COMMONSPIRIT WASHINGTON: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMONSPIRIT WASHINGTON (EIN 91-0564491)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201431349349306023
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T16:00:25-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470617373	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	910564491	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FRANCISCAN HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FRAN	NameControl
Phone	2535524105	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1717 S J Street	AddressLine1
City	Tacoma	City
State	WA	State
ZIP Code	98405	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL FITZGERALD	Name
Title	CFO	Title
Date Signed	2014-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Pamela Krohn	Name
PTIN	P01210500	PTIN
Phone	3032989100	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1717 S J Street	AddressLine1
City	Tacoma	City
State	WA	State
ZIP Code	98405	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1205494228	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.FHSHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	FHS WAS FOUNDED ON THE PRINCIPLE TO PROVIDE COMPASSIONATE CARE TO EVERYONE REGARDLESS OF ABILITY TO PAY OR SOCIAL STATUS. FHS INCLUDES MULTIPLE FACILITIES AND HOSPICE, AND AN EXPANDING NETWORK OF CLINICS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	7895	TotalNbrEmployees
Total Nbr Volunteers	1601	TotalNbrVolunteers
Total Gross UBI	8128903	TotalGrossUBI
Net Unrelated Business Txbl Income	-266486	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3330353	ContributionsGrantsPriorYear
Contributions Grants Current Year	3681907	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1120795081	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1145859299	ProgramServiceRevenueCY
Investment Income Prior Year	5347356	InvestmentIncomePriorYear
Investment Income Current Year	16826157	InvestmentIncomeCurrentYear
Other Revenue Prior Year	37621918	OtherRevenuePriorYear
Other Revenue Current Year	38850347	OtherRevenueCurrentYear
Total Revenue Prior Year	1167094708	TotalRevenuePriorYear
Total Revenue Current Year	1205217710	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	65276019	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	42384229	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	492073611	SalariesEtcPriorYear
Salaries Etc Current Year	483875855	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	557881056	OtherExpensePriorYear
Other Expenses Current Year	617244078	OtherExpensesCurrentYear
Total Expenses Prior Year	1115230686	TotalExpensesPriorYear
Total Expenses Current Year	1143504162	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	51864022	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	61713548	RevenuesLessExpensesCY
Total Assets BOY	928903285	TotalAssetsBOY
Total Assets EOY	1011907626	TotalAssetsEOY
Total Liabilities BOY	245942137	TotalLiabilitiesBOY
Total Liabilities EOY	274577013	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	682961148	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	737330613	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	891938071	Expense
Grants	42384229	Grants
Revenue	1145859299	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	891938071	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	7895	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	2536804005	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1717 South J Street	AddressLine1
City	Tacoma	City
State	WA	State
ZIP Code	98405	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROY BROOKS
CHAIR	2.00	1.00	X	X	0	0	0
SR DIANA BADER
VICE CHAIR	2.00	4.00	X	X	0	0	0
ANNE ENQUIST
BOARD MEMBER	2.00	2.00	X		0	0	0
BARBARA WATANABE
BOARD MEMBER	2.00	2.00	X		0	0	0
BILL CAMMARANO MD
BOARD MEMBER	2.00	2.00	X		0	0	0
DALE HOWARD
BOARD MEMBER	2.00	2.00	X		86100	0	0
DENNY HUNTHAUSEN
Board Member	2.00	2.00	X		0	0	0
DIANE DIMMER
BOARD MEMBER	2.00	2.00	X		0	0	0
DIANN PULS
BOARD MEMBER	2.00	2.00	X		0	0	0
GUTHRIE TURNER
BOARD MEMBER	2.00	2.00	X		0	0	0
JACK PETERSON
BOARD MEMBER	2.00	3.00	X		0	0	0
LARRY BJORK
Board Member	2.00	4.00	X		0	0	0
LINDA BURKHARDT
BOARD MEMBER	2.00	2.00	X		0	0	0
MIKE HOFFMAN
Board Member	2.00	2.00	X		0	0	0
MONICA BUTLER
BOARD MEMBER	2.00	2.00	X		0	0	0
SR ANNE MCNAMARA
BOARD MEMBER	2.00	2.00	X		0	0	0
STEVE HARLOW
BOARD MEMBER	2.00	1.00	X		0	0	0
SUSAN PRATT
Board Member	2.00	2.00	X		0	0	0
SUSAN REITER
BOARD MEMBER	2.00	3.00	X		0	0	0
ULI CHI PHD
Board Member	2.00	4.00	X		0	0	0
JOSEPH WILCZEK
PRESIDENT CEO	53.00	7.00		X	0	1356215	36077
KIMBERLY BULLARD
CORPORATE SECRETARY	30.00	10.00		X	75539	0	15740
MIKE FITZGERALD
TREASURER/CFO	40.00	20.00		X	668972	0	96449
ANTHONY HAFTEL
VP-ASC CHF MED OFFICER	40.00	0			377796	0	42525	X
ANTHONY MCLEAN
ST. FRANCIS HOSPITAL PRESIDENT	40.00	0			406123	0	57581	X
CLIFF ROBERTSON
COO	40.00	1.00			673337	0	95819	X
DAVID LAWSON
SR VP-HUMAN RESOURCES	40.00	0			380533	0	65484	X
DENNIS DELEON
VP- Medical Affairs	40.00	0			202846	0	26340	X
DENNIS POPP
VP-Support Services	40.00	0.00			224683	100696	35495	X
DIANNA KIELIAN
SR VP-MISSION/ETHICS	40.00	2.00			301147	0	53383	X
GREGORY SEMERDJIAN MD
SR VP-CHIEF MED OFCR	40.00	0.00			81898	492508	46599	X
KATHY BRESSLER
ST. CLAIRE HOSPITAL PRESIDENT	40.00	0			376429	0	69410	X
KURT SCHLEY
St. Anthony Hospital President	40.00	0			248992	19613	48475	X
LAURIE BROWN
VP-CHIEF NURSING OFFICER	40.00	0			318395	0	52326	X
MARK ADAMS
VP-ASC CHIEF MED OFFICER	40.00	2.00			536195	0	75649	X
META DOOLEY
SR VP-STRT PLN/DEVEL	40.00	0			381507	0	66290	X
RICHARD PETRICH
VP STRAT PLAN/BUSNS DEV	40.00	0			199278	0	26423	X
SYDNEY BERSANTE
SJMC PRESIDENT	40.00	0			554854	0	77485	X
WILLARD WAGNER
VP-MARKTG COMMUNCTN	40.00	0			269494	0	48930	X
BAHIRATHAN KRISHNADASAN
PHYSICIAN	40.00	0			588313	0	43111		X
KEVIN ZHOU
Physician	40.00	0			727755	0	21767		X
ROBERTO SECAIRA
Physician	40.00	0			719169	0	43111		X
THEODORE LAU
PHYSICIAN	40.00	0			789655	0	43111		X
WILLIAM BILNOSKI
Physician	40.00	0			714552	0	32455		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9903562	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1969032	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1220035	TotalOtherCompensation
Number Individuals GT100 K	516	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DELOITTE CONSULTING LLP
PO BOX 7247-6447	PHILADELPHIA	PA	19170	PROFESSIONAL SERVICES-EPIC IMPLEMENTATION	12306290
SELLEN CONSTRUCTION COMPANY IN
227 WESTLAKE AVENUE NORTH	SEATTLE	WA	98109	GENERAL CONTRACTOR	11382569
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	EPIC IMPLEMENTATION/TECHNICAL SUPPORT	5896251
ANDERSEN CONSTRUCTION COMPANY
6712 N CUTTER CIRCLE	PORTLAND	OR	97217	GENERAL CONTRACTOR	4687220
ALDRICH & ASSOCIATES INC
810 - 240TH STREET E	BOTHELL	WA	98021	GENERAL CONTRACTOR	4330139

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	35	NumberOfContractorsGT100K
Related Organizations	3535065	RelatedOrganizations
Government Grants	99705	GovernmentGrants
All Other Contributions	47137	AllOtherContributions
Noncash Contributions	121205	NoncashContributions
