2014-05-14T16:52:45-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 710236917 ST VINCENT INFIRMARY MEDICAL CENTER STVI 5015523000 2 St Vincent Circle Little Rock AR 72205 MARK MCGINNIS 2014-05-14 true Mark Stocki P00642127 3032989100 2012 2015-11-30 17:44:51Z PETER BANKO 2 St Vincent Circle Little Rock AR 72205 382861571 false 0928 X WWW.STVINCENTHEALTH.COM X 1888 AR THE ORGANIZATION PROVIDES HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL, AND PSYCHO-SOCIAL NEEDS OF OUR PATIENTS. THESE ACTIVITIES TAKE PLACE IN A VARIETY OF SETTINGS, BUT ALL SPRING FROM THE SAME MISSION AND FUNDAMENTAL PURPOSE. 19 15 3427 495 244023 3294 3277808 1534308 396627168 375003264 2805117 28902 3955985 6216216 406666078 382782690 509019 431373 0 0 155499940 177083511 0 0 0 240858997 251929195 396867956 429444079 9798122 -46661389 328040559 361577448 222623268 302553442 105417291 59024006 THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 390818398 431373 373232061 SEE SCHEDULE H 390818398 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false true false false false false true true true true false false true 0 0 3427 true true true false false false false false false false false false X 19 15 false false false false true true true true true false false true true true true true true false true true false AR X Mark McGinnis 5015523912 2 St Vincent Circle Little Rock AR 72205 CLARICE MILLER 1.00 2.00 X X 0 0 0 DAVE PARKER 1.00 2.00 X X 0 0 0 PETER BANKO 40.00 5.00 X X 0 736895 89498 ALEC LINDLEY 1.00 1.00 X 0 0 0 ANDREW KUMPURIS MD 39.00 1.00 X 1145759 0 32666 BAKER KURRUS 1.00 1.00 X 0 0 0 BILL DILLARD III 1.00 1.00 X 0 0 0 BRUCE MOORE 1.00 1.00 X 0 0 0 CHARLES PENICK 1.00 2.00 X 0 0 0 CHUCK ERWIN 1.00 1.00 X 0 0 0 GUS BLASS III 1.00 2.00 X 0 0 0 JOHN JONES MD 1.00 2.00 X 0 0 0 JUDITH RALEY SCN 1.00 4.00 X 0 0 0 KURTIS VINSANT 1.00 41.00 X 70339 237247 33200 MARK DORAMUS 1.00 2.00 X 0 0 0 MARY ELIZABETH O'BRIEN 1.00 59.00 X 0 924954 116308 MARY GOOD 1.00 2.00 X 0 0 0 ROBERT VOGEL 1.00 2.00 X 0 0 0 RUSH HARDING 1.00 1.00 X 0 0 0 MARK MCGINNIS 40.00 9.00 X 383980 0 40944 FRANK BAUER 40.00 0 X 1539061 0 40640 FREDERICK MEADORS 40.00 0 X 1465006 0 50624 MANGARAJU CHAKKA 40.00 0 X 1193148 0 38940 MARK ST PIERRE 40.00 0 X 916174 0 39600 RANDY JORDAN 40.00 0 X 898812 0 39020 KEN HAYNES 0.00 60.00 X 0 482998 65108 7612279 2382094 586548 147 true true false CROTHALL SERVICES GROUP 13028 COLLECTIONS DRIVE CHICAGO IL 60693 ENVIRONMENTAL SERVICES 6310865 CDI CONTRACTORS LLC 3000 CANTRELL RD LITTLE ROCK AR 72202 CONSTRUCTION SERVICES 5670377 SODEXO INC 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD MANAGEMENT 5344801 LITTLE ROCK ANESTHESIA 500 SOUTH UNIVERSITY LITTLE ROCK AR 72205 ANESTHESIA SERVICES 4103922 NABHOLZ CONSTRUCTION SERVICES P O BOX 2090 CONWAY AR 72033 CONSTRUCTION SERVICES 2899152 99 1350293 184015 1534308 PATIENT SERVICES 900099 372270445 370499242 244023 1527180 RENTAL INCOME 900099 2055725 2055725 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 516686 516686 TUITION 611600 160408 160408 0 0 0 0 0 375003264 12932 12932 0 0 0 0 0 0 0 94851 78881 0 15970 15970 15970 0 0 0 PHARMACY SERVICES 446110 2916224 2916224 REIMBURSEMENT OF EXPENSES 900099 278408 278408 CAFETERIA 722100 52680 52680 2968904 0 0 2968904 6216216 382782690 373232061 244023 7772298 431373 431373 0 0 0 1506568 784851 721717 0 141918204 132415508 9502696 7728395 7097085 631310 16323186 14450221 1872965 9607158 8852215 754943 0 681869 681869 734 734 0 0 0 53022028 45731833 7290195 0 1536832 1087501 449331 8808228 6984379 1823849 17488005 6995226 10492779 0 7532355 7532355 615678 401078 214600 0 130094 11180 118914 7236806 7236806 