2017-05-12T14:00:30-05:00 2016-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2015-07-01 750755367 Memorial Health System of East Texas MEMO 9366348111 POST OFFICE BOX 1447 LUFKIN TX 75902 Shawn Barnett COO/President 2016-11-04 true Angela Noel P01051055 7208741500 2015 2021-01-29 14:40:06Z CHI ST LUKE'S HEALTH MEMORIAL LUFKIN GARY N LOOPER POST OFFICE BOX LUFKIN TX 75902 155793429 false X N/A X 1944 TX THE ORGANIZATION OPERATES AN ACUTE HOSPITAL WITH 271 LICENSED BEDS, A CANCER CENTER, AN IMAGING CENTER, A REHABILITATION CENTER AND A DEDICATED HEART STROKE CARE FACILITY. 20 14 1110 62 0 0 2027079 1594977 130823746 148919269 514315 1176082 24171 18595 133389311 151708923 0 0 59925262 60872188 0 0 76153561 89257649 136078823 150129837 -2689512 1579086 236411010 239262160 143162504 149296119 93248506 89966041 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. false false 123987041 148574249 HOSPITAL SERVICES TO PATIENTS AND SERVICES TO THE COMMUNITY INCLUDE 33,779 PATIENT DAYS OF CARE, 6,475 INPATIENT ADMISSIONS, 118,646 OUTPATIENT VISITS, 33,095 EMERGENCY ROOM VISITS AND 7,253 HOME HEALTH VISITS. 123987041 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true 244 0 true 1110 true false false false false false false false false false false X 20 14 true false false false true true true true true false false false true true true true true true true false X Shawn Barnett 9366397130 1201 W FRANK AVENUE LUFKIN TX 75904 JOHN F GLICK CHAIRMAN 1.0 2.0 X X 0 0 0 CARL RAY POLK VICE CHAIRMAN 1.0 2.0 X X 0 0 0 GARY N LOOPER PRESIDENT & CEO 40.0 0.0 X X 522599 0 19542 JACK SWEENY DIRECTOR 1.0 2.0 X 0 0 0 MIKE ARNOLD M D DIRECTOR 1.0 2.0 X 57481 0 0 RAVINDER BACHIREDDY M D DIRECTOR 1.0 2.0 X 126540 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 M HUNT HUBER M D DIRECTOR 1.0 2.0 X 0 0 0 DAVID W GLENN M D DIRECTOR 1.0 2.0 X 25000 0 0 RANDY GEORGE DIRECTOR 1.0 2.0 X 0 0 0 BEN OGLETREE DIRECTOR 1.0 2.0 X 0 0 0 JUDY COCHRAN DIRECTOR 1.0 2.0 X 0 0 0 CORKY EVANS DIRECTOR 1.0 2.0 X 0 0 0 Michael Covert Pres & CEO CHI St. Lukes Health System 1.0 59.0 X 0 1623949 73828 TREY DENMAN Director 1.0 2.0 X 0 0 0 JULIE FENLEY Director 1.0 2.0 X 0 0 0 DEMETRESS HARRELL Director 1.0 2.0 X 0 0 0 CHERIPARAMBIL MANI MD Director 1.0 2.0 X 50549 0 0 MARLO BRAWNER MD Director 1.0 2.0 X 0 0 0 LESLIE LEACH VP POST ACUTE SERVICES 13.0 28.0 X 195093 0 11413 RICK HEFNER VP PHYSICIAN ENTERPRISE 20.0 20.0 X 229273 0 18239 KENNETH MILLER CHIEF FINANCIAL OFFICER 24.0 26.0 X 265526 0 24605 DON MORRIS VP - HUMAN RESOURCES 40.0 0.0 X 113965 0 14822 D DAVID HEARNE GENERAL COUNSEL 40.0 2.0 X 200260 0 4393 Shawn Barnett COO/PRESIDENT 40.0 0.0 X 388639 0 22177 Michael PLANKERS CNO 40.0 0.0 X 172805 0 18558 Margaret L Mortensen COO/VP Clinical 40.0 0 X 302430 0 17937 KATHY GRIFFIN DIRECTOR OF PHARMACY 40.0 0.0 X 162761 0 12552 ANITA GOTTLIEB DIRECTOR OF QUALITY 40.0 0.0 X 167694 0 14798 THOMAS BROSE ASST. DIRECTOR OF PHARMACY 40.0 0.0 X 158138 0 18938 STACY GARCIA SYSTEM SERVICE LINE ADMINISTRATOR 40.0 0.0 X 163969 0 9781 Sanyude Sanyude Pharmacist 40.0 0 X 152583 0 22379 Marijke McAnally Coordinated Care Director 40.0 0.0 X 149706 0 1593 Lou Chesser Pharmacist 40.0 0.0 X 139674 0 9624 Merlina Estrella Compliance Director 40.0 0.0 X 138270 0 8815 Patricia Jones Home Health Director 40.0 0.0 X 130405 0 17856 Dakvida Elliott Pharmacist 40.0 0.0 X 133250 0 6591 4146610 1623949 348441 52 false true false HB ANESTHESIOLOGY GROUP 7032 COLLECTION CENTER DR CHICAGO IL 60693 ANESTHESIOLOGY 3532163 Cogent Healthcare of TX PA P O Box 645037 Cincinnati OH 45264 HOSPITALISTS 3527344 SODEXO SERVICES PO BOX 536992 ATLANTA GA 30353 DIETARY ENVIRONMENTAL 1714043 Nuance Communications Inc P O Box 2561 Carol Stream IL 60132 Medical Transcription 737120 United Linen Services LLC 55 East Fifth St Ste 960 St Paul MN 55101 Laundry 505545 40 X 1594977 1594977 PATIENT SERVICE REVENUE 621990 147060811 147060811 ELECTRONIC HEALTH RECORDS 621990 1058616 1058616 CAFETERIA REVENUE 621990 236338 236338 RENTAL INCOME - AFFILIATE 621990 246036 246036 OTHER HOSPITAL SERVICES 621990 196786 196786 120682 12000 0 108682 148919269 -182554 -182554 110470 92734 17736 0 17736 17736 5182732 3824096 0 1358636 1358636 1358636 168535 167676 859 859 0 0 0 0 0 151708923 148574249 0 1539697 X 3195735 2390590 805145 43571969 39272389 4299580 44167 39438 4729 10770672 9562748 1207924 3289645 2937390 352255 328278 328278 42351 42351 33423646 22908434 10515212 0 292046 1381 290665 1042645 445625 597020 2715855 2715855 388096 244385 143711 8477603 8477603 8283254 8283254 9360554 9360554 1465689 1465689 PATIENT CARE SUPPLIES 21198731 21198731 REPAIRS & MAINTENANCE 4343378 1628223 2715155 HOME OFFICE COST ALLOCATION -8090124 -8090124 RENTS & LEASES-EQUIPMENT 1121310 1107730 13580 4864337 230276 4634061 0 150129837 123987041 26142796 0 4895851 2574832 4164755 3619369 11853698 12615680 0 0 2174410 2301908 1580935 1103860 66508253 17721755 56483393 48786498 0 18133457 9273573 2000000 2000000 135124511 156986440 236411010 239262160 12949400 16604767 1532761 1353498 728031 114056124 107424016 14803482 23006544 143162504 149296119 X 71923560 63702521 21324946 26263520 93248506 89966041 236411010 239262160 X 1579086 -4861551 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1517 false false false 1517 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 - $1,517 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 - $1,517 2679000 2679000 26756760 5935610 20821150 35668819 11478164 24190655 1403674 307981 1095693 48786498 METHODIST HEART STROKE GRANT RECEIVABLE MISCELLANEOUS RECEIVABLES 9295 CARE TRANSITIONS RECEIVABLE 164953 PHYSICIANS INCOME GUARANTEE RECEIVABLES 87415 DUE FROM AFFILIATES 130500608 KURTH TRUST ASSETS HELD IN TRUST 21224169 INVESTMENT IN PREMIER PLEDGES RECEIVABLE 