CHI LISBON HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHI LISBON HEALTH (EIN 82-0558836)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-12
IRS object ID: 201441329349304049
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 G
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-12T20:00:30-05:00	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	820558836	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LISBON AREA HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LISB	NameControl
Phone	7016835241	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	905 Main Street	AddressLine1
City	Lisbon	City
State	ND	State
ZIP Code	58054	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	AMBER STOWMAN	Name
Title	CONTROLLER	Title
Date Signed	2014-05-12	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	PEGGY LARSON	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	905 Main Street	AddressLine1
City	Lisbon	City
State	ND	State
ZIP Code	58054	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11965634	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.LISBONHOSPITAL.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2002	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION'S MISSION IS TO PROVIDE HIGH QUALITY HEALTHCARE WITHIN IDEALS OF COMPASSION & CONCERN TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE, TO BE COMMITTED TO MAINTAIN OUR PRESENCE INTO THE FUTURE BY SERVING OUR CUSTOMERS BY DEDICATED SKILLED STAFF & NETWORK WITH OTHER PROVIDERS TO ASSURE CONTINUITY OF TOTAL CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	135	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	-17	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	118570	ContributionsGrantsPriorYear
Contributions Grants Current Year	91875	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10832628	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11660765	ProgramServiceRevenueCY
Investment Income Prior Year	85244	InvestmentIncomePriorYear
Investment Income Current Year	157398	InvestmentIncomeCurrentYear
Other Revenue Prior Year	38600	OtherRevenuePriorYear
Other Revenue Current Year	44386	OtherRevenueCurrentYear
Total Revenue Prior Year	11075042	TotalRevenuePriorYear
Total Revenue Current Year	11954424	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4257090	SalariesEtcPriorYear
Salaries Etc Current Year	4115320	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	5936097	OtherExpensePriorYear
Other Expenses Current Year	6495825	OtherExpensesCurrentYear
Total Expenses Prior Year	10193187	TotalExpensesPriorYear
Total Expenses Current Year	10611145	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	881855	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1343279	RevenuesLessExpensesCY
Total Assets BOY	7873422	TotalAssetsBOY
Total Assets EOY	9317214	TotalAssetsEOY
Total Liabilities BOY	2015619	TotalLiabilitiesBOY
Total Liabilities EOY	2064521	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5857803	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7252693	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	9432610	Expense
Revenue	11660765	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	9432610	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	true	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	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	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	43	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	135	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7012378022	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4784 Amber Valley Parkway	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58104	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 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
BRIAN SHELTON
CHAIR	1.00	0	X	X	0	0	0
LIZ ANDERSON
SECRETARY	1.00	0	X	X	0	0	0
NEIL OLERUD
Vice Chair	1.00	0	X	X	0	0	0
PEGGY LARSON
ADMINISTRATOR	40.00	0	X	X	0	219944	51495
WES WELL
CHAIR	1.00	1.00	X	X	0	0	0
JASON ENGER
BOARD MEMBER	1.00	0	X		0	0	0
JEFFREY DROP
BOARD MEMBER/SVP DIVISION OFFICER	1.00	59.00	X		0	606104	98488
SISTER DONNA WELDER
Board Member	1.00	0	X		0	0	0
AMBER STOWMAN
CONTROLLER	40.00	0		X	0	96805	25480

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	922853	TotalReportableCompFrmRltdOrgs
Total Other Compensation	175464	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LOPERENA RUDOLF MD
PO BOX 71	LISBON	ND	58054	ER PHYSICIAN COVERAGE	281760
MOBILITY PLUS
26295 CRYSTAL RD	PELICAN RAPIDS	MN	56572	PHYSICAL/OCCUPATIONAL THERAPY SERVICES	226254
NATIONAL MEDICAL RESOURCES
2900 E BROADWAY AVE SUITE 1	BISMARCK	ND	58501	EMERGENCY ROOM COVERAGE	153674
INNOVIS HEALTH - LISBON
3000 - 32ND AVE S PO BOX 6001	FARGO	ND	581086001	EMERGENCY ROOM COVERAGE	142030

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Related Organizations	12600	RelatedOrganizations
All Other Contributions	79275	AllOtherContributions
Total Contributions	91875	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	11591669	11591669
RENTAL INCOME	900099	69096	69096
		0
		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	11660765	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	69217	TotalRevenueColumn
Unrelated Business Revenue	-17	UnrelatedBusinessRevenue
Exclusion	$69,234	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

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	88181	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	88181	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	88181	TotalRevenueColumn
Exclusion	$88,181	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	48419	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	11210	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	37209	TotalRevenueColumn
Exclusion	$37,209	ExclusionAmount

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	ExclusionExclusionAmount
MEDICAL RECORDS REVENUE/TRANSCRIPTION	541200	2895	$2,895
MAINTENANCE SERVICES	811000	1869	$1,869
INTERCOMPANY TRANSACTIONS	900099	1009	$1,009

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1404	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,404	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	7177	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11954424	TotalRevenueColumn
Related Or Exempt Function Income	11660765	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-17	UnrelatedBusinessRevenue
Exclusion	$201,801	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

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	0	Total

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	3225672	Total
Program Services	2902660	ProgramServices
Management And General	323012	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	174384	Total
Program Services	156922	ProgramServices
Management And General	17462	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	473641	Total
Program Services	426212	ProgramServices
Management And General	47429	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	241623	Total
Program Services	217427	ProgramServices
Management And General	24196	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	16534	Total
Management And General	16534	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	2360416	Total
Program Services	1797151	ProgramServices
Management And General	563265	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	11111	Total
Management And General	11111	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	518982	Total
Program Services	431381	ProgramServices
Management And General	87601	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1364547	Total
Program Services	1364547	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	247812	Total
Program Services	223031	ProgramServices
Management And General	24781	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	38582	Total
Program Services	17042	ProgramServices
Management And General	21540	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	745	Total
Management And General	745	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	55847	Total
Program Services	55847	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	395412	Total
Program Services	395412	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	246514	Total
Program Services	246514	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2066	Total
Program Services	2066	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	268495	268495
MEDICAL SUPPLIES	760219	759614	605
REPAIRS AND MAINTENANCE	104928	101247	3681
DUES & SUBSCRIPTIONS	33495	18426	15069