8996699 8996699 13666663 13666663 4137165 3723449 413716 MEDICAL SUPPLIES 74258850 74258850 BAD DEBT 34557000 34557000 REPAIRS AND MAINTENANCE 4636070 4586422 49648 RECRUITMENT/RELOCATION/TAXES 851989 851989 13772130 11017704 2754426 0 429444079 390818398 38625681 0 0 13820 5822 3486181 2696530 166416564 62406408 0 0 457067 663698 9168521 9156455 2261345 2104770 399556873 245063978 140385612 154492895 0 0 0 0 0 5851449 130050870 328040559 361577448 25188272 88981844 0 197434996 213571598 222623268 302553442 X 105417291 59024006 105417291 59024006 328040559 361577448 X -46661389 268104 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 6637 true 94600 false false 101237 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $4,782 CATHOLIC HEALTH ASSOCIATION - $1,855 LINE 1G: ST. VINCENT INFIRMARY MEDICAL CENTER UTILIZED INTERNAL RESOURCES TO ASSIST IN LOBBYING EFFORTS. THOSE RESOURCES WERE INVOLVED IN THE EVALUATION OF PROPOSED LEGISLATION, COORDINATING STRATEGY TO CONVEY KEY MESSAGE POINTS TO PROPOSED LEGISLATION AND REGULATION, AND ASSISTED IN THE COORDINATION OF MEETINGS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS AND THEIR STAFF MEMBERS. 13702845 13702845 177146945 85816819 91330126 42680 21340 21340 207264162 158156731 49107431 1400241 1069088 331153 154492895 INTERCOMPANY RECEIVABLES 123998799 INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS 5840351 CASH SURRENDER VALUE OF LIFE INSURANCE 208305 VNA MEMORIAL ACCOUNT 3415 130050870 0 CHI DEBT MANAGEMENT PROGRAM 142021464 INTERCOMPANY PAYABLES 67884120 POST EMPLOYMENT BENEFITS 2375000 ENVIRONMENTAL REMEDIATION LIABILITY 1291014 213571598 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. VINCENT INFIRMARY MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true true X false false true true false true true 2476518 2476518 0.00630 13514 22222312 18939038 3283274 0.00830 0 0.00000 0 13514 24698830 18939038 5759792 0.01460 281007 281007 0.00070 257026 257026 0.00070 0 0.00000 0 0.00000 6382 6382 0.00000 0 0 544415 0 544415 0.00140 0 13514 25243245 18939038 6304207 0.01600 0 0.00000 0 0.00000 1 1701 1701 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 0 1701 0 1701 0.00000 true 34557000 0 133316341 152159455 -18843114 X true true ST VINCENT BREAST CENTER MAMMOGRAPHY CENTER 0.5 0 0.5 2 1 ST VINCENT INFIRMARY MEDICAL CENTER

2 ST VINCENT CIRCLE LITTLE ROCK AR 72205

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2215 WILDWOOD AVENUE SHERWOOD AR 72120

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AMBULATORY SURGERY CENTER ST VINCENT BREAST CENTER

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MAMMOGRAPHY CENTER ST VINCENT DIABETES AND ENDOCRINOLOGY CENTER

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FACILITY-BASED CLINIC ST VINCENT MEDICAL CLINIC MIDTOWNE

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FACILITY-BASED CLINIC ST VINCENT HEALTH CLINIC EAST

2500 EAST 6TH STREET LITTLE ROCK AR 72202

SLIDING FEE SCALE CLINIC Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. VINCENT INFIRMARY MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. VINCENT INFIRMARY MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. 