COMMONSPIRIT KANSAS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: COMMONSPIRIT KANSAS INC (EIN 48-0543721)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201811359349302341
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T09:04:07-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 E LAS OLAS BLVD SUITE 1100	AddressLine1Txt
City	FORT LAUDERDALE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	333014230	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	480543721	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Catherine Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STCA	BusinessNameControlTxt
Phone	6202722222	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Spruce Street	AddressLine1Txt
City	Garden City	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	678465672	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMANDA VAUGHAN	PersonNm
Person Title	CFO/Treasurer	PersonTitleTxt
Signature	2018-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTNEY KOCAJ	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	9542028600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Spruce Street	AddressLine1Txt
City	Garden City	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	678465672	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$131,325,023	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.centura.org/locations/st-catherine-hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1931	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	For more than seventy years, St. Catherine Hospital's mission has been to serve families with quality health care in a Christian environment wherein the healing of the whole person can take place.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	930	TotalEmployeeCnt
Total Volunteers	112	TotalVolunteersCnt
Total Gross UBI	$416,505	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$209	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$990,295	PYContributionsGrantsAmt
CY Contributions Grants	$940,850	CYContributionsGrantsAmt
PY Program Service Revenue	$117,121,124	PYProgramServiceRevenueAmt
CY Program Service Revenue	$125,834,992	CYProgramServiceRevenueAmt
PY Investment Income	$4,057,424	PYInvestmentIncomeAmt
CY Investment Income	$3,377,738	CYInvestmentIncomeAmt
PY Other Revenue	$1,662,604	PYOtherRevenueAmt
CY Other Revenue	$1,100,800	CYOtherRevenueAmt
PY Total Revenue	$123,831,447	PYTotalRevenueAmt
CY Total Revenue	$131,254,380	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,132,732	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$48,229,547	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,303,043	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$62,336,758	PYOtherExpensesAmt
CY Other Expenses	$79,790,756	CYOtherExpensesAmt
PY Total Expenses	$121,699,037	PYTotalExpensesAmt
CY Total Expenses	$142,093,799	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,132,410	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,839,419	CYRevenuesLessExpensesAmt
Total Assets BOY	$108,904,728	TotalAssetsBOYAmt
Total Assets EOY	$116,768,183	TotalAssetsEOYAmt
Total Liabilities BOY	$21,102,678	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$49,691,790	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$87,802,050	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$67,076,393	NetAssetsOrFundBalancesEOYAmt
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$115,118,091	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$125,927,404	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$115,118,091	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	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	Yes (true)	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	930	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	false	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	Amanda Vaughan	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6202722554	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 East Spruce Street	AddressLine1Txt
City	Garden City	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67846	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SAUNDRA MCGRAW
Chairperson	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JILL WESSELS
Vice Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Jeffry A Clarke
Secretary	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MARK ANDERSON
Member	1.0	0	Yes (X)		$0	$0	$0
ZEFERINO J ARROYO MD
Member	1.0	0	Yes (X)		$0	$0	$0
ANGELICA CASTILLO-CHAPPEL
Member	1.0	0	Yes (X)		$0	$0	$0
William Freund
MEMBER/SCH PHYSICIAN	40.0	0	Yes (X)		$508,446	$0	$29,867
JULIE KING DO
MEMBER/SCH PHYSICIAN	40.0	0	Yes (X)		$263,440	$0	$18,287
Nathan STRANDMARK
Member	1.0	0	Yes (X)		$0	$0	$0
SR ROSERITA WEBER OP
Member	1.0	0	Yes (X)		$0	$0	$0
WENDEL WURST
Member	1.0	0	Yes (X)		$0	$0	$0
SCOTT TAYLOR
President/CEO	40.0	0		Yes (X)	$614,608	$0	$110,444
AMANDA VAUGHAN
CFO/Treasurer	40.0	0		Yes (X)	$232,140	$0	$37,656
MATTHEW BYRNES
PHYSICIAN	40.0	0			$796,397	$0	$42,265	Yes (X)
GUILLERMO GARCIA
Orthopedic Surgeon	40.0	0			$603,422	$0	$39,372	Yes (X)
RICHARD HALL
Physician	40.0	0			$585,009	$0	$36,569	Yes (X)
KIMBERLY WEST
PHYSICIAN	40.0	0			$425,340	$0	$15,958	Yes (X)
JOANNE RINK
PHYSICIAN	40.0	0			$434,956	$0	$23,200	Yes (X)
VICTOR HAWKINS
FORMER VICE PRESIDENT	0.0	0			$148,425	$0	$29,958		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,612,183	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$383,576	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	59	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medical Solutions LLC
1010 N 102nd Street	Omaha	NE	68114	Staffing Services	$739,909
Premier Emergency Services PC
550 S Wadsworth Blvd	Lakewood	CO	80226	Medical Services	$723,868
Account Recovery Specialists
117 North Main	Garden City	KS	67846	Consulting Services	$672,168
Radar Healthcare Providers
PO Box 6566	Athens	GA	30604	Staffing Services	$439,125
Rural Emergency Medical Providers LLC
915 Glenarm	Pratt	KS	67124	Medical Services	$397,461

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$320,692	RelatedOrganizationsAmt
All Other Contributions	$620,158	AllOtherContributionsAmt
Total Contributions	$940,850	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Services	622110	$124,935,564	$124,682,341	$253,223
Rental to Affiliates	900099	$388,618	$388,618
Equity Changes on Unconsolidated Orgs	900099	$408,548	$408,548

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,262	TotalRevenueColumnAmt
Related Or Exempt Func Income	$102,262	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$125,834,992	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$889,131	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,158	UnrelatedBusinessRevenueAmt
Exclusion	$884,973	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$47,937	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$69,032	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$21,095	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$21,095	TotalRevenueColumnAmt
Exclusion	-$21,095	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,490,218	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,611	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,490,218	SecuritiesAmt
Other	-$1,611	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,488,607	TotalRevenueColumnAmt
Exclusion	$2,488,607	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$89,601	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,601	TotalRevenueColumnAmt
Exclusion	$89,601	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	722100	$457,428	$457,428
Pharmacy Services	446110	$70,479		$20,576	$49,903
Laboratory Services	621500	$325,059		$325,059

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,328	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$109,221	UnrelatedBusinessRevenueAmt
Exclusion	$70,107	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,032,294	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,254,380	TotalRevenueColumnAmt
Related Or Exempt Func Income	$125,927,404	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$416,505	UnrelatedBusinessRevenueAmt
Exclusion	$3,969,621	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,928,230	TotalAmt
Program Services	$2,928,230	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$38,611	TotalAmt
Program Services	$38,611	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$49,416,467	TotalAmt
Program Services	$44,285,765	ProgramServicesAmt
Management And General	$5,130,702	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,321,749	TotalAmt
Program Services	$2,019,922	ProgramServicesAmt
Management And General	$301,827	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,081,915	TotalAmt
Program Services	$3,551,266	ProgramServicesAmt
Management And General	$530,649	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,516,071	TotalAmt
Program Services	$3,058,982	ProgramServicesAmt
Management And General	$457,089	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$14,549	TotalAmt