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	70120	Total
Program Services	48616	ProgramServices
Management And General	21504	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10611145	Total
Program Services	9432610	ProgramServices
Management And General	1178535	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	2173	BOY
EOY	1994	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	310388	BOY
EOY	654775	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2464673	BOY
EOY	3411179	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)
BOY	273	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	11741	BOY
EOY	917	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	222156	BOY
EOY	210514	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8124	BOY
EOY	4044	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4087917	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2513931	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1635846	BOY
EOY	1573986	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2869336	BOY
EOY	3167308	EOY

Investments Program Related InvestmentsProgramRelated

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	348712	BOY
EOY	292497	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7873422	BOY
EOY	9317214	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	681627	BOY
EOY	822589	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	29025	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	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	1333992	BOY
EOY	1212907	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2015619	BOY
EOY	2064521	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5733645	BOY
EOY	7202100	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	124158	BOY
EOY	47093	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	3500	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5857803	BOY
EOY	7252693	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7873422	BOY
EOY	9317214	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1343279	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	137217	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-85606	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	$1,420	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	1420	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	THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $245 CATHOLIC HEALTH ASSOCIATION - $95 NORTH DAKOTA HOSPITAL ASSOCIATION - $1,080	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	3500	Contributions
End Of Year Balance	3500	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
End Of Year Balance	0	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	103303	OtherCostOrOtherBasis
Book Value	103303	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1241113	OtherCostOrOtherBasis
Depreciation	897225	Depreciation
Book Value	343888	BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2567796	OtherCostOrOtherBasis
Depreciation	1549822	Depreciation
Book Value	1017974	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175705	OtherCostOrOtherBasis
Depreciation	66884	Depreciation
Book Value	108821	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1573986	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	Method Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME	1563408	F
CHI OIP - EQUITY SECURITIES	1603900	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	3167308	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	INTERCOMPANY PAYABLES	Description
Amount	$1,212,907	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1212907	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Intended uses of endowment funds	Schedule D, Part V, Line 4	THE ENDOWMENT CREATES AN ENDOWMENT FUND TO PROVIDE SUPPORT FOR THE BENEFIT OF LISBON AREA HEALTH SERVICES.
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	LISBON AREA HEALTH SERVICES' 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."

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	48419	GrossReceiptsEvent1
Gross Revenue Event1	48419	GrossRevenueEvent1
Non Cash Prizes Event1	849	NonCashPrizesEvent1
Rent Facility Costs Event1	600	RentFacilityCostsEvent1
Food And Beverage Event1	4968	FoodAndBeverageEvent1
Entertainment Event1	1500	EntertainmentEvent1
Other Direct Expenses Event1	3293	OtherDirectExpensesEvent1
Gross Revenue Event2	0	GrossRevenueEvent2
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Gross Receipts Total	48419	GrossReceiptsTotal
Charitable Contributions Total	0	CharitableContributionsTotal
Gross Revenue Total Events	48419	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	849	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	600	RentFacilityCostsTotalEvents
Food And Beverage Total Events	4968	FoodAndBeverageTotalEvents
Entertainment Total Events	1500	EntertainmentTotalEvents
Other Direct Expenses Total Events	3293	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	11210	DirectExpenseSummaryEvents
Net Income Summary	37209	NetIncomeSummary

