 STEWART PARKWAY	Roseburg	OR	97471	930824308	Retail Sales	OR	MMC	C Corporation	$34,601	$126,694	1	Yes (true)
MHI Clinical Services
1201 W Frank Ave	Lufkin	TX	75904	461967952	Healthcare	TX	MHSET	C Corporation	$11,048,138	$1,739,550	1	Yes (true)
Mountain Management Services Inc
6028 Shallowford Rd	Chattanooga	TN	37421	621570739	MGMT SVC ORG	TN	MHCS	C Corporation	$13,439,403	$3,317,936	1	Yes (true)
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C Corporation	$10,173,794	$6,744,244	1	Yes (true)
QCA Health Plan Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	710794605	Insurance	AR	QCHI	C Corporation	$193,555,136	$75,365,153	1	Yes (true)
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	Insurance	WA	QCPS	C Corporation	$11,810,605	$6,432,511	1	Yes (true)
QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc)
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461224037	Admin Services	CO	QCHI	C Corporation	$63,300,575	$219,676,343	1	Yes (true)
QualChoice Health Inc (fka CollabHealth Managed Solutions Inc)
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461222808	Holding Co	CO	CHI	C Corporation	$308,157	$1,222,966	1	Yes (true)
QualChoice Holdings Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	274075520	Holding Co	CO	PHPS	C Corporation	$0	$9,944	1	Yes (true)
QualChoice Life and Health Insurance Company Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	710386640	Insurance	AR	QCH	C Corporation	$111,184,831	$54,451,054	1	Yes (true)
QualChoice of Nebraska
2401 S 73rd St	Omaha	NE	68124	810738827	Insurance	NE	QCH	C Corporation	$0	$0	1	Yes (true)
RiverLink Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464380824	Insurance	CO	PHPS	C Corporation	$9,198,897	$6,690,368	1	Yes (true)
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464828332	Insurance	CO	PHPS	C Corporation	$8,666,516	$6,927,980	1	Yes (true)
Ross Park Pharmacy Inc
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	Pharmacy	OH	THS	C Corporation	$1,513,328	$2,686,059	1	Yes (true)
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	222441202	Billing Services	CO	SCCC	C Corporation	$0	$0	1	Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	C Corporation	$29,440,066	$8,967,737	1	Yes (true)
SJH Services Corporation
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corporation	$0	$1,598,610	1	Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	Lexington	KY	40503	270164198	Mgmt	KY	SJHS	C Corporation	$0	$0	1	Yes (true)
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201	Federal Way	WA	98001	421720801	Insurance	WA	PHPS	C Corporation	$181,743,407	$66,769,322	1	Yes (true)
St Alexius Health Services Inc
900 East Broadway Avenue	Bismarck	ND	58501	450402812	Healthcare	ND	SAMC	C Corporation	$0	$0	1	Yes (true)
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	SAH	C Corporation	$1,609,675	$2,187,406	1	Yes (true)
St Joseph Development Company Inc
1717 SOUTH J ST	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corporation	$4,387,694	$34,715,309	1	Yes (true)
St Luke's Episcopal Hospital Physician Hospital Organization Inc
6720 Bertner MC4-262	Houston	TX	77030	760377932	PHO	TX	CHI-SLH	C Corporation	$0	$0	1	Yes (true)
St Luke's Health System Holdings Inc
6624 Fannin STE 800	Houston	TX	77030	760637138	Holding Co	TX	SLHS	C Corporation	$3,074,493	$39,559,748	1	Yes (true)
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLE	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corporation	$4,768,531	$29,679,087	1	Yes (true)
StableView Health Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464373713	Insurance	CO	PHPS	C Corporation	$62,195	$5,180,266	1	Yes (true)
STE Holdings
12809 West Dodge Rd	Omaha	NE	68154	822383629	Holding Co	NE	SERMC	C Corporation	$334,599	$2,195,538	1	Yes (true)
Sugar Land Doctor Group
1317 Lake Point Parkway	Sugar Land	TX	77478	454270163	Medical Clinic	TX	SLCDC-SL	C Corporation	$0	$0	1	Yes (true)
The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B
6624 Fannin STE 1100	Houston	TX	77030	900064009	Condo Assoc	TX	CHI-SLH	C Corporation	$0	$0	1	Yes (true)							uilding Comdominium Association
Towson Management Inc
7601 OSLER DR	Towson	MD	21204	521710750	Mgmt Services	MD	FSI	C Corporation	$0	$0	1	Yes (true)
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	Mgmt Services	OH	THS	C Corporation	$13,543,963	$184,008	1	Yes (true)

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