CHI LISBON HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHI LISBON HEALTH (EIN 82-0558836)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201311359349307126
Schema version: 2011v1.2
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T15:00:17-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kimberly Steenhoek	Name
PTIN	P01201968	PTIN
Phone	3032989100	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	11086079	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	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	151	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	84	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	270568	ContributionsGrantsPriorYear
Contributions Grants Current Year	118570	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10120943	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10832628	ProgramServiceRevenueCY
Investment Income Prior Year	155480	InvestmentIncomePriorYear
Investment Income Current Year	85244	InvestmentIncomeCurrentYear
Other Revenue Prior Year	14319	OtherRevenuePriorYear
Other Revenue Current Year	38600	OtherRevenueCurrentYear
Total Revenue Prior Year	10561310	TotalRevenuePriorYear
Total Revenue Current Year	11075042	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	4355809	SalariesEtcPriorYear
Salaries Etc Current Year	4257090	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	5064036	OtherExpensePriorYear
Other Expenses Current Year	5936097	OtherExpensesCurrentYear
Total Expenses Prior Year	9419845	TotalExpensesPriorYear
Total Expenses Current Year	10193187	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1141465	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	881855	RevenuesLessExpensesCY
Total Assets BOY	7476607	TotalAssetsBOY
Total Assets EOY	7873422	TotalAssetsEOY
Total Liabilities BOY	2397072	TotalLiabilitiesBOY
Total Liabilities EOY	2015619	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5079535	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5857803	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	8402138	Expense
Revenue	10832628	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	8402138	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	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	true	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	37	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	151	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	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
BRIAN SHELTON
VICE CHAIR	1.00	X	X	0	0	0
LIZ ANDERSON
SECRETARY - PARTIAL YEAR	1.00	X	X	0	0	0
PEGGY LARSON
ADMINISTRATOR	40.00	X	X	0	202895	49698
SISTER PAULA RINGUETTE
SECRETARY - Partial year	1.00	X	X	0	0	0
WES WELL
CHAIR	1.00	X	X	0	0	0
JEFFREY DROP
BOARD MEMBER/SVP DIVISION OFFICER	1.00	X		0	540927	82538
NEIL OLERUD
BOARD MEMBER	1.00	X		0	0	0
SISTER DONNA WELDER
Board Member	1.00	X		0	0	0
AMBER STOWMAN
CONTROLLER	40.00		X	0	94206	24797

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	838028	TotalReportableCompFrmRltdOrgs
Total Other Compensation	157033	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
MOBILITY PLUS
26295 CRYSTAL RD	PELICAN RAPIDS	MN	56572	PHYSICAL/OCCUPATIONAL THERAPY SERVICES	253764
INNOVIS HEALTH - LISBON
3000 - 32ND AVE S PO BOX 6001	FARGO	ND	581086001	EMERGENCY ROOM COVERAGE	209930
FAMILY MEDICAL CLINIC
PO BOX 1049	LISBON	ND	58054	EMERGENCY ROOM COVERAGE	202350
RUDOLPH LOPERENA MD
PO BOX 71	LISBON	ND	58054	EMERGENCY ROOM COVERAGE	182665

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Fundraising Events	53114	FundraisingEvents
Government Grants	44004	GovernmentGrants
All Other Contributions	21452	AllOtherContributions
Total Contributions	118570	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	10763010	10763010
RENTAL INCOME	900099	69618	69618

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	10832628	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	59974	TotalRevenueColumn
Unrelated Business Revenue	84	UnrelatedBusinessRevenue
Exclusion	$59,890	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	25270	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	25270	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	25270	TotalRevenueColumn
Exclusion	$25,270	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	36505	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	53114	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	10447	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	26058	TotalRevenueColumn
Exclusion	$26,058	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	4910	GrossIncomeGaming
Gaming Direct Expenses	590	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	4320	TotalRevenueColumn
Exclusion	$4,320	ExclusionAmount

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	5506	$5,506
REIMBURSEMENT OF EXPENSES	900099	1608	$1,608
CAFETERIA	722100	852	$852

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	256	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$256	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8222	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11075042	TotalRevenueColumn
Related Or Exempt Function Income	10832628	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	84	UnrelatedBusinessRevenue
Exclusion	$123,760	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	3352076	Total
Program Services	2950823	ProgramServices
Management And General	401253	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	171154	Total
Program Services	150666	ProgramServices
Management And General	20488	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	487587	Total
Program Services	429222	ProgramServices
Management And General	58365	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	246273	Total
Program Services	216794	ProgramServices
Management And General	29479	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	0	Total

