Bellville Medical Center: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: Bellville Medical Center (EIN 27-4005511)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201533209349307323
Schema version: 2014v5.0
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-16T13:11:10-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1111 SUPERIOR AVE SUITE 1250	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	441142533	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	274005511	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLVILLE ST JOSEPH HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BELL	BusinessNameControlTxt
Phone	9794137400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 FRANCISCAN DRIVE	AddressLine1Txt
City	BRYAN	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77802	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL GOGGIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9794137400	PhoneNum
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEREMY S HERMAN	PreparerPersonNm
PTIN	P00745789	PTIN
Phone	2165231010	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES SCHUESSLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2801 FRANCISCAN DRIVE	AddressLine1Txt
City	BRYAN	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77802	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$18,320,177	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ST-JOSEPH.ORG/BELLVILLE	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	THE PRIMARY PURPOSE OF THE HOSPITAL IS TO SUPPORT ITS COMMUNITY IN PROVIDING FOR THE HEALTHCARE NEEDS OF ITS COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	33	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,828,250	PYContributionsGrantsAmt
CY Contributions Grants	$3,788,278	CYContributionsGrantsAmt
PY Program Service Revenue	$13,064,737	PYProgramServiceRevenueAmt
CY Program Service Revenue	$14,183,952	CYProgramServiceRevenueAmt
PY Investment Income	$3,148	PYInvestmentIncomeAmt
CY Investment Income	$8,308	CYInvestmentIncomeAmt
PY Other Revenue	$287,988	PYOtherRevenueAmt
CY Other Revenue	$339,639	CYOtherRevenueAmt
PY Total Revenue	$15,184,123	PYTotalRevenueAmt
CY Total Revenue	$18,320,177	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,566,726	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,480,540	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,066,436	PYOtherExpensesAmt
CY Other Expenses	$8,381,372	CYOtherExpensesAmt
PY Total Expenses	$12,633,162	PYTotalExpensesAmt
CY Total Expenses	$13,861,912	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,550,961	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,458,265	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,921,223	TotalAssetsBOYAmt
Total Assets EOY	$11,509,436	TotalAssetsEOYAmt
Total Liabilities BOY	$3,836,597	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,171,771	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,084,626	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,337,665	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE PRIMARY PURPOSE OF THE HOSPITAL IS TO SUPPORT ITS COMMUNITY IN PROVIDING FOR THE HEALTHCARE NEEDS OF ITS COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$2,280,913	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,791,784	RevenueAmt
Desc	EMERGENCY SERVICES: PROVIDED EMERGENCY CARE TO 4,534 PATIENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,477,769	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,808,755	RevenueAmt
Desc	DIAGNOSTIC SERVICES: PROVIDED IMAGING SERVICES TO 3,141 PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,411,479	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,727,617	RevenueAmt
Desc	LABORATORY SERVICES: PROVIDED 6,856 LABORATORY SERVICES TO PATIENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$6,499,701	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,955,481	RevenueAmt
Desc	PROVIDED MEDICAL/SURGICAL, OPERATING ROOM, PHARMACY SERVICES, SERVICES AT MEDICAL CLINIC OF BELLVILLE, CARDIOVASCULAR SERVICES, AND THERAPY SERVICES TO PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$6,499,701	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$7,955,481	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$11,669,862	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	30	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARK RIGGINS	PersonNm
Phone	9794137400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44 N CUMMINGS STREET	AddressLine1Txt
City	BELLVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77418	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 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	Key EmployeeKeyEmployeeInd
JOHN S GRUBE
CHAIR	1.00	7.00	Yes (X)	Yes (X)	$0	$0	$0
STEVE LACKEY
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE ALDREDGE
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SR LOIS ANNE PALKERT OSF
MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
ODETTE BOLANO
PRES/CEO, EX-OFFICIO TRUSTEE, PART YR	1.00	48.00	Yes (X)	Yes (X)	$0	$457,998	$0
JAMES P SCHUESSLER
INTERIM PRES/CEO, EX-OFFICIO TRUSTEE STARTING 9/9/	1.00	48.00	Yes (X)	Yes (X)	$0	$106,000	$0
KATHLEEN KRUSIE
COO	1.00	48.00	Yes (X)	Yes (X)	$0	$380,185	$28,372
JEFFERY BARNHART
ADMINISTRATOR THRU 02/14	40.00	0.00	Yes (X)	Yes (X)	$0	$28,745	$577
MICHAEL ZILM
ADMINISTRATOR THRU 05/14	40.00	0.00	Yes (X)	Yes (X)	$0	$77,785	$0
MARK RIGGINS
ADMINISTRATOR STARTING 05/14	40.00	0.00	Yes (X)	Yes (X)	$0	$136,325	$22,366
DANIEL GOGGIN
CFO	1.00	48.00		Yes (X)	$0	$373,307	$28,371
HERMAN BLANTON
CHIEF MEDICAL OFFICER	1.00	48.00			$0	$186,685	$11,721	Yes (X)
MICHAEL RUSSO
VP/INFORMATION SERVICES	1.00	48.00			$0	$250,010	$28,109	Yes (X)
MICHAEL COSTA
VP/HUMAN RESOURCES	1.00	48.00			$0	$244,613	$27,503	Yes (X)
STEVE CRICHTON
VP/SUPPORT SERVICES	1.00	48.00			$0	$200,310	$19,140	Yes (X)
DONOVAN FRENCH
VP STRATEGY & SERVICE LINES	1.00	48.00			$0	$176,646	$15,552	Yes (X)
RICARDO DIAZ
VP/CLINICAL SUPPORT	1.00	48.00			$0	$230,876	$22,008	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,849,485	TotReportableCompRltdOrgAmt
Total Other Compensation	$203,719	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BRAZOS VALLEY EMERGENCY PHYSICIANS PA
6300 LA CALMA DR STE 200	AUSTIN	TX	78752	PHYSICIAN SERVICES	$372,274
CONCORD MEDICAL GROUP
PO BOX 489	MULESHOE	TX	79347	PHYSICIAN SERVICES	$319,938
DMS IMAGING INC
415 LOCKHAVEN DRIVE	HOUSTON	TX	77073	MRI SERVICES	$105,480

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,784,421	RelatedOrganizationsAmt
All Other Contributions	$3,857	AllOtherContributionsAmt
Total Contributions	$3,788,278	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	622110	$13,442,152	$13,442,152
ELECTRONIC MEDICAL RECORDS	622110	$741,800	$741,800

Field	Value	IRS element (for citing)
Total Program Service Revenue	$14,183,952	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,308	TotalRevenueColumnAmt
Exclusion	$8,308	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$228,236	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$228,236	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$228,236	TotalRevenueColumnAmt
Exclusion	$228,236	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRAUMA ADD-ON REVENUE	621110	$35,807	$35,807
LAB FEE REVENUE	621500	$30,851	$30,851
OTHER RELATED REVENUE	900099	$19,584	$19,584

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,161	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,443	RelatedOrExemptFuncIncomeAmt
Exclusion	$11,718	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$111,403	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,320,177	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,283,637	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$248,262	ExclusionAmt

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,384,903	TotalAmt
Program Services	$3,806,137	ProgramServicesAmt
Management And General	$578,766	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$126,259	TotalAmt
Program Services	$109,594	ProgramServicesAmt
Management And General	$16,665	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$648,507	TotalAmt
Program Services	$562,910	ProgramServicesAmt
Management And General	$85,597	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$320,871	TotalAmt
Program Services	$278,519	ProgramServicesAmt
Management And General	$42,352	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$375,257	TotalAmt
Management And General	$375,257	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$40,878	TotalAmt
Management And General	$40,878	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,519	TotalAmt
Management And General	$2,519	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,442,905	TotalAmt
Program Services	$1,186,399	ProgramServicesAmt
Management And General	$256,506	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$42,700	TotalAmt
Program Services	$1,806	ProgramServicesAmt
Management And General	$40,894	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$604,844	TotalAmt
Program Services	$519,410	ProgramServicesAmt
Management And General	$85,434	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,802	TotalAmt
Program Services	$12,802	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,416,982	TotalAmt
Program Services	$2,023,314	ProgramServicesAmt
Management And General	$393,668	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$65,514	TotalAmt
Program Services	$39,870	ProgramServicesAmt
Management And General	$25,644	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$525	TotalAmt
Program Services	$525	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,376	TotalAmt
Management And General	$16,376	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$576,472	TotalAmt
Program Services	$486,672	ProgramServicesAmt
Management And General	$89,800	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$110,875	TotalAmt
Management And General	$110,875	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVISION FOR BAD DEBTS	$1,755,835	$1,755,835
MED SUPPLIES & DRUGS	$848,604	$847,378	$1,226
LICENSE & FEES	$32,258	$24,985	$7,273
DUES AND SUBSCRIPTIONS	$19,185	$5,925	$13,260

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,841	TotalAmt
Program Services	$7,781	ProgramServicesAmt
Management And General	$9,060	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,861,912	TotalAmt
Program Services	$11,669,862	ProgramServicesAmt
Management And General	$2,192,050	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$93,431	BOYAmt
EOY	$796,162	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,148,033	BOYAmt
EOY	$6,407,824	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$277,957	BOYAmt
EOY	$244,115	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$55,818	BOYAmt
EOY	$47,846	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,300,857	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$103,396	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,147,306	BOYAmt
EOY	$2,197,461	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$100	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$209,082	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$198,578	BOYAmt
EOY	$1,606,946	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,921,223	BOYAmt
EOY	$11,509,436	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$612,155	BOYAmt
EOY	$558,710	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$1,300,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,800,000	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,424,442	BOYAmt
EOY	$1,313,061	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,836,597	BOYAmt
EOY	$3,171,771	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,084,526	BOYAmt
EOY	$6,937,521	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100	BOYAmt
EOY	$1,400,144	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,084,626	BOYAmt
EOY	$8,337,665	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,921,223	BOYAmt
EOY	$11,509,436	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,458,265	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$1,794,774	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,519	OtherActivitiesAmt
Total Lobbying Expenditures	$2,519	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, TEXAS HOSPITAL ASSOCIATION, AND TEXAS ORGANIZATION OF RURAL & COMMUNITY HOSPITALS, OF WHICH A PORTION OF THOSE DUES WERE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,988	OtherCostOrOtherBasisAmt
Book Value	$2,988	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$221,478	OtherCostOrOtherBasisAmt
Book Value	$221,478	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,880,810	OtherCostOrOtherBasisAmt
Depreciation	$103,396	DepreciationAmt
Book Value	$1,777,414	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$195,581	OtherCostOrOtherBasisAmt
Book Value	$195,581	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,197,461	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES- SHORT TERM	$41,353
DUE FROM AFFILIATES- LONG TERM	$165,449
INTEREST IN ASSETS OF THE FOUNDATION	$1,400,144

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,606,946	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PAYABLE TO HEALTH INS. PROGRAMS	$222,293
DUE TO AFFILIATES	$165,449
PAYABLE TO RELATED PARTY	$925,319

Field	Value	IRS element (for citing)
Total Liability	$1,313,061	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE SYSTEM, THE HOSPITAL, THE FOUNDATION, SJM, BURLESON, BSJM, MADISON, BELLVILLE, SHP, ACO, AND SJPA ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ALLIANCE IS A FOR-PROFIT CORPORATION INCORPORATED UNDER THE TEXAS BUSINESS CORPORATION ACT. FEDERAL INCOME TAX RETURNS ARE FILED ON A SEPARATE-ENTITY BASIS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AT DECEMBER 31, 2014 OR 2013.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$195,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$121,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$195,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$121,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,755,835	BadDebtExpenseAmt
Bad Debt Expense Attributable	$175,584	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,050,826	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,712,830	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,662,004	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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	BELLVILLE ST JOSEPH HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44 NORTH CUMMINGS	AddressLine1Txt
City	BELLVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77418	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ST-JOSEPH.ORG/BELLVILLE	WebsiteAddressTxt
State License	100120	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLVILLE GENERAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.ST-JOSEPH.ORG/WORKFILES/EXECUTIVEREPORT_AUSTINCOUNTY_FINAL.PDF	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.ST-JOSEPH.ORG/WORKFILES/2013BELLVILLESJCBREPORT.PDF	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BELLVILLE GENERAL HOSPITAL	PART V, SECTION B, LINE 5: THE ASSESSMENT COVERED AUSTIN COUNTY. RESIDENTS OF THESE COUNTIES PARTICIPATED IN INTERVIEWS, HOUSEHOLD SURVEYS, AND COMMUNITY DISCUSSION GROUPS (CDG'S). A SECONDARY DATA ANALYSIS AND COMPILATION WAS ALSO COMPLETED BY THE CENTER FOR COMMUNITY HEALTH DEVELOPMENT. THE FULL CHNA CAN BE FOUND AT HTTP://WWW.ST-JOSEPH.ORG/WORKFILES/EXECUTIVEREPORT_AUSTINCOUNTY_FINAL.PDF.
