2013-05-14T12:00:18-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 710236917 ST VINCENT INFIRMARY MEDICAL CENTER STVI 5015523000 2 St Vincent Circle Little Rock AR 72205 MARK MCGINNIS 2013-05-13 true KIMBERLY STEENHOEK P01201968 3032989100 2011 2016-02-24 21:20:13Z PETER BANKO 2 St Vincent Circle Little Rock AR 72205 406666078 false 0928 X WWW.STVINCENTHEALTH.COM X 1888 AR PROVIDING HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL & PSYCHO-SOCIAL NEEDS OF OUR PATIENTS. THESE ACTIVITIES TAKE PLACE IN A VARIETY OF SETTINGS, BUT ALL SPRING FROM THE SAME MISSION & FUNDAMENTAL PURPOSE. 18 15 2989 492 392797 22097 3709890 3277808 333525915 396627168 1580998 2805117 3676246 3955985 342493049 406666078 295641 509019 0 0 135856040 155499940 0 0 0 214166204 240858997 350317885 396867956 -7824836 9798122 281438848 328040559 184046041 222623268 97392807 105417291 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. 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LINE 1G: SVIMC UTILIZED INTERNAL RESOURCES TO ASSIST IN LOBBYING EFFORTS. THOSE RESOURCES WERE INVOLVED IN THE EVALUATION OF PROPOSED LEGISLATION, COORDINATING STRATEGY TO CONVEY KEY MESSAGE POINTS TO PROPOSED LEGISLATION AND REGULATION, AND ASSISTED IN THE COORDINATION OF MEETINGS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS AND THEIR STAFF MEMBERS. 13702845 13702845 163417526 79091177 84326349 42680 17072 25608 193062893 162575001 30487892 12904510 1061592 11842918 140385612 0 POST EMPLOYMENT BENEFITS 2448000 ENVIRONMENTAL REMEDIATION LIABILITY 1297579 LOAN FROM AFFILIATE 134451472 PAYABLE TO AFFILIATE 59237945 197434996 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. VINCENT INFIRMARY MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 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." true true X false false true true false true true 2019 2975727 2975727 0.00870 15659 23882528 17248101 6634427 0.01930 0 0.00000 0 17678 26858255 17248101 9610154 0.02800 3033 223434 223434 0.00070 19 164966 164966 0.00050 0 0.00000 0 0.00000 150 683 683 0.00000 0 3202 389083 0 389083 0.00120 0 20880 27247338 17248101 9999237 0.02920 0 0.00000 0 0.00000 1 78 1283 1283 0.00000 0 0.00000 2 10000 418 418 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 3 10078 1701 0 1701 0.00000 true 53270006 0 114710479 114069417 641062 X true true ST VINCENT BREAST CENTER MAMMOGRAPHY CENTER 0.5 0 0.5 2 1 ST VINCENT INFIRMARY MEDICAL CENTER

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SLIDING FEE SCALE CLINIC Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. VINCENT INFIRMARY MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG 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. ST. VINCENT INFIRMARY MEDICAL CENTER 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 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. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 53,270,006 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 ST. VINCENT INFIRMARY MEDICAL CENTER 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. ST. VINCENT INFIRMARY MEDICAL CENTER 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 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. VINCENT INFIRMARY MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $114,710,479 TOTAL MEDICARE COSTS: $114,069,417 SURPLUS $641,062 ST. VINCENT INFIRMARY MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b ST. VINCENT INFIRMARY MEDICAL CENTER 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) ST. VINCENT INFIRMARY MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED;(2) ST. VINCENT MEDICAL CENTER NORTH - HUD LOW INCOME GUIDELINES USED; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 10 (1) ST. VINCENT INFIRMARY MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED;(2) ST. VINCENT MEDICAL CENTER NORTH - HUD LOW INCOME GUIDELINES USED; Other ways hospital publicized Financial Assistance Policy Schedule H, Part V Section B, Line 13g (1) ST. VINCENT INFIRMARY MEDICAL CENTER - NOTICE OF PRIVACY PRACTICES;(2) ST. VINCENT MEDICAL CENTER NORTH - NOTICE OF PRIVACY PRACTICES; Other actions taken before collection actions Schedule H, Part V Section B, Line 17e (1) ST. VINCENT INFIRMARY MEDICAL CENTER - NO SUCH EFFORTS HAVE BEEN MADE.;(2) ST. VINCENT MEDICAL CENTER NORTH - NO SUCH EFFORTS HAVE BEEN MADE.; Needs assessment. Schedule H, Part VI, Line 2 OUR MISSION WE HAVE A SHARED MISSION WITH OUR PARENT COMPANY, CATHOLIC HEALTH INITIATIVES. IT IS AS FOLLOWS: THE MISSION OF CATHOLIC HEALTH INITIATIVES AND THE ST. VINCENT INFIRMARY MEDICAL CENTER ("SVIMC") 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 WE ALSO SHARE A COMMON VISION WITH OUR PARENT COMPANY. IT IS AS FOLLOWS: 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 OUR PRIMARY TAX-EXEMPT PURPOSE SVIMC IS A TAX-EXEMPT ORGANIZATION AND IS INCLUDED IN A GROUP RULING ISSUED IN 2003 TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WHICH APPLIED FOR RECOGNITION OF EXEMPTION ON BEHALF OF SUBORDINATE ORGANIZATIONS. OUR MISSION, VISION AND PRIMARY TAX-EXEMPT PURPOSE ARE FULFILLED THROUGH A COMPREHENSIVE NETWORK OF HEALTH SERVICES THAT ADDRESS THE NEEDS OF CITIZENS RESIDING IN THE GREATER LITTLE ROCK METROPOLITAN AREA, CENTRAL ARKANSAS AND BEYOND. ST. VINCENT HAS BEEN IN THE LITTLE ROCK COMMUNITY SINCE 1888 AND HAS COMPILED A DISTINGUISHED RECORD OF SERVICE THROUGHOUT THIS 125-YEAR PERIOD. SVIMC OPERATES ITS FACILITIES, PROGRAMS AND SERVICES ON A NON-DISCRIMINATORY BASIS. ITS EMERGENCY DEPARTMENT IS OPEN TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. IT HAS A BOARD OF DIRECTORS ON WHICH COMMUNITY REPRESENTATIVES SERVE WITH ENERGY AND COMMITMENT. IT SUPPORTS THE TRAINING AND EDUCATION OF VARIOUS HEALTH PROFESSIONALS. IT PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE ORGANIZATION PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE EACH YEAR AND IS KNOWN FOR ITS COMMUNITY OUTREACH TO THOSE IN NEED. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ST. VINCENT INFIRMARY MEDICAL CENTER, 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, ST. VINCENT INFIRMARY MEDICAL CENTER 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 ST. VINCENT INFIRMARY MEDICAL CENTER OUTPATIENT FACILITIES. IN ADDITION, ST. VINCENT INFIRMARY MEDICAL CENTER 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 ST. VINCENT INFIRMARY MEDICAL CENTER'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 ST. VINCENT INFIRMARY MEDICAL CENTER 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. ST. VINCENT