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	3053544	Total
Program Services	1925264	ProgramServices
Management And General	1128280	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	9718	Total
Management And General	9718	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	449295	Total
Program Services	378151	ProgramServices
Management And General	71144	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	202198	Total
Program Services	177995	ProgramServices
Management And General	24203	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	30326	Total
Program Services	13064	ProgramServices
Management And General	17262	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	2259	Total
Program Services	121	ProgramServices
Management And General	2138	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	63739	Total
Program Services	63739	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	380916	Total
Program Services	380916	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	321672	Total
Program Services	321672	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	506846	506846
REPAIRS AND MAINTENANCE	48281	44931	3350
DUES & SUBSCRIPTIONS	37463	23121	14342
MEDICAL SUPPLIES	788598	788312	286

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	41242	Total
Program Services	30501	ProgramServices
Management And General	10741	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10193187	Total
Program Services	8402138	ProgramServices
Management And General	1791049	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	124423	BOY
EOY	2173	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1313907	BOY
EOY	310388	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1469031	BOY
EOY	2464673	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	3874	BOY
EOY	273	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	34095	BOY
EOY	11741	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	233800	BOY
EOY	222156	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6303	BOY
EOY	8124	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4108773	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2472927	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1626231	BOY
EOY	1635846	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2317021	BOY
EOY	2869336	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	347922	BOY
EOY	348712	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7476607	BOY
EOY	7873422	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	939077	BOY
EOY	681627	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1457995	BOY
EOY	1333992	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2397072	BOY
EOY	2015619	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4879379	BOY
EOY	5733645	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	200156	BOY
EOY	124158	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5079535	BOY
EOY	5857803	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7476607	BOY
EOY	7873422	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	881855	ReconcilationRevenueExpenses
Reconcilation Other Changes	-103587	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

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	$2,591	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	2591	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 $229 CATHOLIC HEALTH ASSOCIATION - $101 NORTH DAKOTA HOSPITAL ASSOCIATION - $2,261	Explanation

Schedule D IRS990ScheduleD

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	1251277	OtherCostOrOtherBasis
Depreciation	878258	Depreciation
Book Value	373019	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	2585204	OtherCostOrOtherBasis
Depreciation	1528510	Depreciation
Book Value	1056694	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	168989	OtherCostOrOtherBasis
Depreciation	66159	Depreciation
Book Value	102830	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1635846	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

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

Closely Held Equity Interests CloselyHeldEquityInterests

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

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue
CHI OIP - FIXED INCOME	1417582
CHI OIP - EQUITY SECURITIES	1451754

Field	Value	IRS element (for citing)
Total Of Book Value Securities	2869336	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	INTERCOMPANY PAYABLES	Description
Amount	$1,333,992	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1333992	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	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, 2012 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	89619	GrossReceiptsEvent1
Charitable Contributions Event1	53114	CharitableContributionsEvent1
Gross Revenue Event1	36505	GrossRevenueEvent1
Rent Facility Costs Event1	1150	RentFacilityCostsEvent1
Food And Beverage Event1	5030	FoodAndBeverageEvent1
Entertainment Event1	2000	EntertainmentEvent1
Other Direct Expenses Event1	2267	OtherDirectExpensesEvent1
Gross Revenue Event2	0	GrossRevenueEvent2
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Gross Receipts Total	89619	GrossReceiptsTotal
Charitable Contributions Total	53114	CharitableContributionsTotal
Gross Revenue Total Events	36505	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	1150	RentFacilityCostsTotalEvents
Food And Beverage Total Events	5030	FoodAndBeverageTotalEvents
Entertainment Total Events	2000	EntertainmentTotalEvents
Other Direct Expenses Total Events	2267	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	10447	DirectExpenseSummaryEvents
Net Income Summary	26058	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	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	90	PersonsServed
Total Community Benefit Expense	139209	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	139209	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	319	PersonsServed
Total Community Benefit Expense	58871	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	58871	NetCommunityBenefitExpense
Percent Of Total Expense	0.00610	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
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	409	PersonsServed
Total Community Benefit Expense	198080	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	198080	NetCommunityBenefitExpense
Percent Of Total Expense	0.02050	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	2187	PersonsServed
Total Community Benefit Expense	65153	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1152	DirectOffsettingRevenue
Net Community Benefit Expense	64001	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	59	PersonsServed
Total Community Benefit Expense	20618	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	20618	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

