2014-05-14T16:00:25-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 910564491 FRANCISCAN HEALTH SYSTEM FRAN 2535524105 1717 S J Street Tacoma WA 98405 MICHAEL FITZGERALD 2014-05-14 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z JOE WILCZEK 1717 S J Street Tacoma WA 98405 1205494228 false 0928 X WWW.FHSHEALTH.ORG X 1891 WA 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. 20 19 7895 1601 8128903 -266486 3330353 3681907 1120795081 1145859299 5347356 16826157 37621918 38850347 1167094708 1205217710 65276019 42384229 0 0 492073611 483875855 0 0 0 557881056 617244078 1115230686 1143504162 51864022 61713548 928903285 1011907626 245942137 274577013 682961148 737330613 THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 891938071 42384229 1145859299 SEE SCHEDULE H 891938071 true true false true false false false false false true true false false true true false true false false false false false false false false true true true false true false false false false false false false true true false false false true true true true false false true 0 0 7895 true true true false false false false false false false false false X 20 19 false false true false true true true true true false false true true true true true false false true true false X Mike Fitzgerald 2536804005 1717 South J Street Tacoma WA 98405 ROY BROOKS 2.00 1.00 X X 0 0 0 SR DIANA BADER 2.00 4.00 X X 0 0 0 ANNE ENQUIST 2.00 2.00 X 0 0 0 BARBARA WATANABE 2.00 2.00 X 0 0 0 BILL CAMMARANO MD 2.00 2.00 X 0 0 0 DALE HOWARD 2.00 2.00 X 86100 0 0 DENNY HUNTHAUSEN 2.00 2.00 X 0 0 0 DIANE DIMMER 2.00 2.00 X 0 0 0 DIANN PULS 2.00 2.00 X 0 0 0 GUTHRIE TURNER 2.00 2.00 X 0 0 0 JACK PETERSON 2.00 3.00 X 0 0 0 LARRY BJORK 2.00 4.00 X 0 0 0 LINDA BURKHARDT 2.00 2.00 X 0 0 0 MIKE HOFFMAN 2.00 2.00 X 0 0 0 MONICA BUTLER 2.00 2.00 X 0 0 0 SR ANNE MCNAMARA 2.00 2.00 X 0 0 0 STEVE HARLOW 2.00 1.00 X 0 0 0 SUSAN PRATT 2.00 2.00 X 0 0 0 SUSAN REITER 2.00 3.00 X 0 0 0 ULI CHI PHD 2.00 4.00 X 0 0 0 JOSEPH WILCZEK 53.00 7.00 X 0 1356215 36077 KIMBERLY BULLARD 30.00 10.00 X 75539 0 15740 MIKE FITZGERALD 40.00 20.00 X 668972 0 96449 ANTHONY HAFTEL 40.00 0 X 377796 0 42525 ANTHONY MCLEAN 40.00 0 X 406123 0 57581 CLIFF ROBERTSON 40.00 1.00 X 673337 0 95819 DAVID LAWSON 40.00 0 X 380533 0 65484 DENNIS DELEON 40.00 0 X 202846 0 26340 DENNIS POPP 40.00 0.00 X 224683 100696 35495 DIANNA KIELIAN 40.00 2.00 X 301147 0 53383 GREGORY SEMERDJIAN MD 40.00 0.00 X 81898 492508 46599 KATHY BRESSLER 40.00 0 X 376429 0 69410 KURT SCHLEY 40.00 0 X 248992 19613 48475 LAURIE BROWN 40.00 0 X 318395 0 52326 MARK ADAMS 40.00 2.00 X 536195 0 75649 META DOOLEY 40.00 0 X 381507 0 66290 RICHARD PETRICH 40.00 0 X 199278 0 26423 SYDNEY BERSANTE 40.00 0 X 554854 0 77485 WILLARD WAGNER 40.00 0 X 269494 0 48930 BAHIRATHAN KRISHNADASAN 40.00 0 X 588313 0 43111 KEVIN ZHOU 40.00 0 X 727755 0 21767 ROBERTO SECAIRA 40.00 0 X 719169 0 43111 THEODORE LAU 40.00 0 X 789655 0 