BELLVILLE GENERAL HOSPITAL	PART V, SECTION B, LINE 11: ACCESS TO AVAILABLE HEALTH RESOURCES/OTHER COMMUNITY RESOURCES/LACK OF TRANSPORTATION/INCREASING RATES OF REPORTED CHRONIC DISEASE. BELLVILLE ST. JOSEPH IS ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS FOR THEIR SERVICE AREA: ESTABLISHING A HEALTH RESOURCE CENTER IN AUSTIN COUNTY THROUGH COLLABORATION WITH LOCAL BUSINESSES, CHURCHES, CIVIC GROUPS, AND OTHER ORGANIZATIONS. WILL OFFER HEALTH AND WELLNESS RESOURCES, HEALTH CARE MARKETPLACE OPTIONS FOR INSURANCE ENROLLMENT (TARGETING THE UNINSURED), JOB ASSISTANCE, TRANSPORTATION, AND EDUCATION ON A VARIETY OF HEALTH AND COMMUNITY TOPICS. ONGOING SIGNIFICANT ISSUES BEING ADDRESSED: HOST CHRONIC DISEASE MANAGEMENT EDUCATIONAL PROGRAMS FOR AREA RESIDENTS; OFFER PREVENTIVE AND SPECIALTY HEALTH SCREENINGS TO LOW-INCOME, UNINSURED, AND MEDICALLY UNDERSERVED RESIDENTS; OFFERING COMMUNITY INJURY PREVENTION PROGRAMS; PARTICIPATE IN COMMUNITY HEALTH FAIRS IN COLLABORATION WITH OTHER COMMUNITY STAKEHOLDERS; PROVIDE FREE MAMMOGRAMS AND EDUCATION TO UNINSURED/UNDERINSURED WOMEN IN AUSTIN COUNTY.A FULL COPY OF THE IMPLEMENTATION PLAN CAN BE LOCATED AT HTTP://WWW.ST-JOSEPH.ORG/WORKFILES/2013BELLVILLESJCBREPORT.PDF.
BELLVILLE GENERAL HOSPITAL	PART V, SECTION B, LINE 13H: A FINANCIALLY INDIGENT PATIENT IS A PERSON WHO IS UNINSURED OR UNDERINSURED AND IS ACCEPTED FOR CARE WITH NO OBLIGATION OR A DISCOUNTED OBLIGATION TO PAY FOR SERVICES RENDERED BASED ON THE HOSPITAL'S ELIGIBILITY CRITERIA. TO BE ELIGIBLE FOR CHARITY CARE AS A FINANCIALLY INDIGENT PATIENT, A PERSON'S GROSS ANNUAL INCOME SHALL BE AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES AND HAVE NO ALTERNATIVE RESOURCES AVAILABLE. THE HOSPITAL MAY CONSIDER OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ELIGIBILITY.A MEDICALLY INDIGENT PATIENT IS A PERSON WHO'S MEDICAL OR HOSPITAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYORS EXCEED A SPECIFIC PERCENTAGE OF THE PERSON'S ANNUAL GROSS INCOME AND WHO IS UNABLE TO PAY THE REMAINING BILL. THE HOSPITAL MAY CONSIDER OTHER ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ABILITY TO PAY. TO BE ELIGIBLE FOR CHARITY CARE AS A MEDICALLY INDIGENT PATIENT, THE PATIENT'S GROSS ANNUAL INCOME MUST BE GREATER THAN 200 PERCENT BUT LESS THAN OR EQUAL TO 500 PERCENT OF THE FEDERAL POVERTY LEVEL AND THE AMOUNT OWED BY THE PATIENT ON THE HOSPITAL BILL AFTER PAYMENT BY THIRD PARTY PAYERS MUST EXCEED 10 PERCENT OF THE PATIENT'S GROSS ANNUAL INCOME. IN THESE INSTANCES, THE HOSPITAL MAY DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE GRANTED TO THESE PATIENTS AS SET FORTH IN THE HOSPITAL'S FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES. TO QUALIFY AS CATASTROPHIC MEDICAL INDIGENCE, THE PATIENT'S REMAINING BILL MUST BE NO GREATER THAN 50 PERCENT OF THE PATIENT'S GROSS ANNUAL INCOME AND THE PATIENT'S INCOME MUST BE GREATER THAN 500 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN THESE INSTANCES, THE HOSPITAL MAY DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE GRANTED TO THESE PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE ELIGIBILITY DISCOUNT GUIDELINES. A DETERMINATION OF A PATIENT'S ABILITY TO PAY THE REMAINDER OF THE BILL WILL BE BASED ON WHETHER THE PATIENT CAN REASONABLY BE EXPECTED TO PAY THE ACCOUNT IN FULL OVER A TWO-YEAR PERIOD. IF A DETERMINATION IS MADE THAT A PATIENT HAS THE ABILITY TO PAY THE REMAINDER OF THE BILL, SUCH A DETERMINATION DOES NOT PREVENT A RE-ASSESSMENT OF THE PATIENT'S ABILITY TO PAY AT A LATER DATE.THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION OFFERING A CHARITY CARE PROGRAM. THE HOSPITAL WILL NOT DISCRIMINATE ON THE BASIS OF RACE, ANCESTRY, RELGION, NATIONAL ORIGIN, CITIZENSHIP STATUS, AGE, DISABILITY, OR GENDER IN ITS CONSIDERATION OF A PATIENT'S QUALIFICATION FOR CHARITY CARE. THE CLASSIFICATION OF A PATIENT AS BEING ELIGIBLE FOR CHARITY CARE SHALL OCCUR AT THE TIME SUFFICIENT INFORMATION HAS BEEN OBTAINED TO VERIFY THE PATIENT'S INABILITY TO PAY FOR NEEDED MEDICAL SERVICES, AND AS SOON AS POSSIBLE AFTER THE PATIENT FIRST PRESENTS FOR SERVICES OR INDICATES AN INABILITY TO PAY FOR SERVICES. THIS PATIENT'S IDENTIFICATION PROCESS INCLUDES PATIENTS WITH THIRD-PARTY COVERAGE (I.E., INSURANCE, MEDICARE, ETC.) WHERE THE PATIENT HAS A RESPONSIBILITY FOR PAYMENT AND HAS AN INABILITY TO PAY THE HOSPITAL. PERSONNEL SHALL ATTEMPT TO IDENTIFY ALL CASES THAT QUALIFY AS CHARITY PATIENTS AT THE TIME OF PRE-REGISTRATION OR ADMISSION. PATIENTS IDENTIFIED AS POSSIBLE CHARITY CARE PATIENTS WILL BE GIVEN AN APPLICATION AND POLICY GUIDELINES, TOGETHER WITH DIRECTIONS ON COMPLETING THE PAPERWORK AND ANY ADDITIONAL DOCUMENTATION NEEDED TD CONSIDER THE APPLICATION. THE PATIENT WILL ALSO BE GIVEN CONTACT INFORMATION FOR THE APPROPRIATE PERSONNEL TO WHOM THEY SHOULD RETURN THE APPLICATION. APPLICANTS MUST FULLY COOPERATE AND COMPLY WITH ELIGIBILITY REQUIREMENTS FOR ANY OTHER HEALTHCARE PROGRAM(S) FOR WHICH THEY MAY BE QUALIFIED PRIOR TO THEIR EVALUATION FOR CHARITY CARE. FEDERAL AND/OR STATE ASSISTANCE MAY BE AVAILABLE TO THOSE WHO MEET QUALIFICATIONS BEFORE CHARITY CARE IS CONSIDERED, ALL AVAILABLE AVENUES OF ASSISTANCE FROM THIRD-PARTY PAYORS MUST BE EXHAUSTED. ALL SERVICES MUST BE MEDICALLY NECESSARY IN ORDER TO QUALIFY FOR A CHARITY CARE DISCOUNT (E.G., ELECTIVE PROCEDURES SUCH AS COSMETIC SURGERY DO NOT QUALIFY FOR A CHARITY DESIGNATION). ELIGIBLE SERVICES WILL BE BASED ON THOSE SERVICES FOR WHICH MEDICARE PROVIDES COVERAGE. PATIENTS OR THE RESPONSIBLE PARTY MUST VERIFY THE INCOME REPORTED ON THE FINANCIAL ASSISTANCE APPLICATION IN ACCORDANCE WITH THE DOCUMENTATION REQUIREMENTS SET FORTH BELOW. IN ORDER TO BE CONSIDERED FOR CHARITY CARE, CREDIT REPORT AND INCOME INFORMATION MAY BE OBTAINED REGARDING THE PATIENT. THE HOSPITAL MAY OBTAIN A CREDIT REPORT ON PATIENTS TO CONFIRM THE INCOME DOCUMENTATION PATIENT PROVIDES ELIGIBILITY. DOCUMENTATION MUST BE MAINTAINED IN THE PATIENT'S FINANCIAL FILE. IN ADDITION TO THE CREDIT REPORT, THE HOSPITAL MAY OBTAIN, FOR EACH PATIENT, ONE OR MORE OF THE FOLLOWING DOCUMENTS IN ORDER TO DETERMINE INCOME AND ASSETS OF THE PATIENT: 1. IRS FORM W-2, 2. WAGE AND EARNINGS STATEMENT, 3. PAYCHECK REMITTANCE, 4. INDIVIDUAL TAX RETURNS, 5. UNEMPLOYMENT INSURANCE, 6. SOCIAL SECURITY AWARD LETTER, OR CO PAY OF SOCIAL SECURITY CHECK, 7. TELEPHONE VERIFICATION BY EMPLOYER OF THE PATIENTS INCOME, 8. VETERAN'S ADMINISTRATION LETTER, OR COPY OF VA CHECK, 9. PHYSICIAN DISABILITY STATEMENT LISTING TERM OF DISABILITY AND DOCUMENTATION OR PROOF OF THREE OR MORE MONTHS WITH NO INCOME FOR THE PERIOD OF DISABILITY, 10. BANK ACCOUNTS AND RECORDS, OR 11. OTHER APPROPRIATE INDICATORS OF YEARLY, MONTHLY, WEEKLY, OR HOURLY INCOME BY THE PROVISION OF DOCUMENTATION SHOWING CURRENT PARTICIPATION IN A PUBLIC BENEFIT PROGRAM SUCH AS WORKER'S COMPENSATION, MEDICAID, COUNTY INDIGENT HEALTH PROGRAM, TANF, WIC, TEXAS HEALTHY KIDS, CHILDREN'S HEALTH INSURANCE PROGRAM, UNEMPLOYMENT COMPENSATION DETERMINATION LETTER, UNEMPLOYMENT INSURANCE, OR OTHER SIMILAR INDIGENCY-RELATED PROGRAMS. PROOF OF PARTICIPATION IN ANY OF THE ABOVE PROGRAMS INDICATES THAT THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE, IS NOT REQUIRED TO PROVIDE HIS OR HER "GROSS MONTHLY INCOME" OF THE FINANCIAL ASSISTANCE APPLICATION, OR PROVIDE ANY OF THE INCOME DOCUMENTATION VERIFICATION LISTED ABOVE. THE HOSPITAL MAY ALSO USE THIRD-PARTY VERIFICATION OF A PATIENT'S PARTICIPATION IN A PUBLIC BENEFIT PROGRAM IF THE CHARITY CARE APPLICANT IS UNABLE TD PROVIDE THAT DOCUMENTATION.
