2018-05-11T14:07:06-05:00 2017-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2016-07-01 760436439 Memorial Medical Center - Livingston MEMO 9366348111 P O BOX 1447 LUFKIN TX 75902 Duane C Miller CFO 2018-04-23 true Luke Megna P01236643 7208741500 2016 2021-01-29 14:40:06Z CHI ST LUKE'S HEALTH MEMORIAL LIVINGSTON Monte Bostwick P O BOX 1447 LUFKIN TX 75902 46704324 false X https://www.chistlukeshealthmemorial.org/centers/livingston X 1994 TX THE ORGANIZATION OPERATES A GENERAL ACUTE CARE HOSPITAL WITH 66 LICENSED BEDS AND PROVIDES SERVICES TO PATIENTS IN POLK AND SURROUNDING COUNTIES. 18 12 282 44 0 0 41262 0 44222023 46438138 -182855 7345 214555 44080430 46660038 0 0 18119838 16551095 0 0 23022921 21905512 41142759 38456607 2937671 8203431 51129553 53672743 54633571 48973330 -3504018 4699413 THE MISSION OF MMC - LIVINGSTON IS TO SUPPORT, MANAGE, AND FURNISH FACILITIES TO PROVIDE QUALITY ACUTE HEALTHCARE SERVICES FOR THE CITIZENS OF POLK AND SURROUNDING COUNTIES, REGARDLESS OF RACE, COLOR, GENDER, AGE, NATIONAL ORIGIN, OR TO THE EXTENT OF ITS AVAILABLE RESOURCES, ABILITY TO PAY, AND TO FACILITATE AND ENCOURAGE EDUCATIONAL AND TRAINING ACTIVITIES TO INFORM AND PROMOTE THE GENERAL HEALTH AND WELFARE OF THOSE CITIZENS. false false 32153620 46646554 HOSPITAL SERVICES PROVIDED TO PATIENTS IN POLK COUNTY, INCLUDING 1,826 ADMISSIONS, 56,572 OUTPATIENT VISITS, 25,737 EMERGENCY ROOM VISITS AND 5,472 PATIENT DAYS. 32153620 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 282 true false false false false false false false false false false X 18 12 true false false false true true true true true false false false true true true true true false false false X Duane C Miller 9366397130 1201 W FRANK AVENUE LUFKIN TX 75904 CARL RAY POLK CHAIRMAN 1.0 2.0 X X 0 0 0 RANDY GEORGE Vice Chair 1.0 1.0 X X 0 0 0 MONTE BOSTWICK Market CEO 10.0 40.0 X X 0 183209 12731 MIKE ARNOLD M D Director 1.0 2.0 X 0 64306 0 RAVINDER BACHIREDDY M D DIRECTOR 1.0 2.0 X 0 137332 0 MARLO BRAWNER MD Director 1.0 2.0 X 0 0 0 JUDY B COCHRAN DIRECTOR 1.0 0 X 0 0 0 Michael Covert Pres & CEO St. LUke's Health System 1.0 59.0 X 0 2020681 28510 TREY DENMAN Director 1.0 2.0 X 0 0 0 CORKY EVANS DIRECTOR 1.0 1.0 X 0 0 0 JULE FENLEY Director 1.0 2.0 X 0 0 0 GEORGE FIDONE M D Director 1.0 2.0 X 0 0 0 RONA FRIESEN Director 1.0 2.0 X 0 0 0 JOHN F GLICK Director 1.0 4.0 X 0 0 0 DEMETRESS HARRELL Director 1.0 2.0 X 0 0 0 M HUNT HUBER M D DIRECTOR 1.0 2.0 X 0 49334 0 GARY N LOOPER Director - Partial Year 1.0 42.0 X 0 452496 19783 CHERIPARAMBIL MANI MD Director 1.0 2.0 X 0 56568 0 BEN R OGLETREE JR DIRECTOR 1.0 0 X 0 0 0 KRISTINA FROESE CNO 40.0 0 X 0 148551 18850 KENNETH MILLER OFFICER/CFO(Partial Year) 10.0 41.0 X 0 246524 23673 MARTIN R SLACK CEO/President - Partial Year 40.0 0.0 X 0 272717 22821 CHARLENE SMITH M D VP - Medical Operations 20.0 1.0 X 113459 0 1702 Duane Miller CFO 10.0 40.0 X 0 0 0 PATRICIA SCHOFIELD RN CORDINATED CARE 40.0 0 X 123467 0 5194 STEVEN ECKERT PHARMACIST 40.0 0 X 140402 0 7955 TAMANIKA FITE DIRECTOR OF PHARMACY 40.0 0 X 145412 0 12227 Koury Snider Nuclear Medicine Tech 40.0 0 X 120991 0 10633 Sylvia Tolbert-Ford Director 40.0 0 X 119323 0 5864 763054 3631718 169943 17 false true false Cogent Healthcare of TX PA P O Box 645037 CINCINNATI OH 45264 HOSPITALISTS 1073052 SODEXO Marriott SERVICES P O BOX 536922 ATLANTA GA 30353 ENVIRONMENTAL 443441 H B ANESTHESIOLOGY GROUP 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ANESTHESIOLOGY 380325 Texas EM-1 Medical Services PA 7032 Collections Center Dr CHICAGO IL 60693 ER Physicians 260205 Sound Physicians PO Box 742936 Los Angeles CA 900742936 Management of Hospitists 180806 13 X 0 0 0 0 PATIENT SERVICE REVENUE 621990 46438138 46438138 0 0 0 0 46438138 11631 11631 0 0 40000 44286 0 -4286 -4286 -4286 ELECTRONIC HEALTH RECORDS REVENUE 621990 174458 174458 VENDING REVENUE 621990 5957 5957 MEDICAL RECORDS INCOME 621990 477 477 33663 33481 0 182 214555 46660038 46646554 0 13484 X 113459 113459 13340554 13063905 276649 94802 92088 2714 2054208 1989149 65059 948072 920932 27140 117453 117453 2206 2206 5377529 4996316 381213 0 28549 1886 26663 516903 304005 212898 802297 802297 42638 15980 26658 2488 2488 2626517 2626517 461681 461681 PATIENT CARE SUPPLIES 5821633 5821633 HOME OFFICE COST ALLOCATION 3746556 3746556 REPAIRS & MAINTENANCE 808933 808703 230 RENTS & LEASES - EQUIPMENT 219174 211980 7194 1330955 34060 1296895 0 38456607 32153620 6302987 0 13488 15264 3731824 3490640 0 0 0 864377 934555 103767 66109 56308693 7606195 45922175 48702498 0 0 0 493922 463677 51129553 53672743 3036471 4235540 51597100 44737790 54633571 48973330 X -3504018 4699413 -3504018 4699413 51129553 53672743 8203431 0 X false true X true false X false false false false false true 879 false false false 879 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The portion of organization dues that are related to lobbying are as follows: American Hospital Association - 879 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The portion of organization dues that are related to lobbying are as follows: American Hospital Association - 879 530000 530000 38238251 3864962 34373289 17540442 3741233 13799209 48702498 DUE TO AFFILIATE 44737790 LEASES PAYABLE 44737790 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Memorial Medical Center - Livingston'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." true true X true X 300 true X true true true false true true 2046621 2046621 0.0533 6377913 6377913 0 0.0 0 0.0 0 0 8424534 6377913 2046621 0.0533 0 0.0 0 0.0 0 0.0 0 0.0 17150 17150 0.0004 0 0 17150 0 17150 0.0004 0 0 8441684 6377913 2063771 0.0537 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 1276585 0 16890969 19139299 -2248330 X true true 1 1 MMC - LIVINGSTON 1717 HWY 59 BYPASS LIVINGSTON TX 77351 https://www.chistlukeshealthmemorial.org/ 000466 X X MMC - LIVINGSTON 1 false false true X X X X X X X X X 15 true true false true X https://www.chistlukeshealthmemorial.org/about/health-needs-assessment X true 15 false true false true X 300.0 300.0 X X X X true true X X X true X https://www.chistlukeshealthmemorial.org/patients/financial-assistance X https://www.chistlukeshealthmemorial.org/patients/financial-assistance X https://www.chistlukeshealthmemorial.org/patients/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MMC - LIVINGSTON. The CHI St. Luke's Health Healthy Communities Department, located in Houston, TX, collaborated with Saurage Marketing Research, Inc., selected Memorial staff, and community organizations to conduct the Memorial CHNA. A survey, prepared by Saurage Marketing Research, Inc. in March 2016, was distributed via email and telephone to residents residing within the Memorial service area. Telephone interviews were also performed with Memorial employed physicians and focus groups including Memorial staff and community members were held. Survey, interview and focus group results were analyzed in April in order to report to the hospital leadership and the larger community as part of the CHNA. The names, titles, organizations, and roles of those involved in the CHNA, including the data analysis and community input portions, are as follows: -Valerie Mattice Ausborn, Project Coordinator CHI St. Luke's Health System, Overall CHNA Project Management -Jay Gilchrist Vice President CHI St. Luke's Memorial, Mission, CHNA Project, Management -Mike Sullivan, PhD Director CHI St. Luke's Health System, Healthy Communities, Technical Assistance -Janice Lamy Vice President CHI St. Luke's Health System, Marketing & Communication, Technical Assistance -Yana Ogletree Director CHI St. Luke's Memorial, Marketing & Communication Technical Assistance -Susan Saurage President Saurage Marketing Research Inc. Qualitative Data Analysis -Charlotte Cummings Med-Surg RN CHI St. Luke's Health Memorial-Livingston Focus Group Staff, Participant -Kina Hooker Care Transitions CHI St. Luke's Health Memorial-Livingston Focus Group Staff, Participant -Karen Stanton RN CHI St. Luke's Health, Memorial-Livingston Focus Group Staff, Participant -Peggy Stapleton Administration CHI St. Luke's Health Memorial-Livingston Community Stakeholders: Barbara Hayes - Polk County Social Services Dir. Stephanie Williams - Alabama/Coushatta Tribe Tina Battise - Alabama/Coushatta Tribal Court Administrator Nancy Johnson - Admin Asst A/C Tribe Health Chris Martin - Nursing Home Broker Verlis Williams - Coushatta Tribe, former tribal council member in LA Ricky Harrell - Sam Houston Elec Coop and Leggett community Rosie Murphy - Fitness Trainer Rhonda Farrar - Health Occupations Instructor, Big Sandy ISD Crissy Judy - Pharm Tech Student, Big Sandy ISD Jacque Delahoussaye RPA Livingston Fitness/Radiology Zoey Shotwell - Health Occupations Student/Pharm Tech Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MMC - LIVINGSTON. A comprehensive Community Health Needs Assessment (CHNA) was conducted for CHI St. Luke's Health-Memorial from March-May 2016. CHI St. Luke's Health-Memorial includes four hospital facilities: (1) MEMORIAL MEDICAL CENTER OF EAST TEXAS (LUFKIN), (2) MEMORIAL MEDICAL CENTER - LIVINGSTON, (3) MEMORIAL MEDICAL CENTER - SAN AUGUSTINE, AND (4) MEMORIAL SPECIALTY HOSPITAL. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MEMORIAL MEDICAL CENTER - LIVINGSTON. The Memorial Health System of East Texas (MHSET) prioritized six needs that were identified in the 2017-19 Community Health Needs Assessment. Executive leadership studied the triennial assessment during the beginning of the fiscal year, and they developed Implementation Strategies in the following categories: Access to Care, Providers; Awareness and Communication of Resources; Education; and Special Programs and Improvements. Those strategies are as follows. 1. ACCESS TO CARE Increase access to care for those with heart disease and other serious illness, especially those without work and insurance, those needing mental health diagnosis and care, and those un/underinsured or laid off between ages 55 and 64. 2. PROVIDERS Increase local providers through a mission-focused market plan. 3. AWARENESS & COMMUNICATION OF RESOURCES Make people more aware of available health services, education and support. 4. EDUCATION Raise the importance of the prevention of disease through healthy living, exercise and nutrition. 5-6 -- SPECIAL PROGRAMS & IMPROVEMENTS 5. Address the increasing incidence of young teen pregnancy (Ages 13-14) 6. Increase mental health focus, services and care. The CHI St. Luke's Health Memorial executive team developed objectives to target activities and services to directly address these seven priorities. The objectives were identified by studying the prioritized health needs within the context of the hospital's strategic plan and the availability of finite resources. To develop the strategies an additional round of community partner meetings was held, and the Healthy Communities Council, in consultation with CHI St. Luke's Health Texas Division Healthy Communities Team, made recommendations to the Executive Team. The Executive Team took the suggestions flowing from the new 2017-19 Community Health Needs Assessment and developed strategies for the Memorial Healthy Communities Team. An Action Plan flow chart was created to track progress, and to keep executive and departmental leadership advised and ensure their collaboration. Use of the Community Benefit Inventory for Social Accountability (CBISA) software was inaugurated to begin to track staff involvement in community health improvement and general community building. Sound progress was made on each priority, as identified in this evaluative summary of the implementation strategies carried out for each objective. 1. ACCESS TO CARE Increase access to care for those with heart disease and other serious illness, especially those without work and insurance, those needing mental health diagnosis and care, and those un/underinsured or laid off between ages 55 and 64. Objective A: Provide additional resources (education series, brochures, etc. in English and Spanish) and services. - MHSET has bilingual staff members in the Education Center and in registration areas to help with communications, and also contracts with a Language Line service to assist hospital and physician staff with interpretation on medical issues. - Each MHSET County participates in the Texas Adult Potentially Preventable Hospitalization Initiative to improve care and reduce costs. Major foci in our service areas are Dehydration, Bacterial Pneumonia & UTI. - Memorial-Livingston employs a Medicaid staff member who works to connect indigent and disabled patients to available payer sources. The hospital contributes half of the staff member's salary, while the state pays the remaining half. - MHSET offers MD Save, which enables patients to obtain a 60% discount on specific radiology and cardiology diagnostic tests and certain procedures. - Part of the proceeds raised through Power of Pink provides gas vouchers for cancer treatment and prescription medication for qualified patients. - MHSET's Cancer Center offers lung cancer screenings at each of its facilities. The Canter also offers the Drug Replacement Program, which offers free medication to cancer patients who are unable to pay. - The hospital partners with Memorial Hermann Hospital in Houston to enhance the care of stroke patients in the Livingston ED. Through telemedicine Memorial-Livingston and Memorial Herman are elevating the care for stroke patients presenting to the Livingston ED. Additionally, the hospital is part of the East Texas Heart and Vascular Initiative, which holds public education forums at industries, schools, assisted living centers, retirement centers, and civic clubs. - MHSET collaborates with Express Lab to offer very affordable lab testing at all of the system's facilities. Discounted screenings include glucose testing and PSAs. - MHSET offers the Lifeline home alert system, at a discounted rate. Objective B: Collaborate with efforts to enhance the services of the Heart Institute of East Texas - Heart Institute services were expanded in Livingston and various area communities in FY17. Heart and vascular mobile imaging services also increased. A physician was added to the Livingston Heart Institute of East Texas Clinic. Conversations were begun to locate services in Crockett and Trinity, communities which had hospitals closed this year. HIET has also established clinics in Woodville and in Jasper. Several mid-level practitioners also began in the HIET clinics this year. - The partnership between Memorial and the Heart Institute of East Texas (HIET) began in 2013, and growth in services and locations has risen every year. A know your EF (Ejection Fraction) campaign was initiated throughout the market. With the closing of hospitals in Trinity and Crockett, talks began to partner with those communities for cardiac care, as well as primary care. 2. PROVIDERS Increase local providers through a mission-focused market plan. Objective A: Focus on primary and specialty physicians according to recruitment needs discerned by market study. -The hospital is actively recruiting primary care and specialist physicians, based on a recently conducted Medical Staff Development Plan, via its MMA affiliation. Current MHSET focus is on infectious disease, pediatrics and internal medicine. New Livingston medical staffers were added in Emergency, Family Practice, Internal Medicine, Ob/Gyn and surgery. - The hospital is a clinical rotation site for area nursing, laboratory, physical therapy, pharmacy, nurse practitioner, medical student and physician assistant programs. - MHSET and its hospitals participate in Education Affiliation Agreements with over 30 universities, colleges and medical institutions that prepare students for careers in nursing, allied therapies and administration. 3. AWARENESS & COMMUNICATION OF RESOURCES Make people more aware of available health services, education and support. Objective A: Increase information on web page and social media about services & educational opportunities. - CHI St. Luke's Health Memorial has improved and expanded its public web site to make it more user friendly and add resources for social services, as well as medical services, physician location, scheduling, billing and financial help, and contact information. An events/special events section was created to inform the public about learning activities about health issues. The social media presence was enhanced, with helpful and educational information available on Facebook, Twitter, LinkedIn, Instagram and YouTube. Objective B: Consumer education programs for seniors; for insurance alternatives, benefit options, and doctor/care decisions. - Memorial-Livingston organizes and provides space for diabetes and cancer support groups. - The hospital provides space for weight watchers meetings in the hospital's cafeteria. - The ministry's clinical and surgical directors worked with Dr. Blackledge and others to develop a monthly health topic for printed educational matter, a lunch and learn, etc. - The hospital continues as a presenting sponsor for the Senior Expo. - MHSET provides Women's Special Services that offers mammograms, GYN exams and pap smears and GYN educational services to the uninsured population in the community. - MHSET provides bacterial pneumonia and flu vaccinations at all of its facilities. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - MEMORIAL MEDICAL CENTER - LIVINGSTON. 4. EDUCATION Raise the importance of the prevention of disease through healthy living, exercise and nutrition. Objective A: Coordinated patient education programs for general healthy living, and for specific diseases and health care problems, including prevention, understanding and living with diabetes, heart disease, obesity, cancer, stroke, drug use, depression and stress. - Memorial-Livingston provides financial support and volunteers to organizations that offer prevention and treatment for alcohol and drug abuse, underage drinking, etc. These organizations include the Alcohol Drug Abuse Council of Deep East Texas and the Alzheimer's Association. - CHI St. Luke's Health Memorial-Livingston is one of only a few hospitals in East Texas that offers the SANE program. These nurses, who treat sexual assault victims, are specially trained and certified in this field through the office of the Texas Attorney General. Memorial-Livingston will provide access to these nurses in the Emergency Department. - The ministry was a significant contributor to numerous educational events were held in Polk and nearby Counties, including a Heart Fair, Breast Cancer awareness events, Escapees Health Fair and Seminar, Family Health and Wellness Night, Multicultural Festival and Health Fair, Cleveland Health and Wellness Fair, Onalaska Health Fair, and World COPD Day Health Education Event. - MHSET produces a monthly cooking show, Memorial Cooking Innovations, a 30 minute program featuring a registered dietitian and a certified chef. The show features diabetic friendly foods that are delicious and easy to prepare and is broadcast on the local government access television channels daily, in 62 cities across the United States, and online any time at http://www.memorialhealth.us/cooking. - Diabetes Classes are offered through the HC Polk Education Center at a minimal charge. Memorial-Livingston also provides space for diabetes classes to meet in the hospital's cafeteria. - The hospital offers a support group that meets regularly to share experiences on living with diabetes successfully. Memorial-Livingston employs a certified dietician. o MHSET brought the Know Your Stats Prostate Awareness Campaign to Memorial-Livingston in CY 2013. This includes hosting a men's breakfast to educate men on the importance of prostate screenings. Local urologists participate to offer information on prostate cancer, signs and symptoms, risk factors and treatment methods. Prostate Specific Antigens will also be offered at a discounted rate. - MHSET brought the annual breast cancer awareness luncheon, Power of Pink to Livingston in 2013. The hospital works with the American Cancer Society to supply vendors and sign women up to get mammograms. In 2016, the Power of Pink luncheon reached nearly 500 women. - Memorial-Livingston actively participates in Mammography Month. The hospital runs an educational media campaign on understanding the signs and symptoms of breast cancer and encourages women to get mammograms. A free gift is offered to those scheduling a mammogram at one of MHSET's facilities. - MHSET participates in the monthly Speakers' Bureau at each of its facilities. At this event, MHSET physicians speak to civic clubs on a variety of health topics. - MHSET offers a monthly Women's Power Lunch in Lufkin, with 130 attendees on average. Local physicians speak on pertinent health topics. - Memorial-Livingston serves as a resource for other healthcare care providers, such as nursing homes, the Regional Advisory Council, the Emergency Preparedness Team, the Rural East Texas Health Network and EMS. - Memorial-Livingston serves as a clinical resource for allied health academic institutions. This includes clinical rotations, "miniinternships," and serving as a training site for Sam Houston State University for dietetic interns to come obtain clinical and food service hours. - MHSET and its hospitals participate in Education Affiliation Agreements with over 30 universities, colleges and medical institutions that prepare students for careers in nursing, allied therapies and administration. - MHSET has increased postings on its online patient library that serves as a medical resource for surgical procedures, illnesses, etc. - The hospital offers events specifically for women, such as the Women's Power Lunches and Power of Pink. - Memorial-Livingston provides financial support and volunteers to organizations that strive to improve unhealthy lifestyles in the community. Some of these organizations include the American Cancer Society, The Coalition, The Alzheimer's Association, the Hope Center, and local hospices. - Smoking cessation and lifestyle changes are addressed in public health fairs and women's and senior expos. - The hospital participates in the local smoke free initiative. In addition, all of Memorial Health System of East Texas' campuses are all smoke free. - The ministry advocates for improved health and wellbeing among staff by offering discounted or free services to employees. Memorial-Livingston operates an employee health clinic. - MHSET provides nutritional articles on a monthly basis to various news sources, including the Lufkin Daily News, the Polk County Enterprise and East Texas Magazines. - Healthy options are provided in the facility's cafeteria. Objective B: Target school-age children and their parents/guardians for primary/special educational efforts. Memorial Clinics to reach out to the school districts to help meet their needs for school-based health education. - The hospital engages in outreach in public schools, such as infection and behavior related activities. - In collaboration with the larger system, Memorial-Livingston sponsors community wide health fairs and health screenings, including the Senior Expo, Women's Health Expo, Physician/New Product presentations, and area school events. - The ministry played a significant role in the Alabama-Coushatta Back to School Health and Wellness Fair, and sponsored a Santa's Workshop Health and Wellness Fair, as well as a Family Health and Wellness Night. Objective C: Develop a "Healthy Spirit" community educational module collaboratively with mission staff, clinicians and local churches. - Research, drafting, and networking for this module was initiated in FY 2017. 5-6 -- SPECIAL PROGRAMS and IMPROVEMENTS 5. Address the increasing incidence of young teen pregnancy (Ages 13-14) Objective A: Partner with school districts, physicians and community agencies. Incorporate with educational efforts above. - Drs. Atilade and Justo were identified as physicians to approach to help address this issue and initial conversations were begun. 6. Increase mental health focus, services and care. Objective A: Investigate geriatric and adult psychiatric programs for possible implementation in FY18. Partner/pilot with a Texas Division mental health service line strategy. Coordinate efforts with the Burke Center. - MHSET has expanded its relationship and increased referrals with the Burke Center and the Alcohol and Drug Abuse Council to improve care and access to care for mental and substance abuse patients. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Memorial Medical Center Livingston. The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. The patient must submit a completed Financial Assistance application. Patient Cooperation Standards - A patient must exhaust all other payment options, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third-parties prior to being approved. An applicant for Financial Assistance is responsible for applying to public programs for available coverage. He or she is also expected to pursue public or private health insurance payment options for care provided by a CHI Hospital Organization within a Hospital Facility. A patient's and, if applicable, any Guarantor's cooperation in applying for applicable programs and identifiable funding sources, including COBRA coverage (a federal law allowing for a time-limited extension of employee healthcare benefits), shall be required. If a Hospital Facility determines that COBRA coverage is potentially available, and that a patient is not a Medicare or Medicaid beneficiary, the patient or Guarantor shall provide the Hospital Facility with information necessary to determine the monthly COBRA premium for such patient, and shall cooperate with Hospital Facility staff to determine whether he or she qualifies for Hospital Facility COBRA premium assistance, which may be offered for a limited time to assist in securing insurance coverage. A Hospital Facility shall make affirmative efforts to help a patient or patient's Guarantor apply for public and private programs. Schedule H, Part V, Section B, Line 24 Facility , 1 Facility , 1 - MMC - LIVINGSTON. ALL PATIENTS ARE EQUALLY CHARGED. PATIENTS WHO FILE AN APPLICATION FOR FINANCIAL ASSISTANCE ARE NOT BILLED UNLESS IT IS LATER DETERMINED THAT THEY DO NOT QUALIFY FOR ASSISTANCE. 