Management And General	$14,549	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$38,548	TotalAmt
Management And General	$38,548	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$32,740,622	TotalAmt
Program Services	$17,972,909	ProgramServicesAmt
Management And General	$14,767,713	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,426	TotalAmt
Program Services	$6,426	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$523,933	TotalAmt
Program Services	$455,822	ProgramServicesAmt
Management And General	$68,111	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,177,234	TotalAmt
Program Services	$2,764,194	ProgramServicesAmt
Management And General	$413,040	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$244,444	TotalAmt
Program Services	$68,611	ProgramServicesAmt
Management And General	$175,833	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,012,358	TotalAmt
Program Services	$506,180	ProgramServicesAmt
Management And General	$506,178	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,001,668	TotalAmt
Program Services	$5,601,334	ProgramServicesAmt
Management And General	$1,400,334	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,285,327	TotalAmt
Program Services	$642,664	ProgramServicesAmt
Management And General	$642,663	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$11,747,890	$11,747,890
Bad Debt	$10,655,966	$10,655,966
Restructuring Losses	$4,466,534	$4,466,534
Repairs and Maintenance	$2,626,441	$2,372,004	$254,437

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,248,816	TotalAmt
Program Services	$1,974,781	ProgramServicesAmt
Management And General	$2,274,035	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,093,799	TotalAmt
Program Services	$115,118,091	ProgramServicesAmt
Management And General	$26,975,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,119	BOYAmt
EOY	$7,602	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,250,121	BOYAmt
EOY	$7,388,332	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,369	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,959,221	BOYAmt
EOY	$21,838,934	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	$1,124,436	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,042,265	BOYAmt
EOY	$3,296,655	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$367,711	BOYAmt
EOY	$437,244	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$131,141,813	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$85,756,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,350,539	BOYAmt
EOY	$45,385,141	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$17,314	BOYAmt
EOY	$59,598	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$36,922,462	BOYAmt
EOY	$35,874,939	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,952,607	BOYAmt
EOY	$1,355,302	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$108,904,728	BOYAmt
EOY	$116,768,183	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,873,186	BOYAmt
EOY	$11,230,728	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,229,492	BOYAmt
EOY	$38,461,062	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,102,678	BOYAmt
EOY	$49,691,790	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,789,555	BOYAmt
EOY	$67,030,150	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,495	BOYAmt
EOY	$46,243	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$87,802,050	BOYAmt
EOY	$67,076,393	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$108,904,728	BOYAmt
EOY	$116,768,183	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$10,839,419	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$666,493	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,552,731	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
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	$13,162	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$13,162	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: Kansas Hospital Association - $10,879 American Hospital Association - $1,268 Catholic Health Association - $1,015
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: Kansas Hospital Association - $10,879 American Hospital Association - $1,268 Catholic Health Association - $1,015

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,465,019	OtherCostOrOtherBasisAmt
Book Value	$2,465,019	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,840,764	OtherCostOrOtherBasisAmt
Depreciation	$36,853,750	DepreciationAmt
Book Value	$26,987,014	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,836,389	OtherCostOrOtherBasisAmt
Depreciation	$2,572,304	DepreciationAmt
Book Value	$264,085	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,209,085	OtherCostOrOtherBasisAmt
Depreciation	$46,312,242	DepreciationAmt
Book Value	$7,896,843	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,790,556	OtherCostOrOtherBasisAmt
Depreciation	$18,376	DepreciationAmt
Book Value	$7,772,180	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,385,141	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CHI OIP
CHI OIP	$35,874,939	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$35,874,939	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Intercompany Payables
Intercompany Payables - Centura	$25,183,918
Medical Staff Fund Payable	$61,453
AP Deposits	$700
Intercompany payables - CHI	$13,214,991

Field	Value	IRS element (for citing)
Total Liability	$38,461,062	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	St. Catherine Hospital'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, 2017, 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	250	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,489,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,489,074	NetCommunityBenefitExpnsAmt
Total Expense	0.0342	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,234,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,981,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,253,469	NetCommunityBenefitExpnsAmt
Total Expense	0.0324	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,723,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,981,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,742,543	NetCommunityBenefitExpnsAmt
Total Expense	0.0665	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,854	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,277	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,277	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$213,717	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$321,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,848	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,045,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,052,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,992,391	NetCommunityBenefitExpnsAmt
Total Expense	0.0684	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
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	$10,655,966	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$42,959,477	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,279,524	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,320,047	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 (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
St Catherine Hospital
1	401 East Spruce Street	Garden City	KS	67846	https://www.centura.org/locations/st-catherine-hospital	H-028-001	Yes (X)	Yes (X)	Yes (X)
Bob Wilson Memorial Grant County Hospital
2	415 N Main St	Ulysses	KS	67880	www.bwmgch.com/	H-034-001	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
St Catherine Hospital
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	https://www.centura.org/community-programs/community-benefit	Yes (X)	Yes (true)	15	Yes (true)	https://www.centura.org/community-programs/community-benefit	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Bob Wilson Memorial Grant County Hospital
2	false	Yes (true)	false																						false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. CATHERINE HOSPITAL. In order to assess the needs of our community, we created a hospital subcommittee to solicit and take into account input from individuals representing the broad interest of our community. Our hospital subcommittee was made up of representatives from our hospital and the community. St. Catherine Hospital created a CHNA subcommittee to review the qualitative and quantitative health data, prioritize health needs in our communities, and to develop implementation strategies to address the prioritized needs. This subcommittee was made up of both hospital staff and community stakeholders including representatives from local public health departments. Once health needs were prioritized, the Subcommittee worked together to determine groups and individuals appropriate for focus groups, being sure to solicit input from those in the communities we serve who know the experiences of the underserved, minority, and aging populations best through personal experience or close work with them. When connecting with partners, we identified those with strong community connections and trust, including within historically underserved communities.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Finney County Health Department and Community Members. THE FOLLOWING COMMUNITY MEMBERS PARTNERED WITH ST. CATHERINE HOSPITAL AND Finney County Health Department TO CONDUCT THE FY 2015 chna: Finney County Community Health Coalition (LiveWell Finney County), Garden City Public Schools, Kansas State University Research & Extension Center, Genesis Family Health, Western Kansas Statistical Labs, City of Garden City, International Rescue Committee, Dominican Sisters Ministry of Presence/Parents as Teachers, State Farm Insurance
