2014-05-13T17:00:11-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 410721642 UNITY FAMILY HEALTHCARE UNIT 3206325441 815 SE 2nd Street Little Falls MN 56345 STEVEN SMITH 2014-04-22 true PAMELA KROHN P01210500 3032989100 2012 2015-11-30 17:44:51Z JOSEPH MESSMER 815 SE 2nd Street Little Falls MN 56345 78370971 false 0928 X WWW.STGABRIELS.COM X 2001 MN THE VISION IS TO CREATE THE BEST HEALTHCARE EXPERIENCE BY IGNITING THE SPIRIT FOR SUPERIOR CARE AND SERVICE. 11 7 635 337 200526 0 222673 737212 73809198 75306419 214712 1096327 1361213 1204952 75607796 78344910 95794 93742 0 0 39521389 39709923 0 0 0 33963421 35951541 73580604 75755206 2027192 2589704 49196717 53775775 21382802 23413623 27813915 30362152 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 66003844 93742 75105874 SEE SCHEDULE H 66003844 true true false true false false false false false true true false false true true false true false false false false false false true false true true true true true false false false true false false false false false false false false false true false false false false true 0 0 635 true true true false false false false false false false false false X 11 7 false false false false true true true true true false false true true true true true true false true true false MN X Vicki Maleski 3206315674 815 SE 2nd Street Little Falls MN 56345 CHAD COOPER 45.00 5.00 X X 0 449460 68572 JOSEPH MESSMER 45.00 5.00 X X 0 300163 33096 KURT OWEN 1.00 1.00 X X 0 0 0 PAUL CAMERON 1.00 1.00 X X 0 0 0 RYAN KRAY MD 45.00 1.00 X X 221191 0 2021 BRIAN MACKINAC 1.00 1.00 X 0 0 0 DEB GRUBER 1.00 1.00 X 0 0 0 GREGORY MCNAMARA 45.00 1.00 X 280950 0 38095 JEFFREY DROP 1.00 59.00 X 0 606104 98488 JILL GRIFFITH-MCRAITH 1.00 1.00 X 0 0 0 RICHARD WEAVER 1.00 1.00 X 0 0 0 SR BERNICE EBNER 1.00 2.00 X 0 0 0 STEVEN SMITH 45.00 1.00 X 132581 0 32352 DAVID JORGENSEN 45.00 0 X 675807 0 46584 PAUL JOHNSON 45.00 0 X 593665 0 44352 PHILIP PROSAPIO 45.00 0 X 614702 0 47724 SAUNG PARK 45.00 0 X 494319 0 29757 VIRGIL MEYER 45.00 0 X 401620 0 35098 3414835 1355727 476139 48 false true false EMERGENCY PRACTICE ASSOC PO BOX 1260 WATERLOO IA 50704 ER PHYSICIAN 1483675 CENTRAL MN DIAGNOSTIC 150 10TH ST NW PO BOX 158 MILACA MN 56353 RADIOLOGY SERVICES 1391060 LITTLE FALLS ANESTHESIA SUITE 130 808 3RD STREET LITTLE FALLS MN 56345 ANESTHESIA SERVICES 1159147 HY-TEC CONSTRUCTION PO BOX 621 BRAINERD MN 56401 CONSTRUCTION 375199 QUEST DIAGNOSTICS 12989 COLLECTIONS CTR DR CHICAGO IL 60693 LAB SERVICES 364276 13 4156 106288 120545 506223 737212 PATIENT SERVICES 900099 72285470 72285470 PHARMACY SERVICES 446110 2288404 2087859 200545 INTERCOMPANY TRANSACTIONS 900099 432956 432956 RENTAL INCOME 900099 96724 96724 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 18376 18376 184489 184489 0 0 75306419 153644 -19 153663 0 0 13209 1995 11214 0 11214 11214 108640 849721 15678 108640 834043 942683 942683 22385 4156 8388 13997 13997 0 0 SERVICES SOLD 900099 239500 239500 REIMBURSEMENT OF EXPENSES 900099 494957 494957 CAFETERIA 722100 222432 222432 222852 0 0 222852 1179741 78344910 75105874 200526 2301298 68053 68053 25689 25689 0 0 611832 477453 134379 0 30575211 27959174 2616037 1676420 1528575 147845 4768767 4347294 421473 2077693 1874268 203425 0 152388 152388 21670 21670 0 0 0 10516930 7862937 2653993 0 158668 49492 109176 1586506 1244468 342038 4334183 4251098 83085 0 1341905 1203312 138593 331172 291413 39759 0 1842 914 928 798402 798402 1636470 1636470 2744280 2452755 291525 322636 316556 6080 MEDICAL SUPPLIES 8080774 8073537 7237 MN CARE TAX & DHS SURCHARGE 1272969 1272969 0 BAD DEBTS 1230796 1230796 REPAIRS & MAINTENANCE 473579 388796 84783 946371 285893 660478 0 75755206 66003844 9751362 0 0 0 0 2646680 5060949 28470 33088 12044770 11819062 88641 66699 0 509332 199343 1416122 1420801 138322 54527 59113882 30835050 27525554 28278832 0 2338936 4620263 0 0 2459890 2222211 49196717 53775775 2927008 5589979 93468 0 156667 1029501 0 0 18299127 16700675 21382802 23413623 X 27552460 30078616 261455 283536 27813915 30362152 49196717 53775775 X 2589704 94337 -135804 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 6714 false false false 6714 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN ASSOCIATION OF NURSE PRACTITIONERS: $7 AMERICAN ASSOCIATION FOR RESPIRATORY CARE: $17 AMERICAN ACADEMY OF FAMILY PHYSICIANS: $910 AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS: $44 AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS: $100 AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS: $139 AMERICAN HOSPITAL ASSOCIATION: $1,023 AMERICAN MEDICAL ASSOCIATION: $252 AMERICAN OSTEOPATHIC ASSOCIATION: $68 ASSOCIATION OF NUTRITION & FOODSERVICE PROFESSIONALS: $6 ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY: $15 AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS: $88 CATHOLIC HEALTH ASSOCIATION: $397 MINNESOTA ACADEMY OF PHYSICIAN ASSISTANTS: $43 MINNESOTA MEDICAL GROUP MANAGEMENT ASSOCIATION: $55 MINNESOTA HOMECARE: $1,794 MINNESOTA HOSPITAL ASSOCIATION: $1,517 MINNESOTA MEDICAL ASSOCIATION: $157 MINNESOTA MEDICAL GROUP MANAGEMENT ASSOCIATION: $26 MINNESOTA ORTHOPEDIC SOCIETY: $56 681604 681604 25162239 11857157 13305082 0 31866937 18240675 13626262 1403102 737218 665884 28278832 0 0 CHI OIP - FIXED INCOME 2283053 F CHI OIP - EQUITY SECURITIES 2337210 F 4620263 0 CHI DEBT PROGRAM 15768332 ENVIRONMENTAL REMEDIATION LIABILITY 832606 INTERCOMPANY PAYABLES 99353 UNCLAIMED PROPERTY 384 16700675 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 UNITY FAMILY HEALTHCARE'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." MOTORCYCLE RUN 6441 1026 5415 1000 474 ROCK N RUN 13079 1841 11238 575 76 4401 1 7021 1289 5732 1276 534 52 26541 4156 22385 1000 0 1851 610 0 4927 8388 13997 true true X false false true true false true true 10655 669442 0 669442 0.00900 64482 26526311 14811476 11714835 0.15720 0 0 0 0 0.00000 0 75137 27195753 14811476 12384277 0.16620 16 7078 370919 53651 317268 0.00430 1 85 6645 0 6645 0.00000 1 12351 286601 0 286601 0.00380 0 0 0 0 0 0.00000 5 8030 129835 34046 95789 0.00130 23 27544 794000 87697 706303 0.00940 23 102681 27989753 14899173 13090580 0.17560 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 2 2095 225321 15813 209508 0.00280 2 2095 225321 15813 209508 0.00280 true 1230796 0 20936401 20909760 26641 X true true 2 1 ST GABRIEL'S HOSPITAL

815 SE SECOND STREET LITTLE FALLS MN 56345

WWW.UNITYFAMILY.COM OR WWW.STGABRIELS.COM X X X X 2 ALBANY AREA HOSPITAL AND MEDICAL CENTER

300 THIRD AVENUE ALBANY MN 56307

WWW.ALBANYAREAHOSPITAL.COM X X X X OUTPATIENT CLINIC ST GABRIEL'S HOSPITAL 1 true X X X X X X X X X 12 true false true X X X X X X X X X X X false false true false false true X X X X X X true true X X X X true false true X false false ALBANY AREA HOSPITAL AND MEDICAL CENTER 2 true X X X X X X X X X 12 true false true X X X X X X X X X X X false false true false false true X X X X X X true true X X X X true false true X false false 6 FAMILY MEDICAL CENTER