0 Schedule H, Part I, Line 3c eligibility criteria for a patient to qualify for Financial Assistance Unless eligible for Presumptive Financial Assistance, the following eligibility criteria must be met in order for a patient to qualify for Financial Assistance: * The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. * The patient's Family Income must be at or below 300% of the FPG. * The patient must comply with Patient Cooperation Standards as described [in the FAP]. * The patient must submit a completed Financial Assistance application. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. In particular, presumptive eligibility may be determined on the basis of individual life circumstances that may include: * Recipient of state-funded prescription programs; * Homeless or one who received care from a homeless clinic; * Participation in Women, Infants and Children programs (WIC); * Food stamp eligibility; * Subsidized school lunch program eligibility; * Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); * Low income/subsidized housing is provided as a valid address; or * Patient is deceased with no known estate. Schedule H, Part I, Line 6a Community benefit report prepared by related organization MEMORIAL HEALTH SYSTEM OF E. TEXAS Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE HOSPITAL USED THE COSTING METHODOLOGY DERIVED FROM IRS WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO-CHARGES" TO CALCULATE THE AMOUNTS SHOWN ON LINES 7(a) & 7 (b). IN ACCORDANCE WITH THE INSTRUCTIONS, COMMUNITY BENEFITS EXPENSED TOTALING $ 17,150 INCLUDED IN PART IX, LINE 25, COLUMN (A) AND $34,140 IN MISCELLANEOUS INCOME INCLUDED IN PART VIII, LINE 12, COLUMN (A) WERE SUBTRACTED FROM EXPENSES REPORTED ON PART IX, LINE 25, COLUMN (A) IN ORDER TO DETERMINE ALLOWABLE COSTS TO BE USED IN THE CALCULATION OF THE RATIO OF COST-TO-CHARGES. BAD DEBTS EXPENSE WAS NOT INCLUDED ON PART IX, LINE 25, COLUMN A OF FORM 990. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 13.50 %. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Memorial Medical Center Livingston does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Memorial Medical Center Livingston does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented in the consolidated statement of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats all patients without regard to the ability to pay. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted.Memorial Medical Center Livingston's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $16,890,969 Total Medicare costs: $19,139,299 Surplus or Shortfall: $2,248,330 Memorial Medical Center Livingston believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as ''subsidized health services''. Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization's billing and collections policy applies to all individuals presenting for emergency or other medically necessary care. The policy contains provisions for collecting amounts due from those patients who the organization knows to qualify for financial assistance either through the traditional financial assistance application process or through presumptive eligibility processes. Before engaging in extraordinary collection actions (ECAs) to obtain payment for EMCare, Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether an individual is eligible for Financial Assistance. In no event will an ECA be initiated prior to 120 days from the date the Facility provides the first post-discharge billing statement (i.e., during the Notification Period) unless all reasonable efforts have been made. Hospital Facilities will not refer accounts for collection where the patient has initially applied for Financial Assistance, and the Hospital Facility has not yet made reasonable efforts with respect to the account. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. Patients who qualify for Medicaid are presumed to qualify for full charity write off. Any charges for days or services written off (excluding Medicaid denials related to timeliness of billing, insufficient medical record documentation, missing invoices, authorization, or eligibility issues) as a result of a Medicaid are booked as charity. Some Medicaid plans offer coverage for a limited or restricted list of services. If a patient is eligible for Medicaid, any charges for days or services not covered by the patient's coverage may be written off to charity without a completed application. This does not include any Share of Cost (SOC) or other patient cost-sharing amounts such as deductibles or copayments, as such costs are determined by the state to be an amount that the patient must pay before the patient is eligible for Medicaid. Health and Human Services (HSS) uses the term "Spend Down" instead of Share of Cost. All collection activities conducted by the Facility, a Designated Supplier, or its third-party collection agents will be in conformance with all federal and state laws governing debt collection practices. All third-party agreements governing collection and recovery activities must include a provision requiring compliance with the hospital facilities' financial assistance and billing and collections policy and indemnification for failures as a result of its noncompliance. This includes, but is not limited to, agreements between third parties who subsequently sell or refer debt of the Hospital Facility. Schedule H, Part V, Section B, Line 16a FAP website - MMC - LIVINGSTON: Line 16a URL: https://www.chistlukeshealthmemorial.org/patients/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MMC - LIVINGSTON: Line 16b URL: https://www.chistlukeshealthmemorial.org/patients/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MMC - LIVINGSTON: Line 16c URL: https://www.chistlukeshealthmemorial.org/patients/financial-assistance; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Notification about the availability of Financial Assistance from CHI Hospital Organizations shall be disseminated by various means, which may include, but not be limited to: * Conspicuous publication of notices in patient bills; * Notices posted in emergency rooms, urgent care centers, admitting/registration departments, business offices, and at other public places as a Hospital Facility may elect; and * Publication of a summary of this Policy on the Hospital Facility's website, www.catholichealth.net, and at other places within the communities served by the Hospital Facility as it may elect. Such notices and summary information shall include a contact number and shall be provided in English, Spanish, and other primary languages spoken by the population served by an individual Hospital Facility, as applicable. Referral of patients for Financial Assistance may be made by any member of the CHI Hospital Organization non-medical or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. In addition, Hospital registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for assistance under the Financial Assistance Policy. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Once it is determined that the patient does not qualify for any third party funding, the patient is verbally notified about the existence of Financial Assistance Application and additional screening takes place by a Hospital employee to determine if the patient is eligible for charity service prior to discharge. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the Financial Assistance Policy, the plain language summary of that policy, and an application for assistance. Hospital registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility for services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for full, partial, or no charity care services. Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether any individual is eligible for Financial Assistance. Schedule H, Part VI, Line 4 Community information POLK COUNTY HAS AN APPROXIMATE POPULATION OF 47,916 AS OF 2016, IS CONSIDERED A RURAL COUNTY AND ALSO A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. THE MEDIAN INCOME PER HOUSEHOLD, AS OF 2015, IS $39,662; 20.3% OF PERSONS IN POLK COUNTY ARE BELOW POVERTY LEVEL. APPROXIMATELY 14% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 15-16% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 49-50% OF OUR PATIENT BASE IS MEDICARE RECIPIENTS. THE HOSPITAL IS THE ONLY ACUTE CARE FACILITY IN POLK COUNTY, AND IS THEREFORE THE ONLY HOSPITAL WHICH DIRECTLY SERVES OUR COMMUNITY. WITH THE CITY OF LIVINGSTON BEING THE COUNTY SEAT, WE SERVE AS THE MEDICAL HUB OF POLK COUNTY. WE SERVE AS THE PRIMARY HEALTH CARE FACILITY FOR THE ALABAMA-COUSHATTA TRIBE OF TEXAS WHO RESIDE IN POLK COUNTY. WITH LAKE LIVINGSTON BEING THE SECOND LARGEST LAKE IN TEXAS, THE HOSPITAL SERVICES A LARGE POPULATION OF RETIREES, SNOWBIRDS AND VACATIONERS. IN 2016, THE PERCENT OF THE POPULATION OF 65 YEARS AND OLDER WAS 19.4%. Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facility(ies) promote health for the benefit of the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The organization's hospital facility(ies) have an open medical staff. Its board of trustees is composed of prominent citizens in the community. Excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. The facility(ies) treat persons paying their bills with the aid of public programs like Medicare and Medicaid. All patients presenting at the hospital for emergency and other medically necessary care are treated regardless of their ability to pay for such treatment. Schedule H, Part VI, Line 6 Affiliated health care system The organization is affiliated with 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. false true false false false false false false false MONTE BOSTWICK Market CEO 0 132601 0 25000 0 25608 0 7636 0 5095 0 195940 0 0 Michael Covert Pres & CEO St. LUke's Health System 0 1130550 0 676728 0 213403 0 10846 0 17664 0 2049191 0 212 GARY N LOOPER Director - Partial Year 0 350541 0 99733 0 2222 0 6750 0 13033 0 472279 0 0 KRISTINA FROESE CNO 0 125581 0 22874 0 96 0 969 0 17881 0 167401 0 0 KENNETH MILLER OFFICER/CFO(Partial Year) 0 206895 0 38887 0 742 0 2731 0 20942 0 270197 0 0 MARTIN R SLACK CEO/President - Partial Year 0 230681 0 41262 0 774 0 3588 0 19233 0 295538 0 0 TAMANIKA FITE DIRECTOR OF PHARMACY 134945 0 8673 0 1794 0 0 0 12227 0 157639 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation WITH THE APPROVAL OF A COMPENSATION COMMITTEE, THE CEO OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS (THE MEMBER) DETERMINES THE SALARY OF THE CEO/PRESIDENT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2016 calendar year Catholic Health Initiatives (CHI), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: michael Covert monte bostwick During 2016 the following contributions were made by CHI to the deferred compensation plan: monte bostwick - $7,636 During 2016 the following distributions were made by CHI to the deferred compensation plan: michael Covert - $212 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as termination, age, years of service or more than 5 years of plan participation were eligible to receive their 2016 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2016, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: michael Covert - $181,123 Form 990, Part V, Line 1a FORM 1096 MEMORIAL HEALTH SYSTEM OF EAST TEXAS (MHSET) PAYS THE HOSPITAL'S BILLS FOR SERVICES THAT WOULD REQUIRE THE PREPARATION OF FORMS 1099 AND THE RELATED FORM 1096, AND REPORTS SUCH PAYMENTS UNDER ITS FEDERAL IDENTIFICATION NUMBER. THE HOSPITAL REIMBURSES MHSET FOR SUCH PAYMENTS. Form 990, Part VI, Line 12c Conflict of Interest Policy The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize and must in good faith approve or disapprove any transaction in which CHI or a CHI Entity is a party and in which the Trustee or Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI Entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the matter. However, if requested, such Trustee or Corporate Officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from Trustees, as his or her knowledge may be of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the Board, and that the interested Trustee or Corporate Officer was excused during the discussion, and that the interested Trustee abstained from voting. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict as required by the COI Policy, the Trustee or Corporate Officer will be given an opportunity to explain such alleged failure to disclose. After hearing the response of the Trustee or Corporate Officer, the Board will conduct such additional investigation as may be appropriate. If the Board determines that the Trustee or Corporate Officer has in fact failed to disclose as required by the COI Policy, the Board shall take appropriate disciplinary or corrective action. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 15a Memorial Medical Center - Livingston During the tax year ended 6/30/2017, the top management official did not receive compensation from the organization. Any executive compensation paid to the top management official by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, this question is more appropriately answered as N/A. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons CORKY EVANS AND JUDY COCHRAN - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders MEMORIAL HEALTH SYSTEM OF EAST TEXAS IS THE SOLE CORPORATE MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF DIRECTORS OF THE SOLE MEMBER (MEMORIAL HEALTH SYSTEM OF EAST TEXAS) ALSO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS OF MMC- LIVINGSON . THE MANAGEMENT OF MHSET PROVIDES OVERSIGHT OF FINANCIAL AND CLINICAL OPERATIONS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER (MEMORIAL HEALTH SYSTEM OF EAST TEXAS) APPROVES THE INDIVIDUALS SELECTED TO THE BOARD OF DIRECTORS OF MMC-LIVINGSTON AND HAS FINAL APPROVAL OF ALL ACTIONS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE BOARD OF DIRECTORS, BY RESOLUTION, APPOINTS A SPECIAL COMMITTEE TO REVIEW THE FORMS 990 AND 990T PRIOR TO FILING. ONCE THE RETURNS ARE COMPLETED, THEY ARE PROVIDED TO THIS COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR FILING. EMPLOYEES OF THE CORPORATION RESPONSIBLE FOR THE PREPARATION AND REVIEW OF THE RETURNS ARE AVAILABLE TO RESPOND TO QUESTIONS OR PROVIDE BACKGROUND AS NEEDED. ONCE THE DIRECTORS RESPONSIBLE FOR REVIEWING THE RETURNS ARE SATISFIED THEY ARE COMPLETE, THE RETURNS ARE APPROVED TO BE FILED. SUBSEQUENT TO PRESENTATION TO THE BOARD'S COMMITTEE, THE TAX DEPARTMENT FILES THE RETURNS WITH THE IRS, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE COMMITTEE. AFTER FILING, THE RETURNS ARE MADE AVAILABLE TO ALL DIRECTORS FOR THEIR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy (the "Policy") in place to maintain the integrity of all of its activities. The Policy applies to CHI Board of Stewardship Trustees and members of its committees; all CHI Entity board and board committee members; all CHI employees; and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each Person must promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The Person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the Person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers; * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership; * Employees at the level of manager and above (through 6/21/17). Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG staff, as appropriate. This plan will include documentation of the C-CIRC's determinations and recommendations. As necessary, reports to an appropriate governmental agency or sponsor will be made according to the relevant appendices to this Policy to provide required information regarding how the conflict of interest will be managed, reduced, or eliminated. Designated CHI Entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. The C-CIRC will determine whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a potential or actual conflict of interest exists that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing Person be allowed to participate in the activity or transaction subject to restrictions as outlined in a written COI management plan. All determinations of conflicts of interest will be reported as required by law, regulations, and CHI policy. If a Person, other than a board or board committee member or corporate officer, required to complete a COI disclosure does not agree with a determination made by the C-CIRC, its interpretation of the COI Policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC's decision, the following steps should be followed. Within a reasonable period of time after receiving notice of the C-CIRC's decision, the Person must present the matter to the Person's immediate direct manager or supervisor (or in the case of a Researcher, to [fill in the title or position to whom Researchers report]) and request reconsideration, submitting at that time any new or additional information that may support or recommend reconsideration. If the Person's manager individually or in consultation with the manager's Vice President (or higher if the manager is a Vice President) finds that new information supporting reconsideration has been presented, the manager will contact local or National CRP staff, as appropriate, and request that the matter be re-presented to the C-CIRC. The C-CIRC will be reconvened for this purpose and, following such reconsideration, issue a final determination. This appeals process is intended to be narrowly applied, as Persons seeking conflict of interest exemptions or exceptions are expected to offer all available information supporting an exemption or exception at the time the matter is first presented to the C-CIRC. Management of actual or potential conflicts of interest of board or board committee members and corporate officers will be determined by the appropriate board, as reflected in the Policy. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Each Trustee and Corporate Officer must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. In any situation when a Trustee or Corporate Officer is in doubt, full disclosure should be made to permit an impartial and objective determination. A written record of the disclosure will be made. In addition to the ongoing disclosure obligation, all Trustees and Corporate Officers shall complete a COI disclosure questionnaire on an annual basis. A copy of the COI Policy shall be available to Trustees and Corporate Officers. Definitions of terms used in the disclosure questionnaire/form shall also be included. Each Trustee and Corporate Officer must promptly complete the COI disclosure. The disclosures will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. (Continued on Schedule O) 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, AT SUCH TIMES THAT ARE SCHEDULED WITH THE CHIEF FINANCIAL OFFICER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS. 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 2a PATIENT SERVICE REVENUE PATIENT SERVICE REVENUE WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS - $284,453,128 LESS: MEDICARE CONTRACTUAL ADJUSTMENTS - ($73,769,064) MEDICAID CONTRACTUAL ADJUSTMENTS - ($715,395) MANAGED CARE ADJUSTMENTS - ($117,703,943) CHARITY DEDUCTIONS - ($15,160,153) UNCOLLECTIBLE ACCOUNTS - ($9,456,188) OTHER DISCOUNTS - ($21,210,247) NET PATIENT SERVICE REVENUE - $46,438,138 Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 33663, Related or Exempt Function Revenue: 33481, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 182; Form 990, Part IX, Line 11g Other Fees OUTSIDE SERVICES - OTHER - Total Expense: 985969, Program Service Expense: 604756, Management and General Expenses: 381213, Fundraising Expenses: ; PROF FEES - ANESTHESIA - Total Expense: 390000, Program Service Expense: 390000, Management and General Expenses: , Fundraising Expenses: ; PROF FEES - PHARMACY - Total Expense: 228437, Program Service Expense: 228437, Management and General Expenses: , Fundraising Expenses: ; PROF FEES - ONCALL FEES - Total Expense: 285150, Program Service Expense: 285150, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - ED PHYSICIANS - Total Expense: 260205, Program Service Expense: 260205, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - HOSPITALISTS - Total Expense: 839887, Program Service Expense: 839887, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - LAB - Total Expense: 151350, Program Service Expense: 151350, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - ADMINISTRATIVE - Total Expense: 237964, Program Service Expense: 237964, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - NUTRITION SERVICES - Total Expense: 598948, Program Service Expense: 598948, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES- BIOMED - Total Expense: 548358, Program Service Expense: 548358, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - ENVIRONMENTAL SRVS - Total Expense: 677093, Program Service Expense: 677093, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - LAUNDRY - Total Expense: 174168, Program Service Expense: 174168, Management and General Expenses: , Fundraising Expenses: ; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA 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 true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH 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 true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501(c)(3) 10 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(c)(3) Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 129 CIRCLE WAY STE 102 LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) Type I BRHS true BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3) 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(c)(3) Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(c)(3) 10 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CHI 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 true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CHI 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 true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC 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 true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(1) GSH 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 true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(c)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(c)(3) Type I CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CHI true FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CHI true GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CHI 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 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 true GOOD SAMARITAN HOSPITAL 110 N MAIN ST STE 500 DAYTON OH 45402 310536981 HEALTHCARE OH 501(c)(3) 3 SHP true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CHI true LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING ND 501(c)(3) 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC true MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 300417049 HEALTHCARE TN 501(c)(3) 10 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3) Type I AHMH-Corning true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3) Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3) Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3) 3 CHI-IA CORP 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 true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3) Type I MMC true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA 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 true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3) Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC true PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(c)(3) 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 841183335 LTERM CARE CO 501(c)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3) 6 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 2 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(c)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HEALTHCARE KY 501(c)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(c)(3) Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3) Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 020633634 HEALTHCARE OH 501(c)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(c)(3) Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(c)(3) Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE MO 501(c)(3) 3 CHI true ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HEALTHCARE ND 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL 1601 SE COURT AVE PENDLETON OR 97801 930391614 HEALTHCARE OR 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVE PENDLETON OR 97801 930992727 FUNDRAISING OR 501(c)(3) Type I SAH true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HEALTHCARE AR 501(c)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HEALTHCARE KS 501(c)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING KS 501(c)(3) Type I SCH true ST CLARE COMMONS 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 270163752 LIVING COMM OH 501(c)(3) 10 FLC true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 501(c)(4) CHI true ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3) 10 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3) 8 