BELLVILLE GENERAL HOSPITAL	PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT THAT WILL BE CHARGED TO A PATIENT WHO HAS BEEN DEEMED ELIGIBLE FOR ST. JOSEPH'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON THEIR INCOME LEVEL. FOR PATIENTS WHOSE INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL HAVE NO FINANCIAL OBLIGATION FOR THE SERVICES RECEIVED. FOR PATIENTS WHOSE INCOME IS GREATER THAN OR EQUAL TO 200% OF FPG BUT LESS THAN 250% OF FPG, THEIR OBLIGATION WILL BE 10% OF BILLED CHARGES, NOT TO EXCEED 20% OF THE PATIENT'S ANNUAL FAMILY INCOME. 10% OF BILLED CHARGES HAS BEEN DETERMINED TO BE WELL BELOW THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES. FOR PATIENTS WHO QUALIFY FOR CATASTROPHIC FINANCIAL ASSISTANCE, THEIR OBLIGATION WILL BE 20% OF BILLED CHARGES, NOT TO EXCEED 20% OF THE PATIENT'S ANNUAL FAMILY INCOME. 20% OF BILLED CHARGES HAS BEEN DETERMINED TO BE WELL BELOW THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
BELLVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	HTTP://WWW.ST-JOSEPH.ORG/FINANCIALASSISTANCEPOLICY
BELLVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.ST-JOSEPH.ORG/FINANCIALASSISTANCEPOLICY

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	MEDICAL CLINIC OF BELLVILLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	235 W PALM SUITE 108	AddressLine1Txt
City	BELLVILLE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77418	ZIPCd

Field	Value	IRS element (for citing)
Facility	RURAL HEALTH CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	ST. JOSEPH REGIONAL HEALTH CENTER - EIN 74-1282696
PART I, LINE 7:	A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) PROGRAM. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. COST ACCOUNTING DATA AND GENERAL LEDGER AMOUNTS, LESS BAD DEBT AND COST OF CHARITY CARE, WERE USED TO COMPLETE THE OTHER MEANS TESTED GOVERNMENT PROGRAMS (LINE 7B & LINE 7C) LINES.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24A - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,755,835.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 3:	THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE IS ESTIMATED TO BE 10% OF TOTAL BAD DEBT EXPENSE THAT WOULD HAVE QUALIFIED FOR CHARITY CARE HAD APPLICATIONS BEEN COMPLETED.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:PATIENT RECEIVABLES CONSIST OF AMOUNTS DUE FROM THIRD-PARTY PAYORS, INCLUDING FEDERAL AND STATE INDEMNITY AND MANAGED CARE PROGRAMS, MANAGED CARE HEALTH PLANS AND COMMERCIAL INSURANCE COMPANIES, AND INDIVIDUAL PATIENTS FOR HEALTH CARE SERVICES RENDERED. THE SYSTEM DOES NOTREQUIRE COLLATERAL OR OTHER SECURITY ON ITS PATIENT RECEIVABLES. PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON SPECIFIC ACCOUNTS, HISTORICAL WRITE-OFF EXPERIENCE, AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW THEN ARE USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS IN ORDER TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNT ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT - WHICH IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT THE HOSPITAL TREATS PATIENTS REGARDLESS OF THE REIMBURSEMENT BY MEDICARE.
PART III, LINE 9B:	IN ACCORDANCE WITH ST JOSEPH HEALTH SYSTEM POLICY #17: ST JOSEPH HEALTH SYSTEM HAS ESTABLISHED THE FOLLOWING PAYMENT OPTIONS TO ASSIST GUARANTORS OF PATIENT ACCOUNTS IN DISCHARGING THEIR FINANCIAL REPONSIBILITIES TO THE HOSPITAL. A COMPLETED FINANCIAL ASSISTANCE (UNCOMPENSATED SERVICES) APPLICATION ACCOMPANIED BY THE REQUIRED DOCUMENTATION WHICH ESTABLISHED THE QUALIFICATIONS FOR A FINANCIAL ASSISTANCE (CHARITY) DISCOUNT AT OR PRIOR TO THE DELIVERY OF HEALTH CARE SERVICES IF THE SERVICES ARE SCHEDULED. IF UNSCHEDULED SERVICES ARE PROVIDED, THE FINANCIAL ASSISTANCE APPLICATION AND DOCUMENTATION MUST BE COMPLETED AND PROVIDED TO A ST JOSEPH HEALTH SYSTEM TEAM MEMBER AT THE DATE DETERMINED BY THE ST JOSEPH HEALTH SYSTEM TEAM MEMBER. FINANCIAL ASSISTANCE COLLECTION PROCESS - UNTIL FINANCIAL ASSISTANCE APPLICATION (CHARITY CARE/UNCOMPENSATED CARE) HAS BEEN DETERMINED EITHER BY A COMPLETED AND APPROVED FINANCIAL ASSISTANCE APPLICATION OR BY THE PATIENT/RESPONSIBLE PARTY'S RESIDENCE BEING IN AN IMPOVERISHED ZIP CODE WHICH QUALIFIES FOR FINANCIAL ASSISTANCE PER THE SYSTEM FINANCIAL ASSISTANCE POLICY (SJHS #70), THE STANDARD COLLECTION PROCESS REQUIRING PAYMENT FOR THE ACCOUNT WILL BE ENFORCED. LASTLY, A PATIENT MAY QUALIFY AS UN UNINSURED PATIENT AND RECEIVE A DISCOUNT FROM BILLED CHARGES IF THEY ARE NOT CURRENTLY RECEIVING ASSISTANCE UNDER ST JOSEPH HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND EITHER THE PATIENT MUST NOT HAVE ANY HEALTH INSURANCE COVERAGE OR THE PROCEDURE TO THE PATIENT MUST NOT BE COVERED BY THE HEALTH INSURANCE BENEFITS, AS CONFIRMED BY THE HEALTH BENEFITS PLAN.
PART VI, LINE 2:	IN AUSTIN COUNTY, THE TEXAS AGRICULTURAL EXTENSION SERVICE CONDUCTED A COUNTY-WIDE NEEDS ASSESSMENT IN 2011. PRIORITY ISSUES IDENTIFIED IN THAT NEEDS ASSESSMENT INCLUDED FALL SAFETY FOR ELDERLY ADULTS, POSITIVE PARENTING, OVERWEIGHT/OBESITY, AND DOMESTIC VIOLENCE. THE BELLVILLE HOSPITAL DISTRICT IS PART OF THE REGIONAL HEALTHCARE PARTNERSHIP PLAN, REGION #3, WHICH INCLUDES AUSTIN COUNTY AND THE GREATER HARRIS COUNTY AREA. IN 2014, A COMMUNITY NEEDS ASSESSMENT FOR BELLVILLE AND AUSTIN COUNTY WILL BE COMPLETED AND USED FOR CREATING A NEW COMMUNITY BENEFIT PLAN AND GOALS FOR BELLVILLE ST. JOSEPH HEALTH CENTER.
PART VI, LINE 3:	INFORMATION CONCERNING FINANCIAL ASSISTANCE FOR PATIENTS IS COMMUNICATED VIA CONSENT FOR ADMISSION AND REGISTRATION COMPLETION, SIGNAGE POSTED IN EMERGENCY ROOMS AND OTHER CONSPICUOUS PATIENT TRAFFIC AREAS, FIANCIAL COUNSELORS, PATIENT COMMUNICATIONS, PATIENT BILLS AND ST JOSEPH HEALTH SYSTEM WEBSITE.
PART VI, LINE 4:	BELLVILLE ST. JOSEPH HEALTH CENTER SERVES BELLVILLE AND THE SURROUNDING COMMUNITIES IN AUSTIN COUNTY WHICH COVERS 656 SQUARE MILES OF WHICH 647 SQUARE MILES IS LAND AND 10 SQUARE MILES IS WATER. AUSTIN COUNTY WAS FOUNDED IN 1837 AND WAS NAMED FOR STEPHEN F. AUSTIN WHO IS KNOWN AS THE FATHER OF TEXAS. AUSTIN COUNTY IS ABOUT AN HOUR NORTHWEST OF THE HOUSTON METROPOLITAN AREA. IT IS SURROUNDED BY WASHINGTON COUNTY (NORTH), WALLER COUNTY (EAST), FORT BEND COUNTY (SOUTHEAST), WHARTON COUNTY (SOUTH), COLORADO COUNTY (WEST), AND FAYETTE COUNTY (NORTHWEST). AUSTIN COUNTY IS INCLUDED IN THE HOUSTON-THE WOODLANDS-SUGARLAND TEXAS METROPOLITAN AREA. BELLVILLE IS THE COUNTY SEAT. ACCORDING TO THE 2013 CENSUS ESTIMATES, THE POPULATION OF AUSTIN COUNTY IS 28,847 WITH 63.8% WHITE/CAUCASIAN, 9.6% BLACK/AFRICAN AMERICAN, 25.5% HISPANIC/LATINO, AND 1.1% OTHER. THE AGE DISTRIBUTION OF AUSTIN COUNTY IS 30.6% AGE 0-18, 52.1% AGE 19-64, AND 17.3% AGE 65 AND ABOVE. THE MEDIAN HOUSEHOLD INCOME FOR THE PERIOD 2008-2012 WAS $51,340. THE PERCENTAGE OF PERSONS BELOW POVERTY LEVEL, FOR THE PERIOD OF 2008-2012 WAS 9.1%. THE PERCENTAGE OF PERSONS AGE 25+, FOR THE PERIOD OF 2008-2012, WHO WERE HIGH SCHOOL GRADUATES OR HIGHER WAS 83.5%. THE PERCENTAGE OF PERSONS AGE 25+, FOR THE PERIOD OF 2008-2012, HAVING A BACHELORS DEGREE OR HIGHER WAS 18.6%. IN 2013 THERE WERE 12,907 HOUSING UNITS IN AUSTIN COUNTY. FOR THE PERIOD 2008-2012, THE HOMEOWNERSHIP RATE WAS 76.2%. THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS FOR THE PERIOD OF 2008-2012 WAS $153,000. THE PERCENTAGE OF MULTI-UNIT HOUSING STRUCTURES DURING THE PERIOD OF 2008-2012 WAS 7.8%.
