2015-05-13T18:01:34-05:00 2014-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2013-07-01 263946191 CENTENNIAL MEDICAL GROUP INC CENT 5416773650 2700 Stewart Parkway Roseburg OR 974711281 JASON GRAY PRESIDENT 2015-05-06 true Pamela Krohn P01210500 3032989100 2013 2016-02-25 16:41:14Z JASON GRAY 2700 Stewart Parkway Roseburg OR 974711281 22068457 false X N/A X 2009 OR CENTENNIAL MEDICAL GROUP PROVIDES HOSPITAL-BASED PHYSICIAN SERVICES, AS WELL AS SPECIALTY PHYSICIAN SERVICES IN A CLINIC SETTING TO PATIENTS IN THE ROSEBURG COMMUNITY ON A CHARITABLE BASIS. 3 0 0 0 0 0 0 0 18001341 21354703 0 0 842381 713754 18843722 22068457 3584 6555 0 0 11205934 12344219 0 0 0 14696427 15629278 25905945 27980052 -7062223 -5911595 2410644 2694625 20722553 26918129 -18311909 -24223504 X SEE SCHEDULE O. false false 25819487 6555 21354703 SEE SCHEDULE O 25819487 true false false false false false false false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false false true X 0 0 0 false false false false false false false false false false X 3 0 false false false false true true true true true false false false true true true true true false false false OR X John Kasberger 5416772458 2700 Stewart Parkway Roseburg OR 974711281 JASON GRAY President 10.00 40.00 X X 0 334654 42822 KELLY MORGAN Board Chair/CEO, MMC 2.00 58.00 X X 0 651666 82882 RAHUL AGARWAL Secretary/Treasurer 2.00 40.00 X X 0 230122 48521 AJAY TRIPURANENI Physician 50.00 0.00 X 0 533406 32472 GARY BRONSTEIN Physician 50.00 0.00 X 0 451608 47516 HOWARD FELDMAN Physician 50.00 0.00 X 0 745651 38164 NICHOLES SEXTON Physician 50.00 0.00 X 0 549626 41023 PATRICK DAVOL Physician 50.00 0.00 X 0 427704 41045 JOHN KASBERGER CFO, MMC 0.00 59.00 X 0 299592 39664 0 4224029 414110 0 false true false DOUGLAS COUNTY IPA INC 1813 W HARVARD SUITE 206 ROSEBURG OR 97471 CODING AND BILLING 1990848 DOUGLAS MEDICAL GROUP LLC 1813 W HARVARD SUITE 206 ROSEBURG OR 97471 CONTRACT LABOR 1174078 UMPQUA ORTHOPEDIC 277 MEDICAL LOOP ROSEBURG OR 97471 PROFESSIONAL SERVICES 450002 UMPQUA MEDICAL GROUP LLC PO BOX 1700 ROSEBURG OR 97470 PROFESSIONAL SERVICES 319905 COMPHEALTH PO BOX 972651 DALLAS TX 75397 LOCUM COVERAGE 280070 9 0 PATIENT SERVICES 900099 19633065 19633065 INTERCOMPANY TRANSACTION 900099 1721638 1721638 0 0 0 0 0 0 0 21354703 0 0 0 0 0 0 0 0 0 0 0 0 0 LABORATORY SERVICES 621500 664355 664355 LEASED EMPLOYEES 561300 40074 40074 REIMBURSEMENT OF EXPENSES 900099 9325 9325 0 0 0 0 713754 22068457 21354703 0 713754 X 6555 6555 0 0 0 0 0 9307210 8841849 465361 305490 290215 15275 1840236 1748224 92012 891283 846719 44564 0 19510 19510 19665 19665 0 0 0 10844439 9926007 918432 0 28002 28002 676126 446243 229883 0 0 1649485 1319588 329897 85962 81664 4298 0 4398 4398 64 64 0 46642 46642 433367 411699 21668 BAD DEBTS 405182 405182 MEDICAL SUPPLIES 1036318 1036318 REPAIRS AND MAINTENANCE 54886 54886 DUES & SUBSCRIPTIONS 231213 231213 94019 94019 0 0 27980052 25819487 2160565 0 0 65446 206892 2216219 2078573 0 0 0 0 28904 128267 456771 175878 100075 280893 0 0 0 0 0 0 2410644 2694625 1016205 1303565 0 0 19706348 25614564 20722553 26918129 X -18311909 -24223504 -18311909 -24223504 2410644 2694625 -5911595 0 X false true X true false X 0 0 4661360 6481484 13642639 18001341 21354703 64141527 309719 591441 664355 1565515 0 0 4661360 6481484 13952358 18592782 22019058 65707042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65707042 15 0 0 15 0 0 0 0 0 0 0 0 15 0 0 15 0 0 18 202 0 95239 49399 144858 4661378 6481686 13952373 18688021 22068457 65851915 0.99780 0.00000 X Schedule A, Part III, Line 12, Other Income DESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - 18, COLUMN B - 202, COLUMN C - 0, COLUMN D - 95239, COLUMN E - 49399, COLUMN F - 144858; 0 0 124552 51935 72617 252424 123943 128481 79795 79795 280893 0 INTERCOMPANY PAYABLES 25614564 25614564 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote CENTENNIAL MEDICAL GROUP, INC.'