388,659,000 / 1,239,251,215 = 31.36% WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 34,557,000 Subsidized Health Services Schedule H, Part I, Line 7g THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 31.36%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 ST. VINCENT INFIRMARY MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 ST. VINCENT INFIRMARY MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. VINCENT INFIRMARY MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $133,316,341 TOTAL MEDICARE COSTS: $152,159,455 SURPLUS/(SHORTFALL): $(18,843,114) ST. VINCENT INFIRMARY MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b ST. VINCENT INFIRMARY MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT ST. VINCENT INFIRMARY MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. VINCENT INFIRMARY MEDICAL CENTER COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. VINCENT INFIRMARY MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. VINCENT INFIRMARY MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. ST. VINCENT INFIRMARY MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' (CHI) HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) ST. VINCENT INFIRMARY MEDICAL CENTER - THE RESULTS OF THE 2012 CHNA WILL BE USED TO GENERATE SPECIFIC STRATEGIES TO ADDRESS A LIST OF PRIORITIZED HEALTH NEEDS IN THE ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC) COMMUNITY. THESE PRIORITIZED NEEDS WILL BE INCORPORATED INTO AN IMPLEMENTATION PLAN, TO BE RELEASED AT A LATER DATE, AND USED TO INFORM STRATEGIC PLANNING AT BOTH ST. VINCENT HEALTH SYSTEM AND SVIMC.; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) ST. VINCENT INFIRMARY MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) ST. VINCENT INFIRMARY MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (2) ST. VINCENT MEDICAL CENTER NORTH - HUD LOW INCOME GUIDELINES USED; Other actions taken before collection actions Schedule H, Part V Section B, Line 18e (2) ST. VINCENT MEDICAL CENTER NORTH - NO SUCH EFFORTS HAVE BEEN MADE.; LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI OUR MISSION WE HAVE A SHARED MISSION WITH OUR PARENT COMPANY, CATHOLIC HEALTH INITIATIVES. IT IS AS FOLLOWS: THE MISSION OF CATHOLIC HEALTH INITIATIVES (CHI) AND ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC) IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. OUR VISION WE ALSO SHARE A COMMON VISION WITH OUR PARENT COMPANY. IT IS AS FOLLOWS: OUR VISION IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY OUR PRIMARY TAX-EXEMPT PURPOSE SVIMC IS A TAX-EXEMPT ORGANIZATION AND IS INCLUDED IN A GROUP RULING ISSUED IN 2003 TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WHICH APPLIED FOR RECOGNITION OF EXEMPTION ON BEHALF OF SUBORDINATE ORGANIZATIONS. OUR MISSION, VISION AND PRIMARY TAX-EXEMPT PURPOSE ARE FULFILLED THROUGH A COMPREHENSIVE NETWORK OF HEALTH SERVICES THAT ADDRESS THE NEEDS OF CITIZENS RESIDING IN THE GREATER LITTLE ROCK METROPOLITAN AREA, CENTRAL ARKANSAS AND BEYOND. ST. VINCENT HAS BEEN IN THE LITTLE ROCK COMMUNITY SINCE 1888 AND HAS COMPILED A DISTINGUISHED RECORD OF SERVICE THROUGHOUT THIS 125-YEAR PERIOD. SVIMC OPERATES ITS FACILITIES, PROGRAMS AND SERVICES ON A NON-DISCRIMINATORY BASIS. ITS EMERGENCY DEPARTMENT IS OPEN TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. IT HAS A BOARD OF DIRECTORS ON WHICH COMMUNITY REPRESENTATIVES SERVE WITH ENERGY AND COMMITMENT. IT SUPPORTS THE TRAINING AND EDUCATION OF VARIOUS HEALTH PROFESSIONALS. IT PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE ORGANIZATION PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE EACH YEAR AND IS KNOWN FOR ITS COMMUNITY OUTREACH TO THOSE IN NEED. COMMUNITY BENEFIT APPROACH: THE PRIMARY SERVICE AREA HISTORICALLY COVERED BY ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC) IS A SIX-COUNTY REGION SURROUNDING ARKANSAS' CAPITAL CITY OF LITTLE ROCK. THESE COUNTIES ARE PULASKI, FAULKNER, LONOKE, SALINE, PERRY AND CONWAY. HOWEVER, WITH THE INTRODUCTION OF NEW PROGRAMS AND SERVICES, THIS MARKET AREA IS EXPANDING. LITTLE ROCK HAS A POPULATION OF APPROXIMATELY 185,000, BUT THE METROPOLITAN