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St Catherine Hospital. SCH's CHNA identified three priority areas. SCH developed the following strategies to address those three identified needs: Healthy Eating/ Active Living (HEAL) Goal #1 Utilizing evidence-based programming, we will provide diabetes prevention classes and diabetes screening to the public. Classes will be offered free-of-charge in the community and classes will be held at St. Catherine Hospital for patients referred by hospital and community providers. ACTIVITY 1: Deliver Diabetes Prevention (DPP) and Screening classes to the community and hospital clinic patients. Goal #2 Utilizing trained Wellness staff at St. Catherine Hospital, offer WorkWell Kansas programs in the community designed to provide worksite supported lifestyle and behavior change. ACTIVITY 1: WorkWell Kansas Programming provides worksite based programs in lifestyle changes including weight management, active living, healthy eating and stress management. ACTIVITY 2: We will continue ongoing wellness work with employees of Finney County through their Employee Wellness Programs. Behavioral Health Goal #1 Seek grant funding to work with community partners in suicide prevention programs. ACTIVITY 1: Participate in community partners in the grant-funded planning phase of an evidence-based Zero Suicide suicide prevention program Goal #2 Positively impact children and families in Finney County through awareness of and screening for Adverse Childhood Experiences or Toxic Stress in childhood development leading to poor health outcomes. ACTIVITY 1: Explore ways to increase awareness and train health and early childhood providers in the Adverse Childhood Experiences (ACEs) screening. Health Equity/ Access to Care Goal #1 Create a case management-linked program for bi-directional referrals and continuity of care across the community. ACTIVITY 1: Beginning in October 2016, partner with Genesis Family health (FQHC) to have one of their case managers work out of St. Catherine Hospital. Goal #2 Provide free asthma screening to all fifth grade students in Finney County ACTIVITY 1: Develop an annual asthma screening program for Finney County students. Goal #3 Develop and implement a work-site benefits enrollment and navigator program in partnership with the primary employer of minority and refugee members of the community. ACTIVITY 1: Develop and deploy a partnership with Tyson Foods Human Resources staff to provide a culturally appropriate health navigator to attend employee orientation and open enrollment. Update: In addition to SCH providing the above needs, SCH provided 23,048 meals to seniors to support Health Eating thru the Meals on Wheels program; and provided $212,717 for lodging to families of patients from out-of-town during long hospital stays to support Healthy Eating/Active Living (HEAL). Provided over $16,000 for education to EMS students thru SCH's Workforce Development programs. To fulfill the need regarding Access to care, SCH provided $84,564 to recruit physicians to meet the needs of the community in a medically under served area.
Schedule H, Part V, Section B, Line 2	Bob Wilson Memorial Grant County Hospital entered a management agreement and the operations are now reported under St. Catherine Hospital effective 7/1/16. The hospital was a component unit of Grant County Kansas, and, as an essential government function of the County, the hospital was exempt from federal income taxes under section 115 of the Internal Revenue Code and not subject to the CHNA requirements.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Dodge City Medical Center
2020 Central Avenue	Dodge City	KS	67801	Medical Clinic
Montezuma Medical Clinic
304 N Aztec Street	Montezuma	KS	67867	Medical Clinic
Urgent Care Clinic
2205 Central Ave	Dodge City	KS	67801	Urgent Care Clinic

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI Lines 2 and 4 - COMMUNITY BENEFIT NARRATIVE	Community Benefit Narrative I. INTRODUCTION St. Catherine Hospital was founded to meet the growing health care needs of the community. This included the addition of more hospital beds, as well as outpatient and community health initiatives. St. Catherine Hospital embraced the mission of the founding religious congregation, the Dominican Sisters, and later partnered with other religious congregations to form Catholic Health Initiatives (CHI). St. Catherine Hospital was granted tax exempt status in March 1946 as a hospital. Today, St. Catherine belongs to Centura Health, a joint venture of CHI, and takes seriously its mission to not only care for those who are sick, but to also work to improve the health of the community it serves. The hospital has a board of directors comprised of independent community representatives. St. Catherine Hospital operates a 24-hour emergency room 365 days per year. That emergency room is open to all individuals regardless of ability to pay. Finney County is designated as both a primary-care Health Professional Shortage Area (HPSA) and as Medically Underserved Population (MUP). 17% of the population report they have difficulty in acquiring care due to cost, and 19% report that they have no health insurance. While the primary service area is Finney County, the secondary service area includes over 19 counties within Southwest Kansas, Eastern Colorado, and the pan handles of Texas and Oklahoma. II. COMMUNITY BENEFIT APPROACH Community service has always been at the core of St. Catherine Hospital's activities. Each year, services and programs are expanded not only to meet the health care needs of the community, but also to reduce the risk factors that cause them. Community Benefit focuses on the reduction of chronic health risk factors, with a focus on tobacco use, lack of physical activity, and poor nutrition. The programs and services described throughout this report not only serve the community, but also reduce the burdens on the government. For example, if St. Catherine Hospital did not provide charity care, the burden of providing charity care would fall on outlying county hospitals and other government-supported institutions. III. DEMOGRAPHICS Located in Garden City, Kansas, St. Catherine Hospital serves Rural Finney County, Southwest Kansas, and the surrounding states, encompassing nineteen counties in Kansas, Colorado, and Oklahoma. Finney County has a population of approximately 38,000. The estimate population of Finney County breaks down to: 2.9% Black or African American; 1.3% American Indian and Alaska Native; 3.8% Asian; 0.1% Native Hawaiian and Other Pacific Islander; 1.5% Two or More Races; 47.7% Hispanic or Latino; and 44.9% White. 17% of persons living in Finney County are living below the poverty level. The County unemployment rate is 2.6%. IV. PARTNERS IN THE COMMUNITY St. Catherine Hospital works closely with the Finney County Community Health Coalition. This coalition partners with over fifty private and public organizations and agencies to improve the health, well-being, and safety of the county residents. A community health needs assessment was recently completed that reflects the needs of the community. Members of St. Catherine Hospital serve on the coalition board to learn and support the activities and programs of the coalition to improve community health and expand access to health care. A. Summary of Assessment Findings Ten key factors having the greatest impact on the overall wellness of the area emerged in the Community Health Needs Assessment. Community stakeholders were invited to prioritize the issues of most importance to them, keeping in mind the world health organization's definition of health, how health is affected by genetics, the environment, medicine, and life style. Kansas 2020 Healthy People Indicators focus on Healthy People, Healthy Behaviors, Accessible Care, Strong Families, Healthy Children, and Supportive Physical Environment. Referring to the CDC indicators of health that deal with tobacco use, physical exercise, and poor nutrition, community benefit efforts have focused on improving healthy behaviors, decreasing alcohol and drug abuse, improving access to health care services, the reduction of domestic violence, community education, child and mental health education and services, reduction in smoking and tobacco use, reduction of risk factors in chronic disease and mortality, improvement of the environment, increase of personal and family safety, and income, education, and employment opportunities.