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)
Persons Served	65	PersonsServed
Total Community Benefit Expense	49265	TotalCommunityBenefitExpense
Net Community Benefit Expense	49265	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	290	PersonsServed
Total Community Benefit Expense	341141	TotalCommunityBenefitExpense
Net Community Benefit Expense	341141	NetCommunityBenefitExpense
Percent Of Total Expense	0.03300	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	355	PersonsServed
Total Community Benefit Expense	390406	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	390406	NetCommunityBenefitExpense
Percent Of Total Expense	0.03780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	914	PersonsServed
Total Community Benefit Expense	48066	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6288	DirectOffsettingRevenue
Net Community Benefit Expense	41778	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	24	PersonsServed
Total Community Benefit Expense	14797	TotalCommunityBenefitExpense
Net Community Benefit Expense	14797	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	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	9	NumberOfActivitiesOrPrograms
Persons Served	417	PersonsServed
Total Community Benefit Expense	35198	TotalCommunityBenefitExpense
Net Community Benefit Expense	35198	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	1355	PersonsServed
Total Community Benefit Expense	98061	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6288	DirectOffsettingRevenue
Net Community Benefit Expense	91773	NetCommunityBenefitExpense
Percent Of Total Expense	0.00880	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	1710	PersonsServed
Total Community Benefit Expense	488467	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6288	DirectOffsettingRevenue
Net Community Benefit Expense	482179	NetCommunityBenefitExpense
Percent Of Total Expense	0.04660	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)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1119	TotalCommunityBuildingExpense
Net Community Building Expense	1119	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	167	PersonsServed
Total Community Building Expense	3447	TotalCommunityBuildingExpense
Net Community Building Expense	3447	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	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)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	90	PersonsServed
Total Community Building Expense	2389	TotalCommunityBuildingExpense
Net Community Building Expense	2389	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	16	PersonsServed
Total Community Building Expense	5286	TotalCommunityBuildingExpense
Net Community Building Expense	5286	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	723	PersonsServed
Total Community Building Expense	5746	TotalCommunityBuildingExpense
Net Community Building Expense	5746	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	91	PersonsServed
Total Community Building Expense	60610	TotalCommunityBuildingExpense
Net Community Building Expense	60610	NetCommunityBuildingExpense
Percent Of Total Expense	0.00580	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	17	NumberOfActivitiesOrPrograms
Persons Served	1087	PersonsServed
Total Community Building Expense	78597	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	78597	NetCommunityBuildingExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$268,495	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	6141634	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6080826	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	60808	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	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LISBON AREA HEALTH SERVICES	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	905 MAIN STREET	AddressLine1
City	LISBON	City
State	ND	State
ZIP Code	58054	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.LISBONHOSPITAL.COM	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LISBON AREA HEALTH SERVICES	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
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
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
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES ("CHI"), THE ULTIMATE PARENT ORGANIZATION TO LISBON AREA HEALTH SERVICES, ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ("HUD") VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 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. LISBON AREA HEALTH SERVICES BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. RATHER, THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, LISBON AREA HEALTH SERVICES REPORTED A 57.6% COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	268,495
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 57.6%. 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	LISBON AREA HEALTH SERVICES 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	LISBON AREA HEALTH SERVICES 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	LISBON AREA HEALTH SERVICES IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, LISBON AREA HEALTH SERVICES, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, LISBON AREA HEALTH SERVICES WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF TOTAL MEDICARE REVENUE: $6,174,921 TOTAL MEDICARE COSTS: $6,103,005 SURPLUS OR SHORTFALL: $71,916
