2017-05-15T18:11:06-05:00 2016-06-30 350921680 CROWE HORWATH LLP 401 E LAS OLAS BOULEVARD STE 1100 FORT LAUDERDALE FL 333014230 990 2015-07-01 260335902 St Lukes Community Development Corporation The Woodlands STLU 8323551000 6624 FANNIN ST 2505 HOUSTON TX 77030 Jenny Barnett CHIEF FINANCIAL OFFICER 2017-05-14 true Brittney Kocaj P01320603 9542028600 2015 2021-01-29 14:40:06Z MICHAEL COVERT 6624 FANNIN ST HOUSTON TX 77030 0 false X www.chistlukeshealth.org/lakeside X 2007 TX TO NURTURE THE HEALING MINISTRY OF THE ROMAN CATHOLIC CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES. 4 1 0 0 0 0 0 0 0 307 0 307 0 0 0 0 0 0 0 0 307 0 713134 1290220 0 1484247 713134 -194027 THE CORPORATION IS ORGANIZED AND OPERATED FOR THE BENEFIT OF CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER AND ST. LUKE'S HEALTH SYSTEM CORPORATION, INCLUDING THE PROMOTION OF HEALTHCARE THROUGH AN ACUTE CARE HOSPITAL IN THE WOODLANDS. false false 0 0 0 SEE SCHEDULE H 0 true false false false false false false false false false false 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 false false false false false false true true true false false true 0 0 0 false false false false false false false false false false X 4 1 false true false false true true false true true false false true true true true true true false false true true X Jenny Barnett-Sarpalius 8323552136 6624 FANNIN STREET SUITE 2505 HOUSTON TX 77030 Michael Covert President & Director / CEO OF CHI ST. LUKE'S HEALTH SYSTEM 1.0 50.0 X X 0 1623949 73828 David Gruener Secretary & Director 1.0 50.0 X X 0 575405 47098 Leonard TALLERINE JR DIRECTOR 1.0 7.0 X 0 0 0 SUSAN BAILEY-NEWELL DIRECTOR 1.0 50.0 X 0 489175 38016 JENNY BARNETT-SARPALIUS CFO of CHI St. Luke's Heath System 1.0 50.0 X 0 0 3796 DAVID J FINE FORMER PRESIDENT CEO & DIRECTOR 0.0 55.0 X 0 7115033 56383 STEPHEN PICKETT FORMER TREASURER & DIRECTOR 0.0 0.0 X 0 659904 0 DAVID KOONTZ FORMER SECRETARY & DIRECTOR 0.0 0.0 X 0 183185 0 0 10646651 219121 0 true true false 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 8313 0 0 0 0 0 0 0 0 713134 1281907 713134 1290220 10 0 0 0 0 0 0 0 1484237 0 1484247 X 713134 -194027 0 0 713134 -194027 713134 1290220 X 0 -907161 X false true X true false X INTERCOMPANY RECEIVABLE Intercompany Receivable 1118707 Other Assets 163200 1281907 Investment in Unconsolidated Org 1484237 1484237 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote St. Luke's Community Development Corporation - The Woodland's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 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 X true X true X true true true false true true 0 367 304535 0 304535 0.0153 0 0 217795 321141 0 0.0 0 0 0 0 0 0.0 0 367 522330 321141 304535 0.0153 0 0 2703 0 2703 0.0001 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 214884 0 214884 0.0108 0 0 217587 0 217587 0.0109 0 367 739917 321141 522122 0.0262 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 5300 5300 0.0003 0 0.0 0 0.0 1 0 5300 0 5300 0.0003 true 484136 0 4297879 6055526 -1757647 X true true ST LUKE'S LAKESIDE HOSPITAL LLC MEDICAL CARE 0.51 0.0 0.49 1 1 ST LUKE'S LAKESIDE HOSPITAL LLC 17400 ST LUKES WAY THE WOODLANDS TX 77384 http://www.chistlukeshealth.org/lakeside 100035 X X X ST LUKE'S LAKESIDE HOSPITAL LLC 1 false false true X X X X X X X X X 15 true false false true X http://www.chistlukeshealth.org/why-choose-us-community-health-needs-1868 X true 15 true http://www.chistlukeshealth.org/why-choose-us-community-health-needs-1868 false false true X 200.0 400.0 X X X X true true X X true X http://www.chistlukeshealth.org/financial-assistance X