INFIRMARY MEDICAL CENTER'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. Community information. Schedule H, Part VI, Line 4 COMMUNITY BENEFIT APPROACH: THE PRIMARY SERVICE AREA HISTORICALLY COVERED BY ST. VINCENT INFIRMARY MEDICAL CENTER ("SVIMC") IS A SIX-COUNTY REGION SURROUNDING ARKANSAS' CAPITAL CITY OF LITTLE ROCK. THESE COUNTIES ARE PULASKI, FAULKNER, LONOKE, SALINE, PERRY AND CONWAY. HOWEVER, WITH THE INTRODUCTION OF NEW PROGRAMS AND SERVICES, THIS MARKET AREA IS EXPANDING. LITTLE ROCK HAS A POPULATION OF APPROXIMATELY 185,000, BUT THE METROPOLITAN AREA EXPANDS TO INCLUDE ABOUT 500,000 PEOPLE. IT IS THE SEAT OF STATE GOVERNMENT IN ARKANSAS AND HAS ROBUST HEALTH CARE, EDUCATIONAL AND BUSINESS COMMUNITIES. IN ADDITION, THERE IS A MAJOR UNITED STATES AIR FORCE BASE IN NEARBY JACKSONVILLE, ALSO LOCATED IN PULASKI COUNTY. WE ARE CURRENTLY COMPLETING A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH OF OUR THREE HOSPITALS. THIS WAS A PROCESS USING PRIMARY AND SECONDARY DATA. FOCUS GROUPS WERE HELD WITH COMMUNITY MEMBERS AND LEADERS FROM AROUND OUR PRIMARY SERVICE AREA. WE ARE IN THE FINAL PHASES OF COMPLETING THE ASSESSMENT AND WILL BE PRESENTING IT TO THE SVIMC BOARD OF DIRECTORS IN FY13. ST. VINCENT HAS STRONG COLLABORATIVE RELATIONSHIPS WITH MANY ORGANIZATIONS IN THE COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE ARKANSAS DEPARTMENT OF HEALTH, THE LITTLE ROCK SCHOOL DISTRICT, EASTER SEALS-ARKANSAS AND CITY CONNECTIONS, AN ORGANIZATION INTENT ON MOBILIZING THE FAITH COMMUNITY TO ASSIST THE CITY OF LITTLE ROCK IN ADDRESSING PRESSING SOCIAL CHALLENGES. ST. VINCENT LEADERS SERVE ON A VARIETY OF COMMUNITY BOARDS AND CONSISTENTLY ATTEND COMMUNITY EVENTS DESIGNED TO STRENGTHEN LOCAL PROGRAMS AND SERVICES. A CONCERTED EFFORT IS MADE TO BE A VERY GOOD CORPORATE CITIZEN AND TO GIVE BACK TO THE COMMUNITY. ALSO, WITH RESPECT TO COMMUNITY BENEFIT AT ST. VINCENT, MISSION AND FINANCE WORK CLOSELY TOGETHER AND SEE ITS OVERSIGHT AS A SHARED RESPONSIBILITY. ST. VINCENT MAINTAINS AND ADMINISTERS ITS CHARITY CARE AND SELF-PAY POLICIES. IT COMMUNICATES THE CONTENT OF THESE POLICIES THROUGH A VARIETY OF METHODS THAT INCLUDE VISIBLE SIGNAGE, AS WELL AS INFORMATION DELIVERED FACE-TO-FACE AND BY TELEPHONE TO THE GENERAL PUBLIC BY TRAINED STAFF. IT MAINTAINS A COMMUNITY HEALTH WORKER PROGRAM IN ITS EMERGENCY DEPARTMENT THROUGH WHICH IT TRIES TO CONNECT REPEAT NON-EMERGENT PATIENTS WITH SOURCES OF PRIMARY CARE IN THE COMMUNITY. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR ST. VINCENT CONTINUES TO SPONSOR ITS VOLUNTEERS-IN-MEDICINE PROGRAM THROUGH WHICH IT PROVIDES PRIMARY CARE TO THOSE WITHOUT HEALTH INSURANCE AT THREE CLINIC LOCATIONS IN GREATER LITTLE ROCK. IT USES THE SERVICES OF VOLUNTEER, RETIRED ST. VINCENT PHYSICIANS TO DELIVER THESE SERVICES AND IT MAINTAINS A NETWORK OF PHYSICIAN SPECIALISTS TO WHOM IT CAN ALSO REFER AS NEEDS ARISE. BEYOND THE DIRECT CARE PROVIDED AT THESE CLINICS, ST. VINCENT HAS DONATED MEDICAL SUPPLIES IN SEVERAL INSTANCES WHERE NEEDED, AS WELL AS MEDICATIONS THAT PATIENTS OTHERWISE COULD NOT AFFORD. IN TERMS OF PRIMARY CARE CLINICS, WE ALSO MAINTAIN OUR 40-YEAR PARTNERSHIP WITH THE CITY OF LITTLE ROCK AT ST. VINCENT HEALTH CLINIC - EAST WHERE DENTAL SERVICES HAVE BEEN RESTORED AND HELP TO MEET A SIGNIFICANT NEED IN OUR COMMUNITY. THIS CLINIC ALSO PROVIDES FREE SCHOOL PHYSICALS TO MANY CHILDREN IN GREATER LITTLE ROCK EACH SUMMER. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. VINCENT CONTINUES TO BE ONE OF THE LARGEST PROVIDERS OF INPATIENT BEHAVIORAL HEALTH SERVICES TO MEDICAID PATIENTS IN THE STATE OF ARKANSAS. IN THIS SERVICE LINE, IT ACCEPTS A SIGNIFICANT NUMBER OF REFERRALS FROM DIFFERENT PARTS OF ARKANSAS THAT ARE OUTSIDE ITS PRIMARY SERVICE AREA. IF ST. VINCENT DID NOT OFFER THIS SERVICE, INPATIENT BEHAVIORAL HEALTH RESOURCES FOR MEDICAID PATIENTS WOULD BE SIGNIFICANTLY DIMINISHED IN THE BROADER COMMUNITY. SIMILARLY, ST. VINCENT MAINTAINS EMERGENCY DEPARTMENTS AT BOTH ITS INFIRMARY AND NORTH CAMPUSES. UNDER THE STATE'S NEW TRAUMA SYSTEM, THE INFIRMARY EMERGENCY DEPARTMENT HAS BEEN DESIGNATED A TRAUMA 2 LOCATION AND NORTH A TRAUMA 3 SITE. NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM ST. VINCENT CONTINUES TO SPONSOR ITS NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM. THIS EFFORT PROVIDES NEEDED SUPPLIES AND EMOTIONAL SUPPORT TO WOMEN ACROSS ARKANSAS RECOVERING FROM VARIOUS FORMS AND STAGES OF CANCER. IT DOES SO AT NO COST TO THESE RECIPIENTS. ADDITIONAL DETAILS ABOUT THIS PROGRAM IN FISCAL YEAR 2012 ARE AS FOLLOWS: PURPOSE: TO OFFER ALL ARKANSAS WOMEN DIAGNOSED WITH CANCER A FULL RANGE OF SUPPORTIVE, NON-MEDICAL SERVICES TO STRENGTHEN THE WHOLE WOMAN (BODY, MIND AND SPIRIT) REGARDLESS OF HER ECONOMIC SITUATION OR WHERE SHE IS RECEIVING TREATMENT. NEW OUTLOOK SERVICES REACH INTO EVERY COUNTY IN ARKANSAS, AND EVEN OTHER STATES WHEN WOMEN SEEK TREATMENT IN ARKANSAS. NEW OUTLOOK ALSO ASSISTS CHILDREN AND MEN UNDERGOING CANCER TREATMENT. SERVICES PROVIDED BY NEW OUTLOOK INCLUDE COUNSELING, REGULAR SUPPORT GROUP MEETINGS AT MULTIPLE LOCATIONS, WIGS AND HEADWEAR, COSMETIC MAKEOVERS, ACCESS TO A MEDICAL LIBRARY, STRESS MANAGEMENT CLASSES, MASTECTOMY AND LYMPHEDEMA SERVICES, AND REFERRALS TO PHYSICIANS FOR VARIOUS SERVICES. Promotion of community health Schedule H, Part VI, Line 5 PERINATAL BEREAVEMENT SERVICES' JOURNEY PROGRAM ST. VINCENT OFFERS PERINATAL BEREAVEMENT SERVICES AT NO COST TO FAMILIES WHO HAVE SUFFERED INFANT LOSS THROUGH ECTOPIC PREGNANCY, STILLBIRTH, MISCARRIAGE AND NEONATAL DEATH. THESE ISSUES AFFECT FAMILIES IRRESPECTIVE OF SOCIOECONOMIC STATUS AND THIS PROGRAM HAS RECEIVED CONSIDERABLE ACCLAIM FOR THE SENSITIVE, COMPREHENSIVE MANNER IN WHICH IT HELPS THE GRIEF-STRICKEN TO DEAL WITH THEIR LOSS. AN AVERAGE OF 25 FAMILIES ARE SERVED/MONTH ON AN INPATIENT BASIS. IN ADDITION, APPROXIMATELY 15 CONSULTATION REQUESTS ARE RECEIVED MONTHLY FROM PEOPLE LIVING OUTSIDE ST. VINCENT'S PRIMARY SERVICE AREA. FINALLY, A MONTHLY SUPPORT GROUP SERVES AN AVERAGE OF 6 PEOPLE AT EACH SESSION. ADDITIONAL STATISTICAL INFORMATION INCLUDES THE FOLLOWING: *THERE WERE 26 INPATIENTS WHO WERE PROVIDED CARE AND SUPPORT FOR PREGNANCY LOSS (SECOND AND THIRD TRIMESTER) *6 BABIES WERE PROVIDED COMFORT CARE IN LABOR & DELIVERY PRIOR TO DEATH DUE TO PREVIABILITY *THERE WERE APPROXIMATELY 180 OUTPATIENTS CARED FOR IN THE ED AND SURGERY RELATED TO MISCARRIAGE *AN ADDITIONAL 12 WERE TREATED FOR ECTOPIC PREGNANCIES. *1 BABY WHO WAS TRANSPORTED TO ACH