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING TX 501(c)(3) Type II SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HEALTHCARE MD 501(c)(3) 3 CHI true ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3) Type I SJMC true ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3) Type I SFH true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH ST DICKINSON ND 58601 450226429 HEALTHCARE ND 501(c)(3) 3 CHI true ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3) 10 FLC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HEALTHCARE TX 501(c)(3) 3 SLCDC 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 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 true ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HEALTHCARE TX 501(c)(3) 3 SLHS true ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING TX 501(c)(3) 7 SLHS true ST LUKE'S HEALTH SYSTEM CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536232 MANAGEMENT TX 501(c)(3) Type I CHI true ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HEALTHCARE TX 501(c)(3) 3 SLHS true ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS 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 true ST LUKE'S PROPERTIES CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531716 PROPERTY MGMT TX 501(c)(3) Type I SLHS 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 true ST MARY'S COMMUNITY HOSPITAL 1314 3RD AVE NEBRASKA CITY NE 68410 470443636 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING NE 501(c)(3) 7 SMCH true ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING AR 501(c)(3) Type I SVIMC true ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HEALTHCARE AR 501(c)(3) 3 CHI true ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 HEALTHCARE AR 501(c)(3) 10 SVIMC true SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 341412964 HEALTHCARE OH 501(c)(3) Type I CHI true SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 455357161 FUNDRAISING OH 501(c)(3) Type I FLC true THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSIST LIVING OH 501(c)(3) 10 FLC true THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HEALTHCARE TX 501(c)(3) 3 SLHS 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 true THE HEART INSTITUTE OF DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 300502367 HEALTHCARE OH 501(c)(3) 10 CHS true THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(c)(3) Type I CHI NEBRASKA true TOTAL HEALTHCARE 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840927232 HEALTHCARE CO 501(c)(3) 3 CHIC true TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING OH 501(c)(3) Type I THS true TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(c)(3) Type I SFH true TRINITY HEALTH SYSTEM GROUP 380 SUMMIT AVENUE STEUBENVILLE OH 43952 300752920 HEALTHCARE OH 501(c)(3) 2 THS true TRINITY HOSPITAL HOLDING COMPANY 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341842025 HEALTHCARE OH 501(c)(3) 3 THS true TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HEALTHCARE OH 501(c)(3) 3 SFH true TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSIST LIVING OH 501(c)(3) 7 THS true UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HEALTHCARE MN 501(c)(3) 3 CHI true VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(c)(3) 10 CHI true VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA NJ 07871 221768334 HOME HEALTH NJ 501(c)(3) 8 SCHS true Alegent Health Northwest Imaging Center LLC 3606 N 156th St OMAHA NE 68116 061786985 OP Diagnostics NE ACH Related -7263 485853 false 0 true 0.51 Audubon Land Company LLC 630 Southpointe Court 200 COLORADO SPRINGS CO 80906 841513085 Real Estate CO CHIC Related 330065 9984045 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 -1002190 6646607 false 0 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 3250000 false 0 true 0.65 BERGAN MERCY SURGERY CENTER LLC 7710 Mercy Rd Ste 200 OMAHA NE 68124 208671994 AMBUL SURG CTR NE ACH Related 1308113 2778497 false 0 false 0.51 BERYWOOD OFFICE PROPERTIES LLC 2501 Citico Avenue CHATTANOGA TN 37404 621875199 PHYS OFFICE TN MHCS Related 133390 918922 false 0 true 0.63 BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC IMAGING KY SJHS Related 20471 3315748 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 118502 43489364 false 0 true 0.8 CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 Physical Therapy NE SFMC Related 3452843 3798424 false 0 false 0.51 CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM AL 35209 474823023 OP SURGERY CENTER AL CHIC Related 238314 1149906 false 0 true 0.65 CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470727942 INVESTMENTS CO CHI Unrelated 460894424 6934279715 false 745024 true 1 CHI ST LUKE'S HEALTH EMERGENCY CENTER LLC 6624 Fannin St Ste 1100 HOUSTON TX 77030 810743412 URGENT CARE TX SLHS Related -2234613 19321224 false 0 true 0.65 CHICAMSURG Surgery Centers LLC 1A Burton Hills Blvd Nashville TN 37215 465683027 SURGERY CENTER CO CHIC Related 38311 123437 false 0 false 0.51 CHICLARKIN VENTURES LLC 9100 E Mineral Circle Centennial CO 80112 474210888 URGENT CARE CO CHIC Related -2957202 7086404 false 0 true 0.87 Colorado Springs CK Leasing LLC 630 Southpointe Court 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO CHIC Related 506130 -62688 false 0 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 1609644 53760469 false 0 false 0.51 HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 LAUNDRY NE na Related 2752364 3361559 false 0 false 1 Heartland Oncology LLC 2337 E Crawford St Salina KS 67401 464265403 ONCOLOGY KS SCH Related -457809 1985911 false 0 false 0.51 HIGHLINE IMAGING LLC PO BOX 184 BRUSH PRAIRIE WA 98606 200460005 DIAGNOSTIC IMAGING WA HMC Related 998974 210552 false 0 false 0.8 LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA NE 68130 204267902 AMBUL SURG CTR NE ACH Related 3231701 934253 false 0 false 0.54 LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY SRVC NE ACH Related 699620 777431 false 0 false 0.51 LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET Lincoln NE 68510 262496856 Real Estate NE SERMC Related 1040431 650676 false 0 false 0.54 NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE ACH Related 14574331 24063010 false 0 false 0.51 NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR SVIMC Related 213304 1526210 false 0 false 0.61 ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80255 371577105 ORTHO HOSPITAL CO THC Related 15065598 5758345 false 0 false 0.6 PENINSULA RADIATION ONCOLOGY LLC 314 MLK JR WAY STE 11 TACOMA WA 98405 870808610 HEALTHCARE SRVC WA FHS Related 658480 1639249 false 0 false 0.6 Penrad Imaging 1390 Kelly Johnson Blvd COLORADO SPRINGS CO 80920 841072619 Medical Imaging CO CHIC Related 532329 2145214 false 0 false 0.7 PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON TX 77002 273280598 HOSPITAL TX SL CDC-PMC Related 3486396 60785684 false 0 true 0.51 PRAIRIE HEALTH VENTURES LLC 421 S 9TH ST STE 102 LINCOLN NE 68508 204962103 TECH SRVC NE AH-IMC Related 1101304 5330749 false 0 true 0.66 Pueblo Ambulatory Surgery Center LLC 25 Montebello Rd Pueblo CO 81003 621488737 SURGERY CENTER CO CHIC Related -83926 147188 false 0 false 0.51 Saint JOSEPH - PAML LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 452116736 MGMT SVCS KY SJHS Related -382945 203858 false 0 true 0.63 SAINT JOSEPH - SCA HOLDINGS LLC 1451 Harrodsburg RD LEXINGTON KY 40503 453801157 OP SURGERY DE SJHS Related 0 0 false 0 true 0.51 SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD OH 45150 263330545 HOME HEALTH KY JHSMH Related 1820204 8702616 false 0 false 1 SCA Premier Surgery Center of Louisville LLC 200 Abraham Flexner Way LOUISVILLE KY 40202 721386840 SURGERY CENTER KY JHSMH Related -75509 1599003 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 245362 13709940 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 668977 653674 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 1519959 35885295 false 0 true 0.51 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON TX 77030 462795726 DIAGNOSTICS TX SLHSH Related -97480 1146543 false 0 true 0.51 Superior Medical Imaging LLC 5000 North 26th ST LINCOLN NE 68521 262884555 OP Diagnostics NE SERMC Related 9528 402804 false 0 true 0.51 SURGERY CENTER OF LEXINGTON LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 621179539 SURGERY CENTER KY SJHS Related 55400 3649989 false 0 true 0.51 SURGERY CENTER OF LOUISVILLE LLC 200 Abraham Flexner Way LOUISVILLE KY 40202 621179537 SURGERY CENTER KY JHSMH Related 216645 1681716 false 0 true 0.51 FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 813725123 HEALTHCARE SRVC WA FHS Related 