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	LISBON AREA HEALTH SERVICES' DEBT COLLECTION POLICY PROVIDES LISBON AREA HEALTH SERVICES 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 CATHOLIC HEALTH INITIATIVES COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE LISBON AREA HEALTH SERVICES COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO LISBON AREA HEALTH SERVICES FOR APPROPRIATE FOLLOW-UP. LISBON AREA HEALTH SERVICES 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) LISBON AREA HEALTH SERVICES - TO HELP INFORM FUTURE DECISIONS AND STRATEGIC PLANNING, LAHS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. THIS WAS DONE THROUGH A JOINT EFFORT OF LAHS AND SARGENT COUNTY DISTRICT HEALTH UNIT AND RANSOM COUNTY PUBLIC HEALTH DEPARTMENT. COMMUNITY HEALTH DATA WAS USED AND SOLICITED INPUT FROM COMMUNITY MEMBERS BY INTERVIEWS AND A PUBLIC SURVEY. THE SURVEY WAS WIDELY DISTRIBUTED THROUGHOUT RANSOM AND SARGENT COUNTY BY PAPER FORM AND ON LINE THROUGH SURVEY MONKEY. ADDITIONAL INFORMATION WAS COLLECTED THROUGH KEY INFORMANT INTERVIEWS OF LOCALLY IDENTIFIED COMMUNITY LEADERS. INTERVIEWS: ONE-ON-ONE INTERVIEWS WITH KEY INFORMANTS WERE CONDUCTED IN PERSON IN LISBON IN DECEMBER 2012 AND JANUARY 2013.TOPICS COVERED DURING THESE INTERVIEWS WERE GENERAL HEALTH NEEDS OF THE COMMUNITY, DELIVERY OF HEALTH CARE BY THE LOCAL PROVIDERS, AWARENESS OF THE LOCAL HEALTH SERVICES PROVIDED AT THAT TIME, BARRIERS TO USING THE LOCAL SERVICES, SUGGESTIONS FOR IMPROVING THE HEALTH SERVICES IN THE COMMUNITY, REASONS WHY OR WHY NOT FOR USE OF LOCAL HEALTH SERVICES, AND REASONS WHY COMMUNITY MEMBERS GO OUT OF THE COMMUNITY FOR HEALTH CARE. KEY INFORMANTS PARTICIPATING IN INTERVIEWS: COLLEEN SUNDQUIST, ADMINISTRATOR-SARGENT COUNTY DISTRICT HEALTH UNIT JULIE BARKER, ADMINISTRATOR-RANSOM COUNTY PUBLIC HEALTH DEPARTMENT NORM ANDERSON-PASTOR--- TRINITY LUTHERAN CHURCH STEVEN SWANHOLM-PASTOR--- FIRST BAPTIST CHURCH VIOLENCE PREVENTION COALITION: JEANETTE C. PERSONS --- CHIEF OF POLICE TRISTA BUNN --- MIDDLE SCHOOL COUNSELOR MISSY SCHMIDT --- DIRECTOR OF ARN SHARI SAXERUD ---- HOME HEALTH NURSE BETSY SPEICH ----- SANFORD HOME CARE/RANSOM COUNTY PUBLIC HEALTH NURSE MICHELLE SMITH ---- LAHS ER NURSE SHERRY LUNNEBORG --- ECONOMIC DEVELOPMENT DIRECTOR FOR LISBON LYLE THOMASON --- LAWYER IN LISBON TERRY BROWN --- RANSOM COUNTY SOCIAL SERVICES;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(1) LISBON AREA HEALTH SERVICES - WE COULD NOT ADDRESS ALL NEEDS DUE TO TIMING, AVAILABLITY, AND BUDGET.;
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 10	(1) LISBON AREA HEALTH SERVICES - HUD LOW-INCOME GUIDELINES USED BY LISBON AREA HEALTH SERVICES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(1) LISBON AREA HEALTH SERVICES - HUD LOW-INCOME GUIDELINES USED BY LISBON AREA HEALTH SERVICES TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE.;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 20d	(1) LISBON AREA HEALTH SERVICES - LISBON AREA HEALTH SERVICES USED THE AVERAGE OF MANAGED CARE DISCOUNTS TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.;
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & BUILDING ACTIVITIES, & OTHER INFORMATION	SCHEDULE H, PART VI	ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: THE MISSION OF LISBON AREA HEALTH SERVICES (LAHS) AND CATHOLIC HEALTH INITIATIVES (CHI), THE SOLE CORPORATE MEMBER OF LAHS, IS "TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES." OUR VISION IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES. HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY LAHS' PRIMARY TAX-EXEMPT PURPOSE IS TO PROVIDE HEALTHCARE TO THE RESIDENTS OF THE SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. THE GOAL OF LISBON AREA HEALTH SERVICES IS TO PROVIDE HIGH QUALITY HEALTHCARE TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE ARE COMMITTED TO MAINTAIN OUR PRESENCE INTO THE FUTURE BY SERVING OUR CUSTOMERS WITH DEDICATED SKILLED STAFF. AS A PROVIDER OF A COMMUNITY BASED, FAMILY ORIENTED HEALTHCARE, LISBON AREA HEALTH SERVICES BELIEVES IT CAN BEST MAINTAIN THIS LEVEL OF SERVICE THROUGH A CUSTOMER FOCUS, WHERE WE CONTINUALLY STRIVE TO UNDERSTAND AND EXCEED THE EXPECTATIONS OF OUR CUSTOMERS. LISBON AREA HEALTH SERVICES (LAHS) IS 61 YEARS OLD THIS YEAR. ESTABLISHED ON FEBRUARY 1, 1952, LAHS DELIVERED 497 BABIES AND TREATED 998 PATIENTS BY DECEMBER 31, 1953. OVER THE LAST 60 YEARS, THE HOSPITAL INCREASED IN SIZE AND ADDED AN ARRAY OF PROGRAMS, SERVICES, AND TECHNOLOGICAL INNOVATIONS, TO MEET THE CHANGING NEEDS OF PATIENTS IN THE GROWING COMMUNITY. TODAY, LAHS, IS A NOT-FOR PROFIT, 25-BED CRITICAL ACCESS HOSPITAL ADMITTING OVER 550 PATIENTS EACH YEAR, PERFORMS ROUGHLY 260 SURGERIES, ACCOMMODATES OVER 8,432 OUTPATIENT SERVICES (WHICH INCLUDE LABORATORY AND RADIOLOGY VISITS) AND TREATS NEARLY 1,900 PATIENTS THROUGH ITS EMERGENCY DEPARTMENT. SINCE 1952, THE HOSPITAL HAS BUILT TWO EXPANSIONS, ADDED NEW SERVICES, INCLUDING CARDIAC REHAB, DIGITAL MAMMOGRAPHY, AND RESPIRATORY CARE. OTHER SERVICES CURRENTLY OFFERED INCLUDE: MEDICAL, SURGICAL (GENERAL, LAPAROSCOPIC, UROLOGY, CATARACTS, COLONOSCOPY, AND ENDOSCOPY), SWINGBED, NUCLEAR MEDICINE, MRI, CT SCAN, ULTRASOUND, EEG, CHEMOTHERAPY, RADIOLOGY, EKG, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND A CLINICAL LAB (CHEMISTRY, HEMATOLOGY, BLOOD BANKING, MICROBIOLOGY). PHYSICIANS, ALONG WITH OTHER SUPPORT STAFF, ARE ON SITE OR ON CALL TO MEET EMERGENCY NEEDS. MEDICAL NEED AND CARE COME FIRST AT LISBON AREA HEALTH SERVICES. LAHS WILL PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL PERSONS WHO ARE IN NEED, REGARDLESS OF AGE, RACE, RELIGION, NATIONAL ORIGIN, GENDER, HANDICAP, SEXUAL ORIENTATION OR ABILITY TO PAY. COMMUNITY BENEFIT PROGRAMS FOR THE POOR ARE GEARED TO REDUCING MORBIDITY AND MORTALITY IN BENEFICIARIES OF MEDICAID OR STATE OR LOCAL INDIGENT PROGRAMS. LAHS HAS A GOVERNING BOARD OF DIRECTORS WHOSE MEMBERSHIP INCLUDES 8 REPRESENTATIVES FROM LISBON AND THE IMMEDIATE SURROUNDING AREA. THIS INCLUDES ONE WOMAN RELIGIOUS FROM OUR FOUNDING ORDER, THE SISTERS OF THE PRESENTATION OF THE BLESSED VIRGIN MARY. LAHS ALSO HAS A QUALITY COMMITTEE-PATIENT FAMILY ADVISORY COUNCIL AND A FOUNDATION ADVISORY COUNCIL OF 11. COMMUNITY BENEFIT APPROACH: COMMUNITY BENEFIT IS A PLANNED, ORGANIZED, MANAGED, AND MEASURED APPROACH TO A HEALTH CARE ORGANIZATION'S PARTICIPATION IN MEETING IDENTIFIED COMMUNITY HEALTH NEEDS. IT IMPLIES COLLABORATION WITH A "COMMUNITY" TO "BENEFIT" ITS RESIDENTS- PARTICULARLY PEOPLE WHO ARE POOR, MINORITIES AND OTHER UNDERSERVED GROUPS-BY IMPROVING HEALTH STATUS AND QUALITY OF LIFE. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THESE COMMUNITY BENEFIT OBJECTIVES: - IMPROVE ACCESS TO HEALTH CARE SERVICES. - ENHANCE HEALTH OF THE COMMUNITY. - ADVANCE MEDICAL OR HEALTH CARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. LISBON AREA HEALTH SERVICES IS LOCATED IN LISBON, RANSOM COUNTY, NORTH DAKOTA AND PROVIDES HEALTH CARE SERVICES TO THE FOLLOWING COUNTIES: RANSOM, DICKEY, LAMOURE, AND SARGENT IN NORTH DAKOTA. ACCORDING TO THE U.S. CENSUS BUREAU, THE NORTH DAKOTA COUNTIES HAVE A TOTAL AREA OF 4,000 SQ MILES. LISBON IS IN THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), THE MEDICALLY UNDERSERVED AREAS / POPULATIONS, AS WELL AS MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. HPSA'S ARE DESIGNATED BY HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA); DEPT OF HEALTH & HUMAN SERVICES AND THE CENTER FOR RURAL HEALTH - UND AS HAVING SHORTAGES OF PRIMARY MEDICAL CARE, DENTAL OR MENTAL HEALTH PROVIDERS AND MAY BE GEOGRAPHIC (A COUNTY OR SERVICE AREA), DEMOGRAPHIC (LOW INCOME POPULATION) OR INSTITUTIONAL (COMPREHENSIVE HEALTH CENTER, FEDERALLY QUALIFIED HEALTH CENTER OR OTHER PUBLIC FACILITY). MEDICALLY UNDERSERVED AREAS/POPULATIONS ARE AREAS OR POPULATIONS DESIGNATED BY HRSA AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY AND/OR HIGH ELDERLY POPULATION. NORTH DAKOTA COUNTIES DESIGNATED AS FRONTIER (LESS THAN 7 PERSONS PER SQUARE MILE FROM 2010 CENSUS) IS DICKEY, LAMOURE, SARGENT AND RANSOM COUNTIES THAT ARE SERVED BY LAHS. FRONTIER AREAS FACE CHALLENGES IN PROVIDING ACCESS TO HEALTH AND HUMAN SERVICES EVEN GREATER THAN THE CHALLENGES FACED BY LESS ISOLATED RURAL COMMUNITIES. ACCESS TO AN ADEQUATE SUPPLY OF HEALTH CARE PROVIDERS IS A CONCERN IN BOTH NORTH DAKOTA AND NATIONALLY. BY 2012, SEVEN OF THE TOP TEN FASTEST GROWING OCCUPATIONS ACROSS THE NATION ARE PROJECTED TO BE IN HEALTH CARE. CENTER FOR RURAL HEALTH PROJECTIONS INDICATE THAT BY 2020, ABOUT ONE-THIRD OF THE STATE'S PHYSICIANS WILL BE AT A LIKELY AGE OF RETIREMENT, WITH THE PERCENTAGE BEING SLIGHTLY LOWER FOR PRIMARY CARE IN COMPARISON TO NON-PRIMARY CARE. ABOUT 90 PERCENT OF NORTH DAKOTA PHYSICIANS ARE LOCATED IN THE TEN LARGEST CITIES; OVER 83 PERCENT OF THE PRIMARY CARE PHYSICIANS ARE LOCATED IN THOSE CITIES. HOWEVER, ACCORDING TO THE USDA ECONOMIC RESEARCH SERVICE, THE 2009 POPULATION ESTIMATE FOR NORTH DAKOTA RECORDED 51 PERCENT OF THE STATE'S POPULATION AS RURAL; THUS, ABOUT NINE OUT OF TEN PHYSICIANS ARE PRACTICING IN ESSENTIALLY URBAN AREAS OF THE STATE, AND ABOUT FIVE OUT OF TEN NORTH DAKOTANS ARE EITHER URBAN OR RURAL. REGARDING OTHER HEALTH CARE DISCIPLINES, JOB SERVICE OF NORTH DAKOTA EXPECTS SIGNIFICANT GROWTH (OVER TEN PERCENT) IN DEMAND FOR PHARMACISTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS AND TECHNICIANS, PHYSICIAN ASSISTANTS, AND REGISTERED NURSES. COMMUNITY ASSESSMENT, PROCESS AND SUMMARY: TO HELP INFORM FUTURE DECISIONS AND STRATEGIC PLANNING, LAHS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. THIS WAS DONE THROUGH A JOINT EFFORT OF LAHS AND SARGENT COUNTY DISTRICT HEALTH UNIT AND RANSOM COUNTY PUBLIC HEALTH DEPARTMENT. COMMUNITY HEALTH DATA WAS USED AND SOLICITED INPUT FROM COMMUNITY MEMBERS BY INTERVIEWS AND A PUBLIC SURVEY. THE SURVEY WAS WIDELY DISTRIBUTED THROUGHOUT RANSOM AND SARGENT COUNTY BY PAPER FORM AND ONLINE THROUGH SURVEY MONKEY. ADDITIONAL INFORMATION WAS COLLECTED THROUGH KEY INFORMANT INTERVIEWS OF LOCALLY IDENTIFIED COMMUNITY LEADERS. THE COMPLETE CHNA IS ON HTTP://WWW.LISBONHOSPITAL.COM/DOCUMENTS/COMMUNITYHEALTHNEEDSASSESSMENTWEBSITEBOARDAPPROVED.PDF A NEEDS ASSESSMENT WAS DONE IN THE COMMUNITY WHEN OPEN DOOR WAS NEW TO THE AREA. OPEN DOOR IS A NON-PROFIT ORGANIZATION. THEIR CLIENTS WITH DEVELOPMENTAL DISABILITIES HELP DIETARY DEPARTMENT WITH DAILY CHORES. THEY CONTACTED BUSINESSES FOR WORK FOR THEIR CLIENTS WITH DEVELOPMENTAL DISABILITIES. IN ADDITION, THEY APPROACH BUSINESSES WHEN ENTERING A NEW AREA, AS WELL AS WHEN NEW BUSINESSES OPEN UP THAT NEED TO FIND WORK FOR THE PEOPLE THEY SERVE. LAHS DONATES TO THE NON-PROFIT WITH AN HOURLY STIPEND WITH SUPERVISION AND TRAINING. SEE CONTINUATION #1...