PART VI, LINE 5:	BELLVILLE ST. JOSEPH HEALTH CENTER IS AN ACUTE CARE FACILITY LOCATED IN BELLVILLE WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. PRIMARY CARE SERVICES ARE OFFERED TO AUSTIN COUNTY RESIDENTS THROUGH TWO CLINICS; THE MEDICAL CLINIC OF BELLVILLE, WHICH IS A DESIGNATED RURAL HEALTH CLINIC, AND BELLVILLE ST. JOSEPH INTERNAL MEDICINE CLINIC. EACH YEAR THE HOSPITAL PARTNERS WITH THE CITY OF BELLVILLE POLICE DEPARTMENT, THE VOLUNTEER FIRE DEPARTMENT, AND AUSTIN COUNTY EMS TO PROVIDE A DRUG AND SAFETY EDUCATION PROGRAM AT THE PRIMARY SCHOOL LEVEL. IN MAY 2013 OVER 350 CHILDREN FROM THE AUSTIN COUNTY AREA PARTICIPATED IN THE 6TH ANNUAL YOUTH AND SAFETY DAY. THIS EVENT IS A COLLABORATIVE EFFORT BETWEEN THE TEXAS A & M AGRILIFE EXTENSION SERVICES, THE DEPARTMENT OF STATE HEALTH SERVICES, COLORADO-AUSTIN-WALLER CHILD FATALITY REVIEW TEAM, AND BELLVILLE ST. JOSEPH HEALTH CENTER WHICH ALLOWS STUDENTS TO PARTICIPATE IN A VARIETY OF INTERACTIVE SAFETY EDUCATION PRESENTATIONS INCLUDING WATER SAFETY, SNAKE AWARENESS, FIREARM SAFETY, ELECTRICITY SAFETY, AND PASSENGER SAFETY. IN OCTOBER 2013 THE HOSPITAL WAS SELECTED AS ONE OF FIVE HOSPITALS ACROSS THE STATE OF TEXAS TO IMPLEMENT THE PILOT PROGRAM JUST DRIVE THAT FOCUSES ON DISTRACTED DRIVING HABITS AND STRESSES THE CONSEQUENCES OF TEXTING AND TELEPHONING WHILE DRIVING. THE PROGRAM WAS COORDINATED BY THE TEXAS EMS TRAUMA & ACUTE CARE FOUNDATION IN CONJUNCTION WITH THE COLLEGE OF MEDIA AND COMMUNICATIONS AT TEXAS TECH UNIVERSITY AND RUNS THROUGHOUT THE SCHOOL YEAR. IN 2013 BELLVILLE ST. JOSEPH HEALTH CENTER TEAM MEMBERS BEGAN WORKING ON STROKE CERTIFICATION FOR THE FACILITY AS PART OF THEIR COMMITMENT TO IMPROVE STROKE CARE IN THE COMMUNITY. EDUCATION PROGRAMS ARE ALSO A CONTINUING PART OF STROKE PREVENTION EDUCATION FOR ALL COMMUNITY RESIDENTS. THE HOSPITAL HAS A PATIENT EDUCATION PROCESS FOR ALL PATIENTS OFFERING COUNSELING AND LITERATURE ON TOBACCO CESSATION. HOSPITAL DIETITIANS PROVIDE THE NUTRITIONAL COMPONENT OF A FIVE-WEEK DO WELL, BE WELL WITH DIABETES EDUCATIONAL PROGRAM FOCUSING ON MANAGING DIABETES THROUGH PROPER MEAL PLANNING AND SELF-CARE MANAGEMENT. THE HOSPITAL SUPPORTS SPECIAL HEALTH AND WELLNESS EVENTS IN THE COMMUNITY SUCH AS THE ANNUAL BACK TO SCHOOL HEALTH FAIR, PINK EVENT, AND THE ANNUAL MOTHERS DAY MIRACLE RUN. THE HOSPITAL ALSO COLLABORATES WITH THE LOCAL LIONS CLUB EVERY SPRING TO HOST THE FIRST STOP ON THE ANNUAL MS 150 BIKE RIDE FROM HOUSTON TO AUSTIN, PROVIDING SUPPLIES AND PREPARING FOOD FOR THE RIDERS. THE HOSPITAL IS A REGISTERED SAFE SITTER SITE, WITH FIVE SAFE SITTER INSTRUCTORS WHO ARE REGISTERED NURSES FOR TRAINING 11 TO 13 YEAR OLDS TO BECOME BABY SITTERS.
PART VI, LINE 6:	- JOSEPH REGIONAL HEALTH CENTER (SJRHC) IS THE ANCHOR FACILITY FOR ST JOSEPH HEALTH SYSTEM, A HEALTH MINISTRY OF THE SISTERS OF ST FRANCIS OF SYLVANIA, OHIO. ESTABLISHED IN 1936, SJRHC IS A 255-BED HEALTH CARE CENTER OFFERING THE COMMUNITY'S LEAD LEVEL III TRAUMA CENTER, AN EXTENSIVE INPATIENT AND OUTPATIENT SURGERY PROGRAM, AND IS KNOWN THROUGHOUT THE REGION FOR ITS CARDIAC, CANCER, AND REHABILITATION PROGRAMS. - GRIMES ST JOSEPH HEALTH CENTER (GSJHC) IS A 25-BED CRITICAL ACCESS HOSPITAL IN NAVASOTA, TEXAS OFFERING A LEVEL IV TRAUMA CENTER, INPATIENT, OUTPATIENT, AND DAY SURGERY SERVICES. THE HOSPITAL WAS ESTABLISHED BY GRIMES COUNTY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION. IN 1996 IT BECAME PART OF ST. JOSEPH REGIONAL HEALTH CENTER. ST. JOSEPH HAS A LONG-TERM LEASE TO MANAGE AND OPERATE GSJHC, WHICH IS OWNED BY GRIMES COUNTY.THE OTHER FACILITIES IN THE ST JOSEPH HEALTH SYSTEM ARE AS FOLLOWS: - BURLESON ST JOSEPH HEALTH CENTER (BSJHC) IS A 25-BED CRITICAL ACCESS HOSPITAL IN CALDWELL, TEXAS OFFERING A LEVEL IV TRAUMA CENTER, INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL WAS ESTABLISHED BY BURLESON COUNTY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION. IT JOINED THE ST JOSEPH HEALTH SYSTEM IN 1995. ST JOSEPH HAS A LONG-TERM LEASE TO MANAGE AND OPERATE BURLESON ST JOSEPH HEALTH CENTER, WHICH IS OWNED BY THE BURLESON COUNTY HOSPITAL DISTRICT AND PROVIDES SERVICES TO AN UNDER-SERVED RURAL COMMUNITY. - MADISON ST. JOSEPH HEALTH CENTER (MSJHC) IS A 25-BED CRITICAL ACCESS HOSPITAL IN MADISONVILLE, TEXAS OFFERING A LEVEL IV TRAUMA CENTER, INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL WAS ESTABLISHED BY MADISON COUNTY AND HAS BEEN AN INTEGRAL PART OF THE COMMUNITY SINCE ITS INCEPTION. IT JOINED THE ST. JOSEPH HEALTH SYSTEM IN 1995. ST. JOSEPH OWNS AND OPERATES MSJHC, WHICH SERVES MADISON AND THE SURROUNDING COUNTIES.ALL THREE CRITICAL ACCESS HOSPITALS PROVIDE COMPREHENSIVE CARE IN A GENERAL ACUTE CARE HOSPITAL SETTING, OFFERING INPATIENT AS WELL AS OUTPATIENT SERVICES IN EMERGENCY CARE, THERAPY AND ATHLETIC INJURIES AND MORE. THEY OFFER IMAGING SERVICES DURING NORMAL BUSINESS HOURS AND INSOME CASES AFTER HOURS AND ON WEEKENDS. ALL THREE FACILITIES ARE ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO).OTHER ROLES:ST. JOSEPH REGIONAL EMERGENCY MEDICAL SERVICES (SJR EMS) SJREMS IS THE OLDEST PRIVATE PRE-HOSPITAL EMERGENCY MEDICAL SERVICE IN THE BRAZOS COUNTY AND OPERATES A FLEET OF 14 AMBULANCES, STAFFED BYEMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS WHO RESPOND TO MORE THAN 15,000 SERVICE REQUESTS EACH YEAR. SJREMS IS A NETWORK OF AMBULANCE SERVICES THAT INCLUDES THE BRYAN-COLLEGE STATION AREA AS WELL AS BURLESON, GRIMES AND MADISON COUNTIES. COLLECTIVELY, THE GOAL OF SJR EMS IS TO OFFER HIGHQUALITY PRE-HOSPITAL MEDICINE WITH COMPASSION TO ALL WITHIN THE BRAZOS VALLEY.IN BRYAN-COLLEGE STATION, SJR EMS PROVIDES NON-EMERGENCY MEDICAL RESPONSE, CRITICAL GROUND AMBULANCE TRANSPORTATION, AND BACK-UP TO THE BRYAN AND COLLEGE STATION FIRE DEPARTMENTS, WHICH ARE THE PRIMARY 911 EMERGENCY MEDICAL RESPONDERS IN BRAZOS COUNTY. IN BURLESON AND GRIMES COUNTIES, ST.JOSEPH HOLDS THE 911 EMERGENCY RESPONSE CONTRACTS.SJR EMS CURRENTLY SERVES 12 MUNICIPALITIES WITH ADVANCED LIFE SUPPORT CARE FROM 8 UNITS LOCATED IN BEDIAS, NAVASOTA, SOMERVILLE, CALDWELL, STONEHAM, MADISONVILLE, BRYAN, AND COLLEGE STATION SERVING AS A GATEWAY FOR SURROUNDING FACILITIES WITH 150,000 SQUARE MILE SERVICE AREA. IN 2011,,SJR EMS RESPONDED TO A TOTAL OF 13,685 911 CALLS AND NON-EMERGENCY CALLS. THESE CALLS INCLUDED SERVICES TO RURAL RESIDENTS.THREE SJR EMS AMBULANCES ARE HOUSED IN GRIMES COUNTY, ONE OF WHICH IS LOCATED IN THE RURAL COMMUNITY OF STONEHAM. THIS LOCATION WAS CHOSEN AFTER RESEARCH OF THE POPULATION GROWTH BY THE EMS DIRECTOR, TASK FORCE AND 911 COORDINATOR, WITH A GOAL OF REDUCING AMBULANCE RESPONSE TIME. NOT ONLY ISRAPID RESPONSE CRITICAL WITH TRAUMA PATIENTS, BUT EARLY RECOGNITION AND TREATMENT FOR HEART ATTACK AND STROKE ARE ESSENTIAL TO SAVING LIVES. DEFIBRILLATION IS MOST BENEFICIAL WHEN PERFORMED AS SOON AS POSSIBLE AFTER SUDDEN CARDIAC ARREST. HAVING SJR EMS IN THIS RURAL LOCATION HELPSFULFILL SUCH A NEED IN RURAL GRIMES COUNTY.CERTIFIED CHEST PAIN CENTER AND LEVEL