LATER DIED FROM VARIOUS CONDITIONS, AND WERE PROVIDED BEREAVEMENT SUPPORT FROM SVI *AN ADDITIONAL 250 FAMILIES FROM OTHER FACILITIES WERE PROVIDED BURIAL SERVICES. *WE HAVE AN ONLINE CLOSED GROUP ON FACEBOOK WITH 68 MEMBERS (ACTIVE). *OUR LARGEST MEMORIAL SERVICE YET WAS HELD IN NOVEMBER, 2011, WITH MORE THAN 160 IN ATTENDANCE. *THE FISCAL YEAR 2012 MOTHERS' DAY RECEPTION WAS ATTENDED BY 16 MOTHERS. *MORE THAN 100 EXTERNAL REQUESTS WERE RECEIVED DURING FISCAL YEAR 2012 FOR INFORMATION AND SUPPORT. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH IN AN EFFORT TO IMPLEMENT A GOAL ALIGNED WITH CHI'S STATED DESIRE TO REDUCE VIOLENCE IN THE COMMUNITIES IT SERVES ACROSS THE NATION, ST. VINCENT INITIATED A DIALOGUE IN LATE 2008 WITH CITY OF LITTLE ROCK OFFICIALS ABOUT WHERE AND HOW TO BECOME INVOLVED IN THIS COMMUNITY CHALLENGE. WE WERE ENCOURAGED TO CONNECT WITH LITTLE ROCK SCHOOL DISTRICT (LRSD) REPRESENTATIVES TO SEE IF WE COULD PARTNER WITH A LOCAL PUBLIC SCHOOL AND ASSIST IN EFFORTS TO POSITIVELY IMPACT STUDENT BEHAVIOR BEFORE PATTERNS OF VIOLENCE BECAME TOO WELL ENTRENCHED. WE WERE DIRECTED TO FOREST HEIGHTS MIDDLE SCHOOL, A FACILITY WITH OVER 600 STUDENTS LOCATED JUST A FEW BLOCKS FROM ST. VINCENT INFIRMARY. THIS SCHOOL HAD BEEN TROUBLED BY STUDENT BEHAVIOR AND SUBSTANDARD ACADEMIC PERFORMANCE FOR A NUMBER OF YEARS. THERE WAS A STRONG DESIRE ON THE PART OF THE LRSD AND A NEW PRINCIPAL TO TURN THIS ENVIRONMENT AROUND. ST. VINCENT FORMALLY BECAME FOREST HEIGHTS' "PARTNER IN EDUCATION" IN THE FALL OF 2009. THIS PARTNERSHIP ENTERED ITS THIRD YEAR IN 2011-12. DURING THIS TIME, ST. VINCENT VOLUNTEERS SPENT ONE HOUR/WEEK AT THE SCHOOL. THEY MENTORED STUDENTS AND PROVIDED POSITIVE ADULT PRESENCE AT THE SCHOOL. BECAUSE OF ST. VINCENT'S SUCCESS, ADDITIONAL COMMUNITY ORGANIZATIONS JOINED OUR EFFORT. POSITIVE RESULTS WERE SEEN IN CERTAIN AREAS OF ACADEMIC ACHIEVEMENT, BEHAVIOR AND ATTENDANCE. IN ADDITION, WE ARE NOW IN THE THIRD YEAR OF A CHI MISSION/MINISTRY GRANT TO CONDUCT AN AFTER-SCHOOL DANCE PROGRAM AT FOREST HEIGHTS FOCUSING ON EXERCISE AND GOOD NUTRITION AS WAYS TO DEVELOP HEALTHY LIFESTYLES AND COMBAT CHILDHOOD OBESITY. THIS IS BEING DONE NOT JUST IN CONJUNCTION WITH FOREST HEIGHTS, BUT ALSO WITH THE UNIVERSITY OF ARKANSAS - LITTLE ROCK (UALR) WHOSE DANCE INSTRUCTORS ARE ACTUALLY TEACHING THE STUDENTS. FINALLY, ST. VINCENT IS IN THE THIRD YEAR OF ITS THREE-YEAR FINANCIAL COMMITMENT TO FUND THE SALARY OF A LITTLE ROCK POLICE OFFICER WHO WORKS WITH FOREST HEIGHTS AND HALL HIGH SCHOOL AFRICAN AMERICAN MALES IN THE CAPACITY OF A POSITIVE ROLE MODEL, ENCOURAGING GOOD DECISION MAKING AND ENGAGING THEM IN CONSTRUCTIVE ACTIVITIES, BOTH DURING SCHOOL HOURS AND ON WEEKENDS. THIS IS UNDER THE AUSPICES OF PROJECT OK, A NATIONAL INITIATIVE THAT GOT ITS START SOME YEARS AGO IN CALIFORNIA AND HAS SINCE RELOCATED TO THE CAMPUS OF ARKANSAS BAPTIST COLLEGE IN LITTLE ROCK. POSITIVE RESULTS ARE BEING ACHIEVED BY PROGRAM PARTICIPANTS. Affiliated health care system Schedule H, Part VI, Line 6 ST. VINCENT INFIRMARY MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 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. ST. VINCENT INFIRMARY MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. VINCENT FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE CENTRAL ARKANSAS COMMUNITIES. true ALZHEIMER'S ASSOCIATION 10411 W MARKHAM ST STE 130 LITTLE ROCK AR 72205 710590114 501(C)(3) 7500 0 N/A N/A SPONSORSHIP CITY OF LITTLE ROCK 500 W MARKHAM STE 100 LITTLE ROCK AR 72201 716014465 CITY OF LITTLE ROCK 7500 0 N/A N/A SPONSORSHIP JUNIOR ACHIEVEMENT OF ARKANSAS 1501 N UNIVERSITY STE 670 LITTLE ROCK AR 72207 710658775 501(C)(3) 7500 0 N/A N/A SPONSORSHIP TWENTIETH CENTURY CLUB OF LITTLE ROCK 4011 MARYLAND LITTLE ROCK AR 72204 710525771 501(C)(3) 11667 0 N/A N/A SPONSORSHIP EASTER SEALS ARKANSAS 3920 WOODLAND HEIGHTS RD LITTLE ROCK AR 72212 710123680 501(C)(3) 16000 0 N/A N/A SPONSORSHIP MOUNT ST MARY ACADEMY 3224 KAVANAUGH BLVD LITTLE ROCK AR 72205 710261083 501(C)(3) 20000 0 N/A N/A SPONSORSHIP DIOCESE OF LITTLE ROCK 2500 N TYLER LITTLE ROCK AR 72207 710236871 501(C)(3) 21000 0 N/A N/A SPONSORSHIP ARGENTA COMMUNITY THEATRE 405 MAIN ST LITTLE ROCK AR 72114 263135351 501(C)(3) 25000 0 N/A N/A SPONSORSHIP ARKANSAS SYMPHONY ORCHESTRA 2417 N TYLER ST PO BOX 7328 LITTLE ROCK AR 72217 716059542 501(C)(3) 30000 0 N/A N/A SPONSORSHIP ARKANSAS HOSPITAL EDUCATION & RESEARCH TRUST 419 NATURAL RESOURCES DR LITTLE ROCK AR 72205 710306406 501(C)(3) 31340 0 N/A N/A SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILE AVE LITTLE ROCK AR 75231 135613797 501(C)(3) 45000 0 N/A N/A SPONSORSHIP UNIV OR ARKANSAS FOR MED SCIENCES 2801 S UNIVERSITY AVE LITTLE ROCK AR 72204 716046242 UA SYSTEM 53600 0 N/A N/A SPONSORSHIP ARKANSAS PUBLIC ADMIN CONSORTIUM 2801 S UNIVERSITY AVE LITTLE ROCK AR 72204 710236904 UA SYSTEM 67500 0 N/A N/A SPONSORSHIP ARKANSAS HOSPITAL ASSOCIATION 419 NATURAL RESOURCES DR LITTLE ROCK AR 72205 710306406 501(C)(6) 90962 0 N/A N/A SPONSORSHIP 10 4 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 SVIMC USES MINIMAL FUNDS TO GIVE "SPONSORSHIPS" TO CERTAIN EVENTS SUCH AS A GOLD SPONSORSHIP TO THE 'REAL DEAL IN THE ROCK' PUT ON BY THE CITY OF LITTLE ROCK. SVIMC'S CEO APPROVES ALL SPONSORSHIPS AND THEY ARE PRIMARILY PROVIDED TO CHARITABLE ORGANIZATIONS OR EVENTS TO PROMOTE COMMUNITY HEALTH. false true false false true false false true false BRIAN BEAN 4232 250159 0 168463 0 178 0 22678 0 20957 4232 462435 0 0 DAVID LIPSCHITZ 695321 0 112500 0 9921 0 20228 0 2538 0 840508 0 0 0 FRANK BAUER 629728 0 108019 0 1806 0 30028 0 2659 0 772240 0 0 0 FREDERICK MEADORS 451668 0 125420 0 966 0 27578 0 8306 0 613938 0 0 0 JAMES TANNER 335831 0 78108 0 1534 0 20228 0 13648 0 449349 0 0 0 KEN HAYNES 0 413028 0 88414 0 22265 0 59925 0 22104 0 605736 0 0 KURTIS VINSANT 33680 250280 0 0 0 1063 0 20228 0 12662 33680 284233 0 0 MARK MCGINNIS 272761 0 31252 0 26733 0 20228 0 14951 0 365925 0 0 0 MARY ELIZABETH O'BRIEN 0 624467 0 307246 0 336344 0 77574 0 9644 0 1355275 0 0 PETER BANKO 0 457523 0 152593 0 39595 0 61076 0 22332 0 733119 0 17263 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. POST-TERMINATION 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. NO INTERESTED PERSONS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR. 