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

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
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	4	NumberOfActivitiesOrPrograms
Persons Served	1	PersonsServed
Total Community Benefit Expense	23196	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10	DirectOffsettingRevenue
Net Community Benefit Expense	23186	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	2247	PersonsServed
Total Community Benefit Expense	108967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1162	DirectOffsettingRevenue
Net Community Benefit Expense	107805	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	2656	PersonsServed
Total Community Benefit Expense	307047	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1162	DirectOffsettingRevenue
Net Community Benefit Expense	305885	NetCommunityBenefitExpense
Percent Of Total Expense	0.03160	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	26	PersonsServed
Total Community Building Expense	1186	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1186	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1801	PersonsServed
Total Community Building Expense	5137	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5137	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

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

Leadership Development LeadershipDevelopment

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

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	2256	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2256	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	906	PersonsServed
Total Community Building Expense	3814	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3814	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	378	PersonsServed
Total Community Building Expense	55961	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	55961	NetCommunityBuildingExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Other Other

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

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	3115	PersonsServed
Total Community Building Expense	68354	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	68354	NetCommunityBuildingExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$506,846	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	5827922	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5770220	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	57702	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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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 6/30/12 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 56.1% COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	506,846
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE AMOUNT REPORTED ON THE SCHEDULE H, PART III, LINES 2 AND 3 ARE THE SAME AMOUNTS REPORTED FOR BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS. PLEASE REFER TO THE FINANCIAL STATEMENT FOOTNOTE BELOW FOR INFORMATION REGARDING THE METHODOLOGY USED TO DETERMINE AND REPORT BAD DEBT EXPENSE. 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. 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 CONSIDERING 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."
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"). CAH'S ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAH'S RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAH'S 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 AND THUS WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $5,861,209 TOTAL MEDICARE COSTS: $5,792,399 SURPLUS OR SHORTFALL: $68,810