II STROKE FACILITY SJRHC, THE FIRST HOSPITAL IN THE REGION TO BECOME A CERTIFIED CHEST PAIN CENTER, ALSO RECEIVED A FIVE-STAR RATING FROM HEALTHGRADES FORCORONARY INTERVENTIONAL PROCEDURES, ONE OF THE MOST COMMON PROCEDURES DONE TO HELP IMPROVE BLOOD FLOW TO THE HEART. AN IMPORTANT PART OF GOOD CARDIAC OUTCOMES, ESPECIALLY FOR HEART ATTACK PATIENTS, IS RAPID DIAGNOSIS AND INTERVENTION. IN 2011 SJRHC WAS ABLE TO CLINICALLY INTERVENE IN 100% OF HEART ATTACK PATIENTS WITHIN 90 MINUTES OF ARRIVAL TO THE EMERGENCY ROOM. THAT LEVEL OF PERFORMANCE HAS BEEN SHOWN TO SAVE LIVES AND REQUIRES TREMENDOUS TEAMWORK AND DEDICATION. SJRHC IS THE ONLY FACILITY THAT IS BOTH A LEVEL II STATE CERTIFIED FACILITY AND IS ACCREDITED BY THE JOINT COMMISSION AS A CERTIFIED PRIMARY STROKE CENTER. THE DEPARTMENT OF STATE HEALTH SERVICES HAS DESIGNATEDSJRHC AS A STATE OF TEXAS PRIMARY (LEVEL II) STROKE FACILITY - THE FIRST SUCH DESIGNATION IN THE REGION. THIS DESIGNATION REPRESENTS THE COMMITMENT THAT SJRHC HAS TOWARDS TREATING PATIENTS WITH STROKE IN OUR COMMUNITY. THE STROKE CENTER IS COMPRISED OF A LARGE TEAM OF MEDICAL SPECIALISTS THAT ARE ABLE TO PROVIDE AROUND-THE-CLOCK CARE FOR PATIENTS SUFFERING FROM A STROKE. IN ORDER TO RECEIVE A LEVEL II STROKE FACILITY DESIGNATION, A HOSPITAL MUST BE ABLE TO PROVIDE STROKE TREATMENT 24 HOURSA DAY, 7 DAYS A WEEK AND MEET ALL THE REQUIREMENTS SET FORTH BY THE DEPARTMENT OF STATE HEALTH SERVICES. PATIENTS THAT PRESENT TO PRIMARY STROKE CENTERS FOR THEIR CARE HAVE IMPROVED OUTCOMES AS COMPARED TO PATIENTS THAT DO NOT, UNDERSCORING, THE NEED AND IMPORTANCE OF THIS FACILITY IN THE AREA. THE DESIGNATION OF PRIMARY STROKE FACILITY IS NEW AMONG HOSPITALS IN TEXAS. THERE ARE ONLY 21 SUCH FACILITIES IN THE STATE AND SJRHC IS CURRENTLY THE ONLY DESIGNATED FACILITY IT ITS REGION. THEBRAZOS VALLEY IS IN REGION 7, AS DEFINED BY THE DEPARTMENT OF STATE HEALTH SERVICES, WHICH INCLUDES 30 COUNTIES SURROUNDING THE REGIONAL HEADQUARTERS IN TEMPLE. THIS STATE DESIGNATION IS A REFLECTION OF INCREDIBLE TEAMWORK.RURAL HEALTH CLINICSST. JOSEPH'S IS COMMITTED TO RURAL HEALTH AND MEETING THE NEEDS OF RURAL COMMUNITIES. THE RURAL CLINICS ARE SET UP IN FURTHERANCE OF OUR MISSION TO PROVIDE EXCELLENT HEALTH CARE AND TO PROMOTE WELLNESS THROUGHOUT THE BRAZOS VALLEY. IN TOTAL, THE 5 RURAL HEALTH CLINICS HAD59,760 PATIENT VISITS ATTENDED TO BY 9 PROVIDERS AND 8 MID-LEVEL PROVIDERS.BURLESON COUNTYST. JOSEPH CALDWELL FAMILY MEDICINE CLINIC IS A FAMILY MEDICINE CLINIC PROVIDING HEALTH AND WELLNESS SERVICES TO ADULTS AND CHILDREN. THE CLINIC OFFERS A FULL RANGE OF PRIMARY CARE, INCLUDING MINOR EMERGENCIES AND OFFICE SURGERY, GENERAL FAMILY MEDICINE, COMPREHENSIVE AND ROUTINEPHYSICALS, WELL WOMAN EXAMS, IMMUNIZATIONS, ALLERGY INJECTIONS, MINOR SUTURING, LAB SERVICES, DIAGNOSIS AND TREATMENT OF ACUTE ILLNESS. SPECIALISTS VISIT ON A BI-WEEKLY BASIS.LEE COUNTYST. JOSEPH LEXINGTON FAMILY MEDICINE CLINIC IS A FAMILY MEDICINE CLINIC PROVIDING HEALTH AND WELLNESS SERVICES TO ADULTS AND CHILDREN. THE CLINIC'S FULL RANGE OF PRIMARY CARE SERVICES INCLUDES PATIENT EDUCATION, SUTURING, TREATMENT OF EYE AND EAR PROBLEMS, COMPREHENSIVE AND ROUTINEPHYSICALS, WELL WOMAN EXAMS, IMMUNIZATIONS, ALLERGY INJECTIONS, INITIAL MANAGEMENT OF PATIENTS AND SOCIAL SERVICES. THEY ALSO OFFER LAB TESTING, MINOR SURGICAL PROCEDURES, CHRONIC MEDICAL CONDITIONING, RADIOLOGY AND ADD TESTING. MADISON COUNTYST. JOSEPH NORMANGEE FAMILY HEALTH CENTER IS STAFFED WITH A FULL-TIME PHYSICIAN AND PHYSICIAN ASSISTANT. THE CLINIC OFFERS A VARIETY OF PRIMARY CARE SERVICES INCLUDING GENERAL FAMILY MEDICAL SERVICES, CARE FOR MINOR INJURIES AND TEXAS HEALTH STEP EXAM. THE CLINIC ALSO OFFERS BLOOD DRAWS,ROUTINE AND COMPREHENSIVE PHYSICALS, PREVENTATIVE HEALTH EXAMS, WELL WOMAN EXAMS, MANAGEMENT OF HIGH BLOOD PRESSURE, CHOLESTEROL, DIABETES, ADD/ADHD AND CARE FOR ACUTE MINOR ILLNESS AND INJURIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	TX

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	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
ODETTE BOLANO
PRES/CEO, EX-OFFICIO TRUSTEE, PART Y	$0	$457,998	$0	$0	$0	$0	$0	$0	$0	$0	$0	$457,998	$0	$0
KATHLEEN KRUSIE
COO	$0	$331,743	$0	$48,442	$0	$0	$0	$10,400	$0	$17,972	$0	$408,557	$0	$0
MARK RIGGINS
ADMINISTRATOR STARTING 05/14	$0	$136,325	$0	$0	$0	$0	$0	$4,945	$0	$17,421	$0	$158,691	$0	$0
DANIEL GOGGIN
CFO	$0	$324,960	$0	$48,347	$0	$0	$0	$10,400	$0	$17,971	$0	$401,678	$0	$0
HERMAN BLANTON
CHIEF MEDICAL OFFICER	$0	$186,685	$0	$0	$0	$0	$0	$7,523	$0	$4,198	$0	$198,406	$0	$0
MICHAEL RUSSO
VP/INFORMATION SERVICES	$0	$218,647	$0	$31,363	$0	$0	$0	$9,681	$0	$18,428	$0	$278,119	$0	$0
MICHAEL COSTA
VP/HUMAN RESOURCES	$0	$215,150	$0	$29,463	$0	$0	$0	$9,879	$0	$17,624	$0	$272,116	$0	$0
STEVE CRICHTON
VP/SUPPORT SERVICES	$0	$174,730	$0	$25,580	$0	$0	$0	$7,943	$0	$11,197	$0	$219,450	$0	$0
DONOVAN FRENCH
VP STRATEGY & SERVICE LINES	$0	$154,461	$0	$22,185	$0	$0	$0	$4,561	$0	$10,991	$0	$192,198	$0	$0
RICARDO DIAZ
VP/CLINICAL SUPPORT	$0	$202,569	$0	$28,307	$0	$0	$0	$3,656	$0	$18,352	$0	$252,884	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	ANY COMPENSATED OFFICERS LISTED ARE EMPLOYEES OF ST. JOSEPH REGIONAL HEALTH CENTER (SJRHC) AND ALL COMPENSATION INFORMATION IS REPORT UNDER EIN 74-1282696. THE FILING ORGANIZATION RELIES ON SJRHC WHICH USES (A) COMPENSATION COMMITTEE,(B) INDEPENDENT COMPENSATION CONSULTANT, (C) COMPENSATION SURVEY OR STUDY, AND (D) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. COMPENSATION FOR ALL EMPLOYEES IS PAID BY ST. JOSEPH REGIONAL HEALTH CENTER AND ALL COMPENSATION INFORMATION IS REPORTED UNDER EIN 74-1282696. PART II, COMPENSATION OF SR. LOIS ANNE PALKERT: SISTER LOIS ANNE PALKERT, OSF, WORKS 40 HOURS A WEEK FOR SYLVANIA FRANCISCAN HEALTH BUT DOES NOT RECEIVE A W-2. ALL COMPENSATION EARNED WAS PAID TO THE SISTERS OF ST. FRANCIS OF SYLVANIA OHIO'S CONGREGATION IN ACCORDANCE WITH IRS REVENUE RULING 77-290. PART II, COMPENSATION OF ODETTE BOLANO: ODETTE BOLANO, PRESIDENT/CEO OF ST. JOSEPH REGIONAL HEALTH CENTER RECEIVED COMPENSATION FROM ASCENCION, AN UNRELATED ORGANIZATION. PART II, COMPENSATION OF JAMES SCHUESSLER: JAMES P. SCHUESSLER, INTERIM PRESIDENT/CEO OF ST. JOSEPH REGIONAL HEALTH CENTER RECEIVED COMPENSATION FROM B.E. SMITH, AN UNRELATED ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	DISCONTINUED RURAL HEALTH CLINIC SERVICES 10/21/2014.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE NOVEMBER 1, 2014 THE ORGANIZATION'S PARENT CORPORATION WAS TRANSFERRED FROM SYLVANIA FRANCISCAN HEALTH TO CATHOLIC HEALTH INITIATIVES (CHI). AS A RESULT A PORTION OF THE BYLAWS WERE UPDATED TO REFLECT THIS CHANGE IN OWNERSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERSHIP OF THE CORPORATION SHALL CONSIST OF ONE (1) CLASS AND THE ONLY MEMBER OF THE CORPORATION SHALL BE ST JOSEPH SERVICES CORPORATION, D/B/A ST JOSEPH SYSTEM, A TEXAS NONPROFIT CORPORATION (HEREINAFTER REFERRED TO AS "ST JOSEPH HEALTH SYSTEM" OR "SJHS" OR THE "MEMBER").