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." true Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE ARE NOT MONITORED BEYOND THE DISTRIBUTION. CENTENNIAL MEDICAL GROUP RELIES ON THOSE ORGANIZATIONS TO USE THE GRANTS IN ACCORDANCE WITH EACH ORGANIZATION'S EXEMPT PURPOSE. NO ONE RECIPIENT RECEIVED MORE THAN $5,000 FROM THE ORGANIZATION. false true false false false false false true false KELLY MORGAN BOARD CHAIR/CEO, MMC 0 487940 0 102784 0 60942 0 67552 0 15330 0 734548 0 38330 RAHUL AGARWAL SECRETARY/TREASURER 0 196217 0 32514 0 1391 0 24464 0 24057 0 278643 0 0 JASON GRAY PRESIDENT 0 302403 0 30863 0 1388 0 20952 0 21870 0 377476 0 0 JOHN KASBERGER CFO, MMC 0 257626 0 39662 0 2304 0 23502 0 16162 0 339256 0 0 HOWARD FELDMAN PHYSICIAN 0 682058 0 53538 0 10055 0 23502 0 14662 0 783815 0 0 NICHOLES SEXTON PHYSICIAN 0 521626 0 200 0 27800 0 20952 0 20071 0 590649 0 0 AJAY TRIPURANENI PHYSICIAN 0 499747 0 18262 0 15397 0 20952 0 11520 0 565878 0 0 GARY BRONSTEIN PHYSICIAN 0 447474 0 2200 0 1934 0 23502 0 24014 0 499124 0 0 PATRICK DAVOL PHYSICIAN 0 382677 0 27142 0 17885 0 20952 0 20093 0 468749 0 0 Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4A, SEVERANCE OR CHANGE OF CONTROL 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION IN THE 2013 CALENDAR YEAR. 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: KELLY MORGAN INCLUDE IF APPLICABLE: DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: KELLY MORGAN $44,050 INCLUDE IF APPLICABLE: DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: KELLY MORGAN $38,330 Schedule J, Part I, Line 7, Non-fixed payments CERTAIN PHYSICIANS ARE ELIGIBLE FOR SIGNING AND RETENTION BONUSES. SECURING THE SERVICES OF SUCH PROFESSIONALS IS AN INDISPENSABLE PART OF CENTENNIAL MEDICAL GROUP, INC.'S (CMG) OPERATIONS. WITHOUT THE SERVICES OF THESE INDIVIDUALS, CMG WOULD BE SEVERELY LIMITED IN ITS ABILITY TO PROVIDE CARE TO MEMBERS OF OUR COMMUNITY. THEREFORE, IN CONJUNCTION WITH THE RECRUITMENT OF PHYSICIANS, CMG PROVIDES BONUSES TO CERTAIN PHYSICIANS. IN ADDITION, SEVERAL PHYSICIANS ARE ENTITLED TO INCENTIVE COMPENSATION BASED ON RVUS WORKED IN EXCESS OF A THRESHOLD AS STATED IN THEIR INDIVIDUAL EMPLOYMENT CONTRACTS. TOTAL PHYSICIAN COMPENSATION IS SET IN ADVANCE BY A COMMITTEE OF THE BOARD OF MERCY MEDICAL CENTER (MMC) USING IRC SECTION 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. PHYSICIAN TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES PHYSICIAN COMPENSATION REMAINS WITHIN FAIR MARKET VALUE. FORM 990, PART III, LINE 1, MISSION STATEMENT THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. FORM 990, PART III, LINE 4A, PROGRAM DESCRIPTION CENTENNIAL MEDICAL GROUP (CMG) IS AN OREGON NON-PROFIT CORPORATION FORMED ON JANUARY 1, 2009, TO INCREASE ACCESS TO QUALITY CLINICAL PHYSICIAN SERVICES FOR THE RESIDENTS OF DOUGLAS COUNTY, OREGON, THE SERVICE AREA OF ITS SOLE MEMBER, MERCY MEDICAL CENTER. DOUGLAS COUNTY, OREGON IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). MERCY MEDICAL CENTER (MMC) IS THE APPLICANT'S SOLE CORPORATE MEMBER AND AN OREGON NON-PROFIT HOSPITAL EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED UNDER §501(C)(3) AND §170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE (IRC) PURSUANT TO THE GROUP RULING