MERCY MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 45-0231183)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201521359349304107
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T11:30:08-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450231183	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	7017747400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 15th Ave W	AddressLine1
City	Williston	City
State	ND	State
ZIP Code	58801	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MATTHEW GRIMSHAW	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2015-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Pamela Krohn	PreparerPersonNm
PTIN	P01210500	PTIN
Phone	3032989100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHI MERCY MEDICAL CENTER	BusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	MATTHEW GRIMSHAW CEO	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 15th Ave West	AddressLine1
City	Williston	City
State	ND	State
ZIP Code	58801	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$76,594,504	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY-WILLISTON.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	MERCY MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL SERVING A LARGE GEOGRAPHICAL AREA. COMMUNITY BENEFITS INCLUDE: UNCOMPENSATED CARE, MEDICAL EDUCATION AND AWARENESS, SUPPORT SERVICES, AND COMMUNITY OUTREACH.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	621	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$20,732	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$20,160	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,416,792	PYContributionsGrantsAmt
CY Contributions Grants	$4,750,663	CYContributionsGrantsAmt
PY Program Service Revenue	$64,332,587	PYProgramServiceRevenueAmt
CY Program Service Revenue	$71,082,750	CYProgramServiceRevenueAmt
PY Investment Income	$48,171	PYInvestmentIncomeAmt
CY Investment Income	$49,632	CYInvestmentIncomeAmt
PY Other Revenue	$435,994	PYOtherRevenueAmt
CY Other Revenue	$711,459	CYOtherRevenueAmt
PY Total Revenue	$70,233,544	PYTotalRevenueAmt
CY Total Revenue	$76,594,504	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,316	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$564,822	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$30,570,177	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$26,510,086	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$106,103	CYTotalFundraisingExpenseAmt
PY Other Expenses	$36,204,834	PYOtherExpensesAmt
CY Other Expenses	$50,900,543	CYOtherExpensesAmt
PY Total Expenses	$66,782,327	PYTotalExpensesAmt
CY Total Expenses	$77,975,451	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,451,217	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,380,947	CYRevenuesLessExpensesAmt
Total Assets BOY	$65,554,650	TotalAssetsBOYAmt
Total Assets EOY	$66,878,948	TotalAssetsEOYAmt
Total Liabilities BOY	$24,242,867	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$35,449,714	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,311,783	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$31,429,234	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$66,412,122	ExpenseAmt
Grant	$564,822	GrantAmt
Revenue	$71,082,750	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$66,412,122	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	621	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kerry Monson	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	7017747408	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 15th Ave West	AddressLine1
City	Williston	City
State	ND	State
ZIP Code	58801	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DWIGHT RICHTER
Vice Chair	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
SISTER MARIE MICHELETTO
SECRETARY/TREASURER	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
STEVE OYLOE
Chair	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
CURTIS SMALL
Board member/Physician	40.00	0	Yes (X)		$200,383	$0	$39,203
DAVID HANSON
Board Member	1.00	0	Yes (X)		$0	$0	$0
JEFFREY DROP
Ex-Officio/CHI SVP DIVISION OFFICER	1.00	60.00	Yes (X)		$0	$827,539	$118,272
JOAN MAINWARING
Board Member	1.00	0	Yes (X)		$0	$0	$0
RICK LEE
Board Member	1.00	0	Yes (X)		$0	$0	$0
RUSSELL RANKIN
Board Member	1.00	0	Yes (X)		$0	$0	$0
SARA SOLBERG MD
Board Member	1.00	0	Yes (X)		$0	$0	$0
TERRY OLSON
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
KERRY MONSON
CFO/VP OF FINANCE	40.00	1.00		Yes (X)	$117,535	$32,273	$29,204
MATTHEW GRIMSHAW
Ex-officio/PRESIDENT & CEO	40.00	1.00		Yes (X)	$0	$242,334	$53,261
BRETT VIBETO
SURGEON	40.00	1.00			$444,002	$0	$30,902	Yes (X)
CHRISTINE HOGLUND
PHYSICIAN	40.00	0			$408,095	$0	$0	Yes (X)
DAVID SKURDAL
PHYSICIAN	40.00	0			$427,990	$0	$38,152	Yes (X)
ROXANNE KEENE
Physician	40.00	0			$556,243	$0	$43,790	Yes (X)
SAMUEL ANDELIN
Physician	40.00	0			$363,499	$0	$43,811	Yes (X)
DOUGLAS CLARK
Physician, Former HCE	0.00	40.00			$264,537	$261,756	$28,454		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,782,284	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,363,902	TotReportableCompRltdOrgAmt
Total Other Compensation	$425,049	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	43	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SLETTEN CONSTRUCTION CO
1000 15TH AVE WEST	WILLISTON	ND	58801	CONSTRUCTION MANAGEMENT	$3,063,298
NATIONAL INFORMATION SOLUTIONS COOPERATIVE
1 INNOVATION CIRCLE	LAKE SAINT LOUIS	MO	633672649	INFORMATION TECHNOLOGY SERVICES	$637,102
DAKOTA TRAVEL NURSES
1200 N COLLINS AVE	MANDAN	ND	58554	TRAVELING NURSES	$456,818

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,051,737	RelatedOrganizationsAmt
Government Grants	$805,322	GovernmentGrantsAmt
All Other Contributions	$1,893,604	AllOtherContributionsAmt
Total Contributions	$4,750,663	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	900099	$70,950,645	$70,950,645
RENTAL INCOME	900099	$132,105	$132,105
		$0
		$0
		$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$71,082,750	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$49,632	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$49,632	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,632	TotalRevenueColumnAmt
Exclusion	$49,632	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
SERVICES SOLD	900099	$52,236	$52,236
CAFETERIA	722100	$197,214	$197,214
DIETARY	722320	$86,711	$86,711

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,298	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$20,732	UnrelatedBusinessRevenueAmt
Exclusion	$354,566	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$711,459	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,594,504	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,082,750	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$20,732	UnrelatedBusinessRevenueAmt
Exclusion	$740,359	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$564,822	TotalAmt
Program Services	$564,822	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$249,437	TotalAmt
Program Services	$196,841	ProgramServicesAmt
Management And General	$52,596	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$24,678,142	TotalAmt
Program Services	$23,527,744	ProgramServicesAmt
Management And General	$1,057,292	ManagementAndGeneralAmt
Fundraising	$93,106	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,582,507	TotalAmt
Program Services	$1,495,380	ProgramServicesAmt
Management And General	$80,739	ManagementAndGeneralAmt
Fundraising	$6,388	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$71,958	TotalAmt
Management And General	$71,958	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$109,155	TotalAmt
Management And General	$109,155	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,762,658	TotalAmt
Program Services	$13,182,009	ProgramServicesAmt
Management And General	$1,580,649	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,202	TotalAmt
Management And General	$1,721	ManagementAndGeneralAmt
Fundraising	$1,481	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,934,976	TotalAmt
Program Services	$1,867,839	ProgramServicesAmt
Management And General	$64,776	ManagementAndGeneralAmt
Fundraising	$2,361	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,234,678	TotalAmt
Management And General	$5,234,678	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$957,625	TotalAmt
Program Services	$764,574	ProgramServicesAmt
Management And General	$193,051	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$198,242	TotalAmt
Program Services	$175,950	ProgramServicesAmt
Management And General	$19,621	ManagementAndGeneralAmt
Fundraising	$2,671	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$8,361	TotalAmt
Program Services	$5,646	ProgramServicesAmt
Management And General	$2,619	ManagementAndGeneralAmt
Fundraising	$96	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$627,371	TotalAmt
Program Services	$627,371	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$1,372,608	TotalAmt
Management And General	$1,372,608	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,480,417	TotalAmt
Program Services	$2,438,092	ProgramServicesAmt
Management And General	$42,325	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$539,440	TotalAmt
Program Services	$149,968	ProgramServicesAmt
Management And General	$389,472	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
RECRUITMENT AND RELOCATION	$443,584	$443,584
MEDICAL SUPPLIES	$7,116,990	$7,116,990
BAD DEBTS	$10,536,833	$10,536,833
REPAIRS AND MAINTENANCE	$504,308	$504,308

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,998,137	TotalAmt
Program Services	$2,814,171	ProgramServicesAmt
Management And General	$1,183,966	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,975,451	TotalAmt
Program Services	$66,412,122	ProgramServicesAmt
Management And General	$11,457,226	ManagementAndGeneralAmt
Fundraising	$106,103	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,012	BOYAmt
EOY	$602,947	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$105,689	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,039,655	BOYAmt
EOY	$17,710,712	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$83,377	BOYAmt
EOY	$7,710	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,513,422	BOYAmt
EOY	$1,503,232	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,051	BOYAmt
EOY	$8,229	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$74,030,557	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$35,725,543	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,535,483	BOYAmt
EOY	$38,305,014	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,268,961	BOYAmt
EOY	$8,741,104	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,554,650	BOYAmt
EOY	$66,878,948	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,214,293	BOYAmt
EOY	$5,096,407	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$11,999	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,028,574	BOYAmt