FORM 990, PART VI, SECTION A, LINE 7A	THE NUMBER OF VOTING DIRECTORS SHALL BE SEVEN PERSONS. FOUR OF THE SEVEN DIRECTOR POSITIONS SHALL BE APPOINTED BY THE MEMBER. AFFIRMATIVE ACTION OF THE MEMBER IS REQUIRED TO REMOVE THE FOUR MEMBER-APPOINTED DIRECTORS WITH OR WITHOUT CAUSE.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING MATTERS ARE RESERVED SOLELY TO THE MEMBER AND SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: A) APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AFTER THE CONSULTATION ON THE OPERATING AND CAPITAL BUDGETS WITH THE BOARD OF DIRECTORS; B) MERGER, SALE, ACQUISITION, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, PROVIDED SUCH MERGER, SALE, ACQUISITION, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION HAS BEEN ADOPTED BY A VOTE OF AT LEAST TWO-THIRDS OF THE BOARD THEN IN OFFICE AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD CALLED FOR SUCH PURPOSE; C) BORROWING OR LENDING OF MONEY, INCURRENCE OF DEBT, OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; D) TO REMOVE THE (4) MEMBER-APPOINTED DIRECTORS WITH OR WITHOUT CAUSE AS PROVIDED IN ARTICLE V; E) MAKE A LEGAL COMMITMENT OR APPROVE AN EXPENDITURE OF MONEY THAT MATERIALLY DEVIATES FROM THE BUDGET OF THE CORPORATION; F) AMEND OR REPEAL THE AMENDED AND RESTATED CERTIFICATE OF FORMATION AND THE AMENDED AND RESTATED BYLAWS OF THE CORPORATION AS PROVIDED IN ARTICLE XVI; PROVIDED, HOWEVER THE PARENT CORPORATION SHALL AT TIMES RETAIN THE RIGHT AND POWER TO UNILATERALLY AMEND THESE BYLAWS; G) TO TAKE ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF THE CORPORATION AND OF ORGANIZATIONS CONTROLLED BY THE CORPORATION WITH THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS THEY MAY BE IN EFFECT FROM TIME TO TIME. EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S CERTIFICATE OF FORMATION, ELSEWHERE IN THESE BYLAWS, OR IN THE LAWS OF THE STATE OF TEXAS, THE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. THE RIGHTS OF THE MEMBER SHALL BE FURTHER SUBJECT TO THE POWERS RESERVED TO THE PARENT CORPORATION UNDER THE GOVERNANCE MATRIX. THE GOVERNANCE MATRIX MAY BE AMENDED FROM TIME TO TIME BY THE PARENT CORPORATION, AND SUCH AMENDMENTS SHALL BE DEEMED TO BE A PART OF THESE BYLAWS WITHOUT FURTHER ACTION. THE CORPORATION SHALL BE DEEMED A "SUBSIDIARY OF A SUBSIDIARY" FOR PURPOSES OF THE GOVERNANCE MATRIX. IN ADDITION TO THE RIGHTS RESERVED TO THE PARENT CORPORATION UNDER THE GOVERNANCE MATRIX, THE PARENT CORPORATION SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS TO THE PARENT CORPORATION, TO THE EXTENT NECESSARY TO ACCOMPLISH THE PARENT CORPORATION'S GOALS AND OBJECTIVES, AND TO PROVIDE FOR THE PAYMENT OF ALL INDEBTEDNESS OF THE PARENT CORPORATION OR AN ENTITY CONTROLLED BY, CONTROLLING, OR UNDER COMMON CONTROL WITH THE PARENT CORPORATION (FOR PURPOSES OF THIS SECTION, A "PARENT CORPORATION AFFILIATE"), ISSUED OR INCURRED BY OR ON BEHALF OF THE PARENT CORPORATION OR A PARENT CORPORATION AFFILIATE IN FURTHERANCE OF THE PARENT CORPORATION'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, OR THE COVENANTS OF ITS DEBT INSTRUMENTS AS A RESULT OF ANY ASSET TRANSFERS MADE OR DIRECTED BY THE PARENT CORPORATION. EXCEPT FOR TRANSFERS PREVIOUSLY APPROVED BY THE PARENT CORPORATION, EITHER INDIVIDUALLY OR AS PART OF THE CHI HEALTHCARE SYSTEM BUDGET PROCESS, AND EXCEPT FOR TRANSFERS TO AN AFFILIATE OR SUBSIDIARY OF THE CORPORATION, THE CORPORATION SHALL NOT TRANSFER ASSETS TO ENTITIES OTHER THAN THE PARENT CORPORATION OR PARENT CORPORATION AFFILIATES WITHOUT THE APPROVAL OF THE PARENT CORPORATION. THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE RELIEVED FROM LIABILITY FOR MANAGERIAL ACTS OR OMISSIONS IMPOSED UPON MEMBERS OF BOARDS OF DIRECTORS BY LAW, TO THE EXTENT THAT, AND AS LONG AS, ANY DISCRETIONARY POWER IN THE MANAGEMENT OF CORPORATE AFFAIRS IS EXERCISED BY THE MEMBER PURSUANT TO THIS SECTION AND THE CERTIFICATE OF FORMATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEES PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO THE IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEES'S REVIEW BEFORE THE FINAL FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO THE IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR TAX RETURN PREPARERS, PLANTE & MORAN, PLLC, IF REQUESTED BY THE TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	DESCRIPTION OF PERSONS COVERED UNDER THE CONFLICT OF INTEREST POLICY IN ACCORDANCE WITH THE ST JOSEPH HEALTH SYSTEM POLICY NO 38, "CONFLICT OF INTEREST": ANY BOARD MEMBER, TRUSTEE, GOVERANCE COUNCIL MEMBER, BOARD COMMITTEE MEMBER, CORPORATE OFFICER, EXECUTIVE, MEDICAL STAFF MEMBER,LICENSED INDEPENDENT PRACTICTIONER (LIP), DEPARTMENT DIRECTOR, SUPERVISOR, OR OTHER INDIVIDUAL THAT HAS A FINANCIAL INTEREST. DESCRIPTION OF PROCESS TO MONITOR TRANSACTION FOR CONFLICTS OF INTEREST IN ACCORDANCE WITH THE ST JOSEPH HEALTH SYSTEM POLICY NO 38, "CONFLICT OF INTEREST", SECTION 6, DISCLOSURE STATEMENT: "A CONFLICT OF INTEREST SHALL BE RETAINED BY THE CORPORATION IN ITS ADMINISTRATIVE OFFICE. THIS STATEMENT SHALL BE RENEWED AT LEAST ANNUALLY AT THE REQUEST OF THE CORPORATION AND AT ANY TIME THAT A CONFLICT OF INTEREST MAY ARISE." TO HELP ENSURE THAT DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY ALL BOARD OF TRUSTEE MEMBERS, THE CEO'S OFFICE SUMMARIZES ALL CONFLICTS OF INTEREST DISCLOSED BY EACH ENTITY'S TRUSTEES. IN 2012, THE SUMMARY WAS PRESENTED AS AN AGENDA ITEM AT EACH ENTITY'S BOARD OF TRUSTEES MEETINGS HELD. IN APRIL 2012, THE AGENDA ITEM WAS TITLED, "CONFLICT OF INTEREST DISCLOSURE REVIEW" OR SIMILAR DESCRIPTION. THE REVIEW IS PERFORMED BY THE OFFICE OF THE CEO WHERE DISCLOSURE STATEMENTS ARE ALSO FILED FOR TRUSTEES. OTHER DESIGNATED PERSONS DISCLOSURE STATEMENTS ARE FILED IN INDIVIDUAL PERSONNEL FILES IF EMPLOYED BY ST JOSEPH REGIONAL HEALTH CENTER. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INTERESTED PERSON SHALL LEAVE THE MEETING AT WHICH THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, LINES 13 AND 14:	THE ORGANIZATION FOLLOWS THE POLICIES OF THE ST JOSEPH HEALTH SYSTEM TO WHICH IT IS AN AFFILIATE. THE POLICY INCLUDES THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION POLICY, WHICH ARE DOCUMENTED AND APPROVED BY THE PRESIDENT AND CEO OF THE SYSTEM. THE BYLAWS OF ST JOSEPH STATE "THE PRESIDENT/CEO SHALL HAVE ALL AUTHORITY AND RESPONSIBILITY NECESSARY TO OPERATE THE CORPORATION IN ALL ITS ACTIVITIES AND DEPARTMENTS, SUBJECT ONLY TO SUCH POLICIES AS MAY BE ISSUED BY THE BOARD. THE PRESIDENT/CEO SHALL ACT AS A DULY AUTHORIZED REPRESENTATIVE OF THE BOARD AND OF THE CORPORATION IN ALL MATTERS IN WHICH IT HAS NOT DESIGNATED SOME OTHER PERSON TO ACT." THEREFORE, THE PRESIDENT/CEO, BY THE AUTHORITY GRANTED TO HIM IN THE ABOVE PARAGRAPH, APPROVES THE POLICIES. THE TWO POLICIES WERE APPROVED BY THE ST JOSEPH HEALTH SYSTEM BOARD AT THE LAST 2012 BOARD MEETING.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 374,021. MANAGEMENT AND GENERAL EXPENSES 88,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,896. AGENCY STAFF: PROGRAM SERVICE EXPENSES 50,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,400. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 715,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 715,530. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,470. MANAGEMENT AND GENERAL EXPENSES 68,557. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,027. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 22,630. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,630. COLLECTION FEES: PROGRAM SERVICE EXPENSES 328. MANAGEMENT AND GENERAL EXPENSES 99,074. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,402. PACS TRANSACTION FEES: PROGRAM SERVICE EXPENSES 22,020. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,020.
FORM 990, PART XI, LINE 9:	REVALUATION OF BALANCE SHEET DUE TO CHI AQUISITION 394,730. BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 1,400,044.