ISSUED TO THE UNITED STATES CATHOLIC CONFERENCE OF BISHOPS. FOUNDED IN 1909, MMC IS A 174-BED FACILITY WITH A LEVEL III TRAUMA DESIGNATION WITH AN ADULT AND ADOLESCENT INTENSIVE CARE. MMC OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MMC PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MMC SERVES ALL PERSONS IN DOUGLAS COUNTY, OREGON (POP. 107,000) ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILITY TO PAY. MMC HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. CMG IS EXEMPT FROM TAX AS AN IRC §501(C)(3) CHARITABLE ORGANIZATION WITH NON-PRIVATE FOUNDATION STATUS AS A PUBLICLY SUPPORTED ORGANIZATION PURSUANT TO IRC §509(A)(2). CMG IS A MULTI-SPECIALTY PHYSICIAN CLINIC SERVING THE RESIDENTS OF DOUGLAS COUNTY, OREGON. THE FORMATION OF CMG PROVIDES AN INTEGRATED PLATFORM FOR THE DELIVERY OF HEALTH CARE BY CMG'S EMPLOYED HOSPITALISTS, PRIMARY CARE PHYSICIANS AND SPECIALISTS. BECAUSE THE PHYSICIANS WILL BE INTEGRATED INTO ONE MULTI-SPECIALTY PRACTICE, IT IS ANTICIPATED THAT PHYSICIANS WILL BETTER COORDINATE TRAINING AND EDUCATION ACTIVITIES AMONG THE SPECIALTIES. FURTHER, AS A RESULT OF THE INTEGRATION, PATIENTS WILL BENEFIT FROM ACCESS TO A BROAD RANGE OF PRIMARY AND SPECIALTY PHYSICIANS CAPABLE OF PROVIDING WELL COORDINATED CARE. MMC WILL PROVIDE CMG WITH BACK OFFICE SUPPORT INCLUDING BUT NOT LIMITED TO ACCOUNTING, PROVIDER CONTRACTING, INVESTMENT SUPPORT, HUMAN RESOURCES, AND PRACTICE MANAGEMENT, AS WELL AS ACCESS TO PATIENT ELECTRONIC MEDICAL RECORDS. MMC'S SUPPORT WILL FREE CMG'S PHYSICIANS TO FOCUS ON WHAT THEY DO BEST - DELIVERY OF HIGH QUALITY PATIENT CARE. FURTHER, AS MENTIONED PREVIOUSLY, CMG IS LOCATED IN A DESIGNATED HEALTH CARE SHORTAGE AREA. MMC WORKS WITH A LOCAL TEAM OF COMMUNITY HEALTH REPRESENTATIVES TO ASCERTAIN THE NEED FOR OTHER PHYSICIAN SPECIALTIES IN THE COMMUNITY. THE TEAM'S MOST RECENTLY CONDUCTED NEEDS ASSESSMENT INDICATED A SHORTAGE OF PHYSICIANS IN DOUGLAS COUNTY FOR SPECIALTIES INCLUDING CARDIOLOGY, ORTHOPEDICS, GASTROENTEROLOGY, UROLOGY, RADIATION/ONCOLOGY, AND PSYCHIATRY. THE EXISTENCE OF CMG AS AN EFFICIENT, WELL-INTEGRATED PRIMARY AND SPECIALTY CLINIC IS EXPECTED TO HAVE A POSITIVE IMPACT ON MMC'S ABILITY TO RECRUIT ADDITIONAL SPECIALTY PHYSICIANS TO THE COMMUNITY. CMG MEETS THE FOLLOWING CRITERIA, QUALIFYING IT AS AN IRC SEC. 501(C)(3) HEALTH CARE ORGANIZATION. COMMUNITY BOARD - MMC'S BOARD OF DIRECTORS IS COMPRISED OF 25% PHYSICIANS, 65% COMMUNITY MEMBERS AND 10% MANAGEMENT. CMG HAS A THREE PERSON BOARD, ALL OF WHOM ARE APPOINTED BY THE CORPORATE MEMBER, AND NONE OF WHOM ARE PHYSICIANS. ACCORDINGLY, BECAUSE THE CMG MANAGEMENT MUST ACT UNDER THE DIRECTION OF THE MMC COMMUNITY BOARD, CMG IS ULTIMATELY CONTROLLED BY AN INDEPENDENT COMMUNITY BOARD. OPEN MEDICAL STAFF - CMG WAS FORMED TO CONSOLIDATE THE PATIENT CARE OF CMG'S SPECIALISTS IN THE AREAS OF UROLOGY, PATHOLOGY, CARDIOLOGY, SURGERY, HOSPITALIST, ORTHOPEDICS, PULMONOLOGY, AND GASTROENTEROLOGY. WHETHER MMC'S MEDICAL STAFF PRIVILEGES ARE OPEN FOR A PARTICULAR SPECIALTY HAS BEEN DETERMINED ON A SERVICE BY SERVICE BASIS. OF THE CMG SPECIALTY AREAS, ONLY THE HOSPITALISTS AND PATHOLOGISTS ARE CLOSED SPECIALTIES. HOSPITAL CARE - CMG PROVIDES CARE TO ALL PERSONS IN THE COMMUNITY WHO ARE ABLE TO PAY THE COST OF CARE EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT. FURTHER, CONSISTENT WITH THE POLICY OF MMC AND CMG, CMG ACCEPTS MEDICARE AND MEDICAID PATIENTS. EMERGENCY ROOM / CHARITY CARE AND OTHER COMMUNITY BENEFIT - THE PHYSICIAN-EMPLOYEES OF CMG PARTICIPATE IN THE OPERATION OF THE MMC EMERGENCY ROOM WHICH IS OPEN TO ALL REGARDLESS OF