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: PETER BANKO MARY ELIZABETH O'BRIEN DURING 2011, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PETER BANKO - $40,848 MARY ELIZABETH O'BRIEN - $54,896 DURING 2011 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: PETER BANKO - $17,263 Compensation contingent on revenues of a related organization Schedule J, Part I, Line 5b ST. VINCENT MEDICAL GROUP PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET COLLECTED REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET COLLECTED REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET COLLECTED REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN IN EXCESS OF A THRESHOLD. PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF SVIMC FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES COMPENSATION IS AT FAIR MARKET VALUE. Non-fixed payments Schedule J, Part I, Line 7 ST. VINCENT INFIRMARY MEDICAL CENTER HAS AN INCENTIVE COMPENSATION PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS. LEXUS LAND LLC ENTITY OWNED MORE THAN 35% BY DAVE PARKER, BOARD MEMBER 177018 RENTAL OF PROPERTY false Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, AND FIVE VOTING MEMBERS OF THE BOARD APPOINTED BY THE CHAIRPERSON, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. 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. 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 ST. VINCENT INFIRMARY MEDICAL CENTER, THE ENTITY'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 ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b ST. VINCENT INFIRMARY MEDICAL CENTER'S (SVIMC) CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO 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 SVIMC *AMENDMENT OF THE CORPORATE DOCUMENTS OF SVIMC *APPROVE MEMBERS OF THE SVIMC BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SVIMC *APPROVAL OF ISSUANCE OF DEBT BY SVIMC *APPROVAL OF PARTICIPATION OF SVIMC IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY SVIMC *APPROVAL OF A MERGER INVOLVING SVIMC *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SVIMC *TO REQUIRE THE TRANSFER OF ASSETS BY SVIMC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SVIMC PURSUANT TO 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 ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE ST. VINCENT INFIRMARY MEDICAL CENTER'S BOARD EITHER AT A BOARD MEETING OR ELECTRONICALLY. SUBSEQUENT TO PROVIDING A COPY 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 FOR EMPLOYEES: ST. VINCENT INFIRMARY MEDICAL CENTER ("SVIMC")'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AT THE LEVEL AT WHICH THEY CAN USE THEIR WORK KNOWLEDGE FOR PERSONAL GAIN. THIS IS GENERALLY ANY MANAGEMENT PERSONNEL. EACH PERSON IN A MANAGEMENT POSITION IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. THIS STATEMENT INQUIRES ABOUT ANY POSSIBLE CONFLICT OF INTEREST AND INFORMS THE EMPLOYEE OF THE COI POLICY. ACTUAL CONFLICTS ARE REVIEWED BY THE CORPORATE RESPONSIBILITY OFFICER. IF THE CONFLICT CANNOT BE RESOLVED OR DETERMINED AT THAT LEVEL, THE CRO DISCUSSES WITH THE CEO. SVIMC EMPLOYEES MAY NOT USE THEIR POSITIONS OR ANY KNOWLEDGE GAINED FROM THEIR EMPLOYMENT IN ANY MANNER FOR THEIR PERSONAL GAIN OR IN SUCH A MANNER THAT A CONFLICT OF INTEREST MIGHT ARISE BETWEEN THE INTERESTS OF ST. VINCENT AND THE EMPLOYEES. SVIMC EMPLOYEES SHALL NOT ACCEPT ANY GIFTS, FAVORS OR HOSPITALITY THAT MIGHT INFLUENCE OR BE INTERPRETED AS INFLUENCING