2017-04-24T12:00:13-05:00 2016-06-30 470617373 Catholic Health Initiatives 198 Inverness Drive West Englewood CO 80112 990 2015-07-01 460992796 Catholic Health Initiatives Virtual Health Services CATH 3032989100 198 Inverness Drive West Englewood CO 80112 Paul W Edgett Vice Chairperson 2017-04-24 true Mark Stocki P00642127 3032989100 2015 2021-01-29 14:40:06Z CHI Virtual Health Services Win Vaughan 198 Inverness Drive West Englewood CO 80112 4265858 false X N/A X 2012 CO CHI Virtual Health Services promotes health by providing access to quality care through telehealth technologies. 4 0 0 0 0 0 0 1733851 2229903 -1632 7321 1916827 2028634 3649046 4265858 0 0 0 0 0 8795379 6503872 8795379 6503872 -5146333 -2238014 4354117 4709761 15626020 18219678 -11271903 -13509917 See Schedule O. false false 5177563 0 2229903 SEE SCHEDULE O 5177563 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false X 4 0 false false false false true true true true true false false false true true true true false false false false X Jerry Francis 7208741511 198 Inverness Drive West Englewood CO 80112 PAUL EDGETT III Board Vice Chair; EVP Growth & Business Acquisitions 1.0 68.0 X X 0 1294484 50743 STEPHEN MOORE MD Board Chair; SVP & Chief Medical Officer, CHI 1.0 59.0 X X 0 1555256 14721 DOUGLAS WICKERHAM Board secretary/treasurer; VP - Risk Finance and Insurance Operations 1.0 60.0 X X 0 409982 63178 JEFFREY DROP Board Member; SVP Operations, CHI 1.0 62.0 X 0 1216002 27308 STEVEN MOYE Board Member, President & CEO, VHS 0.0 0.0 X 0 366540 28080 0 4842264 184030 0 true true false ACCENTURE LLP 161 N Clark St Ste 1100 Chicago IL 60601 Consulting 1249520 PERFORM INC 2752 Springboro Rd Dayton OH 45439 IT Services & Computer Repair 287438 2 0 0 0 0 0 0 0 0 Intercompany Transactions 900099 2229903 2229903 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2229903 7321 0 0 7321 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 0 0 0 0 0 0 0 0 0 0 0 0 Services Sold 900099 2028634 0 0 2028634 0 0 0 0 0 0 0 0 0 0 0 0 2028634 4265858 2229903 0 2035955 X 5078912 4425452 653460 0 28524 27091 1433 20727 20727 51790 29372 22418 5629 847 4782 964453 613593 350860 25 25 Repairs and maintenance 161414 161414 Dues & subscriptions 118751 202 118549 Bad debts 24782 24782 Education 14721 1353 13368 34144 34144 0 0 6503872 5177563 1326309 0 0 0 191721 1494412 0 0 349572 213083 0 0 0 0 0 0 16167 2833 4271278 1527699 3656666 2743579 0 0 0 0 0 0 139991 255854 4354117 4709761 972057 205340 0 0 0 0 0 0 0 0 0 0 0 0 14653963 18014338 15626020 18219678 X -11271903 -13509917 0 0 0 0 -11271903 -13509917 4354117 4709761 -2238014 0 X false true X true false X X 1 CATHOLIC HEALTH CARE FEDERATION 999999999 1 true 0 0 1 0 0 false true false false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name CHI Virtual Health Services' articles of incorporation specifically designate Catholic Health Care Federation as its publicly supported organization and designate, by purpose, such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) CHI Virtual Health Services is organized and operated, within the meaning of Section 509(a)(3)(A) of the Internal Revenue Code of 1986, as now in effect or as subsequently amended ("IRC"), exclusively for the benefit of, to perform the functions of, and/or to carry out the religious, charitable, scientific, and educational purposes within the meaning of Section 509(c)(3) of the IRC, of Catholic Health Care Federation ("CHCF"), a public juridic person within the meaning of the Code of Canon Law for the Roman Catholic Church ("Canon Law"), including by supporting such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative. Because CHCF is part of the Roman Catholic Church, is not required to apply for recognition of exempt status pursuant to IRC 508(c). By virtue of its decree of canonical erection by the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life, CHCF is a public juridic person of pontifical right, subject to the direct oversight and jurisdiction of the Apostolic See in the Vatican. As a public juridic person in the Church, CHCF is the juridical equivalent of a diocese or parish or religious order in the Catholic Church. As a public juridic person, CHCF is not merely affiliated with the Catholic Church; it is the Catholic Church, an official part of the Church itself, with a munus or duty assigned to it by the Church, and able to act publicly in the name of the Church. The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life by decree dated June 8, 1991, conferred public juridic personality in the Church on CHCF, stating that CHCF was "to be governed in accordance with Canon Law and its own approved Statutes." 