AREA EXPANDS TO INCLUDE ABOUT 500,000 PEOPLE. IT IS THE SEAT OF STATE GOVERNMENT IN ARKANSAS AND HAS ROBUST HEALTH CARE, EDUCATIONAL AND BUSINESS COMMUNITIES. IN ADDITION, THERE IS A MAJOR UNITED STATES AIR FORCE BASE IN NEARBY JACKSONVILLE, ALSO LOCATED IN PULASKI COUNTY. THE ORGANIZATION COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF OUR THREE HOSPITALS IN FY13. THIS WAS A PROCESS USING PRIMARY AND SECONDARY DATA. FOCUS GROUPS WERE HELD WITH COMMUNITY MEMBERS AND LEADERS FROM AROUND OUR PRIMARY SERVICE AREA. THE FINAL PHASES OF THE ASSESSMENT WERE COMPLETED AND PRESENTED TO THE SVIMC BOARD OF DIRECTORS IN FY13. ST. VINCENT HAS STRONG COLLABORATIVE RELATIONSHIPS WITH MANY ORGANIZATIONS IN THE COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE ARKANSAS DEPARTMENT OF HEALTH, THE LITTLE ROCK SCHOOL DISTRICT, EASTER SEALS-ARKANSAS AND CITY CONNECTIONS, AN ORGANIZATION INTENT ON MOBILIZING THE FAITH COMMUNITY TO ASSIST THE CITY OF LITTLE ROCK IN ADDRESSING PRESSING SOCIAL CHALLENGES. ST. VINCENT LEADERS SERVE ON A VARIETY OF COMMUNITY BOARDS AND CONSISTENTLY ATTEND COMMUNITY EVENTS DESIGNED TO STRENGTHEN LOCAL PROGRAMS AND SERVICES. A CONCERTED EFFORT IS MADE TO BE A VERY GOOD CORPORATE CITIZEN AND TO GIVE BACK TO THE COMMUNITY. ALSO, WITH RESPECT TO COMMUNITY BENEFIT AT ST. VINCENT, MISSION AND FINANCE WORK CLOSELY TOGETHER AND SEE ITS OVERSIGHT AS A SHARED RESPONSIBILITY. ST. VINCENT MAINTAINS AND ADMINISTERS ITS CHARITY CARE AND SELF-PAY POLICIES. IT COMMUNICATES THE CONTENT OF THESE POLICIES THROUGH A VARIETY OF METHODS THAT INCLUDE VISIBLE SIGNAGE, AS WELL AS INFORMATION DELIVERED FACE-TO-FACE AND BY TELEPHONE TO THE GENERAL PUBLIC BY TRAINED STAFF. IT MAINTAINS A COMMUNITY HEALTH WORKER PROGRAM IN ITS EMERGENCY DEPARTMENT THROUGH WHICH IT TRIES TO CONNECT REPEAT NON-EMERGENT PATIENTS WITH SOURCES OF PRIMARY CARE IN THE COMMUNITY. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR ST. VINCENT CONTINUES TO SPONSOR ITS VOLUNTEERS-IN-MEDICINE PROGRAM THROUGH WHICH IT PROVIDES PRIMARY CARE TO THOSE WITHOUT HEALTH INSURANCE AT THREE CLINIC LOCATIONS IN GREATER LITTLE ROCK. IT USES THE SERVICES OF VOLUNTEER, RETIRED ST. VINCENT PHYSICIANS TO DELIVER THESE SERVICES AND IT MAINTAINS A NETWORK OF PHYSICIAN SPECIALISTS TO WHOM IT CAN ALSO REFER AS NEEDS ARISE. BEYOND THE DIRECT CARE PROVIDED AT THESE CLINICS, ST. VINCENT HAS DONATED MEDICAL SUPPLIES IN SEVERAL INSTANCES WHERE NEEDED, AS WELL AS MEDICATIONS THAT PATIENTS OTHERWISE COULD NOT AFFORD. IN TERMS OF PRIMARY CARE CLINICS, WE ALSO MAINTAIN OUR 40-YEAR PARTNERSHIP WITH THE CITY OF LITTLE ROCK AT ST. VINCENT HEALTH CLINIC - EAST WHERE DENTAL SERVICES HAVE BEEN RESTORED AND HELP TO MEET A SIGNIFICANT NEED IN OUR COMMUNITY. THIS CLINIC ALSO PROVIDES FREE SCHOOL PHYSICALS TO MANY CHILDREN IN GREATER LITTLE ROCK EACH SUMMER. (CONTINUED) LINES 2, 3, & 5: NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI (CONTINUED) COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. VINCENT CONTINUES TO BE ONE OF THE LARGEST PROVIDERS OF INPATIENT BEHAVIORAL HEALTH SERVICES TO MEDICAID PATIENTS IN THE STATE OF ARKANSAS. IN THIS SERVICE LINE, IT ACCEPTS A SIGNIFICANT NUMBER OF REFERRALS FROM DIFFERENT PARTS OF ARKANSAS THAT ARE OUTSIDE ITS PRIMARY SERVICE AREA. IF ST. VINCENT DID NOT OFFER THIS SERVICE, INPATIENT BEHAVIORAL HEALTH RESOURCES FOR MEDICAID PATIENTS WOULD BE SIGNIFICANTLY DIMINISHED IN THE BROADER COMMUNITY. SIMILARLY, ST. VINCENT MAINTAINS EMERGENCY DEPARTMENTS AT BOTH ITS INFIRMARY AND NORTH CAMPUSES. UNDER THE STATE'S NEW TRAUMA SYSTEM, THE INFIRMARY EMERGENCY DEPARTMENT HAS BEEN DESIGNATED A TRAUMA 2 LOCATION AND NORTH A TRAUMA 3 