5000000 156986440 PENSION PLAN PAYABLE 13303466 CHANGE IN FAIR VALUE OF SWAP 8883713 THIRD PARTY SETTLEMENTS ESTIMATED MEDICARE/MEDICAID PAYABLES 819365 23006544 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CHI, THE SOLE MEMBER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS, IS A TAX EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED 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 POSITION ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true true X false false true true false true true 11272302 0 11272302 0.0756 11911706 11911706 0 0.0 0 0 0 0.0 0 0 23184008 11911706 11272302 0.0756 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 163863 0 163863 0.0011 0 0 163863 0 163863 0.0011 0 0 23347871 11911706 11436165 0.0766 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 6689116 668912 58316361 73138104 -14821743 X true true 1 1 MEMORIAL HEALTH SYSTEM OF EAST TEXAS 1201 W FRANK AVENUE LUFKIN TX 75904 http://www.memorialhealth.us 000129 X X X MEMORIAL HEALTH SYSTEM OF EAST TEXAS 1 false false true X X X X X X X X X 15 true true false true X http://www.memorialhealth.us/community/health-needs-assessment X true 15 true http://www.memorialhealth.us/community/health-needs-assessment false false true 0.0 0.0 X X X X X true true X X X true X http://www.memorialhealth.us/patients/financial-assistance X http://www.memorialhealth.us/patients/financial-assistance X http://www.memorialhealth.us/patients/financial-assistance X X X X true X false X X X X true X false true Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. 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. These results will be prioritized by Memorial executive leadership and the Mission Integration Department will work with hospital and community leaders to create the Community Health Improvement Plan and Implementation Strategy by November. The names, titles, organizations, and roles of those involved in the CHNA, are as follows: Valerie Mattice Ausborn, MPH, Project Coordinator Jay Gilchrist, Vice President Mike Sullivan, PhD, Director Janice Lamy, y Vice President Yana Ogletree, DirectorCHI St. Luke's Memorial Susan Saurage, President, Saurage Marketing Research, Inc. Stacy Garcia, Administration Debora Burgess, MSH Amy Mullins, Homecare Peggy Mortensen, Administration Ginger Strange, Cancer Center Angela Whitley, Women's Special Services Edward Thomas, Spiritual Care Charles Macko, Spiritual Care Bill Malnar, Imaging Services/Cancer Center Michael Plankers, CNO Les Leach, VP Post-Acute Services Teri Davis, CID II Community stakeholders included: Mychael Mimes, Impact Lufkin Jhirkala Clark, Impact Lufkin Megan Cole, Impact Lufkin Darlene Henderson, Lufkin High School Randy Brown, Southside Baptist Church Guessippina Bonner, St. Patrick Church Demetress Harrell, Hospice in the Pines Robert Shankle, City of Lufkin Winifred F. Adams, Angelina College Paul D. Johnson, Hospice in thePines Emily Gay, TLL Temple Foundation Maria Coronado, Impact Lufkin Kelly Follie, Impact Lufkin Joy ScottKillam, Ultrasound/Vascular Greg Sims, Impact Lufkin Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. 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 HEALTH SYSTEM OF EAST TEXAS. The Memorial Health System of East Texas (MHSET) prioritized eight needs shown in the 2012 Community Health Needs Assessment. Executive leadership decided to address the top seven as 2013-2016 Community Health Improvement Strategies. They decided not to specifically address the need for "increased access to affordable dental care," as it was not a core business function. Top priorities in descending order were: 1. Prevention, education and early detection for heart and cerebrovascular disease, diabetes and cancer 2. The community needs increased access to affordable primary care 3. The community needs additional healthcare providers; including primary care physicians, specialists, mental health providers, and physicians who accept Medicare and Medicaid HMO products 4. There is a need to address unhealthy lifestyles, such as smoking and obesity 5. There is a lack of a mental health and behavioral health continuum of care 6. There is a need to decrease health disparities by targeting specific populations, including: - The high prevalence of diabetes among Native Americans in Polk County - Low income, un/underinsured and elderly - A safe place for treatment for undocumented persons - A culturally sensitive, language appropriate healthcare environment for minority populations 7. There is a need to increase access to transportation for healthcare services for those without access (such as elderly and low income residents) MMC-Lufkin leadership developed the following objectives and implementation strategies 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. Significant progress was made on each priority objective, as identified in this evaluative summary, created in consultation with hospital leadership and members of the community. There is considerable solid groundwork on which to build 2017-2019 strategies. Priority #1: Prevention, education and early detection for heart and cerebrovascular disease, diabetes and cancer Objective #1: MMC-Lufkin will focus financial and staff resources on educating the community about diabetes prevalence, prevention and disease management. Implementation Activities: - MMC-Lufkin has hosted an annual Diabetes Expo since 2013, in November during Diabetes Awareness Month. The Expo offers community members a comprehensive look at preventing and managing diabetes, and includes a vendor fair for products and services, discounted glucose screenings, educational presentations by local physicians and cooking demonstrations on how to prepare healthy meals. - 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. - 