EOY	$30,341,308	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,242,867	BOYAmt
EOY	$35,449,714	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,720,383	BOYAmt
EOY	$31,429,234	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,591,400	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,311,783	BOYAmt
EOY	$31,429,234	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$65,554,650	BOYAmt
EOY	$66,878,948	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,380,947	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$8,501,602	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,172	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,172	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i	FormAndLineReferenceDesc
Explanation	LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $871 CATHOLIC HEALTH ASSOCIATION - $301	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,028	OtherCostOrOtherBasisAmt
Book Value	$328,028	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,565,280	OtherCostOrOtherBasisAmt
Depreciation	$21,019,368	DepreciationAmt
Book Value	$27,545,912	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,034,787	OtherCostOrOtherBasisAmt
Depreciation	$14,324,507	DepreciationAmt
Book Value	$9,710,280	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,102,462	OtherCostOrOtherBasisAmt
Depreciation	$381,668	DepreciationAmt
Book Value	$720,794	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$38,305,014	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$8,381,104
INVESTMENTS IN UNCONSOLIDATED ORGS	$360,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,741,104	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$7,679,471
OTHER LIABILITIES	$9,938,560
CHI DEBT	$12,723,277

Field	Value	IRS element (for citing)
Total Liability	$30,341,308	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	MERCY 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, 2014, 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."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	false	FPGReferenceFreeCareInd
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1011	PersonsServedCnt
Total Community Benefit Expns	$676,699	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$676,699	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1011	PersonsServedCnt
Total Community Benefit Expns	$676,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,699	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	1772	PersonsServedCnt
Total Community Benefit Expns	$240,033	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$240,033	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	66	PersonsServedCnt
Total Community Benefit Expns	$91,686	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,686	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	217	PersonsServedCnt
Total Community Benefit Expns	$117,780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,780	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	2055	PersonsServedCnt
Total Community Benefit Expns	$449,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$449,499	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	3066	PersonsServedCnt
Total Community Benefit Expns	$1,126,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,126,198	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,501	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,501	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	150	PersonsServedCnt
Total Community Benefit Expns	$4,572	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,572	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$424	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$424	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,369	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$328,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$328,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	168	PersonsServedCnt
Total Community Benefit Expns	$344,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$339,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,536,833	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,900,297	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,830,738	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$69,559	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1301 15TH AVE W	AddressLine1
City	WILLISTON	City
State	ND	State
ZIP Code	58801	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY-WILLISTON.ORG	WebsiteAddressTxt
State License	5052A	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OP CLINICS (PSYCH, FAMILY PRACTICE, GENERAL SURGERY, ORTHO,PAIN MANAGEMENT)	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.mercy-williston.org	OwnWebsiteURLTxt
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	false	FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) - MERCY MEDICAL CENTER: IN THE SPRING OF 2013, AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED THROUGH THE NORTH DAKOTA MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. THIS ASSESSMENT INCLUDED A COMMUNITY-WIDE SURVEY, INTERVIEWS WITH COMMUNITY REPRESENTATIVES, AND FOCUS GROUPS ASSEMBLED TO ENSURE FEEDBACK FROM A DIVERSE GROUP OF NEW AND LONG-TERM COMMUNITY MEMBERS. REPRESENTATIVES FROM THE FOLLOWING AREAS PARTICIPATED: * LAW ENFORCEMENT * EDUCATION * NON-PROFITS * OIL INDUSTRY * BUSINESS COMMUNITY * COUNTY AND CITY OFFICIALS * HEALTH CARE PROVIDERS * PUBLIC HEALTH OFFICIALS ;
Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility	(1) - MERCY MEDICAL CENTER: HUD LOW INCOME GUIDELINES USED;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care	(1) - MERCY MEDICAL CENTER: HUD LOW INCOME GUIDELINES USED;

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRAVEN-HAGAN CLINIC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1213 15th Avenue West	AddressLine1
City	WILLISTON	City
State	ND	State
ZIP Code	58801	ZIPCode

Field	Value	IRS element (for citing)
Facility	MEDICAL CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO MERCY 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. MERCY 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. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/14 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, $66,764,199 / $116,410,077 RESULTS IN A 57.35% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	10,536,833
Schedule H, Part I, Line 7g, Subsidized Health Services	THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 57.35%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Schedule H, Part III, Line 3, Bad Debt Expense Methodology	MERCY 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	MERCY 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 ALLOWANCE 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 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 STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	MERCY 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, MERCY MEDICAL CENTER, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES; MERCY 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: $11,900,297 TOTAL MEDICARE COSTS: $11,830,738 SURPLUS OR SHORTFALL $ 69,559 MERCY 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	MERCY MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT MERCY MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR 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 MERCY 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 MERCY MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. MERCY 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 VI, LINES 2, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION	I. ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE CHI MERCY MEDICAL CENTER (MMC), WILLISTON, ND, IS A SOLE COMMUNITY HOSPITAL, WITH A SERVICE POPULATION OF OVER 75,000 PEOPLE AND GROWING. OUR COMMUNITY HAS FOUND IT DIFFICULT TO SECURE AN ACCURATE CENSUS DUE TO THE CURRENT "OIL BOOM" ECONOMY. THE ROOTS OF CHI MERCY MEDICAL CENTER ORIGINATED IN DUBLIN, IRELAND, WHERE CATHERINE MCCAULEY ESTABLISHED THE SISTERS OF MERCY IN 1831. CATHERINE'S MISSION WAS TO GIVE BACK TO THE COMMUNITY BY PROVIDING FOR THE NEEDS OF THE POOR. IN ORDER TO BRING HEALTH CARE TO WESTERN NORTH DAKOTA, THE SISTERS OF MERCY FOUNDED MERCY HOSPITAL IN 1920. SINCE THEN, MERCY HAS CONTINUED THE LEGACY OF GIVING BACK TO THE COMMUNITIES IT SERVES AND CARRYING ON THE MISSION OF PROVIDING FOR THOSE IN NEED. IN 1974, MERCY HOSPITAL MOVED TO ITS CURRENT LOCATION AT 1301 15TH AVENUE WEST. ALONG WITH THE MOVE CAME NEW CHANGES AND AN EXPANSION OF SERVICES. TODAY, MMC IS COMPOSED OF GENERAL ACUTE CARE SERVICES, CRAVEN-HAGAN CLINIC, MERCY MULTI-SPECIALTY CLINIC, MERCY WOMEN'S HEALTH CLINIC, OCCUPATIONAL HEALTH, INTERVENTIONAL PAIN MANAGEMENT, MERCY UROLOGY CLINIC, MERCY RESIDENCY PROGRAM, OUTPATIENT BEHAVIORAL HEALTH SERVICES, AND THE LEONARD P. NELSON FAMILY CANCER TREATMENT CENTER. MMC PROVIDES HEALTH CARE FOR A REGION WHICH HAS A POPULATION OF MORE THAN 75,000 AND PROVIDES EMPLOYMENT FOR NEARLY 450 PEOPLE. IN 1996, MERCY AND ALL OF ITS SERVICE LINES BECAME A PART OF THE CATHOLIC HEALTH INITIATIVES (CHI) HEALTH SYSTEM. MERCY MEDICAL CENTER AND CHI CONTINUE THE ESSENTIAL HEALTH CARE COMMITMENT OF ITS FOUNDING CONGREGATIONS: TO BUILD HEALTHY COMMUNITIES BY CARING FOR THE VULNERABLE; CARING FOR THE WHOLE PERSON IN BODY, MIND, AND SPIRIT; AND GOING OUTSIDE THE WALLS OF ITS FACILITIES TO CARE FOR PEOPLE IN NEED. THE MISSION OF CHI MERCY MEDICAL CENTER AND CATHOLIC HEALTH INITIATIVES IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES. OUR VISION IS THAT CHI MERCY MEDICAL CENTER WILL BE THE PREFERRED REGIONAL HEALTH CARE PROVIDER AND WORK COMMUNITY, DELIVERING HIGH QUALITY, PATIENT-CENTERED CARE AND EXCELLENT SERVICE IN A WELCOMING AND SAFE ENVIRONMENT. WE HOLD TRUE TO OUR CORE VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE, AND IN DOING SO WE STRIVE TO PARTNER WITH REGIONAL ORGANIZATIONS, AGENCIES, AND ENTITIES TO PROVIDE COMMUNITY BENEFITS SO THAT TOGETHER WE CAN BUILD A HEALTHIER COMMUNITY. THE FOLLOWING REPORT OUTLINES THE COMMUNITY BENEFITS AND SERVICES MMC HAS PROVIDED TO THE REGION THIS PAST YEAR. AS A NON-PROFIT, CATHOLIC HEALTH CARE ORGANIZATION, WE TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS CONSISTENT WITH OUR MISSION AND CORE VALUES. IN ADDITION, MMC PROVIDES THOUSANDS OF DOLLARS IN RESOURCES, INCLUDING TIME AND CONTRIBUTIONS TO MANY ORGANIZATIONS THROUGHOUT THE REGION. COMMUNITY SERVICE HAS BEEN A VITAL COMPONENT OF MMC SINCE ITS INCEPTION. CHI MERCY MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN WILLISTON, NORTH DAKOTA OPERATING A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MERCY HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. CHI MERCY MEDICAL CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL.
SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION	II. COMMUNITY BENEFIT APPROACH THROUGHOUT ITS HISTORY CHI MERCY MEDICAL CENTER HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS PLAYED A KEY ROLE IN EVALUATING AREA HEALTH ISSUES AND SETTING PRIORITIES AND PLANS FOR IMPROVEMENT. MERCY CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY'S HEALTH. CHI MERCY MEDICAL CENTER'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITY NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. IT IS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY IS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRES THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. CHI MERCY MEDICAL CENTER HAS BEEN WORKING WITH PUBLIC AND PRIVATE ENTITIES IN OUR SERVICE AREA TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. WHEN EXAMINING DEMOGRAPHIC INFORMATION ABOUT THIS AREA, IT IS IMPORTANT TO KEEP IN MIND THAT BECAUSE OF THE OIL BOOM, AREA POPULATION AND DEMOGRAPHICS HAVE BEEN CHANGING VERY RAPIDLY IN THE LAST FEW YEARS. INTERVIEWS WITH KEY COMMUNITY LEADERS REVEALED THAT FEW BELIEVE THE OFFICIAL CENSUS COUNTS ARE ACCURATE. COMMUNITY LEADERS BELIEVE THE CENSUS DATA SIGNIFICANTLY UNDERSTATES THE TRUE NATURE OF HOW MANY PEOPLE ARE LIVING IN THE AREA, DUE NOT ONLY TO RAPID INCREASE IN POPULATION BUT ALSO BECAUSE MANY OF THOSE "LIVING" IN THE AREA COME FOR A FEW WEEKS AT A TIME, AND THEN RETURN TO A HOME BASE DURING OFF WORK ROTATIONS. THE GENERAL DEMOGRAPHIC AND GEOGRAPHIC DATA IS ABOUT DIVIDE, MCKENZIE, AND WILLIAMS COUNTIES, WHICH COMPRISE THE MAJORITY OF THE NORTH DAKOTA PORTION OF CHI MERCY MEDICAL CENTER'S SERVICE AREA. THE DATA THAT WE DO HAVE INDICATES THAT WHILE DIVIDE COUNTY HAS A GREATER PERCENTAGE OF INDIVIDUALS AGED 65 OR OLDER THAN THE NORTH DAKOTA AVERAGE, THE MORE POPULOUS COUNTIES OF MCKENZIE AND WILLIAMS HAVE A LOWER PERCENTAGE OF RESIDENTS 65 OR OLDER THAN THE STATE AVERAGE. ALL THREE COUNTIES HAVE A HIGHER MEDIAN AGE THAN THE STATE MEDIAN, WITH MCKENZIE AND WILLIAMS COUNTIES HAVING SLIGHTLY HIGHER MEDIAN AGES (ONE AND TWO YEARS, RESPECTIVELY) AND DIVIDE COUNTY HAVING A SUBSTANTIALLY HIGHER (MORE THAN 14 YEARS) MEDIAN AGE. MCKENZIE AND WILLIAMS'S COUNTIES HAVE A LARGER PERCENTAGE OF CHILDREN UNDER THE AGE OF 18 THAN THE STATE AVERAGE, WHICH MAY INDICATE A NEED FOR HEALTH CARE SERVICES GEARED TOWARD CHILDREN. ALL THREE COUNTIES LAG BEHIND THE STATE AVERAGE IN TERMS OF INDIVIDUALS WITH A BACHELOR'S DEGREE OR HIGHER. THE RATE OF WILLIAMS COUNTY RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER TRAILS THE STATE AVERAGE BY MORE THAN SEVEN PERCENTAGE POINTS, WITH DIVIDE COUNTY TRAILING BY NEARLY NINE POINTS AND MCKENZIE COUNTY TRAILING BY NEARLY SIX POINTS. HIGH SCHOOL GRADUATION RATES TEND TO BE CLOSER TO THE STATE AVERAGE. THE EDUCATIONAL BACKGROUNDS OF AREA RESIDENTS CAN AFFECT A HEALTH CARE FACILITY'S ABILITY TO FIND QUALIFIED STAFF MEMBERS. WILLISTON STATE COLLEGE, A TWO-YEAR PUBLIC COLLEGE, OFFERS ASSOCIATE DEGREES IN HEALTH PROFESSIONS SUCH AS ADMINISTRATIVE ASSISTANT MEDICAL, HEALTH INFORMATION MANAGEMENT, MEDICAL/BILLING CODING, MEDICAL TRANSCRIPTION, MENTAL HEALTH/ADDICTIONS TECHNICIAN, NURSING, AND SPEECH LANGUAGE PATHOLOGY ASSISTANT.
SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION	III. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT IN FISCAL YEAR ENDED JUNE 30, 2014, THE HOSPITAL PROVIDED BENEFITS FOR LOW INCOME INDIVIDUALS AND PROVIDED BROADER COMMUNITY BENEFITS TO SPECIFIC INDIVIDUALS OR OUR SERVICE AREA POPULATION AT LARGE. THE MAJOR COMPONENTS OF THESE COMMUNITY SERVICES ARE AS FOLLOWS: * BENEFIT FOR THE POOR - FINANCIAL ASSISTANCE: ESTIMATED NUMBER OF PEOPLE SERVED - 1,011, COMMUNITY BENEFIT COST - $676,699 * BENEFIT FOR THE POOR - COMMUNITY BENEFIT OPERATIONS: ESTIMATED NUMBER OF PEOPLE SERVED - 140, COMMUNITY BENEFIT COST - $13,002 * BENEFIT FOR THE POOR - FINANCIAL AND IN KIND CONTRIBUTIONS: ESTIMATED NUMBER OF PEOPLE SERVED - 120, COMMUNITY BENEFIT COST - $11,561 * BENEFIT FOR THE BROADER COMMUNITY - COMMUNITY BENEFIT OPERATIONS: ESTIMATED NUMBER OF PEOPLE SERVED - 0, COMMUNITY BENEFIT COST - $3,234 * BENEFIT FOR THE BROADER COMMUNITY - COMMUNITY BUILDING ACTIVITIES: ESTIMATED NUMBER OF PEOPLE SERVED - 168, COMMUNITY BENEFIT COST - $339,836 * BENEFIT FOR THE BROADER COMMUNITY - COMMUNITY HEALTH IMPROVEMENT SERVICES: ESTIMATED NUMBER OF PEOPLE SERVED - 1,632, COMMUNITY BENEFIT COST - $223,797 * BENEFIT FOR THE BROADER COMMUNITY - FINANCIAL AND IN-KIND CONTRIBUTIONS: ESTIMATED NUMBER OF PEOPLE SERVED - 97, COMMUNITY BENEFIT COST - $106,219 * BENEFIT FOR THE BROADER COMMUNITY - HEALTH PROFESSIONS EDUCATION: ESTIMATED NUMBER OF PEOPLE SERVED - 66, COMMUNITY BENEFIT COST - $91,686 * TOTAL BENEFIT FOR THE POOR AND BROADER COMMUNITY: ESTIMATED NUMBER OF PEOPLE SERVED - 3,234, COMMUNITY BENEFIT COST - $1,466,034 UNCOMPENSATED CARE FOR THE POOR OUR BEST-KNOWN, BUT OFTEN LEAST-UTILIZED, COMMUNITY BENEFIT PROGRAM IS THE FINANCIAL ASSISTANCE WE PROVIDE TO PATIENTS WHO CANNOT AFFORD TO PAY FOR THEIR CARE. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE ON OUR WEBSITE (WWW.MERCY-WILLISTON.ORG) AND AT OUR FACILITIES. THE PROCESS IS EXTREMELY CONFIDENTIAL AND OUR GOAL IS TO AWARD FINANCIAL ASSISTANCE RATHER THAN TURN PATIENTS OVER TO COLLECTION FOR HEALTH CARE BILLS. CHARITY CARE IS FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES PROVIDED TO PERSON WHO CANNOT AFFORD TO PAY FOR MEDICALLY NECESSARY HEALTH CARE. ELIGIBILITY IS BASED ON HOUSEHOLD INCOME AS WELL AS OTHER ASSETS. CONSIDERATION IS GIVEN TO A PATIENT WHO HAS SIGNIFICANT OR CATASTROPHIC MEDICAL BILLS AND DOES NOT MEET THE INCOME GUIDELINES. CHARITY CARE IS GIVEN TO UNINSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OR PART OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME-RELATED FEE SCHEDULE. COMMUNITY BENEFIT PROGRAMS FOR THE POOR ARE GEARED TO REDUCING MORBIDITY AND MORTALITY IN BENEFICIARIES OF MEDICAID OR STATE OR LOCAL INDIGENT PROGRAMS. CHI MERCY MEDICAL CENTER WILL NOT DELAY PROVIDING AN APPROPRIATE MEDICAL SCREENING EXAMINATION REQUIRED OR FURTHER MEDICAL EXAMINATION AND TREATMENT REQUIRED IN ORDER TO INQUIRE ABOUT THE INDIVIDUAL'S METHOD OF PAYMENT OR INSURANCE STATUS. CHI MERCY MEDICAL CENTER WILL NOT SEEK, OR DIRECT AN INDIVIDUAL TO SEEK, AUTHORIZATION FROM THE INDIVIDUAL'S INSURANCE COMPANY FOR SCREENING OR STABILIZATION SERVICES TO BE FURNISHED BY A PHYSICIAN, OR MID-LEVEL PRACTITIONER TO AN INDIVIDUAL UNTIL AFTER AN APPROPRIATE MEDICAL SCREENING EXAMINATION REQUIRED, AND INITIATED ANY FURTHER MEDICAL EXAMINATION AND TREATMENT THAT MAY BE REQUIRED TO STABILIZE THE EMERGENCY MEDICAL CONDITION. ELIGIBILITY FOR UNINSURED/UNDERINSURED DISCOUNTS SHALL BE DETERMINED BASED ON 130% OF THE ANNUALLY UPDATED HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES, AVAILABLE ASSETS AND ANY EXTENUATING CIRCUMSTANCES. THUS, THE STANDARDS OF ELIGIBILITY FOR THE APPLICATION OF UNINSURED/UNDERINSURED DISCOUNTS MUST CONSIDER ASSETS, AS WELL AS INCOME. CHI MERCY MEDICAL CENTER SHALL UTILIZE 130% OF THE HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES AS A MINIMUM. FINANCIAL ASSISTANCE APPLICATIONS MAY BE OBTAINED AT MERCY OR ON THE WEBSITE, WWW.MERCY-WILLISTON.ORG.
SCHEDULE H, PART VI, LINES 2, 4, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION	IV. COMMUNITY OUTREACH AND COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH COMMUNITY OUTREACH FOR THE POOR CHI MERCY MEDICAL CENTER DONATES EXCESS MEDICAL SUPPLIES AND EQUIPMENT TO UNDERPROVIDED NATIONS, THROUGH GLOBAL MINISTRIES. CHI'S FARGO DIVISION GATHERS SUPPLIES AND EQUIPMENT FOR THE INTERNATIONAL SISTER-TO-SISTER HOSPITAL PROGRAM OF THE INDIGENOUS PEOPLE'S HOSPITAL OPENED ON MAY 18, 2012, IN NUEVA VIZCAYA, PHILIPPINES. THE HOSPITAL, LOCATED IN A REMOTE REGION OF THE COUNTRY, NOW PROVIDES CARE TO IMPOVERISHED TRIBAL PEOPLE. THE NEW CLINIC/HOSPITAL WERE IMMEDIATELY BUSY AND PROVIDED CARE TO MORE THAN 600 PEOPLE ON DAY ONE OF OPENING. MERCY SPONSORS 10 CHILDREN OVERSEAS THROUGH UNBOUND (FORMERLY CHRISTIAN FOUNDATION FOR CHILDREN AND AGING). UNBOUND IS A LAY CATHOLIC ORGANIZATION SERVING THE POOR AT MISSION SITES AROUND THE WORLD. THROUGH SPONSORSHIP, WE BUILD A RELATIONSHIP OF MUTUAL RESPECT AND SUPPORT WHILE RAISING AWARENESS IN OUR OWN COUNTRY OF NEEDS AND GIFTS OF THE POOR AND THE MISSION OUTREACH OF THE CHURCH. THOUGH THIS BEGAN AS A PAYROLL DEDUCTION FOR EMPLOYEES, MERCY ACTUALLY PAID THE TAB THIS YEAR WHICH EQUALS APPROX. $360 X 10 CHILDREN SPONSORED EACH YEAR. OUR CANCER TREATMENT CENTER PROVIDES CASH AND GAS CARDS FOR THOSE WHO NEED TO TRAVEL FOR TREATMENTS AND/OR APPOINTMENTS. CHI MERCY MEDICAL CENTER COLLECTS FOOD TO BE DISTRIBUTED TO THE SALVATION ARMY. IN FY 2014 THE COLLECTED AMOUNT WAS APPROXIMATELY $1,500-2,000. THE SA FOOD PANTRY ASSISTS PEOPLE LIVING IN POVERTY WITH NUTRITION AND MEALS. EMPLOYEES ALSO PARTICIPATE IN AN ANNUAL SCHOOL SUPPLY DRIVE FOR LOCAL ELEMENTARY SCHOOLS. THIS YEAR'S DRIVE PROVIDED THREE BOXES OF SUPPLIES FOR EACH OF ELEVEN AREA ELEMENTARY SCHOOLS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY MMC IS A MAJOR EMPLOYER IN THE WILLISTON REGION, AND OUR EMPLOYEES CONTRIBUTE SIGNIFICANTLY TO OUR COMMUNITY SERVICE ORGANIZATIONS BY DONATING THEIR TIME AND TALENTS. MMC TAKES GREAT PRIDE IN PROVIDING LEADERSHIP IN THESE IMPORTANT ORGANIZATIONS. HUNDREDS OF HOURS ARE SPENT IN CIVIC ORGANIZATIONS INCLUDING THE ROTARY AND LIONS CLUBS, ECONOMIC DEVELOPMENT GROUPS SUCH AS THE WILLISTON AREA DEVELOPMENT