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	LISBON AREA HEALTH SERVICES, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES ("CHI"). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY: EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT. EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY. EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS. EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. PRE-COLLECTIONS ACTIVITY: * TIMING. GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY. THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. COOPERATING EFFORTS. NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS: THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE. THE FACILITY SHALL REQUIRE 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 FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS. THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT. THE FACILITY SHALL REQUIRE THAT THE THIRD-PARTY COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS. THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT. THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS: CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS. NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE. NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. OTHER IMPERMISSIBLE COLLECTION TACTICS. NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS ("RECOURSE INDEBTEDNESS"); AND NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY 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.
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 9	(1) LISBON AREA HEALTH SERVICES - HUD LOW-INCOME GUIDELINES USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 10	(1) LISBON AREA HEALTH SERVICES - HUD LOW-INCOME GUIDELINES USED.;
Means used to determine amounts billed	Schedule H, Part V Section B, Line 19d	(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) TURNS 60 YEARS OLD IN 2012. ESTABLISHED ON FEBRUARY 1, 1952, LAHS DELIVERED 497 BABIES AND TREATED 998 PATIENTS BY DECEMBER 31, 1953. OVER THE NEXT 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 ADMITING OVER 550 PATIENTS EACH YEAR, PERFORMS ROUGHLY 288 SURGERIES, ACCOMMODATES OVER 11,600 OUTPATIENT SERVICES (WHICH INCLUDE LABORATORY AND RADIOLOGY VISITS) AND TREATS NEARLY 2000 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 REPRESENTATIVES FROM LISBON AND THE IMMEDIATE SURROUNDING AREA. ALSO ON THE BOARD ARE TWO WOMEN 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. 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 4000 SQ MILES. THE POPULATION WITHIN THE FOUR COUNTIES DECREASED FROM 20,714 IN 2000 TO 18,714 IN 2010 AND ANOTHER ESTIMATED DECREASE FOR 2011 IS DOWN TO 18,623 PEOPLE. THE NUMBER OF HOUSEHOLDS IN 2010 WERE 9,534. THE PERCENT OF CHILDREN UNDER 18 IS 22.35% AND THE PERCENT OF THE POPULATION 65 YEARS OF AGE OR OLDER IS 21.45%. THE RACIAL MAKEUP OF THE COUNTIES ARE 97.7% WHITE. THE MEDIAN INCOME FOR A HOUSEHOLD IS $44,660 AND THE POVERTY LEVEL IN THE 4 COUNTIES AVERAGE IS 9.325%. 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. THE NORTH DAKOTA COUNTIES SERVED BY LAHS, WHICH ARE DESIGNATED AS FRONTIER (LESS THAN 6 PERSONS PER SQUARE MILE), ARE DICKEY, LAMOURE AND SARGENT COUNTIES. 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: RANSOM COUNTY VISION 2010 STRATEGIC PLAN VISION STATEMENT WAS "A COUNTY THAT IS MEASURABLY BETTER OFF THAN AT PRESENT IN TERMS OF ECONOMIC DIVERSITY AND POPULATION STABILITY AND GROWTH FOSTERED BY PUBLIC PARTICIPATION IN AN ENVIRONMENT THAT EMBRACES AND ASSISTS CHANGE." TWO OF THE TOP TEN PRIORITY ISSUES WERE: 1. AVAILABILITY OF HEALTH CARE IN MY COMMUNITY 2. QUALITY OF HEALTH CARE IN MY COMMUNITY AND THE COUNTY COMMUNITY NEEDS ASSESSMENT RESULTS INDICATED MANY GAPS IN SERVICES INCLUDING TRANSPORTATION, COMPANIONSHIP, AND OTHER SOCIAL WELLNESS SERVICES IN THE LISBON AREA COMMUNITIES. THE EVALUATION INDICATED THAT PERSONS IN THESE COMMUNITIES WOULD BENEFIT SIGNIFICANTLY FROM A FAITH IN ACTION OR SIMILAR VOLUNTEER PROGRAM MODEL. IN OCTOBER OF 2009, FAITH IN ACTION BECAME PART OF THE LISBON AREA HEALTH SERVICES. THIS WAS MADE POSSIBLE BY A GRANT FROM CATHOLIC HEALTH INITIATIVES. SEE CONTINUATION #1...