811 SE SECOND STREET LITTLE FALLS MN 56345

OUTPATIENT CLINIC LITTLE FALLS ORTHOPEDICS

1108 1ST STREET SE LITTLE FALLS MN 56345

OUTPATIENT CLINIC COMMUNITY MEDICAL CENTER

200 SOUTH FIRST AVENUE PIERZ MN 56364

OUTPATIENT CLINIC ST CAMILLUS PLACE

1100 SE FOURTH STREET LITTLE FALLS MN 56345

LONG TERM CARE FACILITY RANDALL LAKES AREA CLINIC

250 WHITE OAK DRIVE RANDALL MN 56475

OUTPATIENT CLINIC AVON MEDICAL CENTER

108 STRATFORD STREET WEST AVON MN 56310

OUTPATIENT CLINIC Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO UNITY FAMILY HEALTHCARE) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 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. UNITY FAMILY HEALTHCARE 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 A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. 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. BASED ON THAT FORMULA, ST. GABRIEL'S HOSPITAL AND ALBANY AREA HOSPITAL HAD COST-TO-CHARGE RATIOS OF 53.01% AND 68.3% RESPECTIVELY. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 1,230,796 Subsidized Health Services Schedule H, Part I, Line 7g UNITY FAMILY HEALTHCARE DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PHYSICIAN'S CLINICS AS SUBSIDIZED HEALTH CARE 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 53.01% FOR ST. GABRIEL'S HOSPITAL AND 68.3% FOR ALBANY AREA HOSPITAL. 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 UNITY FAMILY HEALTHCARE 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 UNITY FAMILY HEALTHCARE DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. 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 UNITY FAMILY HEALTHCARE IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, UNITY FAMILY HEALTHCARE, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, UNITY FAMILY HEALTHCARE WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $20,936,401 TOTAL MEDICARE COSTS: $20,909,760 SURPLUS OR SHORTFALL $26,641 UNITY FAMILY HEALTHCARE 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." AT UNITY FAMILY HEALTHCARE, OUR HOSPICE AND HOME CARE DEPARTMENT-UNITY FAMILY HOME CARE & HOSPICE-IS AN EXAMPLE OF 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 UNITY FAMILY HEALTHCARE'S DEBT COLLECTION POLICY PROVIDES THAT UNITY FAMILY HEALTHCARE 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 UNITY FAMILY HEALTHCARE'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNITY FAMILY HEALTHCARE COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNITY FAMILY HEALTHCARE FOR APPROPRIATE FOLLOW-UP. UNITY FAMILY HEALTHCARE REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) ST. GABRIEL'S HOSPITAL - SEVERAL INDIVIDUALS FROM THROUGHOUT THE COMMUNITY PROVIDED INPUT INTO OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE PEOPLE INCLUDED BOTH STAKEHOLDERS AS WELL AS THE GENERAL PUBLIC. A WIDE RANGE OF PEOPLE FROM MORRISON COUNTY PUBLIC HEALTH AND MORRISON COUNTY SOCIAL SERVICES, INCLUDING PUBLIC HEALTH DIRECTOR BONNIE PAULSEN AND SOCIAL SERVICES DIRECTOR BRAD VOLD, PROVIDED INPUT INTO THE CHNA. OTHER PUBLIC HEALTH WORKERS PARTICIPATED IN THE CHNA AS WELL, INCLUDING ANN MARCH AND SHEILA FUNK (PUBLIC HEALTH EDUCATORS), LYNETTE GESSELL (MORRISON COUNTY MENTAL HEALTH WORKER), KEN SZCZODROSKI (COUNTY LEAD ELIGIBILITY WORKER). OTHER COMMUNITY PARTICIPANTS WHO WERE INTERVIEWED AS PART OF THE STAKEHOLDER INTERVIEWS WERE: TOM WEST, MORRISON COUNTY RECORD GENERAL MANAGER AND HEALTHY COMMUNITIES COLLABORATIVE BOARD MEMBER; JILL GRIFFITH-MCRAITH, LINDBERGH ELEMENTARY SCHOOL PRINCIPAL; CHAD COOPER, UFH PRESIDENT; STEVE JONES LITTLE FALLS COMMUNITY SCHOOLS SUPERINTENDENT; SUE WASLAND, SCHOOL NURSE; KEVIN MAURER, INDEPENDENT CHEMICAL DEPENDENCY COUNSELOR AND VIOLENCE PREVENTION COUNCIL MEMBER; BRENDA VANHEEL, HOME CARE NURSE; MARY KLINKER, MD, FAMILY PRACTICE PHYSICIAN; STEPHENIE OCH, HANDS OF HOPE RESOURCE CENTER DIRECTOR; ANDREA FOOTE, CAMP RIPLEY NURSE; SANDY VOIGT, INITIATIVE FOUNDATION DEVELOPMENT OFFICER; JIM BIRCHEM, LONG-TERM CARE FACILITIES OWNER; SR. LATONA KALIS, OSF, FRANCISCAN SISTERS OF LITTLE FALLS; LORI KUSH, INSURANCE AGENT; BRIDGET BRITZ, HORIZON HEALTH DIRECTOR; AND KRISTIN JACKSON, DPM, PODIATRIST.; Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (2) ALBANY AREA HOSPITAL AND MEDICAL CENTER - SEVERAL INDIVIDUALS FROM THROUGHOUT THE COMMUNITY PROVIDED INPUT INTO OUR 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE PEOPLE INCLUDED BOTH STAKEHOLDERS AS WELL AS THE GENERAL PUBLIC. THE FOLLOWING INDIVIDUALS WERE PART OF THIS INTERVIEW PROCESS: RENEE FRAUENDIENST, STEARNS COUNTY HUMAN SERVICES, PUBLIC HEALTH DIVISION DIRECTOR; KAY HANSON, ALBANY AREA SCHOOLS, SCHOOL NURSE; THE STUDENT COUNCIL MEMBERS OF ALBANY AREA HIGH SCHOOL VIA KAY HANSON, SCHOOL NURSE WHO CONDUCTED A QUESTIONNAIRE AT A STUDENT COUNCIL MEETING; JOE HENNEN, OWNER OF HENNEN FLOORS INC., FREEPORTAND BOARD MEMBER FOR ALBANY MUTUAL TELEPHONE FOUNDATION BOARD AND STEARNS ELECTRIC COOPERATIVE; JOHN HOEFS, ADMINISTRATOR, MOTHER OF MERCY CAMPUS OF CARE, AND ATTORNEY; ANN NEU, REGISTERED DIETICIAN FOR MOTHER OF MERCY CAMPUS OF CARE; CINDY NIENABER, RN, ALBANY HOME CARE & HOSPICE DIRECTOR; SHELLY VANKEUREN PIERSON - PAST AVON CHAMBER PRESIDENT, WORKS AT AVON BODY SHOP AND BUSINESS OWNER OF A CRAFTY GIRLS, A BOUTIQUE IN AVON; LYNN JENC, COMMUNITY EDUCATION DIRECTOR FOR ALBANY AREA SCHOOLS; DARON GERSCH, MD, FAMILY MEDICINE PHYSICIAN AT ALBANY AREA HOSPITAL & MEDICAL AND MAYOR OF ALBANY; ALEXIS LUTGEN, UNITED WAY REPRESENTATIVE AND YOUNG MOTHER, ALBANY RESIDENT; AND EDNA GOEBEL, ALBANY RESIDENT AND FOOD SHELF VOLUNTEER AND COORDINATOR. IN ADDITION, KIM MCCOY, PROGRAM MANAGER FOR STRATIS HEALTH, ASSISTED THE CHNA TEAM IN DEVELOPING ITS IMPLEMENTATION STRATEGY. ; Availability of Needs Assessment Schedule H, Part V Section B, Line 5c (1) ST. GABRIEL'S HOSPITAL - THE CHNA IS ALSO EMAILED TO SPECIFIC INDIVIDUALS THROUGHOUT MORRISON COUNTY.; Availability of Needs Assessment Schedule H, Part V Section B, Line 5c (2) ALBANY AREA HOSPITAL AND MEDICAL CENTER - THE CHNA IS ALSO EMAILED TO SPECIFIC INDIVIDUALS THROUGHOUT THE PRIMARY SERVICE AREA AND TO OTHER INTERESTED INDIVIDUALS.; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) ST. GABRIEL'S HOSPITAL - THE TWO PRIMARY NEEDS THAT THE MOST RECENT CHNA DISCOVERED, WHICH ST. GABRIEL'S HOSPITAL WILL NOT BE ADDRESSING ARE: 1) THE LIMITED ACCESS TO DENTAL SERVICES, SINCE ST. GABRIEL'S HOSPITAL DOES NOT