FOUNDATION, FORT UNION ASSOCIATION, CHAMBER OF COMMERCE, JAYCEES, CONFLUENCE COMMITTEE, WORKFORCE TRAINING ADVISORY BOARD, PLANNING AND ZONING COMMISSION, UNITED WAY BOARD, WILLISTON MINISTERIAL ASSOCIATION, SOCIAL SERVICE BOARD, GOVERNOR'S COMMISSION ON DRUGS AND ALCOHOL, WILLISTON FAMILY SHELTER BOARD, AND HOMETOWN WILLISTON COMMITTEE. OUR EMPLOYEES SERVE ON AREA COMMUNITY BOARDS AND FIRE DEPARTMENTS. CHI MERCY MEDICAL CENTER ALSO PROVIDES CHAPEL SERVICES TO THE COMMUNITY TO ENRICH ONES SPIRITUAL NEEDS. MMC'S CRAVEN-HAGAN CLINIC OFFERS A SPORTS PHYSICAL EVENT EACH YEAR. PHYSICIANS AND STAFF MEMBERS VOLUNTEER THEIR TIME TO PROVIDE THIS VALUABLE SERVICE. STUDENTS PAY A FEE, WHICH IS DONATED BACK TO THE SCHOOL OF THEIR CHOICE. MERCY ALSO PARTICIPATES IN MANY LOCAL EVENTS THAT ARE INSTRUMENTAL IN ADDRESSING COMMUNITY BUILDING NEEDS INCLUDING THE MAKE-A-WISH FOUNDATION, UNITED WAY, MENTORS AND FRIENDS, CASUAL FOR CHARITY DAY, AG OPEN, HEALTH FAIR, BIBLE CAMPS, SCIENCE FAIRS, LOCAL PTOS, AS WELL AS CHURCH AND YOUTH GROUPS. MMC EMPLOYEES ARE ACTIVE SUPPORTERS OF THE BASIN UNITED WAY CAMPAIGN. MMC AND CHI ARE ALSO SPONSORING A VIOLENCE PREVENTION PROGRAM IN WILLISTON AS PART OF CHI'S COMMITMENT TO REDUCE VIOLENCE IN EVERY LOCALE WHERE THEY HAVE A PRESENCE. MERCY PROVIDES RESOURCES AND FUNDING FOR MANY RURAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN AN EFFORT TO ENHANCE THEIR HEALTHIER COMMUNITY INITIATIVES, INCLUDING AFTER PROM AND AFTER GRADUATION DRUG AND ALCOHOL FREE EVENTS. MERCY PARTICIPATES IN THE REGIONAL INTERVENTION STRATEGIES GROUP WHICH DEVELOPS LOCAL STRATEGIES TO DEAL, TREAT, AND INTERVENE WITH THOSE WHO HAVE MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH COMMUNITY HEALTH IMPROVEMENT SERVICES MMC UNDERSTANDS ITS ROLE IN PROVIDING SUPPORT SERVICES IN AN EFFORT TO BUILD A HEALTHIER COMMUNITY. MERCY COORDINATES SUPPORT GROUPS FOR PATIENTS AND FAMILIES WE SERVE. THIS PAST YEAR MMC SPONSORED SEVERAL SUPPORT PROGRAMS SUCH AS DIABETES SUPPORT GROUP, WEIGHT LOSS SUPPORT GROUP, FOOT CARE CLINICS, GRIEF SUPPORT GROUP, AND THE CANCER SUPPORT GROUP. EDUCATIONAL CLASSES ARE ARRANGED SUCH AS CAR SEAT EDUCATION, BABY BASICS, BREASTFEEDING AND CHILDBIRTH CLASSES (LAMAZE). MMC PARTICIPATES IN AN ANNUAL EVENT HEALTH FAIR HELD IN CONJUNCTION WITH THE UPPER MISSOURI VALLEY FAIR (UMVF). MMC PROVIDED FREE EDUCATION SUCH AS ORGAN AND TISSUE DONATION, GRIEF MATERIALS, ADVANCE DIRECTIVES, PROPER HAND WASHING, AND BLOOD PRESSURE SCREENINGS. MERCY COLLABORATES WITH INDEPENDENT PHYSICIANS AND OTHER AREA HEALTH CARE PROVIDERS TO OFFER THESE VALUABLE SERVICES TO THE COMMUNITY. MERCY ALSO BEGAN THE "LUNCH AND LEARN" PROJECT IN 2014, AND OFFERED THREE FREE EDUCATIONAL PROGRAMS (WITH LUNCH) TO AREA RESIDENTS. HEALTH PROFESSIONS EDUCATION CRAVEN HAGAN CLINIC PROVIDES SEVERAL INTERNSHIPS FOR MEDICAL AND NURSING STUDENTS. MMC ALSO OPENED A RESIDENCY CLINIC IN 2014 WITH ONE RESIDENT IN PLACE; FY2015 WILL SEE TWO RESIDENTS IN PRACTICE HERE. IN ADDITION, SCHOLARSHIPS ARE ALSO PRESENTED TO PROMOTE OTHER HEALTH OCCUPATIONS. COMMUNITY BUILDING ACTIVITIES ONE OF MMC'S LARGEST COMMUNITY OUTREACH PROGRAMS IS THE MERCY COMMUNITY SALE HELD ANNUALLY IN THE SPRING. THIS EVENT BRINGS THE "MERCY FAMILY" AND THE LARGER COMMUNITY TOGETHER IN AN EFFORT TO RAISE MONEY TO SUPPORT PROGRAMS FOR OUR YOUTH. THE COMMUNITY SALE PROVIDES AN OPPORTUNITY FOR THE COMMUNITY TO WORK TOGETHER, PROVIDE HOUSEHOLD AND CLOTHING ITEMS AT INEXPENSIVE PRICES AND INFUSE MONEY BACK INTO THE COMMUNITY. THE REVENUE FROM THE COMMUNITY SALE IS RETURNED TO THE COMMUNITY AS IT IS AWARDED TO OTHER NON-PROFIT ENTITIES THAT SERVE THE YOUTH OF WILLISTON. THIS YEAR THE COMMUNITY SALE RAISED $47,500 FOR WILLISTON'S WESTERN STARS GYMNASTICS. MERCY SPONSORS THE CLOSED CAPTION SPONSORSHIP FOR THE HEARING IMPAIRED OF THE LOCAL NEWSCAST ON KXMD TV. PHYSICIAN RECRUITMENT IS A TOP PRIORITY FOR OUR ORGANIZATION AS WE WORK TO MEET THE GROWING HEALTH CARE NEEDS OF OUR POPULATION; BECAUSE OF HIGH TURNOVER DUE TO EXORBITANT LOCAL WAGES, WE CONTINUE TO RECRUIT A FULL RANGE OF HEALTH CARE PERSONNEL TO KEEP OUR HOSPITAL OPERATIONAL. COMMUNITY BENEFIT OPERATIONS COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. DEDICATED STAFF HOURS ARE COUNTED FOR WORK ON CHARITY CARE ASSISTING PATIENTS WHO ARE UNDERINSURED OR UNINSURED. THE MISSION AND COMMUNITY BENEFIT STAFF CONTINUE TO BUILD AND EXPAND THEIR EFFORTS IN PROVIDING ADDITIONAL SERVICES AND ALSO ENSURE EMPLOYEES ARE TRACKING THEIR ACTIVITY. MERCY ALSO PROVIDES FREE MEETING ROOM SPACE FOR PARENTING EDUCATION PROGRAMS, CANCER SUPPORT GROUP, DIABETES SUPPORT GROUP, AND MORE. THE HALLORAN HOUSE, LOCATED ON MMC'S CAMPUS, OFFERS PATIENTS AND THEIR FAMILIES A LOCAL PLACE TO STAY WHILE BEING TREATED IN OUR LEONARD P. NELSON FAMILY CANCER TREATMENT CENTER OR RECEIVING OTHER SERVICES AT MERCY. GIVEN OUR LARGE GEOGRAPHIC AREA, THIS SERVICE IS WELL RECEIVED BY OUR PATIENTS. HOUSING AND MEALS AT THE HALLORAN HOUSE ARE PROVIDED FREE OF CHARGE TO THOSE WHO QUALIFY. WHILE IT IS NOT POSSIBLE TO SHARE ALL OF MMC'S EFFORTS TO GIVE BACK TO THE COMMUNITY, THIS REPORT DOES OUTLINE THE LARGE CONTRIBUTIONS GIVEN ON BEHALF OF OUR ORGANIZATION TO WILLISTON AND THE REGION. MMC IN ITS TRADITION OF FAITH WILL CONTINUE TO PROVIDE COMMUNITY BENEFITS AND ULTIMATELY BUILD A STRONGER, SAFER, AND HEALTHIER COMMUNITY.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.	MERCY MEDICAL CENTER INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, MERCY 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 MERCY MEDICAL CENTER OUTPATIENT FACILITIES. IN ADDITION, MERCY 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 MERCY 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. MERCY 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. MERCY 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	MERCY 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 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 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 $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 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. MERCY MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE MERCY MEDICAL CENTER, TO SERVE THE HEALTH CARE NEEDS OF THE WILLISTON, NORTH DAKOTA, COMMUNITIES.