Schedule H, Part VI Lines 2 and 4 - COMMUNITY BENEFIT NARRATIVE (cont.)	1. Healthy People: The CHNA discovered that there is a need for more education in the community to understand the relationship of poor nutrition choices, lack of exercise, obesity, life style behaviors, and tobacco and substance abuse as underlying factors that contribute to poor health and illness. 2. Healthy Behaviors: About 50% of Finney County does not exercise on a regular basis while 40% report they are overweight or obese. 26% of adults smoke, and 14% binge drink. 77% do not eat enough fruits or vegetables. 27% rarely use seat belts when driving. 3. Accessible Care: 27% of residents do not have health care providers, 17% are unable to Access Care due to cost, and 19% of residents do not have health care insurance. 4. Strong Families: 15% of the population lives below the poverty level. 55% of students qualified for free or reduced lunch programs. 30% of income is spent on housing. 5. Healthy Children: 20% of children live in poverty, 19% of children do not have health insurance, 8% of babies are below the birth rate and 8% of mothers smoked during pregnancy. Pregnancy rates of teens have been reduced. Childhood obesity continues to be a problem. 24% of high school students do not graduate. 6. Supportive Physical Environment; 55% of residents live within a quarter mile of a bicycle or walking trail. St. Catherine Hospital, in association with their local community partners were successful in addressing all of the needs identified in the most recently completed CHNA. B. Community Outreach for the Poor and Broader Community 1. Many non-billed services are provided to the community. Some of them include a free car seat to parents of newborns, overnight rooming for parents who have a child requiring special medical treatment, reading of X-rays at a local Mexican American Ministries agency. 2. The hospital provides meeting space for local agencies and health care groups. 3. The hospital provides meals to home bound individuals at a reduced rate to the county Meals on Wheels program. 4. Many hospital associates serve on local health care related boards and participate in fundraising events for organizations such as Children's Miracle Network, March of Dimes, and Relay for Life. 5. Cash donations are given to local organizations, which provide educational, recreational, spiritual, and economic development opportunities to the community. 6. Health screenings, support groups, educational seminars, and nutritional counseling are a part of the overall community benefit the hospital provides. 7. St. Catherine Hospital regularly assesses current community needs and assets with the involvement of other community stakeholders as appropriate. During the prior year, St. Catherine Hospital completed a joint Community Health Needs Assessment in partnership with the Finney County Health Department, The United Methodist Mexican American Ministries, and the Garden City Recreation Commission. The data collected identified specific health care needs that focus on the six Kansas Healthy 2020. C. Financial Assistance Policies and Programs St. Catherine has a well-defined financial assistance policy for low income persons and has an in-house agency to assist patients with assistance applications. Many patients are granted assistance if they are already in a government-sponsored program for low income individuals. There are also self-pay and third party discounts available. D. Collaborative Efforts to Improve Community Health As a part of the Finney County community, St. Catherine Hospital takes extra strides to ensure the needs of this community are met. Collaboration with the Finney County Community Health Coalition affords opportunity to assess needs and provide ideas to improve overall community health. Collaborative efforts include the sponsorship of the Breast Feeding Initiative, the reduction of underage drinking, education of childhood providers, collaboration with the area mental health agencies, diabetic education, education programs on nutrition and exercise in the schools, promotion of physical exercise and activities such as safe routes to school program and school playground equipment, the reduction of violence initiative, and the literacy program for children of a second language. Programs to reduce teen pregnancy, reduce teen and adult smoking, and focus on nutritional programs to decrease obesity and incidence of hypertension, strokes, and heart disease are in place. E. Health Professions Education St. Catherine Hospital serves as a clinical education site for medical professionals such as interns, CRNA's, radiology technicians, imaging services, emergency medical services, cardio-pulmonary, health education, practical and registered nurses, and nursing assistants.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	10655966
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/2017 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Worksheet 2 was not used to derive the cost-to-charge ratio.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Gross charges, as recorded in the audited financial statements, are reported as bad debt.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	St. Catherine Hospital does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	St. Catherine Hospital 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 on 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	COST FOR THE HOSPITAL'S COST REPORT IS PULLED FROM YEAR END TRIAL BALANCES. THE COST IS THEN EVALUATED AND ALL NON-ALLOWABLE COST IS REMOVED VIA ADJUSTMENTS. THE REMAINING ALLOWABLE COST IS THEN ALLOCATED TO APPROPRIATE PATIENT CARE AND NON-PATIENT CARE COST CENTERS BASED ON MEDICARE ALLOCATION PRINCIPLES. ST CATHERINE HOSPITAL DOES NOT TREAT MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. THE ORGANIZATION'S POSITION IS CONSISTENT WITH THAT OF CATHOLIC HEALTH INITIATIVES (CHI), ITS SPONSOR. MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS; FOR-PROFIT HOSPITALS TREAT AND ATTEMPT TO ATTRACT MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ST. CATHERINE HOSPITAL'S DEBT COLLECTION POLICY PROVIDES FOR THE PERFORMANCE OF A REASONABLE REVIEW OF EACH PATIENT'S ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT. THE REVIEW OF PATIENT ACCOUNTS IS DONE TO ASSURE THAT THE PATIENT OR THEIR GUARANTOR IS NOT ELIGIBLE FOR ASSISTANCE THROUGH ST. CATHERINE HOSPITAL'S CHARITY CARE POLICY, UNINSURED DISCOUNT POLICY, OR ANOTHER FINANCIAL ASSISTANCE PROGRAM (I.E. MEDICAID). ST. CATHERINE HOSPITAL REQUIRES THE FOLLOWING OF ITS THIRD-PARTY COLLECTION AGENCIES: * NEITHER ST. CATHERINE HOSPITAL OR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER ST. CATHERINE HOSPITAL OR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO ST. CATHERINE HOSPITAL COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.