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. - Diabetes classes are offered at Memorial Medical Center - Lufkin. Objective #2: MMC-Lufkin will organize and conduct a variety of cancer related events, such as campaigns and luncheons, to increase awareness and promote early cancer detection through appropriate screenings. Implementation Activities: - MMC-Lufkin participates in the Know Your Stats Prostate Awareness Campaign. In September, the hospital hosts several men's breakfasts 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 are also offered at a discounted rate. - MMC-Lufkin hosts its annual breast cancer awareness luncheon, Power of Pink. The hospital works with the American Cancer Society to supply vendors and sign women up for mammograms. In 2015, the Power of Pink luncheon marked its 23rd year milestone and reached more than 800 women in the Lufkin community. - MMC-Lufkin 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' Cancer Center began offering lung cancer screenings at each of its facilities in October, 2015. Objective #3: MMC-Lufkin will engage in collaborative initiatives to educate the community on a variety of health topics. Implementation Activities: - 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. - For the last three years MHSET has partnered with Methodist Hospital System in Houston to educate thousands of East Texans on the signs and symptoms of stroke. Memorial Medical Center - Lufkin. This program has expanded into the East Texas Heart and Vascular Initiative, where public education forums are held at industries, schools, assisted living centers, retirement centers, and civic clubs. Initiative conducts a variety of community outreach events, including health fairs, screenings, and education events. Objective #4: MMC-Lufkin will serve as a resource to other healthcare providers in the community, and as a clinical resource for allied health academic institutions. Implementation Activities: - MMC-Lufkin is an active partner with other healthcare care providers, such as nursing homes, the Regional Advisory Council, the Emergency Preparedness Team, the Rural East Texas Health Network and EMS. - MMC-Lufkin 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. - MHSET has increased postings on its online patient library that serves as a medical resource for surgical procedures, illnesses, etc. Priority #2: The community needs increased access to affordable primary care. Objective #1: MMC-Lufkin will coordinate with various providers to offer affordable and discounted care to community members. Implementation Activities: - 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. - MMC-Lufkin offers the Drug Replacement Program, which offers medication to cancer patients who are unable to pay, free of cost. - MMC-Lufkin supports the School Based Health Center, a clinic on the campus of Lufkin ISD for elementary to high school age students. This clinic utilizes a midlevel practitioner and uses Medicaid or CHIP as payer sources, or else services are provided at no cost. - In 2015 the hospital started MD Save, which enables patients to obtain a 60% discount on specific radiology and cardiology diagnostic tests and certain procedures. - The Cancer Indigent Care Fund helps with prescriptions, gas, lodging and other expenses for those undergoing cancer treatment Objective #2: MMC-Lufkin will provide staff members that aim to connect patients with available resources and affordable healthcare options. Implementation Activities: - MMC-Lufkin employs a Medicaid staff member who connects 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 funds the salary of the Administrator of the Angelina County and Cities Health District. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. Objective #3: Through affiliation with the Angelina County and Cities Health District, CHI St. Luke's Health Memorial-Lufkin will provide guidance and leadership in a collaborative effort to provide primary health care and other public health resources to our community. Implementation Activities: - MMC-Lufkin continues its affiliation with the Health District to provide primary care and services. The affiliation includes ex-officio Health District Board membership, funding the Administrator's salary, providing space and resources to the organization, and collaborating on services, including - Referrals from the Emergency Department, and Inpatient Discharge to the Health District for primary care follow-up, and pharmaceutical assistance for necessary medications for low-income and non-insured individuals and families - Referrals from CHI for other public health programs such as STI, HIV, TB testing and treatment - Collaboration on special patient populations such as Dialysis patients and case management to reduce re-admission rates - The Health District provides bedside Breastfeeding counseling and support to new moms at CHI Lufkin - Collaboration with the BCCS Program, and with the Cancer Center on an Enhanced Colon Cancer Screening Project - CHI Lufkin provides Diagnostic Services at reduced rates (Medicaid rates) - CHI Lufkin provides Surgical procedures through the charity program PRIORITY #3: The community needs additional healthcare providers; including primary care physicians, specialists, mental health providers, & physicians who accept Medicare and Medicaid HMO products Objective #1: MMC-Lufkin will recruit primary care and specialist care physicians, as well as participate in and offer various training programs. Implementation Activities: - MMC-Lufkin actively recruits primary care and specialist physicians, based on a recently conducted Medical Staff Development Plan, via its MMA affiliation. - The Angelina County and Cities Health District is a physician