SITE. NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM ST. VINCENT CONTINUES TO SPONSOR ITS NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM. THIS EFFORT PROVIDES NEEDED SUPPLIES AND EMOTIONAL SUPPORT TO WOMEN ACROSS ARKANSAS RECOVERING FROM VARIOUS FORMS AND STAGES OF CANCER. IT DOES SO AT NO COST TO THESE RECIPIENTS. ADDITIONAL DETAILS ABOUT THIS PROGRAM IN FISCAL YEAR 2013 ARE AS FOLLOWS: PURPOSE: TO OFFER ALL ARKANSAS WOMEN DIAGNOSED WITH CANCER A FULL RANGE OF SUPPORTIVE, NON-MEDICAL SERVICES TO STRENGTHEN THE WHOLE WOMAN (BODY, MIND AND SPIRIT) REGARDLESS OF HER ECONOMIC SITUATION OR WHERE SHE IS RECEIVING TREATMENT. NEW OUTLOOK SERVICES REACH INTO EVERY COUNTY IN ARKANSAS, AND EVEN OTHER STATES WHEN WOMEN SEEK TREATMENT IN ARKANSAS. NEW OUTLOOK ALSO ASSISTS CHILDREN AND MEN UNDERGOING CANCER TREATMENT. SERVICES PROVIDED BY NEW OUTLOOK INCLUDE COUNSELING, REGULAR SUPPORT GROUP MEETINGS AT MULTIPLE LOCATIONS, WIGS AND HEADWEAR, COSMETIC MAKEOVERS, ACCESS TO A MEDICAL LIBRARY, STRESS MANAGEMENT CLASSES, MASTECTOMY AND LYMPHEDEMA SERVICES, AND REFERRALS TO PHYSICIANS FOR VARIOUS SERVICES. PERINATAL BEREAVEMENT SERVICES' JOURNEY PROGRAM ST. VINCENT OFFERS PERINATAL BEREAVEMENT SERVICES AT NO COST TO FAMILIES WHO HAVE SUFFERED INFANT LOSS THROUGH ECTOPIC PREGNANCY, STILLBIRTH, MISCARRIAGE AND NEONATAL DEATH. THESE ISSUES AFFECT FAMILIES IRRESPECTIVE OF SOCIOECONOMIC STATUS AND THIS PROGRAM HAS RECEIVED CONSIDERABLE ACCLAIM FOR THE SENSITIVE, COMPREHENSIVE MANNER IN WHICH IT HELPS THE GRIEF-STRICKEN TO DEAL WITH THEIR LOSS. AN AVERAGE OF 30 FAMILIES ARE SERVED/MONTH ON AN INPATIENT BASIS. IN ADDITION, APPROXIMATELY 15 CONSULTATION REQUESTS ARE RECEIVED MONTHLY FROM PEOPLE LIVING OUTSIDE ST. VINCENT'S PRIMARY SERVICE AREA. FINALLY, A MONTHLY SUPPORT GROUP SERVES AN AVERAGE OF 6 PEOPLE AT EACH SESSION. ADDITIONAL STATISTICAL INFORMATION INCLUDES THE FOLLOWING: *THERE WERE 23 INPATIENTS WHO WERE PROVIDED CARE AND SUPPORT FOR PREGNANCY LOSS (SECOND AND THIRD TRIMESTER) *8 BABIES WERE PROVIDED COMFORT CARE IN LABOR & DELIVERY PRIOR TO DEATH DUE TO PREVIABILITY *THERE WERE APPROXIMATELY 205 OUTPATIENTS CARED FOR IN THE ED AND SURGERY RELATED TO MISCARRIAGE *AN ADDITIONAL 10 WERE TREATED FOR ECTOPIC PREGNANCIES. *AN ADDITIONAL 250 FAMILIES FROM OTHER FACILITIES WERE PROVIDED BURIAL SERVICES. *WE HAVE AN ONLINE CLOSED GROUP ON FACEBOOK WITH 68 MEMBERS (ACTIVE). *MORE THAN 100 EXTERNAL REQUESTS WERE RECEIVED DURING FISCAL YEAR 2013 FOR INFORMATION AND SUPPORT. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH IN AN EFFORT TO IMPLEMENT A GOAL ALIGNED WITH CHI'S STATED DESIRE TO REDUCE VIOLENCE IN THE COMMUNITIES IT SERVES ACROSS THE NATION, ST. VINCENT INITIATED A DIALOGUE IN LATE 2008 WITH CITY OF LITTLE ROCK OFFICIALS ABOUT WHERE AND HOW TO BECOME INVOLVED IN THIS COMMUNITY CHALLENGE. WE WERE ENCOURAGED TO CONNECT WITH LITTLE ROCK SCHOOL DISTRICT (LRSD) REPRESENTATIVES TO SEE IF WE COULD PARTNER WITH A LOCAL PUBLIC SCHOOL AND ASSIST IN EFFORTS TO POSITIVELY IMPACT STUDENT BEHAVIOR BEFORE PATTERNS OF VIOLENCE BECAME TOO WELL ENTRENCHED. WE WERE DIRECTED TO FOREST HEIGHTS MIDDLE SCHOOL, A FACILITY WITH OVER 600 STUDENTS LOCATED JUST A FEW BLOCKS FROM ST. VINCENT INFIRMARY. THIS SCHOOL HAD BEEN TROUBLED BY STUDENT BEHAVIOR AND SUBSTANDARD ACADEMIC PERFORMANCE FOR A NUMBER OF YEARS. THERE WAS A STRONG DESIRE ON THE PART OF THE LRSD AND A NEW PRINCIPAL TO TURN THIS ENVIRONMENT AROUND. ST. VINCENT FORMALLY BECAME FOREST HEIGHTS' "PARTNER IN EDUCATION" IN THE FALL OF 2009. THIS PARTNERSHIP ENTERED ITS FOURTH YEAR IN 2012-13. DURING THIS TIME, ST. VINCENT VOLUNTEERS SPENT ONE HOUR/WEEK AT THE SCHOOL. THEY