43111 WILLIAM BILNOSKI 40.00 0 X 714552 0 32455 9903562 1969032 1220035 516 false true false 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 35 3535065 99705 47137 121205 3681907 PATIENT SERVICES 900099 1146447569 1146447569 RENTAL INCOME 900099 1803877 1803877 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 -2392147 -2392147 0 0 0 0 0 0 1145859299 4792474 -1567 4794041 0 0 0 0 0 0 0 12192046 118155 276518 12192046 -158363 12033683 12033683 0 0 0 LABORATORY SERVICES 621500 15472803 647907 14824896 PHARMACY SERVICES 446110 9646944 5308213 4338731 CAFETERIA 722100 4442542 4442542 9288058 0 2174350 7113708 38850347 1205217710 1145859299 8128903 47547601 42384229 42384229 0 0 0 7164439 83125 7081314 0 374503290 317252726 57250564 20714078 17446055 3268023 53388538 44312487 9076051 28105510 23327573 4777937 0 1698200 1698200 0 0 0 0 97855065 46583162 51271903 0 294224 2652 291572 22444513 13005468 9439045 38307329 985061 37322268 0 17101107 17101107 1420985 836587 584398 0 116232 23318 92914 2972765 2972765 22980870 22980870 40630590 20154773 20475817 7609997 7609997 UNRELATED BUSINESS TAXES 12000 12000 BAD DEBT 166609685 166609685 MEDICAL SUPPLIES 143545147 143545147 PROVIDER/STATE EXCISE TAXES 31356087 20139317 11216770 22289282 7562837 14726445 0 1143504162 891938071 251566091 0 0 67539 45762 41934821 28121846 197195721 175041063 0 0 2647587 2987865 34407768 40298505 1728551 2114252 1077853478 506608291 434490262 571245187 190188737 152716242 0 0 13092550 12999193 13149749 26337711 928903285 1011907626 96210130 114794850 0 0 0 1997468 1680487 0 0 147734539 158101676 245942137 274577013 X 682961148 737330613 682961148 737330613 928903285 1011907626 X 61713548 3917102 -11261160 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 117269 true 26008 false false 143277 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LINE 1F) THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $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 22519610 22519610 377180510 125969869 251210641 21799164 11566890 10232274 447134889 364211974 82922915 209219305 4859558 204359747 571245187 0 0 CHI OIP - FIXED INCOME 75158701 CHI OIP - EQUITY SECURITIES 77557541 152716242 0 INTERCOMPANY PAYABLES 157153480 ENVIRONMENTAL REMEDIATION LIABILITY 896172 UNCLAIMED PROPERTY 52024 158101676 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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." true true X false false true true false true true 21657485 21657485 0.02220 46250433 46250433 0.04730 0 0.00000 0 0 67907918 0 67907918 0.06950 53 38319 1050271 165927 884344 0.00090 18 2507 844178 844178 0.00090 7 3038 6075978 2719078 3356900 0.00340 0 0.00000 26 24 608221 608221 0.00060 104 43888 8578648 2885005 5693643 0.00580 104 43888 76486566 2885005 73601561 0.07530 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 166609685 0 230646783 269885332 -39238549 X true true 4 1 ST JOSEPH MEDICAL CENTER