ABILITY TO PAY AND WITHOUT DISCRIMINATION. MMC'S EMERGENCY ROOM PROVIDES TREATMENT TO INDIVIDUALS IN NEED OF IMMEDIATE MEDICAL TREATMENT, WITH CONTINUING CARE PROVIDED BY MMC OR CMG, OR OTHER PROVIDERS AS APPROPRIATE. WHILE CMG DOES NOT ITSELF OPERATE AN EMERGENCY ROOM, CMG HAS ADOPTED A CHARITY CARE POLICY MODELED ON THE MMC CHARITY CARE AND DISCOUNT POLICY AND RENDERS CHARITY CARE TO PATIENTS OF MMC AND CMG IN A MANNER SIMILAR TO THE FINANCIAL ASSISTANCE LEVELS RENDERED BY THE HOSPITAL. ELIGIBILITY FOR CHARITY CARE DISCOUNTS IS DETERMINED BASED ON 130% OF THE ANNUALLY UPDATED HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES, AS WELL AS THE PATIENT/GUARANTOR'S AVAILABLE ASSETS, AND ANY EXTENUATING CIRCUMSTANCES. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, CMG PROVIDED $6,342,722 IN CHARITY CARE. IN ADDITION, CMG PARTICIPATES OR HAS PARTICIPATED IN MMC'S COMMUNITY EDUCATION ACTIVITIES BY PROVIDING EMPLOYED PHYSICIANS TO LECTURE TO THE PUBLIC, PROVIDE GUIDANCE REGARDING ADVANCE DIRECTIVES, AND PROVIDE PREVENTATIVE HEALTH SCREENINGS. APPLICATION OF SURPLUS - TO THE EXTENT THAT CMG'S ACTIVITIES RESULT IN A SURPLUS, ANY SUCH SURPLUS WILL BE REINVESTED INTO PROGRAMS THAT ENHANCE PATIENT CARE. FORM 990, PART V, LINE 2A, NUMBER OF EMPLOYEES REPORTED ON FORM W-3 CENTENNIAL MEDICAL GROUP (CMG) CONTRACTS PHYSICIANS FROM MERCY MEDICAL CENTER, INC. (MMC), A RELATED ORGANIZATION. THESE PHYSICIANS ARE CONTRACTUALLY EMPLOYED BY CMG, AND ARE REPORTED ON PART VII AS REQUIRED. HOWEVER, SINCE THESE EMPLOYEES ARE PAID BY MMC, CMG DID NOT REPORT ANY EMPLOYEES ON FORM W-3. ACCORDINGLY, THE ORGANIZATION HAS REPORTED ZERO ON FORM 990, PART V, LINE 2A AND FORM 990, PART VII, SECTION A, LINE 2. Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee PURSUANT TO SECTION 8.1 OF THE BYLAWS OF CENTENNIAL MEDICAL GROUP, INC., THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE VOTING DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE OTHER THAN THE NOMINATING ADVISORY COMMITTEE SHALL CONSIST OF AT LEAST TWO DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. THE PROVISIONS OF ARTICLE VI OF THESE BYLAWS WITH RESPECT TO REGULAR AND SPECIAL MEETINGS, QUORUM, MANNER OF ACTING, ACTION WITHOUT A MEETING, NOTICE, AND WAIVER OF NOTICE SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders ACCORDING TO THE BYLAWS OF CENTENNIAL MEDICAL GROUP, INC., THE ENTITY'S SOLE MEMBER IS MERCY MEDICAL CENTER, INC., AN OREGON NONPROFIT CORPORATION. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body PURSUANT TO SECTION 6.5 OF CENTENNIAL MEDICAL GROUP, INC.'S BYLAWS, DIRECTORS SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30TH OF EACH YEAR, AS NEEDED TO FILL ANY EXPIRED TERMS OR VACANCIES AMONG THE DIRECTORS. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS MERCY MEDICAL CENTER, INC. (MMC). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH MERCY MEDICAL CENTER AND CATHOLIC HEALTH INITIATIVES (CHI) (MERCY MEDICAL CENTER'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE MMC'S BOARD: *APPROVE MEMBERS OF THE CENTENNIAL MEDICAL GROUP BOARD *AMENDMENT OF THE CORPORATE DOCUMENTS OF CENTENNIAL MEDICAL GROUP *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CENTENNIAL MEDICAL GROUP *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CENTENNIAL MEDICAL GROUP. 