Total Contributions	3681907	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	1146447569	1146447569
RENTAL INCOME	900099	1803877	1803877
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	-2392147	-2392147
		0
		0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	1145859299	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4792474	TotalRevenueColumn
Unrelated Business Revenue	-1567	UnrelatedBusinessRevenue
Exclusion	$4,794,041	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	12192046	Securities
Other	118155	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	276518	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	12192046	Securities
Other	-158363	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	12033683	TotalRevenueColumn
Exclusion	$12,033,683	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
LABORATORY SERVICES	621500	15472803	647907	$14,824,896
PHARMACY SERVICES	446110	9646944	5308213	$4,338,731
CAFETERIA	722100	4442542		$4,442,542

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9288058	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2174350	UnrelatedBusinessRevenue
Exclusion	$7,113,708	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	38850347	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1205217710	TotalRevenueColumn
Related Or Exempt Function Income	1145859299	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8128903	UnrelatedBusinessRevenue
Exclusion	$47,547,601	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	42384229	Total
Program Services	42384229	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7164439	Total
Program Services	83125	ProgramServices
Management And General	7081314	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	374503290	Total
Program Services	317252726	ProgramServices
Management And General	57250564	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	20714078	Total
Program Services	17446055	ProgramServices
Management And General	3268023	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	53388538	Total
Program Services	44312487	ProgramServices
Management And General	9076051	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	28105510	Total
Program Services	23327573	ProgramServices
Management And General	4777937	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1698200	Total
Management And General	1698200	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	97855065	Total
Program Services	46583162	ProgramServices
Management And General	51271903	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	294224	Total
Program Services	2652	ProgramServices
Management And General	291572	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22444513	Total
Program Services	13005468	ProgramServices
Management And General	9439045	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	38307329	Total
Program Services	985061	ProgramServices
Management And General	37322268	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17101107	Total
Program Services	17101107	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1420985	Total
Program Services	836587	ProgramServices
Management And General	584398	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	116232	Total
Program Services	23318	ProgramServices
Management And General	92914	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2972765	Total
Program Services	2972765	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	22980870	Total
Management And General	22980870	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	40630590	Total
Program Services	20154773	ProgramServices
Management And General	20475817	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7609997	Total
Program Services	7609997	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUSINESS TAXES	12000	12000
BAD DEBT	166609685		166609685
MEDICAL SUPPLIES	143545147		143545147
PROVIDER/STATE EXCISE TAXES	31356087	11216770	20139317

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	22289282	Total
Program Services	7562837	ProgramServices
Management And General	14726445	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1143504162	Total
Program Services	891938071	ProgramServices
Management And General	251566091	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	67539	BOY
EOY	45762	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	41934821	BOY
EOY	28121846	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	197195721	BOY
EOY	175041063	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2647587	BOY
EOY	2987865	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	34407768	BOY
EOY	40298505	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1728551	BOY
EOY	2114252	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1077853478	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	506608291	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	434490262	BOY
EOY	571245187	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	190188737	BOY
EOY	152716242	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	13092550	BOY
EOY	12999193	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13149749	BOY
EOY	26337711	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	928903285	BOY
EOY	1011907626	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	96210130	BOY
EOY	114794850	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1997468	BOY
EOY	1680487	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	147734539	BOY
EOY	158101676	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	245942137	BOY
EOY	274577013	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	682961148	BOY
EOY	737330613	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	682961148	BOY
EOY	737330613	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	928903285	BOY
EOY	1011907626	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	61713548	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3917102	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-11261160	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$117,269	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$26,008	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	143277	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	LINE 1F) THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $14,278, CATHOLIC HEALTH ASSOCIATION - $5,539 ALSO INCLUDED ON LINE 1F IS THE PORTION OF WASHINGTON STATE HOSPITAL ASSOCIATION MEMBERSHIP DUES DETERMINED TO BE RELATED TO LOBBYING ACTIVITIES PER MEDICARE DEFINITION - $97,452 LINE 1G) INVOICES PAID TO EVERGREEN ASSOCIATES FOR PUBLIC AFFAIRS AND FEDERAL LIAISON SERVICES - $26,008	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22519610	OtherCostOrOtherBasis
Book Value	22519610	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	377180510	OtherCostOrOtherBasis
Depreciation	125969869	Depreciation
Book Value	251210641	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21799164	OtherCostOrOtherBasis
Depreciation	11566890	Depreciation
Book Value	10232274	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	447134889	OtherCostOrOtherBasis
Depreciation	364211974	Depreciation