1717 SOUTH J STREET TACOMA WA 98405

HTTP://WWW.FHSHEALTH.ORG/ST-JOSEPH-MEDICAL-CENTER/ X X X X A 2 ST FRANCIS HOSPITAL

34515 9TH AVENUE SOUTH FEDERAL WAY WA 98003

HTTP://WWW.FHSHEALTH.ORG/ST-FRANCIS-HOSPITAL/ X X X X A 3 ST CLARE HOSPITAL

11315 BRIDGEPORT WAY SW LAKEWOOD WA 98499

HTTP://WWW.FHSHEALTH.ORG/ST-CLARE-HOSPITAL/ X X X A 4 ST ANTHONY HOSPITAL

11567 CANTERWOOD BLVD NW GIG HARBOR WA 98332

HTTP://WWW.FHSHEALTH.ORG/ST-ANTHONY-HOSPITAL/ X X X A A 1 true X X X X X X X X 12 true true true X X X X X false false true false false true X X X X X X true true X X X X X true false true X false false 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 true 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) 43836 FMV UNUSED MEDICAL EQ MEDICAL EQUIPMENT TO POOR CHUMA INTERNATIONAL 2601 WILLIAMATTE DRIVE SE LACEY WA 98516 510216586 501 ( C ) (3) 7770 FMV UNUSED MEDICAL EQ MEDICAL EQUIPMENT TO POOR 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 9 1 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. true true false false false false false true false ANTHONY HAFTEL 300609 0 67653 0 9534 0 25596 0 16929 0 420321 0 0 0 ANTHONY MCLEAN 301001 0 68334 0 36788 0 47641 0 9940 0 463704 0 15321 0 BAHIRATHAN KRISHNADASAN 567712 0 20000 0 601 0 20596 0 22515 0 631424 0 0 0 CLIFF ROBERTSON 514688 0 116001 0 42648 0 74007 0 21812 0 769156 0 19916 0 DAVID LAWSON 272292 0 61260 0 46981 0 49841 0 15643 0 446017 0 11846 0 DENNIS DELEON 193448 0 0 0 9398 0 15325 0 11015 0 229186 0 0 0 DENNIS POPP 137681 74309 48891 0 38111 26387 0 20596 10730 4169 235413 125461 14494 20884 DIANNA KIELIAN 208944 0 59427 0 32776 0 44367 0 9016 0 354530 0 10061 0 GREGORY SEMERDJIAN MD 65902 0 0 0 15996 492508 28096 0 5696 12807 115690 505315 12003 197930 JOSEPH WILCZEK 0 788016 0 262159 0 306040 0 25596 0 10481 0 1392292 0 175847 KATHY BRESSLER 278473 0 63781 0 34175 0 55839 0 13571 0 445839 0 11952 0 KEVIN ZHOU 705538 0 21250 0 967 0 20596 0 1171 0 749522 0 0 0 KURT SCHLEY 195911 19490 22278 0 30803 123 0 25596 19213 3666 268205 48875 0 0 LAURIE BROWN 237002 0 50856 0 30537 0 43160 0 9166 0 370721 0 0 0 MARK ADAMS 403312 0 94561 0 38322 0 51784 0 23865 0 611844 0 0 0 META DOOLEY 283213 0 64445 0 33849 0 46102 0 20188 0 447797 0 11587 0 MIKE FITZGERALD 490553 0 111276 0 67143 0 74637 0 21812 0 765421 0 19205 0 RICHARD PETRICH 168901 0 27871 0 2506 0 15549 0 10874 0 225701 0 0 0 ROBERTO SECAIRA 696927 0 21250 0 992 0 20596 0 22515 0 762280 0 0 0 SYDNEY BERSANTE 410871 0 93046 0 50937 0 67421 0 10064 0 632339 0 13854 0 THEODORE LAU 767719 0 21250 0 686 0 20596 0 22515 0 832766 0 0 0 WILLARD WAGNER 217221 0 49260 0 3013 0 28096 0 20834 0 318424 0 0 0 WILLIAM BILNOSKI 690970 0 21250 0 2332 0 20596 0 11859 0 747007 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. 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. 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 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 false false false 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 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; FRANCISCAN COORDINATED CARE NETWORK LLC 1149 MARKET ST TACOMA WA 98402 455540928 HEALTH CARE WA 0 0 FRANCISCAN HEALTH SYSTEM 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 - 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