MENTORED STUDENTS AND PROVIDED POSITIVE ADULT PRESENCE AT THE SCHOOL. BECAUSE OF ST. VINCENT'S SUCCESS, ADDITIONAL COMMUNITY ORGANIZATIONS JOINED OUR EFFORT. POSITIVE RESULTS WERE SEEN IN CERTAIN AREAS OF ACADEMIC ACHIEVEMENT, BEHAVIOR AND ATTENDANCE. IN ADDITION, WE ARE NOW IN THE FOURTH YEAR OF A CHI MISSION/MINISTRY GRANT TO CONDUCT AN AFTER-SCHOOL DANCE PROGRAM AT FOREST HEIGHTS FOCUSING ON EXERCISE AND GOOD NUTRITION AS WAYS TO DEVELOP HEALTHY LIFESTYLES AND COMBAT CHILDHOOD OBESITY. THIS IS BEING DONE NOT JUST IN CONJUNCTION WITH FOREST HEIGHTS, BUT ALSO WITH THE UNIVERSITY OF ARKANSAS - LITTLE ROCK (UALR) WHOSE DANCE INSTRUCTORS ARE ACTUALLY TEACHING THE STUDENTS. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ST. VINCENT INFIRMARY MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, ST. VINCENT INFIRMARY MEDICAL CENTER PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN ST. VINCENT INFIRMARY MEDICAL CENTER OUTPATIENT FACILITIES. IN ADDITION, ST. VINCENT INFIRMARY MEDICAL CENTER REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER ST. VINCENT INFIRMARY MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. ST. VINCENT INFIRMARY MEDICAL CENTER REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. ST. VINCENT INFIRMARY MEDICAL CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Affiliated health care system Schedule H, Part VI, Line 6 ST. VINCENT INFIRMARY MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ST. VINCENT INFIRMARY MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. VINCENT FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE CENTRAL ARKANSAS COMMUNITIES. true AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 47500 SPONSORSHIP DIOCESE OF LITTLE ROCK 2500 N TYLER LITTLE ROCK AR 72207 710236871 501(C)(3) 15000 SPONSORSHIP EASTER SEALS ARKANSAS 3920 WOODLAND HEIGHTS RD LITTLE ROCK AR 72212 710123680 501(C)(3) 45500 SPONSORSHIP ARKANSAS HOSPITAL ASSOCIATION 419 NATURAL RESOURCES DR LITTLE ROCK AR 72205 710306406 501(C)(3) 22500 SPONSORSHIP ARKANSAS TRAVELERS BASEBALL 2801 S UNIVERSITY AVE LITTLE ROCK AR 72204 710326642 29000 SPONSORSHIP CRANFORD JOHNSON ROBINSON WOOD 303 W CAPITOL AVE LITTLE ROCK AR 72201 710334812 25000 SPONSORSHIP D1 SPORTS TRAINING OF LITTLE ROCK 12115 HINSON RD LITTLE ROCK AR 72212 205179734 82000 SPONSORSHIP WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK AR 72203 710513011 501(C)(3) 10000 SPONSORSHIP UNIVERSITY OF ARKANSAS LITTLE ROCK 2801 SOUTH UNIVERSITY AVE LITTLE ROCK AR 72204 716046242 501(C)(3) 64000 SPONSORSHIP 6 3 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 ST. VINCENT INFIRMARY MEDICAL CENTER USES MINIMAL FUNDS TO GIVE "SPONSORSHIPS" TO CERTAIN EVENTS. ST. VINCENT INFIRMARY MEDICAL CENTER'S CEO APPROVES ALL SPONSORSHIPS, AND THEY ARE PRIMARILY PROVIDED TO CHARITABLE ORGANIZATIONS OR EVENTS TO PROMOTE COMMUNITY HEALTH. true true false false true false false false false ANDREW KUMPURIS MD 845919 0 294509 0 5331 0 20952 0 11714 0 1178425 0 0 0 FRANK BAUER 1110615 0 424834 0 3612 0 33702 0 6938 0 1579701 0 0 0 FREDERICK MEADORS 804313 0 657081 0 3612 0 30596 0 20028 0 1515630 0 0 0 KEN HAYNES 0 211308 0 0 0 271690 0 44684 0 20424 0 548106 0 35703 KURTIS VINSANT 70339 236261 0 0 0 986 20596 0 0 12604 90935 249851 0 0 MANGARAJU CHAKKA 850073 0 342235 0 840 0 20952 0 17988 0 1232088 0 0 0 MARK MCGINNIS 314320 0 68250 0 1410 0 20596 0 20348 0 424924 0 0 0 MARK ST PIERRE 714746 0 199608 0 1820 0 20952 0 18648 0 955774 0 0 0 MARY ELIZABETH O'BRIEN 0 714927 0 139200 0 70827 0 106965 0 9343 0 1041262 0 43883 PETER BANKO 0 491669 0 188381 0 56845 0 67247 0 22251 0 826393 0 34089 RANDY JORDAN 719467 0 175902 0 3443 