0 0 0 0 0 0 0 0 4271278 1527699 2743579 0 0 0 2743579 Intercompany Receivables 255854 255854 Intercompany Payables 18014338 18014338 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CHI Virtual Health Services' 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, 2016, 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 false false false false false false false STEVEN MOYE Board Member, President & CEO, VHS 0 131050 0 0 0 235490 0 11848 0 16232 0 394620 0 0 PAUL EDGETT III Board Vice Chair; EVP Growth & Business Acquisitions 0 559551 0 453631 0 281302 0 15231 0 35512 0 1345227 0 34216 STEPHEN MOORE MD Board Chair; SVP & Chief Medical Officer, CHI 0 608258 0 578783 0 368215 0 8180 0 6541 0 1569977 0 177709 DOUGLAS WICKERHAM Board secretary/treasurer; VP - Risk Finance and Insurance Operations 0 302255 0 40012 0 67715 0 15853 0 47325 0 473160 0 0 JEFFREY DROP Board Member; SVP Operations, CHI 0 509375 0 472560 0 234067 0 15428 0 11880 0 1243310 0 42295 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. Schedule J, Part I, Line 4a Severance or change-of-control payment Post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives (a Related Organization) during the 2015 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: Steven Moye - $187,711 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2015 calendar year Catholic Health Initiatives (CHI), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: Jeffrey Drop Paul Edgett Stephen Moore During 2015 the following distributions were made by CHI from the deferred compensation plan: Jeffrey Drop - $42,295 Paul Edgett - $34,216 Stephen Moore - $177,709 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who have met certain requirements such as age, years of service or more than 5 years of plan participation are eligible to receive their 2015 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 2015, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: Jeffrey Drop - $79,113 Paul Edgett - $110,684 Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES (VHS) WAS ORGANIZED AND WILL BE OPERATED TO FURTHER THE PROMOTION OF HEALTH, FURTHER EDUCATIONAL PURPOSES AND LESSEN THE BURDENS OF GOVERNMENT. CHI VIRTUAL HEALTH SERVICES IS ORGANIZED AND OPERATED, WITHIN THE MEANING OF SECTION 509(A)(3)(A) OF THE INTERNAL REVENUE CODE OF 1986, AS NOW IN EFFECT OR AS SUBSEQUENTLY AMENDED ("IRC"), EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE RELIGIOUS, CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 509(C)(3) OF THE IRC, OF CATHOLIC HEALTH CARE FEDERATION ("CHCF"), A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW FOR THE ROMAN CATHOLIC CHURCH ("CANON LAW"), INCLUDING BY SUPPORTING SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE OFFERING OF OR SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE. IN KEEPING WITH CHCF'S GOAL OF PROVIDING QUALITY CARE FOR PATIENTS CLOSER TO HOME, VHS WAS FORMED TO PROVIDE TELEHEALTH TECHNOLOGIES INTO RESOURCE-DEPRIVED MARKETS AND MAKE HIGH QUALITY, LOW COST AND EFFICIENT RESOURCES AVAILABLE TO ALL MARKETS. VHS HAS BEEN ESTABLISHED TO INCREASE THE QUALITY AND EFFICACY OF HEALTHCARE BY MATCHING THE NEEDS OF A PATIENT TO THE RIGHT RESOURCE IN A WAY WHICH HAS NOT BEEN PREVIOUSLY POSSIBLE DUE TO BARRIERS IN EXISTING TECHNOLOGIES. VHS WILL PROVIDE TELEHEALTH TECHNOLOGIES IN FOUR AREAS: 1) DIRECT VIRTUAL PATIENT CARE, 2) INDIRECT VIRTUAL PATIENT CARE, 3) IT TELEHEALTH INFRASTRUCTURE AND 4) TELEEDUCATION. TOGETHER THESE SERVICES WILL PROVIDE ACCESS TO SERVICES THAT ENHANCE PATIENT SAFETY, IMPROVE QUALITY OF CARE, PROVIDE REMOTE PATIENT CARE AND ENHANCE COMMUNITY HEALTH. Form 990, Part III, Line 1 MISSION STATEMENT THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES DURING THE TAX YEAR ENDED 6/30/16, NO OTHER OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable. Form 990, Part VI, Line 1a Delegate broad authority to a committee The board of directors may, by resolution adopted by a majority of the directors then in office, establish one or more committees, as needed or required to conduct and transact the business of the organization. Except as otherwise provided by the organization's bylaws, the board of directors may set the qualifications for membership on any committee it may establish, provided that each committee shall consist of at least two directors of the organization. Committees may include persons other than directors, except that a committee that has the authority to act on behalf of the board of directors must include only directors of the organization. Minutes of all committee meetings shall be recorded and copies of such minutes shall be provided to the board of directors. Actions of committees shall be reported to the full board of directors, but actions of committees which include persons other than directors, shall be subject to ratification by the full board of directors. Sections concerning regular meetings, special meetings, notice of meetings, waiver of notice, quorum, manner of acting, and action without a meeting of the organization's board shall also apply to all committees established by the board of directors. Form 990, Part VI, Line 6 Classes of members or stockholders According to the bylaws of CHI Virtual Health Services, the entity's sole member is CHI National Services, a colorado nonprofit corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the governance matrix. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The organization's corporate member is CHI National Services. Pursuant to Section 5.4 of the organization's bylaws, both CHI National Services and Catholic Health Initiatives (CHI) (CHI National Services' sole corporate member) have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the CHI National Services Board: -Approve members of the CHI Virtual Health Services board -Amendment of the corporate documents of the CHI Virtual Health Services -Approve removal of a member of the governing body of the CHI Virtual Health Services -Adoption of long range and strategic plans for the CHI Virtual Health Services The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: -Substantial change in the mission or philosophy of the CHI Virtual Health Services -Removal of a member of the governing body of the CHI Virtual Health Services -Approval of issuance of debt by CHI Virtual Health Services -Approval of participation of CHI Virtual Health Services in a joint venture -Approval of formation of a new corporation by CHI Virtual Health Services -Approval of a merger involving the CHI Virtual Health Services -Approval of the sale of all or substantially all of the assets of the CHI Virtual Health Services -To require the transfer of assets by the CHI Virtual Health Services to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5 of the organization's bylaws, CHI National Services or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. Form 990, Part VI, Line 11b Review of form 990 by governing body The CHI Tax Department prepares and reviews the tax return. Form 990, Part VI, Line 12c Conflict of interest policy Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") 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 board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); 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 has a general ongoing obligation to promptly and fully report 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 report 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. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be 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 COI. If the C-CIRC determines that there is a potential or actual conflict of interest 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 the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. 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). Annual COI disclosures of all trustee and corporate officers 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. 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. 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. 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. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. 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 will act as it would in reviewing transactions with unrelated third parties. The transaction is not to be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. 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. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 96980, Program Service Expense: 46145, Management and General Expenses: 50835, Fundraising Expenses: 0; Other salaries and wages - Total Expense: 4001755, Program Service Expense: 3568516, Management and General Expenses: 433239, Fundraising Expenses: ; Other employee benefits - Total Expense: 703808, Program Service Expense: 575769, Management and General Expenses: 128039, Fundraising Expenses: ; Payroll taxes - Total Expense: 276369, Program Service Expense: 235022, Management and General Expenses: 41347, 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 9 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3 9 SFH true BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3 9 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 9 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 9 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 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