assistant and nurse practitioner training site. MMC-Lufkin partners with many of these students and a number of different physicians to enable them to complete licensure at the Lufkin facility. PRIORITY #4: There is a need to address unhealthy lifestyles, such as smoking and obesity Objective #1: MMC-Lufkin will engage in a variety of initiatives to promote healthy lifestyles, such as good nutrition and smoking cessation. Implementation Activities: - MMC-Lufkin is a leader in promoting healthy lifestyles in the community, playing a significant role in Angelina County receiving Silver recognition in the Texas Healthy Communities Program for spring 2016. - MHSET participates in the city wide, smoke free initiative. Several employees serve on the smoke free initiative's committee. All of MHSET' campuses are smoke free. - MMC-Lufkin advocates for improved health and well-being among staff by offering discounted or free services to employees, including an employee health clinic and discounted gym memberships for employees. - 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. - MMC-Lufkin provides healthy options in the facility's cafeteria, along with nutritional information such as calorie count. - MMC-Lufkin provides financial support and volunteers to organizations that strive to improve unhealthy lifestyles in the community. Some of these organizations include American Cancer Society, The Coalition, the Mosaic Center-Shelter, Hospice in the Pines (MMC-Lufkin provides 5 discounted inpatient hospice rooms, and the Alzheimer's Association. - MMC-Lufkin promotes healthy lifestyles among youth in the community through involvement in school programs. This includes an infection control nurse who educates students about good hygiene, etc. in Lufkin schools. - MMC-Lufkin has donated money to the Heart Alliance to provide defibrillators to local schools. - MMC-Lufkin provides leadership to organizations in the community that address unhealthy lifestyles. For example, the hospital provides representatives to the Angelina Public Health Coalition. - Smoking cessation and lifestyle changes are addressed in public health fairs & senior & women's expos. Objective #2: MMC-Lufkin will offer and provide space for programs that work to address unhealthy lifestyles through education, group meetings, or classes. Implementation Activities: - MMC-Lufkin organizes and provides space for diabetes and cancer support groups. - The hospital offers free childbirth classes. PRIORITY #5: There is a lack of a mental health and behavioral health continuum of care. Objective #1: MMC-Lufkin will provide financial support and volunteers to organizations that either offer services or strive to address mental health and substance abuse concerns in the community. Implementation Activities: - MMC-Lufkin 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 and Drug Abuse Council of Deep East Texas and the Alzheimer's Association. MHSET Employees also support these and other community health organizations through United Way. - The hospital works collaboratively with The Burke Center on mental health patients being evaluated in the Emergency Department and the hospital participates in the Rural East Texas Health Network. - The Emergency Department provides education to staff on assessment and care of patients who are sexual assault and abuse victims. The hospital works in partnership with Harold's House on patient care needs and coordinates patient transfers as needed. Objective #2: As a part of the larger health system, MMC-Lufkin will provide staff and leadership to organizations in the community that work to improve the continuum of care between mental health and behavioral health services. Implementation Activities: - MMC-Lufkin 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. This includes coordination with the Burke Center for use of their 3-bed detoxification unit. - MHSET provides a counselor on contract at the Angelina County Health District to assist patients who cannot pay for services. - In 2015 the Temple Cancer Center began to assess every patient for psychosocial distress indicators. PRIORITY #6: There is a need to decrease health disparities by targeting specific populations. - The high prevalence of diabetes among Native Americans in Polk County - Low income, un/underinsured and elderly - A safe place for treatment for undocumented persons - A culturally sensitive, language appropriate healthcare environment for minority populations Objective #1: As a part of the larger health system, MMC-Lufkin will focus on decreasing health disparities among specific populations by collaborating, organizing, and participating in a variety of initiatives that target specific groups. Implementation Activities: - The hospital continues as a presenting sponsor for the Senior Expo. - MMC-Lufkin engages in outreach in public schools, such as infection and behavior related activities. - In collaboration with the larger system, MMC-Lufkin sponsors community wide health fairs and health screenings, including the Senior Expo, Women's Health Expo, Pinewood Park Health Screens, Physician/New Product presentations, and area school events. - 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. Objective #2: MMC-Lufkin will conduct and participate in events that raise funds for specific populations, such as women and indigent cancer patients. Implementation Activities: - MMC-Lufkin assists with the annual Dr. Bill Shelton Totally Awesome Fishing Adventure. Part of the proceeds raised at this event support indigent cancer patients. - The pharmacy at MMC-Lufkin works with indigent patients to obtain chemotherapy and other high cost medications. For FY 2016 Quarter 1 through 3, we have obtained $174,762 worth of medications for the indigent and underserved. - Part of the proceeds from Power of Pink goes to the Cancer Center for indigent care and transportation. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. Objective #3: MMC-Lufkin will provide culturally sensitive resources to specific populations in the community, such as non-residents or Spanish speaking only persons. Implementation Activities: - The hospital 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. - Diabetes classes for Spanish speaking persons in the community are offered at the Angelina - County Health District. The personnel who run the classes are trained by the hospital. - Angelina County & Cities Health offers obstetrics services for non-residents PRIORITY #7: There is a need to increase access to transportation for healthcare services for those without access (such as elderly and low income residents). Objective #1: MMC-Lufkin will work to provide access to transportation and transportation vouchers to patients at the hospital. Implementation Activities: - MMC-Lufkin offers a shuttle service that transports patients from the Joe W. Elliott House to the hospital. The hospital also pays for the maintenance of that facility. - Part of the proceeds that are raised through Power of Pink and the Fishing Tournament provide gas vouchers for cancer treatment and prescription medication for qualified patients. - In certain circumstances, guest services provides taxi and ambulance transport to qualified patients. - MHSET has been a partner with the Angelina Coalition in creating a resources list of available health and social services that is shared among agencies and with the public. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. HUD low income guidelines used. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. FAP-ELIGIBLE INDIVIDUALS ARE CHARGED THE SAME RATES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AS OTHER HOSPITAL PATIENTS. Schedule H, Part V, Section B, Line 24 Facility , 1 Facility , 1 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS. 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 free or discounted care When Catholic Health Initiatives (the ultimate parent organization to Memorial Health System of East Texas established its financial assistance policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among urban and rural communities in 18 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (FPG), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. Memorial Health System of East Texas bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for financial assistance. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. 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 TOTALLING $163,863 INCLUDED IN PART IX, LINE 25, COLUMN (A) AND $765,778 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 IS NOT INCLUDED IN THE EXPENSES REPORTED ON PART IX, LINE 25 COLUMN (A), Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL USED THE COSTING METHODOLOGY DERIVED FROM IRS WORKSHEET 2 - "RATIO OF PATIENT CARE COST-TO CHARGES" TO CALCULATE THE AMOUNT SHOWN ON LINE 2. THE HOSPITAL ACCOUNTS FOR DISCOUNTS AS DEDUCTIONS FROM GROSS PATIENT REVENUE AND WHERE APPLICABLE, PAYMENTS ON PATIENTS' ACCOUNTS AS DEDUCTIONS FROM UNCOLLECTIBLE ACCOUNTS (BAD DEBTS EXPENSE). Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE AMOUNT SHOWN ON LINE 3 IS BASED ON THE HOSPITAL'S ESIMATE THAT 10% OF THE ACCOUNTS RECORDED AS BAD DEBT EXPENSE WOULD HAVE BEEN CLASSIFIED AS CHARITY (COMMUNITY BENEFIT) HAD THE APPROPRIATE INFORMATION BEEN OBTAINED. THIS ESTIMATE IS BASED PRIMARILY ON THE POPULATION OF ANGELINA COUNTY'S MEDIAN HOUSEHOLD INCOME ($42,374), THAT 17.9% OF COUNTY RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL, THAT APPROXIMATELY 50% OF GROSS PATIENT REVENUE WAS FROM OUTPATIENTS. REASONS WHY ADEQUATE INFORMATION WAS NOT OBTAINED INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: LANGUAGE BARRIERS WITH THE SPANISH SPEAKING POPULATION A PATIENT'S LACK OF UNDERSTANDING ABOUT THE PROCESS AND WHERE TO FIND THE INFORMATION REQUESTED SOME PATIENT'S ARE UNABLE OR UNWILLING TO SUPPLY SUPPORTING DOCUMENTATION. LACK OF UNDERSTANDING BY THE PATIENT OF HOW A CHARITY CLASSIFICATION RATHER THAN A BAD DEBT CLASSIFICATION MAY BENEFIT THEM. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE HOSPITAL DOES NOT REPORT BAD DEBTS EXPENSES (UNCOLLECTIBLE ACCOUNTS) IN ACCORDANCE WITH HFMA STATEMENT NO. 15. THE HOSPITAL ACCOUNTS FOR ANY LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE HOSPITAL IS A MEMBER OF A SYSTEM WITH CONSOLIDATED FINANCIAL STATEMENTS. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTE TO NET PATIENT ACCOUNTS RECEIVABLE FOR THE YEAR ENDED JUNE 30, 2016, INCLUDES THE FOLLOWING: "THE PROVISION FOR BAD DEBTS IS BASED ON 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." ALSO, SEE PAGE 9 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES FOR THE REMAINDER OF THE FOOTNOTE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL BELIEVES THAT THE SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. IN THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT FILLED WITH THE STATE OF TEXAS, THE UNREIMBURSED COST APPLICABLE TO MEDICARE PATIENTS IS A PART OF THE DETERMINATION THAT A HOSPITAL MEETS THE STATE'S REQUIREMENT THAT THE COST OF PROVIDING CHARITY CARE IS EQUAL TO AT LEAST 5% OF NET PATIENT SERVICE REVENUE. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVICES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. The amount show on line 6 includes the allowable cost of services provided to Medicare patients as shown by the "Cost Report" filed for the year ended June 30, 2016 and the cost of services provided to Medicare-HMO patients determined by applying the cost to charge ratio to Medicare-HMO patient charges. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENT ASSISTANCE, A DETERMINATION IS MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. NO COLLECTION EFFORTS ARE PURSUED ON A CHARITY ACCOUNT AFTER SUCH DETERMINATION IS MADE. Schedule H, Part V, Section B, Line 16a FAP website - MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16a URL: http://www.memorialhealth.us/patients/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16b URL: http://www.memorialhealth.us/patients/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MEMORIAL HEALTH SYSTEM OF EAST TEXAS: Line 16c URL: http://www.memorialhealth.us/patients/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY LAW, THE HOSPITAL HAS A BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO PROVIDE INPUT ABOUT NEEDS IN THE COMMUNITY. OUR PHYSICIANS HAVE NUMEROUS COMMITTEES AT THE HOSPITAL. IN PART TO KEEP US INFORMED ABOUT COMMUNITY MEDICAL NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENT HANDBOOKS TO INPATIENT AND DAY SURGERY PATIENTS THAT CONTAIN INFORMATION FOR UNINSURED PATIENTS AS WELL AS FINANCIAL COUNSELOR INFORMATION. PATIENT BILLS HAVE INFORMATION AND WORDING IN THEM WHICH INSTRUCTS THE PATIENT TO CALL THE BUSINESS OFFICE FOR POSSIBLE DISCOUNTS FOR UNINSURED PATIENTS. WE ALSO PROVIDE LITERATURE FOR THE PUBLIC TITLED "NEED HELP WITH HOSPITAL BILLS?" THAT LISTS POSSIBLE PROGRAMS AND FINANCIAL COUNSELOR HOURS OF OPERATION. THE HOSPITAL HAS SIGNS IN THE EMERGENCY DEPARTMENT AND ALL OUTPATIENT REGISTRATION AREAS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND GIVES INSTRUCTIONS FOR CONTACTING FINANCIAL COUNSELORS. Schedule H, Part VI, Line 4 Community information ANGELINA COUNTY HAS AN APPROXIMATE POPULATION OF 88,256 AS OF 2015 AND IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. THE POPULATION MEDIAN INCOME PER HOUSEHOLD, AS OF 2014, IS $42,374; AS OF 2014, 17.9% OF PERSONS IN ANGELINA COUNTY ARE BELOW THE POVERTY LEVEL. APPROXIMATELY 11-12% OF OUR PATIENT BASE IS UNINSURED, APPROXIMATELY 7-8% OF OUR PATIENT BASE IS MEDICAID RECIPIENTS, AND APPROXIMATELY 56% OF OUR PATIENT BASE IS MEDICARE RECIPIENTS. THE HOSPITAL IS ONE OF TWO ACUTE CARE FACILITIES IN ANGELINA COUNTY, AND IS THE ONLY NOT-FOR-PROFIT HOSPITAL WHICH DIRECTLY SERVES OUR COMMUNITY. WITH THE CITY OF LUFKIN BEING THE COUNTY SEAT, WE SERVE AS THE MEDICAL AND RETAIN HUB OF ANGELINA AND SURROUNDING COUNTIES. WITH PROXIMITY TO TWO NATIONAL FORESTS AND LAKE SAM SAYBURN, WHICH IS THE LARGEST LAKE COMPLETELY IN TEXAS, THE HOSPITAL SERVES A LARGE POPULATION OF RETIREES AND RECREATIONAL LAND USERS. ANGELINA COUNTY IS HOME TO ANGELINA COLLEGE, A VETERAN'S ADMINISTRATION HEALTH CLINIC, THREE MUSEUMS, AND A ZOO. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH PARTICIPATION IN DIABETIC CARDIOVASCULAR AND STROKE, ORTHOPEDIC, CANCER THERAPY AND NUTRITION EDUCATION. THE HOSPITAL PARTICIPATES IN HEATLTH FAIRS AT THE HOSPITAL, DIABETES EXPO, SENIOR LIFESTYLE EXPO, WOMEN'S LIFESTYLE EXPO, AND AT MANY LOCAL BUSINESSES. ADDITIONALLY, THE HOSPITAL IS ACTIVE WITH THE ANGELINA COUNTY BUSINESS COALITION THAT PROMOTES A DRUG FREE WORKPLACE AND EDUCATES THE COMMUNITY ON HOW TO LEAD A HEALTHIER LIFE. WE ALSO PROVIDE SPEAKERS TO COMMUNITY GROUPS AS REQUESTED. THE HOSPITAL PARTNERS WITH THE FOLLOWING COMMUNITY GROUPS: CANCER SUPPORT GROUPS, DIABETES SUPPORT GROUP, RELAY FOR LIFE, RED CROSS, ANGELINA COUNTY HEART ASSOCIATION, BLOOD CENTER OF EAST TEXAS, ANGELINA COLLEGE, STEPHEN F AUSTIN STATE UNIVERSITY, AND TYLER COUNTY NURSING PROGRAMS, AND WITH AREA HIGH SCHOOLS' HEATH CAREERS PROGRAMS WHICH ALLOW HIGH SCHOOL STUDENTS TO PARTICIPATE IN CLINICAL STUDIES AT THE HOSPITAL. WE HOST A MONTHLY WOMEN'S POWER LUNCH TO PROVIDE MEDICAL EDUCATION TO THE COMMUNITY AND HOST THE ANNUAL POWER OF PINES, WHICH IS A NOT-FOR-PROFIT ORGANIZATION, HAS AN INPATIENT FACILITY IN OUR HOSPITAL. WE HAVE A CLOSE PARTNERSHIP WITH THE ANGELINA COUNTY AND CITIES HEALTH DISTRICT WHICH MEETS THE MEDICAL NEEDS OF UNDERSERVED PEOEPLE IN OUR COMMUNITY AND PROVIDE FUNDING FOR THE DIRECTOR'S SALARY. THE HOSPITAL IS A MEMBER OF THE ANGELINA COUNTY EMERGENCY PLANNING COMMITTEE IN ORDER TO PLAN FOR MEETING MEDICAL NEEDS IN COMMUNITY EMERGENCIES. WE ALSO FILM HEALTHY COOKING CLASSES WHICH AIR ON A LOCAL TV CHANNEL AND PROVIDE HEART EDUCATION CLASSES. THE HOSPITAL'S WEB SITE OFFERS A MEDICAL LIBRARY TO VISITORS AND A HOST OF VIDEOS THAT DETAIL MEDICAL PROCEDURES. THE HOSPITAL OFFERS EDUCATION TO THE PUBLIC THROUGH SOCIAL NETWORKS SUCH AS YOUTUBE, FACEBOOK AND TWITTER. IN ADDITION TO THE CUSTOMIZED OUTREACH IN EACH INDIVIDUAL COMMUNITY THE CORPORATE STRUCTURE PROVIDES EACH HOSPITAL IN ANGELINA, POLK AND SAN AUGUSTINE COUNTIES WITH IMPROVED MEDICAL TECHNOLOGY THROUGH A COMMON COMPUTER SYSTEM, COMMUNICATION TO ALL COMMUNITIES THROUGH THE CORPORATE MARKETING DEPARTMENT, AND COORDINATION OF MEDICAL TRAINING FOR ALL CLINICAL EMPLOYEES. MEMORIAL HEALTH SYSTEM OF EAST TEXAS IS ABLE TO ACCEPT TRANSFERS OF MORE MEDICALLY COMPLEX CASES FROM OTHER AFFILIATED HOSPITALS. Schedule H, Part VI, Line 6 Affiliated health care system IN ADDITION TO THE CUSTOMIZED OUTREACH IN EACH INDIVIDUAL COMMUNITY, THE CORPORATE STRUCTURE PROVIDES EACH HOSPITAL IN ANGELINA, POLK AND SAN AUGUSTINE COUNTIES WITH IMPROVED MEDICAL TECHNOLOGY THROUGH A COMMON COMPUTER SYSTEM, COMMUNICATION TO ALL COMMUNITIES THROUGH THE CORPORATE MARKETING DEPARTMENT, AND COORDINATION OF MEDICAL TRAINING FOR ALL CLINICAL EMPLOYEES. MEMORIAL SPECIALTY HOSPITAL IS ABLE TO PROVIDE CARE FOR CRITICALLY ILL, MEDICALLY COMPLEX PATIENTS WHOSE NEEDS CANNOT BE MET IN OTHER POST-ACUTE CARE ENVIRONMENTS. Schedule H, Part VI, Line 7 State filing of community benefit report TX X true true X X X X false false false false false false false false