Book Value	82922915	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	209219305	OtherCostOrOtherBasis
Depreciation	4859558	Depreciation
Book Value	204359747	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	571245187	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue
CHI OIP - FIXED INCOME	75158701
CHI OIP - EQUITY SECURITIES	77557541

Field	Value	IRS element (for citing)
Total Of Book Value Securities	152716242	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$157,153,480
ENVIRONMENTAL REMEDIATION LIABILITY	$896,172
UNCLAIMED PROPERTY	$52,024

Field	Value	IRS element (for citing)
Total Of Amounts	158101676	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	FRANCISCAN HEALTH SYSTEM'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."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21657485	TotalCommunityBenefitExpense
Net Community Benefit Expense	21657485	NetCommunityBenefitExpense
Percent Of Total Expense	0.02220	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46250433	TotalCommunityBenefitExpense
Net Community Benefit Expense	46250433	NetCommunityBenefitExpense
Percent Of Total Expense	0.04730	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	67907918	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	67907918	NetCommunityBenefitExpense
Percent Of Total Expense	0.06950	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	53	NumberOfActivitiesOrPrograms
Persons Served	38319	PersonsServed
Total Community Benefit Expense	1050271	TotalCommunityBenefitExpense
Direct Offsetting Revenue	165927	DirectOffsettingRevenue
Net Community Benefit Expense	884344	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	2507	PersonsServed
Total Community Benefit Expense	844178	TotalCommunityBenefitExpense
Net Community Benefit Expense	844178	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	3038	PersonsServed
Total Community Benefit Expense	6075978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2719078	DirectOffsettingRevenue
Net Community Benefit Expense	3356900	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	26	NumberOfActivitiesOrPrograms
Persons Served	24	PersonsServed
Total Community Benefit Expense	608221	TotalCommunityBenefitExpense
Net Community Benefit Expense	608221	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	104	NumberOfActivitiesOrPrograms
Persons Served	43888	PersonsServed
Total Community Benefit Expense	8578648	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2885005	DirectOffsettingRevenue
Net Community Benefit Expense	5693643	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	104	NumberOfActivitiesOrPrograms
Persons Served	43888	PersonsServed
Total Community Benefit Expense	76486566	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2885005	DirectOffsettingRevenue
Net Community Benefit Expense	73601561	NetCommunityBenefitExpense
Percent Of Total Expense	0.07530	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$166,609,685	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	230646783	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	269885332	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-39238549	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
ST JOSEPH MEDICAL CENTER
1	1717 SOUTH J STREET	TACOMA	WA	98405	HTTP://WWW.FHSHEALTH.ORG/ST-JOSEPH-MEDICAL-CENTER/	X	X	X	X	A
ST FRANCIS HOSPITAL
2	34515 9TH AVENUE SOUTH	FEDERAL WAY	WA	98003	HTTP://WWW.FHSHEALTH.ORG/ST-FRANCIS-HOSPITAL/	X	X	X	X	A
ST CLARE HOSPITAL
3	11315 BRIDGEPORT WAY SW	LAKEWOOD	WA	98499	HTTP://WWW.FHSHEALTH.ORG/ST-CLARE-HOSPITAL/	X	X		X	A
ST ANTHONY HOSPITAL
4	11567 CANTERWOOD BLVD NW	GIG HARBOR	WA	98332	HTTP://WWW.FHSHEALTH.ORG/ST-ANTHONY-HOSPITAL/	X	X		X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO FRANCISCAN HEALTH SYSTERM 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. FRANCISCAN HEALTH SYSTEM 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	WORKSHEET 2 WAS UTILIZED TO COMPUTE THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 USING THE FOLLOWING FORMULA: OPERATING EXPENSE (LESS NON-PATIENT CARE ACTIVITIES, MEDICARE PROVIDER TAXES, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE) DIVIDED BY GROSS PATIENT REVENUE (LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS). BASED ON THAT FORMULA, THIS RESULTS IN A 21.01% COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	166,609,685
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 21.01%. 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	FRANCISCAN HEALTH SYSTEM 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	FRANCISCAN HEALTH SYSTEM 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	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. FRANCISCAN HEALTH SYSTEM'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE CO-PAYMENT/ 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: $230,646,783 TOTAL MEDICARE COSTS: $269,885,332 SURPLUS OR SHORTFALL $(39,238,549) FRANCISCAN HEALTH SYSTEM 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	FRANCISCAN HEALTH SYSTEM DEBT COLLECTION POLICY PROVIDES THAT FRANCISCAN HEALTH SYSTEM WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH FRANCISCAN HEALTH SYSTEM COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE FRANCISCAN HEALTH SYSTEM COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO FRANCISCAN HEALTH SYSTEM FOR APPROPRIATE FOLLOW-UP. FRANCISCAN HEALTH SYSTEM 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. JOSEPH MEDICAL CENTER - FHS CONDUCTED FIVE GEOGRAPHIC STAKEHOLDER MEETINGS WITH COMMUNITY LEADERS. COMMUNITY LEADERS INCLUDED THE PUBLIC HEALTH DEPARTMENT, GOVERNMENT OFFICIALS, SCHOOL DISTRICT OFFICIALS, PRIVATE AND PUBLIC BUSINESS LEADERS. USING THIS INFORMATION, ALONG WITH INPUT FROM CONSUMERS AND OTHER SPECIAL INTEREST GROUPS, A COMMUNITY WIDE WORKSHOP WAS HELD PRIORITIZE THE NEEDS OF THE BROADER COMMUNITY. ;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(1) ST. JOSEPH MEDICAL CENTER - MULTICARE HEALTH SYSTEM, TACOMA, WA ;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(1) ST. JOSEPH MEDICAL CENTER - AREAS TO BE ADDRESSED IN FUTURE TAX YEARS INCLUDE: BEHAVIORAL HEALTH AND THE MANAGEMENT OF CHRONIC DISEASES (NOT INCLUDING HEART AND DIABETES)WILL BE ADDRESSED DURING FY2014.;
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 10	(1) ST. JOSEPH 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. JOSEPH 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. FRANCIS HOSPITAL - "HUD LOW INCOME GUIDELINES USED";
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(3) ST. CLARE HOSPITAL - "HUD LOW INCOME GUIDELINES USED";
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(4) ST. ANTHONY HOSPITAL - "HUD LOW INCOME GUIDELINES USED";