0 20952 0 18068 0 937832 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: KEN HAYNES - $203,931 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2012 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: PETER BANKO MARY ELIZABETH O'BRIEN KEN HAYNES DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PETER BANKO - $44,151 MARY ELIZABETH O'BRIEN - $83,869 KEN HAYNES - $19,088 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: PETER BANKO - $34,089 MARY ELIZABETH O'BRIEN - $43,883 KEN HAYNES - $35,703 Compensation contingent on revenues of a related organization Schedule J, Part I, Line 5b ST. VINCENT MEDICAL GROUP PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET COLLECTED REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET COLLECTED REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET COLLECTED REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN IN EXCESS OF A THRESHOLD. PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF SVIMC FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES COMPENSATION IS AT FAIR MARKET VALUE. LEXUS LAND LLC ENTITY OWNED GREATER THAN 35% BY DAVE PARKER, BOARD MEMBER 191341 RENTAL OF PROPERTY false Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, AND FIVE VOTING MEMBERS OF THE BOARD APPOINTED BY THE CHAIRPERSON, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b ST. VINCENT INFIRMARY MEDICAL CENTER'S (SVIMC) CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES (CHI). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SVIMC *AMENDMENT OF THE CORPORATE DOCUMENTS OF SVIMC *APPROVE MEMBERS OF THE SVIMC BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SVIMC *APPROVAL OF ISSUANCE OF DEBT BY SVIMC *APPROVAL OF PARTICIPATION OF SVIMC IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY SVIMC *APPROVAL OF A MERGER INVOLVING SVIMC *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SVIMC *TO REQUIRE THE TRANSFER OF ASSETS BY SVIMC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SVIMC PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE ST. VINCENT INFIRMARY MEDICAL CENTER'S BOARD EITHER AT A BOARD MEETING OR ELECTRONICALLY. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c FOR EMPLOYEES: ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC)'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AT THE LEVEL AT WHICH THEY CAN USE THEIR WORK KNOWLEDGE FOR PERSONAL GAIN. THIS IS GENERALLY ANY MANAGEMENT PERSONNEL. EACH PERSON IN A MANAGEMENT POSITION IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. THIS STATEMENT INQUIRES ABOUT ANY POSSIBLE CONFLICT OF INTEREST AND INFORMS THE EMPLOYEE OF THE COI POLICY. ACTUAL CONFLICTS ARE REVIEWED BY THE CORPORATE RESPONSIBILITY OFFICER. IF THE CONFLICT CANNOT BE RESOLVED OR DETERMINED AT THAT LEVEL, THE CRO DISCUSSES WITH THE CEO. SVIMC EMPLOYEES MAY NOT USE THEIR POSITIONS OR ANY KNOWLEDGE GAINED FROM THEIR EMPLOYMENT IN ANY MANNER FOR THEIR PERSONAL GAIN OR IN SUCH A MANNER THAT A CONFLICT OF INTEREST MIGHT ARISE BETWEEN THE INTERESTS OF ST. VINCENT AND THE EMPLOYEES. SVIMC EMPLOYEES SHALL NOT ACCEPT ANY GIFTS, FAVORS OR HOSPITALITY THAT MIGHT INFLUENCE OR BE INTERPRETED AS INFLUENCING THEIR DECISION MAKING OR OTHER ACTIONS AFFECTING ST. VINCENT. SVIMC EMPLOYEES SHOULD NOT ACCEPT OUTSIDE EMPLOYMENT OR ENGAGE IN BUSINESS ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST WITH THEIR EMPLOYMENT STATUS OR WHICH HINDER THE EMPLOYEE'S ABILITY TO PERFORM THEIR JOB ASSIGNMENTS. EMPLOYEES IN MANAGEMENT ARE REQUIRED TO INFORM THEIR EXECUTIVE OF WORK BEING PERFORMED OUTSIDE OF ST. VINCENT. SVIMC WILL NOT HIRE, ASSIGN, OR TRANSFER IMMEDIATE RELATIVES OF PRESENT EMPLOYEES TO