LINES 2, 4 & 5: NEEDS ASSESSMENT, COMMUNITY INFORMATION & BUILDING ACTIVITIES, & OTHER INFORMATION	SCHEDULE H, PART VI	(CONTINUATION #1) COMMUNITY ASSESSMENT, PROCESS AND SUMMARY (CON'T): FAITH IN ACTION VOLUNTEERS CAN OFFER AID TO THOSE WHO NEED HELP WITH NORMAL, EVERYDAY ACTIVITIES DUE TO HEALTH CONDITIONS, AGE, OR DISABILITIES. VOLUNTEERS HELP PEOPLE BY PROVIDING NON-MEDICAL ASSISTANCE WITH TASKS SUCH AS: A RIDE TO THE DOCTOR, VISITING, GROCERY SHOPPING OR LIGHT HOUSEWORK. BY PROVIDING THIS ASSISTANCE WE CAN HELP CARE RECEIVERS KEEP IN TOUCH WITH THEIR COMMUNITY AND TO BE ABLE TO CONTINUE AN EVERY DAY ROUTINE. FAITH IN ACTION IS A COMMUNITY WORKING TOGETHER, OFFERING ENCOURAGEMENT, COMPANIONSHIP, FAITH AND HOPE. THE SERVICES PROVIDED BY FAITH IN ACTION ARE AT NO COST TO THE RECIPIENT AND THERE ARE NO FINANCIAL ELIGIBILITY REQUIREMENTS. OUR MISSION IS TO BUILD A SOLID FOUNDATION AND EXPAND FAITH IN ACTION INTO BOTH RANSOM AND SARGENT COUNTIES. BECAUSE FIA IS A NON-PROFIT PROGRAM, IT DEPENDS UPON DONATIONS, FUNDRAISERS AND GRANTS TO MEET OUR GOALS IN MAINTAINING A STRONG PROGRAM. A NEEDS ASSESSMENT WAS DONE IN THE COMMUNITY WHEN OPEN DOOR WAS NEW TO THE AREA. THEY CONTACTED BUSINESS FOR WORK FOR THEIR CLIENTS WITH DEVELOPMENTAL DISABILITIES. WHEN THEY COME INTO A NEW AREA OR A NEW BUSINESS OPENS WHERE THEY NEED TO FIND WORK FOR THE PEOPLE THEY SERVE THEY APPROACH THE BUSINESS. LAHS DONATES TO THE NON-PROFIT WITH AN HOURLY STIPEND AND SUPERVISION AND TRAINING. OPEN DOOR IS A NON-PROFIT ORGANIZATION. THEIR CLIENTS WITH DEVELOPMENTAL DISABILITIES HELP DIETARY DEPARTMENT WITH DAILY CHORES. 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 PERSON 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. LISBON AREA HEALTH SERVICES SHALL NOT LOWER THE INCOME LEVELS BELOW THE CHI-DEFINED STANDARD OF 130% OF THE HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES. FINANCIAL ASSISTANCE FROM LAHS IS TO HELP PAY FOR THE COST OF HEALTH CARE RECEIVED AT LAHS. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT (FY12) HUMAN INVESTMENTS AND STATISTICS: NUMBER OF ACTIVITIES - 35 STAFF HOURS - 4,855.3 VOLUNTEER HOURS - 2,170.6 THE TOTAL COST OF COMMUNITY BENEFIT PROVIDED DURING FY12 WAS $305,885. THIS REPRESENTS SERVICES PROVIDED TO 2,656 PEOPLE. THE COMMUNITY BENEFIT IS 3.16 % 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 HOSPITAL WAS IMMEDIATELY BUSY AND HAS ALREADY PROVIDED CARE TO MORE THAN 600 PEOPLE. 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. 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 BAND AND CHOIR FRIENDS, LAHS AUXILIARY FRIENDS, ECONOMIC AND COMMUNITY DEVELOPMENT, EMERGENCY DISASTER, MINISTERIAL ASSOCIATION, LISBON CIVIC AND COMMERCE, FIA NEIGHBORS CARING FOR NEIGHBORS PROGRAM, 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 AND 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. 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 $5,000.00 TO THE FIGHT AGAINST CANCER. FAITH IN ACTION FUNDRAISING AND GRANT WRITING ASSISTS PROGRAMS SUCH AS THE NEIGHBORS CARING FOR NEIGHBORS PROGRAM LINKING OUR COMMUNITY VOLUNTEERS TO HELP WITH MANY VARIOUS TASKS FOR SENIOR CITIZENS AND DISABLED. ABUSE RESOURCE NETWORK (ARN) PROVIDES GUIDANCE EACH MONTH THEY REPORT THEIR 1ST TIME CLIENTS, ONGOING CLIENTS AND THE NUMBER OF CLIENT CONTACTS (WHICH THIS COULD BE TELEPHONE CALLS OR PERSON TO PERSON). LAHS NURSING STAFF IS ON THE ARN BOARD OF DIRECTORS. LAHS PROVIDES NURSING STAFF TO PRESENT COMMUNITY EDUCATION THROUGH DIFFERENT VENUES SUCH AS HEALTH FAIRS AND A NEW COMMUNITY EDUCATION WINDOW THAT DISPLAYS EDUCATIONAL MESSAGES. SCRUB CAMP HOSTED BY RANSOM COUNTY FOR LISBON SCHOOL'S 5TH GRADERS. RADIOLOGY STAFF HOSTED ABOUT 42 FIFTH GRADERS AND SHOWED THEM WHAT IS DONE IN X-RAY, CT AND GAVE THEM EACH A PICTURE OF A PART ON ULTRASOUND. -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. UND MEDICAL STUDENT, NURSING STUDENTS FROM NDSCS, RASMUSSEN COLLEGE AND UNIVERSITY OF MARY, LAB, PHARMACY, AND RADIOLOGY 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) 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 IS 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 74 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 $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2012 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, THE LISBON AREA HEALTH SERVICES FOUNDATION, 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)