LINES 2,4 AND 5 - NEEDS ASSESSMENT AND COMMUNITY BENEFIT	SCHEDULE H, PART VI	FRANCISCAN HEALTH SYSTEM COMMUNITY BENEFIT ANNUAL REPORT FY 2013 SUMMARY ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE INTRODUCTION ST. JOSEPH HOSPITAL WAS FOUNDED IN 1891 BY THE SISTERS OF ST. FRANCIS TO PROVIDE HEALTHCARE TO THE LUMBERING COMMUNITY IN TACOMA, WASHINGTON. TODAY, ONE HUNDRED AND TWENTY YEARS LATER, FRANCISCAN HEALTH SYSTEM (FHS) IS A FAITH-BASED, NONPROFIT WASHINGTON CORPORATION, AND IS TAX-EXEMPT UNDER IRS 501(C)(3), LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND AFFILIATED WITH CATHOLIC HEALTH INITIATIVES. FHS IS A HEALTH SYSTEM THAT CURRENTLY OWNS AND OPERATES GENERAL ACUTE CARE HOSPITALS AND OUTPATIENT CLINICS, AND AN INPATIENT HOSPICE FACILITY, ALL OF WHICH PROVIDE COMPREHENSIVE HEALTH CARE TO PATIENTS TO FURTHER OUR CHARITABLE MISSION WITH THE INTENTION OF PROVIDING COMMUNITY BENEFIT. FHS INCLUDES ST. JOSEPH MEDICAL CENTER IN TACOMA, ST. FRANCIS HOSPITAL IN FEDERAL WAY, ST. CLARE HOSPITAL IN LAKEWOOD, ST. ELIZABETH HOSPITAL IN ENUMCLAW, ST. ANTHONY HOSPITAL IN GIG HARBOR, OVER EIGHTY FRANCISCAN MEDICAL GROUP PRIMARY AND SPECIALTY CARE CLINICS, FRANCISCAN HOSPICE AND PALLIATIVE CARE, AND MANY COMMUNITY EDUCATION AND OUTREACH PROGRAMS. FRANCISCAN HEALTH SYSTEM EMPLOYS OVER 10,000 INDIVIDUALS. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF FRANCISCAN HEALTH SYSTEM. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. THIS COMMITMENT IS ANCHORED IN THE ORGANIZATION'S MISSION AND VISION STATEMENTS WHICH IT SHARES WITH CHI: 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 FOR PERSONS OF ALL AGES. COMMUNITY BENEFIT APPROACH FRANCISCAN HEALTH SYSTEM (FHS) HAS A LARGE SERVICE AREA OF 1.5 MILLION RESIDENTS, ENCOMPASSING THREE COUNTIES OF VERY SOCIOECONOMICALLY AND RACIALLY DIVERSE URBAN, SUBURBAN, RURAL, AND ISLAND COMMUNITIES. THE HEART OF FHS' SERVICE AREA IS PIERCE COUNTY, THE 2ND MOST POPULATED COUNTY IN THE STATE WITH 813,600 RESIDENTS. THE COUNTY COVERS A 1,678-SQUARE-MILE AREA WITH 23 INCORPORATED CITIES AND TOWNS (THE LARGEST OF WHICH IS TACOMA - POPULATION 203,400) AND RAPIDLY DEVELOPING UNINCORPORATED AREAS. MILITARY PRESENCE IS STRONG WITH 58,000 INDIVIDUALS EMPLOYED BY JOINT BASE LEWIS-MCCHORD (THE LARGEST MILITARY INSTALLATION ON THE WEST COAST), MADIGAN ARMY MEDICAL CENTER, AND THE WASHINGTON STATE NATIONAL GUARD. NON-CAUCASIAN RACIAL AND ETHNIC MINORITY GROUPS COMPRISE 30% OF THE COUNTY POPULATION, INCLUDING: ASIAN AND PACIFIC ISLANDER - 8%, AFRICAN AMERICAN - 8%, HISPANIC ORIGIN - 7%, MULTIRACIAL - 5%, AND NATIVE AMERICAN - 2% (WA OFFICE OF FINANCIAL MANAGEMENT, 2010). 12% OF PIERCE COUNTY RESIDENTS LIVED BELOW THE FEDERAL POVERTY LEVEL IN 2010, AND ONE THIRD OF PUBLIC SCHOOL STUDENTS QUALIFY FOR FREE OR REDUCED PRICE MEALS. ALL OF PIERCE COUNTY IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (FEDERAL ID 03678), AND HALF THE COUNTY IS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (FEDERAL ID'S 5316, 530V, 530U). IN 2012, 15% OF PIERCE COUNTY ADULTS DID NOT HAVE HEALTH COVERAGE AND 14.6% OF ADULTS REPORTED THERE WAS A TIME IN THE PAST YEAR WHEN THEY COULD NOT AFFORD TO SEE A DOCTOR (TACOMA-PIERCE COUNTY HEALTH DEPARTMENT). THESE AND OTHER FACTORS CONTRIBUTE TO PIERCE COUNTY RESIDENTS HAVING POORER HEALTH THAN MOST STATE RESIDENTS. ACCORDING TO "COUNTY HEALTH RANKINGS 2012" PIERCE COUNTY RANKS 26TH OUT OF 39 WASHINGTON COUNTIES IN HEALTH OUTCOMES AND 25TH IN HEALTH FACTORS. PIERCE COUNTY RANKINGS ARE MARKEDLY WORSE THAN THE THREE SURROUNDING COUNTIES' RANKINGS, AS SHOWN BELOW: PIERCE COUNTY'S POOR RANKINGS REPRESENT MANY MORE PEOPLE THAN THOSE LIVING IN COUNTIES WITH WORSE RANKINGS, WHICH ARE ALL MUCH SMALLER (THE NEXT LARGEST COUNTY IS YAKIMA COUNTY, RANKED 31ST AND 38TH; POPULATION 238,400). SOURCE: COUNTY HEALTH RANKINGS 2012. HTTP://WWW.COUNTYHEALTHRANKINGS.ORG. ACCESSED 12/19/2012 COMMUNITY BUILDING- COMMUNITY COALITIONS FRANCISCAN HAS PLAYED A SPECIAL ROLE IN DEVELOPING COMMUNITY HEALTH COALITIONS BY OFFERING LEADERSHIP ASSISTANCE AND GRANT FUNDING FROM CATHOLIC HEALTH INITIATIVES, FRANCISCAN'S PARENT COMPANY. LAKEWOOD'S PROMISE AND BUILDING THE BRIDGE IN FEDERAL WAY ARE NOW LONG-STANDING, EFFECTIVE PARTNERSHIPS IN WHICH FRANCISCAN PARTICIPATES, AND THE RAINIER FOOTHILLS COMMUNITY HEALTH COALITION BEGAN IN ENUMCLAW IN 2009 WITH FRANCISCAN'S HELP. FRANCISCAN ALSO ACTIVELY PARTNERS WITH HEALTH COALITION FOR COMMUNITIES OF COLOR, COMMUNITIES IN SCHOOLS AND MCCARVER ELEMENTARY. A FORMAL COMMUNITY HEALTH ASSESSMENT WAS COMPLETED FEBRUARY 2013. FRANCISCAN COLLABORATES CLOSELY WITH THE HILLTOP ACTION COALITION, WHICH HAS BEEN INSTRUMENTAL IN TRANSFORMING A FORMERLY ABANDONED, BLIGHTED AREA INTO A VIBRANT AND MODERN COMMUNITY. OUR PARTICIPATION INCLUDES HOSTING MONTHLY NEIGHBORS' MEETINGS AND FACILITATING AND PARTICIPATING IN THE ANNUAL HILLTOP SPRING CLEANUP. UNCOMPENSATED CARE DURING FISCAL YEAR 2013 (JULY 2012-JUNE 2013), OUR QUANTIFIABLE COMMUNITY BENEFIT (INCLUDING THE COST OF CHARITY CARE) TOTALED $95.2 MILLION. THE COST OF CHARITY CARE (FREE AND REDUCED-COST CARE FOR INDIVIDUALS WHO CANNOT AFFORD TO PAY) WAS $25.4 MILLION. OUR TOTAL COMMUNITY BENEFIT EXCEEDED OUR TAX EXEMPTIONS AS A NON-PROFIT ORGANIZATION BY $62.8 MILLION. COMMUNITY OUTREACH FOR PERSONS WHO ARE POOR CONGREGATIONAL HEALTH MINISTRIES * NEARLY 800 INDIVIDUALS RECEIVE FLU VACCINATIONS AT 20 CHURCH-BASED CLINICS SPONSORED BY FRANCISCAN. * OVER 2,610 PEOPLE WERE REACHED THROUGH BLOOD PRESSURE CLINICS, 421 OF WHICH WERE REFERRED TO A PRIMARY CARE PROVIDER, RESULTING IN $1.6 MILLION IN AVOIDED EMERGENCY ROOM VISITS. STORK'S NEST STORK'S NEST IS A PROGRAM FOR LOW-INCOME, PREGNANT WOMEN THAT PROMOTES PRENATAL CARE PARTICIPATION AND HEALTHY BEHAVIORS DURING PREGNANCY THROUGH BOTH INCENTIVES AND EDUCATION. THROUGH A PARTNERSHIP WITH ZETA PHI BETA SORORITY AND MANY COMMUNITY PROGRAMS, THE FIRST COUNTY-WIDE EDUCATIONAL BABY SHOWER WAS HELD AT THE OASIS OF HOPE COMMUNITY CENTER. OVER 600 FAMILIES ATTENDED THIS FESTIVE EVENT, RECEIVING VALUABLE EDUCATION, BABY CLOTHES AND SUPPLIES. WIC WIC (WOMEN, INFANTS AND CHILDREN) IS A FREE FOOD AND PREVENTIVE HEALTH PROGRAM FOR PREGNANT AND BREASTFEEDING WOMEN, INFANTS AND CHILDREN WITH LOW INCOME. THIS YEAR, WIC BROUGHT $4.8 MILLION OF FEDERAL FUNDS INTO OUR COMMUNITY, WHICH WAS GIVEN TO STRUGGLING FAMILIES AS GROCERY VOUCHERS FOR NUTRITIOUS FOOD. WIC SERVED OVER 14,608 WOMEN AND CHILDREN, PROVIDING OVER 35,000 NUTRITION SESSIONS. COMMUNITY DENTAL VAN THE COMMUNITY DENTAL VAN PROGRAM PROVIDES DENTAL CARE TO LOW-INCOME OR UNEMPLOYED ADULTS WITHOUT ACCESS TO OTHER LOW-COST DENTAL SERVICES. THE DENTAL VAN IS A PARTNERSHIP WITH CLOVERPARK TECHNICAL COLLEGE, MEDICAL TEAMS INTERNATIONAL AND ST. CLARE HOSPITAL. THE DENTAL VAN ALSO PROVIDES CARE FOR THE UNDERSERVED IN THE FEDERAL WAY COMMUNITY AT ST. FRANCIS HOSPITAL. COLLECTIVELY, 200 ADULTS WERE SERVED FOR IN-KIND DENTAL SERVICES EQUALING OVER $100,000. SOBER LIVING HOUSE THE SOBER LIVING HOUSE IS A JOINT EFFORT WITH FRANCISCAN HEALTH SYSTEM, PIERCE COUNTY METROPOLITAN DEVELOPMENT COUNCIL, MULTICARE HEALTH SYSTEM, TACOMA POLICE DEPT, EMS, AND THE CITY OF TACOMA TO RELIEVE THE PRESSURES IN THE LOCAL EMERGENCY ROOMS IN CARING FOR THE CHRONIC HOMELESS INEBRIANT, WHEREBY AS SOON AS AN INDIVIDUAL IS ASSESSED, TREATED AND DISCHARGED THEY ARE TRANSFERRED TO THE SOBER LIVING FACILITY TO "SOBER UP" AND RECEIVE THE APPROPRIATE CARE INCLUDING MEALS, COUNSELING AND OPPORTUNITY FOR TREATMENT.
