2012-05-15T10:00:15-05:00 2011-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2010-07-01 450231183 MERCY MEDICAL CENTER MERC 7017747400 1301 15th Ave W Williston ND 58801 KERRY MONSON 2012-05-15 true 7208741500 2010 2016-02-24 21:20:13Z MATTHEW GRIMSHAW CEO 1301 15th Ave W Williston ND 58801 53800270 false 0928 X WWW.MERCY-WILLISTON.ORG X 1920 ND MERCY MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL SERVING A LARGE GEOGRAPHICAL AREA. COMMUNITY BENEFITS INCLUDE: UNCOMPENSATED CARE, MEDICAL EDUCATION AND AWARENESS, SUPPORT SERVICES, AND COMMUNITY OUTREACH. 10 7 538 100 59012 -5798 1564912 395220 46402444 51496416 513636 665286 1056251 1234588 49537243 53791510 17587 41017 0 0 24156162 23846553 0 0 0 21372017 25475831 45545766 49363401 3991477 4428109 32041745 40376416 6545222 5230606 25496523 35145810 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false true 44622296 19424 51496416 SEE SCHEDULE H 44622296 true true false true false false false false false true true false true true true false true false false true true false false false false true true true false true false false false true false false true false false false false false false true true true false false true 39 0 true 538 true true true false false false false false false false false false X 10 7 false false false false true true true true true false false true true true true true false true true false ND X Kerry Monson 7017747408 1301 W 15th Ave W Williston ND 58801 X DAVID BRENDSEL 1 X 0 0 0 JEFFREY DROP 1 X 0 684808 74336 LAURIE FURUSETH 1 X X 0 0 0 DENNIS GOEBEL 0 X 0 174357 24986 MATTHEW GRIMSHAW 40 X X 0 122906 16229 ROBERT KEMP 40 X 286421 0 39164 SISTER MARIE MICHELETTO 1 X 0 0 0 CRAIG OKSOL 1 X X 0 0 0 STEVE OYLOE 1 X 0 0 0 PATRICK SOGARD 1 X 0 0 0 NANCY HOFFELT 1 X 0 0 0 KERRY MONSON 40 X 148187 0 24068 MICHAEL BOULTER 40 X 641760 0 10358 MORRIS BELLIS 40 X 369402 0 30037 DAVID SKURDAL 40 X 434319 0 32981 BRETT VIBETO 40 X 420420 0 26805 TERRY OLSON 1 X 0 0 0 DAVID LANOUE 40 X 666169 0 39589 2966678 982071 318553 24 true true false RUDOLF LOPERENA PO BOX 71 LISBON ND 58054 ER PHYSICIAN 284997 PAUL OLSON 1551 COOK DRIVE MINOT ND 587016866 ER PHYSICIAN 207393 DAKOTA TRAVEL NURSE 502 WEST MAIN STREET MANDAN ND 58554 LOCUM NURSES 166687 PENNY WILKIE 4650 TOMAHAWK TRAIL S MANDAN SD 58554 ER PHYSICIAN 157320 BILLINGS CLINIC PO BOX 30977 BILLINGS MT 591070977 ONCOLOGY PHYSICIANS 151875 8 380577 7750 6893 395220 PATIENT SERVICES 900099 51173674 51173674 RENTAL INCOME 532000 293918 293918 REHAB SERVICES REVENUE 621400 28824 28824 0 0 0 0 51496416 229904 586 229318 0 0 0 0 0 441642 2500 8760 441642 -6260 435382 435382 0 0 0 LABORATORY SERVICES 621500 776080 776080 CAFETERIA 722100 133588 133588 INTERCOMPANY TRANSACTIONS 900099 77613 77613 247307 0 58426 188881 1234588 53791510 51496416 59012 1840862 19124 19124 0 21893 21893 0 476304 312780 163524 0 19317393 17918796 1398597 938945 865613 73332 1891570 1743838 147732 1222341 1126876 95465 0 0 0 0 0 0 8245405 7193151 1052254 0 7824210 7653305 170905 0 0 709831 701377 8454 265063 215999 49064 0 0 81985 81985 1085580 1085580 1551770 1498400 53370 454289 135987 318302 INCOME/SALES/PROPERTY TAXES 44398 42754 1644 BAD DEBTS 4217243 4217243 RECRUITMENT AND RELOCATION 445152 445152 REPAIRS AND MAINTENANCE 303093 300860 2233 RENOVATIONS 96509 96509 151303 30654 120649 0 49363401 44622296 4741105 0 0 2709 4005 0 522299 6759185 8650719 21654 80435 726169 454694 953699 926271 46644 137032 46241139 32996644 12777075 13244495 8352518 9385772 0 2402092 6970694 32041745 40376416 3963782 4354906 2581440 875700 6545222 5230606 X 23454204 28534889 2042319 6610921 25496523 35145810 32041745 40376416 X 4428109 5221178 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1517 false false false 1517 false EXPLANATION OF LOBBYING ACTIVITIES SCHEDULE C, PART II-B THE ENTITY'S CONTROLLING ORGANIZATION PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HEALTH ASSOCIATION (CHA), A PORTION OF WHICH IS ALLOCATED TO LOBBYING. IN ADDITION, MERCY MEDICAL CENTER PAID DUES TO THE NORTH DAKOTA HOSPITAL ASSOCIATION. THE AMOUNT SHOWN ON LINE 1F REPRESENTS THIS ENTITY'S SHARE OF ALLOCATED LOBBYING EXPENSES: AHA $155, CHA $466, NDHA $896. 328028 328028 27177284 19219871 7957413 0 17200303 13406209 3794094 1535524 370564 1164960 13244495 0 0 CHI OIP - FIXED INCOME 4470073 F CHI OIP - EQUITY SECURITIES 4915699 F 9385772 INVESTMENT IN UNCONSOLIDATED ORGS 6970694 6970694 0 INTERCOMPANY PAYABLE - CHI DEBT PROGRAM 875700 875700 58336112 49363401 8972711 0 0 8972711 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MERCY 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, 2011 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. AS OF JUNE 30, 2011, CHI HAS CURRENT NET DEFERRED TAX ASSETS OF $2.1 MILLION AND A NONCURRENT NET DEFERRED TAX LIABILITY OF $5.4 MILLION RELATED TO THESE TAXABLE ACTIVITIES. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS." false CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTS 663 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 GRANTS 30 NORTH AMERICA (CANADA & MEXICO ONLY) 0 0 GRANTS 30 SOUTH AMERICA 0 0 GRANTS 30 SOUTH ASIA 0 0 GRANTS 871 SUB SAHARAN AFRICA 0 0 GRANTS 21010 0 0 22634 CENTRAL AMERICA AND THE CARIBBEAN IMPROVE MEDICAL SERVICE 0 N/A 199 MEDICAL SUPPLIES BOOK NORTH AMERICA (CANADA & MEXICO ONLY) IMPROVE MEDICAL SERVICE 0 N/A 663 MEDICAL SUPPLIES BOOK SOUTH ASIA IMPROVE MEDICAL SERVICE 0 N/A 871 MEDICAL SUPPLIES BOOK SUB SAHARAN AFRICA IMPROVE MEDICAL SERVICE 0 N/A 19860 MEDICAL SUPPLIES BOOK 1 0 true false true true true false Procedures for monitoring use of grant funds Schedule F, Part I, Line 2 MERCY MEDICAL CENTER ("MMC") DONATES EXCESS MEDICAL SUPPLIES TO A DOMESTIC 501(C)(3) ORGANIZATION. THESE MEDICAL SUPPLIES ARE THEN DISTRIBUTED TO UNDERPROVIDED NATIONS. MMC RELIES ON THE RECIPIENT ORGANIZATION TO MONITOR THE USE OF FUNDS OUTSIDE THE UNITED STATES. METHOD USED TO ACCOUNT FOR EXPENDITURES SCHEDULE F, PART I, COLUMN F THE METHOD USED TO ACCOUNT FOR THE EXPENDITURES IS THE ACCRUAL METHOD WHICH IS CONSISTENT WITH THE ORGANIZATION'S FINANCIAL STATEMENTS. true true X false false true true false true true 1426 767116 767116 0.01700 1810 0 0.00000 0 0.00000 0 3236 767116 0 767116 0.01700 22 5963 110045 1510 108535 0.00240 7 97 105124 105124 0.00230 3 553 9476 9476 0.00020 0 0.00000 18 14139 222586 222586 0.00490 50 20752 447231 1510 445721 0.00980 50 23988 1214347 1510 1212837 0.02680 0 0.00000 1 1800 6959 6959 0.00010 2 797 9451 9451 0.00020 0 0.00000 1 40 2951 2951 0.00010 1 25 191 191 0.00000 0 0.00000 2 26 375523 375523 0.00760 0 0.00000 7 2688 395075 0 395075 0.00800 true 1815945 0 9968753 9870052 98701 X true true 1 1 MERCY MEDICAL CENTER

1301 15TH AVE W WILLISTON ND 58801

X X X X OP CLINICS (PSYCH, FAMILY PRACTICE, GENERAL SURGERY, ORTHO) 1 MERCY MEDICAL CENTER - HOME HEALTH

1301 15TH AVE W WILLISTON ND 58801

HOME HEALTH AGENCY Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO MERCY 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. MERCY 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. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 4,217,243 Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/11 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 - financial statement footnote Schedule H, Part III, Line 4 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 59%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. MERCY 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. MERCY 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 MERCY MEDICAL CENTER IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, MERCY MEDICAL CENTER, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, MERCY MEDICAL CENTER WILL NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b MERCY MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT MERCY MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE MERCY MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. MERCY MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 MERCY MEDICAL CENTER INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, MMC 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 MMC OUTPATIENT FACILITIES. IN ADDITION, MMC 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 MMC'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. MMC 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. MMC'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. Affiliated health care system Schedule H, Part VI, Line 6 MERCY 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 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2011 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. MERCY MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE MERCY MEDICAL FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE WILLISTON, ND COMMUNITIES. NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEDULE H, PART VI, LINES 1,2,4 AND 5 MERCY MEDICAL CENTER ("MMC") IS A SOLE COMMUNITY HOSPITAL LOCATED IN WILLISTON, NORTH DAKOTA, WITH A SERVICE POPULATION OF OVER 60,000 PEOPLE AND GROWING. OUR COMMUNITY HAS FOUND IT DIFFICULT TO SECURE AN ACCURATE CENSUS DUE TO THE CURRENT "OIL BOOM" ECONOMY. THE ROOTS OF MERCY MEDICAL CENTER ORIGINATED IN DUBLIN, IRELAND, WHERE CATHERINE MCAULEY ESTABLISHED THE SISTERS OF MERCY IN 1831. CATHERINE'S MISSION WAS TO GIVE BACK TO THE COMMUNITY BY PROVIDING FOR THE NEEDS OF THE POOR. IN ORDER TO BRING HEALTHCARE TO WESTERN NORTH DAKOTA, THE SISTERS OF MERCY FOUNDED MERCY HOSPITAL IN 1920. SINCE THEN, MMC HAS CONTINUED THE LEGACY OF GIVING BACK TO THE COMMUNITIES IT SERVES AND CARRYING ON THE MISSION OF PROVIDING FOR THOSE IN NEED. IN 1974, MERCY HOSPITAL MOVED TO ITS CURRENT LOCATION AT 1301 15TH AVENUE WEST. ALONG WITH THE MOVE, CAME NEW CHANGES AND AN EXPANSION OF SERVICES. TODAY, MMC IS COMPOSED OF GENERAL ACUTE CARE SERVICES, LEONARD P. NELSON FAMILY CANCER TREATMENT CENTER, CRAVEN-HAGAN CLINIC (MULTI-SPECIALTY GROUP), AND BEHAVIORAL HEALTH SERVICES. MMC PROVIDES HEALTHCARE FOR A REGION WHICH HAS A POPULATION OF APPROXIMATELY 60,000 AND PROVIDES EMPLOYMENT FOR NEARLY 460 PEOPLE. IN 1996, MMC AND ALL OF ITS SERVICE LINES BECAME A PART OF THE CATHOLIC HEALTH INITIATIVES ("CHI") SYSTEM. MMC AND CHI CONTINUE THE ESSENTIAL HEALTHCARE COMMITMENT OF ITS FOUNDING CONGREGATIONS: TO BUILD HEALTHY COMMUNITIES BY CARING FOR THE VULNERABLE; CARING FOR THE WHOLE PERSON IN BODY, MIND AND SPIRIT; AND GOING OUTSIDE THE WALLS OF ITS FACILITIES TO CARE FOR PEOPLE IN NEED. THE MISSION OF MMC AND CHI 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. MMC IS THE PREFERRED REGIONAL HEALTHCARE PROVIDER AND WORK COMMUNITY, DELIVERING HIGH QUALITY, PATIENT CENTERED CARE AND EXCELLENT SERVICE IN A WELCOMING AND SAFE ENVIRONMENT. IT IS MMC'S GOAL TO HOLD TRUE TO OUR CORE VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE, AND IN DOING SO WE STRIVE TO PARTNER WITH REGIONAL ORGANIZATIONS, AGENCIES, AND ENTITIES TO PROVIDE COMMUNITY BENEFITS SO THAT TOGETHER WE CAN BUILD A HEALTHIER COMMUNITY. THE FOLLOWING REPORT OUTLINES THE COMMUNITY BENEFITS AND SERVICES MMC HAS PROVIDED TO THE REGION THIS PAST YEAR. AS A NON-PROFIT, CATHOLIC HEALTHCARE ORGANIZATION, WE TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS CONSISTENT WITH OUR MISSION AND CORE VALUES. IN ADDITION, MMC PROVIDES THOUSANDS OF DOLLARS IN RESOURCES, INCLUDING TIME AND CONTRIBUTIONS, TO MANY ORGANIZATIONS THROUGHOUT THE REGION. COMMUNITY SERVICE HAS BEEN A VITAL COMPONENT OF MMC SINCE ITS INCEPTION. MMC OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MMC HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MMC IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. COMMUNITY BENEFIT APPROACH: THROUGHOUT ITS HISTORY, MMC HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS PLAYED A KEY ROLE IN EVALUATING AREA HEALTH ISSUES BY SETTING PRIORITIES AND PLANS FOR IMPROVEMENT. MMC CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIVE. PROCESS: MMC'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITY NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. IT IS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY IS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRES THE COORDINATED EFFORTS OF BOTH PRIVATE AND PUBLIC ENTITIES TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. MMC HAS BEEN WORKING WITH PUBLIC AND PRIVATE ENTITIES IN OUR SERVICE AREA TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE MOST RECENT ASSESSMENT, COMPLETED IN 2004 REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL BEING OF AREA RESIDENTS. INFORMATION RELATING TO COMMUNITY HEALTH ISSUES WAS GATHERED FROM FOUR FOCUS GROUPS. THERE WERE 32 PARTICIPANTS INCLUDING NINE CONSUMER REPRESENTATIVES, SIX HEALTH CARE PROVIDERS, TEN BUSINESS AND INDUSTRY REPRESENTATIVES, AND SEVEN CLERGY AND RELIGIOUS LEADERS. FOCUS GROUP PARTICIPANTS WERE ASKED TO IDENTIFY THOSE SEGMENTS OF THE COMMUNITY THAT DO NOT HAVE READY ACCESS TO HEALTH CARE SERVICES; THE TYPES OF SERVICES THEY HAVE DIFFICULTY ACCESSING; THE ROOT CAUSES BEHIND THESE ACCESS ISSUES; AND GAPS IN THE SERVICES THAT COULD BE ADDRESSED TO BETTER MEET THESE ACCESS NEEDS. SUMMARY OF ASSESSMENT FINDINGS: ALL FOUR OF THE GROUPS HAD INDIVIDUALS THAT EXPRESSED GRATITUDE FOR THE HOSPITAL AND PRIMARY CARE SERVICES THAT ARE AVAILABLE THROUGH MMC AND ITS PHYSICIANS. THEY BELIEVED THAT EXISTING ACCESS-TO-CARE ISSUES CAN BE IMPROVED THROUGH COMMUNITY COLLABORATION. MOST PARTICIPANTS REMARKED THAT ACCESS TO HEALTH CARE IN WILLISTON IS NOT AN OVERWHELMING PROBLEM, BUT ONE THAT IS CERTAINLY CHALLENGED BY THE COMMUNITY'S REMOTE LOCATION IN WESTERN NORTH DAKOTA. NINE KEY FACTORS HAVING THE GREATEST IMPACT ON THE OVERALL WELLNESS OF THE AREA EMERGED IN THE REVIEW: (1) READY ACCESS TO PRIMARY CARE, (2) READY ACCESS TO SPECIALTY CARE, (3) READY ACCESS TO QUALITY CARE, (4) AVAILABILITY AND COST OF HEALTH INSURANCE, (5) DENIAL OF CARE, (6) CHARITY CARE, (7) ACCESS TO AFFORDABLE PRESCRIPTION DRUGS, (8) ACCESS TO HOME CARE, ADULT DAY CARE, ASSISTED LIVING AND TRANSPORTATION, (9) ACCESS TO ADEQUATE PARENTING AND APPROPRIATE HOME CARE. UNCOMPENSATED CARE FOR THE POOR: DURING THE FISCAL YEAR ENDING JUNE 30, 2011, MMC PROVIDED BENEFITS TO THE POOR AND BROADER COMMUNITY OF $1,607,912. APPROXIMATELY 23,988 PEOPLE BENEFITED FROM THESE SERVICES. AS A NON-PROFIT HEALTHCARE FACILITY, MMC PROVIDES HEALTHCARE SERVICES TO ALL THOSE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. MMC RECOGNIZES THE COST OF PROVIDING SERVICES WHEN QUANTIFYING ITS CHARITY CARE BENEFIT. FOR FISCAL YEAR 2011, MMC PROVIDED $767,116 IN DISCOUNTS TO THE UNINSURED AND UNDERINSURED. COMMUNITY OUTREACH FOR THE POOR: THE MERCY RIDER PROGRAM BEGAN OPERATIONS IN 1990 AS A PROGRAM TO ASSIST WOMEN AND CHILDREN WITH TRANSPORTATION TO DOCTOR'S APPOINTMENTS. SINCE THEN, IT HAS GROWN INTO A PROGRAM THAT ASSISTS THOSE WITH VERY LOW INCOME, WHICH INCLUDES ADULTS AND CHILDREN, DISABLED, ELDERLY, AND OTHERS WHO REQUIRE COUNSELING AND OTHER ESSENTIAL LIVING SERVICES. INDIVIDUALS MUST QUALIFY FOR THE PROGRAM. UPON APPROVAL, THEY ARE ELIGIBLE FOR A SPECIFIC NUMBER OF TICKETS PER MONTH, BASED ON THEIR NEEDS. EACH TICKET IS GOOD FOR A ONE-WAY RIDE WITHIN THE CITY OF WILLISTON THAT IS PROVIDED BY BASIN CAB COMPANY OR SENIOR CITIZEN CENTER TRANSPORTATION. THE PROGRAM PAYS $7.25 PER TICKET. INDIVIDUALS WHO RECEIVE THE TICKETS ARE ASKED TO DONATE $1.00-$2.00 PER TICKET, DEPENDING UPON THEIR ABILITY TO PAY; THIS MONEY IS USED TO OFFSET OPERATING COSTS. ADDITIONAL FUNDING FOR THE PROGRAM COMES FROM UNITED WAY AND NORTH DAKOTA STATE AID. WILLISTON SENIOR CITIZEN CENTER SERVES AS THE ADMINISTRATIVE ORGANIZATION AND SECURES A CONTRACT WITH BASIN CAB COMPANY. MERCY RIDER PROVIDED MORE THAN 6,000 RIDES DURING THE FISCAL YEAR. THIS PROGRAM PROVIDES MUCH NEEDED TRANSPORTATION ASSISTANCE IN THE COMMUNITY FOR INDIVIDUALS WHO WOULD OTHERWISE HAVE SIGNIFICANT CHALLENGES RELATING TO ESSENTIAL TRANSPORTATION. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY: MMC IS A MAJOR EMPLOYER IN THE WILLISTON REGION, AND OUR EMPLOYEES CONTRIBUTE SIGNIFICANTLY TO OUR COMMUNITY SERVICE ORGANIZATIONS BY DONATING THEIR TIME AND TALENTS. MMC TAKES GREAT PRIDE IN PROVIDING LEADERSHIP IN THESE IMPORTANT ORGANIZATIONS. HUNDREDS OF HOURS ARE SPENT IN CIVIC ORGANIZATIONS INCLUDING THE ROTARY AND LIONS CLUBS, ECONOMIC DEVELOPMENT GROUPS SUCH AS THE WILLISTON AREA DEVELOPMENT FOUNDATION, CHAMBER OF COMMERCE, JAYCEES, YOUTH ASSESSMENT ADVISORY BOARD, WORKFORCE TRAINING ADVISORY BOARD, UNITED WAY BOARD, WILLISTON MINISTERIAL ASSOCIATION, SOCIAL SERVICE BOARD, AND HOMETOWN WILLISTON COMMITTEE. MMC ALSO PROVIDES CHAPEL SERVICES TO THE COMMUNITY TO ENRICH SPIRITUAL NEEDS. ONE OF MMC'S LARGEST COMMUNITY OUTREACH PROGRAMS IS THE MERCY COMMUNITY SALE HELD ANNUALLY IN THE SPRING. THIS EVENT BRINGS THE "MERCY FAMILY" AND THE LARGER COMMUNITY TOGETHER IN AN EFFORT TO RAISE MONEY TO SUPPORT PROGRAMS FOR OUR YOUTH. (CONTINUED ON NEXT PAGE) NEEDS ASSESSMENT AND COMMUNITY INFORMATION SCHEULDE H, PART VI, LINES 1,2,4 AND 5 (CONTINUED FROM ABOVE) MMC DONATES EXCESS MEDICAL SUPPLIES AND EQUIPMENT TO UNDERPROVIDED NATIONS. IN ADDITION, MMC HAS A COMMUNITY OUTREACH COORDINATOR AVAILABLE TO HELP PATIENTS WITH REIMBURSEMENT ISSUES. MMC'S CRAVEN-HAGAN CLINIC OFFERS A SPORTS PHYSICAL EVENT EACH YEAR. PHYSICIANS AND STAFF MEMBERS VOLUNTEER THEIR TIME TO PROVIDE THIS VALUABLE SERVICE. STUDENTS PAY A FEE OF $20, WHICH IS DONATED BACK TO THE SCHOOL OF THEIR CHOICE. MMC ALSO PARTICIPATES IN MANY LOCAL EVENTS THAT ARE INSTRUMENTAL IN ADDRESSING COMMUNITY BUILDING NEEDS INCLUDING THE MAKE-A-WISH FOUNDATION, UNITED WAY, MENTORS AND FRIENDS, CASUAL FOR CHARITY DAY, AG OPEN, HEALTH FAIR, BIBLE CAMPS, SCIENCE FAIRS, LOCAL PTOS, AS WELL AS CHURCH AND YOUTH GROUPS. MMC EMPLOYEES ARE ACTIVE SUPPORTERS OF THE BASIN UNITED WAY CAMPAIGN. MMC REPRESENTATIVES TRAVEL TO SURROUNDING RURAL COMMUNITIES TO HELP ADDRESS HEALTH AND SAFETY NEEDS. MMC ALSO PROVIDES RESOURCES AND FUNDING FOR MANY RURAL SCHOOLS AND COMMUNITY ORGANIZATIONS IN AN EFFORT TO ENHANCE THEIR HEALTHIER COMMUNITY INITIATIVES, INCLUDING AFTER PROM AND AFTER GRADUATION DRUG AND ALCOHOL FREE EVENTS. MMC PARTICIPATES IN THE REGIONAL INTERVENTION STRATEGIES GROUP WHICH DEVELOPS LOCAL STRATEGIES TO DEAL, TREAT, AND INTERVENE WITH THOSE THAT HAVE MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. OTHER COMMUNITY OUTREACH MEASURES INCLUDE: * CHRISTIAN AWARENESS COMMITTEE WHICH ANNUALLY DONATES SCHOOL SUPPLIES TO AREA SCHOOLS AND CONDUCTS A FOOD DRIVE FOR THE HOLIDAYS. * THE CHRISTIAN AWARENESS COMMITTEE AND MERCY EMPLOYEES SUPPORT CHILDREN IN THIRD WORLD COUNTRIES WITH FUNDS TO HELP WITH THEIR EDUCATION AND NUTRITION NEEDS. * MMC AND ITS EMPLOYEES AND FAMILY MEMBERS ARE ACTIVE SUPPORTERS OF THE RELAY FOR LIFE THROUGH DONATIONS OF CASH AND TIME TO THE EVENT. * MMC PROVIDES CLOSED CAPTIONING ON LOCAL TELEVISION NEWS STATIONS FOR THE HEARING IMPAIRED. * MMC PROVIDES A TRAINED SEXUAL ASSAULT NURSE EXAMINER. THIS PERSON IS ON CALL AND AVAILABLE TO PROVIDE ASSISTANCE IN CASES OF SEXUAL ASSAULT. * MMC IS ACTIVE IN LOCAL DISASTER TRAINING AND POST-911 PREPAREDNESS ACTIVITIES. * MMC CANCER TREATMENT EMPLOYEES MAKE GAS AND FOOD COUPONS AVAILABLE TO PATIENTS IN NEED OF ASSISTANCE. MMC EMPLOYEES CONDUCT FOOD AND TOY DRIVES ESPECIALLY DURING THE HOLIDAY SEASON. * DURING THE 4TH OF JULY CELEBRATIONS ORGANIZED BY THE HOMETOWN WILLISTON COMMITTEE, MMC SPONSORED A FREE FEED FOR OVER 1800 PEOPLE. ALL FOOD AND LABOR WAS DONATED BY MMC FOR THIS EVENT. THE PURPOSE OF THIS EVENT IS TO SHOWCASE WILLISTON FOR FORMER AND CURRENT RESIDENTS. THIS EVENT ALLOWED MMC TO SHOW OUR COMMITMENT TO THE COMMUNITY AND OUR DESIRE TO PARTICIPATE IN LOCAL EVENTS. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH: MMC UNDERSTANDS ITS ROLE IN PROVIDING SUPPORT SERVICES IN AN EFFORT TO BUILD A HEALTHIER COMMUNITY. MMC COORDINATES SUPPORT GROUPS FOR PATIENTS AND FAMILIES IN WHICH WE SERVE. THIS PAST YEAR, MMC SPONSORED SEVERAL SUPPORT PROGRAMS SUCH AS DIABETES SUPPORT GROUP, GRIEF SUPPORT GROUP, AND THE CANCER SUPPORT GROUP. THESE GROUPS HAVE PROVIDED A COMMUNITY BENEFIT TO WELL OVER 400 PEOPLE. IN ADDITION, OUR HOSPICE PROGRAM SERVES A LARGE GEOGRAPHICAL AREA, AND ALTHOUGH IT IS A SUBSIDIZED PROGRAM, NUMEROUS DONATIONS ARE RECEIVED, THROUGH MEMORIALS, IN APPRECIATION OF THE EXCELLENT CARE FAMILY MEMBERS RECEIVED. A UNIQUE EVENT, SPONSORED BY THE HOSPICE PROGRAM, IS CAMP MEND-A-HEART. THIS CAMP HELPS GRIEVING CHILDREN COPE WITH THEIR DEVASTATING LOSS AND GAIN SUPPORT FROM OTHERS WITH SIMILAR NEEDS. HOSPICE MAKES PRESENTATIONS TO THE COMMUNITY ON THE BENEFITS AND SERVICES OF THE HOSPICE PROGRAM. HOSPICE ALSO PROVIDES TELEPHONE COUNSELING TO THE REGION. ONE OF OUR PHYSICIANS ALSO SERVES AS MEDICAL DIRECTOR OF THE HOSPICE PROGRAM WITHOUT CHARGING FOR HIS SERVICES. MMC PARTICIPATES IN AN ANNUAL EVENT HEALTH FAIR HELD IN CONJUNCTION WITH THE UPPER MISSOURI VALLEY FAIR ("UMVF"). THE HEALTH FAIR ATTRACTED OVER 1200 PEOPLE AND PROVIDED FREE SERVICES SUCH AS BODY MASS INDEX (BMI), ADVANCE DIRECTIVES, PROPER HAND WASHING, AND BLOOD PRESSURE SCREENINGS. MERCY COLLABORATES WITH INDEPENDENT PHYSICIANS AND OTHER AREA HEALTHCARE PROVIDERS TO OFFER THESE VALUABLE SERVICES TO THE COMMUNITY. MMC OFFERS DISCOUNTED MEALS TO THE ELDERLY PROVIDED THROUGH OUR HOSPITAL CAFETERIA. THIS SERVICE PROMOTES EATING A WELL BALANCED MEAL AND GETS THE ELDERLY UP AND OUT OF THEIR RESIDENCES. MMC PROMOTES MEDICAL EDUCATION & AWARENESS THROUGH: * FREE PRENATAL EDUCATION * BABY BASICS * LAMAZE * BABY SITTING CLINICS * SEAT BELT AWARENESS * SMOKING CESSATION PROGRAMS * HEARING SCREENINGS FOR NEWBORNS * HEALTH CAREERS CLASSES (JOB SHADOWING) * UPPER MISSOURI VALLEY HEALTH FAIR MMC ALSO PROVIDES FREE MEETING ROOM SPACE FOR: PARENTING EDUCATION PROGRAMS, CANCER SUPPORT GROUP, DIABETES SUPPORT GROUP, AND MORE. THE HALLORAN HOUSE, LOCATED ON MMC'S CAMPUS, OFFERS PATIENTS AND THEIR FAMILIES A LOCAL PLACE TO STAY WHILE BEING TREATED IN OUR LEONARD P. NELSON FAMILY CANCER TREATMENT CENTER OR RECEIVING OTHER SERVICES AT MMC. GIVEN OUR LARGE GEOGRAPHIC AREA, THIS SERVICE IS WELL RECEIVED BY OUR PATIENTS. HOUSING AND MEALS AT THE HALLORAN HOUSE ARE PROVIDED FREE OF CHARGE TO THOSE WHO QUALIFY. COMMUNITY BUILDING ACTIVITIES: MMC CONTINUES TO HOST THE ANNUAL COMMUNITY SALE. THE COMMUNITY SALE PROVIDES AN OPPORTUNITY FOR THE COMMUNITY TO WORK TOGETHER, PROVIDE HOUSEHOLD AND CLOTHING ITEMS AT INEXPENSIVE PRICES AND INFUSE MONEY BACK INTO THE COMMUNITY. THE REVENUE FROM THE COMMUNITY SALE IS RETURNED TO THE COMMUNITY AS IT IS AWARDED TO OTHER NON-PROFIT ENTITIES THAT SERVE THE YOUTH OF WILLISTON. THIS YEAR, THE COMMUNITY SALE RAISED $61,725 FOR THE WILLISTON COMMUNITY BUILDERS TO BUILD A NEW YOUTH SPLASH PARK. WHILE IT IS NOT POSSIBLE TO SHARE ALL OF MMC'S EFFORTS TO GIVE BACK TO THE COMMUNITY, THIS REPORT DOES OUTLINE THE LARGE CONTRIBUTIONS GIVEN ON BEHALF OF OUR ORGANIZATION TO WILLISTON AND THE REGION. MMC, IN ITS TRADITION OF FAITH, WILL CONTINUE TO PROVIDE COMMUNITY BENEFITS AND ULTIMATELY BUILD A STRONGER, SAFER, AND HEALTHIER COMMUNITY. true X Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 GRANTS AND DONATIONS ARE GIVEN AS NEEDED TO ORGANIZATIONS IN THE LOCAL AREA. THE AMOUNTS GIVEN ARE REVIEWED BY THE FOUNDATION DIRECTOR. A RECORD OF ALL GRANTS AND DONATIONS ARE CONTINUALLY MONITORED. NO GRANT IS MORE THAN $5,000. true true false true false false false true false JEFFREY DROP 0 349509 0 146330 0 188969 0 53996 0 20340 0 759144 0 0 DENNIS GOEBEL 0 0 0 0 0 174357 0 14300 0 10686 0 199343 0 0 ROBERT KEMP 108642 0 177206 0 573 0 25128 0 14036 0 325585 0 0 0 KERRY MONSON 126928 0 20834 0 425 0 15997 0 8071 0 172255 0 0 0 MICHAEL BOULTER 636216 0 0 0 5544 0 0 0 10358 0 652118 0 0 0 MORRIS BELLIS 346264 0 17982 0 5156 0 20228 0 9809 0 399439 0 0 0 DAVID SKURDAL 425728 0 3047 0 5544 0 22678 0 10303 0 467300 0 0 0 BRETT VIBETO 398580 0 21084 0 756 0 20228 0 6577 0 447225 0 0 0 DAVID LANOUE 639632 0 22925 0 3612 0 0 0 39589 0 705758 0 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES DURING THE 2010 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: DENNIS GOEBEL $177,446. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2010 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN : JEFFREY DROP, MATTHEW GRIMSHAW. DURING 2010, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEFFREY DROP $28,868, MATTHEW GRIMSHAW $8,820. Compensation contingent on revenues of the organization Schedule J, Part I, Line 5a MERCY MEDICAL CENTER PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN IN EXCESS OF A THRESHOLD. TOTAL PHYSICIAN COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF MERCY MEDICAL CENTER FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. Non-fixed payments Schedule J, Part I, Line 7 MERCY MEDICAL CENTER MAINTAINS A VARIABLE PAY PLAN FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE (EXCEPT FOR PHYSICIANS) THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PLAN ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING PERFORMANCE IN RELATION TO BUDGET, AND ACHIEVEMENT OF INDIVIDUAL GOALS. ALL COMPENSATION, INCLUDING ANY INCENTIVE COMPENSATION, IS CAPPED TO ENSURE THAT COMPENSATION REMAINS AT FAIR MARKET VALUE. METHODS USED TO ESTABLISH CEO COMPENSATION SCHEDULE J, PART I, LINE 3A 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. DR BRETT VIBETO SIGN ON BONUS X 50000 1743 false true true DR DAVID LANOUE SIGN ON BONUS X 100000 71292 false true true DR MORRIS BELLIS SIGN ON BONUS X 50000 7400 false true true 80435 KRIS KEMP SISTER-IN-LAW OF ROBERT KEMP 34662 COMPENSATION OF EARNED WAGES false Significant changes in program services Form 990, Part III, Line 3 DURING THE FISCAL YEAR ENDING JUNE 30, 2011, CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, CREATED CHI HEALTH CONNECT AT HOME - FARGO ("CHCH"), A MINNESOTA NONPROFIT CORPORATION. CHCH WAS CREATED TO NURTURE THE HEALING MINISTRY OF THE ROMAN CATHOLIC CHURCH BY BRINGING TOGETHER 10 EXISTING HOME CARE BUSINESSES INTO ONE LEGAL ENTITY. THESE EXISTING HOME CARE BUSINESSES, LOCATED IN VARIOUS COMMUNITIES IN NORTH DAKOTA, MINNESOTA & SOUTH DAKOTA, WERE DEPARTMENTS OF HOSPITALS OWNED BY CHI. MERCY MEDICAL CENTER TRANSFERRED THEIR HOME CARE SERVICE DIVISION TO CHCH DURING THE FISCAL YEAR ENDING JUNE, 30 2011. CENTRALIZING THE HOME CARE SERVICES INTO CHCH WILL REDUCE DUPLICATION OF SERVICES AMONG INDIVIDUAL AGENCIES AND PROVIDE AN INFRASTRUCTURE FOR STREAMLINED ADMINISTRATIVE PROCESSES AND ALSO ALLOWS FOR HIRING OF MORE SPECIALIZED STAFF IN THE AREAS OF CASE MANAGEMENT, PROCESS IMPROVEMENT AND FINANCIAL ANALYSIS. THROUGH CONSOLIDATION, CHCH EXPECTS TO INCREASE PRODUCTIVITY AND PROVIDE THE ABILITY TO SHARE RESOURCES, CREATE CLINICAL BEST PRACTICES, BETTER MANAGE OUTCOMES AND GAIN EFFICIENCIES FROM STANDARDIZATION. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS OF MERCY 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 PURSUANT TO SECTION 6.5 OF THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. PRIOR TO EACH ANNUAL MEETING OF THE CORPORATE MEMBER, OR SUCH OTHER MEETING CALLED FOR THE PURPOSE OF APPOINTING DIRECTORS OF THE CORPORATION, THE NOMINATING COMMITTEE SHALL SELECT AND SUBMIT TO THE BOARD OF DIRECTORS A SLATE OF NOMINEES QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL REVIEW THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ON THE RECOMMENDED SLATE AND SHALL VOTE TO ACCEPT OR REFUSE EACH NOMINEE. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL THEN BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL THEN APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH THE ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. NOTWITHSTANDING ANYTHING IN THE BYLAWS, 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 MERCY MEDICAL CENTER'S (MMC) 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 MMC * AMENDMENT OF THE CORPORATE DOCUMENTS OF MMC * APPROVE MEMBERS OF MMC * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MMC * APPROVAL OF ISSUANCE OF DEBT BY MMC * APPROVAL OF PARTICIPATION OF MMC IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY MMC * APPROVAL OF A MERGER INVOLVING MMC * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MMC * TO REQUIRE THE TRANSFER OF ASSETS BY MMC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MMC 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 11a ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. AN ELECTRONIC COPY OF THE RETURN IS SENT TO EACH BOARD MEMBER BY EMAIL FOR THEIR REVIEW. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c IT IS THE POLICY OF MERCY MEDICAL CENTER THAT: (1) EACH OF THE CORPORATION'S DIRECTORS, OFFICERS, AND EMPLOYEES ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND EXERCISES 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, AND (2) EACH OF THE CORPORATION'S DIRECTORS, OFFICERS, AND EMPLOYEES AVOIDS CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSES 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. THIS POLICY: (1) COVERS ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF MERCY MEDICAL CENTER; (2) APPLIES TO ALL AFFILIATES OF THE CORPORATION; AND (3) IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT CORPORATIONS. "AFFILIATE" INCLUDES ANY ENTITY DIRECTLY OR INDIRECTLY CONTROLLING, CONTROLLED BY, OR UNDER COMMON CONTROL WITH THE CORPORATION WHETHER THROUGH MEMBERSHIP OR STOCK OWNERSHIP. IF A DIRECTOR, OFFICER, OR EMPLOYEE HAS A POTENTIAL OR ACTUAL CONFLICT WITH THE CORPORATION AND/OR ANY OF ITS AFFILIATES, SUCH INDIVIDUAL IS DEEMED TO ALSO HAVE A POTENTIAL OR ACTUAL CONFLICT WITH RESPECT TO THE CORPORATION AND ALL OF ITS AFFILIATES. EACH INDIVIDUAL 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. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHERE AN INDIVIDUAL IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT AND CEO SHALL ANNUALLY SEND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES A COPY OF THIS POLICY STATEMENT AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. EACH INDIVIDUAL MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT AND CEO AND THE BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY STATEMENT, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF THERE IS A DIFFERENCE OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR, OFFICER, OR EMPLOYEE AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS POLICY STATEMENT, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS. 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, OFFICER, OR EMPLOYEES EITHER (1) HAS A MATERIAL FINANCIAL INTEREST; OR (2) IS A DIRECTOR, OFFICER, OR EMPLOYEE OF THE OTHER PARTY (OTHER THAN THE CORPORATION'S OWN AFFILIATES). THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS, OFFICERS OR EMPLOYEES, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO THE CORPORATION. THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICTS OF INTERESTS (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH THE CORPORATION, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE INDIVIDUAL IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. THE BOARD SHOULD CONSULT WITH A MEMBER OF THE CHI LEGAL RESOURCE GROUP WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN CONFLICTS OF INTEREST ARE CONSIDERED BY THE BOARD, THE INDIVIDUAL MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE INDIVIDUAL SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH INDIVIDUAL IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE INDIVIDUAL SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. MINUTES OF THE BOARD OF DIRECTORS SHALL REFLECT THE FOLLOWING: THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM VOTING. IMPLEMENTATION AND INTERPRETATION QUESTIONS REGARDING THE IMPLEMENTATION AND INTERPRETATION OF THIS POLICY SHALL BE REFERRED TO A MEMBER OF THE CHI LEGAL RESOURCE GROUP. IF THE BOARD REASONABLY BELIEVES THAT A DIRECTOR, OFFICER, OR EMPLOYEE HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THIS POLICY, THE INDIVIDUAL WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE INDIVIDUAL, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. Process used to establish compensation of top management official Form 990, Part VI, Section B, 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 2011. 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. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE CHIEF FINANCIAL OFFICER REPORTS TO A DIVISION CHIEF FINANCIAL OFFICER WHO REVIEWS AND ADJUSTS THE COMPENSATION FOR SENIOR LEADERSHIP. COMPENSATION FOR SENIOR LEADERSHIP IS ALSO INTERNALLY REVIEWED BY A COMPENSATION COMMITTEE ON THE BOARD OF DIRECTORS. A MARKET COMPARISON IS DONE ANNUALLY. Public Disclosure Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINT.ORG OR AT WWW.DACBOND.ORG. EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY FORM 990, PART VI, LINE 1A 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 CHAIRPERSON OF THE FINANCE AND AUDIT COMMITTEE, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, 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 AND 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. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF DIRECTORS OR OF THE CORPORATE MEMBER, WITH THESE BYLAWS, OR WITH APPLICABLE LAW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD. ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE 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 - 5373777; PRIOR PERIOD ADJUSTMENTS - 4000; CAPITAL RESOURCE POOL CONTRIBUTIONS - -207024; CHI CONNECT DEPRECIATION - 50425; 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 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 CARE FEDERATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 208473567 JURIDIC PERSON CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 961 EAST COLORADO AVENUE COLORADO SPRINGS CO 80903 840902211 FUNDRAISING CO 501(C)(3) 7 CHI COLORADO true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 900433062 PHYSICIANS OR 501(C)(3) 9 MMC true CHI COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 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 INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I 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 FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 270930004 FUNDRAISING CO 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 true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI true CHI NEBRASKA 555 SOUTH 70TH STREET LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true CHI-IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(C)(3) 3 MHN true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 611400619 LTACH KY 501(C)(3) 3 SJHS 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 CHI 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 KY 501(C)(3) 2 GHS 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 PO BOX 1810 KEARNEY NE 68848 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 CHI COLORADO 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 LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 410758434 LTERM CARE 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 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 EAST SEVENTH STREET 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 LIFECARE SYSTEMS 2727 MCCLELLAND BLVD JOPLIN MO 64804 431305163 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 450231183 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 - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP 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 MERCY REGIONAL MEDICAL CENTER OF DURANGO 1010 THREE SPRINGS BLVD DURANGO CO 81301 840405515 HEALTHCARE CO 501(C)(3) 3 CHI 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 OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 450231675 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 314 SOUTH 8TH 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 CHI 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 CHI COLORADO true SAINT CLARE'S COMMUNITY CARE 66 FORD ROAD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE''S FOUNDATION INC 66 FORD 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 66 FORD ROAD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(C)(3) 3 CHI 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 PO BOX 9804 GRAND ISLAND NE 68802 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 150 N EAGLE CREEK DR 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 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 JOSEPH HEALTH MINISTRIES FOUNDATION 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232605579 FUNDRAISING PA 501(C)(3) 11 - Type I SJHM 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 4 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 AT ONTARIO 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 MEDICAL GROUP 2727 MCCLELLAND BLVD JOPLIN MO 64804 431882377 PHYS PRACTICE MO 501(C)(3) 9 SJRMC true ST JOHN'S MERCY REGIONAL FOUNDATION 2727 MCCLELLAND BLVD JOPLIN MO 64804 431308084 FUNDRAISING MO 501(C)(3) 7 SJRMC true ST JOHN'S REGIONAL MEDICAL CENTER 2727 MCCLELLAND BLVD JOPLIN MO 64804 440545809 HEALTHCARE MO 501(C)(3) 3 CHI true ST JOSEPH COMMUNITY HEALTH SERVICES 300 CENTRAL AVE SW SUITE 3000W ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) 11 - 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