HAVE APPROPRIATE RESOURCES FOR THE PROVISION OF DENTAL CARE; AND 2) ACCESS TO CHEMICAL DEPENDENCY SERVICES, SINCE THERE ARE SEVERAL CHEMICAL DEPENDENCY PROVIDERS IN THE COUNTY WHO ARE ABLE TO ADDRESS THIS NEED AND THE HOSPITAL CLOSED ITS BEHAVIORAL HEALTH UNIT IN 2002. ST. GABRIEL'S HOSPITAL IS FOCUSING ITS IMPLEMENTATION STRATEGY AROUND THREE GOAL AREAS: 1) CHRONIC ILLNESS THROUGH A PATIENT-CENTERED MEDICAL HOME; 2) OBESITY IN COLLABORATION WITH MCPH AND OTHER GRANT AND HEALTHY COMMUNITY INITIATIVES; AND 3) ACCESS TO MENTAL HEALTH SERVICES THROUGH THE EMPLOYMENT OF AN ADVANCED PRACTICE PSYCHIATRIC NURSE PRACTITIONER AND TELEPSYCHIATRY SERVICES.; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (2) ALBANY AREA HOSPITAL AND MEDICAL CENTER - THE CHNA IDENTIFIED SEVERAL COMMUNITY HEALTH PRIORITIES. THE MAJOR HEALTH PRIORITIES ARE OBESITY, MENTAL HEALTH, POVERTY, ALCOHOL USE, AND TOBACCO USE. THE IMPLEMENTATION STRATEGY WILL ADDRESS TWO OF THE FIVE MAJOR HEALTH ISSUES. EXCEPT ON A LIMITED SCALE, THE IMPLEMENTATION STRATEGY WILL NOT ADDRESS POVERTY, ALCOHOL AND TOBACCO USE. POVERTY IS A BROAD SOCIETAL ISSUE BEYOND THE CAPABILITIES OF A SMALL, RURAL COMMUNITY HOSPITAL WITH LIMITED RESOURCES. SPECIFIC ACTIONS RELATED TO IMPROVING COMMUNITY MENTAL HEALTH, MAY ADDRESS THE ISSUE OF ALCOHOL USE. TOBACCO USE WILL BE REVIEWED AGAIN AT THE NEXT THREE-YEAR CYCLE. ALBANY AREA HOSPITAL HAS DEVELOPED A THREE-YEAR ACTION PLAN TO ADDRESS AWARENESS OF TWO COMMUNITY HEALTH PRIORITIES: 1) HEALTHY LIFESTYLES INCLUDING THE IMPORTANCE OF PHYSICAL ACTIVITY AND PROPER NUTRITION; AND 2) COMMUNITY AWARENESS OF MENTAL WELLNESS BY REDUCING THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND INCREASING IDENTIFICATION OF MENTAL HEALTH ISSUES AMONG RESIDENTS OF THE SERVICE AREA. ; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) ST. GABRIEL'S HOSPITAL - ST. GABRIEL'S HOSPITAL BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (2) ALBANY AREA HOSPITAL AND MEDICAL CENTER - ALBANY AREA HOSPITAL AND MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) ST. GABRIEL'S HOSPITAL - ST. GABRIEL'S HOSPITAL BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (2) ALBANY AREA HOSPITAL AND MEDICAL CENTER - ALBANY AREA HOSPITAL AND MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORD THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25% - 100% OF CHARGES.; COMMUNITY BENEFITS, NEEDS ASSESSMENTS, AND OTHER INFORMATION SCHEDULE H, PART VI, LINE 2 ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: UNITY FAMILY HEALTHCARE'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. OUR VISION IS TO CREATE THE BEST POSSIBLE HEALTH CARE EXPERIENCE BY IGNITING THE SPIRIT FOR SUPERIOR CARE AND SERVICE. UNITY FAMILY HEALTHCARE WAS FOUNDED BY THE FRANCISCAN SISTERS OF LITTLE FALLS TO CARRY THE ORGANIZATION'S HEALING MINISTRY. THE CORNERSTONE OF UNITY FAMILY HEALTHCARE IS ST. GABRIEL'S HOSPITAL, A 25-BED CRITICAL ACCESS HOSPITAL (CAH), WHICH ORIGINALLY WAS ORGANIZED IN MAY OF 1891 AND RECEIVED ITS FIRST PATIENTS IN JANUARY OF 1892. ST. GABRIEL'S HOSPITAL AND THE OTHER ORGANIZATIONS THAT COMPRISE UNITY FAMILY HEALTHCARE, INCLUDING FAMILY MEDICAL CENTER, LITTLE FALLS ORTHOPEDICS, ST. CAMILLUS PLACE, AND ALBANY AREA HOSPITAL & MEDICAL CENTER, SERVE ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THE TWO HOSPITALS OPERATE EMERGENCY SERVICES DEPARTMENTS THAT ARE OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND MID-LEVEL PRACTITIONERS (PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, ETC.). THE UNITY FAMILY HEALTHCARE BOARD OF DIRECTORS IS AN ELEVEN-MEMBER GOVERNING BOARD OF MOSTLY INDEPENDENT INDIVIDUALS WHO SERVE AS REPRESENTATIVES OF THE COMMUNITY AND OVERSEE OPERATIONS OF THE UFH FACILITIES. ONLY THREE MEMBERS OF THE GOVERNING BOARD ARE NOT DIRECTLY SERVING AS REPRESENTATIVES OF THE COMMUNITY-THE MARKET PRESIDENT, INTERIM PRESIDENT, AND THE SENIOR VICE PRESIDENT OF OPERATIONS FROM THE CATHOLIC HEALTH INITIATIVES (CHI) DIVISION OFFICE IN FARGO, ND. ST. GABRIEL'S HOSPITAL ENGAGES IN THE TRAINING OF HEALTH PROFESSIONALS, ESPECIALLY NURSES, PHARMACISTS, RADIOLOGIC TECHNOLOGISTS, PHYSICAL THERAPISTS, NURSE ANESTHETISTS AND PHYSICIAN ASSISTANTS. ST. GABRIEL'S HOSPITAL ALSO HAS BEEN AN ACTIVE PARTICIPANT IN THE UNIVERSITY OF MINNESOTA'S RURAL PHYSICIAN ASSOCIATE PROGRAM (RPAP) SINCE ITS INCEPTION IN 1973. THE PROGRAM PROVIDES A "HANDS-ON" EXPERIENCE OF SERVING THE PRIMARY CARE NEEDS OF PEOPLE IN RURAL AREAS. UNITY FAMILY HEALTHCARE FACILITIES PARTICIPATE IN ALL GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS SUCH AS MEDICAID, MEDICARE, CHAMPUS, MINNESOTACARE, TRI-CARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS (I.E., THE SAGE PROGRAM, FORMERLY CALLED THE MINNESOTA BREAST & CERVICAL CANCER CONTROL PROGRAM, WHICH PROVIDES FREE OR LOW-COST SCREENING SERVICES TO WOMEN AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES). UNITY FAMILY HEALTHCARE'S TWO CRITICAL ACCESS HOSPITALS (CAHS) OPERATE 24-HOUR EMERGENCY ROOMS 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. FURTHERMORE, THE HOSPITALS HAVE OPEN MEDICAL STAFFS, PARTICIPATE IN MEDICARE AND MEDICAID, AND HAVE AN ACTIVE CHARITY CARE PROGRAM. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF UNITY FAMILY HEALTHCARE ACTIVITIES. FOR EXAMPLE, UNITY FAMILY HEALTHCARE WAS THE FIRST ORGANIZATION IN THE REGION TO OFFER PRENATAL EDUCATION TO EXPECTANT MOTHERS THROUGH ST. GABRIEL'S HOSPITAL IN THE 1950S. OTHER NOTABLE EXAMPLES FROM RECENT YEARS INCLUDE: THE YOUTH RECREATION INITIATIVE, YOUTH AS RESOURCES (YAR), AND THE BRIDGES: YOUTH, FAMILY, COMMUNITY PROGRAM WHICH PROVIDED BEHAVIORAL HEALTH COUNSELING AND OTHER SERVICES TO YOUTH IN THE PUBLIC SCHOOLS AND OTHER SERVICES TO FAMILIES UTILIZING COMMUNITY RESOURCES. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE ALL PERSONS IN THE COMMUNITY, BUT ALSO HELP TO REDUCE THE BURDENS ON LOCAL GOVERNMENT THROUGH A SPIRIT OF COLLABORATION. BOTH ST. GABRIEL'S HOSPITAL AND ALBANY AREA HOSPITAL & MEDICAL CENTER PROVIDE CHARITY CARE, IN ADDITION TO A WIDE RANGE OF COMMUNITY BENEFIT ACTIVITIES ASSOCIATED WITH SERVING THE NEEDS OF THE POOR. PERFORMING THESE SERVICES AND PICKING UP THE RELATED COSTS HELPS LOCAL GOVERNMENT AGENCIES WHICH MIGHT OTHERWISE HAVE TO FUND THE SERVICES. FINALLY, BOTH HOSPITALS ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS TAX-EXEMPT HOSPITALS. COMMUNITY BENEFIT APPROACH: UNITY FAMILY HEALTHCARE'S TWO CAHS ARE LOCATED APPROXIMATELY 38 MILES APART IN CENTRAL MINNESOTA AND WHILE THE PRIMARY SERVICE AREAS FOR BOTH FACILITIES HAVE SOME MINOR OVERLAP, THEY WILL BE ADDRESSED SEPARATELY. ST. GABRIEL'S HOSPITAL: LOCATED IN LITTLE FALLS, MN, ST. GABRIEL'S HOSPITAL SERVES THE PEOPLE OF MORRISON COUNTY, MINNESOTA AND SMALL PORTIONS OF THE SURROUNDING AREA OF CENTRAL MINNESOTA. MORRISON COUNTY HAS A POPULATION OF 32, 872 ACCORDING THE MOST RECENT (2013) ESTIMATE FROM THE U.S. CENSUS BUREAU. ON AVERAGE, MORRISON COUNTY IS OLDER AND POORER ON AVERAGE THAN THE OVERALL POPULATION OF THE STATE OF MINNESOTA. IN THE COUNTY, 16.7% OF THE POPULATION IS AGE 65 OR OLDER COMPARED TO 13.6% OF MINNESOTANS AS A WHOLE. THE MEDIAN AGE FOR MORRISON COUNTY IS 40.8 AND FOR MINNESOTA THE MEDIAN AGE IS 37.5. THE MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $47,110 AND THE PER CAPITA INCOME FOR THE COUNTY IS $23,269, IN COMPARISON TO $59,126 AND $30,656 RESPECTIVELY FOR MINNESOTA. THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL (2008-2012) IN THE COUNTY IS 13.2%, WHILE IN THE STATE, IT IS 11.2%. MORRISON COUNTY HAS A LARGELY CAUCASIAN POPULATION, MAKING UP 96.5% OF THE COUNTY POPULATION. THIS IS IN COMPARISON TO THE STATE OF MINNESOTA AS A WHOLE, WHICH IS 82.4% CAUCASIAN. SIMILARLY, ONLY 1.1% OF THE POPULATION IN MORRISON COUNTY IS FOREIGN BORN, WHILE THE FOREIGN BORN MINNESOTA POPULATION IS 7.2%. FINALLY, THERE ARE 29.5 PERSONS PER SQUARE MILE IN MORRISON COUNTY, BUT THERE ARE 66.6 PERSONS PER SQUARE MILE IN MINNESOTA AS A WHOLE. A FEW AREAS OF THE COUNTY HAVE BEEN DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), PRIMARILY DUE TO ECONOMIC FACTORS. ACCORDING TO THE BUREAU OF ECONOMIC ANALYSIS (BEA), THE AVERAGE EARNINGS PER JOB IS $36,717. THE COUNTY UNEMPLOYMENT RATE IS CURRENTLY (JANUARY 2014) 9.5%. THE TOTAL NUMBER OF JOBS IN THE COUNTY (2013 BEA ESTIMATE) IS 17,702, WITH APPROXIMATELY TWO-THIRDS OF THESE JOBS WAGE AND SALARY POSITIONS. SINCE ITS INCEPTION IN 1891, ST. GABRIEL'S HOSPITAL HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION, WORKING WITH LOCAL LUMBERING COMPANIES TO DEVELOP PLANS TO CARE FOR THEIR WORKERS IN THE LATE 1800S AND EARLY 1900S. MORE RECENTLY, ST. GABRIEL'S HAS BEEN COLLABORATING WITH MORRISON COUNTY PUBLIC HEALTH AND MORRISON COUNTY SOCIAL SERVICES SINCE THE 1980S TO EXAMINE AREA HEALTH ISSUES, ENABLING THE THREE PARTNERS TO SET PRIORITIES AND PLANS FOR HEALTH IMPROVEMENT. ST. GABRIEL'S HOSPITAL CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH ASSESSMENT AND ACTION PLANNING TODAY. (SEE CONTINUATION #1) COMMUNITY BENEFITS, NEEDS ASSESSMENTS, AND OTHER INFORMATION SCHEDULE H, PART VI, LINE 2 (CONTINUATION #1) COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: UNITY FAMILY HEALTHCARE REGULARLY PERFORMS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TYPICALLY, THE CHNAS ARE PERFORMED EVERY THREE TO FIVE YEARS IN PARTNERSHIP WITH MORRISON COUNTY SOCIAL SERVICES (MCSS) AND MORRISON COUNTY PUBLIC HEALTH (MCPH). THE CHNAS HAVE TYPICALLY INCLUDED A WRITTEN SURVEY AS WELL AS STAKEHOLDER INTERVIEWS (OF VOLUNTEER AND SOCIAL SERVICES AGENCIES, ETC.), AND SOMETIMES FOCUS GROUPS AROUND PARTICULAR COMMUNITY HEALTH ISSUES OR ACCESS CONCERNS. THE THREE PARTNERS HAVE SHARED THE EXPENSES FOR THE CHNAS THAT WERE PERFORMED IN 1989, 1994, 1999, 2004 AND 2009. THE MOST RECENT CHNA WAS CONDUCTED IN FISCAL YEAR 2013 AND POSTED ON THE UNITY FAMILY HEALTHCARE WEBSITE ON JULY 1, 2013. ST. GABRIEL'S HOSPITAL HAS ALWAYS TAKEN THE LEADERSHIP ROLE IN COORDINATING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PAST YEAR, IN ADDITION TO THE THREE LONG-TERM PARTNERS (MCPH, MCSS AND THE HOSPITAL), THE HOSPITAL ASKED OTHERS TO PARTICIPATE IN THE PLANNING AND IMPLEMENTATION STRATEGY DEVELOPMENT FOR THE CHNA. AMONG THE PEOPLE INVOLVED WERE THE ST. GABRIEL'S HEALTHCARE FOUNDATION DIRECTOR, THE DIRECTOR OF THE HEALTHY COMMUNITIES COLLABORATIVE OF MORRISON COUNTY (HCC), THE LARGEST SCHOOL DISTRICT IN THE COUNTY, AND THE VIOLENCE PREVENTION COUNCIL OF MORRISON COUNTY. THANKS TO A CATHOLIC HEALTH INITIATIVES (CHI) MISSION AND MINISTRY FUND PLANNING GRANT, ST. GABRIEL'S HOSPITAL LED THE FORMATION OF THE HEALTH COMMUNITIES COLLABORATIVE (HCC) IN 2005. THE HOSPITAL IS THE CORPORATE SPONSOR OF THE HCC, A MULTI-ORGANIZATION ENTITY WORKING TO ADDRESS VARIOUS COMMUNITY HEALTH ISSUES WITH REPRESENTATIVES FROM AREA SCHOOLS, CLERGY AS WELL AS THE COUNTY PUBLIC HEALTH AND SOCIAL SERVICES AGENCIES. EACH YEAR, THE HCC IDENTIFIES PROGRAMS AND SERVICES THAT ARE NEEDED IN THE COMMUNITY AND HELPS TO WRITE A PROJECT GRANT TO DEVELOP INITIATIVES THAT ADDRESS COMMUNITY NEEDS. FINALLY, UNITY FAMILY HEALTHCARE ALSO SPONSORS THE VIOLENCE PREVENTION INITIATIVE (VPI) OF MORRISON COUNTY, A COMMUNITY-BASED PROJECT AND LOCAL VIOLENCE PREVENTION COUNCIL WITH REPRESENTATION FROM LOCAL ENFORCEMENT, COURTS, SOCIAL SERVICES, OTHER NOT-FOR-PROFIT ORGANIZATIONS AND INDIVIDUALS (INCLUDING FORMER VICTIMS) THAT ADDRESSES PARTNER VIOLENCE, A SIGNIFICANT COMMUNITY HEALTH CONCERN IN THE COUNTY. VIOLENCE PREVENTION COUNCIL HAS THREE CORE GOALS: 1) REDUCE THE NUMBER OF DOMESTIC ASSAULTS CHARGED IN MORRISON COUNTY; 2) REDUCE THE NUMBER OF ORDERS FOR PROTECTION ISSUED IN THE COUNTY EACH YEAR; AND 3) REDUCE THE NUMBER OF VIOLATIONS OF ORDERS FOR PROTECTION THAT OCCUR EACH YEAR. AS PREVIOUSLY STATED, THE MOST-RECENT CHNA HAS BEEN POSTED ON THE UNITY FAMILY HEALTHCARE WEBSITE (WWW.UNITYFAMILY.COM OR WWW.STGABRIELS.COM). THE REPORT REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL BEING OF AREA RESIDENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR BOTH HOSPITALS COMBINED-ST. GABRIEL'S HOSPITAL AND ALBANY AREA HOSPITAL-PRODUCED $28,066 IN COMMUNITY BENEFIT. SUMMARY OF ASSESSMENT FINDINGS: THE "HEALTH OF MORRISON COUNTY" COMMUNITY HEALTH NEEDS ASSESSMENT IS A MULTI-PRONGED PROCESS. THE ASSESSMENT CONTAINED SIX SECTIONS: 1) WHAT THE PEOPLE TOLD US (A WRITTEN SURVEY CONDUCTION BY INVITATION HEALTH THAT WAS DISTRIBUTED BOTH TRADITIONALLY THROUGH THE U.S. MAIL AS WELL AS THROUGH MAJOR EMPLOYERS WHO SENT SURVEYMONKEY LINKS TO THEIR EMPLOYEES); 2) WHAT STAKEHOLDERS TOLD US (INDIVIDUAL INTERVIEWS WITH 20-PLUS PEOPLE FROM THROUGHOUT THE COUNTY); 3) WHAT THE SECONDARY DATA TOLD US (A COMPREHENSIVE REVIEW OF MULTIPLE STATE, FEDERAL AND PRIVATE DATA SOURCES ON A WIDE-RANGING LIST OF HEALTH CARE TOPICS); 