2014-05-15T13:00:36-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 311539059 SAINT JOSEPH MEDICAL FOUNDATION INC SAIN 8593131000 200 Abraham Flexner Way Louisville KY 40202 CARMEL JONES 2014-05-15 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z X CARMEL JONES 1001 Saint Joseph Lane London KY 40741 48952210 false X N/A X 1997 KY WE ARE A FAITH-BASED FAMILY UNITED IN OUR UNWAVERING COMMITMENT TO PERSON-CENTERED CARE. FOCUSED ON QUALITY AND OUR COLLABORATION WITH OUR COMMUNITY, WE STRIVE TO MEET OUR COMMUNITIES' HEALTH-RELATED NEEDS. 1 0 700 0 0 0 1539343 423850 39719700 47777830 16862 -21000 427542 726710 41703447 48907390 0 93530 0 0 47985734 67596747 0 0 0 24540965 21874715 72526699 89564992 -30823252 -40657602 11305880 16130176 52703704 98185602 -41397824 -82055426 X 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. true false 75588564 93530 47777830 SEE SCHEDULE O 75588564 true true false false false false false false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false true false false false false true false false false false true 0 0 700 true false false false false false false false false false false X 1 0 false false false false true true true true true false false false true true true true false false false false KY X Carmel Jones 6063306015 1001 Saint Joseph Lane London KY 40741 CARMEL JONES 45.00 10.00 X X 0 222991 43891 DANIEL VARGA 1.00 59.00 X X 0 607918 76896 GARY ERMERS 1.00 59.00 X 0 559816 68637 MARK STREETY 1.00 59.00 X 0 343822 57740 MICHAEL SCHAEFFER 40.00 0 X 753702 0 38024 NEZAR FALLUJI 40.00 0 X 788464 0 23278 RICHARD DINARDO 40.00 0 X 1096343 0 37416 STEVE LIN 40.00 20.00 X 855338 10802 37604 WILLIAM SCHOEN 40.00 0 X 828161 0 40426 JAMES PAROBEK 1.00 40.00 X 0 582231 91656 4322008 2327580 515568 100 false true false UNITED SURGICAL ASSOCIATES 1401 HARRODSBURG RD SUITE C100 LEXINGTON KY 40504 SUPPORT STAFF, RENT, SUPPLIES 388914 NEW LEXINGTON CLINIC PSC PO BOX 11790 LEXINGTON KY 405781790 PHYSICIAN SERVICES 388437 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN SERVICES 320334 ARCHITECTION PLLC 425 WEST MARKET STREET LOUISVILLE KY 40202 ARCHITECT/BLDG DESIGN 249700 ASSOCIATES FOR WOMEN'S CARE 3213 SUMMIT SQUARE PL STE 200 LEXINGTON KY 40509 SUPPORT STAFF, RENT, SUPPLIES, UTILITIES, ETC. 224529 5 236350 187500 236350 423850 PATIENT SERVICES 900099 47777830 47777830 0 0 0 0 0 0 0 0 47777830 19048 19048 0 0 0 0 0 4772 44820 0 -40048 -40048 -40048 0 0 0 MEDICAL SERVICES 621300 390770 390770 INCENTIVE PAYMENTS 900099 158516 158516 OROTHOPEDIC CALL COVERAGE 900099 109000 109000 68424 0 0 68424 726710 48907390 47777830 0 705710 93530 93530 0 0 0 0 0 57521415 48431951 9089464 3102556 2612294 490262 4134614 3481267 653347 2838162 2389679 448483 0 8035 8035 0 0 0 0 2330297 1593931 736366 0 1559 1559 2441283 1092780 1348503 0 0 4457855 4457855 303985 303985 0 3557 3557 0 0 640117 468381 171736 2168484 2168484 BAD DEBTS 5833069 5833069 MEDICAL SUPPLIES 2505254 2505254 RECRUITMENT AND EDUCATION 458530 458530 REPAIRS AND MAINTENANCE 302335 302335 420355 0 420355 0 89564992 75588564 13976428 0 0 6208 10760 753381 4658062 6350800 6092924 0 0 8179 375024 178380 5855588 1684385 2715124 4171203 0 0 0 0 1085388 1010668 19955 0 11305880 16130176 52703704 7949324 0 0 90236278 52703704 98185602 X -41397824 -82055426 -41397824 -82055426 11305880 16130176 -40657602 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 559949 174259 385690 88316 13719 74597 3904250 1496407 2407843 1303073 1303073 4171203 0 INTERCOMPANY PAYABLES 90236278 90236278 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 SAINT JOSEPH MEDICAL FOUNDATION'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." false SAINT JOSEPH HEALTH SYSTEM INC 305 ESTILL ST BEREA KY 40403 611334601 501(C)(3) 93350 BOOK ASSET TRANSFER ASSET TRANSFER 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 GRANTS INCLUDED IN PART II ARE TO COMPANIES AND COMMUNITY ORGANIZATIONS WHO ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE AND AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THE DISTRIBUTION. THERE IS NO MONITORING OF GRANTS GIVEN TO INDIVIDUALS. INDIVIDUALS' NEEDS ARE EVALUATED BEFORE THE GRANT IS GIVEN TO ENSURE THEY ARE AN ELIGIBLE RECEIPIENT. true true false false false false false true false CARMEL JONES 0 204607 0 17860 0 524 0 25073 0 18818 0 266882 0 0 DANIEL VARGA 0 490529 0 65799 0 51590 0 57315 0 19581 0 684814 0 36064 GARY ERMERS 0 248822 0 38290 0 272704 0 48198 0 20439 0 628453 0 32217 JAMES PAROBEK 0 195613 0 100000 0 286618 0 81375 0 10281 0 673887 0 77861 MARK STREETY 0 154213 0 27080 0 162529 0 47313 0 10427 0 401562 0 25142 MICHAEL SCHAEFFER 402311 0 350526 0 865 0 20596 0 17428 0 791726 0 0 0 NEZAR FALLUJI 396062 0 365982 0 26420 0 20596 0 2682 0 811742 0 0 0 RICHARD DINARDO 386918 0 684525 0 24900 0 20596 0 16820 0 1133759 0 0 0 STEVE LIN 404852 10802 449201 0 1285 0 20596 0 17008 0 892942 10802 0 0 WILLIAM SCHOEN 520086 0 295592 0 12483 0 20596 0 19830 0 868587 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 SAINT JOSEPH HEALTH SYSTEM (SJHS), A RELATED ORGANIZATION. SJHS USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; AND (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM 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: GARY EMERS $152,350 MARK STREETY $112,486 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: GARY ERMERS, MARK STREETY, DANIEL VARGA. DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: GARY ERMERS - $20,102 MARK STREETY - $14,217 DANIEL VARGA - $36,719 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: GARY ERMERS - $32,217 MARK STREETY - $25,142 DANIEL VARGA - $36,064 Non-fixed payments Schedule J, Part I, Line 7 SAINT JOSEPH MEDICAL FOUNDATION HAS AN INCENTIVE COMPENSATION PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS. SOME CONTRACTS ALSO HAVE COLLECTIONS AS A FACTOR IN THEIR COMPENSATION. X FIXED ASSETS 1 236350 COST 0 false true false Number of contributions or items contributed. Schedule M, part I, column (b), Line other=FIXED ASSETS New program services Form 990, Part III, Line 2 THE ORGANIZATION ADDED THE FOLLOWING NEW PRACTICES: CARDIOLOGY ASSOCIATES - LONDON INTERNAL MEDICINE - JOSHI INTERNAL MEDICINE - KHURANA INTERNAL MEDICINE - MORGAN CARDIOLOGY ASSOCIATES - JADOON INTERNAL MEDICINE - ADIE INTERNAL MEDICINE - HARRISON