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & BUILDING ACTIVITIES, & OTHER INFORMATION	SCHEDULE H, PART VI	(CONTINUATION #1) UNCOMPENSATED CARE FOR THE POOR: LISBON AREA HEALTH SERVICES PROVIDES CARE TO EVERYONE, REGARDLESS OF HIS OR HER ABILITY TO PAY. BENEFITS FOR THE POOR ARE PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE THEY HAVE INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY FOR MEDICALLY NECESSARY HEALTH CARE. ELIGIBILITY IS BASED ON HOUSEHOLD INCOME AS WELL AS OTHER ASSETS. CONSIDERATION IS GIVEN TO A PATIENT WHO HAS SIGNIFICANT OR CATASTROPHIC MEDICAL BILLS AND DOES NOT MEET THE INCOME GUIDELINES. CHARITY CARE IS GIVEN TO UNINSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OR PART OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME-RELATED FEE SCHEDULE. COMMUNITY BENEFIT PROGRAMS FOR THE POOR ARE GEARED TO REDUCING MORBIDITY AND MORTALITY IN BENEFICIARIES OF MEDICAID OR STATE OR LOCAL INDIGENT PROGRAMS. FINANCIAL ASSISTANCE APPLICATIONS MAY BE OBTAINED FROM LAHS OR ON THE WEBSITE: HTTP://WWW.LISBONHOSPITAL.COM/PATIENTSVISITORS_FINANCIALASSISTANCE.HTM ELIGIBILITY FOR UNINSURED/UNDERINSURED DISCOUNTS SHALL BE DETERMINED BASED ON 130% OF THE ANNUALLY UPDATED HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES, REFERENCED LATER IN THIS DOCUMENT, AVAILABLE ASSETS AND ANY EXTENUATING CIRCUMSTANCES. THUS, THE STANDARDS OF ELIGIBILITY FOR THE APPLICATION OF UNINSURED/UNDERINSURED DISCOUNTS MUST CONSIDER ASSETS, AS WELL AS INCOME. LISBON AREA HEALTH SERVICES SHALL UTILIZE 130% OF THE HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES AS A MINIMUM. FINANCIAL ASSISTANCE FROM LAHS IS TO HELP PAY FOR THE COST OF HEALTH CARE RECEIVED AT LAHS. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT (FY13) HUMAN INVESTMENTS AND STATISTICS: NUMBER OF ACTIVITIES - 40 STAFF HOURS - 3,768.8 VOLUNTEER HOURS - 281 THE TOTAL COST OF COMMUNITY BENEFIT PROVIDED DURING FY13 WAS $560,776. THIS REPRESENTS SERVICES PROVIDED TO 2,797 PEOPLE. THE COMMUNITY BENEFIT IS 5.4 % OF LAHS'S EXPENSES. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: COMMUNITY BENEFIT IS THE NAME GIVEN TO THE PROGRAMS WE CREATE IN RESPONSE TO HEALTH NEEDS IN OUR SERVICE AREAS. AN IMPORTANT PART OF OUR MISSION IS BUILDING HEALTHIER COMMUNITIES THROUGH PROGRAMS DESIGNED TO SERVE THE NEEDS OF PEOPLE WHO ARE POOR AND DISADVANTAGED IN OUR COMMUNITY. THIS TYPE OF COMMUNITY BENEFIT HAS THE ADDED, POSITIVE SIDE-EFFECT OF DELIVERING AN IMPROVED QUALITY OF LIFE FOR EVERYONE. COMMUNITY BENEFIT MOST OFTEN TAKES PLACE OUTSIDE THE WALLS OF OUR FACILITIES AND INVOLVES PARTNER ORGANIZATIONS IN THE COMMUNITY. OUR COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO: IDENTIFY AND INCREASE AWARENESS OF HEALTH NEEDS IN LISBON. PROVIDE RESOURCES TO MEET THOSE NEEDS. CREATE COLLABORATION BETWEEN COMMUNITY ORGANIZATIONS THAT FOCUS ON HEALTH AND WELL BEING. TACKLE PROBLEMS SUCH AS POVERTY, HOMELESSNESS, OR BEHAVIORS (SUCH AS DOMESTIC VIOLENCE OR UNDERAGE DRINKING) THAT CAN CONTRIBUTE TO POOR HEALTH. -COMMUNITY OUTREACH FOR THE POOR: LISBON AREA HEALTH SERVICE AND CHI'S FARGO DIVISION INTERNATIONAL SISTER-TO-SISTER HOSPITAL PROGRAM OF THE NEW INDIGENOUS PEOPLE'S HOSPITAL OPENED ON MAY 18, 2012 IN NUEVA VIZCAYA, PHILIPPINES. THE HOSPITAL, LOCATED IN A REMOTE REGION OF THE COUNTRY, NOW PROVIDES CARE TO IMPOVERISHED TRIBAL PEOPLE. THE NEW CLINIC AND HOSPITAL WAS IMMEDIATELY BUSY AND HAD PROVIDED CARE TO MORE THAN 600 PEOPLE THE DAY THEY OPENED. LAHS GATHER SUPPLIES AND EQUIPMENT AS WELL AS DONATIONS FOR THE HOSPITAL. LAHS SENDS SUPPLIES TO PROJECT HERO (HEALTHCARE EQUIPMENT RECYCLING ORGANIZATION), A NON-PROFIT CLEARINGHOUSE THAT COLLECTS AND REDISTRIBUTES DONATED HEALTHCARE MATERIALS TO BENEFIT THOSE IN NEED. IN 2012 HERO HTTP://HEROFARGO.ORG SUPPLIED OVER 3119 INDIVIDUALS REGIONALLY AND SUPPLIES WERE SENT TO 40 COUNTRIES. THIS HAS SAVED MORE THAN 60 TONS FROM BEING TOSSED IN LANDFILLS. HERO WORKS WITH SEVERAL AGENCY AND HEALTHCARE PARTNERS TO REDISTRIBUTE VIABLE MEDICAL PRODUCTS AND GETTING THEM TO THOSE WITH HEALTH NEEDS. THE OPEN DOOR PROJECT PROVIDES AN OPPORTUNITY FOR THE DEVELOPMENTALLY DISABLED AN OPPORTUNITY TO DEVELOP NEW DAILY LIVING SKILLS WORKING SIDE BY SIDE WITH LAHS DIETARY DEPARTMENT. TRAINING AND SUPERVISION IS PROVIDED FOR THE TASKS THEY DO DAILY. RANSOM COUNTY FOOD PANTRY IS AVAILABLE TO THOSE IN NEED AND LAHS SUPPORTS THE PANTRY WITH FINANCIAL OR IN-KIND DONATIONS. -COMMUNITY OUTREACH FOR THE BROADER COMMUNITY: LAHS IS DEDICATED TO CARING FOR THE BROADER COMMUNITY, A STRONG TRADITION THAT IS VITAL AND NECESSARY TO MAINTAIN PROGRESS IN RURAL AREAS WITH LIMITED RESOURCES. LAHS PROVIDES AND SUPPORTS VARIOUS SERVICES AND PROGRAMS THAT BENEFIT THE COMMUNITY FOR WHICH THERE IS NO REIMBURSEMENT OR REIMBURSEMENT IS NOT ADEQUATE TO COVER THE HOSPITAL'S COST. BENEFITS FOR THE BROADER COMMUNITY ARE PERSONS OTHER THAN A "TARGET POPULATION" WHO BENEFIT FROM A HEALTH CARE ORGANIZATION'S COMMUNITY SERVICES AND PROGRAMS. IN-KIND SERVICES INCLUDE HOURS SPENT BY STAFF AS PART OF THEIR WORK ASSIGNMENT WHILE ON HEALTH CARE ORGANIZATION WORK TIME, OVERHEAD EXPENSES OF SPACE PROVIDED TO NOT FOR-PROFIT COMMUNITY GROUPS (FOR MEETINGS) AND DONATION OF FOOD, EQUIPMENT AND SUPPLIES. ORGANIZATIONS SUCH AS THE ECONOMIC AND COMMUNITY DEVELOPMENT, EMERGENCY DISASTER, MINISTERIAL ASSOCIATION, LISBON CIVIC AND COMMERCE, AND LAUNDRY SERVICES PROVIDED FOR COMMUNITY ORGANIZATIONS. SEE CONTINUATION #2