Schedule H, Part V, Section B, Line 16a FAP website	- St. Catherine Hospital: Line 16a URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help; - Bob Wilson Memorial Grant County Hospital: Line 16a URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Catherine Hospital: Line 16b URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help; - Bob Wilson Memorial Grant County Hospital: Line 16b URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Catherine Hospital: Line 16c URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help; - Bob Wilson Memorial Grant County Hospital: Line 16c URL: https://www.centura.org/patients-and-families/billing-and-financial-services/financial-help;
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 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 is affiliated with Catholic Health Initiatives (CHI). 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 17 states and comprises 101 hospitals, including 4 academic health centers and 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 2017, CHI provided more than $1.2 billion in financial assistance and community benefit - a more than 10% increase over the previous year -- for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled more than $2.1 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $15.5 billion in fiscal year 2017, has total assets of approximately $21.9 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	KS

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 (10 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
William Freund
MEMBER/SCH PHYSICIAN	$487,611	$0	$0	$0	$20,835	$0	$9,275	$0	$20,592	$0	$538,313	$0	$0	$0
JULIE KING DO
MEMBER/SCH PHYSICIAN	$228,574	$0	$10,000	$0	$24,866	$0	$9,240	$0	$9,047	$0	$281,727	$0	$0	$0
VICTOR HAWKINS
FORMER VICE PRESIDENT	$114,127	$0	$14,091	$0	$20,207	$0	$2,330	$0	$27,628	$0	$178,383	$0	$0	$0
SCOTT TAYLOR
President/CEO	$409,124	$0	$174,821	$0	$30,663	$0	$90,477	$0	$19,967	$0	$725,052	$0	$19,851	$0
AMANDA VAUGHAN
CFO/Treasurer	$183,390	$0	$48,392	$0	$358	$0	$6,264	$0	$31,392	$0	$269,796	$0	$0	$0
MATTHEW BYRNES
PHYSICIAN	$775,174	$0	$12,500	$0	$8,723	$0	$9,275	$0	$32,990	$0	$838,662	$0	$0	$0
GUILLERMO GARCIA
Orthopedic Surgeon	$567,059	$0	$1,750	$0	$34,613	$0	$9,275	$0	$30,097	$0	$642,794	$0	$0	$0
RICHARD HALL
Physician	$282,554	$0	$291,798	$0	$10,657	$0	$9,275	$0	$27,294	$0	$621,578	$0	$0	$0
KIMBERLY WEST
PHYSICIAN	$242,607	$0	$175,312	$0	$7,421	$0	$9,275	$0	$6,683	$0	$441,298	$0	$0	$0
JOANNE RINK
PHYSICIAN	$350,461	$0	$73,899	$0	$10,596	$0	$7,000	$0	$16,200	$0	$458,156	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE 2016 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED TAX EXEMPT ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS/PRESIDENTS AND OTHER CHI EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. SCOTT TAYLOR WAS A CHI NATIONAL EXECUTIVE WHO WAS ELIGIBLE FOR A CHI DEFERRED COMPENSATION PROGRAM IN 2013. THE VESTING DATE FOR THIS PLAN WAS 2016 AND AS A RESULT, HE RECEIVED A DISTRIBUTION FROM THE PROGRAM IN THE AMOUNT OF $19,851. IN ADDITION, CENTURA HEALTH CORPORATION, AN UNRELATED TAX EXEMPT ORGANIZATION, PROVIDES SENIOR EXECUTIVES OF THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE AN ALLOWANCE EQUIVALENT TO 10% OF BASE SALARY TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTE INTO A DEFERRED NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ADDITION, A PENSION RESTORATION BENEFIT (PRB) IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT THAT IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THESE DEFERRED COMPENSATION PLANS HAVE A SUBSTANTIAL RISK OF FOREFEITURE PROVISIONS AND AN ELECTED VESTING SCHEDULE. DURING THE CALENDAR YEAR 2016, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS: CY EMPLOYER SERP CONTRIBUTIONS: SCOTT TAYLOR - $53,851 CY EMPLOYER PRB CONTRIBUTIONS: SCOTT TAYLOR - $27,351
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - SCOTT TAYLOR, COMPENSATION FROM UNRELATED ORGANIZATION - 725052.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION , TYPE OF COMPENSATION - WAGES AND BENEFITS
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - AMANDA VAUGHAN, COMPENSATION FROM UNRELATED ORGANIZATION - 269796.000000, NAME OF UNRELATED ORGANIZATION - CENTURA HEALTH CORPORATION , TYPE OF COMPENSATION - WAGES AND BENEFITS

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF JEFFRY CLARKE	RelationshipDescriptionTxt
Transaction	$38,611	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 MISSION STATEMENT	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. 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 VI, Line 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO & OTHER OFFICERS	THE CEO AND CFO OF ST. CATHERINE'S HOSPITAL ARE COMPENSATED BY CENTURA HEALTH CORPORATION, WHO MANAGES THE DAILY ACTIVITIES OF THE HOSPITAL UNDER A JOINT OPERATING AGREEMENT BETWEEN THE ADVENTIST HEALTHCARE SYSTEM AND CATHOLIC HEALTH INITIATIVES. AS SUCH, THEIR SALARIES ARE PAID TO THEM BY CENTURA, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED IN THEIR CAPACITY AS OFFICERS OF THE HOSPITAL. ALL OF THEIR REPORTABLE COMPENSATION IS DISCLOSED IN FULL ON FORM 990, SCHEDULE J, PART II, ROW (I) AND FORM 990, PART VII, COLUMN (D) AS REPORTING ORGANIZATION COMPENSATION (REGARDLESS OF WHETHER THEY PERFORM SIMILAR DUTIES AT ANOTHER FACILITY) OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA EXECUTIVES, SUCH AS THE CFO. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS AN ANNUAL ANALYSIS OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA EXECUTIVES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	Pursuant to Section 8.6 of the Bylaws of St. Catherine Hospital, the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, each of whom shall serve as an ex officio voting member of the Executive Committee, and those members who are appointed by the Board. 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	THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The organization's corporate member is Catholic Health Initiatives (CHI). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: Substantial change in the mission or philosophy of St. Catherine Hospital Amendment of the corporate documents of St. Catherine Hospital Approve members of the St. Catherine Hospital board Removal of a member of the governing body of St. Catherine Hospital Approval of issuance of debt by St. Catherine Hospital Approval of participation of St. Catherine Hospital in a joint venture Approval of formation of a new corporation by St. Catherine Hospital Approval of a merger involving St. Catherine Hospital Approval of the sale of all or substantially all of the assets of St. Catherine Hospital To require the transfer of assets by the St. Catherine Hospital to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts *Adoption of long range and strategic plans for St. Catherine Hospital. Pursuant to the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A DRAFT OF THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO THE TOP FINANCIAL OFFICIAL FOR CONSIDERATION AND REVIEW PRIOR TO FILING WITH THE IRS. THE FORM 990 is filed WITH THE IRS, MAKING ANY REQUIRED AND SUBSTANTIVE CHANGES NECESSARY TO AFFECT E-FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	1.1 CONSISTENT WITH CENTURA INTEGRITY STANDARDS, IT IS POLICY THAT EACH BOARD OF TRUSTEE MEMBER, CORPORATE OFFICER, AND KEY EMPLOYEE ACT AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CENTURA'S MISSION AND VALUES BASED SERVICE TO THE COMMUNITY AND EXERCISE CARE THAT HE OR SHE DOES NOT HAVE ANY PERSONAL INTEREST WHICH MIGHT CONFLICT WITH OR APPEAR TO CONFLICT WITH THE INTEREST OF CENTURA OR WHICH MIGHT INFLUENCE THEIR JUDGMENT OR ACTIONS IN PERFORMING THEIR DUTIES. 