4) WHAT IS AVAILABLE (A COMPREHENSIVE LIST OF COMMUNITY HEALTH RESOURCES IN MORRISON COUNTY); 5) SUMMARY AND CONCLUSIONS; AND 6) IMPLEMENTATION STRATEGY (A THREE-YEAR ACTION PLAN TO IMPROVE THE HEALTH OF MORRISON COUNTY). THE MAIL/EMAIL SURVEY LISTED 52 POSSIBLE COMMUNITY HEALTH ISSUES AND ASKED RESPONDENTS TO IDENTIFY THEM AS "VERY SERIOUS," "SERIOUS," "A LITTLE SERIOUS," "NOT SERIOUS," OR "DON'T KNOW." IN A ORCHESTRATED EFFORT TO ESTABLISH SOME CLARIFICATION AMONG THE OVERALL SUBSET OF ALCOHOL AND DRUG USE/ABUSE, ETC., SOME ISSUES WERE IDENTIFIED MORE SPECIFICALLY (I.E., METHAMPHETAMINE, MARIJUANA, SMOKING, ETC.). OUT OF THE TOP 10 ISSUES FROM AMONG THE 52 POSSIBLE CHOICES, HALF OF THE ISSUES ARE RELATED TO ALCOHOL/CHEMICAL DEPENDENCY. THE TOP ISSUES WERE THOSE THAT HAD THE HIGHEST PERCENTAGE OF RESPONSES THAT WERE IDENTIFIED AS "VERY SERIOUS" OR "SERIOUS." INTERESTINGLY, OBESITY/OVERWEIGHT WAS IDENTIFIED AS THE MOST SIGNIFICANT HEALTH ISSUE, IDENTIFIED BY 67.4% AS EITHER VERY SERIOUS OR SERIOUS. IT WAS THE TOP CONCERN FOR THE CURRENT YEAR CHNA AND RANKED IN THE PRIOR YEAR CHNA. HERE'S THE COMPLETE LIST OF THE TOP TEN: 1. OBESITY/OVERWEIGHT 2. CHEMICAL DEPENDENCY (ALCOHOL/DRUG ABUSE) 3. FAMILIES NOT ABLE TO EARN A LIVABLE WAGE 4. METHAMPHETAMINE 5. UNDERAGE DRINKING 6. SMOKING 7. OTHER ILLICIT DRUGS (E.G. COCAINE, HEROIN, ECSTASY) 8. STRESS 9. MARIJUANA 10. DOMESTIC VIOLENCE THE RANGE OF HEALTH ISSUES IMPACTING MORRISON COUNTY, AS EVIDENCED BY POOR COUNTY HEALTH RANKINGS, LED ST. GABRIEL'S HOSPITAL AND ITS CHNA PARTNERS TO ADOPT AN IMPLEMENTATION STRATEGY THAT FOCUSES ON THREE GOALS: 1) REDUCE THE IMPACT OF CHRONIC ILLNESSES ON THE PEOPLE OF MORRISON COUNTY; 2) REDUCE THE PERCENTAGE OF INDIVIDUALS, BOTH ADULTS AND YOUTH (GRADES 9-12), IN MORRISON COUNTY WHO ARE OVERWEIGHT AND OBESE; AND 3) REDUCE THE IMPACT OF MENTAL ILLNESS ON THE PEOPLE. THE IMPLEMENTATION STRATEGY IDENTIFIES SPECIFIC STRATEGIES/ACTIONS OVER A THREE-YEAR PERIOD WHEN THE NEXT CHNA WILL BE CONDUCTED (FISCAL YEAR 2016). ALBANY AREA HOSPITAL: LOCATED IN ALBANY, MN, ALBANY AREA HOSPITAL & MEDICAL CENTER (AAHMC), THE PRIMARY SERVICE AREA (PSA) FOR THE HOSPITAL AND AFFILIATED CLINICS IS NORTH-CENTRAL STEARNS COUNTY AND THE SOUTHERN EDGE OF MORRISON COUNTY. IT INCLUDES 15 TOWNSHIPS AND "CITIES," RANGING IN SIZE FROM UPSALA (78) TO 2,590 (ALBANY CITY) AND HAS A TOTAL POPULATION OF 14,580. (ALL DATA REFLECTS U.S. CENSUS BUREAU NUMBERS.) IN THIS MORE NARROWLY DEFINED PRIMARY SERVICE AREA, 13.5% OF THE POPULATION IS AGE 65 OR OLDER AND THE MEDIAN AGE IS 37.6. SIMILAR TO ST. GABRIEL'S SERVICE AREA, THE POPULATION IS OLDER THAN THE STATE OF MINNESOTA WHICH, AS PREVIOUSLY STATED, HAS A SENIOR POPULATION (AGE 65 AND OVER) OF 13.6% AND A MEDIAN AGE OF 37.5 THE POVERTY DATA FOR THE SERVICE AREA IS NOT READILY AVAILABLE. FOR ALL OF STEARNS COUNTY, NOT JUST THE PSA, THE MEDIAN HOUSEHOLD INCOME IS $53,861 AND THE PER CAPITA INCOME IS $25,702, IN COMPARISON TO $59,126 AND $30,656, RESPECTIVELY FOR MINNESOTA. THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL (2008-2012) IN THE COUNTY IS 12.7%, WHILE IN THE STATE, IT IS 11.2%. SIMILAR TO MORRISON COUNTY STEARNS COUNTY IS LARGELY WHITE (92.6%), COMPARED TO THE STATE OF MINNESOTA AS A WHOLE, WHICH IS 82.4% WHITE. ONLY 4.3% OF THE POPULATION IS FOREIGN BORN, WHILE MINNESOTA FOREIGN-BORN POPULATION IS 7.2%. FINALLY, THE MOST SIGNIFICANT POPULATION STATISTIC THAT VARIES MOST DRAMATICALLY FROM BOTH STEARNS COUNTY AND MINNESOTA IS POPULATION DENSITY. THERE ARE 112.2 PERSONS PER SQUARE MILE IN THE COUNTY AND FOR MINNESOTA AS A WHOLE, THERE ARE 66.6 PERSONS PER SQUARE MILE. THIS IS DUE LARGELY TO THE ST. CLOUD METROPOLITAN STATISTICAL AREA AND NOT INDICATIVE OF AAHMC'S PSA. IN FACT, AAHMC IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), PRIMARILY DUE TO A LIMITED NUMBER OF PHYSICIANS IN THE PSA OF JUST OVER 12,139 POPULATION. AAHMC OPENED IN 1969 IN ORDER TO SERVE THE HEALTH CARE NEEDS OF THE PEOPLE OF NORTH-CENTRAL STEARNS COUNTY. AAHMC RECENTLY JOINED A COLLABORATION TO PERFORM THE FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR STEARNS COUNTY. THE CHNA WILL CLOSELY FOLLOW THE METHODOLOGY BEING EMPLOYED BY ST. GABRIEL'S HOSPITAL AND BOTH FACILITIES SHARE THE SAME FEDERAL EMPLOYEE IDENTIFICATION NUMBER AND TAX RETURN. THE FOLLOWING QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT REFLECTS THE ACTIVITIES OF BOTH FACILITIES. (SEE CONTINUATION #2) COMMUNITY BENEFITS, NEEDS ASSESSMENTS, AND OTHER INFORMATION SCHEDULE H, PART VI, LINE 2 (CONTINUATION #2) QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: COMMUNITY OUTREACH FOR THE POOR: TRANSLATION SERVICES - ONE AREA THAT IS GROWING SIGNIFICANTLY AS THE COMMUNITY HAS BECOME MORE DIVERSE HAS BEEN THE INCREASE IN TRANSLATION SERVICES. IN 2013, THE AMOUNT OF TRANSLATION SERVICES INCREASED TO APPROXIMATELY $28,387, UP FROM A MERE $8,500 IN FISCAL YEAR 2010. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY: YOUTH DEVELOPMENT AND PARTNER VIOLENCE PREVENTION: UNITY FAMILY HEALTHCARE HAS APPLIED FOR, RECEIVED, AND MANAGED THREE GRANTS IN 2013 SPECIFICALLY TARGETED TOWARD IMPROVING THE HEALTH OF THE PEOPLE OF MORRISON COUNTY. THE FIRST GRANT IS LIVE BETTER! LIVE LONGER!, A YOUTH DEVELOPMENT AND BREASTFEEDING ENHANCEMENT INITIATIVE. THIS INITIATIVE HAS TWO PRIMARY FOCUSES: 1) MAKING MINI-GRANTS TO YOUTH-LED, YOUTH-INITIATED PROJECTS AND 2) INCREASING THE NUMBER OF WOMEN IN MORRISON COUNTY WHO BREASTFEED THEIR BABIES. THE SECOND GRANT IS FOCUSED ON REDUCING PARTNER VIOLENCE (DOMESTIC VIOLENCE) IN MORRISON COUNTY AS MEASURED BY THE NUMBER OF DOMESTIC ASSAULTS CHARGED, THE NUMBER OF ORDERS FOR PROTECTION ISSUED AND THE NUMBER OF CHARGED VIOLATIONS OF ORDERS FOR PROTECTION. BY ALL THREE MEASURES, THINGS ARE IMPROVING. FINALLY, THE THIRD GRANT FOCUSES ON THE DEVELOPMENT OF A PATIENT-CENTERED MEDICAL HOME TO IMPROVE THE HEALTH OF RESIDENTS OF MORRISON COUNTY, ESPECIALLY THOSE WITH CHRONIC DISEASE. TOGETHER, THESE AND OTHER GRANT INITIATIVES RESULTED IN $85,655 IN COMMUNITY BENEFITS IN 2013. ALL THREE OF THESE INITIATIVES HAVE ALSO RECEIVED FUNDING FOR FISCAL YEAR 2014, SO THESE COMMUNITY BENEFIT EFFORTS WILL CONTINUE. YOUTH RECREATION INITIATIVE: IN 1997, ST. GABRIEL'S HOSPITAL RECEIVED A CHI MISSION & MINISTRY FUND GRANT TO ENHANCE RECREATION OPPORTUNITIES IN PARTNERSHIP WITH THE LITTLE FALLS AREA SCHOOLS. PRIOR TO 1997, THERE HAD