WORK IN THE SAME DEPARTMENT AT THE SAME PHYSICAL LOCATION. NO PERSON SHALL BE EMPLOYED, RETAINED IN, OR TRANSFERRED TO A POSITION, WHICH IS DIRECTLY OR INDIRECTLY SUPERVISED BY AN IMMEDIATE RELATIVE. IMMEDIATE RELATIVES ARE SPOUSES, SPOUSAL EQUIVALENTS, PARENTS, MOTHERS-IN-LAW, FATHERS-IN-LAW, SISTERS, BROTHERS, SISTERS-IN-LAW, BROTHERS-IN-LAW, CHILD, DAUGHTERS-IN-LAW, SONS-IN-LAW, FIRST COUSINS, AUNTS, UNCLES, GRANDPARENTS, AND GRANDCHILDREN. SVIMC CREATED A COMPLIANCE COMMITTEE TO REVIEW ALL REPORTED ACTIVITY THAT MAY VIOLATE ESTABLISHED POLICY AND PROCEDURES. ADDITIONALLY, A HOTLINE HAS BEEN ESTABLISHED FOR ANY EMPLOYEE TO REPORT POSSIBLE COMPLIANCE VIOLATIONS. FOR BOARD MEMBERS: PURSUANT TO SECTION 13.7 OF THE BY-LAWS, EACH OF THE CORPORATION'S OFFICERS AND DIRECTORS SHALL ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND SHALL EXERCISE CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES, A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE CORPORATION ALSO INVOLVE THE OBTAINING OF A DIRECT OR INDIRECT PERSONAL GAIN OR ADVANTAGE OR AN ADVERSE OR POTENTIALLY ADVERSE EFFECT ON THE INTERESTS OF THE CORPORATION. THE CORPORATION'S OFFICERS AND DIRECTORS SHALL AVOID CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSE TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, IF SUCH CONFLICTS CANNOT BE AVOIDED, SO THAT SUCH CONFLICTS ARE DEALT WITH IN THE BEST INTERESTS OF THE CORPORATION. THE CORPORATION AND ALL OF ITS OFFICERS AND DIRECTORS SHALL COMPLY WITH ANY POLICIES OF THE CORPORATION AND ANY POLICIES OF THE CORPORATE MEMBER REGARDING CONFLICTS OF INTEREST AND SHALL COMPLETE ANY AND ALL SUCH DISCLOSURE FORMS AS MAY BE DEEMED NECESSARY OR USEFUL BY THE CORPORATION FOR IDENTIFYING POTENTIAL CONFLICTS OF INTEREST. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b ALL SVIMC EXECUTIVE COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL SALARY LEVELS AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS USING DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED JUNE 30, 2013. POLICY ON JOINT VENTURE ARRANGEMENTS FORM 990, PART VI, LINE 16B ST. VINCENT INFIRMARY MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH SYSTEM'S (CHI) SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG Other Expenses Form 990, Part IX, Line 11g CHI RRC FEES - TOTAL EXPENSE: 5581997, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 5581997, FUNDRAISING EXPENSES: ; CHI CLINICAL ENGINEERS - TOTAL EXPENSE: 3414719, PROGRAM SERVICE EXPENSE: 3414719, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; LABORATORY SERVICES - TOTAL EXPENSE: 1379933, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 1379933, FUNDRAISING EXPENSES: ; MEDICAL DIRECTOR FEES - TOTAL EXPENSE: 208835, PROGRAM SERVICE EXPENSE: 208835, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONSULTING FEES - TOTAL EXPENSE: 2257174, PROGRAM SERVICE EXPENSE: 2257174, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTION FEES - TOTAL EXPENSE: 270441, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 270441, FUNDRAISING EXPENSES: ; OTHER PROFESSIONAL FEES - TOTAL EXPENSE: 39908929, PROGRAM SERVICE EXPENSE: 39851105, MANAGEMENT AND GENERAL EXPENSES: 57824, FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 GAAP ADJUSTMENT - -61000; CHI CONNECT DEPRECIATION - 329104; JACK STEPHENS HEART INSTITUTE LLC 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 452460570 CARDIOLOGY AR 3417531 1168665 SVIMC ARKANSAS HEALTH NETWORK LLC 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 462817911 HEALTHCARE AR 0 0 SVIMC ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - 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