1.1.1 IN CONNECTION WITH AN ACTUAL OR POSSIBLE TRANSACTION OR ARRANGEMENT INVOLVING CENTURA, ANY BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE AND BE GIVEN THE OPPORTUNITY TO SHARE ALL MATERIAL FACTS WITH THE BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 1.1.2 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES ARE ALSOREQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS ON AN ANNUAL BASIS THROUGH THE CONFLICT OF INTEREST QUESTIONNAIRE. 2. PROCEDURE FOR DISCLOSING AND REVIEWING TRANSACTION OR ARRANGEMENT CONFLICT OF INTERESTS: 2.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES THAT HAVE A FINANCIAL INTEREST IN ANY ACTUAL OR POSSIBLE TRANSACTION INVOLVING CENTURA ARE REQUIRED TO DISCLOSE THE FINANCIAL INTEREST. 2.1.1 IN ORDER TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WHO IS CONSIDERED TO HAVE A FINANCIAL INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING FOR DISCUSSION AND A VOTE ON THE ISSUE. 2.1.2 AFTER EXERCISING DUE DILLEGENCE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE WHETHER CENTURA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM ANOTHER PERSON OR ENTITY. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION IS IN CENTURA'S BEST INTEREST AND IS FAIR. 3. PROCEDURE FOR DISCLOSING AND REVIEWING OTHER CONFLICT OF INTERESTS: 3.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES SHALL ALSO DISCLOSE IN ADVANCE TO CENTURA LEADERS ANY NON-TRANSACTIONAL ACTIONS OR RELATIONSHIPS THAT HAVE THE POTENTIAL TO CREATE A CONFLICT OF INTEREST. 3.1.1 THE BOARD OR BOARD COMMITTEE SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY CONFLICT OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CENTURA. 3.1.2 ON AN ANNUAL BASIS, BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES WILL ALSO BE SENT AN EMAIL REQUESTING THEY COMPLETE THE BOARD MEMBER AND CORPORATE OFFICER CONFLICT OF INTEREST QUESTIONNAIRE BY THE SPECIFIED DUE DATE IN THE EMAIL. 3.1.3 THE CORPORATE RESPONSIBILITY DEPARTMENT SHALL NOTIFY THE CHAIRPERSON OF THE BOARD OF ANY POTENTIAL CONFLICTS AND THE CHAIRPERSON, OR DESIGNEE, SHALL PERFORM FURTHER INVESTIGATION AS HE OR SHE DEEMS APPROPRIATE. 4. RECORD OF PROCEEDINGS: 4.1 THE MINUTES OF THE BOARD AND BOARD COMMITTEE SHALL CONTAIN: 4.1.1 THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST AND THE NATURE OF THE FINANCIAL INTEREST. 4.1.2 THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY FINANCIAL INTEREST, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES, AND A RECORD OF THE BOARD OR BOARD COMMITTEE DECISION. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 5.1 IF THE BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT, THE INDIVIDUAL WILL BE GIVEN A CHANCE TO EXPLAIN. 5.1.1 AFTER HEARING THE RESPONSE, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION.
Form 990, Part VI, Line 19 Required documents available to the public	The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinitiatives.org.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Patient Transport - Total Revenue: 8403, Related or Exempt Function Revenue: 8403, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Revenue - Total Revenue: 17763, Related or Exempt Function Revenue: 17763, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellanous - Total Revenue: 1096, Related or Exempt Function Revenue: 1096, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness - Total Revenue: 75000, Related or Exempt Function Revenue: 75000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Meals on Wheels - Total Revenue: 59632, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 59632; Purchase Discounts - Total Revenue: 10475, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10475; Laundry - Total Revenue: 19371, Related or Exempt Function Revenue: , Unrelated Business Revenue: 19371, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Housekeeping - Total Revenue: 89850, Related or Exempt Function Revenue: , Unrelated Business Revenue: 89850, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Total Expense: 14465802, Program Service Expense: 12585248, Management and General Expenses: 1880554, Fundraising Expenses: ; Contract Labor - Total Expense: 1028663, Program Service Expense: 1028663, Management and General Expenses: , Fundraising Expenses: ; Other Consulting Services - Total Expense: 99390, Program Service Expense: 49695, Management and General Expenses: 49695, Fundraising Expenses: ; Contract Services - Total Expense: 130118, Program Service Expense: 65058, Management and General Expenses: 65060, Fundraising Expenses: ; Corporate Shared Services fee - Total Expense: 12772404, Program Service Expense: , Management and General Expenses: 12772404, Fundraising Expenses: ; Lab Purchase Services - Total Expense: 4244245, Program Service Expense: 4244245, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Interzone Write-off - -10552731;

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)
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
1111 6TH AVE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(c)(3)	10	CHI-IA CORP	Yes (true)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(c)(3)	Type I	CHI	Yes (true)
BRAZOSPORT HEALTH FOUNDATION INC
129 CIRCLE WAY STE 102	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
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(c)(3)	Type I	NA	Yes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	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
6385 CORPORATE DR STE 301	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(c)(3)	7	CHIC	Yes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DR	COLORADO SPRINGS	CO	80919	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	MN	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 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
6940 O ST STE 200	LINCOLN	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
1 MERCY LANE STE 201	HOT SPRINGS	AR	71913	261125131	HEALTHCARE	AR	501(c)(3)	3	CHISVHS	Yes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(c)(1)		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
150 NORTH EAGLE CREEK DR	LEXINGTON	KY	40509	611400619	LT ACH	KY	501(c)(3)	3	SJHS	Yes (true)
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232028429	HOME HEALTH	PA	501(c)(3)	Type I	CHI NHC	Yes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 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	MO	501(c)(3)	10	CHI	Yes (true)
FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	HEALTHCARE	OH	501(c)(3)	Type II	SFH	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
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(c)(3)	3	KOH	Yes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
200 ABRAHAM FLEXNER WAY	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	ND	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	300417049	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
1111 6TH AVE	DES MOINES	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)	8	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
12844 MILITARY RD S	TUKWILA	WA	98168	911170040	HEALTHCARE	WA	501(c)(3)	3	FHS	Yes (true)
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450	COLORADO SPRINGS	CO	80906	841183335	HEALTHCARE	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)	6	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)	2	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
ONE SAINT JOSEPH DRIVE	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