FORM 990, PART XII, LINE 2C:	THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (182 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HEALTHCARE	NE	501(C)(3)	LINE 3	ACH	Yes (1)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING	NE	501(C)(3)	LINE 7	ACH	Yes (1)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HEALTHCARE	IA	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	LINE 9	CHI	Yes (1)
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	LINE 9	SFH	Yes (1)
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	LINE 9	CHI-IA CORP	Yes (1)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(C)(3)	LINE 11	CHI	Yes (1)
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	LINE 9		Yes (1)	N/A
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	LINE 3	CHI	Yes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	LINE 3	CHI	Yes (1)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	LINE 7	CHIC	Yes (1)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DR	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	LINE 11	CHI	Yes (1)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	HEALTHCARE	CO	501(C)(3)	LINE 11	CHINS	Yes (1)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	PHYSICIANS	OR	501(C)(3)	LINE 9	MMC	Yes (1)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CENTER	KS	501(C)(3)	LINE 3	CHI	Yes (1)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	HEALTHCARE	MN	501(C)(3)	LINE 9	CHI	Yes (1)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	LINE 11	CHI	Yes (1)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	LINE 11	CHI	Yes (1)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	LINE 9	CHI NS	Yes (1)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	LINE 11	CHI	Yes (1)
CHI NEBRASKA
6940 O ST STE 200	LINCOLN	NE	68510	363233121	HEALTHCARE	NE	501(C)(3)	LINE 11	CHI	Yes (1)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN ST	HOUSTON	TX	77030	741161938	HEALTHCARE	TX	501(C)(3)	LINE 3	SLHS	Yes (1)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HEALTHCARE	AR	501(C)(3)	LINE 3	CHISVHS	Yes (1)
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	LINE 11	SVIMC	Yes (1)
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
1 MERCY LANE STE 201	HOT SPRINGS	AR	71913	261125131	HEALTHCARE	AR	501(C)(3)	LINE 3	CHISVHS	Yes (1)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(C)(2)		GSH	Yes (1)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING	IA	501(C)(3)	LINE 11	AH-CMHMV	Yes (1)
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DR	LEXINGTON	KY	40509	611400619	LT ACH	KY	501(C)(3)	LINE 3	SJHS	Yes (1)
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232028429	HOME HEALTH	PA	501(C)(3)	LINE 11	CHI NHC	Yes (1)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	LINE 3	FHS	Yes (1)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	LINE 3	KOH	Yes (1)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	LINE 11	FH	Yes (1)
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	LINE 9	FHS	Yes (1)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	LINE 3	CHI	Yes (1)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(C)(3)	LINE 9	CHI	Yes (1)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(C)(3)	LINE 9	FHS	Yes (1)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	LINE 9	CHI	Yes (1)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(C)(3)	LINE 11	CHI	Yes (1)
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	Yes (1)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(C)(3)	LINE 11	GSH	Yes (1)
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(C)(3)	LINE 7	GSH	Yes (1)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500	DAYTON	OH	45402	237296923	FUNDRAISING	OH	501(C)(3)	LINE 7	SHP	Yes (1)
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HEALTHCARE	WA	501(C)(3)	LINE 3	FHS	Yes (1)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING	WA	501(C)(3)	LINE 7	HMC	Yes (1)
HEALTH SET
2420 W 26TH AVE STE 460D	DENVER	CO	80211	841102943	LOW INC CARE	CO	501(C)(3)	LINE 7	CHIC	Yes (1)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	LINE 11	SFMC	Yes (1)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HEALTHCARE	WA	501(C)(3)	LINE 3	FHS	Yes (1)
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	LINE 7	CHI-IA CORP	Yes (1)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH ST	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	LINE 3	KOH	Yes (1)
KENTUCKYONE HEALTH MEDICAL GROUP INC
539 S 4TH ST	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(C)(3)	LINE 9	JHSMH	Yes (1)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	LINE 9	CHI	Yes (1)
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(C)(3)	LINE 3	CHI	Yes (1)
LINUS OAKES INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930821381	SENIOR LIVING	OR	501(C)(3)	LINE 9	MMC	Yes (1)
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(C)(3)	LINE 11	MHSET	Yes (1)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	LINE 7	MHCS	Yes (1)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	LINE 3	CHI	Yes (1)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	LINE 9	MHCS	Yes (1)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HEALTHCARE	TX	501(C)(3)	LINE 3	CHI	Yes (1)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HEALTHCARE	TX	501(C)(3)	LINE 3	MHSET	Yes (1)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HEALTHCARE	TX	501(C)(3)	LINE 3	MHSET	Yes (1)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(C)(3)	LINE 11	MHSET	Yes (1)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HEALTHCARE	TX	501(C)(3)	LINE 3	MHSET	Yes (1)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	LINE 11	MF-DM IA	Yes (1)
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(C)(3)	LINE 9	CHI-IA CORP	Yes (1)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	LINE 2	CHI-IA CORP	Yes (1)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	LINE 7	CHI-IA CORP	Yes (1)
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING	OR	501(C)(3)	LINE 7	MMC	Yes (1)
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	IA	501(C)(3)	LINE 11	AHMH-CORNING	Yes (1)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING	ND	501(C)(3)	LINE 11	MHVC	Yes (1)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	LINE 11	AHBMHS	Yes (1)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	LINE 7	MHDL	Yes (1)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	LINE 3	CHI-IA CORP	Yes (1)
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HEALTHCARE	OR	501(C)(3)	LINE 3	CHI	Yes (1)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	LINE 11	MMC	Yes (1)
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVE	DES MOINES	IA	50314	421470935	PHYSICIANS	IA	501(C)(3)	LINE 9	CHI-IA CORP	Yes (1)
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	LINE 11	OCH	Yes (1)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(C)(3)	LINE 11	MHSET	Yes (1)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	LINE 7	CHIC	Yes (1)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD S	TUKWILA	WA	98168	911170040	HEALTHCARE	WA	501(C)(3)	LINE 3	FHS	Yes (1)
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450	COLORADO SPRINGS	CO	80906	841183335	LTERM CARE	CO	501(C)(3)	LINE 7	CHIC	Yes (1)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	LINE 11	SCHS	Yes (1)
SAINT CLARE'S FOUNDATION INC
25 POCONO RD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	LINE 7	SCHS	Yes (1)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	LINE 11	CHI	Yes (1)
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	LINE 3	SCHS	Yes (1)
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	LINE 7	SERMC	Yes (1)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	LINE 3	SERMC	Yes (1)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	LINE 7	SFMC	Yes (1)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	LINE 7	SJHS	Yes (1)
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	611334601	HEALTHCARE	KY	501(C)(3)	LINE 3	KOH	Yes (1)
SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	LINE 11	SJHS	Yes (1)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	LINE 7	SJHS	Yes (1)
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	311539059	PHYSICIANS	KY	501(C)(3)	LINE 3	SJHS	Yes (1)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	LINE 7	SJHS	Yes (1)
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH ST	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	LINE 11	SJHHC	Yes (1)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVD	DAYTON	OH	45417	020633634	HEALTHCARE	OH	501(C)(3)	LINE 7	SHP	Yes (1)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500	DAYTON	OH	45402	311107411	HEALTHCARE	OH	501(C)(3)	LINE 11	CHI	Yes (1)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING	NE	501(C)(3)	LINE 11	AHMHS	Yes (1)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HEALTHCARE	MO	501(C)(3)	LINE 3	CHI	Yes (1)
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	760226623	TITLE HOLDING	TX	501(C)(2)		SLPC	Yes (1)
ST ANTHONY HOSPITAL
1601 SE COURT AVE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	LINE 3	CHI	Yes (1)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	LINE 11	SAH	Yes (1)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	LINE 3	SVIMC	Yes (1)
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	LINE 3	CHI	Yes (1)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	LINE 11	SCH	Yes (1)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	OR	501(C)(4)	#N/A	CHI	Yes (1)
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	LINE 9	CHI	Yes (1)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	LINE 9	SCHS	Yes (1)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	LINE 3	CHI	Yes (1)
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930412495	HEALTHCARE	OR	501(C)(3)	LINE 3	CHI	Yes (1)
ST JOSEPH COMMUNITY HEALTH
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	LINE 11	CHI	Yes (1)
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	LINE 11	CHI	Yes (1)
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	LINE 11	SJRHN	Yes (1)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HEALTHCARE	MD	501(C)(3)	LINE 3	CHI	Yes (1)
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	LINE 9	BHC	Yes (1)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(C)(3)	LINE 11	SJMC	Yes (1)
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	LINE 3	CHI	Yes (1)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	LINE 3	CHI	Yes (1)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH ST	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	LINE 3	CHI	Yes (1)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260274448	MANAGEMENT	TX	501(C)(3)	LINE 11	SLHS	Yes (1)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HEALTHCARE	TX	501(C)(3)	LINE 3	SLCDC	Yes (1)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HEALTHCARE	TX	501(C)(3)	LINE 3	SLHS	Yes (1)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HEALTHCARE	TX	501(C)(3)	LINE 3	SLCDC	Yes (1)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HEALTHCARE	TX	501(C)(3)	LINE 3	SLHS	Yes (1)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING	TX	501(C)(3)	LINE 7	SLHS	Yes (1)
ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536232	MANAGEMENT	TX	501(C)(3)	LINE 11	CHI	Yes (1)
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760127715	INVESTMENT MGMT	TX	501(C)(3)	LINE 11	SLHS	Yes (1)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HEALTHCARE	TX	501(C)(3)	LINE 3	SLHS	Yes (1)
ST LUKE'S MEDICAL GROUP
6624 FANNIN ST	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	LINE 3	SLHS	Yes (1)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531713	PROPERTY MGMT	TX	501(C)(3)	LINE 11	CHI-SLH	Yes (1)
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531716	PROPERTY MGMT	TX	501(C)(3)	LINE 11	SLHS	Yes (1)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	LINE 11	SLCDC-SL	Yes (1)
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	LINE 3	CHI NEBRASKA	Yes (1)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	LINE 7	SMCH	Yes (1)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	LINE 11	SVIMC	Yes (1)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	LINE 3	CHI	Yes (1)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	LINE 9	SVIMC	Yes (1)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	LINE 3	CHI	Yes (1)
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	LINE 11	CHI NEBRASKA	Yes (1)
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	LINE 3	CHIC	Yes (1)
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	LINE 3	CHI	Yes (1)