Schedule H, Part VI, Line 7, State filing of community benefit report	ND

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	470617373	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$564,822	CashGrantAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED THROUGH REPORTS RECEIVED FROM THE GRANTEE ORGANIZATIONS CONTAINING FINANCIAL AND NARRATIVE INFORMATION DESCRIBING THE USE OF THE FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY DROP
EX-OFFICIO/CHI SVP DIVISION OFFICER	$0	$425,696	$0	$343,145	$0	$58,698	$0	$96,266	$0	$22,006	$0	$945,811	$0	$33,686
CURTIS SMALL
BOARD MEMBER/PHYSICIAN	$191,078	$0	$7,500	$0	$1,805	$0	$16,179	$0	$23,024	$0	$239,586	$0	$0	$0
MATTHEW GRIMSHAW
EX-OFFICIO/PRESIDENT & CEO	$0	$178,499	$0	$33,262	$0	$30,573	$0	$34,987	$0	$18,274	$0	$295,595	$0	$8,826
KERRY MONSON
CFO/VP OF FINANCE	$117,207	$32,273	$0	$0	$328	$0	$0	$15,544	$10,580	$3,080	$128,115	$50,897	$0	$0
DOUGLAS CLARK
PHYSICIAN, FORMER HCE	$243,398	$229,081	$12,000	$19,200	$9,139	$13,475	$0	$20,952	$4,059	$3,443	$268,596	$286,151	$0	$0
ROXANNE KEENE
PHYSICIAN	$508,904	$0	$0	$0	$47,339	$0	$20,952	$0	$22,838	$0	$600,033	$0	$0	$0
DAVID SKURDAL
PHYSICIAN	$405,222	$0	$12,100	$0	$10,668	$0	$23,502	$0	$14,650	$0	$466,142	$0	$0	$0
BRETT VIBETO
SURGEON	$428,162	$0	$15,000	$0	$840	$0	$23,502	$0	$7,400	$0	$474,904	$0	$0	$0
CHRISTINE HOGLUND
PHYSICIAN	$408,095	$0	$0	$0	$0	$0	$0	$0	$0	$0	$408,095	$0	$0	$0
SAMUEL ANDELIN
PHYSICIAN	$345,242	$0	$0	$0	$18,257	$0	$20,952	$0	$22,859	$0	$407,310	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 PAYMENTS	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. THERE WERE NO INTERESTED PERSONS THAT RECEIVED SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS DURING CALENDAR YEAR 2013.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	DURING THE 2013 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEFFREY DROP MATTHEW GRIMSHAW DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $67,664 MATTHEW GRIMSHAW - $16,631 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $33,686 MATTHEW GRIMSHAW - $8,826
Schedule J, Part I, Line 7, Non-fixed payments	MERCY MEDICAL CENTER MAINTAINS A VARIABLE PAY PLAN FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE (EXCEPT FOR PHYSICIANS) THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PERFORMANCE IN RELATION TO BUDGET, AND ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FAIR MARKET VALUE.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROXANNE KEENE	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship With Org	HIGHEST COMPENSATED EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	FORGIVEABLE SIGN ON LOANS	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$85,607	OriginalPrincipalAmt
Balance Due	$7,710	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$7,710	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1, MISSION	THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MERCY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders	ACCORDING TO THE BYLAWS OF MERCY MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body	PURSUANT TO SECTION 6.5 OF HE 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, Sec A, Line 7b, Decisions requiring approval by members or stockholders	THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 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 MERCY MEDICAL CENTER * AMENDMENT OF THE CORPORATE DOCUMENTS OF MERCY MEDICAL CENTER * APPROVE MEMBERS OF THE MERCY MEDICAL CENTER BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MERCY MEDICAL CENTER * APPROVAL OF ISSUANCE OF DEBT BY MERCY MEDICAL CENTER * APPROVAL OF PARTICIPATION OF MERCY MEDICAL CENTER IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MERCY MEDICAL CENTER * APPROVAL OF A MERGER INVOLVING MERCY MEDICAL CENTER * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MERCY MEDICAL CENTER * TO REQUIRE THE TRANSFER OF ASSETS BY MERCY MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MERCY 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, Sec B, Line 11b, Review of form 990 by governing body	ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. AN ELECTRONIC COPY OF THE RETURN IS SENT TO EACH BOARD MEMBER BY EMAIL FOR THEIR REVIEW. SUBSEQUENT TO THE RETURN BEING PROVIDED 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, Sec B, Line 12c, Conflict of interest policy	IT IS THE POLICY OF MERCY MEDICAL CENTER THAT: (1) EACH OF THE CORPORATION'S DIRECTORS, OFFICERS, AND EMPLOYEES ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND EXERCISES CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES, AND (2) EACH OF THE CORPORATION'S DIRECTORS, OFFICERS, AND EMPLOYEES AVOIDS CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSES TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST IF SUCH CONFLICTS CANNOT BE AVOIDED SO THAT SUCH CONFLICTS ARE DEALT WITH IN THE BEST INTERESTS OF THE CORPORATION. THIS POLICY: (1) COVERS ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF MERCY MEDICAL CENTER; (2) APPLIES TO ALL AFFILIATES OF THE CORPORATION; AND (3) IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT CORPORATIONS. "AFFILIATE" INCLUDES ANY ENTITY DIRECTLY OR INDIRECTLY CONTROLLING, CONTROLLED BY, OR UNDER COMMON CONTROL WITH THE CORPORATION WHETHER THROUGH MEMBERSHIP OR STOCK OWNERSHIP. IF A DIRECTOR, OFFICER, OR EMPLOYEE HAS A POTENTIAL OR ACTUAL CONFLICT WITH THE CORPORATION AND/OR ANY OF ITS AFFILIATES, SUCH INDIVIDUAL IS DEEMED TO ALSO HAVE A POTENTIAL OR ACTUAL CONFLICT WITH RESPECT TO THE CORPORATION AND ALL OF ITS AFFILIATES. EACH INDIVIDUAL MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHERE AN INDIVIDUAL IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT AND CEO SHALL ANNUALLY SEND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES A COPY OF THIS POLICY STATEMENT AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. EACH INDIVIDUAL MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT AND CEO AND THE BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY STATEMENT, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS 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 THERE IS A DIFFERENCE OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR, OFFICER, OR EMPLOYEE AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS POLICY STATEMENT, 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 COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS, OFFICER, OR EMPLOYEES EITHER (1) HAS A MATERIAL FINANCIAL INTEREST; OR (2) IS A DIRECTOR, OFFICER, OR EMPLOYEE OF THE OTHER PARTY (OTHER THAN THE CORPORATION'S OWN AFFILIATES). THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS, OFFICERS OR EMPLOYEES, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO THE CORPORATION. THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICTS OF INTERESTS (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH THE CORPORATION, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE INDIVIDUAL IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. THE BOARD SHOULD CONSULT WITH A MEMBER OF THE CHI LEGAL RESOURCE GROUP WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN CONFLICTS OF INTEREST ARE CONSIDERED BY THE BOARD, THE INDIVIDUAL MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE INDIVIDUAL SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH INDIVIDUAL IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE INDIVIDUAL SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. MINUTES OF THE BOARD OF DIRECTORS SHALL REFLECT THE FOLLOWING: THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM VOTING. IMPLEMENTATION AND INTERPRETATION QUESTIONS REGARDING THE IMPLEMENTATION AND INTERPRETATION OF THIS POLICY SHALL BE REFERRED TO A MEMBER OF THE CHI LEGAL RESOURCE GROUP. IF THE BOARD REASONABLY BELIEVES THAT A DIRECTOR, OFFICER, OR EMPLOYEE HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THIS POLICY, THE INDIVIDUAL WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE INDIVIDUAL, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION.