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 CENTENNIAL MEDICAL GROUP *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CENTENNIAL MEDICAL GROUP *APPROVAL OF ISSUANCE OF DEBT BY CENTENNIAL MEDICAL GROUP *APPROVAL OF PARTICIPATION OF CENTENNIAL MEDICAL GROUP IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY CENTENNIAL MEDICAL GROUP *APPROVAL OF A MERGER INVOLVING CENTENNIAL MEDICAL GROUP *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CENTENNIAL MEDICAL GROUP *TO REQUIRE THE TRANSFER OF ASSETS BY CENTENNIAL MEDICAL GROUP TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, MMC OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE FINANCE DIRECTOR. SUBSEQUENT TO PROVIDING A COPY OF THE RETURN TO THE FINANCE DIRECTOR, 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 FINANCE DIRECTOR. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy EACH DIRECTOR 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 A DIRECTOR OR OFFICER 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 AND OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY STATEMENT AND DISCLOSURE STATEMENTS. THE DIRECTORS AND OFFICERS MUST PROMPTLY SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT, CEO, AND BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE 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, 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 OR OFFICERS AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST, OR WHETHER THE BOARD OF DIRECTORS' REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED PER 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 OR OFFICERS EITHER HAS A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR OFFICER 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 OR OFFICERS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTION 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 INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE DIRECTOR OR OFFICER IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. THE BOARD SHOULD CONSULT WITH THE GENERAL COUNSEL OF THE CORPORATION WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN CONFLICTS OF INTEREST ARE CONSIDERED BY THE BOARD, THE DIRECTOR OR OFFICER MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE DIRECTOR OR OFFICER SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH DIRECTOR OR OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER OR FROM ANSWERING PERTINENT QUESTIONS FROM THE BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE DIRECTOR OR OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND ANY VOTE ON THE CONFLICT OF INTEREST. EMPLOYEES OF CENTENNIAL MEDICAL GROUP, INC. (CMG) HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN PARAMETERS THAT PRECLUDE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. NO EMPLOYEE, REGARDLESS OF POSITION, WHO DERIVES INCOME OR INTEREST FROM A COMPANY DOING BUSINESS WITH CMG WILL BE PERMITTED TO BE AN EMPLOYEE, OFFICER, OR HOLD FINANCIAL INTEREST IN THE COMPANY WITHOUT FIRST SECURING THE PERMISSION OF THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, LINE 15A, PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE 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, LINE 15B, PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEE DURING THE TAX YEAR ENDED 6/30/14, NO OFFICERS, DIRECTORS, OR KEY EMPLOYEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS, OR KEY EMPLOYEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. Form 990, Part VI, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. FORM 990, PART VII, SECTION A, LINE 2, INDIV WITH MORE THAN $100K OF REPORTABLE COMP CENTENNIAL MEDICAL GROUP (CMG) CONTRACTS PHYSICIANS FROM MERCY MEDICAL CENTER, INC. (MMC), A RELATED ORGANIZATION. THESE PHYSICIANS ARE CONTRACTUALLY EMPLOYED BY CMG, AND ARE REPORTED ON PART VII AS REQUIRED. HOWEVER, SINCE THESE EMPLOYEES ARE PAID BY