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	LINE 9	CHI	Yes (1)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	LINE 9	SCHS	Yes (1)
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	LINE 9	SLCHS	Yes (1)
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	GOVERNANCE	TX	501(C)(3)	LINE 11A, I	SYLVANIA FRANCISCAN HEALTH	Yes (1)
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HEALTH CARE	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HEALTH CARE	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HEALTH CARE	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	NURSING CARE	TX	501(C)(3)	LINE 9	ST JOSEPH SERVICES CORPORATION	Yes (1)
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	NURSING CARE	TX	501(C)(3)	LINE 9	ST JOSEPH SERVICES CORPORATION	Yes (1)
ST JOSEPH FOUNDATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742351158	FUNDRAISING	TX	501(C)(3)	LINE 11A, I	ST JOSEPH SERVICES CORPORATION	Yes (1)
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIAN PRACTICE	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)
SISTERS OF ST FRANCIS
6832 CONVENT BLVD	SYLVANIA	OH	43560	344450609	RELIGIOUS	OH	501(C)(3)	LINE 1		0
SYLVANIA FRANCISCAN HEALTH
3231 CENTRAL PARK WEST SUITE 106	TOLEDO	OH	43617	341412964	CHURCH ORG	OH	501(C)(3)	LINE 1		0
FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE SUITE A	TOLEDO	OH	43623	341892096	MANAGEMENT SUPPORT	OH	501(C)(3)	LINE 11A, I	SYLVANIA FRANCISCAN HEALTH	Yes (1)
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LONG TERM CARE FACILITY	OH	501(C)(3)	LINE 9	FRANCISCAN LIVING COMMUNITIES	Yes (1)
ST LEONARD FOUNDATION
8100 CLYO ROAD	CENTERVILLE	OH	45458	320102715	FUNDRAISING	OH	501(C)(3)	LINE 7	FRANCISCAN LIVING COMMUNITIES	Yes (1)
PROVIDENCE CARE CENTER
2025 HAYES AVE	SANDUSKY	OH	44870	341658625	LONG TERM CARE FACILITY	OH	501(C)(3)	LINE 9	FRANCISCAN LIVING COMMUNITIES	Yes (1)
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSISTED LIVING FACILITY	OH	501(C)(3)	LINE 9	FRANCISCAN LIVING COMMUNITIES	Yes (1)
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	INDEPENDENT LIVING FACILITY	OH	501(C)(3)	LINE 9	FRANCISCAN LIVING COMMUNITIES	Yes (1)
PROVIDENCE CARE CENTERS
2025 HAYES AVE	SANDUSKY	OH	44870	341826099	FINANCIAL SUPPORT	OH	501(C)(3)	LINE 11B, II	FRANCISCAN LIVING COMMUNITIES	Yes (1)
FRANCISCAN CARE CENTER
4111 HOLLAND SYLVANIA ROAD	TOLEDO	OH	43623	341931806	LONG TERM CARE FACILITY	OH	501(C)(3)	LINE 9	FRANCISCAN LIVING COMMUNITIES	Yes (1)
ST CLARE COMMONS
12469 FIVE POINT ROAD	PERRYSBURG	OH	43551	270163752	LONG TERM CARE FACILITY	OH	501(C)(3)	LINE 7	FRANCISCAN LIVING COMMUNITIES	Yes (1)
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HEALTH CARE	OH	501(C)(3)	LINE 3	SYLVANIA FRANCISCAN HEALTH	Yes (1)
SYLVANIA FRANCISCAN HEALTH FOUNDATION
3231 CENTRAL PARK WEST SUITE 106	TOLEDO	OH	43617	455357161	FUNDRAISING	OH	501(C)(3)	LINE 11B, II	SYLVANIA FRANCISCAN HEALTH	Yes (1)
MADONNA MANOR
2344 AMSTERDAM ROAD	VILLA HILLS	KY	41017	610654635	LONG TERM CARE FACILITY	KY	501(C)(3)	LINE 1	FRANCISCAN LIVING COMMUNITIES	Yes (1)
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	PHYSICIAN SUPPORT	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTH CARE	TX	501(C)(3)	LINE 3	ST JOSEPH SERVICES CORPORATION	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH ST	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	N/A
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	N/A
AVANTAS LLC
11128 JOHN GALT BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	N/A
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD STE 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	N/A
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	N/A
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BRDWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	N/A
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	462945938	PRACTICE MGMT SRVC	DE	N/A
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146 4502 N SECOND AVE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	N/A
CENTRAL NEBRASKA REHAB SERVICE
620 DIERS AVE STE 300	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	N/A
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	N/A
CHICAMSURG SURGERY CENTERS LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	465683027	SURGERY CENTER	CO	N/A
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	N/A
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	N/A
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67401	464265403	ONCOLOGY	KS	N/A
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC IMAGING	WA	N/A
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	N/A
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	N/A
LINCOLN CK LEASING LLC
6003 OLD CHENEY RD	LINCOLN	NE	68516	262496856	REAL ESTATE	NE	N/A
LOUISVILLE SC LTD
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	621179566	SURGERY CENTER	AL	N/A
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	N/A
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	N/A
PENINSULA RADIATION ONCOLOGY LLC
315 MLK JR WAY STE 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	N/A
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY	SOUTH PASADENA	TX	77505	273280598	HOSPITAL	TX	N/A
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102	LINCOLN	NE	68508	204962103	TECH SRVC	NE	N/A
PREMIER SURGERY CENTER OF LOUISVILLE LP
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	721378216	SURGERY CENTER	AL	N/A
PUEBLO AMBULATORY SURGERY CENTER LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	621488737	SURGERY CENTER	CO	N/A
SAINT JOSEPH - PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	N/A
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	N/A
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	N/A
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	N/A
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J ST	TACOMA	WA	98405	911352698	MED OFFICE	WA	N/A
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6620 MAIN ST STE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	N/A
ST LUKE'S HOSPITAL AT THE VINTAGE LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	N/A
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	N/A
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	N/A
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH ST	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	N/A
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	N/A
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (61 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	CityForeignAddress/CityNm	Foreign PostalForeignAddress/ForeignPostalCd
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	PHYSICIAN HOSPITAL ORGANIZATION	TX	N/A	C	Yes (1)
SFH ASSURANCE LTD
				981056892	INSURANCE		N/A	C	Yes (1)	SUITE 6 GRAND PAVILLION COMERCIAL	GRAND CAYMAN KY1-	CJ	CJ
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	Yes (1)
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		N/A	C	Yes (1)	PO BOX 10073 APO	GRAND CAYMAN	CJ	CJ	GEORGETOWN	KY1-1001
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	N/A	C	Yes (1)
AMERICAN NURSING CARE INC
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	N/A	C	Yes (1)
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	N/A	C	Yes (1)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	N/A	C	Yes (1)
CADUCEUS MEDICAL ASSOCIATES INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621570736	HEALTHCARE	TN	N/A	C	Yes (1)
CAPTIVE MANAGEMENT INITIATIVES LTD
				980663022	CAPTIVE MANAGEMENT		N/A	C	Yes (1)	PO BOX 10073 APO	GRAND CAYMAN	CJ	CJ	GEORGETOWN	KY1-1001
CARMONA-DESOTO BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710771076	HEALTHCARE	AR	N/A	C	Yes (1)
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	N/A	C	Yes (1)
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	N/A	C	Yes (1)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDOMINIUM
6624 FANNIN STE 2505	HOUSTON	TX	77030	455079545	CONDO ASSOC	TX	N/A	C	Yes (1)
CLEARRIVER HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464495960	INSURANCE	TN	N/A	C	Yes (1)
COMCARE SERVICES INC
5570 DTC PARKWAY	ENGLEWOOD	CO	80111	840904813	INACTIVE	CO	N/A	C	Yes (1)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	N/A	C	Yes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	Yes (1)
EAST TEXAS CLINICAL SERVICES INC
2801 VIA FORTUNA 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	N/A	C	Yes (1)
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		N/A	C	Yes (1)	PO BOX 10073 APO	GRAND CAYMAN	CJ	CJ	GEORGETOWN	KY1-1001
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	N/A	C	Yes (1)
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	N/A	C	Yes (1)
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MGMT	NE	N/A	C	Yes (1)
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1717 SOUTH J ST	TACOMA	WA	98405	911865474	HEALTH ORG.	WA	N/A	C	Yes (1)
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464368223	INSURANCE	NE	N/A	C	Yes (1)
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW STE 170	BURIEN	WA	98166	911586438	MEDICAL SERVICES	WA	N/A	C	Yes (1)
MEDQUEST
1602 WEST 11TH ST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C	Yes (1)
MERCY PARK APARTMENTS LTD
1111 6TH AVE	DES MOINES	IA	50314	421202422	HOUSING	IA	N/A	C	Yes (1)
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	N/A	C	Yes (1)
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	N/A	C	Yes (1)
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RD	CHATTANOOGA	TN	37421	621570739	MGMT SVC ORG	TN	N/A	C	Yes (1)
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		N/A	C	Yes (1)	PO BOX 10073 APO	GRAND CAYMAN	CJ	CJ	GEORGETOWN	KY1-1001
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	N/A	C	Yes (1)
PHYSICIANHEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	N/A	C	Yes (1)
PROMINENCE HEALTH PLAN SERVICES INC (FKA COLLABHEALTH PLAN SERVICES INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	N/A	C	Yes (1)
PROMINENCE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	N/A	C	Yes (1)
QCA HEALTH PLAN INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710794605	INSURANCE	AR	N/A	C	Yes (1)
QUALCHOICE HOLDINGS INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	274075520	HOLDING CO	AR	N/A	C	Yes (1)
QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710386640	INSURANCE	AR	N/A	C	Yes (1)
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	N/A	C	Yes (1)
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464828332	INSURANCE	KY	N/A	C	Yes (1)
SAINT CLARE'S PRIMARY CARE INC
66 FORD RD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	N/A	C	Yes (1)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	N/A	C	Yes (1)
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	N/A	C	Yes (1)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	LEXINGTON	KY	40503	270164198	MGMT	KY	N/A	C	Yes (1)
SLMT PARKING INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637140	PARKING	TX	N/A	C	Yes (1)
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	N/A	C	Yes (1)
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	N/A	C	Yes (1)
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J ST	TACOMA	WA	98405	911480569	RENTAL	WA	N/A	C	Yes (1)
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG RD BLDG B70	LEXINGTON	KY	40504	611079899	MGMT	KY	N/A	C	Yes (1)
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355517	CONDO ASSOC	TX	N/A	C	Yes (1)
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN STE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	N/A	C	Yes (1)
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER MC4-262	HOUSTON	TX	77030	760377932	PHO	TX	N/A	C	Yes (1)
ST LUKE'S HEALTH SYSTEM HOLDINGS INC (FKA SLEHS HOLDINGS INC)
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	N/A	C	Yes (1)
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355518	CONDO ASSOC	TX	N/A	C	Yes (1)
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	760298751	CONDO ASSOC	TX	N/A	C	Yes (1)
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	N/A	C	Yes (1)
STABLEVIEW HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464373713	INSURANCE	KY	N/A	C	Yes (1)
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	N/A	C	Yes (1)
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	N/A	C	Yes (1)
TOWSON MANAGEMENT INC
7601 OSLER DR	TOWSON	MD	21204	521710750	MGMT SERVICES	MD	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH REGIONAL HEALTH CENTER
C	$3,770,868	ACTUAL AMOUNTS PAID
SYLVANIA FRANCSICAN HEALTH
C	$13,553	ACTUAL AMOUNTS PAID
ST JOSEPH REGIONAL HEALTH CENTER
Q	$1,830,000	ACTUAL AMOUNTS PAID
ST JOSEPH REGIONAL HEALTH CENTER
P	$3,732,955	ACTUAL AMOUNTS PAID
ST JOSEPH SERVICE CORPORATIONS
P	$375,257	CASH