30 WEST 7TH ST	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(c)(3)	Type I	SJHHC	Yes (true)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVD	DAYTON	OH	45417	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	MO	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
1601 SE COURT AVE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(c)(3)	3	CHI	Yes (true)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVE	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
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	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	OR	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)	8	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
30 WEST 7TH 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
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	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 GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	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
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	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
1314 3RD AVE	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
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	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)	2	THS	Yes (true)
TRINITY HOSPITAL HOLDING COMPANY
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341842025	HEALTHCARE	OH	501(c)(3)	3	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)	8	SCHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (44 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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Alegent Health Northwest Imaging Center LLC
3606 N 156th St	OMAHA	NE	68116	061786985	OP Diagnostics	NE	ACH	Related	-$7,263	$485,853	false	$0	Yes (true)	0.51
Audubon Land Company LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	841513085	Real Estate	CO	CHIC	Related	$330,065	$9,984,045	false	$0	false	0.73
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E Mineral Circle	Centennial	CO	80112	811727282	HEALTHCARE SRVC	CO	CHIC	Related	-$1,002,190	$6,646,607	false	$0	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	$0	Yes (true)	0.65
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	Related	$1,308,113	$2,778,497	false	$0	false	0.51
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico Avenue	CHATTANOGA	TN	37404	621875199	PHYS OFFICE	TN	MHCS	Related	$133,390	$918,922	false	$0	Yes (true)	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	SJHS	Related	$20,471	$3,315,748	false	$0	false	0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	462945938	PRACTICE MGMT SRVC	DE	CHI	Related	$118,502	$43,489,364	false	$0	Yes (true)	0.8
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	Physical Therapy	NE	SFMC	Related	$3,452,843	$3,798,424	false	$0	false	0.51
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CENTER	AL	CHIC	Related	$238,314	$1,149,906	false	$0	Yes (true)	0.65
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	Unrelated	$460,894,424	$6,934,279,715	false	$745,024	Yes (true)	1
CHI ST LUKE'S HEALTH EMERGENCY CENTER LLC
6624 Fannin St Ste 1100	HOUSTON	TX	77030	810743412	URGENT CARE	TX	SLHS	Related	-$2,234,613	$19,321,224	false	$0	Yes (true)	0.65
CHICAMSURG Surgery Centers LLC
1A Burton Hills Blvd	Nashville	TN	37215	465683027	SURGERY CENTER	CO	CHIC	Related	$38,311	$123,437	false	$0	false	0.51
CHICLARKIN VENTURES LLC
9100 E Mineral Circle	Centennial	CO	80112	474210888	URGENT CARE	CO	CHIC	Related	-$2,957,202	$7,086,404	false	$0	Yes (true)	0.87
Colorado Springs CK Leasing LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	CHIC	Related	$506,130	-$62,688	false	$0	Yes (true)	0.52
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	SL HOSP-VINTAGE	Related	$1,609,644	$53,760,469	false	$0	false	0.51
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	na	Related	$2,752,364	$3,361,559	false	$0	false	1
Heartland Oncology LLC
2337 E Crawford St	Salina	KS	67401	464265403	ONCOLOGY	KS	SCH	Related	-$457,809	$1,985,911	false	$0	false	0.51
HIGHLINE IMAGING LLC
PO BOX 184	BRUSH PRAIRIE	WA	98606	200460005	DIAGNOSTIC IMAGING	WA	HMC	Related	$998,974	$210,552	false	$0	false	0.8
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	Related	$3,231,701	$934,253	false	$0	false	0.54
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	Related	$699,620	$777,431	false	$0	false	0.51
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	Lincoln	NE	68510	262496856	Real Estate	NE	SERMC	Related	$1,040,431	$650,676	false	$0	false	0.54
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	Related	$14,574,331	$24,063,010	false	$0	false	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	Related	$213,304	$1,526,210	false	$0	false	0.61
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	Related	$15,065,598	$5,758,345	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	Related	$658,480	$1,639,249	false	$0	false	0.6
Penrad Imaging
1390 Kelly Johnson Blvd	COLORADO SPRINGS	CO	80920	841072619	Medical Imaging	CO	CHIC	Related	$532,329	$2,145,214	false	$0	false	0.7
PMC HOSPITAL LLC
3100 MAIN ST STE 500	HOUSTON	TX	77002	273280598	HOSPITAL	TX	SL CDC-PMC	Related	$3,486,396	$60,785,684	false	$0	Yes (true)	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102	LINCOLN	NE	68508	204962103	TECH SRVC	NE	AH-IMC	Related	$1,101,304	$5,330,749	false	$0	Yes (true)	0.66
Pueblo Ambulatory Surgery Center LLC
25 Montebello Rd	Pueblo	CO	81003	621488737	SURGERY CENTER	CO	CHIC	Related	-$83,926	$147,188	false	$0	false	0.51
Saint JOSEPH - PAML LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	452116736	MGMT SVCS	KY	SJHS	Related	-$382,945	$203,858	false	$0	Yes (true)	0.63
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	Related	$0	$0	false	$0	Yes (true)	0.51
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JHSMH	Related	$1,820,204	$8,702,616	false	$0	false	1
SCA Premier Surgery Center of Louisville LLC
200 Abraham Flexner Way	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JHSMH	Related	-$75,509	$1,599,003	false	$0	false	0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	Related	$245,362	$13,709,940	false	$0	false	0.59
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J ST	TACOMA	WA	98405	911352698	MED OFFICE	WA	FHS	Related	$98	$0	false	$0	false	0.61
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	SLHS HOLDINGS	Related	$668,977	$653,674	false	$0	false	0.57
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC-W	Related	$1,519,959	$35,885,295	false	$0	Yes (true)	0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	SLHSH	Related	-$97,480	$1,146,543	false	$0	Yes (true)	0.51
Superior Medical Imaging LLC
5000 North 26th ST	LINCOLN	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related	$9,528	$402,804	false	$0	Yes (true)	0.51
SURGERY CENTER OF LEXINGTON LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179539	SURGERY CENTER	KY	SJHS	Related	$55,400	$3,649,989	false	$0	Yes (true)	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 Abraham Flexner Way	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JHSMH	Related	$216,645	$1,681,716	false	$0	Yes (true)	0.51
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	813725123	HEALTHCARE SRVC	WA	FHS	Related	$0	$3,878	false	$0	Yes (true)	0.51
THREE SPRING IMAGING LLC
1 Mercado St STE 200A	DURANGO	CO	81301	811174301	HEALTHCARE SRVC	CO	CHIC	Related	$0	$0	false	$0	Yes (true)	0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (69 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	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	1	Yes (true)
All Saints Insurance Company SPC Ltd
				980556913	Insurance		CHI	C Corporation	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc
2801 FRACNISCAN DRIVE	BRYAN	TX	77802	742466914	Healthcare	TX	SJSC	C Corporation	1	Yes (true)
Alternative Insurance Management Service Inc
3900 OLYMPIC BLVD STE 400	Erlanger	KY	41018	841112049	Management Services	CO	CHI	C Corporation	1	Yes (true)
AMERICAN NURSING CARE Inc
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C Corporation	1	Yes (true)
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C Corporation	1	Yes (true)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	Fitness Club	KY	JHSMH	C Corporation	1	Yes (true)
BrazoSport Health Alliance
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	Health Care	TX	BRHS	C Corporation	1	Yes (true)
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500	Chattanooga	TN	37411	621570736	Healthcare	TN	MHCS	C Corporation	1	Yes (true)
Captive Management Initiatives Ltd
				980663022	Captive Management		CHI	C Corporation	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	1	Yes (true)
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WEST	Englewood	CO	80112	272269511	Research	CO	CIRI	C Corporation	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	1	Yes (true)							Assoc
ClearRiver Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464495960	Insurance	TN	PHPSI	C Corporation	1	Yes (true)
Comcare Services Inc
5570 DTC Parkway	Englewood	CO	80111	840904813	Inactive	CO	CHIC	C Corporation	1	Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C Corporation	1	Yes (true)
Des Moines Medical Center Inc
1111 6TH AVE	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corporation	0.93	Yes (true)
Diversified Health Resources Inc
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	Health Care	TX	BRHS	C Corporation	1	Yes (true)
East Texas Clinical Services Inc
2801 Via Fortuna 500	Austin	TX	78746	454736213	Healthcare	TX	MHSET	C Corporation	1	Yes (true)
First Initiatives Insurance LTD
				980203038	Insurance		CHI	C Corporation	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
Franciscan Services Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corporation	1	Yes (true)
Good Samaritan Outreach Services
PO Box 1990	Kearney	NE	68848	470659440	Medical Clinic	NE	CHI Nebraska	C Corporation	1	Yes (true)
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201	FEDERAL WAY	WA	98001	473451750	Insurance	WA	QCHPS	C Corporation	1	Yes (true)
Health Systems Enterprises Inc
1700 EDISON DR	MILFORD	OH	45150	470664558	MGMT	NE	GSH	C Corporation	1	Yes (true)
Healthcare MGMT Services Organization INC
1149 MARKET ST	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corporation	1	Yes (true)
HeartlandPlains Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464368223	Insurance	NE	PHPSI	C Corporation	1	Yes (true)
Highline Medical Group
15811 AMBUAN Blvd SW STE A	Burien	WA	98166	911407026	Medical Services	WA	HMC	C Corporation	1	Yes (true)
Medquest
1301 15TH AVENUE WEST	Williston	ND	58801	450392137	Sale of DME	ND	MMC Williston	C Corporation	1	Yes (true)
Memorial CV Service Line Management Company LLC
1201 W Frank Ave	Lufkin	TX	75904	463622849	Heath Care	TX	MHSET	C Corporation	1	Yes (true)
Mercy Park Apartments LTD
1111 6th AVE	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corporation	1	Yes (true)
Mercy Services Corp
2700 STEWART PARKWAY	Roseburg	OR	97471	930824308	Retail Sales	OR	MMC	C Corporation	1	Yes (true)
MHI Clinical Services
1201 W Frank Ave	Lufkin	TX	75904	461967952	Healthcare	TX	MHSET	C Corporation	1	Yes (true)
Mountain Management Services Inc
6028 Shallowford Rd	Chattanooga	TN	37421	621570739	MGMT SVC ORG	TN	MHCS	C Corporation	1	Yes (true)
Nazareth Assurance Company
				030304831	Insurance		CHI	C Corporation	1	Yes (true)	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C Corporation	1	Yes (true)
PhysicianHealth System Network
1149 MARKET ST	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corporation	1	Yes (true)
QCA Health Plan Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	710794605	Insurance	AR	QCHI	C Corporation	1	Yes (true)
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	Insurance	WA	QCPS	C Corporation	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	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	1	Yes (true)
QualChoice Holdings Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	274075520	Holding Co	AR	PHPS	C Corporation	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	1	Yes (true)
QualChoice of Nebraska
2401 S 73rd St	Omaha	NE	68124	810738827	Insurance	NE	QCH	C Corporation	1	Yes (true)
RiverLink Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464380824	Insurance	OH	PHPS	C Corporation	1	Yes (true)
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464828332	Insurance	KY	PHPS	C Corporation	1	Yes (true)
Ross Park Pharmacy Inc
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	Pharmacy	OH	THS	C Corporation	1	Yes (true)
Saint Clare's Primary Care Inc
66 FORD RD	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corporation	1	Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	C Corporation	1	Yes (true)
SJH Services Corporation
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corporation	1	Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	Lexington	KY	40503	270164198	Mgmt	KY	SJHS	C Corporation	1	Yes (true)
SLMT Parking Inc
6624 Fannin STE 800	Houston	TX	77030	760637140	Parking	TX	SLHS	C Corporation	1	Yes (true)
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201	Federal Way	WA	98001	421720801	Insurance	WA	PHPS	C Corporation	1	Yes (true)
St Alexius Health Services Inc
900 East Broadway Avenue	Bismarck	ND	58501	450402812	Healthcare	ND	SAMC	C Corporation	1	Yes (true)
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	SAH	C Corporation	1	Yes (true)
St Joseph Development Company Inc
1717 SOUTH J ST	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corporation	1	Yes (true)
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG RD BLDG B70	Lexington	KY	40504	611079899	Mgmt	KY	SJHS	C Corporation	0.85	Yes (true)
St Luke's 6620 Main Condominium Association
6624 Fannin STE 1100	Houston	TX	77030	300355517	Condo Assoc	TX	SLPC	C Corporation	1	Yes (true)
St Luke's Anesthesiology Associates
6624 Fannin STE 1100	Houston	TX	77030	461517163	Medical Clinic	TX	CHI-SLH	C Corporation	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	0.6	Yes (true)
St Luke's Health System Holdings Inc
6624 Fannin STE 800	Houston	TX	77030	760637138	Holding Co	TX	SLHS	C Corporation	1	Yes (true)
St Luke's Medical Arts Center I Condominium Association
6624 Fannin STE 1100	Houston	TX	77030	300355518	Condo Assoc	TX	SLPC	C Corporation	1	Yes (true)
St Luke's Medical Tower Condominium Association
6624 Fannin STE 1100	Houston	TX	77030	760298751	Condo Assoc	TX	SLMTC	C Corporation	1	Yes (true)
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLE	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corporation	1	Yes (true)
StableView Health Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464373713	Insurance	KY	PHPS	C Corporation	1	Yes (true)
Sugar Land Doctor Group
1317 Lake Point Parkway	Sugar Land	TX	77478	454270163	Medical Clinic	TX	SLCDC-SL	C Corporation	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	1	Yes (true)							uilding Comdominium Association
Towson Management Inc
7601 OSLER DR	Towson	MD	21204	521710750	Mgmt Services	MD	FSI	C Corporation	1	Yes (true)
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	Mgmt Services	OH	THS	C Corporation	1	Yes (true)
Vintage Doctor Group
6624 Fannin STE 1100	Houston	TX	77030		Medical Clinic	TX	CHI-SLH	C Corporation	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	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$192,477	InvolvedAmt
Method Of Amount Determination	BOOK	MethodOfAmountDeterminationTxt