0 3878 false 0 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 true 0.51 Alegent HealthCreighton St Joseph Managed Care Services Inc 12809 West Dodge Rd Omaha NE 68154 470802396 Managed Care NE CHI Nebraska C Corporation 9007610 6374176 1 true All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980556913 Insurance CJ CHI C Corporation 0 0 1 true ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRACNISCAN DRIVE BRYAN TX 77802 742466914 Healthcare TX SJSC C Corporation 255816 596751 1 true Alternative Insurance Management Service Inc 3900 OLYMPIC BLVD STE 400 Erlanger KY 41018 841112049 Management Services CO CHI C Corporation 0 6053478 1 true AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH CHS C Corporation 87072744 60223692 1 true AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH ANC C Corporation 19796409 16432699 1 true BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 Fitness Club KY JHSMH C Corporation 0 0 1 true BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 Health Care TX BRHS C Corporation 146745 35529 1 true Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga TN 37411 621570736 Healthcare TN MHCS C Corporation 0 1008 1 true Captive Management Initiatives Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980663022 Captive Management CJ CHI C Corporation 3500 120502 1 true Carmona-DeSoto Building Horizontal Property Regime Inc 300 Werner St Hot Springs AR 71913 710771076 Healthcare AR CHI-SVHS C Corporation 0 0 1 true Catholic Health Initiatives Center for Translational Research 198 INVERNESS DRIVE WEST Englewood CO 80112 272269511 Research CO CIRI C Corporation 593807 1997692 1 true CHI St Luke's Health Baylor College of Medicine Medical Center Condominium Assoc 6624 Fannin STE 1100 Houston TX 77030 465079545 Condo Assoc TX CHI-SLHBCM C Corporation 0 0 1 true ClearRiver Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464495960 Insurance TN PHPSI C Corporation 4366514 6164262 1 true Comcare Services Inc 5570 DTC Parkway Englewood CO 80111 840904813 Inactive CO CHIC C Corporation 0 0 1 true CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH CHI C Corporation 247400 51845030 1 true Des Moines Medical Center Inc 1111 6TH AVE Des Moines IA 50314 420837382 Real Estate IA CHI-IA Corp C Corporation 71628 1110463 0.93 true Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Health Care TX BRHS C Corporation 22921 182538 1 true East Texas Clinical Services Inc 2801 Via Fortuna 500 Austin TX 78746 454736213 Healthcare TX MHSET C Corporation 44581192 35638866 1 true First Initiatives Insurance LTD PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980203038 Insurance CJ CHI C Corporation 0 0 1 true Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 232487967 Healthcare CO CHI C Corporation 0 13121352 1 true Good Samaritan Outreach Services PO Box 1990 Kearney NE 68848 470659440 Medical Clinic NE CHI Nebraska C Corporation 448704 238478 1 true HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY WA 98001 473451750 Insurance WA QCHPS C Corporation 2707777 3405918 1 true Health Systems Enterprises Inc PO BOX 1990 Kearney NE 68848 470664558 MGMT NE GSH C Corporation 90144 1266555 1 true Healthcare MGMT Services Organization INC 1149 MARKET ST Tacoma WA 98402 911865474 Health Org. WA FHS C Corporation 0 0 1 true HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464368223 Insurance NE PHPSI C Corporation 6332841 4591181 1 true Highline Medical Group 1717 S J Street Tacoma WA 98405 911407026 Medical Services WA HMC C Corporation 0 0 1 true Medquest 1301 15TH AVENUE WEST Williston ND 58801 450392137 Sale of DME ND MMC Williston C Corporation 476061 1341631 1 true Memorial CV Service Line Management Company LLC 1201 W Frank Ave Lufkin TX 75904 463622849 Heath Care TX MHSET C Corporation 0 0 1 true Mercy Park Apartments LTD 1111 6th AVE Des Moines IA 50314 421202422 Housing IA CHI-IA Corp C Corporation 1012298 3213761 1 true Mercy Services Corp 2700 STEWART PARKWAY Roseburg OR 97471 930824308 Retail Sales OR MMC C Corporation 718096 44781 1 true MHI Clinical Services 1201 W Frank Ave Lufkin TX 75904 461967952 Healthcare TX MHSET C Corporation 8216376 1714060 1 true Mountain Management Services Inc 6028 Shallowford Rd Chattanooga TN 37421 621570739 MGMT SVC ORG TN MHCS C Corporation 9959066 2332098 1 true PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH ANC C Corporation 9129926 6575470 1 true PhysicianHealth System Network 1149 MARKET ST Tacoma WA 98402 911746721 Health Org. WA FHS C Corporation 0 0 1 true QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710794605 Insurance AR QCHI C Corporation 220347460 75215779 1 true QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 Insurance WA QCPS C Corporation 12065527 5101872 1 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 70645496 188158578 1 true QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461222808 Holding Co CO CHI C Corporation 2722 -97729832 1 true QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 274075520 Holding Co AR PHPS C Corporation 0 10190 1 true QualChoice Life and Health Insurance Company Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710386640 Insurance AR QCH C Corporation 133112090 51130374 1 true QualChoice of Nebraska 2401 S 73rd St Omaha NE 68124 810738827 Insurance NE QCH C Corporation 0 0 1 true RiverLink Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464380824 Insurance OH PHPS C Corporation 9313011 5354348 1 true RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464828332 Insurance KY PHPS C Corporation 8544070 6502040 1 true Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 Pharmacy OH THS C Corporation 1100838 1680883 1 true Saint Clare's Primary Care Inc 66 FORD RD Denville NJ 07834 222441202 Billing Services NJ SCCC C Corporation 0 651958 1 true SAMARITAN FAMILY CARE INC 40 W FOURTH ST STE 1700 Dayton OH 45402 311299450 Healthcare OH SHP C Corporation 0 0 1 true SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood CO 80112 232307408 Healthcare CO FSI C Corporation 0 1598610 1 true SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington KY 40503 270164198 Mgmt KY SJHS C Corporation 0 0 1 true SLMT Parking Inc 6624 Fannin STE 800 Houston TX 77030 760637140 Parking TX SLHS C Corporation 1721167 -1156530 1 true SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way WA 98001 421720801 Insurance WA PHPS C Corporation 198821947 55632834 1 true St Alexius Health Services Inc 900 East Broadway Avenue Bismarck ND 58501 450402812 Healthcare ND SAMC C Corporation 0 0 1 true St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR SAH C Corporation 1610317 2059282 1 true St Joseph Development Company Inc 1717 SOUTH J ST Tacoma WA 98405 911480569 Rental WA FSI C Corporation 4387694 34715309 1 true St Luke's 6620 Main Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355517 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Anesthesiology Associates 6624 Fannin STE 1100 Houston TX 77030 461517163 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true St Luke's Episcopal Hospital Physician Hospital Organization Inc 6720 Bertner MC4-262 Houston TX 77030 760377932 PHO TX CHI-SLH C Corporation 0 0 1 true St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston TX 77030 760637138 Holding Co TX SLHS C Corporation 3216555 38523789 1 true St Luke's Medical Arts Center I Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355518 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Medical Tower Condominium Association 6624 Fannin STE 1100 Houston TX 77030 760298751 Condo Assoc TX SLMTC C Corporation 0 0 1 true St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock AR 72205 710710785 Healthcare AR SVIMC C Corporation 844897 27995529 1 true StableView Health Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464373713 Insurance KY PHPS C Corporation 1645346 5436439 1 true Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land TX 77478 454270163 Medical Clinic TX SLCDC-SL C Corporation 0 0 1 true The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B uilding Comdominium Association 6624 Fannin STE 1100 Houston TX 77030 900064009 Condo Assoc TX CHI-SLH C Corporation 0 0 1 true Towson Management Inc 7601 OSLER DR Towson MD 21204 521710750 Mgmt Services MD FSI C Corporation 0 0 1 true TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 Mgmt Services OH THS C Corporation 11470832 192509 1 true Vintage Doctor Group 6624 Fannin STE 1100 Houston TX 77030 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true false false false false false false false false false false false true false false true false false false