BEEN SUBSTANTIAL CUTS IN A COLLABORATION BETWEEN THE CITY OF LITTLE FALLS AND THE LOCAL SCHOOL DISTRICT TO ADDRESS YOUTH RECREATION. THE YOUTH RECREATION INITIATIVE, AS IT IS CALLED, HAS CONTINUED DESPITE THE FACT THAT GRANT FUNDING THROUGH THE MISSION & MINISTRY HAS LONG BEEN DISCONTINUED. THE PROGRAM HAS BEEN SO FAVORABLY RECEIVED IN THE COMMUNITY THAT THE LEADERSHIP OF ST. GABRIEL'S HOSPITAL HAS CHOSEN TO CONTINUE SUPPORTING THE PROGRAM. THAT LEVEL OF SUPPORT TOTALED MORE THAN $56,121 IN FISCAL YEAR 2013 AND IMPACTED 7,285 PEOPLE. EARLY ON IN THE PROGRAM'S HISTORY, THERE WAS A NOTICEABLE DECLINE IN YOUTH DELINQUENCY AS MEASURED BY INTERACTIONS WITH THE JUDICIAL SYSTEM. UNITY FAMILY HEALTHCARE BELIEVE THE DECLINE WAS DUE TO THE INCREASED OPPORTUNITIES CREATED FOR AREA YOUTH. SUPPORT GROUPS: UNITY FAMILY HEALTHCARE FACILITIES OFFER A VARIETY OF SUPPORT GROUPS AND SIMILAR ACTIVITIES, INCLUDING SUCH ACTIVITIES AS THE PROSTATE CANCER SUPPORT GROUP, EATING DISORDERS SUPPORT GROUP, ADOPTION SUPPORT GROUP, THE ALANON GROUP, THE HOSPICE FAMILY SUPPORT ACTIVITIES AND THE SPECIAL SPIRITUAL SERVICES (EMPTY ARM FOR MISCARRIAGES, HOSPICE MEMORIAL SERVICES, ETC.). IN FISCAL YEAR 2013, THE VALUE OF THE SUPPORT FOR THIS ACTIVITY TOTALED NEARLY $5,125. MOST OF THESE GROUPS WERE DEVELOPED IN RESPONSE TO SPECIFIC REQUESTS FROM INDIVIDUALS WITHIN THE COMMUNITY. IN SOME CASES, UNITY FAMILY HEALTHCARE PROVIDES THE GROUP FACILITATORS. IN OTHER CASES, REPRESENTATIVES FROM THE COMMUNITY PROVIDE THAT LEADERSHIP. THE SUPPORT GROUPS SERVED 544 PEOPLE IN FISCAL YEAR 2013. HEALTH SCREENINGS: UNITY FAMILY HEALTHCARE FACILITIES, ESPECIALLY ST. GABRIEL'S HOSPITAL AND ALBANY AREA HOSPITAL, OFFER A VARIETY OF FREE HEALTH SCREENINGS. THE TOTAL VALUE OF THIS ACTIVITY WAS NEARLY $2,760 IN FISCAL YEAR 2013, WHICH PROVIDED 252 PEOPLE WITH VARIOUS HEALTH SCREENINGS. THE SCREENINGS INCLUDED SUCH THINGS AS BLOOD PRESSURE CHECKS AT A LOCAL EXTENDED CARE FACILITY (THAT IS NOT A PART OF UNITY FAMILY HEALTHCARE), FIREMAN PHYSICALS, PULMONARY SCREENING AND FLU SHOTS. DONATED SPACE: UNITY FAMILY HEALTHCARE FACILITIES DONATE THE USE OF OUR FACILITIES TO NON-PROFIT ORGANIZATIONS. SOME OF THESE INCLUDE TOPS (TAKE OFF POUNDS SENSIBLY), THE MENTAL HEALTH SUPPORT GROUP, AND OASIS SHARE-A-MEAL, TO NAME JUST A FEW. APPROXIMATELY 860 PEOPLE USED THE FACILITIES AND THE TOTAL VALUE OF THE DONATED SPACE IN FISCAL YEAR 2013 WAS $15,231. UNITY FAMILY HEALTHCARE PARTICIPATION WITH COMMUNITY HEALTH INITIATIVES: ONE OF THE LARGER COMMUNITY BENEFIT ACTIVITIES THAT UNITY FAMILY HEALTHCARE SUPPORTS IS THE PARTICIPATION IN COMMUNITY HEALTH INITIATIVES. THIS SUPPORT AFFECTED THE HEALTHY COMMUNITIES COLLABORATIVE, THE VIOLENCE PREVENTION COUNCIL, THE MORRISON COUNTY EMS BOARD, THE MORRISON COUNTY MINISTERIAL ASSOCIATION, AND THE ELDER NETWORK. THIS ACTIVITY DIRECTLY IMPACTED OVER 1,560 PEOPLE IN 2013 AND WAS VALUED AT MORE THAN $99,539. SENIOR COMPANION PROGRAM: LOCAL HEALTH CARE PROVIDERS AND COMMUNITY SERVICE ORGANIZATIONS RECOGNIZE THE BENEFITS PROVIDED THROUGH THE ST. GABRIEL'S HOSPITAL SENIOR COMPANIONS PROGRAM. PATIENTS CONNECT WITH THEIR INDIVIDUAL "COMPANIONS" BEFORE THEY LEAVE THE HOSPITAL AND ONCE HOME, THE COMPANIONS CONTINUE TO REGULARLY VISIT WITH THE PATIENTS WHILE THEY CONTINUE THEIR RECOVERY. IN FISCAL YEAR 2013, THE PROGRAM SERVED 58 DIFFERENT PEOPLE IN THE COMMUNITY WITH A TOTAL COMMUNITY BENEFIT OF $3,361. DONATIONS: IN THE FISCAL YEAR ENDING JUNE 30, 2013, UNITY FAMILY HEALTHCARE DONATED OVER $18,436 IN CASH TO LOCAL AND REGIONAL ENTITIES, SUCH AS THE MORRISON COUNTY RELAY FOR LIFE SPONSORED BY THE AMERICAN CANCER SOCIETY, THE ALBANY SENIOR CENTER, OASIS SHARE-A-MEAL, AND OTHER NOT-FOR-PROFIT ORGANIZATIONS. IN-KIND DONATIONS TOTALED AN ADDITIONAL $17,727 WITH AN ESTIMATED 2,000 PEOPLE SERVED. SUBSIDIZED HEALTH SERVICES: UNITY FAMILY HEALTHCARE HAS ONE MUCH-NEEDED AND APPRECIATED COMMUNITY SERVICE THAT OPERATES AS A LOSS TO THE ORGANIZATION. THIS SERVICE IS ST. GABRIEL'S HOSPITAL'S HOME CARE PROGRAM, UNITY FAMILY HOME CARE. IN FISCAL YEAR 2013, UNITY FAMILY HOME CARE PROVIDED 12,351 HOME CARE VISITS AND GENERATED OVER $286,601 IN COMMUNITY BENEFIT. THE COMMUNITY BENEFIT FROM THESE SERVICES IS SIGNIFICANT. (SEE CONTINUATION #3) COMMUNITY BENEFITS, NEEDS ASSESSMENTS, AND OTHER INFORMATION SCHEDULE H, PART VI, LINE 2 (CONTINUATION #3) PHYSICIAN RECRUITMENT: UNITY FAMILY HEALTHCARE'S PRIMARY SERVICE AREA (MORRISON COUNTY, MN) HAS A POPULATION OF APPROXIMATELY 33,198, OF WHICH OVER 16% ARE AGE 65 OR OLDER. THIS ELDERLY POPULATION, IN PARTICULAR, REQUIRES THE SKILLS OF TWO MEDICAL SPECIALTIES, INTERNAL MEDICINE AND GENERAL SURGERY. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PHYSICIAN SPECIALTY BY POPULATION STUDIES, IT WAS DETERMINED THAT AT LEAST ONE AND UP TO FOUR (DEPENDING UPON THE MIX OF FAMILY PRACTICE AND INTERNAL MEDICINE) INTERNISTS AND TWO GENERAL SURGEONS ARE NEEDED IN THE COMMUNITY TO ADEQUATELY SERVE PATIENTS' HEALTH NEEDS. IN ADDITION, DUE TO THE RETIREMENT OF ONE PEDIATRICIAN, A SECOND IS NEEDED. SIMILARLY, UNITY FAMILY HEALTHCARE INCURRED EXPENSES RELATED TO THE RECRUITMENT OF PRACTITIONERS IN ALBANY. PHYSICIAN AND HEALTHCARE RECRUITMENT HAS BEEN COMPLICATED WITH ADDITIONAL CHALLENGES DUE TO THE FACT THAT THERE ARE HEALTH PROFESSIONAL SHORTAGE AREAS IN BOTH THE MORRISON COUNTY AND ALBANY PRIMARY SERVICE AREAS. THE TOTAL COST OF EXPENSES ASSOCIATED WITH PHYSICIAN RECRUITMENT AND RETENTION IN THESE MUCH-NEEDED SPECIALTIES WAS OVER $203,528 IN FISCAL YEAR 2013. HEALTH PROFESSIONS EDUCATION: UNITY FAMILY HEALTHCARE'S TWO ACUTE CARE FACILITIES, ST. GABRIEL'S HOSPITAL AND, TO A MUCH LESSER DEGREE, ALBANY AREA HOSPITAL, ALSO SERVE AS CLINICAL EDUCATION SITES FOR MEDICAL PROFESSIONALS. IN FISCAL YEAR 2013, ST. GABRIEL'S HOSPITAL ASSISTED IN THE EDUCATION OF THE FOLLOWING HEALTH PROFESSIONALS: MEDICAL STUDENTS (THROUGH THE RURAL PHYSICIAN ASSOCIATE PROGRAM); NURSING STUDENTS; PHARMACISTS, RADIOLOGIC TECHNOLOGISTS, PHARMACISTS; AND NURSE ANESTHETISTS. THE COMMUNITY BENEFIT CLAIMED FOR THESE TRAININGS TOTALED $6,645 AND 85 PEOPLE RECEIVED THESE TRAININGS. COMMUNITY BUILDING ACTIVITIES: THE HEALTHY COMMUNITIES COLLABORATIVE (HCC) OF MORRISON COUNTY IS A COLLABORATIVE EFFORT OF OVER 20 ORGANIZATIONS AND IS A COUNTYWIDE COMMUNITY HEALTH STATUS IMPROVEMENT INITIATIVE. THE HCC'S MISSION IS: "THROUGH COLLABORATION, WE BUILD AND NURTURE THE TOTAL HEALTH AND WELL-BEING OF PEOPLE IN MORRISON COUNTY." ITS VISION READS: "MORRISON COUNTY STANDS OUT AS A VIBRANT, INTERCONNECTED COMMUNITY FOR ALL TO LIVE, WORK, LEARN, WORSHIP AND PLAY." UNITY FAMILY HEALTHCARE IS THE SPONSORING AGENCY FOR THE HCC AND UNITY FAMILY HEALTHCARE STAFF MEMBERS ALSO SERVE ON ITS BOARD. THE HCC IS CURRENTLY INVOLVED IN A GRANT-FUNDED INITIATIVE CALLED LIVE BETTER! LIVE LONGER! (LBLL). LBLL HAS ON THREE TENETS: EAT, MOVE, BELONG. THESE THREE TENETS ENCOURAGE PEOPLE IN THE COUNTY TO EAT HEALTHIER AND MORE NUTRIENT RICH MEALS (INCLUDING BREAST MILK FOR YOUNG CHILDREN); TO EXERCISE REGULARLY; AND TO BECOME INVOLVED IN THE MORRISON COUNTY COMMUNITY, WHETHER IT'S THROUGH RECREATION, BOOK CLUBS, CHURCHES OR OTHER INVOLVEMENT OPPORTUNITIES. UNITY FAMILY HEALTHCARE STAFF MEMBERS ARE NOT ONLY INVOLVED IN THE HCC BOARD AND ITS COMMITTEES, IT ALSO PARTNERS WITH OTHER PUBLIC AND PRIVATE ENTITIES ON MANY OTHER HEALTH INITIATIVES IN ORDER TO IMPROVE THE HEALTH OF THE PEOPLE OF MORRISON COUNTY AND NORTH-CENTRAL STEARNS COUNTY. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 UNITY FAMILY HEALTHCARE INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, UNITY FAMILY HEALTHCARE 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 UNITY FAMILY HEALTHCARE OUTPATIENT FACILITIES. IN ADDITION, UNITY FAMILY HEALTHCARE 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 UNITY FAMILY HEALTHCARE'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. UNITY FAMILY HEALTHCARE 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. UNITY FAMILY HEALTHCARE'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 UNITY FAMILY HEALTHCARE, 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. UNITY FAMILY HEALTHCARE OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS TWO FUNDRAISING ARMS, THE ST. GABRIEL'S HEALTHCARE FOUNDATION AND ALBANY AREA HEALTHCARE FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE MORRISON COUNTY AND NORTH-CENTRAL STEARNS COUNTY COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 MN true HANDS OF HOPE RESOURCE CENTER PO BOX 67 LITTLE FALLS MN 56345 411740880 501(C)(3) 31131 12474 COST AD PAYMENTS TO NEWSPAPER & RADIO PROGRAM SUPPORT/VIOLENCE PREVENTION PROGRAMMING 1 0 SCHOLARSHIPS 6 3000 0 N/A N/A PATIENT INTERPRETERS 191 22689 0 N/A N/A Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 REQUESTS FOR GRANTS TO BE PAID TO INDIVIDUALS OR ORGANIZATIONS ARE SENT TO THE MANAGER OF COMMUNICATIONS AND/OR THE FOUNDATION DIRECTOR FOR APPROVAL. THESE REQUESTS ARE REVIEWED TO ENSURE THEIR PURPOSE BENEFITS THE COMMUNITY AND ARE IN LINE WITH UNITY FAMILY HEALTHCARE'S MISSION AND VALUES. LARGE GRANT FUND REQUESTS ARE REVIEWED AND SIGNED OFF ON BY THE PRESIDENT/CEO. THE FOUNDATION DIRECTOR IS RESPONSIBLE FOR WORKING WITH EACH GRANTEE TO MEET THEIR REPORTING GUIDELINES AS STIPULATED TO ENSURE GRANT AWARDS ARE USED ACCORDING TO THE CONTRACT SIGNED BY BOTH PARTIES. GRANT CONTRACTS ARE MAINTAINED IN MEDITRACT WITH REMINDERS OF EXPIRATION DATES TO ENSURE TIMELY REPORTING AND COMPLETION. false true false false false false false false false CHAD COOPER 0 261331 0 133082 0 55047 0 47044 0 21528 0 518032 0 33063 DAVID JORGENSEN 332787 0 340193 0 2827 0 23096 0 23488 0 722391 0 0 0 GREGORY MCNAMARA 199328 0 80720 0 902 0 20596 0 17499 0 319045 0 0 0 JEFFREY DROP 0 400148 0 146277 0 59679 0 76703 0 21785 0 704592 0 36347 JOSEPH MESSMER 0 300000 0 0 0 163 0 33096 0 0 0 333259 0 0 PAUL JOHNSON 515885 0 56370 0 21410 0 20596 0 23756 0 638017 0 0 0 PHILIP PROSAPIO 339867 0 273238 0 1597 0 23096 0 24628 0 662426 0 0 0 RYAN KRAY MD 166703 0 50874 0 3614 0 0 0 2021 0 223212 0 0 0 SAUNG PARK 446564 0 26500 0 21255 0 20596 0 9161 0 524076 0 0 0 STEVEN SMITH 116133 0 16207 0 241 0 9576 0 22776 0 164933 0 0 0 VIRGIL MEYER 228729 0 169653 0 3238 0 23096 0 12002 0 436718 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. POST-TERMINATION PAYMENTS 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. 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: CHAD COOPER AND JEFFREY DROP. DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: CHAD COOPER - $23,948 JEFFREY DROP - $48,607 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CHAD COOPER - $33,063 JEFFREY DROP - $36,347 PAUL JOHNSON EMPLOYEE PHYSICIAN RECRUITMENT X 106813 45476 false false true SAUNG PARK EMPLOYEE PHYSICIAN RECRUITMENT X 50000 21223 false false true 66699 Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF UNITY FAMILY HEALTHCARE, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON, VICE CHAIRPERSON, AND THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED SHALL SERVE A TERM OF ONE YEAR. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR OF THE CORPORATE MEMBER, WITH THE BYLAWS, OR WITH APPLICABLE LAWS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NON-PROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.5.1 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 UNITY FAMILY HEALTHCARE ("UFH"); - AMENDMENT OF THE CORPORATE DOCUMENTS OF UFH; - APPROVE MEMBERS OF THE UFH BOARD; - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF UFH; - APPROVAL OF ISSUANCE OF DEBT BY UFH; - APPROVAL OF PARTICIPATION OF UFH IN A JOINT VENTURE; - APPROVAL OF FORMATION OF A NEW CORPORATION BY UFH; - APPROVAL OF A MERGER INVOLVING UFH; - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF UFH; - TO REQUIRE THE TRANSFER OF ASSETS BY UFH TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS; AND - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR UFH. 