LINES 2,4 AND 5 NEEDS ASSESSMENT AND COMMUNITY BENEFIT CONT'D.	SCHEDULE H, PART VI	PHARMACY INDIGENT CARE PROGRAM FHS PROVIDES PRESCRIPTION MEDICATIONS TO PERSONS WHO DO NOT HAVE THE MEANS TO PURCHASE THEM. PROVISIONS OF THESE MEDICATIONS HELPS THE RECIPIENTS TO RECOVER MORE QUICKLY FROM THEIR ILLNESSES, BETTER MANAGE CHRONIC CONDITIONS AND AVOID COSTLY HOSPITALIZATIONS. IN FISCAL YEAR 2013, ALL PHARMACIES WITHIN FHS PROVIDED OVER $700,000 OF PRESCRIPTION ASSISTANCE TO INDIVIDUALS IN NEED. THIS AMOUNT INCLUDES THE PHARMACEUTICALS PROVIDED FOR THE FREE NEIGHBORHOOD CLINIC THAT IS STAFFED BY ALL VOLUNTEER PHYSICIANS AND NURSES. HOMELESS ADULT SERVICES FRANCISCAN'S PASTORAL EDUCATION PROGRAM PROVIDES SPIRITUAL MINISTRY TO HOMELESS GUESTS AT HOSPITALITY KITCHEN, THE TACOMA AVENUE SHELTER AND NATIVITY HOUSE IN TACOMA, WITH A RESIDENT CHAPLAIN AND THREE INTERN CHAPLAINS, FIVE DAYS A WEEK. THIS YEAR, SOME OF OUR MOST NEEDY COMMUNITY MEMBERS RECEIVED OVER 5,460 CARING CONTACTS FROM THESE CHAPLAINS. CHILDREN'S IMMUNIZATIONS FHS HAS PROVIDED 3,158 FREE VACCINES TO OVER 1,080 CHILDREN AT A VALUE OF $120,000. THIS PROGRAM HELPS PREVENT ILLNESS AND FULFILLS THE PUBLIC HEALTH REQUIREMENT OF CHILDREN BETWEEN THE AGES OF 2 YEARS OLD AND 19 YEARS OLD. BREAST CANCER NAVIGATOR PROGRAM CREATED IN 2005 IN PARTNERSHIP WITH SUSAN G. KOMEN FOR THE CURE AND THE KOREAN WOMEN'S ASSOCIATION, THE BREAST CANCER NAVIGATOR PROGRAM, IS DESIGNED TO IMPROVE MAMMOGRAM PARTICIPATION AND ACCESS TO BREAST CANCER TREATMENT AMONG LOW-INCOME WOMEN FROM UNDERSERVED MINORITY CULTURES. THIS YEAR, NAVIGATORS PROVIDED ONE-ON-ONE ASSISTANCE TO 2,239 WOMEN, AND PERFORMED 166 BREAST HEALTH PRESENTATIONS IN THEIR COMMUNITIES. PROJECT ACCESS PROJECT ACCESS, A COLLABORATION INVOLVING FRANCISCAN, THE PIERCE COUNTY MEDICAL SOCIETY AND OTHER ORGANIZATIONS DESIGNED TO EXPAND ACCESS TO MEDICAL SERVICES FOR THE POOR AND UNINSURED, SERVES OVER 400 PATIENTS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY THINKFIRST FRANCISCAN ADMINISTERS THE WASHINGTON STATE CHAPTER OF THINKFIRST THROUGH ITS INPATIENT REHABILITATION DEPARTMENT. THINKFIRST INJURY PREVENTION PRESENTATIONS FEATURE DISABLED SPEAKERS TALKING CANDIDLY TO CHILDREN AND YOUTH ABOUT HOW THEIR INJURY IMPACTS THE PHYSICAL, SOCIAL AND EMOTIONAL ASPECTS OF THEIR LIVES. THEY FOCUS ON THE IMPORTANCE OF THINKING BEFORE TAKING RISKS, AND INCLUDE A LESSON ON ANATOMY AND TRAUMA. THIS YEAR, NEARLY 3,000 CHILDREN AND YOUNG ADULTS PARTICIPATED IN SCHOOL ASSEMBLIES AND GROUP PRESENTATIONS. PARTNERSHIPS FHS ADOPTED TYEE PARK ELEMENTARY IN LAKEWOOD TO MAKE A DIFFERENCE AND HELP KEEP LAKEWOOD'S PROMISE BY PROVIDING CARING ADULTS AND KIDS A HEALTHY START. TWENTY-TWO PEOPLE HAVE VOLUNTEERED THEIR TIME SO FAR. WALKING PROGRAMS FRANCISCAN SPONSORS A NUMBER OF WALKING PROGRAMS IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS, INCLUDING THE COMMONS MALL, POINT DEFIANCE ZOO & AQUARIUM/ZOO SOCIETY, AND NORTHWEST TREK WILDLIFE PARK. OVER 850 COMMUNITY MEMBERS PARTICIPATED THIS YEAR. WE SPONSOR ALZHEIMER'S MEMORY WALK AMERICAN CANCER SOCIETY RELAY FOR LIFE AMERICAN DIABETES ASSOCIATION WALK AMERICAN HEART ASSOCIATION HEART WALK CONGREGATIONAL HEALTH MINISTRIES COMMUNITY DENTAL VANS FREEDOM FROM TOBACCO SUPPORT GROUPS GIG HARBOR HEALTH AND SAFETY FAIR HILLTOP SPRING CLEANUP HEALTH CARE IN COMMUNITIES OF COLOR MARCH OF DIMES WALK FOR BABIES RED CROSS REAL HEROES BREAKFAST SOBERING CENTER OF TACOMA WALK FROM OBESITY WE COLLABORATE BUILDING THE BRIDGE COALITION BREAST CANCER NAVIGATOR PROGRAM HABITAT FOR HUMANITY HILLTOP SPRING CLEANUP HOSPICE NAVIGATOR PROGRAM HOSPICE SOUL PROGRAM HOSPITALITY KITCHEN RESIDENT CHAPLAIN PROGRAM KNIT FOR LIFE MATERNAL SUPPORT SERVICES STAY FIT, STAY SAFE THINK FIRST VOLUNTEERS VOLUNTEERS ARE AT THE HEART OF FRANCISCAN HEALTH SYSTEM. IN FISCAL YEAR 2013, FHS VOLUNTEER SERVICES WERE RECOGNIZED FOR 155,673 HOURS OF SERVICE. THESE HOURS OF SERVICE SAVED THE ORGANIZATION $3.9 ML IN LABOR COSTS. ACCREDITATIONS, AWARDS, ACCOLADES OUR COMMITMENT TO EXCELLENCE EVERY DAY, EVERY TIME, IS EVIDENT IN THE ACCREDITATIONS, AWARDS AND ACCOLADES THAT FRANCISCAN HEALTH SYSTEM AND OUR INDIVIDUAL HOSPITALS AND PROGRAMS RECEIVE: ACCREDITATIONS * FRANCISCAN'S CANCER TREATMENT PROGRAMS ARE ACCREDITED AS A NETWORK CANCER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS. * FRANCISCAN'S REHABILITATION PROGRAMS ARE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). * FRANCISCAN SLEEP DISORDER TREATMENT CENTERS IN LAKEWOOD, FEDERAL WAY AND GIG HARBOR ARE ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE. * ST. JOSEPH MEDICAL CENTER IS ACCREDITED, AND DESIGNATED AS A PRIMARY STROKE CARE CENTER, BY THE JOINT COMMISSION. ST. FRANCIS HOSPITAL IS: - ACCREDITED BY THE JOINT COMMISSION. - DESIGNATED AS A CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. - ACCREDITED AS A BARIATRIC (WEIGHT LOSS) SURGERY CENTER BY THE AMERICAN COLLEGE OF SURGEONS. THE WOMEN'S HEALTH & BREAST CENTER AT ST. FRANCIS IS: - ACCREDITED FOR MAMMOGRAPHY SERVICES BY THE AMERICAN COLLEGE OF RADIOLOGY. - DESIGNATED AS A CERTIFIED QUALITY BREAST CENTER BY THE NATIONAL CONSORTIUM OF BREAST CENTERS. * ST. CLARE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION. * ST. ANTHONY HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION. AWARDS * ST. JOSEPH MEDICAL CENTER: - HAS RECEIVED THE ANNUAL CONSUMER CHOICE AWARD 13 TIMES FROM THE NATIONAL RESEARCH CORP. - EARNED THE 2011 GOLD PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. * ST. ANTHONY HOSPITAL RECEIVED THE 2010 AND 2011 EXCELLENCE THROUGH INSIGHT AWARD FOR PATIENT SATISFACTION FROM HEALTHSTREAM RESEARCH. * ST. CLARE HOSPITAL RECEIVED THE 2007 EXCELLENCE THROUGH INSIGHT AWARD FOR OUTPATIENT SATISFACTION FROM HEALTHSTREAM RESEARCH. * ST. JOSEPH MEDICAL CENTER, ST. FRANCIS HOSPITAL AND ST. CLARE HOSPITAL ARE MULTI-YEAR RECIPIENTS OF THE PRACTICE GREENHEALTH PARTNERS FOR CHANGE AWARD FOR INNOVATIVE PROGRAMS THAT PROTECT THE ENVIRONMENT. * ST. ELIZABETH HOSPITAL AND NORTHWEST EMERGENCY PHYSICIANS OF TEAMHEALTH RECEIVED THE WASHINGTON STATE MEDICAL ASSOCIATION'S 2010 WILLIAM O. ROBERTSON PATIENT SAFETY AWARD FOR ACHIEVEMENT. * FRANCISCAN HEALTH SYSTEM RECEIVED THE 2010 ACHIEVEMENT CITATION FROM THE CATHOLIC HEALTH ASSOCIATION FOR EXCELLENCE IN HOSPICE CARE AND PALLIATIVE MEDICINE. * FRANCISCAN HEALTH SYSTEM RECEIVED THE 2007 WASHINGTON STATE QUALITY AWARD FOR PERFORMANCE EXCELLENCE. ACCOLADES * FRANCISCAN HEALTH SYSTEM HAS BEEN RANKED AMONG THE TOP 100 INTEGRATED HEALTH NETWORKS IN THE NATION SINCE 2004 BY IMS HEALTH. * ST. JOSEPH HEART & VASCULAR CENTER IS DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE BY PREMERA BLUE CROSS AND REGENCE BLUE SHIELD.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	FRANCISCAN HEALTH SYSTEM, 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, FRANCISCAN HEALTH SYSTEM 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 FRANCISCAN HEALTH SYSTEM OUTPATIENT FACILITIES. IN ADDITION, FRANCISCAN HEALTH SYSTEM 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 FRANCISCAN HEALTH SYSTEM'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. FRANCISCAN HEALTH SYSTEM 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. FRANCISCAN HEALTH SYSTEM'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	FRANCISCAN HEALTH SYSTEM, 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. FRANCISCAN HEALTH SYSTEM OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE FRANCISCAN FOUNDATION TO SERVE THE HEALTH CARE NEEDS OF THE TACOMA, WA COMMUNITIES.
State filing of community benefit report	Schedule H, Part VI, Line 7	WA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
METROPOLITAN DEVELOPMENT COUNCIL
721 FAWCETT STREET SUITE 201	TACOMA	WA	98402	910780533	501 ( C ) (3)	80750	SOBERING CENTER
PIERCE COUNTY MEDICAL SOCIETY
223 TACOMA AVENUE SOUTH	TACOMA	WA	98402	271185895	501 ( C ) (6)	40375	PROJECT ACCESS
FOUNDATION FOR HEALTH CARE QUALITY
705 2ND AVENUE SUITE 703	SEATTLE	WA	98104	911419327	501 ( C ) (3)	33250	HEALTHCARE COALITION
COMMUNITY HEALTH CARE
1019 PACIFIC AVENUE SUITE 300	TACOMA	WA	98402	911349657	501 ( C ) (3)	19000	HILLTOP CAPITAL CAMPAIGN
UNITED WAY OF PIERCE COUNTY
PO BOX 2215	TACOMA	WA	98401	910650669	501 ( C ) (3)	9500	SPONSORSHIP PROGRAM
GATEWAY MEDICAL ALLIANCE
PO BOX 355	KENT	WA	98035	911851462	501 ( C ) (3)		MEDICAL EQUIPMENT TO POOR	43836	FMV	UNUSED MEDICAL EQ
CHUMA INTERNATIONAL
2601 WILLIAMATTE DRIVE SE	LACEY	WA	98516	510216586	501 ( C ) (3)		MEDICAL EQUIPMENT TO POOR	7770	FMV	UNUSED MEDICAL EQ
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	911145592	501 (C)(3)	1821853	PROGRAM SUPPORT
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVENUE	ENUMCLAW	WA	98022	910715805	501 (C)(3)	2856129	PROGRAM SUPPORT
FRANCISCAN MEDICAL GROUP
1313 BROADWAY SUITE 200	TACOMA	WA	98402	911939739	501 (C)(3)	37450000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring use of grant funds	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	GRANTS MADE TO ENUMCLAW REGIONAL HOSPITAL ASSOCIATION, FRANCISCAN MEDICAL GROUP AND FRANCISCAN FOUNDATION ARE IN THE FORM OF TRANSFERS TO AFFILIATES AND ARE TRACKED BASED ON THE GRANT RESTRICTION. FHS ONLY GRANTS TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS TO ENSURE THE FUNDS WILL BE USED PROPERLY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY HAFTEL
VP-ASC CHF MED OFFICER	300609	0	67653	0	9534	0	25596	0	16929	0	420321	0	0	0
ANTHONY MCLEAN
ST. FRANCIS HOSPITAL PRESIDENT	301001	0	68334	0	36788	0	47641	0	9940	0	463704	0	15321	0
BAHIRATHAN KRISHNADASAN
PHYSICIAN	567712	0	20000	0	601	0	20596	0	22515	0	631424	0	0	0
CLIFF ROBERTSON
COO	514688	0	116001	0	42648	0	74007	0	21812	0	769156	0	19916	0
DAVID LAWSON
SR VP-HUMAN RESOURCES	272292	0	61260	0	46981	0	49841	0	15643	0	446017	0	11846	0
DENNIS DELEON
VP- MEDICAL AFFAIRS	193448	0	0	0	9398	0	15325	0	11015	0	229186	0	0	0
DENNIS POPP
VP-SUPPORT SERVICES	137681	74309	48891	0	38111	26387	0	20596	10730	4169	235413	125461	14494	20884
DIANNA KIELIAN
SR VP-MISSION/ETHICS	208944	0	59427	0	32776	0	44367	0	9016	0	354530	0	10061	0
GREGORY SEMERDJIAN MD
SR VP-CHIEF MED OFCR	65902	0	0	0	15996	492508	28096	0	5696	12807	115690	505315	12003	197930
JOSEPH WILCZEK
PRESIDENT CEO	0	788016	0	262159	0	306040	0	25596	0	10481	0	1392292	0	175847
KATHY BRESSLER
ST. CLAIRE HOSPITAL PRESIDENT	278473	0	63781	0	34175	0	55839	0	13571	0	445839	0	11952	0
KEVIN ZHOU
PHYSICIAN	705538	0	21250	0	967	0	20596	0	1171	0	749522	0	0	0
KURT SCHLEY
ST. ANTHONY HOSPITAL PRESIDENT	195911	19490	22278	0	30803	123	0	25596	19213	3666	268205	48875	0	0
LAURIE BROWN
VP-CHIEF NURSING OFFICER	237002	0	50856	0	30537	0	43160	0	9166	0	370721	0	0	0
MARK ADAMS
VP-ASC CHIEF MED OFFICER	403312	0	94561	0	38322	0	51784	0	23865	0	611844	0	0	0
META DOOLEY
SR VP-STRT PLN/DEVEL	283213	0	64445	0	33849	0	46102	0	20188	0	447797	0	11587	0
MIKE FITZGERALD
TREASURER/CFO	490553	0	111276	0	67143	0	74637	0	21812	0	765421	0	19205	0
RICHARD PETRICH
VP STRAT PLAN/BUSNS DEV	168901	0	27871	0	2506	0	15549	0	10874	0	225701	0	0	0
ROBERTO SECAIRA
PHYSICIAN	696927	0	21250	0	992	0	20596	0	22515	0	762280	0	0	0
SYDNEY BERSANTE
SJMC PRESIDENT	410871	0	93046	0	50937	0	67421	0	10064	0	632339	0	13854	0
THEODORE LAU
PHYSICIAN	767719	0	21250	0	686	0	20596	0	22515	0	832766	0	0	0
WILLARD WAGNER
VP-MARKTG COMMUNCTN	217221	0	49260	0	3013	0	28096	0	20834	0	318424	0	0	0
WILLIAM BILNOSKI
PHYSICIAN	690970	0	21250	0	2332	0	20596	0	11859	0	747007	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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. POST-TERMINATION PAYMENTS FROM FRANCISCAN HEALTH SYSTEM ARE DETERMINED AT THE DISCRETION OF TOP MANAGEMENT OFFICIALS AND PAYOUT IS BASED UPON VARIOUS FACTORS INCLUDING TENURE AND POSITION. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM FRANCISCAN HEALTH SYSTEM DURING THE 2012 CALENDAR YEAR. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (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: GREGORY SEMERDJIAN - $284,200
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: JOSEPH WILCZEK DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOSEPH WILCZEK - $175,847 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: JOSEPH WILCZEK - $98,125 DURING THE CALENDAR YEAR, FRANCISCAN HEALTH SYSTEM MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR FRANCISCAN HEALTH SYSTEM SENIOR LEADERSHIP. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: MARK ADAMS, SYDNEY BERSANTE, KATHY BRESSLER, LAURIE BROWN, META DOOLEY, MIKE FITZGERALD, DIANNA KIELIAN, DAVID LAWSON, ANTHONY MCLEAN, DENNIS POPP, CLIFF ROBERTSON, KURT SCHLEY AND GREGORY SEMERDJIAN DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY FHS TO THE DEFERRED COMPENSATION PLAN: MARK ADAMS - $31,188 SYDNEY BERSANTE - $36,825 KATHY BRESSLER - $25,243 LAURIE BROWN - $10,064 META DOOLEY - $25,506 MIKE FITZGERALD - $44,041 DIANNA KIELIAN - $18,771 DAVID LAWSON - $24,245 ANTHONY MCLEAN - $27,045 CLIFF ROBERTSON - $45,911 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY FHS FROM THE DEFERRED COMPENSATION PLAN: SYDNEY BERSANTE - $13,854 KATHY BRESSLER - $11,952 META DOOLEY - $11,587 MIKE FITZGERALD - $19,205 DIANNA KIELIAN - $10,061 DAVID LAWSON - $11,846 ANTHONY MCLEAN - $15,321 DENNIS POPP - $35,378 CLIFF ROBERTSON - $19,916 GREGORY SEMERDJIAN - $209,933 DUE TO THE "SUPER" VESTING RULES UNDER THE FHS DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY FHS TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: DENNIS POPP - $6,581 GREGORY SEMERDJIAN - $5,278
Non-fixed payments	Schedule J, Part I, Line 7	FHS MAINTAINS A BONUS PROGRAM THAT IS AVAILABLE / PAID TO THE NON-EXECUTIVE MANAGEMENT OF FHS. THE BONUS THAT IS AVAILABLE TO THE EXECUTIVES OF FHS IS LARGELY DRIVEN OR DEVELOPED BY THE LEADERS AND BOARD OF CHI. THIS BONUS INFORMATION ALONG WITH THE COMPENSATION OF ALL FHS EXECUTIVES IS DISCUSSED WITH THE FHS BOARD AT LEAST ONCE EACH YEAR. THE FHS BOARD HAS SOME INPUT INTO THE BONUS AND COMPENSATION OF THE FHS EXECUTIVES, AND MANAGEMENT HAS DISCRETION OVER WHETHER IT IS FINALLY PAID OUT.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
IN PATIENT DOCTOR SERVICES PLLC
BOARD MEMBER OWNS 14.29%	500000	SERVICES RENDERED	false
PUGET SOUND INSTITUTE OF PATHOLOGY
BOARD MEMBER OWNS 20%	1972738	SERVICES RENDERED	false

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	STERILIZATION CARTS	3	17145	COST
X	PATIENT LIFTS	1	49192	COST
X	CADAVAR CARTS	3	7731	COST
X	APX7500 SINGLEBAND 7/800	2	11806	COST
X	PREPAREDNESS AND RESPONSE EQUIPMENT	1	35331	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference
Number of contributions or items contributed.	Schedule M, part I, column (b), Line other=STERILIZATION CARTS
Number of contributions or items contributed.	Schedule M, part I, column (b), Line other=PATIENT LIFTS
Number of contributions or items contributed.	Schedule M, part I, column (b), Line other=CADAVAR CARTS
Number of contributions or items contributed.	Schedule M, part I, column (b), Line other=APX7500 SINGLEBAND 7/800
Number of contributions or items contributed.	Schedule M, part I, column (b), Line other=PREPAREDNESS AND RESPONSE EQUIPMENT

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXECUTIVE COMMITTEE	FORM 990, PART VI, LINE 1A	THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, BOTH OF WHOM SERVE AS EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE, AND AT LEAST ONE MEMBER OF A RELIGIOUS INSTITUTE OF THE CATHOLIC CHURCH WITH A PREFERENCE FOR THE SISTERS OF ST. FRANCIS OF PHILADELPHIA. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.
Significant changes to organizational documents	Form 990, Part VI, Section A, Line 4	THE COMPOSITION OF THE BOARD OF DIRECTORS HAS CHANGED. THE BYLAWS NOW REQUIRE THAT AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS ARE APPOINTED BY THE BOARD OF TRUSTEES OF HIGHLINE MEDICAL CENTER.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	THE SOLE MEMBER OF THE ORGANIZATION 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 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 CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO ARTICLE V, 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 THE FRANCISCAN HEALTH SYSTEM (FHS) - AMENDMENT OF THE CORPORATE DOCUMENTS OF FHS - APPROVE MEMBERS OF THE FHS BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF FHS - APPROVAL OF ISSUANCE OF DEBT BY FHS - APPROVAL OF PARTICIPATION OF FHS IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY FHS - APPROVAL OF A MERGER INVOLVING FHS - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF FHS - TO REQUIRE THE TRANSFER OF ASSETS BY FHS TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR FHS. PURSUANT TO ARTICLE V, 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	THE CFO REVIEWS THE FORM AND ANY NECESSARY CHANGES ARE INCLUDED IN THE FINAL VERSION THAT IS APPROVED FOR FILING WITH THE IRS. THE CFO ALSO PROVIDES THE RETURN TO THE BOARD, AND ALL BOARD MEMBERS HAVE THE OPPORTUNITY TO REVIEW THE 990 PRIOR TO FILING WITH THE IRS. SUBSEQUENT TO REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	EACH EMPLOYEE IS EDUCATED REGARDING CONFLICTS OF INTEREST AT NEW EMPLOYEE ORIENTATION. ON THE ANNUAL PERFORMANCE REVIEW, THE FOLLOWING STATEMENT IS INITIALED BY EMPLOYEES: CONFLICT OF INTEREST: I WILL COMPLY WITH THE STANDARDS AND GUIDELINES CONTAINED IN THE CONFLICT OF INTEREST POLICY. I UNDERSTAND THAT I AM RESPONSIBLE FOR RECOGNIZING ANY SITUATION IN WHICH A CONFLICT OF INTEREST IS PRESENT OR MIGHT ARISE. I WILL IMMEDIATELY REPORT ANY SUCH SITUATION TO MY MANAGER/VICE PRESIDENT AND WILL TAKE APPROPRIATE ACTION TO ELIMINATE OR PREVENT A CONFLICT. GOVERNANCE IS REQUIRED ANNUALLY TO DECLARE CONFLICTS OF INTERESTS, ALONG WITH MEDICAL STAFF LEADERS. WHEN A CONFLICT IS ACKNOWLEDGED, THE INDIVIDUALS ARE PROHIBITED FROM DELIBERATIONS AND DECISIONS IN THE TRANSACTION. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS ALL GOVERNANCE CONFLICTS OF INTERESTS, AND AT EACH BOARD MEETING THE CHAIRPERSON ASKS IF THERE ARE ANY CONFLICTS OF INTERESTS RELATED TO CURRENT AGENDA ITEMS. CONFLICTS OF INTERESTS ARE REVIEWED BY THE CFO, CEO, LEGAL OR AT THE MOST IMMEDIATELY SENIOR LEVEL OF MANAGEMENT DEPENDING ON THE NATURE OF THE CONFLICT OF INTEREST.
WRITTEN DOCUMENT RETENTION AND DESTRUCTION PLAN	FORM 990, PART VI, LINE 14	WHILE FRANCISCAN HEALTH SYSTEM HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION PLAN, THE GOVERNING BOARD HAS NOT FORMALLY ADOPTED IT.
CEO COMPENSATION	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	ALL EXECUTIVE COMPENSATION ARRANGEMENTS WITH ANY PERSON OF SUBSTANTIAL INFLUENCE ARE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS, OR AN AUTHORIZED COMMITTEE OF THE BOARD, IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION REVIEW POLICY. EXECUTIVE COMPENSATION ARRANGEMENTS WITH ANY PHYSICIAN WHO IS A PERSON OF SUBSTANTIAL INFLUENCE ARE NOT SUBJECT TO THIS POLICY, BUT SHALL BE REVIEWED AND APPROVED IN ACCORDANCE WITH THE SYSTEM'S PHYSICIAN TRANSACTION REVIEW POLICY.
EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS	FORM 990, PART VI, LINE 16B	FRANCISCAN HEALTH SYSTEM HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OFTHE 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.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	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.COM. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	CAPITAL RESOURCE POOL CONTRIBUTIONS - -11832072; CHI CONNECT DEPRECIATION - 670912; NONCONTROLLING INTEREST IN SUBSIDIARY - -100000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	FRANCISCAN COORDINATED CARE NETWORK LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1149 MARKET ST	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	98402	ZIPCode

Field	Value	IRS element (for citing)
EIN	455540928	EIN
Primary Activities	HEALTH CARE	PrimaryActivities
Legal Domicile State	WA	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FRANCISCAN HEALTH SYSTEM	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2
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 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
110 NORTH MAIN STREET	DAYTON	OH	45402	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREET	SCHUYLER	NE	68661	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	true
SJMGROUP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	MO	501(C)(3)	3	CHI	true
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	TITLE HOLDING	TX	501(C)(2)	N/A	SL PROPERTIES	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL PROPERTIES	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	HEALTHCARE	OR	501(C)(4)	N/A	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVENUE SW	ALBUQUERQUE	NM	87102	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
ONE SAITN JOSEPH DRIVE	LEXINGTON	KY	40504	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION
7601 OSLER DRIVE	TOWSON	MD	21204	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISE INC
7601 OSLER DRIVE	TOWSON	MD	21204	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	HEALTHCARE	ND	501(C)(3)	3	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true	R LAND HOSPITAL
ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	INVESTMENT MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE SUITE 855	HOUSTON	TX	77004	FUNDRAISING	TX	501(C)(3)	7	SLHS	true
ST LUKE'S MEDICAL CENTER
6624 FANNIN	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL CDC - SL	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 SE 2ND STREET	LITTLE FALLS	MN	56345	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true
WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL
16251 SYLVESTER RD SW	BURIEN	WA	98166	AUXILIARY	WA	501(C)(3)	11 - Type II	HMC	true
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY SUITE 170	THE WOODLANDS	TX	77384	PHY PRACTICES	TX	501(C)(3)	9	SL CHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	34991	8665388	false	$0	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-210405	4806071	false	-$439,536	false	0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	57545	1013237	false	$0	true	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	SJHS	RELATED	308428	3317191	false	$0	false	0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	228435	675251	false	$0	true	1
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1710199	2712656	false	$0	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	344962532	4617413792	false	$0	true	0.7992
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	98583	3190677	false	$0	false	1
MRI AT ST JOESPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	SJMC	RELATED	423167	2174155	false	$0	true	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81071	1077536	false	$0	false	0.5745
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	TMI	RELATED	9490	0	false	$0	true	0.6658
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	RELATED	1846153	8411844	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	RELATED	256567	3262002	false	$0	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	715094	3489436	false	$0	false	0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	SJMC	RELATED	-69345	0	false	$0	true	0.51
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRDOSBURG ROAD	LEXINGTON	KY	40504	453801157	OP SURGERY	DE	SJHS	RELATED	0	0	false	$0	true	0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	3388	666017	false	$0	true	0.51
ST FRANCIS LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-130967	13823763	false	$0	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	FHS	RELATED	238717	1907063	false	$0	false	0.5846
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED	30446	1149003	false	$0	true	0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-200323	821112	false	$0	true	0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	-200318	4079584	false	$0	true	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-15452	396101	false	$0	true	0.51
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	ACH	RELATED	116752	776649	false	$0	true	0.51
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	RELATED	142085	3294472	false	$0	false	0.6394
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	RELATED	3465880	1951221	false	$0	false	0.516
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	RELATED	1455294	1013126	false	$0	false	0.5228
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREET	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	RELATED	10501730	17301869	false	$0	false	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST 102	LINCOLN	NE	68508	204962103	TECH SERVICES	NE	AH-IMC	RELATED	1011804	5564586	false	$68,565	true	0.627
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JH	RELATED	3208139	9684824	false	$0	false	0.969
LINCOLN CK LEASING LLC
8770 BRYN MAWR SUITE 1370	CHICAGO	IL	60631	262496856	REAL ESTATE	NE	SERMC	RELATED	397452	439334	false	$0	false	0.5376
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC	WA	HMC	RELATED	840222	1784058	false	$0	false	0.8
HC SL VINTAGE I LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLD	WI	SL CDC - VINTAGE	RELATED	1027057	105658490	false	$0	false	0.51
ST LUKES HOSPITAL AT THE VINTAGE LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	SL CDC - VINTAGE	RELATED	-19253743	69158748	false	$0	true	0.51
PMC HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	273280598	HOSPITAL	TX	SL CDC - PMC	RELATED	1092540	20751174	false	$0	true	0.51
ST LUKES DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	273448	868814	false	$0	false	0.573
ST LUKES LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC - WOODLANDS	RELATED	1106628	25874619	false	$0	true	0.51
ST LUKES THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	462795726	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	0	0	false	$0	false	0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line2NameOfRelatedOrg/BusinessNameLine2
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	6272746	1	true
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	5118606	51920207	1	true
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	2134392	14669219	1	true
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	1	true
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1008	1	true
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	C CORPORATION	-2286538	1241259	1	true
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION	0	0	1	true
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	1	true
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-879467	52379487	1	true
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	61204	1064032	0.9298	true
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	-7868	718254	1	true
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-257418	180468	1	true
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C CORPORATION	87278	1377820	1	true
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	153510	1152715	1	true
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369231	1937218	1	true
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	MMC	C CORPORATION	-440596	1423377	1	true
MHSERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	431457881	DME	MO	SJRMC	C CORPORATION	0	0	1	true
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	96044	6465179	1	true
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	-164340	5488275	1	true
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
SAINT CLARES PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-357263	1361242	1	true
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION	0	0	1	true
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-197039	3331737	1	true
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	1	true
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	114663	2936102	1	true
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2408638	15225732	1	true
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	655478	12357418	1	true
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	SJHS	C CORPORATION	0	882139	0.85	true
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	516457	197196	1	true
COLLABHEALTH MANAGED SOLUTIONS INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	CHI	C CORPORATION	0	23806707	1	true
COLLABHEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	CHMS	C CORPORATION	-1082933	38272608	1	true
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW 170	BURIEN	WA	98166	911407026	MEDICAL SERVICES	WA	HMC	C CORPORATION	-6049147	5689139	1	true
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S SUITE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	CHPS	C CORPORATION	-154741	10976973	0.556	true
SLEHS HOLDINGS INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	SLHS	C CORPORATION	1425313	33114103	1	true
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true
SLMT PARKING INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637140	PARKING	TX	SLHS	C CORPORATION	1117934	13768221	1	true
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355517	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER	HOUSTON	TX	77030	760377932	PHO	TX	SLMC	C CORPORATION	6	0	0.6	true
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355518	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	760298751	CONDOMINIUM ASSOC	TX	SLMTC	C CORPORATION	0	0	1	true
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	SL CHS	C CORPORATION	-1159411	566590	1	true
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	900064009	CONDOMINIUM ASSOC	TX	SLMC	C CORPORATION	0	0	1	true							UILDING CONDOMINIUM ASSOCIATION
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	ACH	C CORPORATION	5312313	4520865	1	true
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		SLHS	C CORPORATION	0	43866961	1	true	PO BOX 69 GT 720 WEST BAY ROAD	GEORGETOWN	GRAND CAYMAN	CJ	KY-1102	CJ
VINTAGE DOCTOR GROUP
6624 FANNIN SUITE 1100	HOUSTON	TX	77030		MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FRANCISCAN FOUNDATION
C	3401467	FMV
DEVCO
J	1932877	FMV
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
B	2856128	FMV
FRANCISCAN FOUNDATION
B	1821853	FMV
FRANCISCAN MEDICAL GROUP
B	37450000	FMV