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & BUILDING ACTIVITIES, & OTHER INFORMATION	SCHEDULE H, PART VI	(CONTINUATION #2) -COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH: THESE ACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH. THEY EXTEND BEYOND PATIENT CARE ACTIVITIES. THEY INCLUDE SERVICES DIRECTED TO INDIVIDUALS AND TO A LARGER POPULATION. COMMUNITY HEALTH IMPROVEMENT SERVICES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS, ALTHOUGH THEY MAY INVOLVE A NOMINAL PATIENT FEE AND/OR A SLIDING SCALE FEE. EACH YEAR, SERVICES ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS IN CBISA AND SUMMARIZED IN THIS REPORT NOT ONLY BENEFIT AND SERVE THE COMMUNITY AS A WHOLE, BUT ALSO GREATLY REDUCE THE BURDENS ON OUR LOCAL HEALTH DEPARTMENT, A GOVERNMENT FUNDED HEALTH CARE SYSTEM. CHNA STRATEGIC PLANNING "HEALTH SERVICES FOR OBESITY AND EDUCATION ON WHAT TO DO TO BE HEALTHIER." THIS SHOWED UP HIGH ON THE SURVEY AND IN THE COUNTY HEALTH NEEDS PROFILE. A "SPLASH DASH" 5K FOR THE COMMUNITY WAS HELD DURING HAPPY DAYS. EVENT WAS FUNDED THROUGH THE BLUE CROSS BLUE SHIELD RECESS GRANT. IT IS THE INTENT TO SPONSOR A RACE LIKE THIS EACH YEAR IN THE COMMUNITY TO PROMOTE WELLNESS AND THE BENEFITS OF WALKING AND RUNNING. THE HOPE IS THAT MORE AND MORE PEOPLE WILL BECOME INVOLVED IN THIS RACE. RELAY FOR LIFE IS THE AMERICAN CANCER SOCIETY'S SIGNATURE ACTIVITY. IT OFFERS EVERYONE IN THE COMMUNITY AN OPPORTUNITY TO PARTICIPATE IN THE FIGHT AGAINST CANCER. THE FUNDS RAISED AT RELAY SAVE LIVES BY FUNDING CUTTING-EDGE CANCER RESEARCH, EARLY DETECTION AND PREVENTION EDUCATION, ADVOCACY EFFORTS, AND LIFE-AFFIRMING PATIENT SERVICES. IT IS BECAUSE OF COMMUNITY INVOLVEMENT THAT LIVES ARE SAVED, HELP REACHES THOSE BATTLING CANCER, AND EMPOWERS ALL TO FIGHT BACK AGAINST THE DISEASE. LAHS SPONSORED A RELAY FOR LIFE TEAM AND VARIOUS ACTIVITIES WERE HELD TO RAISE MORE THAN $6,000 TO THE FIGHT AGAINST CANCER. LAHS NURSING STAFF WAS ON THE ARN BOARD OF DIRECTORS UNTIL 12/2012. LAHS PROVIDES STAFF TO PRESENT COMMUNITY EDUCATION THROUGH DIFFERENT VENUES SUCH AS COMMUNITY EDUCATION, HEALTH FAIR, AND A COMMUNITY EDUCATION WINDOW THAT DISPLAYS EDUCATIONAL MESSAGES SUCH AS RANSOM COUNTY GAZETTE EDUCATIONAL ARTICLES. SCRUB CAMP WAS HOSTED BY RANSOM COUNTY FOR LISBON'S 5TH GRADERS. HEALTH EDUCATION WAS PRESENTED TO THE LISBON GIRL SCOUT TROOP 30828 AS THEY MADE AND DONATED RESPIRATORY CARE MUFFLERS TO GIVE PATIENTS AS THEY ARE DISCHARGED HOME THIS FALL AND WINTER. THE WORST WEATHER FOR PATIENTS WITH COPD OCCURS IN THE COLD FALL & WINTER MONTHS EVERY YEAR. COLD AIR HAMPERS THEIR BREATHING AND CAN CAUSE WHEEZING AND SHORTNESS OF BREATH. THE HANDMADE MUFFLERS ARE IN DIFFERENT COLORS STITCHED BY GIRL SCOUTS. -HEALTH PROFESSIONS EDUCATION: HELPING PREPARE FUTURE HEALTH CARE PROFESSIONALS IS A DISTINGUISHING CHARACTERISTIC OF NOT-FOR-PROFIT HEALTH CARE AND CONSTITUTES A SIGNIFICANT COMMUNITY BENEFIT. LAB, RADIOLOGY AND PHARMACY STUDENTS HAVE THE ADVANTAGE OF SPENDING TIME WITH THE PROFESSIONALS FOR ON THE JOB MENTORING. -COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS IN ORDER TO IMPROVE HEALTH STATUS AND QUALITY OF LIFE. THEY FOCUS ON THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL PROBLEMS. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. LAHS EMPLOYEES PARTICIPATE IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH ORGANIZATIONS IN DICKEY, LAMOURE, SARGENT, AND RANSOM COUNTIES TO ADDRESS HEALTH AND SAFETY ISSUES. THE VISION BRINGS PEOPLE TOGETHER AND FORMS THE FOUNDATION OF BOTH SHORT AND LONG TERM STRATEGIES TO MEET IDENTIFIED NEEDS AND PROBLEMS. IT DEVELOPS A COMMON THREAD ENCOMPASSING A DIVERSE ARRAY OF VIEWPOINTS, OPINIONS, FACTS AND TRENDS. LAHS ENCOURAGES EMPLOYEES TO BELONG TO ORGANIZATIONS THAT WORK TOGETHER TO PROMOTE HEALTHY COMMUNITIES. MEMBERSHIP IS WITH: KIWANIS, MINISTERIAL ASSOCIATION, FOOD PANTRY COMMITTEE, COUNTY PANDEMIC PLANNING COMMITTEE, EMERGENCY PLANNING COMMITTEE, ABUSE RESOURCE NETWORK COMMITTEE, STUDENTS AGAINST DESTRUCTIVE DECISIONS (SADD), VIOLENCE PREVENTION COALITION AND VOLUNTEERING WITH THEIR CHURCHES. ECONOMIC DEVELOPMENT IS IMPORTANT TO LAHS TO ASSIST SMALL BUSINESS DEVELOPMENT IN NEIGHBORHOODS WITH VULNERABLE POPULATIONS AND CREATING NEW EMPLOYMENT OPPORTUNITIES IN AREAS WITH HIGH RATES OF JOBLESSNESS. LISBON CIVIC AND COMMERCE ORGANIZATIONS PROMOTE COMMUNITY AND CIVIC EVENTS INCLUDING ECONOMIC DEVELOPMENT. -COMMUNITY BENEFIT OPERATIONS: COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFFS WHO WORK WITH CHARITY CARE AND WITH PLANNING AND OPERATING COMMUNITY BENEFIT PROGRAMS. THERE ARE EXPENSES INVOLVED FOR THE COMMUNITY BENEFIT TRACKING AND REPORTING. LOOKING TOWARDS THE FUTURE, LISBON AREA HEALTH SERVICES WILL CONTINUE TO THRIVE BECAUSE OF THE SUPPORT FROM OUR PATIENTS, OUR PHYSICIANS, AND THE AREA COMMUNITIES. LISBON AREA HEALTH SERVICES LOOKS FORWARD TO PROVIDING CARE THAT THE COMMUNITY MEMBERS HAVE COME TO TRUST AND EXPECT FOR MANY YEARS TO COME.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	LISBON AREA HEALTH SERVICES (LAHS), 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, LAHS 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 LAHS' OUTPATIENT FACILITIES. IN ADDITION, THE ORGANIZATION'S 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 LAHS'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. THE 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. LAHS' 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	LISBON AREA HEALTH SERVICES, 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. LISBON AREA HEALTH SERVICES OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, TO SERVE THE HEALTH CARE NEEDS OF THE LISBON, ND COMMUNITIES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 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
JEFFREY DROP
BOARD MEMBER/SVP DIVISION OFFICER	0	400148	0	146277	0	59679	0	76703	0	21785	0	704592	0	36347
PEGGY LARSON
ADMINISTRATOR	0	138649	0	59243	0	22052	0	33783	0	17712	0	271439	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHODS USED TO ESTABLISH TOP MANAGEMENT OFFICIAL 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 PAYMENTS	SCHEDULE J, PART I, LINE 4A	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEFFREY DROP AND PEGGY LARSON . DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $48,607 PEGGY LARSON - $12,741 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEFFREY DROP - $36,347