http://www.chistlukeshealth.org/financial-assistance X http://www.chistlukeshealth.org/financial-assistance X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. LUKE'S LAKESIDE HOSPITAL, LLC. Qualitative and quantitative research analysis was performed in the primary service area of Lakeside Hospital by Saurage Research, Inc. Qualitatively, individual phone interviews were conducted with physicians employed by Lakeside Hospital. In-person focus groups also took place with Lakeside Hospital staff and community stakeholders. The group of community stakeholders was comprised to represent public health agencies, community health centers, government agencies, community organizations, academics, media organizations, policy makers, elected officials and others throughout the community with a creditable understanding of the population, health and healthcare needs of those who reside in the Lakeside Hospital service area. Quantitative data was collected via online and telephone interviews with 150 healthcare decision makers between the ages of 18-74 years living in the Lakeside Hospital service area. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. LUKE'S LAKESIDE HOSPITAL, LLC. Lakeside Hospital is located on the same campus as CHI St. Luke's Health - The Woodlands Hospital. Both of the primary service areas fall within the same zip codes and counties. It was decided by the Lakeside Hospital advisory team and the Healthy Communities Department that it was feasible to address some of the identified significant concerns for Lakeside Hospital, but deemed it more appropriate for CHI St. Luke's Health - The Woodlands Hospital to address the others identified. CHI St. Luke's Health - The Woodlands Hospital agreed to these terms. Many initiatives discussed to address one priority need had the ability to additionally cover another. Below lists the initiatives or programs that Lakeside Hospital will implement before 2019 to respond to the identified needs of the community: Coordination of Care * Increase access to care for uninsured, veterans, lower income, indigent, mentally ill, homeless and seniors Education * Recognize, understand and effectively address cultural diversity * Increase prevention and signals related to suicide * Increase prevention and treatment resources in areas of physical and sexual abuse * Educate nutrition, alternatives, healthier eating and the importance of taking care of yourself and treatment compliance Communication of Resources * Make aware what healthcare programs, providers and services are available to residents and how to contact them for more * Identify transportation alternatives and link patients in need Project RED (Re-Engineered Discharge) is a program to test and develop strategies to improve the hospital discharge process and promote patient safety and overall, reduce re-admission rates. This program has been used throughout the United States and has been shown especially successful for hospital facilities with diverse patient populations. As the diversity of patients at all CHI St. Luke's Health Houston locations increases, it is important to address the specific needs these populations may present during care and follow-up. Project RED is already used at Lakeside Hospital; however there is room for improvement in its utilization. As a system-wide initiative, the Healthy Communities Department would like to utilize this program and make it stronger throughout the entire system. Not only would this promote collaboration between the system hospitals, but it would address the growing re-admission rates as well as assist in patients receiving