false GARY N LOOPER PRESIDENT & CEO 403455 0 116858 0 2286 0 4500 0 15042 0 542141 0 0 0 Michael Covert Pres & CEO CHI St. Lukes Health System 0 1137434 0 207077 0 279438 0 0 0 73828 0 1697777 0 0 LESLIE LEACH VP POST ACUTE SERVICES 160122 0 34417 0 554 0 5967 0 5446 0 206506 0 0 0 RICK HEFNER VP PHYSICIAN ENTERPRISE 186309 0 41847 0 1117 0 2908 0 15331 0 247512 0 0 0 KENNETH MILLER CHIEF FINANCIAL OFFICER 216492 0 48620 0 414 0 2715 0 21890 0 290131 0 0 0 D DAVID HEARNE GENERAL COUNSEL 134123 0 43054 0 23083 0 0 0 4393 0 204653 0 0 0 Shawn Barnett COO/PRESIDENT 301225 0 87000 0 414 0 3093 0 19084 0 410816 0 0 0 Michael PLANKERS CNO 140975 0 31570 0 260 0 726 0 17832 0 191363 0 0 0 Margaret L Mortensen COO/VP Clinical 228972 0 72270 0 1188 0 2395 0 15542 0 320367 0 0 0 KATHY GRIFFIN DIRECTOR OF PHARMACY 137448 0 22659 0 2654 0 4292 0 8260 0 175313 0 0 0 ANITA GOTTLIEB DIRECTOR OF QUALITY 135937 0 26896 0 4861 0 2131 0 12667 0 182492 0 0 0 THOMAS BROSE ASST. DIRECTOR OF PHARMACY 154933 0 0 0 3205 0 4683 0 14255 0 177076 0 0 0 STACY GARCIA SYSTEM SERVICE LINE ADMINISTRATOR 140431 0 23444 0 94 0 4253 0 5528 0 173750 0 0 0 Sanyude Sanyude Pharmacist 131030 0 0 0 21553 0 4502 0 17877 0 174962 0 0 0 Marijke McAnally Coordinated Care Director 123451 0 21011 0 5244 0 634 0 959 0 151299 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees DURING THE YEAR, THE ORGANIZATION PAID COUNTRY CLUB DUES TOTALING $11,235 FOR THE MARKET CEO, MARKET COO AND VP OF HUMAN RESOURCES. THE PERSONAL PORTION OF THESE PAYMENTS WAS TREATED AS TAXABLE COMPENSATION TO EACH INDIVIDUAL. Ravinder Bachireddy M D Director 605167 Medical Services false Schedule L, Part IV Ravinder Bachireddy, M. D. Ravinder Bachireddy, M. D.has an ownership interest in HIET Partners to which the organization paid $330,065 for medical services. He also has an ownership interest in the Heart Institute of East Texas to which the organization paid $275,102 for medical services Form 990, Part VI, Line 2 Family/business relationships amongst interested persons CORKY EVANS AND JUDY COCHRAN - Business relationship, HUNT HUBER, M. D. AND DAVID GLENN, M. D. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CATHOLIC HEALTH INITIATIVES (CHI), A COLORADO NONPROFIT ORGANIZATION IS THE SOLE CORPORATE MEMBER OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS (DIRECT AFFILIATE) Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE CORPORATE MEMBER (CHI) HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM OF EAST TEXAS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE CORPORATE MEMBER (CHI) MUST APPROVE THE FOLLOWING: SUBSTANTIAL CHANGE IN MISSION OR PHILOSOPHICAL DIRECTION, AMENDMENT TO CORPORATE DOCUMENTS, MEMBERS OF GOVERING BOARD, REMOVAL WITH OR WITHOUT CAUSE, OF MEMBERS OF GOVERING BOARD, INCURRENCE OF DEBT, JOINT VENTURES , PARTNERSHIPS, CREATION OF A NEW CORPORATION OR LIMITED LIABILITY COMPANY, MERGERS, AND THE SALE OR DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE DIRECT AFFILIATE. IN ADDITION, CHI SHALL HAVE THE POWER TO TRANSFER ASSETS TO THE CORPORATE MEMBER . 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 THAT 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 ANNUALLY, EACH MEMBER OF THE BOARD AND OFFICER OF THE CORPORATION IS PROVIDED A COPY OF THE CONFLICTS OF INTEREST POLICY, A STATEMENT ACKNOWLEDGING ITS RECEIPT, AND DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES FORM. THE POLICY IS DISCUSSED WITH THE BOARD AND EACH OFFICER. EACH BOARD MEMBER AND OFFICER COMPLETES THE DISCLOSURE OF OUTSIDE INTERESTS AND ACTIVITIES FORM AND RETURNS THEM TO THE CHIEF EXECUTIVE OFFICER (CEO). THE CEO AND THE SYSTEM'S GENERAL COUNSEL REVIEW EACH STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY AND THE DISCLOSURES TO FAMILIARIZE THEMSELVES WITH POTENTIAL CONFLICTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS OTHER EXECUTIVES AND KEY MANAGEMENT EMPLOYEES OF THE CORPORATION. AS A PART OF THE MANAGEMENT SERVICES PROVIDED CORPORATION PURSUANT TO THE MANAGEMENT AGREEMENT THAT ENDED ON JUNE 1, 2014, COMMUNITY HOSPITAL CONSULTING, INC. (CHC) ASSISTED THE EXECUTIVE COMMITEE IN ITS REVIEW AND EVALUATION OF COMPENSATION FOR ITS EXECUTIVES, AND ITS KEY MANAGEMENT EMPLOYEES. TO SET COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHC ESTABLISHED AN APPROPRIATE SALARY USING ITS INTERNAL COMPENSATION POLICY AND THEN ENGAGED AN INDEPENDENT NATIONALLY KNOWN COMPENSATION CONSULTANT TO PERFORM A COMPETITIVE MARKET ANALYSIS CONSIDERING THE JOB DESCRIPTION, SCOPE OF RESPONSIBILITY AND CURRENT COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE CONSULTANT RECOMMENDED APPROPRIATE COMPARISON DATA, AND USING DATA FROM FOUR MAJOR COMPENSATION SURVEYS, PROVIDED THE DATA AND MADE RECOMMENDATIONS BASED ON THE ARTICULATED COMPENSATION POLICY. THOSE RECOMMENDATIONS AND THE MARKET DATA ON WHICH THEY WERE BASED WAS THEN FORWARDED TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH ESTABLISHES AN APPROPRIATE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. OTHER KEY EMPLOYEES' COMPENSATION IS SET IN MUCH THE SAME MANNER USING INFORMATION RELATED TO THEIR POSITIONS AND DATA DEVELOPED WITH THE ASSISTANCE OF CHC FROM MAJOR COMPENSATION SURVEYS, PASSED ON TO THE CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE COMMITTEE OF THE BOARD, WHICH ESTABLISHES COMPENSATION LEVELS AS APPROPRIATE. THIS YEAR, CATHOLIC HEALTH INITIATIVES (CHI) ASSUMED ALL THE PREVIOUS MHSET PAY SCALES AND PAY METHODOLOGY THAT WERE PREVIOUSLY DEVELOPED BY CHC IN 2013. Form 990, Part VI, Line 15b Process to establish compensation of other employees See Disclosure for 15A 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. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG. Form 990, Part VIII, Line 2a PATIENT SERVICE REVENUE PATIENT SERVICE REVENUE WAS DETERMINED AS FOLLOWS: GROSS CHARGES TO PATIENTS - $ 800,004,092 LESS: MEDICARE CONTRACTUAL ALLOWANCES - (281,398,730) MEDICAID CONTRACTUAL ALLOWANCES - 8,858,531 MANAGED CARE DISCOUNTS - (261,703,853) CHARITY DEDUCTIONS - (60,441,295) UNCOLLECTIBLE ACCOUNTS - (35,866,572) OTHER DEDUCTIONS - (22,391,362) NET PATIENT SERVICE REVENUE - $ 147,060,811 Form 990, Part VIII, Line 2f Other Program Service Revenue Coping Rev - Medical records - Total Revenue: 86618, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 86618; RENTAL INC INT DEP - Total Revenue: 12000, Related or Exempt Function Revenue: 12000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; VENDING INCOME - Total Revenue: 22064, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 22064; Form 990, Part IX, Line 11g Other Fees OUTSIDE SERVICES - OTHER - Total Expense: 6291722, Program Service Expense: 5472885, Management and General Expenses: 818837, Fundraising Expenses: ; PRO FEES - ANESTHESIA - Total Expense: 1773093, Program Service Expense: 1773093, Management and General Expenses: , Fundraising Expenses: ; CRNA PRO FEES - Total Expense: 404544, Program Service Expense: 404544, Management and General Expenses: , Fundraising Expenses: ; PHYSICIANS' ON-CALL FEES - Total Expense: 2063671, Program Service Expense: 2063671, Management and General Expenses: , Fundraising Expenses: ; HOSPITALISTS' FEES - Total Expense: 4265165, Program Service Expense: 4265165, Management and General Expenses: , Fundraising Expenses: ; NUTRITION SERVICES - Total Expense: 2284266, Program Service Expense: 2284266, Management and General Expenses: , Fundraising Expenses: ; BIOMED SERVICES - Total Expense: 3053804, Program Service Expense: 3053804, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - BUSINESS OFFICE - Total Expense: 743672, Program Service Expense: , Management and General Expenses: 743672, Fundraising Expenses: ; SURGERY - Total Expense: 502788, Program Service Expense: 502788, Management and General Expenses: , Fundraising Expenses: ; DIALYSIS - Total Expense: 455570, Program Service Expense: 455570, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - ADMINISTRATION - Total Expense: 1671092, Program Service Expense: , Management and General Expenses: 1671092, Fundraising Expenses: ; OUTSIDE SERVICES - LAUNDRY - Total Expense: 495279, Program Service Expense: 495279, Management and General Expenses: , Fundraising Expenses: ; ENVIORNMENTAL SERVICES - Total Expense: 1919531, Program Service Expense: 1919531, Management and General Expenses: , Fundraising Expenses: ; MEDICAL TRANSCRIPTION SERVICES - Total Expense: 217838, Program Service Expense: 217838, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - MIS - Total Expense: 505240, Program Service Expense: , Management and General Expenses: 505240, Fundraising Expenses: ; Revenue Cycle Management - Total Expense: 6776371, Program Service Expense: , Management and General Expenses: 6776371, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in defined pension plan - 2003 - -8267365; NET CHANGE IN BENEFICIAL INTEREST TRUST - 85233; NET ASSETS RELEASED FROM RESTRICTIONS - -44026; CONTRIBUTIONS RECEIVED - 4897280; INVESTMENT RETURN - 88; Change in Deferred Gain - -1532761; 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 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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 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)(2 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 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Type I SFH true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3 9 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 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 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HEALTHCARE KY 501(c)(3 9 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 9 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 III-FI 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 1 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 030417049 HEALTHCARE TN 501(c)(3 9 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 III-FI 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 9 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 9 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 9 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 III-FI MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3 9 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 9 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 Type II SCHS true SAINT 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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 SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 760226623 TITLE HOLDING TX 501(c)(2 SLPC 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 9 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 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(c)(3 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930412495 HEALTHCARE OR 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 I SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3 9 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 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HOUSTON TX 77030 260274448 MANAGEMENT TX 501(c)(3 Type I SLHS 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 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LIVINGSTON L 159382 Cost MEMORIAL MEDICAL CENTER - LIVINGSTON Q 3746556 Cost MEMORIAL MEDICAL CENTER - SAN AUGUSTINE Q 496833 Cost Memorial Specialty Hospital J 246036 Cost Memorial Specialty Hospital Q 3642165 Cost Memorial Multispecialty Associates Q 1068496 Cost Pineywoods Medical Development Corp Q 125988 Cost Pineywoods Medical Development Corp K 182351 Amt Charged