2017-05-13T19:01:33-05:00 2016-06-30 350921680 Crowe Horwath LLP 401 E Las Olas Boulevard STE 1100 Fort Lauderdale FL 333014230 990 2015-07-01 410695598 ST FRANCIS MEDICAL CENTER STFR 2186433000 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 Joshua Senger VP FINANCE 2017-05-12 true Brittney Kocaj P01320603 9542028600 2015 2021-01-29 14:40:06Z CHI St Francis Health DAVID NELSON 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 27760269 false 0928 X WWW.SFCARE.ORG X 1899 MN ST. FRANCIS MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT SERVICES, WITH A 24-HOUR EMERGENCY ROOM. The organization also PARTICIPATES IN MEDICARE AND MEDICAID AND HAS AN ACTIVE CHARITY CARE PROGRAM. 11 9 338 27 3479 0 175105 217839 31881652 25090901 2830265 2239675 187426 208426 35074448 27756841 264990 113342 0 9274445 8859429 0 0 159741 15798835 13750021 25338270 22722792 9736178 5034049 79709122 80859697 14577362 14094870 65131760 66764827 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 20058768 113342 25090901 SEE SCHEDULE H 20058768 true true false true false false false false false false true true false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true 2 0 true 338 true true true false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true false true false MN X Joshua Senger 2186433000 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 MARY MAUCH BOARD CHAIR 1.0 3.0 X X 0 0 0 JANA BERNDT Vice Chair 1.0 4.0 X X 0 0 0 DAVID NELSON PRESIDENT/CEO 32.0 28.0 X X 0 373928 28598 JEFFREY DROP BOARD MEMBER/CHI SVP DIVISION OFFICER 1.0 60.0 X 0 1216002 27308 KATHY LANGENWALTER BOARD MEMBER 1.0 2.0 X 0 0 0 Michael McCartney Board Member 1.0 2.0 X 0 0 0 CARTER HANSEN Board Member 1.0 3.0 X 0 0 0 CLINT CONZEMIUS Board Member 1.0 2.0 X 0 0 0 GLORIA DOHMAN Board Member 1.0 2.0 X 0 0 0 TAMARA ALTHOFF Board Member 1.0 2.0 X 0 0 0 SR CHARLENE GROSSMAN Board Member 1.0 2.0 X 0 0 0 MARY JACKLITCH SECRETARY/DIRECTOR OF PUBLIC RELATIONS 25.0 20.0 X 70956 0 25947 ANN TREBESCH VP MISSION 31.0 19.0 X 113624 0 17300 CYNTHIA K THORMODSON VP Finance 15.0 43.0 X 0 138467 40323 SAMMY KING VP operational finance / treasurer 20.0 40.0 X 0 100749 507 MERLIN GRANFOR DIRECTOR OF IMAGING 40.0 0 X 115817 0 8448 DR JAMES JOHNSON ORTHOPEDIC SURGEON 40.0 0 X 504985 0 37427 LORI MEYER DIRECTOR OF PHARMACY 45.0 0 X 154193 0 30959 DIANE SPAHR REGISTERED NURSE 50.0 0 X 134157 0 17465 DR NANCY TORSON PSYCHIATRIST 40.0 0 X 216496 0 30555 BECKI THOMPSON Former VP Operational finance 0.0 60.0 X 0 180787 24001 MARY HELLAND Former VP HEALTHCARE SERVICES 0.0 40.0 X 0 329273 29349 NANCY WHITNEY Former TREASURER & VP FINANCE/CFO 0.0 0.0 X 0 104653 13803 1310228 2443859 331990 9 true true false ACUTE CARE INC 1690 N ANKENY BLVD STE 200 ANKENY IA 50023 ER PHYSICIANS 1394819 National Information Solutions COOP 3201 NYGREN DRIVE MANDAN ND 58554 IT Services 482437 OWENS & MINOR 9120 Lockwood Boulevard Mechanicsville VA 23116 Services & Solutions 313813 HEALTH CAROUSEL LLC 3805 Edwards Road Suite 700 Cincinnati OH 45209 Contracted Nurses 155560 RED RIVER ANESTHESIA PC PO BOX 881 WAHPETON ND 580746560 ANESTHESIA SERVICES 140554 6 X 0 0 0 154709 44853 18277 0 217839 Patient Services 900099 25034351 25034351 0 0 Meaningful Use 900099 56550 56550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25090901 1055477 0 3479 1051998 0 0 0 0 0 0 0 0 7270 0 3428 0 3842 0 3842 0 0 3842 1189170 -4972 0 0 1189170 -4972 1184198 0 0 1184198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 722100 167255 0 0 167255 Services Sold 900099 3850 0 0 3850 Pharmacy Services 446110 3228 0 0 3228 30251 0 0 30251 204584 27756841 25090901 3479 2444622 X 17644 17644 95698 95698 222933 99112 123821 6709319 6249887 390615 68817 369904 347027 19028 3849 1059926 997090 51881 10955 497347 457560 34814 4973 50341 50341 32508 32508 5321371 4893061 374771 53539 113818 113818 808574 566002 242572 1279712 1177335 89580 12797 356862 321176 35686 42060 38695 2944 421 9566 8800 670 96 335559 308714 23489 3356 316692 316692 1841838 1289287 552551 44882 44882 Bad debts 1433589 1433589 Medical Supplies 1076823 1076823 State Provider Tax 460736 460736 Repairs and maintenance 134698 134698 90392 8444 81010 938 22722792 20058768 2504283 159741 10094 1725 5642255 3391042 0 5828718 3203888 0 0 31250 15625 431809 481833 16716 3090 31171186 13630599 18823914 17540587 0 43281589 47401898 0 0 5642777 8820009 79709122 80859697 3173693 2212777 0 38834 33446 0 0 0 0 11364835 11848647 14577362 14094870 X 65092623 66723006 39137 41821 0 65131760 66764827 79709122 80859697 X 5034049 -2600048 -800934 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 1611 true 32508 false false 34119 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1F: DURING THE TAX YEAR 2015, ST. FRANCIS INCURRED ANCILLARY EXPENSES AS A RESULT OF ITS LOBBYING EFFORTS IN SUPPORT OF ACTIONS IN THE BEST INTEREST OF THE ORGANIZATION'S MISSION. The portion of organization dues that are related to lobbying are as follows: AMERICAN HOSPITAL ASSOCIATION: $647 CATHOLIC HEALTH ASSOCIATION: $394 MINNESOTA HOSPITAL ASSOCIATION: $570 LINE 1G: THE CEO OF THE ORGANIZATION MET WITH MINNESOTA AND NORTH DAKOTA CONGRESSIONAL STAFF AND LEGISLATORS IN WASHINGTON, D.C. AND ST. PAUL, MINNESOTA. DIRECT CONTACT WITH LEGISLATORS: $32,508 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1F: DURING THE TAX YEAR 2015, ST. FRANCIS INCURRED ANCILLARY EXPENSES AS A RESULT OF ITS LOBBYING EFFORTS IN SUPPORT OF ACTIONS IN THE BEST INTEREST OF THE ORGANIZATION'S MISSION. The portion of organization dues that are related to lobbying are as follows: AMERICAN HOSPITAL ASSOCIATION: $647 CATHOLIC HEALTH ASSOCIATION: $394 MINNESOTA HOSPITAL ASSOCIATION: $570 LINE 1G: THE CEO OF THE ORGANIZATION MET WITH MINNESOTA AND NORTH DAKOTA CONGRESSIONAL STAFF AND LEGISLATORS IN WASHINGTON, D.C. AND ST. PAUL, MINNESOTA. DIRECT CONTACT WITH LEGISLATORS: $32,508 320961 320961 8349746 3611331 4738415 0 0 0 21529242 9320962 12208280 971237 698306 272931 17540587 CHI OIP CHI OIP 47401898 F 47401898 Settlements Receivable 1034620 CMDI Equity Receivable 531416 Intercompany Receivables 7253973 8820009 Intercompany Payables CHI Debt Management Program Intercompany Payables 5075943 CHI Debt program 6772704 11848647 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ST. FRANCIS MEDICAL CENTER'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 false false true true false true true 170 69236 69236 0.0033 1985511 1709217 276294 0.0130 460735 148855 311880 0.0146 0 170 2515482 1858072 657410 0.0309 12 427913 206065 97043 109022 0.0051 4 825 132823 132823 0.0062 3 2625 1284654 532963 751691 0.0353 0 0.0 7 69767 56992 56992 0.0027 26 501130 1680534 630006 1050528 0.0493 26 501300 4196016 2488078 1707938 0.0802 1 277 3214 3214 0.0002 1 10811 32248 32248 0.0015 1 3420 4186 4186 0.0002 0 0.0 1 260 1555 1555 0.0001 0 0.0 2 55766 35218 35218 0.0017 2 10003 17443 17443 0.0008 0 0.0 8 80537 93864 0 93864 0.0044 true 1433589 0 8990794 9044360 -53566 X true true 1 1 ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 www.SFCARE.org 375871 X X X ST FRANCIS MEDICAL CENTER 1 false false true X X X X X X X X X X 15 true false true true X http://www.sfcare.org/healthneeds X true 15 true http://www.sfcare.org/healthneeds false false true X X X X X true true X X X true X http://www.sfcare.org/financial-assistance-documents X http://www.sfcare.org/financial-assistance-documents X http://www.sfcare.org/financial-assistance-documents X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - ST. FRANCIS MEDICAL CENTER. CONTENT INCLUDED NEXT STEPS FOR RESPONDING TO THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, 2016 CHNA IMPLEMENTATION PLAN PROGRESS REPORT, AND MEMBERS OF THE COMMUNITY INVOLVED ON THE CHNA STEERING COMMITTEE. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. FRANCIS MEDICAL CENTER. In order to ensure the data collected from the Community Survey adequately reflected the broad interests of the community, we involved the Public Health Directors from both Wilkin County, MN and Richland County, ND - our primary service areas. We also involved the Clinic Administrators from the two primary care clinics in our community, as well as a representative from the local college. In addition, the Project Coordinator for the Center of Rural Health reviewed our data collection and assisted the committee in identifying health needs and gaps. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST. FRANCIS MEDICAL CENTER. St. Francis conducted a Community Health Needs Assessment (CHNA) in fiscal year 2016 in conjunction with the Public Health Departments from both Wilkin County, MN and Richland County, ND, as well as both primary care clinics in our community. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. FRANCIS MEDICAL CENTER. Upon completion of the community health needs assessment, the Richland-Wilkin Community Health Needs Assessment Steering Committee began working on the implementation plan based on the assessment results. Substance Use/Abuse: * The Substance Abuse Stakeholders group has been established in the past year. This group is comprised of public health, clinics, law enforcement, judicial system, treatment programs, schools, and advocacy groups. They have established several focus areas to address - disposal of unused medications, coordination of pain management medications, continuity of public policy and education, and advocacy regarding the legalization of marijuana. * Wilkin County has a very active Youth and Community Prevention Coalition that is well established and has been working on teen substance use for over ten years. They are now working with Richland County to establish a similar coalition on the North Dakota side. * St. Francis offers chemical dependency outpatient treatment through the Hope Unit department and Southeast Human Services offers chemical dependency services in Richland County two days per week. Mental Health: * One full-time psychiatrist is on staff at the Hope Unit at St. Francis, as well as one full-time psychologist and one part-time psychologist who sees primarily children. E-psychiatry services are available in the Emergency Room at St. Francis, with plans to expand in the outpatient clinic setting. * Sanford Health Clinic also employs two psychologists, and there are limited independent psychologists and counselors in the community. * Each of the schools also has counseling services available, at least on a part-time basis. * Members of the local ministerial community are also available for counseling. * Southeast Human Services offers limited counseling services in Richland County a couple of days each week. * Wilkin County has established an Adult Mental Health Advisory Council. * A social club, "A Place for Friends", has been established in Wilkin County for those who are diagnosed with SPMI (severe and persistent mental illness). * The Substance Abuse Stakeholders group has developed a sub-committee to address the transportation issue for individuals needing inpatient services for behavioral health and/or chemical dependency crises. Child Care * The steering committee is working with the child care licensing agencies in both counties to study the dynamics of the child care issues further. The primary areas of concern in our community were affordable health care (health, dental, long term, vision, etc), obesity, substance abuse, mental health, and child care. This implementation plan will be reviewed on a quarterly basis by the CHNA Steering Committee. Progress will be reported every three months to the St. Francis Board of Directors. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - St. Francis Medical Center. When Catholic Health Initiatives (the ultimate parent organization to St. Francis Medical Center) 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. St. Francis Medical Center 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. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - ST. FRANCIS MEDICAL CENTER. The organization will not charge individuals who are eligible for financial assistance more than amounts generally billed to those who have insurance. 0 OP Clinics 2400 St Francis Drive Breckenridge MN 56520 Mental Health & Orthopedics MILNOR CLINIC 401 Main Street Milnor ND 58060 Rural Health Clinic Chemical Dependency 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 Chemical Dependency Schedule H, Part VI LINES 2, 4, & 5 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT & COMMUNITY INFORMATION I. Mission, Vision, and Tax-Exempt Purpose St. Francis Medical Center was founded in Breckenridge, Minnesota in 1899 by the Franciscan Sisters of Little Falls in response to a request from the community founders to provide health care in this rural area. Continuing the Franciscan tradition of service, St. Francis is proud to be the only health care facility in the Red River Valley to serve its community under the same name for over one hundred and fifteen years. In 1996, the Franciscan Sisters joined with other religious congregations to form Catholic Health Initiatives. The mission of St. Francis Medical Center compels us to provide care to all in need and to work in collaboration with others to build a healthy community. The 11-member, volunteer, Board of Directors oversees St. Francis Medical Center's commitment to promote the development of healthier communities. The Board members reside in the communities served by St. Francis. They include an attorney, educators, local business persons, farmer, etc. Care is taken to recruit board members who represent various sectors of the community. The majority of the members are neither employees nor contractors of St. Francis, nor family members thereof. St. Francis Medical Center is a rural Critical Access Hospital that provides both inpatient and outpatient services, as well as operates a 24-hour emergency room 365 days per year. The emergency room is open to all individuals regardless of their ability to pay. St. Francis Medical Center has an open medical staff, which extends privileges to all qualified physicians. St. Francis also participates in Medicare and Medicaid and has an active charity care program. St. Francis Medical Center is included in the Official Catholic Directory as a tax-exempt hospital. Community participation has always been a fundamental component of St. Francis. In addition to being a vital economic partner in the Richland and Wilkin County areas, St. Francis also provides health and wellness services for other communities outside the two counties. Each year, efforts are made to expand services and programs to promote healthier communities in the area. The programs and services described throughout this report not only serve the community but also reduce the burdens on governmental resources. Schedule H, Part VI LINES 2, 4, & 5 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION II. Community Benefit Approach St. Francis is the sole provider serving approximately 25,000 residents of Wilkin County, Minnesota, Richland County, North Dakota and the surrounding contiguous counties. The Bureau of Primary Healthcare has designated Wilkin County as medically underserved area Data from the 2010 U.S. Census shows that Wilkin County has a median age of 43.5, and Richland County's median age is 39.4. 18.1% of Wilkin County residents are age 65 or older, and 23.9% are 18 and younger. While in Richland County 15.8% of the residents are 65 years old or older, and 21.4% are 18 or younger. The median income for Wilkin County, Minnesota is $52,849, and $54,312 for Richland County, North Dakota. The unemployment rate in Wilkin County is 3.8% and 3.5% in Richland County. 7.9% of the families in Wilkin County had an annual income below the poverty level. 10.7% of the families in Richland County had an annual income below the poverty level. Single parent families comprise 21% of all families in Wilkin County, and 22% of all families in Richland County. 13% of the population of both Wilkin County and Richland County age 25 and over do not have a high school diploma. Since the 1980's, St. Francis Medical Center has been actively involved with community health collaboration. Several times, St. Francis has taken the lead in organizing community teams and focus groups to look at health issues, set priorities and plans for improvement. That commitment continues today with St. Francis' membership on the Richland-Wilkin Healthy Communities, Inc Board of Directors, the Breckenridge Active Living Committee, the Active Task Force, the Violence Prevention Task Force, the State-wide Health Improvement Plan and other community groups. St. Francis' Community Benefit Plan has been established in conjunction with its sister corporations of St. Francis Home, Appletree Court, and the Healthcare and Wellness Foundation. The plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups, and surveys conducted with our community partners. St. Francis conducted a Community Health Needs Assessment (CHNA) in fiscal year 2016 in conjunction with the Public Health Departments from both Wilkin County, MN and Richland County, ND, as well as both primary care clinics in our community. The results identified three main focus areas for improvement - Obesity Management, Substance Use/Abuse and Mental Health, and Child Care. Obesity and Substance Use/Abuse and Mental Health continue to be concerns that were identified in the 2013 Community Health Needs Assessment. An implementation plan was developed to address these primary areas of focus. The ACTIVE Task Force continues its work with reducing obesity through promotion of physical activity and nutrition. St. Francis works in conjunction with stakeholders from the various community groups involved in obesity management. They are working with three main populations - youth, seniors, and worksite wellness programs. The long term goal is to decrease obesity in Richland and Wilkin Counties by 5% by 2025. The Substance Abuse Task Force again involves key stakeholders from throughout the community, such as schools, Public Health, and law enforcement. The focus areas they have identified are medication disposal, coordination of pain medications, collaboration for prevention, and transportation for inpatient services. The mental health focus was incorporated into this group as a result of the 2016 Community Health Needs Assessment. Strategic planning for this focus will be conducted in April. III. Qualitative Description of Community Benefit Community Outreach for the Low income Prescription Drug Program - St. Francis Medical Center provides prescription medications to persons who have no means to procure those medications. Provision of these medications helps the recipients to recover more quickly from their illnesses, better manage chronic conditions, and avoid costly hospitalizations and interventions. In fiscal year 2016, prescription drugs (valued at $2,330) were provided to 26 low-income, elderly, and/or uninsured individuals. Schedule H, Part VI LINES 2, 4, & 5 AND PART II: NEEDS ASSESSMENT AND COMMUNITY INFORMATION B. Community Outreach for the Broader Community Subsidized Health Services - St. Francis is the sole provider for several needed health services in our community, such as: * Milnor Clinic is a rural health clinic located in Southeast North Dakota, 40 miles west of Breckenridge. Clinic services are provided to a medically underserved community through a Nurse Practitioner. Approximately 647 patient visits were conducted during fiscal year 2016 at a net cost of $259,089. * St. Francis Medical Center's Emergency Room is classified as a Level IV Trauma Center in both Minnesota and North Dakota. This designation allows St. Francis to provide emergency treatment for trauma victims in the service area. Being able to stabilize trauma patients during the golden hour has been proven to save lives. Most victims in this area would require an hour's transportation to reach the tertiary centers in Fargo. Maintaining this classification is a collaborative effort between St. Francis and the area emergency responders. In addition, St. Francis provides 24/7 physician coverage in the Emergency Room. In addition, physicians are available via e-emergency services through Avera in Sioux Falls, SD. While originally covered by a grant, St. Francis now pays for this service. 5,096 patients were seen in the St. Francis Emergency Room in FY16. * The Hope Unit provides outpatient psychiatric and chemical dependency services to address the mental health needs of the community. Wilkin County has been designated as a mental health provider shortage area, and the Hope Unit staffs the only psychiatrist in the community, as well as the only outpatient chemical dependency treatment program in Wilkin County. Despite these unmet mental health needs, the Hope Unit conducted 4,244 patient encounters during fiscal year 2016. St. Francis now has e-psychiatry services available in the acute care area for emergency consults. * St. Francis subsidizes the cost of Anesthesia services in order to provide 24-hr on call coverage in our area. Approximately 1,043 people were benefited at a cost of $188,101 throughout the fiscal year. * St. Francis is the sole community provider for orthopedic services in our community. These services allow residents and opportunity to receive this type of care close to home. 834 patients were seen this past fiscal year with a net cost to St. Francis of $304,501. Collaborative Efforts to Improve Community Health - St. Francis offers several services to improve the health of the community. Some of those services include: * St. Francis continued to offer "Matter of Balance" classes this year to educate and assist seniors in the community to maintain their balance as they age. This series of classes are held twice a week for four week, allowing the participants to not only gain knowledge, but also have the opportunity to practice various exercises and techniques. * St. Francis partnered with the local Rotary Club to provide blood tests as a screen for those in the community who would not have preventative services covered by their insurance. A nominal fee was paid by each participant to cover the costs of the reagents. However, staff time, advertising, postage, etc. was not covered by the fee. Over 200 people participated in the screenings held in the Spring and the Fall. * One of the vulnerable populations in our community is the mentally disabled citizens. Our mental health staff participates as a member of the care conference team for the local assistance program, Red River Human Services. Input on mental health issues and medication is provided by St. Francis free of charge. This helps provide more stable care for these individuals and reduces the rate of admissions for inpatient care. Financial Contributions - St. Francis provided assistance to several regional fundraisers, such as the Toys for Tots, United Way School Supply Drive, United Way Food Backpack program for children, and numerous benefits for Individuals, experiencing terminal illnesses, catastrophic events, etc. * St. Francis participated in the community-wide Denim Day to raise awareness and contributions for prevention of violence against women. * The annual community-wide Food Challenge continued this year between St. Francis and a nursing home facility in Wahpeton, ND. The goal was to see which facility could collect the most in food and cash contributions for the local food pantry. St. Francis collected over 900 pounds of food and $2,090 in cash donations. * As St. Francis receives new and updated equipment and supplies, we then donate the replaced items for use in other health care settings. Recipients include HERO's, based in Fargo, ND, which is a medical redistribution company, that provides low-income individuals and medical mission trips with supplies and equipment. In addition, some items were donated to local colleges to assist with their health career training programs. Equipment and supplies valued at over $19,000 were donated during fiscal year 2016. * St. Francis also participates in world-wide fund-raising efforts to assist with improving health in other communities and countries. Health Professions Education - It is imperative that we attract student interest in health care careers if we wish to continue rural health care into the future. In response to this need, St. Francis serves as a clinical site for students from several high schools and colleges. In fiscal year 2016, St. Francis assisted in the education of 914 individuals in the following health professions: medical students, nursing, medical laboratory, anesthesia, social work, occupational therapy, physical therapy, imaging, and pharmacy. Advocacy - St. Francis continues to advocate for access to quality health care across the continuum of care for rural communities. Efforts included contacts with both state and national legislators regarding these issues. Community Building Activities - St. Francis is an active participant in several community coalitions whose primary focus is to improve the health of the community. * Richland Wilkin Healthy Communities, Inc. is a coalition of over ten community organizations in Richland County, North Dakota and Wilkin County, Minnesota. The vision of this coalition is to assist the citizens of the two counties to work together to improve the quality of life for those who live, work, and visit the area. The coalition focuses their efforts on utilizing the assets of the two counties to develop a work plan for improving the overall health of their citizens. St. Francis plays an active role on the board for this coalition. * The Violence Prevention Task Force was formed to develop primary prevention strategies for our community. The focus of this group is to reduce domestic violence by conducting early childhood education for all new parents in Richland and Wilkin counties. As part of the prevention strategies, St. Francis hosts the "Family Footprints" program, which conducts the initial visits and assessments for new parents. St. Francis provided approximately $8,600 of in-kind contributions to conduct 279 family visits this past year. Parent mentors were identified and matched with families needing support on an on-going basis. * Through a collaborative effort, St. Francis partnered with the Wilkin County Early Childhood Initiative to sponsor a Health Carnival event for children and their parents. The children had the opportunity to participate in healthy activities and games. They also had the opportunity to make healthy treats for themselves. The focus of the event was to show parents easy ways to encourage healthier lifestyles for their children. * St. Francis sponsored a team to help at the annual United Way Day of Caring. This is a community-wide effort to help seniors and shut-ins with housecleaning and yard chores prior to winter. In addition to the team, St. Francis also furnished lunches for the community volunteers. These efforts assist the recipients stay in their homes longer. St. Francis Medical Center continues to live the legacy of giving back to the community we serve, as begun by the sisters who founded us over 117 years ago. In fiscal year 2016, St. Francis donated over $1,516,000 in total community benefit. In conjunction with her sister corporations, St. Francis Home, AppleTree Court, and the Healthcare and Wellness Foundation, that total is in excess of $1,551,500, which provides a significant impact to the communities we serve. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care When Catholic Health Initiatives (the ultimate parent organization to St. Francis Medical Center) 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. St. Francis Medical Center bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines for Wilkin County, MN, 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. The organization does not use an asset test to determine eligibility for free or discounted care. Schedule H, Part I, Line 7g Subsidized Health Services THERE ARE PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. ST. FRANCIS MEDICAL CENTER SUBSIDIZES Primary Care Rural Health Clinic, Orthopedic, and CRNA Anesthesia services IN THEIR RURAL SERVICE AREA. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1433589 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The organization's cost accounting system was used to report financial assistance and community benefits in Part I, Line 7. The organization's cost accounting system addresses all of the patients served by ST. FRANCIS MEDICAL CENTER. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 St. Francis Medical Center 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. Francis Medical Center 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 ST. FRANCIS MEDICAL CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, LAKEWOOD HEALTHCENTER, DUE TO DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, ST. FRANCIS MEDICAL CENTER WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $8,995,829 Total Medicare costs: $9,069,386 Surplus or Shortfall $(73,557) ST. FRANCIS MEDICAL CENTER 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. Francis Medical Center's debt collection policy provides that St. Francis Medical Center will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through St. Francis Medical Center community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the St. Francis Medical Center community assistance policy is required to be returned immediately by the third-party collection agent to St. Francis Medical Center for appropriate follow-up. St. Francis Medical Center requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: * Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values, and Standard of Conduct to make sure all patients are treated with dignity and respect. Schedule H, Part V, Section B, Line 16a FAP website - ST. FRANCIS MEDICAL CENTER: Line 16a URL: http://www.sfcare.org/financial-assistance-documents; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. FRANCIS MEDICAL CENTER: Line 16b URL: http://www.sfcare.org/financial-assistance-documents; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. FRANCIS MEDICAL CENTER: Line 16c URL: http://www.sfcare.org/financial-assistance-documents; Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St. Francis Medical Center includes information concerning its financial assistance policy on its website. In addition, St. Francis Medical Center 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. Francis Medical Center outpatient facilities. In addition, St. Francis Medical Center 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. Francis Medical Center's 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. Francis Medical Center 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. Francis Medical Center's 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. Francis Medical Center, 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. St. Francis Medical Center operates with its wholly owned affiliates and community partners, along with its fundraising arm, the Healthcare and Wellness Foundation, to serve the health care needs of the Breckenridge, MN, and Wahpeton, ND, communities. Schedule H, Part VI, Line 7 State filing of community benefit report MN false HERO Healthcare Equipment Recycling Organization 5012 53rd Street S Suite C Fargo ND 58104 450457109 501(c)(3) 17258 Provide individuals with medical supplies and equipment 1 0 Charity Care 170 89992 N/A N/A Supplies 1385 5706 N/A N/A Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ST. FRANCIS Medical Center (SFMC) DOES NOT ROUTINELY MAKE MONETARY GRANTS TO OTHER ORGANIZATIONS OR INDIVIDUALS. ASSISTANCE PROVIDED BY SFMC IS PRIMARILY TO RELATED TAX-EXEMPT ORGANIZATIONS IN THE FORM OF ASSET TRANSFERS TO AFFILIATES IN FURTHERANCE OF THEIR EXEMPT PURPOSE. SFMC's COMMUNITY BENEFIT IS TYPICALLY GIVEN IN OTHER FORMS AS DETAILED IN THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INCLUDED IN SCHEDULE H. Due to the nature of grants and assistance awarded, SFMC does not monitor the use of these funds. true true false false false false false true false DAVID NELSON PRESIDENT/CEO 0 229092 0 44790 0 100046 0 15779 0 12819 0 402526 0 9752 JEFFREY DROP BOARD MEMBER/CHI SVP DIVISION OFFICER 0 509375 0 472560 0 234067 0 15428 0 11880 0 1243310 0 42295 BECKI THOMPSON Former VP Operational finance 0 122391 0 12352 0 46044 0 18725 0 5276 0 204788 0 0 MARY HELLAND Former VP HEALTHCARE SERVICES 0 229831 0 37861 0 61581 0 13850 0 15499 0 358622 0 0 NANCY WHITNEY Former TREASURER & VP FINANCE/CFO 0 13130 0 0 0 91523 0 5852 0 7951 0 118456 0 0 CYNTHIA K THORMODSON VP Finance 0 117933 0 11166 0 9368 0 7274 0 33049 0 178790 0 0 DR JAMES JOHNSON ORTHOPEDIC SURGEON 469317 0 25000 0 10668 0 15775 0 21652 0 542412 0 0 0 LORI MEYER DIRECTOR OF PHARMACY 137065 0 10530 0 6598 0 8775 0 22184 0 185152 0 0 0 DIANE SPAHR REGISTERED NURSE 127194 0 5542 0 1421 0 6531 0 10934 0 151622 0 0 0 DR NANCY TORSON PSYCHIATRIST 199654 0 15000 0 1842 0 10557 0 19998 0 247051 0 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 Post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives (a Related Organization) during the 2015 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: Nancy Whitney - $63,810 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 A. Nelson Jeffrey Drop Becki Thompson During 2015 the following contributions were made by CHI to the deferred compensation plan: Becki Thompson - $9,902 During 2015 the following distributions were made by CHI from the deferred compensation plan: David A. Nelson - $9,752 Jeffrey Drop - $42,295 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who have met certain requirements such as age, years of service or more than 5 years of plan participation are eligible to receive their 2015 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2015, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: David A. Nelson - $19,815 Jeffrey Drop - $79,113 Schedule J, Part I, Line 7 Non-fixed payments ST. FRANCIS MEDICAL CENTER HAS AN INCENTIVE COMPENSATION PLAN FOR ALL EMPLOYEES BASED ON ACHIEVING IDENTIFIED GOALS, ONE COMPONENT OF WHICH IS OPERATING MARGIN PERFORMANCE. Form 990, Part VI, Line 15a Executive Compensation The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee shall consist of a minimum of three persons who must be members of the Board of Directors. The Chairperson of the Board of Directors shall be the Chairperson of the Executive Committee. The term of appointment shall be for one year. The Executive Committee shall have the power to transact all regular business of St. Francis Medical Center during the period between the meetings of the board, subject to any prior limitation imposed by or upon the board. In addition, any two members of the Executive Committee may certify any matter brought before the Executive Committee to the board of directors for resolution and final action. Minutes of the Executive Committee meetings shall be distributed to all members of the board prior to any meeting of the board of directors. At all times the Executive Committee is subject to the control and direction of the Board of Directors. The committee shall be either at the call of the chairperson of the Executive Committee acting alone or at the call of any other two members thereof (appointed Chair/Vice Chair) acting jointly or at the request of the CEO/President. Members of the Executive Committee are the Board Chair, Board Vice Chair and the President/CEO. Form 990, Part VI, Line 6 Classes of members or stockholders According to the bylaws of St. Francis Medical Center the entity's sole member is Catholic Health Initiatives, a Colorado nonprofit organization. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO SECTION 5.4.2 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. FRANCIS MEDICAL CENTER; *AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. FRANCIS MEDICAL CENTER; *APPROVE MEMBERS OF THE ST. FRANCIS MEDICAL CENTER'S BOARD; *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. FRANCIS MEDICAL CENTER; *APPROVAL OF ISSUANCE OF DEBT BY ST. FRANCIS MEDICAL CENTER; *APPROVAL OF PARTICIPATION OF ST. FRANCIS MEDICAL CENTER IN A JOINT VENTURE; *APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. FRANCIS MEDICAL CENTER; *APPROVAL OF A MERGER INVOLVING ST. FRANCIS MEDICAL CENTER; *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. FRANCIS MEDICAL CENTER; *TO REQUIRE THE TRANSFER OF ASSETS BY ST. FRANCIS MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS; *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. FRANCIS MEDICAL CENTER. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 11b Review of form 990 by governing body Once the return is prepared, the return is reviewed by the Chief Financial Officer. AFTER ANY NECESSARY REVISIONS ARE MADE, THE RETURN IS PROVIDED TO THE BOARD MEMBERS FOR REVIEW. Subsequent to presentation to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board. Form 990, Part VI, Line 12c Conflict of interest policy Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the Board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board will act as it would in reviewing transactions with unrelated third parties. The transaction is not to be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 15b Process to establish compensation of other employees ST. FRANCIS MEDICAL CENTER HAS A COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS PROPOSED WAGE INCREASES FOR OFFICERS AND KEY EMPLOYEES. THE SUBCOMMITTEE UTILIZES COMPARABILITY STUDIES AND BOARD APPROVAL TO DETERMINE COMPENSATION. 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 http://catholichealthinitiatives.org or at www.DACBOND.org. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 30251, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 30251; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 5321371, Program Service Expense: 4893061, Management and General Expenses: 374771, Fundraising Expenses: 53539; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Resource Pool Contribution - -800934; 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 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 CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3 Type II CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(c)(3 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HEALTHCARE KY 501(c)(3 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(c)(3 Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3 Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 020633634 HEALTHCARE OH 501(c)(3 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(c)(3 Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(c)(3 Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE MO 501(c)(3 3 CHI true 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 ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3 Type I SJMC true ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3 Type I SFH true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(c)(3 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH ST DICKINSON ND 58601 450226429 HEALTHCARE ND 501(c)(3 3 CHI true ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3 9 FLC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION 6624 FANNIN ST STE 2505 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 6624 FANNIN ST HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3 3 SLHS true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531713 PROPERTY MGMT TX 501(c)(3 Type I CHI-SLH true ST LUKE'S PROPERTIES CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531716 PROPERTY MGMT TX 501(c)(3 Type I SLHS true ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(c)(3 Type I SLCDC-SL true ST MARY'S COMMUNITY HOSPITAL 1314 3RD AVE NEBRASKA CITY NE 68410 470443636 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING NE 501(c)(3 7 SMCH true ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING AR 501(c)(3 Type I SVIMC true ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HEALTHCARE AR 501(c)(3 3 CHI true ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 HEALTHCARE AR 501(c)(3 9 SVIMC true SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 341412964 HEALTHCARE OH 501(c)(3 Type I CHI true SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 455357161 FUNDRAISING OH 501(c)(3 Type I FLC 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STEUBENVILLE OH 43952 341842025 HEALTHCARE OH 501(c)(3 3 THS true TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HEALTHCARE OH 501(c)(3 3 CHI true TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSIST LIVING OH 501(c)(3 THS true UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HEALTHCARE MN 501(c)(3 3 CHI true VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(c)(3 9 CHI true VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA NJ 07871 221768334 HOME HEALTH NJ 501(c)(3 9 SCHS true Alegent Health Northwest Imaging Center LLC 3606 N 156th St OMAHA NE 68116 061786985 OP Diagnostics NE ACH Related -7263 485853 false 0 true 0.51 Audubon Land Company LLC 5390 N Academy Blvd STE 300 COLORADO SPRINGS CO 80918 841513085 Real Estate CO CHIC Related 250214 23193712 false 0 false 0.5 AVON EMERGENCY AND URGENT CARE CENTER LLC 188 INVERNESS DRIVE WEST 500 ENGLEWOOD CO 80112 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NE CHI Nebraska C Corporation 8129445 5108822 1 true All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980556913 Insurance CJ CHI C Corporation 0 0 1 true ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRACNISCAN DRIVE BRYAN TX 77802 742466914 Healthcare TX SJSC C Corporation 204115 535165 1 true Alternative Insurance Management Service Inc 3900 OLYMPIC BLVD STE 400 Erlanger KY 41018 841112049 Management Services CO CHI C Corporation 0 6056338 1 true AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH CHS C Corporation 91903143 55758044 1 true AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH ANC C Corporation 21464273 12744198 1 true BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 Fitness Club KY JHSMH C Corporation 0 0 1 true BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 Health Care TX BRHS C Corporation 0 0 1 true Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga TN 37411 621570736 Healthcare TN MHCS C Corporation 0 1008 1 true Captive Management Initiatives Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980663022 Captive Management CJ CHI C Corporation 29750 112461 1 true Carmona-DeSoto Building Horizontal Property Regime Inc 300 Werner St Hot Springs AR 71913 710771076 Healthcare AR CHI-SVHS C Corporation 0 0 1 true Catholic Health Initiatives Center for Translational Research 198 INVERNESS DRIVE WEST Englewood CO 80112 272269511 Research CO CIRI C Corporation 510763 3054989 1 true CHI St Luke's Health Baylor College of Medicine Medical Center Condominium Assoc 6624 Fannin STE 1100 Houston TX 77030 465079545 Condo Assoc TX CHI-SLHBCM C Corporation 0 0 1 true ClearRiver Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464495960 Insurance TN PHPSI C Corporation -186666 6973984 1 true Comcare Services Inc 5570 DTC Parkway Englewood CO 80111 840904813 Inactive CO CHIC C Corporation 0 0 1 true CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH CHI C Corporation 247400 51845030 1 true Des Moines Medical Center Inc 1111 6TH AVE Des Moines IA 50314 420837382 Real Estate IA CHI-IA Corp C Corporation 71628 1151078 0.93 true Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Health Care TX BRHS C Corporation 0 0 1 true East Texas Clinical Services Inc 2801 Via Fortuna 500 Austin TX 78746 454736213 Healthcare TX MHSET C Corporation 0 16782 1 true First Initiatives Insurance LTD PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980203038 Insurance CJ CHI C Corporation 0 0 1 true Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 232487967 Healthcare CO CHI C Corporation 318497 11891645 1 true Good Samaritan Outreach Services PO Box 1990 Kearney NE 68848 470659440 Medical Clinic NE CHI Nebraska C Corporation 0 0 1 true HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL 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WA FHS C Corporation 0 0 1 true QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710794605 Insurance AR QCHI C Corporation 104106960 86204029 1 true QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 Insurance WA QCPS C Corporation 2767 3502767 1 true QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461224037 Admin Services CO QCHI C Corporation 17917443 64152898 1 true QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461222808 Holding Co CO CHI C Corporation 2010400 -2237656 1 true QualChoice Holdings Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 274075520 Holding Co AR PHPS C Corporation 0 10190 1 true QualChoice Life and Health Insurance Company Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710386640 Insurance AR QCH C Corporation 19949469 19444633 1 true QualChoice of Nebraska 2401 S 73rd St Omaha NE 68124 810738827 Insurance NE QCH C Corporation 0 0 1 true RiverLink Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464380824 Insurance OH PHPS C Corporation 2069874 3679879 1 true RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464828332 Insurance KY PHPS C Corporation 1590037 5958786 1 true Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 Pharmacy OH THS C Corporation 1104611 2024431 1 true Saint Clare's Primary Care Inc 66 FORD RD Denville NJ 07834 222441202 Billing Services NJ SCCC C Corporation 499042 1183247 1 true SAMARITAN FAMILY CARE INC 40 W FOURTH ST STE 1700 Dayton OH 45402 311299450 Healthcare OH SHP C Corporation 0 0 1 true SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood CO 80112 232307408 Healthcare CO FSI C Corporation 2007370 2441286 1 true SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington KY 40503 270164198 Mgmt KY SJHS C Corporation 41 0 1 true SLMT Parking Inc 6624 Fannin STE 800 Houston TX 77030 760637140 Parking TX SLHS C Corporation 3345698 205200 1 true SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way WA 98001 421720801 Insurance WA PHPS C Corporation 138106211 32840909 1 true St Alexius Health Services Inc 900 East Broadway Avenue Bismarck ND 58501 450402812 Healthcare ND SAMC C Corporation 0 0 1 true St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR SAH C Corporation 1541465 2192287 1 true St Joseph Development Company Inc 1717 SOUTH J ST Tacoma WA 98405 911480569 Rental WA FSI C Corporation 3758845 12828493 1 true ST JOSEPH OFFICE PARK ASSOCIATION 1401 HARRODSBURG RD BLDG B70 Lexington KY 40504 611079899 Mgmt KY SJHS C Corporation 200108 1137660 0.85 true St Luke's 6620 Main Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355517 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Anesthesiology Associates 6624 Fannin STE 1100 Houston TX 77030 461517163 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true St Luke's Episcopal Hospital Physician Hospital Organization Inc 6720 Bertner MC4-262 Houston TX 77030 760377932 PHO TX CHI-SLH C Corporation 0 0 0.6 true St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston TX 77030 760637138 Holding Co TX SLHS C Corporation 2163924 4389084 1 true St Luke's Medical Arts Center I Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355518 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Medical Tower Condominium Association 6624 Fannin STE 1100 Houston TX 77030 760298751 Condo Assoc TX SLMTC C Corporation 0 0 1 true St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock AR 72205 710710785 Healthcare AR SVIMC C Corporation 4033444 16764150 1 true StableView Health Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464373713 Insurance KY PHPS C Corporation 301615 5787296 1 true Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land TX 77478 454270163 Medical Clinic TX SLCDC-SL C Corporation 0 0 1 true The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B uilding Comdominium Association 6624 Fannin STE 1100 Houston TX 77030 900064009 Condo Assoc TX CHI-SLH C Corporation 0 0 1 true Towson Management Inc 7601 OSLER DR Towson MD 21204 521710750 Mgmt Services MD FSI C Corporation 0 0 1 true TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 Mgmt Services OH THS C Corporation -76969 259991 1 true Vintage Doctor Group 6624 Fannin STE 1100 Houston TX 77030 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true false false true false false false false false false false false false true false true false true false true Healthcare and Wellness Foundation C 51348 FMV