FORM 990, PART VI, LINE 15A, PROCESS FOR DETERMINING COMPENSATION OF CEO	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 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 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 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 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE 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, Sec B, Line 15b, Process to establish compensation of other employees	THE CHIEF FINANCIAL OFFICER REPORTS TO A DIVISION CHIEF FINANCIAL OFFICER WHO REVIEWS AND ADJUSTS THE COMPENSATION FOR SENIOR LEADERSHIP. COMPENSATION FOR SENIOR LEADERSHIP IS ALSO INTERNALLY REVIEWED BY A COMPENSATION COMMITTEE ON THE BOARD OF DIRECTORS. A MARKET COMPARISON IS DONE ANNUALLY.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
Form 990, Part IX, Line 11g, Other Expenses	CONTRACT LABOR - TOTAL EXPENSE: 7828619, PROGRAM SERVICE EXPENSE: 7828619, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 6934039, PROGRAM SERVICE EXPENSE: 5353390, MANAGEMENT AND GENERAL EXPENSES: 1580649, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	CAPITAL RESOURCE POOL CONTRIBUTION - -384684; CHANGE IN BENEFICIAL INTEREST IN MMF - -8116918;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (158 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HEALTHCARE	NE	501(C)(3)	3	ACH	Yes (true)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING	NE	501(C)(3)	7	ACH	Yes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (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	Yes (true)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	9	CHI	Yes (true)
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	9	SFH	Yes (true)
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes (true)
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	9	NA	Yes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	7	CHIC	Yes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DR	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHINS	Yes (true)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	PHYSICIANS	OR	501(C)(3)	9	MMC	Yes (true)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CENTER	KS	501(C)(3)	3	CHI	Yes (true)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	HEALTHCARE	MN	501(C)(3)	9	CHI	Yes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	9	CHI NS	Yes (true)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI NEBRASKA
6940 O ST STE 200	LINCOLN	NE	68510	363233121	HEALTHCARE	NE	501(C)(3)	11 - Type III - FI	CHI	Yes (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	Yes (true)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HEALTHCARE	AR	501(C)(3)	3	CHISVHS	Yes (true)
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	11 - Type II	SVIMC	Yes (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	Yes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(C)(2)	N/A	GSH	Yes (true)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING	IA	501(C)(3)	11 - Type I	AH-CMHMV	Yes (true)
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DR	LEXINGTON	KY	40509	611400619	LT ACH	KY	501(C)(3)	3	SJHS	Yes (true)
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232028429	HOME HEALTH	PA	501(C)(3)	11 - Type II	CHI NHC	Yes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	Yes (true)
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	9	FHS	Yes (true)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	3	CHI	Yes (true)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(C)(3)	9	CHI	Yes (true)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(C)(3)	9	FHS	Yes (true)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	9	CHI	Yes (true)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	Yes (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	Yes (true)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(C)(3)	7	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500	DAYTON	OH	45402	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	Yes (true)
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING	WA	501(C)(3)	7	HMC	Yes (true)
HEALTH SET
2420 W 26TH AVE STE 460D	DENVER	CO	80211	841102943	LOW INC CARE	CO	501(C)(3)	7	CHIC	Yes (true)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	Yes (true)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	Yes (true)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH ST	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
539 S 4TH ST	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(C)(3)	9	JHSMH	Yes (true)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	9	CHI	Yes (true)
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
LINUS OAKES INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	Yes (true)
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	Yes (true)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	3	CHI	Yes (true)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	Yes (true)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HEALTHCARE	TX	501(C)(3)	3	CHI	Yes (true)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	11 - Type I	MF-DM IA	Yes (true)
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	Yes (true)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	Yes (true)
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING	OR	501(C)(3)	7	MMC	Yes (true)
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHMH-CORNING	Yes (true)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING	ND	501(C)(3)	11 - Type III - FI	MHVC	Yes (true)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	7	MHDL	Yes (true)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	Yes (true)
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	Yes (true)
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVE	DES MOINES	IA	50314	421470935	PHYSICIANS	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	Yes (true)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	7	CHIC	Yes (true)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD S	TUKWILA	WA	98168	911170040	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (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	Yes (true)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	Yes (true)
SAINT CLARE'S FOUNDATION INC
25 POCONO RD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	Yes (true)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	11 - Type II	CHI	Yes (true)
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	Yes (true)
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	Yes (true)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	Yes (true)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	Yes (true)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	611334601	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes (true)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	311539059	PHYSICIANS	KY	501(C)(3)	3	SJHS	Yes (true)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH ST	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	Yes (true)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVD	DAYTON	OH	45417	020633634	HEALTHCARE	OH	501(C)(3)	7	SHP	Yes (true)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500	DAYTON	OH	45402	311107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	Yes (true)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	Yes (true)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	Yes (true)
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	760226623	TITLE HOLDING	TX	501(C)(2)	N/A	SLPC	Yes (true)
ST ANTHONY HOSPITAL
1601 SE COURT AVE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SAH	Yes (true)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	Yes (true)
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	Yes (true)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	Yes (true)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	OR	501(C)(4)	N/A	CHI	Yes (true)
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	Yes (true)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	Yes (true)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH COMMUNITY HEALTH
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	Yes (true)
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes (true)
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	Yes (true)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	Yes (true)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	Yes (true)
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH ST	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260274448	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HEALTHCARE	TX	501(C)(3)	3	SLCDC	Yes (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	Yes (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	Yes (true)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING	TX	501(C)(3)	7	SLHS	Yes (true)
ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536232	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	Yes (true)
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760127715	INVESTMENT MGMT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S MEDICAL GROUP
6624 FANNIN ST	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531713	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	CHI-SLH	Yes (true)
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531716	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLCDC-SL	Yes (true)
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMCH	Yes (true)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	Yes (true)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	Yes (true)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	3	CHI	Yes (true)
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	Yes (true)
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	3	CHIC	Yes (true)
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	9	CHI	Yes (true)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	Yes (true)
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	9	SLCHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH ST	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	ACH	RELATED	$116,752	$776,649	false	$0	Yes (true)	0.51
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	$34,991	$8,665,388	false	$0	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-$319,683	$4,762,246	false	-$439,535	false	0.95
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD STE 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	RELATED	$142,085	$3,294,472	false	$0	false	0.6394
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	$57,545	$1,013,237	false	$0	Yes (true)	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BRDWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	SJHS	RELATED	$308,428	$3,317,191	false	$0	false	0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	462945938	PRACTICE MGMT SRVC	DE	CHI	RELATED	$2,478	$4,571,498	false	$0	Yes (true)	0.8
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146 4502 N SECOND AVE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	-$195,425	$216,945	false	-$77,269	Yes (true)	1