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 UNITY FAMILY HEALTHCARE'S VP OF FINANCE IS RESPONSIBLE FOR REVIEWING THE FORM 990 AS PREPARED BY THE CHI TAX DEPARTMENT. THE FORM 990 IS POSTED TO A COMMUNITY BOARD PORTAL WHERE ALL BOARD MEMBERS ARE ABLE TO ACCESS AND REVIEW PRIOR TO FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c IT IS THE POLICY OF UNITY FAMILY HEALTHCARE ("THE CORPORATION") THAT: - EACH OF THE CORPORATION'S DIRECTORS AND OFFICERS ACTS AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND EXERCISES CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES; AND - EACH OF THE CORPORATION'S DIRECTORS AND OFFICERS AVOIDS CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSES TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST IF SUCH CONFLICTS CANNOT BE AVOIDED SO THAT SUCH CONFLICTS ARE DEALT WITH IN THE BEST INTERESTS OF THE CORPORATION. THIS POLICY: (1) COVERS ALL OFFICERS WHO HOLD THE TITLE VICE PRESIDENT AND ABOVE; (2) APPLIES TO ALL AFFILIATES OF THE CORPORATION; AND (3) IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT CORPORATIONS. "AFFILIATE" INCLUDES ANY ENTITY DIRECTLY OR INDIRECTLY CONTROLLING, CONTROLLED BY, OR UNDER COMMON CONTROL WITH THE CORPORATION WHETHER THROUGH MEMBERSHIP OR STOCK OWNERSHIP. IF A DIRECTOR OR OFFICER HAS A POTENTIAL OR ACTUAL CONFLICT WITH THE CORPORATION AND/OR ANY OF ITS AFFILIATES, SUCH DIRECTOR OR OFFICER IS DEEMED TO ALSO HAVE A POTENTIAL OR ACTUAL CONFLICT WITH RESPECT TO THE CORPORATION AND ALL OF ITS AFFILIATES. GENERAL OBLIGATION: EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHERE A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. ANNUAL DISCLOSURE STATEMENT: IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY STATEMENT AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMPLETED STATEMENTS ARE REVIEWED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR. REVIEW, EVALUATION AND INITIAL DETERMINATION: THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THE CONFLICT OF INTEREST POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THE CONFLICT OF INTEREST POLICY STATEMENT, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF THERE IS A DIFFERENCE OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR OR OFFICER AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS' REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THE CONFLICT OF INTEREST POLICY STATEMENT, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS. BOARD REVIEW: TRANSACTIONAL CONFLICTS OF INTEREST: THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS EITHER: * HAS A MATERIAL FINANCIAL INTEREST; OR * IS A DIRECTOR OR OFFICER OF THE OTHER PARTY (OTHER THAN THE CORPORATION'S OWN AFFILIATES). THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY VOTE OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS OR OFFICERS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO THE CORPORATION. OTHER CONFLICTS OF INTEREST: THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICTS OF INTEREST (E.G. DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH THE CORPORATION, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE DIRECTOR OR OFFICER IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. THE BOARD SHOULD CONSULT WITH THE GENERAL COUNSEL OF THE CORPORATION WHEN CONSIDERING DISCIPLINARY ACTION. DISCLOSURE BY INTERESTED DIRECTOR: WHEN CONFLICTS OF INTEREST ARE CONSIDERED BY THE BOARD, THE DIRECTOR OR OFFICER MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE DIRECTOR OR OFFICER SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH DIRECTOR OR OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOT FROM ANSWERING PERTINENT QUESTIONS FROM BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE DIRECTOR OR OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. BOARD OF PROCEEDINGS: MINUTES OF THE BOARD OF DIRECTORS SHALL REFLECT THE FOLLOWING: THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM VOTING. IMPLEMENTATION AND INTERPRETATION: QUESTIONS REGARDING THE IMPLEMENTATION AND INTERPRETATION OF THE CONFLICT OF INTEREST POLICY SHALL BE REFERRED TO THE GENERAL COUNSEL OF THE CORPORATION. POLICY VIOLATIONS: IF THE BOARD REASONABLY BELIEVES THAT A DIRECTOR OR OFFICER HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE DIRECTOR OR OFFICER WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE DIRECTOR OR OFFICER, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE DIRECTOR OR OFFICER HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. 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 IT IS THE POLICY OF UNITY FAMILY HEALTHCARE THAT EACH EXECUTIVE COMPENSATION ARRANGEMENT BETWEEN UNITY FAMILY HEALTHCARE AND ANY PERSON OF SUBSTANTIAL INFLUENCE SHALL BE TARGETED AT THE 65TH PERCENTILE OF TOTAL EXECUTIVE REMUNERATION FOR COMPARABLY SIZED TAX-EXEMPT ORGANIZATIONS IN THE HEALTH CARE INDUSTRY. A COMMITTEE OF THE BOARD OF DIRECTORS MEETS ANNUALLY TO REVIEW AND APPROVE THE COMPENSATION OF ALL SENIOR LEADERSHIP TEAM MEMBERS, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. IN ADDITION, THE CEO PRESENTS A RECOMMENDATION AND SUPPORTING DOCUMENTATION TO THE COMMITTEE FOR ALL OTHER SENIOR LEADERSHIP TEAM POSITIONS BASED ON SURVEY DATA FROM THE HOSPITAL ASSOCIATION AND OTHER DATA SOURCES FOR COMPARABLE POSITIONS. THE MOST RECENT REVIEWS TOOK PLACE IN OCTOBER 2011 AND AGAIN IN OCTOBER 2012. EXECUTIVE COMPENSATION ARRANGEMENTS WITH ANY PHYSICIAN WHO IS A PERSON OF SUBSTANTIAL INFLUENCE (I.E. ALSO A VOTING BOARD MEMBER) ARE NOT SUBJECT TO THIS POLICY, BUT SHALL BE REVIEWED AND APPROVED IN ACCORDANCE WITH UNITY FAMILY HEALTHCARE'S PHYSICIAN TRANSACTION REVIEW POLICY. ACCORDING TO THE POLICY, ALL TERMS OF THE PHYSICIAN EMPLOYMENT CONTRACTS, INCLUDING ANY AND ALL COMPENSATION MATTERS, ARE REVIEWED AND APPROVED BY THE EMPLOYED PHYSICIAN INTEGRATION COUNCIL (EPIC) AND PHYSICIAN TRANSACTION REVIEW COMMITTEE (PTRC). ONLY AFTER EPIC RECOMMENDATION AND PTRC APPROVAL IS A PHYSICIAN EMPLOYMENT CONTRACT CREATED. IN ADDITION, DURING THE TAX YEAR ENDED 6/30/13, VARIOUS OFFICERS AND DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS AND DIRECTORS BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. JOINT VENTURE POLICY FORM 990, PART VI, LINE 16B UNITY FAMILY HEALTHCARE HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S 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 CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT PUBLICLY AVAILABLE. 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 CONTRACT SERVICES - TOTAL EXPENSE: 7911203, PROGRAM SERVICE EXPENSE: 5914776, MANAGEMENT AND GENERAL EXPENSES: 1996427, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 492780, PROGRAM SERVICE EXPENSE: 368425, MANAGEMENT AND GENERAL EXPENSES: 124355, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 386359, PROGRAM SERVICE EXPENSE: 288860, MANAGEMENT AND GENERAL EXPENSES: 97499, FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 1726588, PROGRAM SERVICE EXPENSE: 1290876, MANAGEMENT AND GENERAL EXPENSES: 435712, FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHI CONNECT DEPRECIATION - 16920; CAPITAL RESOURCE POOL CONTRIBUTION - -152724; 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 - 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