NEUROLOGY ASSOCIATES - PARKS ORTHOPEDICS ASSOCIATES PEDIATRICS ASSOCIATES PRIMARY CARE ASSOC - ROGERS PRIMARY CARE ASSOC - TATES CREEK PRIMARY CARE ASSOC - WINCHESTER PRIMARY CARE ASSOC - WMA UROLOGY ASSOCIATES PAIN MANAGEMENT ASSOCIATES PRIMARY CARE ASSOC - MCCORMICK PRIMARY CARE ASSOC - BALLARD PRIMARY CARE CLINIC WOLFE COUNTY PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A THE SAINT JOSEPH MEDICAL FOUNDATION WILL PROMOTE THE CHARITABLE HEALTHCARE MISSION OF CATHOLIC HEALTH INITIATIVES BY THE FOLLOWING. PROMOTING AND SUPPORTING THE EXPANSION OF THE PRIMARY HEALTH CARE BASE OF SAINT JOSEPH HEALTH SYSTEM AND BEING CARING ADVOCATES FOR THE PATIENTS, THE PROFESSION, AND MEMBERS. PROVIDING THE HIGHEST QUALITY SERVICES, PRODUCTS, AND INFORMATION TO ESTABLISH, ENHANCE AND SUSTAIN THE MISSION. DEVELOP INTEGRATED SERVICES BETWEEN THE HOSPITALS AND ITS MEDICAL STAFF. ASSISTING AND EDUCATING THE HOSPITALS, AND THE INDEPENDENT MEDICAL STAFF TO RESPOND TO THE CHANGING HEALTHCARE MARKETPLACE, WHICH MAY INCLUDE CAPITATED, ASSUMED RISK, AND GLOBAL CONTRACTING. THE SAINT JOSEPH HOSPITAL MEDICAL FOUNDATION IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR SERVICES WILL BE CARRIED OUT IN ACCORDANCE WITH CATHOLIC HEALTH INITIATIVES PHILOSOPHY AND MISSION. THE SAINT JOSEPH HOSPITAL MEDICAL FOUNDATION WILL CARRY ON ITS WORK, NOT FOR PROFIT, BUT EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, LITERARY, OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE OF 1986. WE ARE COMMITTED TO FULFILLING THIS MISSION BY PROMOTING THE DELIVERY OF PRIMARY CARE HEALTH CARE SERVICES THROUGHOUT THE SERVICE AREA OF SAINT JOSEPH HEALTHCARE, INCLUDING HEALTH SERVICES, HEALTH EDUCATION AND COMMUNITY OUTREACH PROGRAMS. WE WILL PROVIDE THESE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY, AGE, SEX, RELIGION OR NATIONAL ORIGIN. THE PHYSICIANS OF THE MEDICAL FOUNDATION PARTICIPATED IN A SERIES OF COMMUNITY HEALTH EDUCATION AND WELLNESS PROGRAMS COORDINATED BY SAINT JOSEPH HEALTH SYSTEM. THE MEDICAL FOUNDATION PHYSICIANS SERVED AS PRESENTERS FOR A NUMBER OF PROGRAMS ON A VARIETY OF HEALTH TOPICS OF GENERAL INTEREST. THESE PROGRAMS ARE MADE AVAILABLE TO THE PUBLIC AND ARE PROVIDED FREE OF CHARGE TO THOSE WHO CANNOT PAY. THE MEDICAL FOUNDATION AND ITS PROFESSIONAL STAFF HAVE PROVIDED ONGOING SUPPORT TO SAINT JOSEPH HEALTH SYSTEM IN ITS CHARITABLE MISSION. PROFESSIONAL STAFF OF THE MEDICAL FOUNDATION VOLUNTEERED THEIR TIME AND TALENTS TO HELP MEET THE HEALTH CARE NEEDS OF THE UNDESERVED POPULATIONS OF THE HEALTH SYSTEM SERVICE AREAS. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS OF SAINT JOSEPH MEDICAL FOUNDATION, INC., THE SOLE MEMBER OF THE CORPORATION SHALL BE SAINT JOSEPH HEALTH SYSTEM, INC., A KENTUCKY NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a DIRECTORS OF THE CORPORATION, OTHER THAN EX OFFICIO DIRECTORS, IF ANY, SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. PRIOR TO EACH ANNUAL MEETING OF THE CORPORATE MEMBER, OR SUCH OTHER MEETING CALLED FOR THE PURPOSE OF APPOINTING DIRECTORS OF THE CORPORATION, THE BOARD OF DIRECTORS MAY SELECT A SLATE OF NOMINEES QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION IN ADDITION TO THE EX OFFICIO DIRECTORS. THE NAMES AND QUALIFICATIONS OF EACH SUCH INDIVIDUAL SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL THEN APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH THE ENDORSEMENT OF THE EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OR OTHER DESIGNEE. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS WHETHER OR NOT THE BOARD FURNISHES THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH THIS SECTION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b SAINT JOSEPH MEDICAL FOUNDATION'S (SJMF) CORPORATE MEMBER IS SAINT JOSEPH HEALTH SYSTEM, INC. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH SAINT JOSEPH HEALTH SYSTEM, INC. AND CATHOLIC HEALTH INITIATIVES ("CHI") (SAINT JOSEPH HEALTH SYSTEM'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE HELD BY THE SAINT JOSEPH HEALTH SYSTEM, INC'S BOARD: * APPROVE MEMBERS OF THE SJMF BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF SJMF * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SJMF * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SJMF 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 SJMF * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SJMF * APPROVAL OF ISSUANCE OF DEBT BY SJMF * APPROVAL OF PARTICIPATION OF SJMF IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY SJMF * APPROVAL OF A MERGER INVOLVING SJMF * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SJMF * TO REQUIRE THE TRANSFER OF ASSETS BY SJMF TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SAINT JOSEPH HEALTH SYSTEM, INC. OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. SUBSEQUENT TO REVIEW BY THE CHIEF FINANCIAL OFFICER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c SAINT JOSEPH MEDICAL FOUNDATION HAS A BOARD POLICY THAT REFERENCES THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICIES PROVIDED BY CHI NATIONAL. AT THE ANNUAL BOARD AND BOARD COMMITTEE MEETINGS ALL MEMBERS ARE REQUESTED TO SIGN CONFLICT OF INTEREST STATEMENTS. THE SIGNED STATEMENTS ARE RETAINED IN THE ADMINISTRATIVE FILES. ALL MEMBERS ARE REQUESTED TO DECLARE POTENTIAL CONFLICTS OF INTEREST AT EACH BOARD AND/OR COMMITTEE MEETING OF THE BOARD (FINANCE/AUDIT AND COMPLIANCE COMMITTEE AND THE PERFORMANCE IMPROVEMENT COMMITTEE). IF THE BOARD FINDS THAT A CONFLICT DOES EXIST REGARDING THE AGENDA ITEMS TO BE PRESENTED FOR ACTION, MEMBERS ARE REQUESTED TO ABSTAIN FROM VOTING. IN ADDITION, A QUESTIONNAIRE IS SENT ANNUALLY TO ALL BOARD MEMBERS, OFFICERS, AND EMPLOYEES. DOCUMENT RETENTION AND DESTRUCTION POLICY FORM 990, PART VI, LINE 14 THE DOCUMENT RETENTION AND DESTRUCTION POLICY IS MORE OF AN OPERATIONAL POLICY. THESE TYPES OF POLICIES USUALLY DO NOT GO TO THE BOARD OF DIRECTORS (BOD). THIS HAS NOT BEEN APPROVED BY THE BOD. COMPENSATION OF OFFICERS FORM 990, PART VI, LINE 15 DURING THE TAX YEAR ENDED 6/30/13, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. 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.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE SECRETARY OF STATE. 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 - 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