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Delegate broad authority to a committee	Form 990, Part VI, Section A, Line 1a	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF LISBON AREA HEALTH SERVICES, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND TWO VOTING MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF LISBON AREA HEALTH SERVICES, THE ORGANIZATION'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE ORGANIZATION'S 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 LISBON AREA HEALTH SERVICES ("LAHS") - AMENDMENT OF THE CORPORATE DOCUMENTS OF LAHS - APPROVE MEMBERS OF THE LAHS BOARD - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF LAHS - APPROVAL OF ISSUANCE OF DEBT BY LAHS - APPROVAL OF PARTICIPATION OF LAHS IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY LAHS - APPROVAL OF A MERGER INVOLVING LAHS - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF LAHS - TO REQUIRE THE TRANSFER OF ASSETS BY LAHS TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR LAHS 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 ORGANIZATION'S CONTROLLER ASSISTS THE CHI TAX DEPARTMENT IN PREPARATION OF THE RETURN; ONCE PREPARED, THE CONTROLLER REVIEWS A DRAFT OF THE RETURN AND PROVIDES A COPY TO ALL BOARD MEMBERS PRIOR TO FILING. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	LISBON AREA HEALTH SERVICES HAD IN EFFECT FOR FY 2013 A CONFLICT OF INTEREST POLICY COVERING ALL DIRECTORS AND OFFICERS HOLDING THE TITLE OF VICE PRESIDENT OR ABOVE. THE POLICY PLACES ON EACH DIRECTOR A GENERAL OBLIGATION TO DISCLOSE TO THE CHAIR OF THE BOARD OF DIRECTORS ANY SITUATION THAT MAY CREATE A CONFLICT AS SOON AS THEY BECOME AWARE OF SUCH SITUATION. COVERED OFFICERS MUST MAKE SUCH DISCLOSURES TO THE PRESIDENT AND CEO OF LISBON AREA HEALTH SERVICES WHO HAS A DUTY TO REPORT SUCH SITUATIONS TO THE BOARD CHAIR. IF ANY DOUBT EXISTS, DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO MAKE A FULL DISCLOSURE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. THE POLICY REQUIRES WRITTEN RECORD OF ALL DISCLOSURES. ADDITIONALLY, ALL DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO, AT LEAST ANNUALLY, COMPLETE, SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE PRESIDENT AND CEO REVIEW THESE STATEMENTS WITH THE BOARD CHAIR. THE BOARD CHAIR OR A DESIGNEE CONDUCTS FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AT THEIR DISCRETION. BASED UPON THE REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHETHER REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION IS KEPT. THE BOARD CHAIR THEN MAKES A REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD. DIFFERENCES OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER OFFICER OR DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED ARE SUBMITTED TO THE EXECUTIVE COMMITTEE TO MAKE A FINAL DETERMINATION AS TO THE MATTER. THE COMMITTEE MINUTES ARE TO REFLECT THE DETERMINATION INCLUDING ALL RELEVANT FACTS AND CIRCUMSTANCES AND THEN REPORTED TO THE BOARD OF DIRECTORS. A DIRECTOR OR OFFICER IS PROHIBITED FROM VOTING OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER UNDER CONSIDERATION. FURTHER, THEY ARE TO BE EXCUSED FROM THE MEETING DURING THE DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST.
DOCUMENT RETENTION AND DESTRUCTION POLICY	FORM 990, PART VI, LINE 14	THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IT FOLLOWS; HOWEVER, THE POLICY HAD NOT BEEN FORMALLY ADOPTED BY THE ORGANIZATION'S GOVERNING BODY AT YEAR-END.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	FORM 990, PART VI, LINE 15A	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES	FORM 990, PART VI, LINE 15B	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 TO THE PUBLIC UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE NORTH DAKOTA SECRETARY OF STATE.
Other Expenses	Form 990, Part IX, Line 11g	CONTRACT LABOR - TOTAL EXPENSE: 309548, PROGRAM SERVICE EXPENSE: 235681, MANAGEMENT AND GENERAL EXPENSES: 73867, FUNDRAISING EXPENSES: ; OTHER CONTRACTED PROFESSIONALS - TOTAL EXPENSE: 738287, PROGRAM SERVICE EXPENSE: 562110, MANAGEMENT AND GENERAL EXPENSES: 176177, FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 1114678, PROGRAM SERVICE EXPENSE: 848683, MANAGEMENT AND GENERAL EXPENSES: 265995, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 172958, PROGRAM SERVICE EXPENSE: 131685, MANAGEMENT AND GENERAL EXPENSES: 41273, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 24945, PROGRAM SERVICE EXPENSE: 18992, MANAGEMENT AND GENERAL EXPENSES: 5953, FUNDRAISING EXPENSES: ;
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	CAPITAL RESOURCE POOL CONTRIBUTION - -102528; CHI CONNECT DEPRECIATION - 16922;

Schedule R IRS990ScheduleR

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 JOSEPH 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 LUKE'S 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 LUKE'S 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 LUKE'S 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 LUKE'S 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	false	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	true	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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg