2013-09-27T13:00:15-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 620532345 MEMORIAL HEALTH CARE SYSTEM MEMO 4234957878 2525 DeSales Avenue Chattanooga TN 37404 CHERYL SADRO 2013-05-14 true Kimberly Steenhoek P01201968 3032989100 2011 2016-02-25 16:41:14Z JAMES HOBSON 2525 De Sales Avenue Chattanooga TN 37404 547817910 false 0928 X WWW.MEMORIAL.ORG X 1952 TN EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES BY PROVIDING HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY, FOR THOSE IN CHATTANOOGA, TN AND THE SURROUNDING AREA. 20 17 4189 600 9504498 -2142293 3218619 2231686 507339970 533928757 11416598 4849508 4418090 6726867 526393277 547736818 681473 638596 0 0 198942187 210538549 0 0 0 283856457 308997088 483480117 520174233 42913160 27562585 465603214 546395438 86842385 147912569 378760829 398482869 THE MISSION OF MEMORIAL HEALTH CARE SYSTEM IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 453291607 638596 526361677 SEE SCHEDULE H 453291607 true true false true false false false false false true true false false true true false true false false false false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 4 0 true 4189 true true true false false false false false false false false false X 20 17 false false false false true true true true true false false true true true true true false false true true false TN X Cheryl Sadro 4234957878 2525 De Sales Avenue Chattanooga TN 37404 X JAMES HOBSON 50.00 X X 0 558774 78004 JUDITH RALEY SCN 2.00 X X 0 0 0 KATHERINE LINDGREN 2.00 X X 0 0 0 AARON WEB 2.00 X 0 0 0 CAROLYN SMELTZER 2.00 X 0 0 0 CAROLYN THOMPSON 2.00 X 0 0 0 CHRISTOPHER MCKEE 2.00 X 0 0 0 CYNTHIA NESSON 2.00 X 0 0 0 EARLINE HOBBS 2.00 X 0 0 0 ELIZABETH BETTY VANNUCCI 2.00 X 0 0 0 ERIC CONN MD 50.00 X 615132 0 39804 JAMES LE HILL 2.00 X 0 0 0 JAMES PESNELL 2.00 X 0 0 0 JOAN FRIERSON 2.00 X 0 0 0 JOHN NASH 2.00 X 0 0 0 LEO BROWN 2.00 X 0 0 0 MARY ELIZABETH O'BRIEN 50.00 X 0 1268057 87218 ROBERT GREVING 2.00 X 0 0 0 SCOTT OSSEWARDE 2.00 X 0 0 0 WAYNE SCOTT 2.00 X 0 0 0 CHERYL A SADRO 50.00 X 72623 0 1712 DAVID WINCHESTER 50.00 X 171113 0 35737 DEBRA MOORE 50.00 X 283793 0 37864 JACQUELINE JACKSON 50.00 X 324068 0 40314 ARTHUR KORT 50.00 X 596803 0 25946 CALVIN LEDFORD 50.00 X 591667 0 35572 GORDON GRAHAM 50.00 X 595953 0 27274 ROBERT BERGLUND 50.00 X 591842 0 32970 WILLIAM WARREN 50.00 X 597692 0 39804 CAROL NEWTON X 347967 0 34407 4788653 1826831 516626 116 true true false BRASFIELD & GORRIE LLC 2748 MARY TAYLOR ROAD BIRMINGHAM AL 35210 CONSTRUCTION 15626423 XANITOS INC PO BOX 95000-3290 PHILADELPHIA PA 19195 CLEANING SERVICES 4143813 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 DIETARY SERVICES 3625257 EMJ CORPORATION 2034 HAMILTON PLACE BLVD CHATTANOOGA TN 374216102 CONSTRUCTION 3430343 EARL SWENSON ASSOCIATES INC 2100 WEST END AVE NASHVILLE TN 37203 ARCHITECT SERVICES 3102107 44 2231686 2231686 PATIENT SERVICES 900099 529491337 521924257 7567080 RENTAL INCOME 900099 3867080 3867080 EQUITY CHANGES OF UNCONSOLIDATED ORGS 900099 470599 470599 RESEARCH 541700 99741 99741 0 0 0 0 533928757 3422208 4575 3417633 0 0 32700 16190 16510 0 16510 16510 1362469 129733 64902 1362469 64831 1427300 1427300 0 0 0 SERVICES SOLD 900099 2836851 506585 2330266 PHARMACY SERVICES 446110 1426258 1426258 LABORATORY SERVICES 621500 1415655 1415655 1031593 0 0 1031593 6710357 547736818 526361677 9504498 9638957 492492 492492 146104 146104 0 0 1117940 1117940 0 167059587 137059570 30000017 8176459 6663509 1512950 22764738 18552412 4212326 11419825 9306731 2113094 0 180509 180509 994828 994828 0 0 0 64515738 56985803 7529935 1496848 1496848 13644208 9901679 3742529 0 0 11592360 10788938 803422 790236 7626 782610 0 176222 176222 339945 339945 8145795 8145795 25548964 24256670 1292294 2145190 2145190 BAD DEBTS 35949713 35949713 MEDICAL SUPPLIES 118399830 118399830 STATE PROVIDER TAX 18240381 18240381 REPAIRS AND MAINTENANCE 3277825 3277825 3558496 777189 2781307 0 520174233 453291607 66882626 0 0 15033 15726 20204417 4000 66041371 100547365 411788 259207 14458558 13903614 2013183 1454020 539990823 286495296 186128838 253495527 168005059 168299814 0 0 7042487 7042487 1278480 1377678 465603214 546395438 48283242 81487234 404877 93681 2837709 35316557 66331654 86842385 147912569 X 378780829 398492869 -20000 -10000 378760829 398482869 465603214 546395438 X 27562585 -7840545 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 23890 true 8531 true 3580 true 67353 103354 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 B. PAID STAFF ATTENDED COMMUNITY FORUMS, VARIOUS COMMUNITY ACTIVITIES, STRATEGIC PLANNING SESSIONS AND ATTENDED OTHER LEGISLATIVE MEETINGS AND CONVENTIONS. F. THE PORTION OF THE ORGANIZATIONS' DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION ("AHA") - $5,869, CATHOLIC HEALTH ASSOCIATION ("CHA") - $2,597 AND TENNESSEE HOSPITAL ASSOCIATION ("THA") - $15,424. G. ATTENDED TENNESSEE HOSPITAL ASSOCIATION LEGISLATIVE DAY/MEETINGS, A GOVERNMENT AFFAIRS CONFERENCE, THE CATHOLIC LEGISLATIVE ADVOCACY CONFERENCE, AND THE CATHOLIC DAY ON THE HILL. H. LIZ JENKINS, HEALTHY COMMUNITY COORDINATOR , ATTENDS SEVERAL MEETINGS PER YEAR AT NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. OTHERS ALSO ATTENDED TENNESSEE HOSPITAL ASSOCIATION ADVOCACY/MEETINGS. I. THE INGRAM GROUP, HEALTH CARE ADVOCACY, PUBLIC RELATIONS, HEALTH COMMUNITY AND STRATEGIC PLANNING. 13797048 13797048 235112068 103704936 131407132 1119967 593594 526373 239199816 175025320 64174496 50761924 7171446 43590478 253495527 0 0 CHI OIP - FIXED INCOME 84153864 CHI OIP - EQUITY SECURITIES 84145950 168299814 0 UNCLAIMED PROPERTY 27199 ENVIRONMENTAL REMEDIATION LIABILITY 319354 INTERCOMPANY NOTES PAYABLE 62025500 INTERCOMPANY PAYABLES 3959601 66331654 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MEMORIAL HEALTH CARE SYSTEM'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 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 true false true true 8226 6705312 0 6705312 0.01380 14769 38014714 28367207 9647507 0.01990 0 0 0 0 0.00000 0 22995 44720026 28367207 16352819 0.03370 19 1848 1571622 99226 1472396 0.00300 5 121 842853 0 842853 0.00170 6 14055 3514627 1212730 2301897 0.00480 2 0 1064785 99741 965044 0.00200 8 1183 1199762 0 1199762 0.00250 40 17207 8193649 1411697 6781952 0.01400 40 40202 52913675 29778904 23134771 0.04770 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 6 418 804199 0 804199 0.00150 0 0 0 0 0 0.00000 0 0 0 0 0 0.00000 1 0 5586 0 5586 0.00000 0 0 0 0 0 0.00000 1 0 404571 0 404571 0.00080 0 0 0 0 0 0.00000 8 418 1214356 0 1214356 0.00230 true 35949713 176497416 174239368 2258048 X true true MEMORIAL MISSION SUR AMBULATORY SURGERY CENTER 0.293 0 0.707 BERYWOOD OFFICE PROP PHYSICIAN OFFICE BUILDING 0.63 0 0.37 2 1 MEMORIAL HOSPITAL

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X X X 2 MEMORIAL HOSPITAL HIXSON

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OUTPATIENT IMAGING CENTER MEMORIAL HEART INSTITUTE

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CARDIAC PHYSICIAN PRACTICE BERYWOOD OFFICE PROPERTIES LLC

2501 CITICO AVENUE CHATTANOOGA TN 37404

PHYSICIAN OFFICE BUILDING Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO MEMORIAL HEALTH CARE SYSTEM) ESTABLISHED ITS CHARITY CARE POLICY IT WAS DETERMINED THAT USING 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. MEMORIAL HEALTH CARE SYSTEM BASES ITS CHARITY CARE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN CHARITY CARE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. COINCIDING WITH HUD'S ANNUAL UPDATE TO THE PUBLISHED INCOME LIMITS, MEMORIAL HEALTH CARE SYSTEM APPROPRIATELY UPDATES THE SLIDING SCALE. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS ARE ALSO TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE AN INCOME ABOVE THE INCOME LIMITS, BUT HIGH EXPENSES AND 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. THIS RESULTED IN A COST TO CHARGE RATIO OF 25.31%. 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) 35,949,713 Subsidized Health Services Schedule H, Part I, Line 7g THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. 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. MEMORIAL HEALTH CARE SYSTEM DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. MEMORIAL HEALTH CARE SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS 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. MEMORIAL HEALTH CARE SYSTEM'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: 247,405,503 TOTAL MEDICARE COSTS: 271,786,284 SURPLUS OR SHORTFALL: (24,380,781) MEMORIAL HEALTH CARE SYSTEM BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE. 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 (CHA) 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 MEMORIAL HEALTH CARE SYSTEM, 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) MEMORIAL HOSPITAL - HUD LOW INCOME GUIDELINES USED;(2) MEMORIAL HOSPITAL HIXSON - HUD LOW INCOME GUIDELINES USED; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 10 (1) MEMORIAL HOSPITAL - HUD LOW INCOME GUIDELINES USED;(2) MEMORIAL HOSPITAL HIXSON - HUD LOW INCOME GUIDELINES USED; Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (1) MEMORIAL HOSPITAL - ALL PATIENTS THAT DO NOT HAVE INSURANCE RECEIVE A DISCOUNT THAT IS CALCULATED EACH YEAR AS 175% OF THE COST TO CHARGE RATIO IN ACCORDANCE WITH TENNESSEE STATE CODE. THIS DISCOUNT IS APPLIED TO THE PATIENTS ACCOUNT PRIOR TO BILLING AND IS TREATED AS AN ADJUSTMENT TO NET PATIENT REVENUE IN THE SAME MANNER AS A MANAGED CARE DISCOUNT. THE PROVISION OF THIS DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE LOWERS THE AMOUNT THAT IS BILLED TO THE PATIENT AND REDUCES THE AMOUNT OF ANY SUBSEQUENT BAD DEBT EXPENSE. IN FISCAL YEAR 2012, SELF PAY DISCOUNTS WERE $17.1 MILLION REPRESENTING A COST OF $4.3 MILLION.;(2) MEMORIAL HOSPITAL HIXSON - ALL PATIENTS THAT DO NOT HAVE INSURANCE RECEIVE A DISCOUNT THAT IS CALCULATED EACH YEAR AS 175% OF THE COST TO CHARGE RATIO IN ACCORDANCE WITH TENNESSEE STATE CODE. THIS DISCOUNT IS APPLIED TO THE PATIENTS ACCOUNT PRIOR TO BILLING AND IS TREATED AS AN ADJUSTMENT TO NET PATIENT REVENUE IN THE SAME MANNER AS A MANAGED CARE DISCOUNT. THE PROVISION OF THIS DISCOUNT TO ALL PATIENTS WITHOUT INSURANCE LOWERS THE AMOUNT THAT IS BILLED TO THE PATIENT AND REDUCES THE AMOUNT OF ANY SUBSEQUENT BAD DEBT EXPENSE. IN FISCAL YEAR 2012, SELF PAY DISCOUNTS WERE $9.8 MILLION REPRESENTING A COST OF $2.4 MILLION.; LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI INTRODUCTION MEMORIAL HEALTH CARE SYSTEM INC. ("MHCS") IS PART OF CATHOLIC HEALTH INITIATIVES ("CHI"), A NATIONAL HEALTH CARE SYSTEM ESTABLISHED TO FOSTER A MORE EFFECTIVE MINISTRY OF FAITH-BASED HEALTHCARE IN THE UNITED STATES. THE MISSION OF MHCS AND CHI IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. BOTH MHCS AND CHI ARE COMMITTED TO FIDELITY TO THE GOSPEL, WITH EMPHASIS ON HUMAN DIGNITY AND SOCIAL JUSTICE IN THE CREATION OF HEALTHIER COMMUNITIES. MHCS IS PRIMARILY MADE UP OF TWO HOSPITALS, MEMORIAL HOSPITAL AND MEMORIAL HOSPITAL HIXSON. MEMORIAL HOSPITAL OPENED ITS DOORS ON JANUARY 2, 1952 IN RESPONSE TO CONCERNS ABOUT THE SEVERE SHORTAGE OF HOSPITAL BEDS IN THE COMMUNITY. FROM THE BEGINNING, WHEN MEMORIAL HOSPITAL WAS ESTABLISHED AND THE SISTERS OF CHARITY OF NAZARETH PUT FORTH THEIR COMMITMENT TO PROVIDE LEADERSHIP TO THE OPERATIONS OF THE HOSPITAL, THE CARE OF THE POOR AND QUALITY HEALTH CARE FOR THE ENTIRE COMMUNITY WAS CENTRAL TO OUR MISSION. MEMORIAL HOSPITAL HIXSON JOINED MHCS WHEN IT WAS PURCHASED FEBRUARY 1, 1998 AND HAS ADOPTED THE SAME COMMITMENT TO PROVIDE EXCELLENT HEALTH CARE TO EVERYONE IN THE COMMUNITY. MHCS IS ONE OF THE SOUTHEAST'S LEADING MEDICAL SYSTEMS AND THE REGIONS PREEMINENT PROVIDER OF CARDIAC AND CANCER CARE WITH CENTERS OF EXCELLENCE IN SURGERY AND ORTHOPEDICS. MHCS HOSPITALS HAVE BEEN NAMED ONE OF THE NATION'S 100 TOP HOSPITALS® SIX TIMES BY THOMSON REUTERS, THE HEALTH CARE INDUSTRY'S LEADING SOURCE OF INFORMATION ON HOSPITAL QUALITY. ACCORDING TO THOMSON'S RESEARCH, FACILITIES NAMED TO THE ANNUAL 100 TOP HOSPITALS ROSTER OUTPERFORM THEIR PEERS IN QUALITY, SAFETY AND EFFICIENCY. COMMUNITY NEEDS ASSESSMENT MEMORIAL HEALTH CARE SYSTEM ASSESSED THE NEEDS OF THE COMMUNITY SERVED BY MEMORIAL HOSPITAL AND MEMORIAL HOSPITAL HIXSON DURING THE YEAR BY CONSULTING WITH BOARD MEMBERS, OTHER HEALTH RELATED ORGANIZATIONS, AND COMMUNITY OUTREACH ORGANIZATIONS. INITIALLY EIGHT COUNTIES WERE INCLUDED IN THE ORIGINAL NEEDS ASSESSMENT. THE COMMUNITY NEEDS ASSESSMENT HAD SEVERAL KEY FINDINGS: * THE REGION GENERALLY HAS POORER HEALTH OUTCOMES THAN THE NATION AS A WHOLE AS INDICATED BY HIGHER MORTALITY FOR CHRONIC DISEASES. OBESITY, DIABETES, HYPERTENSION, AND HEART DISEASE WERE IDENTIFIED AS PRIORITY HEALTH NEEDS TO TARGET. MANY PROGRAMS HAVE BEEN DEVELOPED TO ADDRESS THESE ISSUES IN OUR COMMUNITY. * THE REGION'S POPULATION OF INDIVIDUALS OVER AGE 65 IS GROWING AT A FASTER PACE THAN THE NATION. BETWEEN 2000 AND 2008, THE NUMBER OF 65 AND OLDER RESIDENTS GREW BY 18% VERSUS 11% NATIONWIDE. THIS WILL LEAD TO INCREASED DEMAND FOR HEALTH CARE SERVICES. * ALZHEIMER'S DISEASE DEATH RATES IN THE REGION ARE SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE. IN FOUR OF THE EIGHT COUNTIES, MORTALITY RATES WERE MORE THAN DOUBLE THE NATIONAL RATE. * HEALTH DISPARITIES IN HAMILTON COUNTY BETWEEN AFRICAN AMERICANS AND WHITES CONTINUE. * WITHIN HAMILTON COUNTY THE WORST HEALTH OUTCOMES WERE IN INNER CITY CHATTANOOGA AREAS LARGELY CONCENTRATED IN THE "RIVER TO RIDGE" AREA INCLUDING THE AREAS IMMEDIATELY SURROUNDING MEMORIAL HOSPITAL. MHCS CONDUCTED COMMUNITY FOCUS GROUPS IN EIGHT NEIGHBORHOODS ADJACENT TO MEMORIAL HOSPITAL TO IDENTIFY THE MAJOR HEALTH ISSUES. FROM THE TOP TEN HEALTH DISPARITIES DATA AVAILABLE AT THE CENTER FOR DISEASE CONTROL AND PREVENTION, RESIDENTS SELECTED DIABETES, HYPERTENSION AND OBESITY AS THEIR LEADING CHRONIC DISEASES REQUIRING INTERVENTION. IN COLLABORATION WITH THE EAST CHATTANOOGA IMPROVEMENT, INC. AND THE CHATTANOOGA PARKS AND RECREATION DEPARTMENT, MEMORIAL ESTABLISHED EXERCISE CLASSES, NUTRITION AND DIABETES CLASSES ALONG WITH WEIGHT MANAGEMENT CLASSES FOR PARTICIPANTS WHOSE AGES HAVE RANGED FROM 7 THRU 87 YEARS OF AGE. EXERCISE CLASSES BEGAN THREE YEARS AGO WITH 25 PARTICIPANTS, AND HAVE NOW GROWN TO 120 RESIDENTS WHO EXERCISE FIVE DAYS A WEEK AT THREE CITY RECREATION CENTERS. FOURTEEN OF THE ORIGINAL 25 REMAIN IN THE PROGRAM, AND TWO HAVE LOST OVER 100 POUNDS. SIGNIFICANT IMPROVEMENT HAS ALSO OCCURRED IN PARTICIPANTS' BLOOD PRESSURE WITH MOST NOW IN THE HEALTHY RANGE. THE CITY HAS PLANS TO EXPAND THE EXERCISE CLASSES TO ADDITIONAL RECREATION CENTERS HELPING ENSURE THE SUSTAINABILITY OF THE HEALTHY LIFESTYLE PROGRAM. TAX EXEMPT PURPOSE MHCS IS A FAITH BASED, TAX-EXEMPT 501(C)(3) ORGANIZATION THAT PROVIDES MEDICAL CARE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. OUR TAX EXEMPT STATUS IS SUBSTANTIATED BY ITS INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY SERVICES HAVE ALWAYS BEEN A SIGNIFICANT PART OF MHCS. EACH YEAR, SERVICES AND PROGRAMS OFFERED TO THE COMMUNITY ARE EVALUATED AND EXPANDED TO PROMOTE INCREASED ACCESS TO HEALTHCARE AND HEALTHIER COMMUNITIES THAT TARGETS CHRONIC DISEASE PREVENTION AND MANAGEMENT FOR VULNERABLE AND UNDERSERVED POPULATIONS. TO ENHANCE THE HEALTH STATUS OF CHATTANOOGANS, MHCS FOCUSES ON THE WHOLE PERSON INCLUDING THE PERSON'S SPIRITUAL, EMOTIONAL, AND PHYSICAL WELL-BEING. IN FISCAL YEAR 2010 MHCS HIRED AN OUTSIDE CONSULTANT TO PERFORM A COMMUNITY NEEDS ASSESSMENT ON THE 8 COUNTY MHCS REGION. THIS DATA WILL BE USED TO DETERMINE THE CURRENT IMMEDIATE HEALTH NEEDS OF THIS REGION AND WILL AID IN THE DEVELOPMENT OF A COMMUNITY BENEFIT PLAN. IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, MHCS COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE POOR AS WELL AS THE BROADER COMMUNITY. BENEFITS FOR THE POOR INCLUDE THE COST OF PROVIDING SERVICES TO INDIVIDUALS WHO ARE UNABLE TO AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR THOSE THAT ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE POOR INCLUDE TRADITIONAL CHARITY CARE, UNPAID COSTS OF MEDICAID, SUBSIDIZED OR FREE HEALTH SERVICES, AND CASH AND IN-KIND DONATIONS TO ORGANIZATIONS THAT SERVE THE POOR. THE AMOUNTS REPORTED REFLECT THE COSTS OF THESE SERVICES, NET OF CONTRIBUTIONS, GOVERNMENT PAYMENTS AND OTHER REVENUES RECEIVED AS DIRECT ASSISTANCE. COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDES THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS POOR BUT MAY NEED SPECIAL SERVICES AND SUPPORT. BENEFITS TO THE BROADER COMMUNITY INCLUDE: HEALTH PROMOTION AND EDUCATION; HEALTH FAIRS AND SCREENINGS; UNPAID COSTS OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS AND STUDENTS IN ALLIED HEALTH PROFESSIONS; CASH AND IN-KIND DONATIONS TO ORGANIZATIONS THAT SERVE THE BROADER COMMUNITY; AND THE UNPAID COSTS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS. IN FISCAL YEAR 2012, MHCS PROVIDED COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES TO APPROXIMATELY 40,620 PEOPLE AT A TOTAL COST OF $54,128,031. DONATIONS, GRANTS, AND OTHER RECEIPTS TOTALING $29,778,904 WERE AVAILABLE AS DIRECT OFFSETS TO THESE COSTS. LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT (CONTINUATION 1) SCHEDULE H, PART VI EMERGENCY ROOM MHCS OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR AT BOTH MEMORIAL AND MEMORIAL HOSPITAL HIXSON. BOTH EMERGENCY ROOMS ARE OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. DURING FISCAL YEAR 2012, OVER 78,957 PATIENTS VISITED ONE OF THESE EMERGENCY ROOMS. MEMORIAL HOSPITAL'S EMERGENCY ROOM IS A LEVEL 3 CERTIFIED CHEST PAIN CENTER. THIS IS IMPORTANT FOR A HOSPITAL THAT FOCUSES ON CARDIAC CARE WHERE EVERY MINUTE COUNTS WHEN PATIENTS ARE EXPERIENCING CHEST PAIN. UNCOMPENSATED CARE CHARITY CARE IS THE COST OF CARE OF UNINSURED OR UNDERINSURED, LOW-INCOME PATIENTS WHO ARE NOT EXPECTED TO PAY ALL OF A BILL, OR WHO ARE ABLE TO PAY ONLY A PORTION USING AN INCOME-RELATED SCALE. THOSE RECEIVING CHARITY CARE ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS TENNCARE. MHCS HAS A CHARITY CARE POLICY, WHICH ASSURES THAT ALL PERSONS RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MHCS PROVIDES A SIGNIFICANT LEVEL OF CHARITY CARE EACH YEAR. IN FISCAL YEAR 2012, THE COST OF CHARITY CARE WAS $6,705,312. ADDITIONALLY, MHCS PROVIDED UNREIMBURSED COSTS IN THE AMOUNT OF $9,647,507 FOR PATIENTS WHO QUALIFIED FOR THE TENNCARE PROGRAM. IN FISCAL YEAR 2012, MHCS CLASSIFIED CHARITY AND UNREIMBURSED TENNCARE COSTS FOR REPORTING PURPOSES IN A MANNER CONSISTENT WITH A STANDARDIZED APPROACH DEVELOPED BY CHI FOR REPORTING AND BUDGETING BENEFITS PROVIDED TO THE COMMUNITY. COMMUNITY OUTREACH FOR THE POOR PRESCRIPTION DRUG PROGRAM MHCS PROVIDES PRESCRIPTION DRUGS TO THOSE CHATTANOOGANS WHO CANNOT AFFORD TO PURCHASE THEM. IN FISCAL YEAR 2012 MHCS PROVIDED $134,151 IN FREE PRESCRIPTION DRUGS. PHARMACEUTICAL ASSISTANCE PROGRAMS MHCS HAS PARTNERED WITH DISPENSARY OF HOPE, A NATIONAL ORGANIZATION THAT HELPS QUALIFYING UNINSURED PATIENTS OBTAIN NECESSARY MEDICATIONS AND OTHER PHARMACEUTICAL ASSISTANCE PROGRAMS. MHCS IS ONE OF 80 DISPENSARY OF HOPE SITES THAT REDISTRIBUTE PHARMACEUTICALS THAT HAVE BEEN RECEIVED AS A DONATION FROM PHYSICIANS, DISTRIBUTORS, AND MANUFACTURERS. PATIENTS ARE MADE AWARE OF THIS PROGRAM THROUGH PHYSICIANS, CASE MANAGERS, NURSES AND OTHER CAREGIVERS. MHCS WAS ABLE TO ASSIST 1485 INDIVIDUALS RECEIVE THEIR PRESCRIPTION DRUGS THROUGH DISPENSARY OF HOPE AND OTHER PROGRAMS. MHCS INCURRED $135,577 IN EXPENSES RELATED TO THIS PROGRAM. HOMELESS HEALTH CARE CLINIC THE HOMELESS HEALTH CARE CLINIC PROVIDES COMPREHENSIVE HEALTH CARE TO HOMELESS MEN, WOMEN, AND CHILDREN. THE CLINIC STAFF GOES TO ABANDONED BUILDINGS, CAMPSITES AND SHELTERS LOOKING FOR HOMELESS PEOPLE WHO MAY NEED MEDICAL ATTENTION. MANY HOMELESS PEOPLE ARE AFRAID TO TALK TO PEOPLE OR LEAVE THEIR FAMILIAR SURROUNDINGS. THE CLINIC PROVIDES THEM WITH BLANKETS AND WARM CLOTHES IN THE WINTER AND WATER IN THE SUMMER. MEMORIAL HOSPITAL ASSISTS THE HOMELESS BY PROVIDING FREE LAB TESTS COSTING $52,108 AND FUNDS A NURSING POSITION IN THE AMOUNT OF $40,000. FREE LABORATORY TESTS MHCS PROVIDES FREE LAB TESTS TO THE SAMARITAN CENTER, HOMELESS HEALTH CARE CLINIC, VOLUNTEERS IN MEDICINE, PROJECT ACCESS, NORTHSHORE CLINIC, AND WESTSIDE CLINIC FOR THOSE PATIENTS WITHOUT INSURANCE OR ADEQUATE MEANS TO PAY. LAB TESTS PROVIDED IN FISCAL YEAR 2012 TOTALED $298,012 AND SERVED 8,690 PEOPLE. CATHOLIC CHARITIES MHCS PROVIDED $36,000 IN FISCAL YEAR 2012 TO CATHOLIC CHARITIES TO HELP FUND THEIR INTERFAITH SENIOR SERVICES, FAMILY SUPPORT SERVICES, AND THEIR COUNSELING PROGRAM. THESE FUNDS ARE USED TO HELP PROVIDE TRANSPORTATION SERVICES TO FRAIL AND LOW INCOME ELDERLY INDIVIDUALS. PROJECT ACCESS PROJECT ACCESS IS A REFERRAL NETWORK THAT OFFERS ACCESS TO MEDICAL CARE FOR LOW-INCOME RESIDENTS OF HAMILTON COUNTY WHO DO NOT HAVE INSURANCE. PATIENTS ENROLLED IN THIS PROGRAM MUST BE BELOW 150% OF THE POVERTY LEVEL AND CANNOT BE ELIGIBLE FOR HEALTH INSURANCE OR OTHER MEDICAL BENEFITS SUCH AS MEDICARE OR TENNCARE. PROJECT ACCESS HELPS PATIENTS GET SPECIALTY HEALTH CARE THAT PRIMARY CLINICS MAY NOT BE ABLE TO PROVIDE. PATIENTS ARE ALSO PROVIDED A PRESCRIPTION CARD THAT WILL ALLOW THEM TO GET THEIR MEDICATION WITH A $5.00 CO-PAY. MEMORIAL HOSPITAL PARTICIPATES AS A PROVIDER IN THIS NETWORK. COSTS ASSOCIATED WITH THIS PROGRAM ARE REPORTED IN THE PRESCRIPTION DRUG PROGRAM, FREE LABORATORY TESTS AND THE COST OF CHARITY CARE. EMERGENCY SITTING SERVICES MHCS PROVIDES EMERGENCY SITTING SERVICES AT NO COST TO FAMILIES OF PATIENTS WHO ARE UNABLE TO AFFORD TO HAVE SOMEONE STAY WITH THE PATIENT. THIS SERVICE IS AVAILABLE WHEN IT HAS BEEN DETERMINED THAT THE PATIENT DOES NOT NEED TO BE LEFT ALONE FOR SAFETY REASONS. IN FISCAL YEAR 2012 COSTS ASSOCIATED WITH PROVIDING THIS SERVICE WERE $188,622. LINEN SERVICES MHCS PROVIDES LAUNDRY AND LINEN SERVICES TO THE INTERFAITH HOSPITALITY NETWORK. IN FISCAL YEAR 2012, MHCS'S CONTRIBUTION TO THE HOMELESS POPULATION FOR LINEN SERVICES TOTALED $2,610. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY FAITH COMMUNITY NURSE PROGRAM MHCS PIONEERED A FAITH COMMUNITY NURSE PROGRAM THAT OFFERS TRAINING TO NURSES ON HOW TO SERVE AS A VITAL LINK BETWEEN AREA CHURCHES AND HEALTHCARE PROVIDERS. THE FAITH COMMUNITY NURSE PROGRAM HAS PLACED SPECIAL FOCUS ON TRACKING ENCOUNTERS FOR PATIENTS WITH OBESITY, DIABETES, HYPERTENSION, AND HEART DISEASE SINCE THESE HAVE BEEN IDENTIFIED AS THE MAJOR HEALTH ISSUES IN OUR COMMUNITY. INTERNS ENROLLED IN THIS PROGRAM ARE PROVIDED MONTHLY WORKSHOPS ON TOPICS SUCH AS CRISIS INTERVENTION, FAMILY SYSTEMS, LOSS AND GRIEF, MIND/BODY/SPIRIT CONNECTION AND MORE. THIS TRAINING GIVES THESE NURSES THE TOOLS TO GUIDE PARISHIONERS THROUGH THE HEALTHCARE SYSTEM, PROMOTE HEALTH EDUCATION, CONDUCT HEALTH FAIRS AND SCREENINGS, AND PROVIDE A RESOURCE TO CHURCH MEMBERS WHO ARE COPING WITH A CHRONIC ILLNESS, LONELINESS, OR FAMILY CRISIS. FAITH COMMUNITY NURSES HELP TO ADD A SPIRITUAL DIMENSION TO THE HEALING PROCESS. THE COST OF THIS PROGRAM IN FISCAL YEAR 2012 WAS $61,177. HOSPICE UNIT A SEVEN BED INPATIENT HOSPICE UNIT IS PROVIDED TO HELP MEET THE SPECIAL NEEDS OF HOSPICE PATIENTS WHO WERE NOT ABLE TO STAY HOME. THE TOTAL COST OF THIS PROGRAM FOR FISCAL YEAR 2012 WAS $2,249,540. FUNDING FOR HOSPICE PATIENTS OF $906,412 WAS RECEIVED IN FISCAL YEAR 2012 TO HELP OFFSET THESE EXPENSES. DIABETES NUTRITION CENTER THE DIABETES NUTRITION CENTER AT MEMORIAL HOSPITAL PROVIDES MANY SERVICES TO PEOPLE WITH DIABETES THAT ARE NOT COVERED BY INSURANCE. THIS CENTER FOCUSES ON SELF-MANAGEMENT AND PROVIDING EDUCATION TO PATIENTS ON DIET AND NUTRITION AND OTHER SKILLS TO HELP THE PATIENT BETTER MANAGE THEIR DISEASE. IN FISCAL YEAR 2012, THIS PROGRAM INCURRED $234,631 IN UNREIMBURSED COSTS FOR 2,564 PATIENTS. LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT (CONTINUATION 2) SCHEDULE H, PART VI CANCER RESOURCE CENTER MHCS HAS DEVELOPED A PROGRAM TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE, OFFERING THEM THE LATEST INFORMATION ABOUT CANCER CARE. WHETHER AN INDIVIDUAL HAS JUST BEEN DIAGNOSED OR HAS A FAMILY MEMBER WITH CANCER, THE ONCOLOGY PROFESSIONALS AT THE CANCER RESOURCE CENTER CAN ANSWER QUESTIONS OR HELP INDIVIDUALS UNDERSTAND THEIR OPTIONS REGARDLESS OF WHERE THEY GO FOR TREATMENT. YOU CAN LEARN ABOUT FINANCIAL RESOURCES, SCREENING OPPORTUNITIES, THE MOST CURRENT CLINICAL TRIALS, AND SUPPORT GROUPS AND SEMINARS OFFERED TO PATIENTS, FAMILY, AND FRIENDS. THE CANCER RESOURCE CENTER ALSO OFFERS A HEALING ARTS PROGRAM TO ENHANCE THE HEALING AND PROVIDE ALTERNATIVE APPROACHES TO COPING. NONE OF THE SERVICES ARE BILLED TO THE PATIENT AND FEW QUALIFY FOR INSURANCE REIMBURSEMENT. IN FISCAL YEAR 2012 THE COST OF THIS PROGRAM WAS $455,884. MOBILE MAMMOGRAPHY COACH MHCS OPERATES A MOBILE MAMMOGRAPHY COACH THAT SERVICES 31 COUNTIES IN SOUTHEAST TENNESSEE, NORTHWEST GEORGIA AND NORTHEAST ALABAMA. IN THESE COUNTIES MINORITIES, UNINSURED, UNDERINSURED, HOMELESS AND SHELTERED WOMEN ARE GIVEN THE OPPORTUNITY TO RECEIVE BREAST SERVICES THAT WOULD NORMALLY NOT BE AVAILABLE. NO CHARGE CANCER RISK COUNSELING AS WELL AS LIFE STYLE MODIFICATIONS TO REDUCE THE RISK OF CANCER ARE ALSO MADE AVAILABLE THROUGH THE COACH. IN FISCAL YEAR 2012 4,832 PATIENTS WERE SEEN ON THE MOBILE COACH. UNREIMBURSED COSTS FOR THE MOBILE COACH AND OTHER BREAST SERVICES TOTALED $323,169 FOR FISCAL YEAR 2012. HATS FROM THE HEART PROGRAM MHCS ADMINISTERS THE HATS FROM THE HEART PROGRAM WHICH PROVIDES HATS TO CANCER PATIENTS WHO HAVE LOST THEIR HAIR DURING THEIR CANCER TREATMENT. PRIVATE DONATIONS FUND THIS PROGRAM WHICH IS AVAILABLE IN SEVERAL COMMUNITY CANCER TREATMENT FACILITIES. UNITED WAY MHCS HAS AN ANNUAL CAMPAIGN FOR UNITED WAY WHICH CONSISTS OF SEVERAL EVENTS FOR ASSOCIATES DURING THE FISCAL YEAR. THE STAFF COST TO PUT ON THESE EVENTS IS APPROXIMATELY $15,000. THE DONATIONS MADE BY ASSOCIATES TO THE UNITED WAY HELP FUND LOCAL COMMUNITY ORGANIZATIONS. IN ADDITION TO THE EMPLOYEE CAMPAIGN, MEMORIAL HOSPITAL ALSO PROVIDES SUPPORT THROUGH A CORPORATE DONATION TOTALING $28,550. SUPPORT GROUPS MHCS OFFERS A WIDE VARIETY OF SUPPORT GROUPS FOR PATIENTS AND THE BROADER COMMUNITY. SUPPORT GROUPS MEETING AT MHCS INCLUDE GROUPS DEALING WITH VARIOUS CANCER DIAGNOSIS, CAREGIVERS FOR ALZHEIMERS FAMILY MEMBERS, WEIGHT MANAGEMENT AND BARIATRICS, DIABETES, OSTOMY PATIENTS, NICOTINE ANONYMOUS, AND GRIEF SUPPORT. SOME OF THESE GROUPS HAVE A STAFF MEMBER WHO LEADS THE GROUPS AND OTHERS ARE SELF-LED. THE SALARY COSTS ASSOCIATED WITH GROUPS LED BY A STAFF MEMBER ARE $4,882. NOTRE DAME HIGH SCHOOL MHCS PROVIDES FINANCIAL AID TO STUDENTS FROM THE IMMEDIATE COMMUNITY TO ATTEND NOTRE DAME HIGH SCHOOL. NOTRE DAME HIGH SCHOOL IS A PRIVATE SCHOOL THAT IS ABOUT 2 MILES FROM MEMORIAL HOSPITAL. APPLICANTS ARE REQUIRED TO COMPLETE AN APPLICATION AS WELL AS WRITE AN ESSAY TO DETERMINE IF THEY ARE ELIGIBLE FOR A SCHOLARSHIP. THE APPLICATIONS AND ESSAYS ARE REVIEWED BY AN INTERNAL COMMITTEE; SCHOLARSHIPS ARE THEN AWARDED TO STUDENTS BASED UPON THE RECOMMENDATION OF THE COMMITTEE. IN FISCAL YEAR 2012 MHCS PROVIDED 3 STUDENTS WITH PARTIAL SCHOLARSHIPS WHICH TOTALED $10,000. BRAINERD HIGH SCHOOL ADOPT A SCHOOL PROGRAM OVER THE YEARS MHCS HAS PARTNERED WITH BRAINERD HIGH SCHOOL IN VARIOUS WAYS TO PROVIDE STUDENTS WITH OPPORTUNITIES TO LEARN ABOUT DIFFERENT HEALTH CARE PROFESSIONS. ONE OF THE WAYS THAT MHCS HAS HELPED BRAINERD HIGH SCHOOL IS TO GIVE STUDENTS THE OPPORTUNITY TO JOB SHADOW EMPLOYEES THROUGHOUT THE HOSPITAL. ON AVERAGE 6 TO 8 STUDENTS A YEAR WILL JOB SHADOW INDIVIDUALS IN NURSING OR RADIOLOGY. JUNIOR ACHIEVEMENT IN FISCAL YEAR 2012 MHCS DONATED $700 TO JUNIOR ACHIEVEMENT TO SUPPORT THEIR PROGRAMS. RESEARCH PROGRAMS MHCS IS ACTIVE IN RESEARCHING NEW TREATMENT PROTOCOLS AND DETERMINING ALL THE ALTERNATIVES AVAILABLE TO BOTH OUR CARDIAC AND CANCER PATIENTS. IN FISCAL YEAR 2012, MEMORIAL SPENT $660,590 ON RESEARCH PROGRAMS THAT WERE NOT FUNDED BY AN OUTSIDE ORGANIZATION. HEALTH CARE STUDENT EDUCATION MHCS SERVES AS A CLINICAL EDUCATION SITE FOR HEALTH CARE STUDENTS BY PROVIDING HANDS ON TRAINING IN NURSING, PHYSICAL THERAPY, PHARMACY, LAB AND SURGERY. WITH NURSING SHORTAGES PROJECTED TO INCREASE WITH AGING BABY BOOM POPULATION, MHCS FEELS VERY STRONGLY ABOUT EDUCATING OUR FUTURE HEALTHCARE PROFESSIONALS. MEMORIAL ALSO PROVIDES A PROGRAM FOR EMPLOYEES TO FURTHER THEIR EDUCATION AND RECEIVE TUITION REIMBURSEMENT. EXPENSES RELATED TO STUDENT EDUCATION AND TUITION REIMBURSEMENT WERE $842,853 DURING FISCAL YEAR 2012. CONTRIBUTIONS MHCS RECEIVES SOME COMMUNITY SUPPORT FROM DONATIONS THAT HELPS FUND RESEARCH AND EDUCATION, CAPITAL EXPANSION AND RENOVATION, INDIGENT CARE, NEW EQUIPMENT AND OPERATING COST. THE VALUE OF THIS COMMUNITY SUPPORT IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE PROGRAMS AND COMMUNITY SERVICES DESCRIBED THROUGHOUT THIS DOCUMENT. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 MEMORIAL HEALTH CARE SYSTEM, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES "CHI". CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. MEMORIAL HEALTH CARE SYSTEM INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, MEMORIAL HEALTH CARE SYSTEM PROMINENTLY DISPLAYS INFORMATION CONCERNING ITS CHARITY CARE POLICY IN BOTH ENGLISH AND SPANISH IN ALL WAITING AREAS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN MEMORIAL HEALTH CARE SYSTEM OUTPATIENT FACILITIES. IN ADDITION, MEMORIAL HEALTH CARE SYSTEM REGISTRARS AND FINANCIAL COUNSELORS 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 MEMORIAL HEALTH CARE SYSTEM'S CHARITY CARE POLICY. ONCE ALL EMTALA REQUIREMENTS ARE MET, PATIENTS WHO ARE IDENTIFIED AS UNINSURED DURING THE REGISTRATION PROCESS (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. MEMORIAL HEALTH CARE SYSTEM REGISTRARS AND FINANCIAL COUNSELORS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. MEMORIAL HEALTH CARE SYSTEM'S STAFF WILL ALSO ASSIST THE PATIENT / GUARANTOR WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. AFTER ALL EMTALA REQUIREMENTS ARE MET, DURING THE REGISTRATION PROCESS UNINSURED PATIENTS ARE SCREENED IN THE EMERGENCY DEPARTMENT FOR POSSIBLE ELIGIBILITY FOR THE MEDICAID PROGRAM. A TENNCARE APPLICATION IS FAXED TO THE DEPARTMENT OF HUMAN SERVICES IN THE SCREENING DETERMINED THAT THE PATIENT MIGHT HAVE A CATEGORY THAT WOULD QUALIFY THEM FOR MEDICAID. THE PATIENT IS GIVEN INSTRUCTIONS ON HOW TO FOLLOW-UP WITH THE DEPARTMENT OF HUMAN SERVICES TO COMPLETE THE APPLICATION PROCESS. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. DURING THE BILLING AND COLLECTION PROCESS, ALL STATEMENTS TO THE PATIENT, INCLUDING THOSE MAILED FROM THE THIRD PARTY COLLECTION AGENCY, ALERT THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE IF THEY NEED IT AND INSTRUCTS THEM ON HOW TO OBTAIN AN APPLICATION. Affiliated health care system Schedule H, Part VI, Line 6 MEMORIAL HEALTH CARE SYSTEM, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES ("CHI") IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; AND TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS. TOGETHER, THESE FACILITIES PROVIDED $590 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2010 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. COST SAVINGS ASSOCIATED WITH CENTRALIZED SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2010 INCLUDE MORE THAN $105 MILLION IN SUPPLY CHAIN EXPENSE, APPROXIMATELY $30 MILLION FOR INSURANCE COSTS AND MORE THAN $10 MILLION AS THE RESULT OF A SYSTEM-WIDE EFFORT TO COORDINATE AND NEGOTIATE TECHNOLOGY AND EQUIPMENT PURCHASES. 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. MEMORIAL HEALTH CARE SYSTEM OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE CHATTANOOGA, TENNESSEE COMMUNITIES. State filing of community benefit report Schedule H, Part VI, Line 7 TN true CATHOLIC CHARITIES OF EAST TENNESSEE 859 MCCALLIE AVENUE CHATTANOOGA TN 37403 621377551 501C3 36000 N/A COMMUNITY SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 620532345 501C3 43750 N/A COMMUNITY SUPPORT CHATTANOOGA AREA CHAMBER OF COMMERCE 811 BROAD STREET SUITE 100 CHATTANOOGA TN 37402 620154480 501C3 25900 N/A COMMUNITY SUPPORT UNITED WAY 630 MARKET STREET CHATTANOOGA TN 37405 620565962 501C3 28550 N/A COMMUNITY SUPPORT FOUNDATION OF NATIONAL STUDENT NURSE 45 MAIN STREET STE 606 BROOKLYN NY 11201 133123125 501C3 7500 N/A COMMUNITY SUPPORT FRIENDS OF THE FESTIVAL 180 HAMM ROAD CHATTANOOGA TN 37405 621112739 501C3 11000 N/A COMMUNITY SUPPORT COMMUNITY FOUNDATION OF CHATTANOOGA 1270 MARKET STREET CHATTANOOGA TN 37402 626045999 501C3 9550 N/A COMMUNITY SUPPORT SISKIN HOSPITAL FOR PHYSICAL REHAB 3RD STREET CHATTANOOGA TN 37403 621220402 501C3 15657 N/A COMMUNITY SUPPORT HAMILTON COUNTY GOVERNMENT 921 EAST THIRD STREET CHATTANOOGA TN 37403 626000636 501C3 40000 N/A COMMUNITY SUPPORT UNIVERISITY OF TENNESSEE MOCS 960 EAST THIRD STREET STE 100 CHATTANOOGA TN 37403 626001636 501C3 37163 N/A COMMUNITY SUPPORT TENNESSEE AQUARIUM ONE BROAD STREET CHATTANOOGA TN 37402 581837154 501C3 10000 N/A COMMUNITY SUPPORT SUSAN G KOMEN FOR THE CURE PO BOX 11208 CHATTANOOGA TN 37401 752875175 501C3 10000 N/A COMMUNITY SUPPORT MEDICAL FOUNDATION OF CHATTANOOGA 1917 E THIRD STREET CHATTANOOGA TN 37404 581696660 501C3 7500 N/A COMMUNITY SUPPORT CYCLONELEARFIELDMOCS PO BOX1467 JEFFERSON CITY MO 65102 430998586 501C3 41664 N/A COMMUNITY SUPPORT CHATTANOOGA COMMUNITY KITCHEN PO BOX 11203 727 E 11TH STREET CHATTANOOGA TN 37401 621151413 501C3 5000 N/A COMMUNITY SUPPORT CREATIVE DISCOVERY MUSEUM 321 CHESTNUT STREET CHATTANOOGA TN 37405 621509462 501C3 10000 N/A COMMUNITY SUPPORT CHATTANOOGA STATE TECH COLLEGE FOUNDATION 4501 AMNICOLA HIGHWAY CHATTANOOGA TN 37406 581311669 501C3 20000 N/A COMMUNITY SUPPORT GREATER CHATTANOOGA SPORTS PO BOX 11508 CHATTANOOGA TN 37401 581866591 501C3 7500 N/A COMMUNITY SUPPORT NOTRE DAME HIGH SCHOOL 2701 VERMONT AVENUE CHATTANOOGA TN 37404 431694323 501C3 12000 N/A COMMUNITY SUPPORT AMERICAN CANCER SOCIETY 1100 IRELAND WAY SUITE 300 BIRMINGHAM AL 35205 640329009 501C3 6500 N/A COMMUNITY SUPPORT THE CALDSTED FOUNDATION 3701 CHERRYTON DRIVE CHATTANOOGA TN 37411 620696466 501(C)(3) 10000 FMV 600KW GENERATOR COMMUNITY SUPPORT MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621839548 501(C)(3) 20000 N/A PROGRAM SUPPORT 22 0 LYMPHEDEMA THERAPY ASSISTANCE 10 3142 N/A EDUCATIONAL ASSISTANCE 23 14419 N/A DISASTER RELIEF/EMPLOYEE ASSISTANCE 62 18343 N/A RADIOLOGIST INTERPRETAIONS PAID THROUGH GRANT 2371 76853 N/A WE CARE WEEKEND FOR CANCER SURVIVORS AND THEIR FAMILIES 150 32777 N/A TRANSPORTATION ASSISTANCE 25 570 N/A Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 GRANT REQUESTS ARE COORDINATED THROUGH THE MEMORIAL HEALTH CARE SYSTEM FOUNDATION. THE BENEFICIARY OF THE GRANT IS RESPONSIBLE FOR USING THE FUNDS IN ACCORDANCE WITH THE GRANT REQUIREMENTS. ALL GRANT SPENDING IS REVIEWED BY FISCAL SERVICES AND THE FOUNDATION BEFORE GRANT SPENDING IS REIMBURSED THROUGH THE FOUNDATION. PERIODIC REPORTING IS COORDINATED BETWEEN THE BENEFICIARY, FISCAL SERVICES, AND THE FOUNDATION. false true false false false false false true false ARTHUR KORT 575917 0 16667 0 4219 0 20228 0 5718 0 622749 0 0 0 CALVIN LEDFORD 573317 0 16667 0 1683 0 20228 0 15344 0 627239 0 0 0 CAROL NEWTON 269817 0 35176 0 42974 0 27578 0 6829 0 382374 0 0 0 DAVID WINCHESTER 153671 0 15775 0 1667 0 16732 0 19005 0 206850 0 0 0 DEBRA MOORE 254684 0 28536 0 573 0 30028 0 7836 0 321657 0 0 0 ERIC CONN MD 593827 0 16667 0 4638 0 20228 0 19576 0 654936 0 0 0 GORDON GRAHAM 575044 0 16667 0 4242 0 20228 0 7046 0 623227 0 0 0 JACQUELINE JACKSON 286232 0 36670 0 1166 0 32478 0 7836 0 364382 0 0 0 JAMES HOBSON 0 454524 0 80918 0 23332 0 60316 0 17688 0 636778 0 0 MARY ELIZABETH O'BRIEN 0 624467 0 307246 0 336344 0 77574 0 9644 0 1355275 0 0 ROBERT BERGLUND 570741 0 16667 0 4434 0 20228 0 12742 0 624812 0 0 0 WILLIAM WARREN 580326 0 16667 0 699 0 20228 0 19576 0 637496 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEVERENCE 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 REPORTABLE INDIVIDUALS RECEIVED SEVERANCE FROM THE FILING ORGANIZATION OR ANY RELATED ORGANIZATION. 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: JAMES HOBSON, MARY ELIZABETH O'BRIEN DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JAMES HOBSON $40,088 MARY ELIZABETH O'BRIEN $54,896 Non-fixed payments Schedule J, Part I, Line 7 MEMORIAL HEALTH CARE SYSTEM (MHCS) ISSUED BONUSES BASED ON INDIVIDUAL PERFORMANCE AND SPECIFIED EVENTS. BONUSES ARE SUBJECT TO MANAGEMENT AND BOARD APPROVAL. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE SECRETARY, WITH ONE (1) OR TWO (2) OTHER DIRECTORS; PROVIDED THAT THE EXECUTIVE COMMITTEE SHALL INCLUDE: (1) TO THE EXTENT POSSIBLE, AT LEAST ONE MEMBER OF A PARTICIPATING CONGREGATION OR OTHER RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH, AND (2) AT LEAST ONE DIRECTOR WHO IS A PHYSICIAN MEMBER OF THE MEDICAL STAFF. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. PURSUANT TO SECTION 8.1 OF THE CORPORATIONS BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OF MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST ONE (1) DIRECTOR OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. COMMITTEE MEMBERS SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL THEIR SUCCESSORS ARE DULY APPOINTED AND QUALIFIED. 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 MEMORIAL HEALTH CARE SYSTEM, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"), 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 30TH 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 AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b MEMORIAL HEALTH CARE SYSTEM'S ("MHCS"), CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF MHCS'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 DELEGATEDTO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF MHCS * AMENDMENT OF THE CORPORATE DOCUMENTS OF MHCS * APPROVE MEMBERS OF THE MHCS BOARD * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MHCS * APPROVAL OF ISSUANCE OF DEBT BY MHCS * APPROVAL OF PARTICIPATION OF MHCS IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MHCS * APPROVAL OF A MERGER INVOLVING MHCS * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MHCS * TO REQUIRE THE TRANSFER OF ASSETS BY MHCS TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MHCS. IN ADDITION, 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 MHCS'S FORM 990 IS PREPARED AND REVIEWED BY THE INTERNAL TAX DEPARTMENT OF ITS PARENT ORGANIZATION, CHI. THE RETURN IS THEN REVIEWED BY MHCS'S FISCAL SERVICES DEPARTMENT AND ITS CHIEF FINANCIAL OFFICER. PRIOR TO FILING, A COPY OF THE RETURN IS PROVIDED TO EACH MEMBER OF THE BOARD ELECTRONICALLY. SUBSEQUENT TO PRESENTATION 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 THE CONFLICT OF INTEREST POLICY OF MHCS COVERS ALL DIRECTORS AND OFFICERS WHO HOLD THE TITLE OF VICE PRESIDENT AND ABOVE. THE POLICY APPLIES TO ALL AFFILIATES OF THE CORPORATION AND IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT CORPORATIONS. IF A DIRECTOR OR OFFICER HAS A POTENTIAL OR ACTUAL CONFLICT WITH THE CORPORATION AND/OR ANY OF ITS AFFILIATES, SUCH DIRECTOR OR OFFICER IS DEEMED TO ALSO HAVE A POTENTIAL OR ACTUAL CONFLICT WITH RESPECT TO THE CORPORATION AND ALL OF ITS AFFILIATES. EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. THE CEO SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY AND DISCLOSURE STATEMENT. AT THE BEGINNING OF THE BOARD MEETING AND ALL COMMITTEE MEETINGS, MEMBERS ARE ASKED TO DECLARE ANY CONFLICTS OF INTEREST THAT NEED TO BE DISCLOSED. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE, AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE, ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY, AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS HAS EITHER A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR OFFICER OF THE OTHER PARTY. BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE DIRECTOR OR OFFICER IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. DOCUMENT RETENTION POLICY FORM 990, PART VI, LINE 14 WHILE THE ORGANIZATION DOES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY IT HAS NOT BEEN FORMALLY ADOPTED BY THE BOARD. PROCESS FOR DETERMINING CEO'S 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 ON AN ANNUAL BASIS MHCS ENGAGES AN EXTERNAL CONSULTANT TO REVIEW THE COMPENSATION OF ITS EXECUTIVES. THE REVIEW IS PERFORMED TO ENSURE THAT EXECUTIVE SALARIES ARE WITHIN COMPARABLE MARKET RANGES FOR THAT POSITION. THE RESULTS OF THE REVIEW ARE PRESENTED TO THE EXECUTIVE COMPENSATION HUMAN RESOURCES COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. JOINT VENTURE POLICY FORM 990, PART VI, LINE 16B MHCS 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 ORGANIZING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. 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 FINANCIAL STATEMENTS ARE ALSO AVAILABLE THROUGH ANNUAL REPORTS FILED WITH THE STATE OF TENNESSEE. ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) 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 - -4621854; CAPITAL RESOURCE POOL CONTRIBUTIONS - -429840; CHI CONNECT DEPRICIATION - 1292294; CONTRIBUTIONS OF SERVICES - -3207166; BERRYWOOD TRANSFER TO SEPERATE ENTITY - -838076; NONCONTROLLING INTEREST - -35903; MEMORIAL HEALTH PARTNERS 2525 DE SALES AVENUE CHATTANOOGA TN 37404 621784262 CONTRACT SVCS TN 0 0 MHCS MEMORIAL HEART INSTITUTE LLC DBA 2525 DE SALES AVENUE CHATTANOOGA TN 37404 273799362 PHYSICIAN SVC TN -7814043 8632116 MHCS 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 - 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