preventative care rather than getting ill and have to undergo more invasive services at the hospital or utilize to the ER for primary care. Most identified community health needs were similar at all CHI St. Luke's Health locations. One particular need specific to almost all locations was: Increase prevention and treatment resources in areas of physical and sexual abuse, human trafficking and violence in schools. This was a need that was discussed but did not appear as a primary need for Lakeside Hospital. It was determined by the Healthy Communities Department that each location would address this need as they were capable but the Healthy Communities Department would implement a system-wide initiative to unify the system. This initiative would include required education for all staff, at all locations, to understand and be able to identify warning signs of physical and/or sexual abuse from patients utilizing the facility. Four ED RNs at Lakeside Hospital are in the process of becoming trained SANE nurses. This will be the only CHI St. Luke's Health facility to obtain this skill. Research and information regarding a trained SANE nurse to be staffed at all CHI St. Luke's Health Houston locations will also be discussed, as well as the possibility of sharing trained nurses throughout the market. Because Lakeside Hospital is located on the same campus and serves the same primary service area as CHI St. Luke's Health - The Woodlands Hospital, the same priority needs were identified for the community. Lakeside Hospital offers different services than CHI St. Luke's Health - The Woodlands Hospital and some of those identified would be more appropriately addressed by CHI St. Luke's Health - The Woodlands Hospital. There were only two identified priority needs that were deemed more appropriate for CHI St. Luke's Health - The Woodlands Hospital to address, CHI St. Luke's Health - The Woodlands Hospital agreed with this decision during the Implementation Strategy discussion. The identified needs that will not be addressed by Lakeside Hospital are: Coordination of Care * Increase access to care for uninsured, veterans, lower income, indigent, mentally ill, homeless and seniors Education * Educate nutrition, alternatives, healthier eating and the importance of taking care of yourself and treatment compliance Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - ST. LUKE'S LAKESIDE HOSPITAL, LLC. THE ORGANIZATION WILL NOT CHARGE INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE MORE THAN AMOUNTS GENERALLY BILLED TO THOSE WHO HAVE INSURANCE. 0 Schedule H, Part VI LINES 2, 4, & 5 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION CHI ST. LUKE'S HEALTH - LAKESIDE HOSPITAL (LAKESIDE HOSPITAL) IS A COLLABORATION BETWEEN CHI ST. LUKE'S HEALTH AND A TEAM OF SPECIALIZED PHYSICIANS, FOCUSED ON CARDIOLOGY, SPORTS MEDICINE, ORTHOPEDICS, INCLUDING TOTAL JOINT REPLACEMENT, AND SPINE CARE IN THE WOODLANDS COMMUNITY. AS THE ONLY HOSPITAL IN MONTGOMERY COUNTY TO OFFER SPORTS MEDICINE AS A MAJOR SERVICE LINE, LAKESIDE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE INCLUDING DIAGNOSTIC IMAGING CONTAINING MRI, CT AND NUCLEAR MEDICINE. LAKESIDE HOSPITAL OPENED ITS DOORS IN 2009 AND HOUSES 30 LICENSED BEDS. THERE ARE 151 EMPLOYEES INCLUDING 53 RNS AND 350 MEDICAL STAFF. THE ANNUAL ADMISSIONS EQUAL 797 AND THE EMERGENCY DEPARTMENT RECEIVES APPROXIMATELY 2,500 ANNUAL VISITS. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS HOLDS A 51% INTEREST IN ST. LUKE'S LAKESIDE HOSPITAL LLC. ST. LUKE'S LAKESIDE HOSPITAL, AS AN INTEGRAL PART OF THE ST. LUKE'S HEALTH SYSTEM IN HOUSTON, TX, CONTRIBUTES TO ENHANCING COMMUNITY HEALTH BY DELIVERING SUPERIOR VALUE IN HIGH-QUALITY, COST-EFFECTIVE ACUTE CARE. IN COLLABORATION WITH ITS MEDICAL STAFF, ST. LUKE'S LAKESIDE IS DEDICATED TO EXCELLENCE AND COMPASSION IN CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT. ST. LUKE'S LAKESIDE HOSPITAL ALSO IS COMMITTED TO THE GROWTH AND DEVELOPMENT OF ITS EMPLOYEES AND TO SECURING THE HEALTH OF FUTURE GENERATIONS BY CREATING, APPLYING AND DISSEMINATING HEALTH KNOWLEDGE THROUGH EDUCATION. FOR MORE INFORMATION REGARDING THE HOSPITAL'S ACTIVITIES AND ACCOMPLISHMENTS DURING 2016, PLEASE VISIT HTTP://WWW.CHISTLUKESHEALTH.ORG/LAKESIDE. SLPMC STATS FOR THE YEAR ENDED JUNE 30, 2016: ADMISSIONS: 2,396 EMERGENCY ROOM VISITS: 2,600 SURGERIES: 2,291 OUTPATIENT VISITS: 12,339 A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR LAKESIDE HOSPITAL WAS CONDUCTED BY LAKESIDE HOSPITAL BETWEEN SEPTEMBER 2015 AND MAY 2016 IN FULFILLMENT OF THE REQUIREMENTS DESCRIBED IN SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE. THE CHNA PROCESS INVOLVED THE REVIEW OF SECONDARY DATA SOURCES DESCRIBING THE HEALTH NEEDS OF THE COMMUNITY SERVED BY LAKESIDE HOSPITAL AND AN EMAIL AND TELEPHONE SURVEY PRESENTED TO THE POPULATION WITHIN THE LAKESIDE HOSPITAL SERVICE AREA, TWO SEPARATE FOCUS GROUPS INCLUDING LAKESIDE HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS, AND TELEPHONE INTERVIEWS WITH LAKESIDE HOSPITAL EMPLOYED PHYSICIANS TO IDENTIFY THE PRIORITY COMMUNITY HEALTH NEEDS. THIS CHNA DOCUMENT WAS DEVELOPED BY THE CHI ST. LUKE'S HEALTH HEALTHY COMMUNITIES DEPARTMENT AND ASSISTED BY SAURAGE MARKETING RESEARCH, INC. IT INCLUDES A DESCRIPTION OF THE COMMUNITY SERVED BY LAKESIDE HOSPITAL; THE PROCESS AND METHODS USED TO CONDUCT THE ASSESSMENT; A DESCRIPTION OF HOW LAKESIDE HOSPITAL INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY LAKESIDE HOSPITAL; A PRIORITIZED DESCRIPTION OF ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA; AND, A DESCRIPTION OF THE EXISTING HEALTHCARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. AN EVALUATION OF IMPACT IS INCLUDED TO ADDRESS THE PROGRESS THAT HAS BEEN MADE FROM THE 2013 IMPLEMENTATION STRATEGY AND THE ACCOMPANYING IMPLEMENTATION STRATEGY PROVIDES AN OVERVIEW OF LAKESIDE HOSPITAL'S PLAN TO ADDRESS THE IDENTIFIED PRIORITY COMMUNITY HEALTH NEEDS. THE COMMUNITY SERVED BY CHI ST. LUKE'S HEALTH - LAKESIDE HOSPITAL IS DESCRIBED BY THE GEOGRAPHIC AREA OF LAKESIDE HOSPITAL AND THE CONTIGUOUS ZIP CODES DETERMINED BY 2014 LAKESIDE HOSPITAL DISCHARGE DATA. LOCATED IN MONTGOMERY COUNTY, THE LAKESIDE HOSPITAL SERVICE AREA CONTAINS BOTH A LARGE URBAN COMPLEX, AS WELL AS SMALLER RURAL COMMUNITIES, AND IS HOME TO NEARLY 700,000 RESIDENTS. THE HOSPITAL SERVICE AREA INCLUDES 15 TEXAS COUNTIES, WITH THE MAJORITY OF THE SERVICE AREA FOUND WITHIN MONTGOMERY AND HARRIS COUNTIES. THE LAKESIDE HOSPITAL COMMUNITY IS BEST DEFINED BY MONTGOMERY COUNTY BECAUSE OF ITS POPULATION DEMOGRAPHICS AND PRIMARY SERVICE AREA. DEMOGRAPHIC DATA WERE COLLECTED AND ANALYZED USING COMPARISONS WITHIN THE AREA DESIGNATED AS THE LAKESIDE HOSPITAL COMMUNITY WITH THE AGGREGATED COUNTY DATA REPRESENTING HARRIS COUNTY AND DATA REPRESENTING THE STATE OF TEXAS. OVERALL, THE COMMUNITY SERVED BY LAKESIDE HOSPITAL COMPARED WITH HARRIS COUNTY AND TEXAS HAS A HIGHER NUMBER OF COMMUNITY RESIDENTS AGED 45 YEARS AND OLDER, IS MAJORITY WHITE, NON-HISPANIC, AND HAS A LARGER POPULATION OF HIGH SCHOOL GRADUATES WITH SOME COLLEGE EDUCATION. BELOW ARE ADDITIONAL DETAILS RELATED TO THE DEMOGRAPHICS OF THE LAKESIDE HOSPITAL COMMUNITY COMPARED WITH HARRIS COUNTY AND THE STATE OF TEXAS: * AGE: THE LAKESIDE HOSPITAL COMMUNITY IS HOME TO MORE RESIDENTS IN THE AGE CATEGORY 45-54 YEARS, 55-64 YEARS AND OLDER THAN 65 YEARS IN COMPARISON TO HARRIS COUNTY. MORE THAN ONE THIRD (38%) OF THOSE LIVING IN THE LAKESIDE HOSPITAL COMMUNITY ARE OLDER THAN 45 YEARS. IN COMPARISON TO HARRIS COUNTY AND THE STATE OF TEXAS, THERE ARE FEWER RESIDENTS IN THE LAKESIDE HOSPITAL COMMUNITY AGE 18-45 YEARS * RACE/ETHNICITY: WHITE, NON-HISPANICS (69.8%) AND HISPANICS (21.7%) MAKE UP THE MAJORITY OF THE LAKESIDE HOSPITAL COMMUNITY. WHEN COMPARED TO HARRIS COUNTY AND TEXAS, THERE IS LESS RACIAL AND ETHNIC DIVERSITY FOUND IN THE LAKESIDE HOSPITAL COMMUNITY * GENDER: COMPARED WITH HARRIS COUNTY, THE LAKESIDE HOSPITAL COMMUNITY HAS A VERY SIMILAR REPORT FOR GENDER. HOWEVER THE LAKESIDE HOSPITAL COMMUNITY REPORTED A SLIGHTLY HIGHER POPULATION OF FEMALES (50.5% LAKESIDE HOSPITAL VS. 49.3% HARRIS COUNTY) * EDUCATION: EDUCATIONAL ATTAINMENT IN THE LAKESIDE HOSPITAL COMMUNITY IS MOST SIMILAR WITH THE STATE OF TEXAS WHEN ISOLATING THOSE WITH A HIGH SCHOOL DEGREE OR HIGHER. THE LARGEST DISCREPANCIES FALL WITHIN THE CATEGORIES FOR THOSE WITH LESS THAN A HIGH SCHOOL DEGREE. WHEN COMPARING THE LAKESIDE HOSPITAL COMMUNITY AND HARRIS COUNTY, THERE IS HIGHER EDUCATIONAL ACHIEVEMENT FOR RESIDENTS OF THE LAKESIDE HOSPITAL COMMUNITY (86.5% WITH HIGH SCHOOL DIPLOMA OR MORE) THAN HARRIS COUNTY (79.1% WITH HIGH SCHOOL DIPLOMA OR MORE) ADDITIONALLY, ST. LUKE'S LAKESIDE HOSPITAL ("SLLH") ADDRESSES VARIOUS COMMUNITY CONCERNS, INCLUDING HEALTH IMPROVEMENT, EDUCATION, AND ACCESS TO HEALTH CARE. SLLH DIRECTS LEADERSHIP TIME AND TALENT TO SERVE ON COMMUNITY COLLABORATION BOARDS AND HEALTH ADVOCACY PROGRAMS TO PROMOTE THE HEALTH OF THE COMMUNITY THE HOSPITAL SERVES. SLLH WORKS WITH NEIGHBORHOOD RESOURCES (E.G. SCHOOLS, BUSINESSES, COMMUNITY ORGANIZATIONS) TO PROMOTE HEALTH, WELLNESS, AND DISEASE PREVENTION. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS HOLDS A 51% INTEREST IN ST. LUKE'S LAKESIDE HOSPITAL LLC ("SLLS"). ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS IS REPORTING ITS 51% OF MEDICAID SHORTFALL. AS THE AMOUNT OF CHARITY CARE PROVIDED IS THE DIRECT RESULT OF THE CONTROL OF THE EXEMPT PARTNER'S CHARITY CARE POLICY, THE ENTIRE AMOUNT OF CHARITY CARE PROVIDED AT ST. LUKE'S LAKESIDE HOSPITAL IS BEING REPORTED ON LINE 7A. THE COST TO CHARGE RATIO METHOD WAS UTILIZED TO DETERMINE FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AT COST. TOTAL EXPENSES FOR SLLS FOR THE PERIOD ENDED JUNE 30, 2016 TOTALED $20,444,166 AND WERE REDUCED BY BAD DEBT EXPENSE IN THE AMOUNT OF $484,136 TO DETERMINE THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7(F). ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS RECEIVED SUPPLEMENTAL MEDICAID PAYMENTS OF $110,618 DURING THE YEAR ENDED JUNE 30, 2016. THESE PAYMENTS WERE INCLUDED IN THE DIRECT OFFSETTING REVENUE AMOUNTS FOUND IN SCHEDULE H, PART 1, LINE 7B, COLUMN D. THESE SUPPLEMENTAL MEDICAID PAYMENTS RESULTED IN REDUCTION IN NET COMMUNITY BENEFIT EXPENSE AND PERCENTAGES FOUND IN COLUMNS (E) AND (F). Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS OWNS 51% OF ST. LUKE'S LAKESIDE HOSPITAL LLC. 51% OF THE BAD DEBT EXPENSE FOR ST. LUKE'S LAKESIDE HOSPITAL LLC WAS REPORTED ON PART III, LINE 2. Bad Debt Expense is calculated monthly based on the balance in Self Pay Accounts Receivable. Historical percentages are developed and applied against the current Self Pay balance to estimate the required reserve. The Bad Debt provision is a function of actual write-offs and the change in reserve requirement. The organization has reported bad debt expense at gross charges written off. The organization's bad debt expense represents amounts billed to patients that was deemed uncollectible and does not include any charges that were ultimately reimbursed or discounted. Patient discounts are recorded in contractual allowance or financial assistance, as appropriate, as an offset to gross revenue and are not included in bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology ALTHOUGH ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS STRIVES TO IDENTIFY ELIGIBLE CANDIDATES FOR PATIENT ASSISTANCE, THERE ARE CIRCUMSTANCES IN WHICH THE CANDIDATE DOES NOT ASSIST IN THE DETERMINATION PROCESS, AND PATIENT ASSISTANCE/CHARITY CARE GUIDELINES CAN NOT BE MET, THEREFORE THE ACCOUNTS BECOME BAD DEBT EXPENSE FOR THE HOSPITAL'S RECORDS. IT IS DIFFICULT TO ACCURATELY DETERMINE HOW MANY OF THESE ACCOUNTS WOULD HAVE MET THE PATIENT ASSISTANCE/CHARITY CARE GUIDELINES HAD THE CANDIDATE COOPERATED WITH THE APPLICATION PROCESS. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented on the consolidated statement of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats all patients without regard to the ability to pay." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS' ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS OWNS 51% OF ST. LUKE'S LAKESIDE HOSPITAL LLC. ST. LUKE'S LAKESIDE HOSPITAL HAS ADOPTED THE DEBT COLLECTION POLICY OF THE ST. LUKE'S HEALTH SYSTEM ("SYSTEM"). THE SYSTEM'S POLICY STATES THAT ST. LUKE'S LAKESIDE HOSPITAL WILL NOT PURSUE COLLECTION PRACTICES AGAINST PATIENTS WHO HAVE QUALIFIED FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE ONCE THE ACCOUNT HAS RECEIVED THE CHARITY ADJUSTMENT. FOR THOSE PATIENTS WHO HAVE QUALIFIED FOR PARTIAL ASSISTANCE, AN ADJUSTMENT IS POSTED TO THE CHARITY ALLOWANCE AND THE REMAINING BALANCE MAY BE PURSUED AS DIRECTED BY OUR COLLECTION POLICY. IN CERTAIN CASES, A PATIENT'S QUALIFICATION FOR CHARITY CARE OR FINANCIAL ASSISTANCE MAY NOT BE READILY DETERMINED; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PERSON QUALIFIES, THE COLLECTION EFFORTS WILL IMMEDIATELY CEASE FOR THE CHARITY CARE PATIENT OR BE PURSUED AT THE LOWER PARTIALLY ADJUSTED AMOUNT. Schedule H, Part V, Section B, Line 16a FAP website - ST. LUKE'S LAKESIDE HOSPITAL, LLC: Line 16a URL: http://www.chistlukeshealth.org/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. LUKE'S LAKESIDE HOSPITAL, LLC: Line 16b URL: http://www.chistlukeshealth.org/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. LUKE'S LAKESIDE HOSPITAL, LLC: Line 16c URL: http://www.chistlukeshealth.org/financial-assistance; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS includes information concerning its financial assistance policy on its website. In addition, ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS prominently displays its financial assistance policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS outpatient facilities. In addition, ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS' financial assistance policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS' staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Schedule H, Part VI, Line 6 Affiliated health care system ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOOLDANDS HOLDS A 51% INTEREST IN ST. LUKE'S LAKESIDE HOSPITAL LLC ("SLLH"). SLLH WAS BUILT TO SERVE THE GROWING NEEDS OF THE WOODLANDS, MONTGOMERY COUNTY, AND NORTHERN HARRIS COUNTY. SLLH, along with its affiliated outpatient facilities, are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 104 hospitals, including four academic medical centers, and 30 critical access facilities; community health service organizations; accredited nursing colleges; home health agencies; and other facilities that span the inpatient and outpatient continuum of care. Together, these facilities provided $1.1 billion in financial assistance and community benefit in the 2016 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. SLLH operates with its wholly owned affiliates and community partners, along with its fundraising arm, the ST. LUKE'S FOUNDATION, to serve the health care needs of the HOUSTON, TEXAS communities. true true false false false false false false false DAVID J FINE FORMER PRESIDENT CEO & DIRECTOR 0 772156 0 351981 0 5990896 0 15775 0 40608 0 7171416 0 4079951 STEPHEN PICKETT FORMER TREASURER & DIRECTOR 0 0 0 0 0 659904 0 0 0 0 0 659904 0 0 DAVID KOONTZ FORMER SECRETARY & DIRECTOR 0 0 0 0 0 183185 0 0 0 0 0 183185 0 0 Michael Covert President & Director / CEO OF CHI ST. LUKE'S HEALTH SYSTEM 0 1137434 0 207077 0 279438 0 0 0 73828 0 1697777 0 0 David Gruener Secretary & Director 0 397051 0 68613 0 109741 0 14032 0 33066 0 622503 0 0 SUSAN BAILEY-NEWELL DIRECTOR 0 304327 0 121236 0 63612 0 13275 0 24741 0 527191 0 0 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 STEPHEN PICKETT RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $659,904 AS A RESULT OF A SEPARATION OF SERVICE. DAVID KOONTZ RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $183,185 AS A RESULT OF A SEPARATION OF SERVICE. DURING THE 2015 CALENDAR YEAR CHANGE OF CONTROL PAYMENTS WERE PAID TO DAVID FINE BY CHI INSTITUTE FOR RESEARCH AND INNOVATION AS A RESULT OF THE ACQUISITION OF ST. LUKE'S HEALTH SYSTEM CORPORATION (SLHS) BY CATHOLIC HEALTH INITIATIVES. THESE CHANGE OF CONTROL PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J: DAVID FINE - $1,704,882 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/Presidents and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: David Gruener Michael Covert Jenny Barnett-Sarpalius 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 2014 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: MICHAEL COVERT - $175,553 Form 990, Part V, Line 1a FORM 1096 REPORTING ST. LUKE'S HEALTH SYSTEM CORPORATION REMITS ALL VENDORS PAYMENTS AND ISSUES FORM 1099 ON BEHALF OF ITS RELATED ORGANIZATIONS. INDIVIDUAL ENTITIES OF ST. LUKE'S HEALTH SYSTEM CORPORATION DO NOT FILE FORMS 1096 FOR THIS REASON. Form 990, Part V, Line 2a FORM W-3 AND W-2 THE EMPLOYEES OF ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS ARE PAID BY A COMMON PAYMASTER, ST. LUKE'S HEALTH SYSTEM CORPORATION, (76-0536232). THEREFORE, NO FORM W-3 OR 941'S WERE FILED BY ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS AS ALL PAYROLL INFORMATION RELATED TO THESE EMPLOYEES WAS INCLUDED IN THE FORM W-3 AND 941S FILED BY ST. LUKE'S HEALTH SYSTEM CORPORATION. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION - 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 15b Process for Determining Compensation - Officers/Key Employees During the tax year ended 6/30/2016, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as "N/A" Form 990, Part VI, Line 16b Joint Venture Arrangements ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS PARTICIPATES IN A HOSPITAL JOINT VENTURE, ST. LUKE'S LAKESIDE HOSPITAL LLC, AS A 51% CONTROLLING MEMBER. THE OPERATING AGREEMENT OF THE HOSPITAL JOINT VENTURE EXPRESSLY STATES THAT THE JOINT VENTURE WILL OPERATE AND CONDUCT ITS ACTIVITIES IN A MANNER THAT SATISFIES THE COMMUNITY BENEFIT STANDARD APPLICABLE TO TAX EXEMPT HEALTHCARE ORGANIZATIONS, AND THAT THIS COMMUNITY BENEFIT STANDARD SHALL TAKE PRECEDENCE OVER ANY OTHER FIDUCIARY DUTY. IN ADDITION, THE OPERATING AGREEMENT GIVES ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION THE ABILITY TO APPOINT A MAJORITY OF THE JOINT VENTURE'S BOARD OF MANAGERS, AS WELL AS ITS CHAIRMAN. ACTIVITIES OF THE JOINT VENTURE ARE MONITORED THROUGH ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS' MAJORITY PRESENCE ON THE JOINT VENTURE'S BOARD OF MANAGERS. Form 990, Part VI, Line 14 WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY ST LUKE'S HEALTH SYSTEM CORPORATION AND RELATED ENTITIES HAVE A WRITTEN GENERAL POLICY RELATED TO DOCUMENT RETENTION AND DESTRUCTION. DOCUMENTS AND RECORDS ARE RETAINED FOR VARIOUS FEDERAL, STATE OR OTHER JURISDICTION STATUTES FOR MEDICAL OR FINANCIAL REVIEW ON A DEPARTMENT BY-DEPARTMENT BASIS. Form 990, Part VI, Line 3 Delegation of management duties CHI ST. LUKE'S HEALTH CONTRACTED WITH FTI, LLC TO PROVIDE MANAGEMENT SERVICES IN THE CAPACITY OF INTERIM CHIEF FINANCIAL OFFICER FOR THE ENTIRE SYSTEM. JENNY BARNETT-SARPALIUS SERVED IN THIS ROLE FOR THE PERIOD JULY 1, 2015 THROUGH DECEMBER 28, 2015. EFFECTIVE DECEMBER 28, 2015, SHE BECAME AN OFFICIAL EMPLOYEE AND CHIEF FINANCIAL OFFICER OF THE SYSTEM. FTI, LLC PAID Jenny Barnett-Sarpalius $159,231 IN REPORTABLE COMPENSATION DURING 2015. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION SHALL BE ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER OF THE ORGANIZATION IS ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION, WHOSE PARENT IS ST. LUKE'S HEALTH SYSTEM CORPORATION. THE BOARD OF DIRECTORS CONSISTS OF NOT LESS THAN THREE ELECTED MEMBERS, ALL OF SUCH MEMBERS TO BE ELECTED BY ST. LUKE'S COMMUNITY DEVELOPMENT CORPORATION, WHICH IS A RELATED EXEMPT ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE RETURN WAS MADE AVAILABLE TO THE OFFICERS AND DIRECTORS BEFORE FILING. 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 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 financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.catholichealthinitiatives.org or at www.DACBOND.org. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Value of Investment in Unconsolidated Orgs - -907161; 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 HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(c)(3 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(c)(3 Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3 Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(c)(3 9 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3 Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3 Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3 9 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3 Type I CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(c)(3 Type I CHI true CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3 Type I CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3 Type I CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST 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 WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(c)(3 Type II CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3 Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3 9 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3 9 CHI true FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3 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 HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3 Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3 9 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 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 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