MMC, CMG DID NOT REPORT ANY EMPLOYEES ON FORM W-3. ACCORDINGLY, THE ORGANIZATION HAS REPORTED ZERO ON FORM 990, PART V, LINE 2A AND FORM 990, PART VII, SECTION A, LINE 2. Form 990, Part IX, Line 11g, Other Expenses LOCUM TENUM PHYSICIAN LABOR - TOTAL EXPENSE: 4478191, PROGRAM SERVICE EXPENSE: 4478191, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTION FEES - TOTAL EXPENSE: 663842, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 663842, FUNDRAISING EXPENSES: ; PHYSICIAN FEES - TOTAL EXPENSE: 3508091, PROGRAM SERVICE EXPENSE: 3508091, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PROFESSIONAL FEES - TOTAL EXPENSE: 2194315, PROGRAM SERVICE EXPENSE: 1939725, MANAGEMENT AND GENERAL EXPENSES: 254590, FUNDRAISING EXPENSES: ; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(C)(3) 11 - Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(C)(3) 9 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 9 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type III - FI CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST HOUSTON TX 77030 741161938 HEALTHCARE TX 501(C)(3) 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(C)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) 11 - Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 1 MERCY LANE STE 201 HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(C)(3) 3 CHISVHS true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(C)(2) N/A GSH 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 true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(C)(3) 11 - Type II CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(C)(3) 9 CHI true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(C)(3) 9 CHI true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(C)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(C)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(C)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(C)(3) 7 HMC true HEALTH SET 2420 W 26TH AVE STE 460D DENVER CO 80211 841102943 LOW INC CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(C)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH ST LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(C)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 539 S 4TH ST LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(C)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(C)(3) 11 - Type III - FI MHSET true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(C)(3) 9 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(C)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(C)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(C)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(C)(3) 11 - Type III - FI MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(C)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(C)(3) 11 - Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(C)(3) 11 - Type I AHMH-CORNING true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(C)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(C)(3) 9 CHI-IA CORP true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(C)(3) 11 - Type III - FI MHSET true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(C)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(C)(3) 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 841183335 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(C)(3) 11 - Type II CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON KY 40503 611334601 HEALTHCARE KY 501(C)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(C)(3) 11 - 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