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
0	377987	0	139608	0	23332	0	61092	0	21446	0	623465	0	0
PEGGY LARSON
0	134024	0	47059	0	21812	0	29731	0	19967	0	252593	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 2011 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: PEGGY LARSON AND JEFFREY DROP. DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PEGGY LARSON - $12,431 JEFFREY DROP - $33,514

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MEGAN LARSON - EDUCATIONAL ASSISTANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Loan From Organization	X	LoanFromOrganization
Original Principal	$10,000	OriginalPrincipalAmount
Balance Due	273	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	273	TotalBalanceDue

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 2012 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 2012. 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 6/30/12, 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.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A	THE INDIVIDUALS LISTED IN PART VII THAT REPORT COMPENSATION PAID BY A RELATED ORGANIZATION DEVOTE APPROXIMATELY 60 HOURS PER WEEK TO THE RELATED ORGANIZATIONS AND RECEIVE COMPENSATION IN EXCHANGE FOR THEIR SERVICES PROVIDED.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -30952; CAPITAL RESOURCE POOL CONTRIBUTION - -123060; CHI CONNECT DEPRECIATION - 50425;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROAD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	3	CHI	true
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	true
ALVERNA APARTMENTS
300 SE 8TH AVENUE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	9	CHI	true
APPLETREE COURT
601 OAK STREET	BRECKENRIDGE	MN	56520	411850500	SENIOR HOMES	MN	501(C)(3)	9	SFH	true
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	true
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREET	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	9	NA	true
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	7	CHIC	true
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	9	CHI	true
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	3	CHI	true
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	263946191	PHYSICIANS	OR	501(C)(3)	9	MMC	true
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	true
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY	FARGO	ND	58104	271966847	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	true
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI NS	true
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	9	CHI	true
CHI NEBRASKA
6940 O STREET SUITE 200	LINCOLN	NE	68510	363233121	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	true
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	611400619	LTACH	KY	501(C)(3)	3	SJHS	true
COVENANT HOME CARE
1223 POTTSVILLE PIKE	SHOEMAKERSVILLE	PA	19555	232018429	HOME HEALTH	PA	501(C)(3)	11 - Type II	NA	true
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	3	FHS	true
FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	3	KOH	true
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	true
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	9	FHS	true
FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST
1717 SOUTH J STREET	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	3	CHI	true
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUE	TACOMA	WA	98405	911939739	HEALTHCARE	WA	501(C)(3)	9	FHS	true
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 SOUTH CHICAGO AVENUE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	9	CHI	true
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUE	GETTYSBURG	SD	57442	460234354	HEALTHCARE	SD	501(C)(3)	3	SMHC	true
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	true
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
375 DIXMYTH AVE	CINCINNATI	OH	45220	311778403	EDUCATION	OH	501(C)(3)	2	GSH	true
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	true
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREET	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(C)(3)	7	GSH	true
HEALTH SET
4200 WEST CONEJOS PLACE 436	DENVER	CO	80204	841102943	LOW INC.CARE	CO	501(C)(3)	7	CHIC	true
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	true
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVE	TOWSON	MD	21204	526050777	HEALTHCARE	MD	501(C)(3)	9	SJMC	true
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	true
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	3	KOH	true
JEWISH PHYSICIAN GROUP INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40215	611352729	HEALTHCARE	KY	501(C)(3)	9	JHSMH	true
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	9	CHI	true
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTH	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(C)(3)	3	CHI	true
LINUS OAKES INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	true
LISBON AREA HEALTH SERVICES
905 MAIN STREET	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	true
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	3	CHI	true
MEMORIAL HEALTH PARTNERS FOUNDATION INC
6028 SHALLOWFORD ROAD	CHATTANOOGA	TN	37421	030417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	true
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	true
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	true
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	true
MERCY FOUNDATION INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	936088946	FUNDRAISING	OR	501(C)(3)	7	MMC	true
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	true
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	FUNDRAISING	ND	501(C)(3)	11 - Type I	MHVC	true
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	true
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930386868	HEALTHCARE	OR	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	3	CHI	true
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	true
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUE	DES MOINES	IA	50314	421470935	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MLIFECARES
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431305163	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	true
MNMCH INC
220 NORTH PENNSYLVANIA	COLUMBUS	KS	66725	481216238	HEALTHCARE	KS	501(C)(3)	3	SJRMC	true
MT ST JOSEPH INC
3060 SE STARK STREET	PORTLAND	OR	97214	930386870	NURSING CARE	OR	501(C)(3)	9	CHI	true
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREET	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREET	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	3	CHI	true
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREET	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	true
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	7	CHIC	true
SET OF COLORADO SPRINGS INC
825 E PIKES PEAK AVENUE BLDG 29	COLORADO SPRINGS	CO	80903	841183335	LTERM CARE	CO	501(C)(3)	7	CHIC	true
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROAD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	true
SAINT CLARE'S FOUNDATION INC
25 POCONO ROAD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	true
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	true
SAINT CLARE'S HOSPITAL
25 POCONO ROAD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	true
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	true
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	true
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	true
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREET	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160	LEXINGTON	KY	40509	611334601	HEALTHCARE	KY	501(C)(3)	3	CHI	true
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREET	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