THEIR DECISION MAKING OR OTHER ACTIONS AFFECTING ST. VINCENT. SVIMC EMPLOYEES SHOULD NOT ACCEPT OUTSIDE EMPLOYMENT OR ENGAGE IN BUSINESS ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST WITH THEIR EMPLOYMENT STATUS OR WHICH HINDER THE EMPLOYEE'S ABILITY TO PERFORM THEIR JOB ASSIGNMENTS. EMPLOYEES IN MANAGEMENT ARE REQUIRED TO INFORM THEIR EXECUTIVE OF WORK BEING PERFORMED OUTSIDE OF ST. VINCENT. SVIMC WILL NOT HIRE, ASSIGN, OR TRANSFER IMMEDIATE RELATIVES OF PRESENT EMPLOYEES TO WORK IN THE SAME DEPARTMENT AT THE SAME PHYSICAL LOCATION. NO PERSON SHALL BE EMPLOYED, RETAINED IN, OR TRANSFERRED TO A POSITION, WHICH IS DIRECTLY OR INDIRECTLY SUPERVISED BY AN IMMEDIATE RELATIVE. IMMEDIATE RELATIVES ARE SPOUSES, SPOUSAL EQUIVALENTS, PARENTS, MOTHERS-IN-LAW, FATHERS-IN-LAW, SISTERS, BROTHERS, SISTERS-IN-LAW, BROTHERS-IN-LAW, CHILD, DAUGHTERS-IN-LAW, SONS-IN-LAW, FIRST COUSINS, AUNTS, UNCLES, GRANDPARENTS, AND GRANDCHILDREN. SVIMC CREATED A COMPLIANCE COMMITTEE TO REVIEW ALL REPORTED ACTIVITY THAT MAY VIOLATE ESTABLISHED POLICY AND PROCEDURES. ADDITIONALLY, A HOTLINE HAS BEEN ESTABLISHED FOR ANY EMPLOYEE TO REPORT POSSIBLE COMPLIANCE VIOLATIONS. FOR BOARD MEMBERS: PURSUANT TO SECTION 13.7 OF THE BY-LAWS, EACH OF THE CORPORATION'S OFFICERS AND DIRECTORS SHALL ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND SHALL EXERCISE CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES, A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE CORPORATION ALSO INVOLVE THE OBTAINING OF A DIRECT OR INDIRECT PERSONAL GAIN OR ADVANTAGE OR AN ADVERSE OR POTENTIALLY ADVERSE EFFECT ON THE INTERESTS OF THE CORPORATION. THE CORPORATION'S OFFICERS AND DIRECTORS SHALL AVOID CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSE TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, IF SUCH CONFLICTS CANNOT BE AVOIDED, SO THAT SUCH CONFLICTS ARE DEALT WITH IN THE BEST INTERESTS OF THE CORPORATION. THE CORPORATION AND ALL OF ITS OFFICERS AND DIRECTORS SHALL COMPLY WITH ANY POLICIES OF THE CORPORATION AND ANY POLICIES OF THE CORPORATE MEMBER REGARDING CONFLICTS OF INTEREST AND SHALL COMPLETE ANY AND ALL SUCH DISCLOSURE FORMS AS MAY BE DEEMED NECESSARY OR USEFUL BY THE CORPORATION FOR IDENTIFYING POTENTIAL CONFLICTS OF INTEREST. PROCESS OF DETERMINING TOP MANAGEMENT OFFICIAL COMPENSATION FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 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, Section B, Line 15b ALL SVIMC EXECUTIVE COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL SALARY LEVELS AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS USING DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED JUNE 30, 2012. JOINT VENTURE POLICY FORM 990, PART VI, LINE 16B ST. VINCENT INFIRMARY MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. 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. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -3061219; CHI CONNECT DEPRECIATION - 1413245; GAAP ADJUSTMENT - -335000; CHANGE IN VALUE OF UNCONSOLIDATED ORGS - 209336; JACK STEPHENS HEART INSTITUTE LLC 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 452460570 CARDIOLOGY AR 3417531 1168665 SVIMC 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 - 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