CENTRAL NEBRASKA REHAB SERVICE
620 DIERS AVE STE 300	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	$2,132,606	$3,494,427	false	$0	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	$344,962,532	$4,617,413,792	false	$0	Yes (true)	0.928
CHICAMSURG SURGERY CENTERS LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	111222333	SURGERY CENTER	CO	CHIC	RELATED	$0	$0	false	$0	false	0.51
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	SL CDC-V	RELATED	$1,027,057	$105,658,490	false	$0	false	0.51
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	$98,584	$3,190,678	false	$97,006	false	1
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67401	222333444	ONCOLOGY	KS	SCH	RELATED	$0	$0	false	$0	false	0.51
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC IMAGING	WA	HMC	RELATED	$375,761	$1,784,057	false	$0	false	0.8
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	RELATED	$3,465,880	$1,951,221	false	$0	false	0.51
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	RELATED	$1,455,294	$1,013,126	false	$0	false	0.5228
LINCOLN CK LEASING LLC
6003 OLD CHENEY RD	LINCOLN	NE	68516	262496856	REAL ESTATE	NE	SERMC	RELATED	$574,064	$425,034	false	$0	false	0.5376
LOUISVILLE SC LTD
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	062119566	SURGERY CENTER	AL	SCOFL	RELATED	$417,359	$478,373	false	$0	Yes (true)	0.611
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	RELATED	$10,501,730	$17,301,869	false	$0	false	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	$81,071	$1,077,536	false	$0	false	0.5745
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	RELATED	$1,846,183	$8,411,844	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MLK JR WAY STE 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	RELATED	$256,567	$3,262,002	false	$0	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	$715,094	$3,489,436	false	$0	false	0.7
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY	SOUTH PASADENA	TX	77505	273280598	HOSPITAL	TX	SL CDC-PMC	RELATED	$1,092,540	$20,751,174	false	$0	Yes (true)	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102	LINCOLN	NE	68508	204962103	TECH SRVC	NE	AH-IMC	RELATED	$1,011,804	$5,564,586	false	$68,565	Yes (true)	0.6575
PREMIER SURGERY CENTER OF LOUISVILLE LP
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	721378216	SURGERY CENTER	AL	SCA	RELATED	$88,900	$254,399	false	$0	Yes (true)	0.51
PUEBLO AMBULATORY SURGERY CENTER LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	621488737	SURGERY CENTER	CO	CHIC	RELATED	$0	$0	false	$0	false	0.51
SAINT JOSEPH - PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED	-$52,573	$93,769	false	$0	Yes (true)	0.625
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	RELATED	$0	$0	false	$0	Yes (true)	0.51
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JH	RELATED	$88,608	$256,606	false	$0	false	1
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	$42,319	$631,595	false	$0	Yes (true)	0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-$130,967	$13,823,763	false	$0	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J ST	TACOMA	WA	98405	911352698	MED OFFICE	WA	FHS	RELATED	$238,717	$19,017,063	false	$0	false	0.5421
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6620 MAIN ST STE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	SLHS HOLDINGS	RELATED	$273,448	$868,814	false	$0	false	0.573
ST LUKE'S HOSPITAL AT THE VINTAGE LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	SLHS	RELATED	-$19,253,743	$69,158,748	false	$0	Yes (true)	0.51
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC-W	RELATED	$1,106,628	$25,874,619	false	$0	Yes (true)	0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	SLHSH	RELATED	$0	$0	false	$0	Yes (true)	0.5
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH ST	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-$200,323	$821,112	false	$0	Yes (true)	0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	-$200,318	$4,079,584	false	$0	Yes (true)	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-$15,452	$396,101	false	$0	Yes (true)	0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (59 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Business Name Line2RelatedOrganizationName/BusinessNameLine2
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	CHI NEBRASKA	C CORPORATION	$5,312,313	$4,520,865	1	Yes (true)
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		CHI	C CORPORATION	$0	$43,866,961	1	Yes (true)	CJ
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	$0	$6,272,746	1	Yes (true)
AMERICAN NURSING CARE INC
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	$5,118,606	$51,920,207	1	Yes (true)
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	$2,134,392	$14,669,219	1	Yes (true)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JHSMH	C CORPORATION	$0	$0	1	Yes (true)
CADUCEUS MEDICAL ASSOCIATES INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	$0	$1,008	1	Yes (true)
CAPTIVE MANAGEMENT INITIATIVES LTD
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
CARMONA-DESOTO BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710771076	HEALTHCARE	AR	CHI-SVHS	C CORPORATION	$0	$0	1	Yes (true)
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	TRUST	-$2,286,538	$1,241,259	1	Yes (true)
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION	$0	$0	1	Yes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDO ASSOC
6624 FANNIN STE 2505	HOUSTON	TX	77030	455079545	CONDO ASSOC	TX	CHI-SLHBCM	C CORPORATION	$0	$0	1	Yes (true)
CLEARRIVER HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464495960	INSURANCE	TN	PHPSI	C CORPORATION	$0	$0	1	Yes (true)
COMCARE SERVICES INC
5570 DTC PARKWAY	ENGLEWOOD	CO	80111	840904813	INACTIVE	CO	CHIC	C CORPORATION	$0	$0	1	Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-$879,467	$52,379,487	1	Yes (true)
DES MOINES MEDICAL CENTER INC
1111 6TH AVE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	$67,314	$1,064,032	0.9298	Yes (true)
EAST TEXAS CLINICAL SERVICES INC
2801 VIA FORTUNA 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	MHSET	C CORPORATION	$632,545	$16,782	1	Yes (true)
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	$434,854	$718,254	1	Yes (true)
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-$7,280	$180,468	1	Yes (true)
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MGMT	NE	GSH	C CORPORATION	$87,278	$1,377,820	1	Yes (true)
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1717 SOUTH J ST	TACOMA	WA	98405	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	$0	$0	1	Yes (true)
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464368223	INSURANCE	NE	PHPSI	C CORPORATION	$0	$0	1	Yes (true)
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW STE 170	BURIEN	WA	98166	911586438	MEDICAL SERVICES	WA	HMC	C CORPORATION	-$6,049,147	$5,689,139	1	Yes (true)
MEDQUEST
1602 WEST 11TH ST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION		$1,152,715	1	Yes (true)
MERCY PARK APARTMENTS LTD
1111 6TH AVE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	$273,525	$1,937,218	1	Yes (true)
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	MMC	C CORPORATION	$0	$142,337	1	Yes (true)
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	MHSET	C CORPORATION	$0	$0	1	Yes (true)
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RD	CHATTANOOGA	TN	37421	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	$96,044	$6,465,179	1	Yes (true)
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	-$164,340	$5,488,275	1	Yes (true)
PHYSICIANHEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	$0	$0	1	Yes (true)
PROMINENCE HEALTH PLAN SERVICES INC (FKA COLLABHEALTH PLAN SERVICES INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	PHI	C CORPORATION	-$5,339,325	$38,272,608	1	Yes (true)
PROMINENCE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	CHI	C CORPORATION	$0	$23,806,707	1	Yes (true)
QCA HEALTH PLAN INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710794605	INSURANCE	AR	QCHI	C CORPORATION	$0	$0	1	Yes (true)
QUALCHOICE HOLDINGS INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	274075520	HOLDING CO	AR	PHPS	C CORPORATION	$0	$0	1	Yes (true)
QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710386640	INSURANCE	AR	QCH	C CORPORATION	$0	$0	1	Yes (true)
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	PHPS	C CORPORATION	$0	$0	1	Yes (true)
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464828332	INSURANCE	KY	PHPS	C CORPORATION	$0	$0	1	Yes (true)
SAINT CLARE'S PRIMARY CARE INC
66 FORD RD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-$235,604	$1,361,242	1	Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION	$0	$0	1	Yes (true)
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-$197,039	$3,331,737	1	Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	LEXINGTON	KY	40503	270164198	MGMT	KY	SJHS	C CORPORATION	$0	$0	1	Yes (true)
SLMT PARKING INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637140	PARKING	TX	SLHS	C CORPORATION	$1,117,934	$13,768,221	1	Yes (true)
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	PHPS	C CORPORATION	-$154,741	$10,976,973	0.626	Yes (true)
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	$114,663	$2,936,102	1	Yes (true)
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J ST	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	$63,164	$11,845,439	1	Yes (true)
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG RD BLDG B70	LEXINGTON	KY	40504	611079899	MGMT	KY	SJHS	C CORPORATION	$0	$882,139	0.85	Yes (true)
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355517	CONDO ASSOC	TX	SLPC	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN STE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	CHI-SLH	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER MC4-262	HOUSTON	TX	77030	760377932	PHO	TX	CHI-SLH	C CORPORATION	$6	$0	0.6	Yes (true)
ST LUKE'S HEALTH SYSTEM HOLDINGS INC (FKA SLEHS HOLDINGS INC)
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	SLHS	C CORPORATION	$1,425,313	$33,114,103	1	Yes (true)
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355518	CONDO ASSOC	TX	SLPC	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	760298751	CONDO ASSOC	TX	SLMTC	C CORPORATION	$0	$0	1	Yes (true)
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	$2,408,638	$15,225,732	1	Yes (true)
STABLEVIEW HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464373713	INSURANCE	KY	PHPS	C CORPORATION	$0	$0	1	Yes (true)
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	SLCDC-SL	C CORPORATION	$0	$0	1	Yes (true)
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN STE 2505	HOUSTON	TX	77030	900064009	CONDO ASSOC	TX	CHI-SLH	C CORPORATION	$0	$0	1	Yes (true)							UILDING COMDOMINIUM ASSOCIATION
TOWSON MANAGEMENT INC
7601 OSLER DR	TOWSON	MD	21204	521710750	MGMT SERVICES	MD	FSI	C CORPORATION	$516,457	$197,196	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDQUEST
A	$97,416	FMV
MEDQUEST
K	$52,236	FMV
MERCY MEDICAL FOUNDATION
C	$2,051,737	FMV