SAINT JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVE	LEXINGTON	KY	40504	311539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	true
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUE	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVD	DAYTON	OH	45408	020633634	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	311107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SJMGROUP
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTH	PA	501(C)(3)	11 - Type I	CHI	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	930433692	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	431308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVE SW SUITE 3000	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
305 ESTILL STREET	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVE	TOWSON	MD	21204	521681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVE	TOWSON	MD	21204	521311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	true
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	460230199	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
THE COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	DIALYSIS	OH	501(C)(2)	N/A	GSH	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	7	MHDL	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	470780857	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 2ND STREET SE	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	450226714	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (23 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	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Code VCodeVAmount
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	34991	-694032	false	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400	OMAHA	NE	68137	392045003	HEALTHCARE	NE	AHBMHS	RELATED	-2862040	-2537888	false	false	0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	57545	1013237	false	true	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	SJHS	RELATED			false	false	0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	-92336	745068	false	true	1
CENTRAL NEBRASKA REHAB SERVICE
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1835812	2199571	false	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	397241271	6272650880	false	true	1
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	-11179	3069835	false	false	1
MRI AT ST JOSEPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	SJMC	RELATED	423167	2174155	false	true	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81071	1077536	false	false	0.5744
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	TOWSON MANAGEMENT INC	RELATED	111933	5418117	false	false	0.65122
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	CHIC	RELATED	-3249434	-2760206	false	false	0.6
PENINSULA RADIATION ONCOLOGY
315 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	710799771	HEALTHCARE SRVC	WA	FHS	RELATED	135014	85985	false	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	715094	2397488	false	false	0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	SJMC	RELATED	-69345	2802932	false	true	0.51
SAINT JOSEPH - SCA HOLDINGS LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	RELATED			false	true	0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	68676	446063	false	true	0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-130967	408090	false	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	FHS	RELATED	110986	1672098	false	false	0.5421
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED			false	true	0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-254775	796941	false	false	0.51	$0
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	393519	2214599	false	true	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-3676	395845	false	true	0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 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	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	3267441	1
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	4648726	44654199	1
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	662062	11666874	1
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	1
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1008	1
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	0	0	1	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	TRUST	-2864605	2809707	1
CGH REALTY COMPANY INC
215 N 12TH ST	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION			1
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	1
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-1525246	65844862	1
DAVID DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192395	INVESTMENTS	NE	GSHF	TRUST			1
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	71497	1221667	0.9298
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	0	0	1	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	-5719	5837142	1
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-165666	355110	1
HAROLD W RASE 1995 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	456090420	INVESTMENTS	ND	SJHHC	TRUST	1240	22148	1
HAROLD W RASE 1996 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037112	INVESTMENTS	ND	SJHHC	TRUST	1057	15462	1
HAROLD W RASE 1997 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037104	INVESTMENTS	ND	SJHHC	TRUST	0	20520	1
HAROLD W RASE 1999 CHARITABLE UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037099	INVESTMENTS	ND	SJHHC	TRUST	0	25036	1
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C CORPORATION	102136	1443049	1
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1
JAMES & HENRIETTA NISTLER UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206021899	INVESTMENTS	ND	SJHHC	TRUST	692	39075	1
JEANNE DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192398	INVESTMENTS	NE	GSHF	TRUST			1
JOSEPH A SCHUSTER ANNUITY TRUST #1
400 UNIVERSITY AVENUE	DES MOINES	IA	50314	421195122	INVESTMENTS	IA	MFDM	TRUST	7834	416349	1
LODESCA MILLER CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476186933	INVESTMENTS	NE	GSHF	TRUST			1
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	151498	962554	1
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369905	1937220	1
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	MMC	C CORPORATION	0	956003	1
MHSERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	431457881	DME	MO	SJRMC	C CORPORATION	-4061	0	1
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	-33152	4679435	1
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	0	0	1	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	479940		1
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1
RAY & SHIRLEY DAVID 1999 UNITRUST
30 WEST 7TH STREET	DICKINSON	ND	58601	206037077	INVESTMENTS	ND	SJHHC	TRUST	0	26110	1
ROBERT & WANDA CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	266191916	INVESTMENTS	NE	GSHF	TRUST			1
SAINT CLARE''S PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-469962	1772016	1
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION			1
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-192777	2973858	1
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	1
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	92139	3007550	1
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2804485	14049374	1
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	63164	11845439	1
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	SJHS	C CORPORATION		882139	0.85
TOM DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810	KEARNEY	NE	68848	476192393	INVESTMENTS	NE	GSHF	TRUST			1
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION		266960	1

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	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg