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ST VINCENT INFIRMARY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT INFIRMARY MEDICAL CENTER (EIN 71-0236917)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-01
IRS object ID
201241229349300969
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-01T17:00:08-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710236917EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT INFIRMARY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTVINameControl
Phone5015523000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 St Vincent CircleAddressLine1
CityLittle RockCity
StateARState
ZIP Code72205ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK MCGINNISName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2012-05-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7208741500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1PETER BANKOBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12 St Vincent CircleAddressLine1
CityLittle RockCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts342493049GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STVINCENTHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionPROVIDING HOLISTIC CARE ADDRESSING THE PHYSICAL, SPIRITUAL & PSYCHO-SOCIAL NEEDS OF OUR PATIENTS. THESE ACTIVITIES TAKE PLACE IN A VARIETY OF SETTINGS, BUT ALL SPRING FROM THE SAME MISSION & FUNDAMENTAL PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2953TotalNbrEmployees
Total Nbr Volunteers438TotalNbrVolunteers
Total Gross UBI368752TotalGrossUBI
Net Unrelated Business Txbl Income3696NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5079794ContributionsGrantsPriorYear
Contributions Grants Current Year3709890ContributionsGrantsCurrentYear
Program Service Revenue Prior Year306473599ProgramServiceRevenuePriorYear
Program Service Revenue CY333525915ProgramServiceRevenueCY
Investment Income Prior Year5127165InvestmentIncomePriorYear
Investment Income Current Year1580998InvestmentIncomeCurrentYear
Other Revenue Prior Year3148640OtherRevenuePriorYear
Other Revenue Current Year3676246OtherRevenueCurrentYear
Total Revenue Prior Year319829198TotalRevenuePriorYear
Total Revenue Current Year342493049TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year220225GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY295641GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year126621047SalariesEtcPriorYear
Salaries Etc Current Year135856040SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year213711963OtherExpensePriorYear
Other Expenses Current Year214166204OtherExpensesCurrentYear
Total Expenses Prior Year340553235TotalExpensesPriorYear
Total Expenses Current Year350317885TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-20724037RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7824836RevenuesLessExpensesCY
Total Assets BOY263847989TotalAssetsBOY
Total Assets EOY281438848TotalAssetsEOY
Total Liabilities BOY164936458TotalLiabilitiesBOY
Total Liabilities EOY184046041TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY98911531NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY97392807NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense315246937Expense
Grants295641Grants
Revenue333525915Revenue
DescriptionSEE SCHEDULE H.Description
Total Program Service Expense315246937TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2953NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark McGinnisBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5015523912TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 St Vincent CircleAddressLine1
CityLittle RockCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormerHighest Compensated EmployeeHighestCompensatedEmployee
PETER BANKO
PRESIDENT/CEO40XX051984578778
JOHN BRIZZOLARA MD
BOARD MEMBER1X000
MARK DORAMUS
BOARD MEMBER1X000
MARY GOOD
BOARD MEMBER1X000
DONALD JACK JR
BOARD MEMBER1X000
JOHN JONES MD
BOARD MEMBER1X000
DREW KUMPURIS MD
BOARD MEMBER1X000
CLARICE MILLER
SECRETARY1XX000
BRUCE MOORE
BOARD MEMBER1X000
MARY ELIZABETH O'BRIEN
BOARD MEMBER/SVP OPS1X095338583485
DAVE PARKER
CHAIRMAN1XX000
CHARLES PENICK
BOARD MEMBER1X000
JUDITH RALEY SCN
BOARD MEMBER1X000
KURTIS VINSANT
BOARD MEMBER/PHYSICIAN1X1436827946538956
ROBERT VOGEL
BOARD MEMBER1X000
MARK MCGINNIS
CHIEF FINANCIAL OFFICER40X000
ELLON COCKRILL
BOARD MEMBER1X000
GUS VRATSINAS
CHAIR ELECT1XX000
MATTHEW COX
CHIEF FINANCIAL OFFICER40X161887032052
KEN HAYNES
FORMER SVP & COO0054307180419X
DAVID HALL MD
FORMER VP MEDICAL STAFF DIVISION0447054030456X
DAVID LIPSCHITZ
PHYSICIAN40817766022716X
JAMES TANNER
VP MEDICAL STAFF DIVISION40323113012489X
DAVID LIU MD
PHYSICIAN40274296409430566X
MARY SAIN
PHYSICIAN4025013306812X
DARRICK PAUL
VP CHIEF PEOPLE OFFICER40244447037591X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2533064TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2299860TotalReportableCompFrmRltdOrgs
Total Other Compensation454320TotalOtherCompensation
Number Individuals GT100 K82NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CROTHALL SERVICES GROUP
13028 COLLECTIONS DRIVECHICAGOIL60693ENVIRONMENTAL SERVICES5250214
SODEXO INC
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878FOOD MANAGEMENT5174487
LITTLE ROCK ANETHESIA
500 S UNIVERSITY SUITE 505LITTLE ROCKAR72205ANETHESIA SERVICES4372770
COYS CONSTRUCTION SERVICES INC
PO BOX 76 HCR 88BISCOEAR72017CONSTRUCTION SERVICES2856434
CLARK CONTRACTORS LLC
PO BOX 17361LITTLE ROCKAR72222CONSTRUCTION SERVICES2155905
FieldValueIRS element (for citing)
Number Of Contractors GT100 K66NumberOfContractorsGT100K
Related Organizations2476128RelatedOrganizations
Government Grants1200435GovernmentGrants
All Other Contributions33327AllOtherContributions
Total Contributions3709890TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES900099330471684330471684
RENTAL INCOME90009927237932723793
TUITION611600176713176713
PROGRAM SERVICE REVENUE9000997531275312
REIMBURSEMENT OF EXPENSES9000997841378413

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue333525915TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column320633TotalRevenueColumn
Unrelated Business Revenue1712UnrelatedBusinessRevenue
Exclusion$318,921ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real27500Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real27500Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column27500TotalRevenueColumn
Exclusion$27,500ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1260365Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1260365Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1260365TotalRevenueColumn
Exclusion$1,260,365ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY SERVICES4461102646631$2,646,631
LABORATORY SERVICES621500367040367040
LAUNDRY REVENUE812300102066$102,066

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column533009TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$533,009ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3648746TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column342493049TotalRevenueColumn
Related Or Exempt Function Income333525915RelatedOrExemptFunctionIncome
Unrelated Business Revenue368752UnrelatedBusinessRevenue
Exclusion$4,888,492ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total295641Total
Program Services295641ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total214913Total
Program Services29001ProgramServices
Management And General185912ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total173831Total
Program Services173831ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total105131583Total
Program Services97288907ProgramServices
Management And General7842676ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5882105Total
Program Services5432544ProgramServices
Management And General449561ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15837717Total
Program Services14627263ProgramServices
Management And General1210454ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8615891Total
Program Services7957391ProgramServices
Management And General658500ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total874Total
Management And General874ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34700Total
Management And General34700ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total54688994Total
Program Services32111321ProgramServices
Management And General22577673ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total70413617Total
Program Services69777231ProgramServices
Management And General636386ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1254Total
Program Services1254ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4287518Total
Program Services4219400ProgramServices
Management And General68118ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total674949Total
Program Services525654ProgramServices
Management And General149295ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total82542Total
Program Services3633ProgramServices
Management And General78909ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4809268Total
Program Services4809268ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total7385364Total
Program Services7385364ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13675932Total
Program Services13675932ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2667549Total
Program Services2400794ProgramServices
Management And General266755ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE4937937149379371
REPAIRS AND MAINTENANCE37002203570902129318
RECRUITMENT AND RELOCATION456714456714
UNRELATED BUSINESS INCOME TAXES110989110989
DUES & SUBSCRIPTIONS33405826260071458

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1462291Total
Program Services1319635ProgramServices
Management And General142656ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total350317885Total
Program Services315246937ProgramServices
Management And General35070948ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11052BOY
EOY11480EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6576790BOY
EOY3330360EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45293395BOY
EOY119617848EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY46990BOY
EOY16056EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY176886BOY
EOY204936EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7573630BOY
EOY8086647EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY355042BOY
EOY151759EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis360385669LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec244202715LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY111495742BOY
EOY116182954EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23398016BOY
EOY27702237EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68920446BOY
EOY6134571EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY263847989BOY
EOY281438848EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY44630750BOY
EOY41845217EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY120305708BOY
EOY142200824EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY164936458BOY
EOY184046041EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY98911531BOY
EOY97392807EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY98911531BOY
EOY97392807EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY263847989BOY
EOY281438848EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7824836ReconcilationRevenueExpenses
Reconcilation Other Changes6306112ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$4,221GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$59,638DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB63859TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
ExplanationLINE 1F: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,053, CATHOLIC HEALTH ASSOCIATION - $3,168. LINE 1G: SVIMC UTILIZED INTERNAL RESOURCES TO ASSIST IN LOBBYING EFFORTS. THOSE RESOURCES WERE INVOLVED IN THE EVALUATION OF PROPOSED LEGISLATION, COORDINATING STRATEGY TO CONVEY KEY MESSAGE POINTS TO PROPOSED LEGISLATION AND REGULATION, AND ASSISTED IN THE COORDINATION OF MEETINGS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS AND THEIR STAFF MEMBERS.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis13702845OtherCostOrOtherBasis
Book Value13702845BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142861488OtherCostOrOtherBasis
Depreciation73773250Depreciation
Book Value69088238BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis90965OtherCostOrOtherBasis
Depreciation61089Depreciation
Book Value29876BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis196824660OtherCostOrOtherBasis
Depreciation169314017Depreciation
Book Value27510643BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6905711OtherCostOrOtherBasis
Depreciation1054359Depreciation
Book Value5851352BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings116182954TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CHI OIP - FIXED INCOME13135148F
CHI OIP - EQUITY SECURITIES14566946F
CHI OIP - MONEY MARKET143F
FieldValueIRS element (for citing)
Total Of Book Value Securities27702237TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SV DOCTOR'S HOSPITAL LEASE & OPS LIABILITY$8,534,209
ENVIRONMENTAL REMEDIATION LIABILITY$1,394,946
POST RETIREMENT BENEFITS$4,377,000
LOAN FROM AFFILIATE$92,995,122
PAYABLE TO AFFILIATE$34,899,547
FieldValueIRS element (for citing)
Total Of Amounts142200824TotalOfAmounts
Total Revenue342493049TotalRevenue
Total Expenses350317885TotalExpenses
Excess Or Deficit For Year-7824836ExcessOrDeficitForYear
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-7824836ExcessOrDeficitPerFS
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal0RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9900TotalRevenuePerForm990
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationST. VINCENT INFIRMARY MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 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."Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served954PersonsServed
Total Community Benefit Expense4552967TotalCommunityBenefitExpense
Net Community Benefit Expense4552967NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served21145PersonsServed
Total Community Benefit Expense20932115TotalCommunityBenefitExpense
Direct Offsetting Revenue14671034DirectOffsettingRevenue
Net Community Benefit Expense6261081NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served22099PersonsServed
Total Community Benefit Expense25485082TotalCommunityBenefitExpense
Direct Offsetting Revenue14671034DirectOffsettingRevenue
Net Community Benefit Expense10814048NetCommunityBenefitExpense
Percent Of Total Expense0.03590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served39132PersonsServed
Total Community Benefit Expense450869TotalCommunityBenefitExpense
Direct Offsetting Revenue132047DirectOffsettingRevenue
Net Community Benefit Expense318822NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served61PersonsServed
Total Community Benefit Expense319457TotalCommunityBenefitExpense
Net Community Benefit Expense319457NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served5733PersonsServed
Total Community Benefit Expense12622TotalCommunityBenefitExpense
Net Community Benefit Expense12622NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served44926PersonsServed
Total Community Benefit Expense782948TotalCommunityBenefitExpense
Direct Offsetting Revenue132047DirectOffsettingRevenue
Net Community Benefit Expense650901NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served67025PersonsServed
Total Community Benefit Expense26268030TotalCommunityBenefitExpense
Direct Offsetting Revenue14803081DirectOffsettingRevenue
Net Community Benefit Expense11464949NetCommunityBenefitExpense
Percent Of Total Expense0.03810PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1074PersonsServed
Total Community Building Expense5190TotalCommunityBuildingExpense
Net Community Building Expense5190NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served7993PersonsServed
Total Community Building Expense345829TotalCommunityBuildingExpense
Net Community Building Expense345829NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served9067PersonsServed
Total Community Building Expense351019TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense351019NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$16,641,269BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare108369264AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare108100098CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall269166MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT BREAST CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMAMMOGRAPHY CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.5OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.5PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
ST VINCENT INFIRMARY MEDICAL CENTER
12 ST VINCENT CIRCLELITTLE ROCKAR72205XXX
ST VINCENT MEDICAL CENTER NORTH
22215 WILDWOOD AVENUESHERWOODAR72120XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
ST VINCENT INFIRMARY MEDICAL CENTER
1
ST VINCENT MEDICAL CENTER NORTH
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
NORTH RIVER SURGERY CENTER
2209 WILDWOOD AVENUESHERWOODAR72120AMBULATORY SURGERY CENTER
ST VINCENT BREAST CENTER
500 S UNIVERSITY AVE SUITE 114LITTLE ROCKAR72205MAMMOGRAPHY CENTER
ST VINCENT DIABETES AND ENDOCRINOLOGY CENTER
TWO SHACKLEFORD WEST BLVDLITTLE ROCKAR72211FACILITY-BASED CLINIC
ST VINCENT MEDICAL CLINIC MIDTOWNE
1100 NORTH UNIVERSITY SUITE 1LITTLE ROCKAR72207FACILITY-BASED CLINIC
ST VINCENT HEALTH CLINIC EAST
2500 EAST 6TH STREETLITTLE ROCKAR72202SLIDING FEE SCALE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Eligibility criteria for free or discounted careSchedule H, Part I, Line 3cIF APPLICABLE, DESCRIBE THE INCOME-BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ST. VINCENT INFIRMARY MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG THE 69 URBAN AND RURAL COMMUNITIES IN 19 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ST. VINCENT INFIRMARY MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. ALSO DESCRIBE WHETHER THE ORGANIZATION USES AN ASSET TEST OR OTHER THRESHOLD, REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. 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 calculationSchedule H, Part I, Line 7, column(f)49,379,371
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7PROVIDE AN EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. IF A COST ACCOUNTING SYSTEM WAS USED, INDICATE WHETHER THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED OR SELF PAY). ALSO INDICATE WHETHER A COST-TO-CHARGE RATIO WAS USED FOR ANY OF THE FIGURES REPORTED IN THE TABLE. DESCRIBE WHETHER THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, AND, IF NOT, WHAT KIND OF COST-TO-CHARGE RATIO WAS USED AND HOW IT WAS DERIVED. IF SOME OTHER COSTING METHODOLOGY WAS USED BESIDES A COST ACCOUNTING SYSTEM, COST-TO-CHARGE RATIO, OR A COMBINATION OF THE TWO, DESCRIBE THE METHOD USED. 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 footnoteSchedule H, Part III, Line 4PROVIDE THE RATIONALE AND THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE. THE COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 33.55%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE. ALSO DESCRIBE THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAS BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. DESCRIBE THE RATIONALE, IF ANY, FOR INCLUDING ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT. ALSO PROVIDE, IF APPLICABLE, THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. IF THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE ON THESE ISSUES THAT ALSO INCLUDES OTHER INFORMATION, REPORT ONLY THE RELEVANT PORTIONS OF THE FOOTNOTE. IF THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN SUCH A FOOTNOTE, STATE THAT THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE SUCH A FOOTNOTE AND EXPLAIN HOW THE FINANCIAL STATEMENTS ACCOUNT FOR BAD DEBT, IF AT ALL. ST. VINCENT INFIRMARY MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. ST. VINCENT INFIRMARY MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY."
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8DESCRIBE THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6. USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. VINCENT INFIRMARY MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bIF THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY AND ANSWERED "YES," TO PART III, LINE 9B, DESCRIBE THE COLLECTION PRACTICES SET FORTH IN THE POLICY THAT APPLY TO PATIENTS WHO IT KNOWS QUALIFY FOR FINANCIAL ASSISTANCE, WHETHER OR NOT SUCH PRACTICES APPLY SPECIFICALLY TO SUCH PATIENTS OR MORE BROADLY TO ALSO COVER OTHER TYPES OF PATIENTS. ST. VINCENT INFIRMARY MEDICAL CENTER'S ("SVIMC") DEBT COLLECTION POLICY PROVIDES THAT SVIMC WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT 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 SVIMC'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 SVIMC COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SVIMC FOR APPROPRIATE FOLLOW-UP. SVIMC 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 3DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ST. VINCENT INFIRMARY MEDICAL CENTER ("SVIMC") INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SVIMC 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 SVIMC OUTPATIENT FACILITIES. A FINANCIAL ASSISTANCE BROCHURE IS ALSO PRESENTED TO EACH PATIENT AT REGISTRATION. IN ADDITION, SVIMC 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 SVIMC'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. SVIMC 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. SVIMC'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 systemSchedule H, Part VI, Line 6IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. ST. VINCENT INFIRMARY MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 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. ST. VINCENT INFIRMARY MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE ST. VINCENT FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE CENTRAL ARKANSAS COMMUNITIES.
NEEDS ASSESSMENT AND COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINES 1,2,4 AND 5OUR MISSION WE HAVE A SHARED MISSION WITH OUR PARENT COMPANY, CATHOLIC HEALTH INITIATIVES. IT IS AS FOLLOWS: THE MISSION OF CATHOLIC HEALTH INITIATIVES AND THE ST. VINCENT HEALTH 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. OUR VISION WE ALSO SHARE A COMMON VISION WITH OUR PARENT COMPANY. IT IS AS FOLLOWS: OUR VISION IS TO LIVE UP TO OUR NAME AS ONE CHI: CATHOLIC: LIVING OUR MISSION AND CORE VALUES HEALTH: IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. INITIATIVES: PIONEERING MODELS AND SYSTEMS OF CARE TO ENHANCE CARE DELIVERY OUR PRIMARY TAX-EXEMPT PURPOSE THE ST. VINCENT HEALTH SYSTEM IS A TAX-EXEMPT ORGANIZATION AND IS INCLUDED IN A GROUP RULING ISSUED IN 2003 TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS WHICH APPLIED FOR RECOGNITION OF EXEMPTION ON BEHALF OF SUBORDINATE ORGANIZATIONS. OUR MISSION, VISION AND PRIMARY TAX-EXEMPT PURPOSE ARE FULFILLED THROUGH A COMPREHENSIVE NETWORK OF HEALTH SERVICES THAT ADDRESS THE NEEDS OF CITIZENS RESIDING IN THE GREATER LITTLE ROCK METROPOLITAN AREA, CENTRAL ARKANSAS AND BEYOND. ST. VINCENT HAS BEEN IN THE LITTLE ROCK COMMUNITY SINCE 1888 AND HAS COMPILED A DISTINGUISHED RECORD OF SERVICE THROUGHOUT THIS 124-YEAR PERIOD. IT OPERATES ITS FACILITIES, PROGRAMS AND SERVICES ON A NON-DISCRIMINATORY BASIS. ITS EMERGENCY DEPARTMENT IS OPEN TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. IT HAS A BOARD OF DIRECTORS ON WHICH COMMUNITY REPRESENTATIVES SERVE WITH ENERGY AND COMMITMENT. IT SUPPORTS THE TRAINING AND EDUCATION OF VARIOUS HEALTH PROFESSIONALS. IT PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. IT PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE EACH YEAR AND IS KNOWN FOR ITS COMMUNITY OUTREACH TO THOSE IN NEED.
NEEDS ASSESSMENT AND COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINES 1,2,4 AND 5COMMUNITY BENEFIT APPROACH: THE PRIMARY SERVICE AREA HISTORICALLY COVERED BY THE ST. VINCENT HEALTH SYSTEM IS A SIX-COUNTY REGION SURROUNDING ARKANSAS' CAPITAL CITY OF LITTLE ROCK. THESE COUNTIES ARE PULASKI, FAULKNER, LONOKE, SALINE, PERRY AND CONWAY. HOWEVER, WITH THE INTRODUCTION OF NEW PROGRAMS AND SERVICES, THIS MARKET AREA IS EXPANDING. LITTLE ROCK HAS A POPULATION OF APPROXIMATELY 185,000, BUT THE METROPOLITAN AREA EXPANDS TO INCLUDE ABOUT 500,000 PEOPLE. IT IS THE SEAT OF STATE GOVERNMENT IN ARKANSAS AND HAS ROBUST HEALTH CARE, EDUCATIONAL AND BUSINESS COMMUNITIES. IN ADDITION, THERE IS A MAJOR UNITED STATES AIR FORCE BASE IN NEARBY JACKSONVILLE, ALSO LOCATED IN PULASKI COUNTY. WE ARE CURRENTLY UNDERTAKING A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT THAT WILL FOCUS ON THE AREAS SERVED BY OUR THREE ACUTE CARE HOSPITALS AND NETWORK OF PRIMARY CARE CLINICS. DURING THE WEEK OF 1/16/12, WE HAVE 8 FOCUS GROUPS SCHEDULED WITH COMMUNITY LEADERS TO OBTAIN THEIR PERSPECTIVES ON THE MOST PRESSING HEALTH CARE NEEDS IN THE AREAS THAT WE SERVE. WE WILL SYNTHESIZE THESE RESULTS, COMBINE THEM WITH EXTENSIVE DATA ANALYSIS THAT HAS BEEN DONE AND DEVELOP OUR UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT PLAN. THIS WILL BE INCORPORATED AS PART OF OUR STRATEGIC PLAN AND THEN A SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN WILL BE CREATED. ST. VINCENT HAS STRONG COLLABORATIVE RELATIONSHIPS WITH MANY ORGANIZATIONS IN THE COMMUNITY. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE ARKANSAS DEPARTMENT OF HEALTH, THE LITTLE ROCK SCHOOL DISTRICT, EASTER SEALS-ARKANSAS AND CITY CONNECTIONS, AN ORGANIZATION INTENT ON MOBILIZING THE FAITH COMMUNITY TO ASSIST THE CITY OF LITTLE ROCK IN ADDRESSING PRESSING SOCIAL CHALLENGES. ST. VINCENT LEADERS SERVE ON A VARIETY OF COMMUNITY BOARDS AND CONSISTENTLY ATTEND COMMUNITY EVENTS DESIGNED TO STRENGTHEN LOCAL PROGRAMS AND SERVICES. A CONCERTED EFFORT IS MADE TO BE A VERY GOOD CORPORATE CITIZEN AND TO GIVE BACK TO THE COMMUNITY. ALSO, WITH RESPECT TO COMMUNITY BENEFIT AT ST. VINCENT, MISSION AND FINANCE WORK CLOSELY TOGETHER AND SEE ITS OVERSIGHT AS A SHARED RESPONSIBILITY. ST. VINCENT MAINTAINS AND ADMINISTERS ITS CHARITY CARE AND SELF-PAY POLICIES. IT COMMUNICATES THE CONTENT OF THESE POLICIES THROUGH A VARIETY OF METHODS THAT INCLUDE VISIBLE SIGNAGE, AS WELL AS INFORMATION DELIVERED FACE-TO-FACE AND BY TELEPHONE TO THE GENERAL PUBLIC BY TRAINED STAFF. IT MAINTAINS A COMMUNITY HEALTH WORKER PROGRAM IN ITS EMERGENCY DEPARTMENT THROUGH WHICH IT TRIES TO CONNECT REPEAT NON-EMERGENT PATIENTS WITH SOURCES OF PRIMARY CARE IN THE COMMUNITY. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR ST. VINCENT CONTINUES TO SPONSOR ITS VOLUNTEERS-IN-MEDICINE PROGRAM THROUGH WHICH IT PROVIDES PRIMARY CARE TO THOSE WITHOUT HEALTH INSURANCE AT THREE CLINIC LOCATIONS IN GREATER LITTLE ROCK. IT USES THE SERVICES OF VOLUNTEER, RETIRED ST. VINCENT PHYSICIANS TO DELIVER THESE SERVICES AND IT MAINTAINS A NETWORK OF PHYSICIAN SPECIALISTS TO WHOM IT CAN ALSO REFER AS NEEDS ARISE. THESE CLINICS REGISTERED 2,841 PATIENT VISITS DURING FISCAL YEAR 2011, AS THE ECONOMIC RECESSION CONTINUED TO MAKE IT DIFFICULT FOR UNINSURED PEOPLE TO FIND HEALTH CARE OPTIONS. BEYOND THE DIRECT CARE PROVIDED AT THESE CLINICS, ST. VINCENT HAS DONATED MEDICAL SUPPLIES IN SEVERAL INSTANCES WHERE NEEDED, AS WELL AS MEDICATIONS THAT PATIENTS OTHERWISE COULD NOT AFFORD. IN TERMS OF PRIMARY CARE CLINICS, WE ALSO MAINTAIN OUR 39-YEAR PARTNERSHIP WITH THE CITY OF LITTLE ROCK AT ST. VINCENT HEALTH CLINIC - EAST WHERE DENTAL SERVICES HAVE BEEN RESTORED AND HELP TO MEET A SIGNIFICANT NEED IN OUR COMMUNITY. THIS CLINIC ALSO PROVIDES FREE SCHOOL PHYSICALS TO MANY CHILDREN IN GREATER LITTLE ROCK EACH SUMMER. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY ST. VINCENT CONTINUES TO BE ONE OF THE LARGEST PROVIDERS OF INPATIENT BEHAVIORAL HEALTH SERVICES TO MEDICAID PATIENTS IN THE STATE OF ARKANSAS. IN THIS SERVICE LINE, IT ACCEPTS A SIGNIFICANT NUMBER OF REFERRALS FROM DIFFERENT PARTS OF ARKANSAS THAT ARE OUTSIDE ITS PRIMARY SERVICE AREA. IF ST. VINCENT DID NOT OFFER THIS SERVICE, INPATIENT BEHAVIORAL HEALTH RESOURCES FOR MEDICAID PATIENTS WOULD BE SIGNIFICANTLY DIMINISHED IN THE BROADER COMMUNITY. SIMILARLY, ST. VINCENT MAINTAINS EMERGENCY DEPARTMENTS AT BOTH ITS INFIRMARY AND NORTH CAMPUSES. UNDER THE STATE'S NEW TRAUMA SYSTEM, THE INFIRMARY EMERGENCY DEPARTMENT HAS BEEN DESIGNATED A TRAUMA 2 LOCATION AND NORTH A TRAUMA 3 SITE. NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM ST. VINCENT CONTINUES TO SPONSOR ITS NEW OUTLOOK WOMEN'S CANCER RECOVERY PROGRAM. THIS EFFORT PROVIDES NEEDED SUPPLIES AND EMOTIONAL SUPPORT TO WOMEN ACROSS ARKANSAS RECOVERING FROM VARIOUS FORMS AND STAGES OF CANCER. IT DOES SO AT NO COST TO THESE RECIPIENTS. ADDITIONAL DETAILS ABOUT THIS PROGRAM IN FISCAL YEAR 2011 ARE AS FOLLOWS: PURPOSE: TO OFFER ALL ARKANSAS WOMEN DIAGNOSED WITH CANCER A FULL RANGE OF SUPPORTIVE, NON-MEDICAL SERVICES TO STRENGTHEN THE WHOLE WOMAN (BODY, MIND AND SPIRIT) REGARDLESS OF HER ECONOMIC SITUATION OR WHERE SHE IS RECEIVING TREATMENT. NEW OUTLOOK SERVICES REACH INTO EVERY COUNTY IN ARKANSAS, AND EVEN OTHER STATES WHEN WOMEN SEEK TREATMENT IN ARKANSAS. NEW OUTLOOK ALSO ASSISTS CHILDREN AND MEN UNDERGOING CANCER TREATMENT. SERVICES PROVIDED BY NEW OUTLOOK INCLUDE COUNSELING, REGULAR SUPPORT GROUP MEETINGS AT MULTIPLE LOCATIONS, WIGS AND HEADWEAR, COSMETIC MAKEOVERS, ACCESS TO A MEDICAL LIBRARY, STRESS MANAGEMENT CLASSES, MASTECTOMY AND LYMPHEDEMA SERVICES, AND REFERRALS TO PHYSICIANS FOR VARIOUS SERVICES.
NEEDS ASSESSMENT AND COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINES 1,2,4 AND 5PERINATAL BEREAVEMENT SERVICES' JOURNEY PROGRAM ST. VINCENT OFFERS PERINATAL BEREAVEMENT SERVICES AT NO COST TO FAMILIES WHO HAVE SUFFERED INFANT LOSS THROUGH ECTOPIC PREGNANCY, STILLBIRTH, MISCARRIAGE AND NEONATAL DEATH. THESE ISSUES AFFECT FAMILIES IRRESPECTIVE OF SOCIOECONOMIC STATUS AND THIS PROGRAM HAS RECEIVED CONSIDERABLE ACCLAIM FOR THE SENSITIVE, COMPREHENSIVE MANNER IN WHICH IT HELPS THE GRIEF-STRICKEN TO DEAL WITH THEIR LOSS. AN AVERAGE OF 25 FAMILIES ARE SERVED/MONTH ON AN INPATIENT BASIS. IN ADDITION, APPROXIMATELY 15 CONSULTATION REQUESTS ARE RECEIVED MONTHLY FROM PEOPLE LIVING OUTSIDE ST. VINCENT'S PRIMARY SERVICE AREA. FINALLY, A MONTHLY SUPPORT GROUP SERVES AN AVERAGE OF 8 PEOPLE AT EACH SESSION. ADDITIONAL STATISTICAL INFORMATION INCLUDES THE FOLLOWING: *THERE WERE 35 INPATIENTS WHO WERE PROVIDED CARE AND SUPPORT FOR PREGNANCY LOSS (SECOND AND THIRD TRIMESTER) *3 BABIES WERE PROVIDED COMFORT CARE IN LABOR & DELIVERY PRIOR TO DEATH DUE TO PREVIABILITY *THERE WERE APPROXIMATELY 210 OUTPATIENTS CARED FOR IN THE ED AND SURGERY RELATED TO MISCARRIAGE *AN ADDITIONAL 15 WERE TREATED FOR ECTOPIC PREGNANCIES. *4 BABIES WHO WERE TRANSPORTED TO ACH LATER DIED FROM VARIOUS CONDITIONS, AND WERE PROVIDED BEREAVEMENT SUPPORT FROM SVI *AN ADDITIONAL 250 FAMILIES FROM OTHER FACILITIES WERE PROVIDED BURIAL SERVICES. *WE HAVE AN ONLINE CLOSED GROUP ON FACEBOOK WITH 60 MEMBERS (ACTIVE). *OUR LARGEST MEMORIAL SERVICE YET WAS HELD IN NOVEMBER, 2010, WITH MORE THAN 160 IN ATTENDANCE. *THE FISCAL YEAR 2011MOTHERS' DAY RECEPTION WAS ATTENDED BY 21 MOTHERS. *MORE THAN 100 EXTERNAL REQUESTS WERE RECEIVED DURING FISCAL YEAR 2011 FOR INFORMATION AND SUPPORT. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH IN AN EFFORT TO IMPLEMENT A GOAL ALIGNED WITH CHI'S STATED DESIRE TO REDUCE VIOLENCE IN THE COMMUNITIES IT SERVES ACROSS THE NATION, ST. VINCENT INITIATED A DIALOGUE IN LATE 2008 WITH CITY OF LITTLE ROCK OFFICIALS ABOUT WHERE AND HOW TO BECOME INVOLVED IN THIS COMMUNITY CHALLENGE. WE WERE ENCOURAGED TO CONNECT WITH LITTLE ROCK SCHOOL DISTRICT (LRSD) REPRESENTATIVES TO SEE IF WE COULD PARTNER WITH A LOCAL PUBLIC SCHOOL AND ASSIST IN EFFORTS TO POSITIVELY IMPACT STUDENT BEHAVIOR BEFORE PATTERNS OF VIOLENCE BECAME TOO WELL ENTRENCHED. WE WERE DIRECTED TO FOREST HEIGHTS MIDDLE SCHOOL, A FACILITY WITH OVER 600 STUDENTS LOCATED JUST A FEW BLOCKS FROM ST. VINCENT INFIRMARY. THIS SCHOOL HAD BEEN TROUBLED BY STUDENT BEHAVIOR AND SUBSTANDARD ACADEMIC PERFORMANCE FOR A NUMBER OF YEARS. THERE WAS A STRONG DESIRE ON THE PART OF THE LRSD AND A NEW PRINCIPAL TO TURN THIS ENVIRONMENT AROUND. ST. VINCENT FORMALLY BECAME FOREST HEIGHTS' "PARTNER IN EDUCATION" IN THE FALL OF 2009. THIS PARTNERSHIP ENTERED ITS SECOND YEAR IN 2010-11. DURING THIS TIME, NEARLY 35 ST. VINCENT VOLUNTEERS SPENT ONE HOUR/WEEK AT THE SCHOOL. THEY MENTORED STUDENTS AND PROVIDED POSITIVE ADULT PRESENCE AT THE SCHOOL. BECAUSE OF ST. VINCENT'S SUCCESS DURING ITS FIRST PARTNERSHIP YEAR, 2009-10, ADDITIONAL COMMUNITY ORGANIZATIONS EXPRESSED A DESIRE TO JOIN OUR EFFORT IN 2010-11 AND APPROXIMATELY 100 ADULT MENTORS WERE PROVIDED FOR INCOMING 6TH GRADE STUDENTS. POSITIVE RESULTS WERE SEEN IN CERTAIN AREAS OF ACADEMIC ACHIEVEMENT, BEHAVIOR AND ATTENDANCE. IN ADDITION, WE ARE NOW IN THE SECOND YEAR OF A CHI MISSION/MINISTRY GRANT TO CONDUCT AN AFTER-SCHOOL DANCE PROGRAM AT FOREST HEIGHTS FOCUSING ON EXERCISE AND GOOD NUTRITION AS WAYS TO DEVELOP HEALTHY LIFESTYLES AND COMBAT CHILDHOOD OBESITY. THIS IS BEING DONE NOT JUST IN CONJUNCTION WITH FOREST HEIGHTS, BUT ALSO WITH THE UNIVERSITY OF ARKANSAS - LITTLE ROCK (UALR) WHOSE DANCE INSTRUCTORS ARE ACTUALLY TEACHING THE STUDENTS. IN FISCAL YEAR 2011, THE CURRICULUM INCLUDED OUTINGS TO COMMUNITY DANCE EVENTS, A HEALTHY LUNCH AND VOLUNTEER EXPERIENCE AT ST. VINCENT AND A YEAR-END DANCE RECITAL AT UALR. 22 STUDENTS ARE CURRENTLY ENROLLED. FINALLY, ST. VINCENT IS IN THE SECOND YEAR OF ITS THREE-YEAR FINANCIAL COMMITMENT TO FUND THE SALARY OF A LITTLE ROCK POLICE OFFICER WHO WORKS WITH FOREST HEIGHTS AND HALL HIGH SCHOOL AFRICAN AMERICAN MALES IN THE CAPACITY OF A POSITIVE ROLE MODEL, ENCOURAGING GOOD DECISION MAKING AND ENGAGING THEM IN CONSTRUCTIVE ACTIVITIES, BOTH DURING SCHOOL HOURS AND ON WEEKENDS. THIS IS UNDER THE AUSPICES OF PROJECT OK, A NATIONAL INITIATIVE THAT GOT ITS START SOME YEARS AGO IN CALIFORNIA AND HAS SINCE RELOCATED TO THE CAMPUS OF ARKANSAS BAPTIST COLLEGE IN LITTLE ROCK. POSITIVE RESULTS ARE BEING ACHIEVED BY PROGRAM PARTICIPANTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)400000N/AN/ASPONSORSHIP
JUVENILE DIABETES RESEARCH FOUNDATION
11324 ARCADE DRIVE SUITE 16LITTLE ROCKAR72212231907729501(C)(3)150000N/AN/ASPONSORSHIP
ARKANSAS HAWKS
7405 FLINTROCK ROADNORTH LITTLE ROCKAR72116710843949501(C)(3)100000N/AN/ASPONSORSHIP
MOUNT ST MARY ACADEMY
3224 KAVANAUGH BLVDLITTLE ROCKAR72205710261083501(C)(3)210000N/AN/ASPONSORSHIP
LITTLE ROCK REGIONAL CHAMBER OF COMMERCE
ONE CHAMBER PLAZALITTLE ROCKAR72201710108510501(C)(6)160000N/AN/ASPONSORSHIP
DIOCESE OF LITTLE ROCK
2500 N TYLERLITTLE ROCKAR72207710236871501(C)(3)150000N/AN/ASPONSORSHIP
CATHOLIC HIGH SCHOOL
6300 FATHER TRIBOU STREETLITTLE ROCKAR72205710250080501(C)(3)70000N/AN/ASPONSORSHIP
EASTER SEALS ARKANSAS
3920 WOODLAND HEIGHTS ROADLITTLE ROCKAR72212710123680501(C)(3)160000N/AN/ASPONSORSHIP
ARKANSAS HOSPITAL ASSOCIATION
419 NATURAL RESOURCES DRLITTLE ROCKAR72205710306406501(C)(6)121070N/AN/ASPONSORSHIP
ARKANSAS ARTS CENTER
PO BOX 2137LITTLE ROCKAR72203710332820501(C)(3)60000N/AN/ASPONSORSHIP
ARKANSAS SYMPHONY ORCHESTRA
2417 NORTH TYLER STREETLITTLE ROCKAR72217716059542501(C)(3)112500N/AN/ASPONSORSHIP
ALZHEIMER'S AR PROGRAMS AND SERVICES
10411 W MARKHAM ST SUITE 130LITTLE ROCKAR72205710590114501(C)(3)70000N/AN/ASPONSORSHIP
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537501(C)(3)287770N/AN/ASPONSORSHIP
JUNIOR DEPUTY BASEBALL
PO BOX 250709LITTLE ROCKAR72202710503790501(C)(3)90000N/AN/ASPONSORSHIP
ARKANSAS SHERIFF'S YOUTH RANCHES
PO BOX 3964BATESVILLEAR72503710471266501(C)(3)55000N/AN/ASPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationSVIMC USES MINIMAL FUNDS TO GIVE "SPONSORSHIPS" TO CERTAIN EVENTS SUCH AS A GOLD SPONSORSHIP TO THE 'REAL DEAL IN THE ROCK' PUT ON BY THE CITY OF LITTLE ROCK. SVIMC'S CEO APPROVES ALL SPONSORSHIPS AND THEY ARE PRIMARILY PROVIDED TO CHARITABLE ORGANIZATIONS OR EVENTS TO PROMOTE COMMUNITY HEALTH.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER BANKO
0420170077209022466057546021232059862300
MARY ELIZABETH O'BRIEN
059026703344080287100730130104720103687000
KURTIS VINSANT
14368260922017104014390202280187281436831842100
MATTHEW COX
135438025000014490199370121150193939000
KEN HAYNES
04014690119237022365059015021404062349000
DAVID HALL MD
000044705402512805328047751003996890
DAVID LIPSCHITZ
695345011250009921020228024880840482000
JAMES TANNER
3166940500001419000124890335602000
DAVID LIU MD
267957409457950544022678078880304862409400
MARY SAIN
248549000158400068120256945000
DARRICK PAUL
1890750250000303720194720181190282038000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Severance or change-of-control paymentSchedule J, Part I, Line 4aPOST-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 ST. VINCENT INFIRMARY MEDICAL CENTER DURING THE 2010 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: DAVID HALL, MD - $46,834
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDURING 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: PETER BANKO MARY ELIZABETH O'BRIEN KEN HAYNES DURING 2010 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PETER BANKO - $37,318 MARY ELIZABETH O'BRIEN - $52,785 KEN HAYNES - $36,337 DAVID HALL, MD WAS FORMERLY ELIGIBLE TO PARTICIPATE AND HE RECEIVED A DISTRIBUTION FROM THE PLAN OF $399,689 WHICH WAS INCLUDED IN HIS REPORTABLE COMPENSATION FOR THE CALENDAR YEAR 2010.
Non-fixed paymentsSchedule J, Part I, Line 7ST. VINCENT INFIRMARY MEDICAL CENTER HAS AN INCENTIVE COMPENSATION PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS.
COMPENSATION OF TOP MANAGEMENT OFFICIALSCHEDULE J, PART I, LINE 3COMPENSATION 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.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DARRICK PAUL - RELOCATION ASSISTANCEBusinessNameLine1
FieldValueIRS element (for citing)
Loan From OrganizationXLoanFromOrganization
Original Principal$90,591OriginalPrincipalAmount
Balance Due16056BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due16056TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LEXUS LAND LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipENTITY OWNED MORE THAN 35% BY DAVE PARKER, BOARD MEMBERRelationship
Amount Of Transaction173831AmountOfTransaction
Description Of TransactionRENTAL OF PROPERTYDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6ACCORDING TO THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bST. VINCENT INFIRMARY MEDICAL CENTER'S (SVIMC) CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SVIMC *AMENDMENT OF THE CORPORATE DOCUMENTS OF SVIMC *APPROVE MEMBERS OF THE SVIMC BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SVIMC *APPROVAL OF ISSUANCE OF DEBT BY SVIMC *APPROVAL OF PARTICIPATION OF SVIMC IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY SVIMC *APPROVAL OF A MERGER INVOLVING SVIMC *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SVIMC *TO REQUIRE THE TRANSFER OF ASSETS BY SVIMC TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SVIMC PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE ST. VINCENT INFIRMARY MEDICAL CENTER'S BOARD EITHER AT A BOARD MEETING OR ELECTRONICALLY. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cFOR EMPLOYEES: ST. VINCENT HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AT THE LEVEL AT WHICH THEY CAN USE THEIR WORK KNOWLEDGE FOR PERSONAL GAIN. THIS IS GENERALLY ANY MANAGEMENT PERSONNEL. EACH PERSON IN A MANAGEMENT POSITION IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. THIS STATEMENT INQUIRES ABOUT ANY POSSIBLE CONFLICT OF INTEREST AND INFORMS THE EMPLOYEE OF THE COI POLICY. ACTUAL CONFLICTS ARE REVIEWED BY THE CORPORATE RESPONSIBILITY OFFICER. IF THE CONFLICT CANNOT BE RESOLVED OR DETERMINED AT THAT LEVEL, THE CRO DISCUSSES WITH THE CEO. ST. VINCENT HEALTH SYSTEM EMPLOYEES MAY NOT USE THEIR POSITIONS OR ANY KNOWLEDGE GAINED FROM THEIR EMPLOYMENT IN ANY MANNER FOR THEIR PERSONAL GAIN OR IN SUCH A MANNER THAT A CONFLICT OF INTEREST MIGHT ARISE BETWEEN THE INTERESTS OF ST. VINCENT AND THE EMPLOYEES. ST. VINCENT HEALTH SYSTEM EMPLOYEES SHALL NOT ACCEPT ANY GIFTS, FAVORS OR HOSPITALITY THAT MIGHT INFLUENCE OR BE INTERPRETED AS INFLUENCING THEIR DECISION MAKING OR OTHER ACTIONS AFFECTING ST. VINCENT. ST. VINCENT HEALTH SYSTEM EMPLOYEES SHOULD NOT ACCEPT OUTSIDE EMPLOYMENT OR ENGAGE IN BUSINESS ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST WITH THEIR EMPLOYMENT STATUS OR WHICH HINDER THE EMPLOYEE'S ABILITY TO PERFORM THEIR JOB ASSIGNMENTS. EMPLOYEES IN MANAGEMENT ARE REQUIRED TO INFORM THEIR EXECUTIVE OF WORK BEING PERFORMED OUTSIDE OF ST. VINCENT. ST. VINCENT HEALTH SYSTEM WILL NOT HIRE, ASSIGN, OR TRANSFER IMMEDIATE RELATIVES OF PRESENT EMPLOYEES TO WORK IN THE SAME DEPARTMENT AT THE SAME PHYSICAL LOCATION. NO PERSON SHALL BE EMPLOYED, RETAINED IN, OR TRANSFERRED TO A POSITION, WHICH IS DIRECTLY OR INDIRECTLY SUPERVISED BY AN IMMEDIATE RELATIVE. IMMEDIATE RELATIVES ARE SPOUSES, SPOUSAL EQUIVALENTS, PARENTS, MOTHERS-IN-LAW, FATHERS-IN-LAW, SISTERS, BROTHERS, SISTERS-IN-LAW, BROTHERS-IN-LAW, CHILD, DAUGHTERS-IN-LAW, SONS-IN-LAW, FIRST COUSINS, AUNTS, UNCLES, GRANDPARENTS, AND GRANDCHILDREN. ST. VINCENT HEALTH SYSTEM CREATED A COMPLIANCE COMMITTEE TO REVIEW ALL REPORTED ACTIVITY THAT MAY VIOLATE ESTABLISHED POLICY AND PROCEDURES. ADDITIONALLY, A HOTLINE HAS BEEN ESTABLISHED FOR ANY EMPLOYEE TO REPORT POSSIBLE COMPLIANCE VIOLATIONS. FOR BOARD MEMBERS: PURSUANT TO SECTION 13.7 OF THE BY-LAWS EACH OF THE CORPORATION'S OFFICERS AND DIRECTORS SHALL ACT AT ALL TIMES IN A MANNER THAT FURTHERS THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND SHALL EXERCISE CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT FURTHERS HIS OR HER PRIVATE INTERESTS TO THE DETRIMENT OF THE CORPORATION'S COMMUNITY BENEFIT PURPOSES, A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE CORPORATION ALSO INVOLVE THE OBTAINING OF A DIRECT OR INDIRECT PERSONAL GAIN OR ADVANTAGE OR AN ADVERSE OR POTENTIALLY ADVERSE EFFECT ON THE INTERESTS OF THE CORPORATION. THE CORPORATION'S OFFICERS AND DIRECTORS SHALL AVOID CONFLICTS OF INTEREST AND OTHERWISE FULLY DISCLOSE TO THE CORPORATION ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, IF SUCH CONFLICTS CANNOT BE AVOIDED, SO THAT SUCH CONFLICTS ARE DEALT WITH IN THE BEST INTERESTS OF THE CORPORATION. THE CORPORATION AND ALL OF ITS OFFICERS AND DIRECTORS SHALL COMPLY WITH ANY POLICIES OF THE CORPORATION AND ANY POLICIES OF THE CORPORATE MEMBER REGARDING CONFLICTS OF INTEREST, AS WELL AS ALL REQUIREMENTS OF KENTUCKY LAW REGARDING SUCH CONFLICTS, AND SHALL COMPLETE ANY AND ALL SUCH DISCLOSURE FORMS AS MAY BE DEEMED NECESSARY OR USEFUL BY THE CORPORATION FOR IDENTIFYING POTENTIAL CONFLICTS OF INTEREST.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE 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 CHIS 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 employeesForm 990, Part VI, Section B, Line 15bALL SVIMC EXECUTIVE COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL SALARY LEVELS AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS USING DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED JUNE 30, 2011.
Public DisclosureForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
JOINT VENTURE POLICYFORM 990, PART VI, LINE 16BST. VINCENT INFIRMARY MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
EXECUTIVE COMMITTEEFORM 990, PART VI, LINE 1APURSUANT TO SECTION 8.6 OF THE BYLAWS OF ST. VINCENT INFIRMARY MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, AND FIVE VOTING MEMBERS OF THE BOARD APPOINTED BY THE CHAIRPERSON, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIICOMPENSATION 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 EXCEPT AS FOLLOWS: DAVID LUI WORKS FOR SVIMC AND IS COMPENSATED FOR SERVICES BY A RELATED ORG, ST VINCENT MEDICAL GROUP, FOR APPROXIMATELY 4 HOURS A WEEK.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2498165; CHI CONNECT DEPRECIATION - 980649; CAPITAL RESOURCE POOL CONTRIBUTION - -472140; GAAP ADJUSTMENT - 3299438;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1JACK STEPHENS HEART INSTITUTE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 ST VINCENT CIRCLEAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72205ZIPCode
FieldValueIRS element (for citing)
EIN452460570EIN
Primary ActivitiesCARDIOLOGYPrimaryActivities
Legal Domicile StateARLegalDomicileState
Total Income-114876TotalIncome
EOY Assets252058EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SVIMCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (124 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROADOMAHANE68124470484764HEALTHCARENE501(C)(3)3CHItrue
ALEGENT HEALTH - MERCY HOSPITAL CORNING
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(C)(3)3AHBMHStrue
ALVERNA APARTMENTS
300 SE 8TH AVENUELITTLE FALLSMN56345411351177LTERM CAREMN501(C)(3)9CHItrue
APPLETREE COURT
601 OAK STREETBRECKENRIDGEMN56520411850500SENIOR HOMESMN501(C)(3)9SFHtrue
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUEDES MOINESIA50314420725196LTERM CAREIA501(C)(3)9CHI-IA CORPtrue
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603232187242HEALTHCAREPA501(C)(3)11 - Type ICHItrue
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREETCARRINGTONND58421450227311HEALTHCAREND501(C)(3)3CHItrue
CATHOLIC HEALTH CARE FEDERATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112208473567JURDIC PERSONCO501(C)(3)11 - Type ICHItrue
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(C)(3)9CHItrue
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
961 EAST COLORADO AVENUECOLORADO SPRINGSCO80903840902211FUNDRAISINGCO501(C)(3)7CHI COLORADOtrue
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAYROSEBURGOR97470900433062PHYSICIANSOR501(C)(3)9MMCtrue
CHI COLORADO
188 INVERNESS DRIVE WESTENGLEWOODCO80112840405257HEALTHCARECO501(C)(3)3CHItrue
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAYFARGOND58104271966847HEALTHCAREND501(C)(3)3CHItrue
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(C)(3)11 - Type ICHItrue
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400ERLANGERKY41018202741651HEALTHCAREKY501(C)(3)11 - Type ICHItrue
CHI NATIONAL FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112270930004FUNDRAISINGCO501(C)(3)11 - Type ICHItrue
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(C)(3)11 - Type ICHItrue
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(C)(3)9CHItrue
CHI NEBRASKA
555 SOUTH 70TH STREETLINCOLNNE68510363233121HEALTHCARENE501(C)(3)11 - Type ICHItrue
CHI-IOWA CORP
1111 6TH AVENUEDES MOINESIA50314420680448HEALTHCAREIA501(C)(3)3MHNtrue
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVELEXINGTONKY40509611400619LTACHKY501(C)(3)3SJHStrue
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUEENUMCLAWWA98022910715805HEALTHCAREWA501(C)(3)3FHStrue
FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004611345363HEALTHCAREKY501(C)(3)3CHItrue
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004562351341FUNDRAISINGKY501(C)(3)11 - Type IFHtrue
FRANCISCAN FOUNDATION
1717 SOUTH J STREETTACOMAWA98405911145592FUNDRAISINGWA501(C)(3)9FHStrue
FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST
1717 SOUTH J STREETTACOMAWA98405910564491HEALTHCAREWA501(C)(3)3CHItrue
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUETACOMAWA98405911939739HEALTHCAREWA501(C)(3)9FHStrue
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 SOUTH CHICAGO AVENUESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(C)(3)9CHItrue
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUEGETTYSBURGSD57442460234354HEALTHCARESD501(C)(3)3SMHCtrue
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(C)(3)11 - Type ICHItrue
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
375 DIXMYTH AVECINCINNATIOH45220311778403EDUCATIONKY501(C)(3)2GHStrue
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(C)(3)11 - Type IGSHtrue
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
GOOD SAMARITAN HOSPITAL FOUNDATION
PO BOX 1810KEARNEYNE68848470659443FUNDRAISINGNE501(C)(3)7GSHtrue
HEALTH SET
4200 WEST CONEJOS PLACE 436DENVERCO80204841102943LOW INC.CARECO501(C)(3)7CHI COLORADOtrue
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(C)(3)11 - Type ISFMCtrue
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVETOWSONMD21204526050777HEALTHCAREMD501(C)(3)9SJMCtrue
HOUSE OF MERCY
1111 6TH AVENUEDES MOINESIA50314421323808SHELTERIA501(C)(3)7CHI-IA CORPtrue
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTHBAUDETTEMN56623410758434LTERM CAREMN501(C)(3)3CHItrue
LINUS OAKES INC
2700 STEWART PARKWAYROSEBURGOR97470930821381SENIOR LIVINGOR501(C)(3)9MMCtrue
LISBON AREA HEALTH SERVICES
905 MAIN STREETLISBONND58054820558836HEALTHCAREND501(C)(3)3CHItrue
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUECHATTANOOGATN37404621839548FUNDRAISINGTN501(C)(3)7MHCStrue
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUECHATTANOOGATN37404620532345HEALTHCARETN501(C)(3)3CHItrue
MEMORIAL HEALTH PARTNERS FOUNDATION INC
6028 SHALLOWFORD ROADCHATTANOOGATN37421030417049HEALTHCARETN501(C)(3)9MHCStrue
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUEDES MOINESIA50314426076069AUXILIARYIA501(C)(3)11 - Type ICHI-IA CORPtrue
MERCY CLINICS INC
1111 6TH AVENUEDES MOINESIA50314421193699PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUEDES MOINESIA50314421511682EDUCATIONIA501(C)(3)2CHI-IA CORPtrue
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUEDES MOINESIA50314237358794FUNDRAISINGIA501(C)(3)7CHI-IA CORPtrue
MERCY FOUNDATION INC
2700 STEWART PARKWAYROSEBURGOR97470936088946FUNDRAISINGOR501(C)(3)7MMCtrue
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGNE501(C)(3)11 - Type IAHMHtrue
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVECOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(C)(3)11 - Type IAHBMHStrue
MERCY HOSPITAL OF DEVILS LAKE
1031 EAST SEVENTH STREETDEVILS LAKEND58301450227012HEALTHCAREND501(C)(3)3CHItrue
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072450226553HEALTHCAREND501(C)(3)3CHItrue
MERCY LIFECARE SYSTEMS
2727 MCCLELLAND BLVDJOPLINMO64804431305163PROPERTY MGMTMO501(C)(3)11 - Type ISJRMCtrue
MERCY MEDICAL CENTER
1301 15TH AVENUE WESTWILLISTONND58801450231183HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER
2700 STEWART PARKWAYROSEBURGOR97470930386868HEALTHCAREOR501(C)(3)3CHItrue
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(C)(3)3CHI-IA CORPtrue
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WESTWILLISTONND58801450381803FUNDRAISINGND501(C)(3)11 - Type IMMCtrue
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUEDES MOINESIA50314421470935PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MERCY REGIONAL MEDICAL CENTER OF DURANGO
1010 THREE SPRINGS BLVDDURANGOCO81301840405515HEALTHCARECO501(C)(3)3CHItrue
MNMCH INC
220 NORTH PENNSYLVANIACOLUMBUSKS66725481216238HEALTHCAREKS501(C)(3)3SJRMCtrue
MT ST JOSEPH INC
3060 SE STARK STREETPORTLANDOR97214930386870NURSING CAREOR501(C)(3)9CHItrue
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREETOAKESND58474450231675HEALTHCAREND501(C)(3)3CHItrue
OAKES COMMUNITY HOSPITAL FOUNDATION
314 SOUTH 8TH STREETOAKESND58474710966606FUNDRAISINGND501(C)(3)11 - Type IOCHtrue
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52PUEBLOCO81004841234295COMMUNITYCO501(C)(3)7CHItrue
SET OF COLORADO SPRINGS INC
825 E PIKES PEAK AVENUE BLDG 29COLORADO SPRINGSCO80903841183335LTERM CARECO501(C)(3)7CHI COLORADOtrue
SAINT CLARE'S COMMUNITY CARE
66 FORD ROADDENVILLENJ07834222876836HEALTHCARENJ501(C)(3)11 - Type IISCHStrue
SAINT CLARE''S FOUNDATION INC
66 FORD ROADDENVILLENJ07834222502997FUNDRAISINGNJ501(C)(3)7SCHStrue
SAINT CLARE''S HEALTH SERVICES INC
25 POCONO ROADDENVILLENJ07834223639733MANAGEMENTNJ501(C)(3)7CHItrue
SAINT CLARE'S HOSPITAL
66 FORD ROADDENVILLENJ07834223319886HEALTHCARENJ501(C)(3)3CHItrue
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREETLINCOLNNE68510470625523FUNDRAISINGNE501(C)(3)7SERMCtrue
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREETLINCOLNNE68510363233120HEALTHCARENE501(C)(3)3SERMCtrue
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREETLINCOLNNE68510470379836HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER
PO BOX 9804GRAND ISLANDNE68802470376601HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(C)(3)7SFMCtrue
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREETBEREAKY40403260152877FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH HEALTH SYSTEM INC
150 N EAGLE CREEK DRLEXINGTONKY40509611334601HEALTHCAREKY501(C)(3)3CHItrue
SAINT JOSEPH LONDON FOUNDATION INC
310 EAST NINTH STREETLONDONKY40741260438748FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
SAINT JOSEPH MEDICAL FOUNDATION INC
ONE ST JOSEPH DRIVELEXINGTONKY40504311539059PHY PRACTICESKY501(C)(3)3SJHStrue
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
50 STERLING AVENUEMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREETDICKINSONND58601363418207FUNDRAISINGND501(C)(3)11 - Type ISJHHCtrue
SAMARITAN BEHAVIORAL HEALTH
601 S EDWIN C MOSES BLVDDAYTONOH45408020633634HEALTHCAREOH501(C)(3)3SHPtrue
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVEDAYTONOH45406237296923FUNDRAISINGOH501(C)(3)7SHPtrue
SAMARITAN HEALTH PARTNERS
2222 PHILADELPHIA DRIVEDAYTONOH45406311107411HEALTHCAREOH501(C)(3)11 - Type ICHItrue
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHPA501(C)(3)11 - Type ICHItrue
ST JOSEPH HEALTH MINISTRIES FOUNDATION
1929 LINCOLN HWY E STE 150LANCASTERPA17602232605579FUNDRAISINGPA501(C)(3)11 - Type ISJHMtrue
ST ANTHONY HOSPITAL
1601 SE COURT AVENUEPENDLETONOR97801930391614HEALTHCAREOR501(C)(3)3CHItrue
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUEPENDLETONOR97801930992727FUNDRAISINGOR501(C)(3)11 - Type ISA HOSPITALtrue
ST ANTHONY'S HOSPITAL ASSOCIATION
4 HOSPITAL DRIVEMORRILTONAR72110710245507HEALTHCAREAR501(C)(3)3SVIMCtrue
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREETGARDEN CITYKS67846480543721HEALTHCAREKS501(C)(3)3CHItrue
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREETGARDEN CITYKS67846200598702FUNDRAISINGKS501(C)(3)11 - Type ISCHtrue
ST DOMINIC AT ONTARIO
351 SW 9TH STREETONTARIOOR97914930433692HEALTHCAREOR501(C)(3)3CHItrue
ST FRANCIS HOME
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520410729978LTERM CAREMN501(C)(3)9CHItrue
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROADDENVILLENJ07834222536017ELDERLY CARENJ501(C)(3)9SCHStrue
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520410695598HEALTHCAREMN501(C)(3)3CHItrue
ST FRANCIS OF BAKER CITY
3325 POCAHONTAS ROADBAKER CITYOR97814930412495HEALTHCAREOR501(C)(3)3CHItrue
ST JOHN'S MEDICAL GROUP
2727 MCCLELLAND BLVDJOPLINMO64804431882377PHYS PRACTICEMO501(C)(3)9SJRMCtrue
ST JOHN'S MERCY REGIONAL FOUNDATION
2727 MCCLELLAND BLVDJOPLINMO64804431308084FUNDRAISINGMO501(C)(3)7SJRMCtrue
ST JOHN'S REGIONAL MEDICAL CENTER
2727 MCCLELLAND BLVDJOPLINMO64804440545809HEALTHCAREMO501(C)(3)3CHItrue
ST JOSEPH COMMUNITY HEALTH SERVICES
300 CENTRAL AVE SW SUITE 3000WALBUQUERQUENM87102710897107COMMUNITYNM501(C)(3)11 - Type ICHItrue
ST JOSEPH HEALTH SERVICES INC
1929 LINCOLN HWY E STE 150LANCASTERPA17602201425375DENTAL CAREPA501(C)(3)11 - Type ISJHMtrue
ST JOSEPH HOSPITAL FOUNDATION INC
ONE ST JOSEPH DRIVELEXINGTONKY40504611159649FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316READINGPA19603232649362FUNDRAISINGPA501(C)(3)11 - Type ISJRHNtrue
ST JOSEPH MEDICAL CENTER FOUNDATION INC
7601 OSLER DRIVETOWSONMD21204521681044FUNDRAISINGMD501(C)(3)7SJMCtrue
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVETOWSONMD21204520591461HEALTHCAREMD501(C)(3)3CHItrue
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316READINGPA19603208544021HEALTHCAREPA501(C)(3)9BHCtrue
ST JOSEPH PHYSICIAN ENTERPRISES
7601 OSLER DRIVETOWSONMD21204521311775PHYSICIANSMD501(C)(3)11 - Type ICHItrue
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316READINGPA19603231352211HEALTHCAREPA501(C)(3)3CHItrue
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUEPARK RAPIDSMN56470410695603HEALTHCAREMN501(C)(3)3CHItrue
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREETDICKINSONND58601450226429HEALTHCAREND501(C)(3)3CHItrue
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUEPIERRESD57501460230199HEALTHCARESD501(C)(3)3CHItrue
ST MARY'S HOSPITAL
1314 3RD AVENUENEBRASKA CITYNE68410470443636HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(C)(3)7SMHtrue
ST ROSE AMBULATORY AND SURGERY CENTER FKA CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CNTRKS501(C)(3)3CHItrue
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(C)(3)11 - Type ISVIMCtrue
ST VINCENT MEDICAL GROUP
2 ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(C)(3)9SVIMCtrue
THE COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206237419853DIALYSISOH501(C)(2)N/AGSHtrue
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(C)(3)3TRI-HEALTHtrue
THE MERCY HOSPITAL OF DEVILS LAKE FDN
1031 EAST SEVENTH STREETDEVILS LAKEND58301352367360FUNDRAISINGND501(C)(3)11 - Type IMHDLtrue
THE PHYSICIAN NETWORK
8055 O STREET SUITE 300LINCOLNNE68510470780857PHYS PRACTICENE501(C)(3)11 - Type ICHI NEBRASKAtrue
TOTAL HEALTHCARE
PO BOX 7021COLORADO SPRINGSCO80933840927232HEALTHCARECO501(C)(3)3CHI COLORADOtrue
UNITY FAMILY HEALTHCARE
815 2ND STREET SELITTLE FALLSMN56345410721642HEALTHCAREMN501(C)(3)3CHItrue
VILLA NAZARETH INC
801 PAGE DRIVEFARGOND58103450226714LT CAREND501(C)(3)9CHItrue
VISITING NURSE ASSOCIATION OF SAINT CLARE'S
191 WOODPORT ROADSPARTANJ07871221768334HOME HEALTHNJ501(C)(3)9SCHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918841513085REAL ESTATECOTHCRELATED-15767314390550false$0false0.501
AVANTAS LLC
1207 SOUTH 13 STREETOMAHANE68108392045003HEALTHCARENEAHMHUNRELATEDfalsefalse0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRELATEDfalsetrue0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310LEXINGTONKY40504611386736DIAGNOSTICKYSJ HOSPITAL LEXRELATEDfalsefalse0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUEKEARNEYNE68848470692112HEALTHCARE SRVCNEHSE INCRELATED-999411021498false-$48,712true1
CENTRAL NEBRASKA REHAB SERVICE
3004 W FAIDLEY AVEGRAND ISLANDNE68802810653461PHYSICAL THERAPYNECHIRELATED18579912262775false$0false0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUNRELATED1396798052069974790false$371,292true1
HEALTHCARE SUPPORT SERVICES
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNECHIRELATED1961243913481false-$58,436false1
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRELATED1983131758688false$0false0.5745
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOTHCRELATED-324931410905384false$0false0.6
PENINSULA RADIATION ONCOLOGY
314 MARTIN LUTHER KING JR WAY 11TACOMAWA98405870808610HEALTHCARE SRVCWAFHSRELATED1311953052504false$0false0.6
PENRAD IMAGING
1139 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCOTHCRELATED18572285457224false$0false0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201BALTIMOREMD21204522095835SURGERY CENTERMDSJMCRELATEDfalsetrue0.51
SAINT JOSEPH - SCA HOLDINGS LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503453801157OP SURGERYDESJHSRELATED00false$0false0.51
ST ANOTHONY REGIONAL MTN CANCER CENTER
4231 W 16TH AVENUEDENVERCO80112371568013CANCER CENTERCOTHCRELATED-2905520false$0false0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOTHCRELATED-18097914886022false$0false0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREETTACOMAWA98405911352698MED. OFFICEWAFHSRELATED1169481652280false$0false0.54
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503452116736MGMT SERVICESKYSJHSRELATED00false$0true0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREETLINCOLNNE68521262884555OP DIAGNOSTICSNESERMCRELATEDfalsefalse0.51
SURGERY CENTER OF LEXINGTON LLC
1451 HARRODSBURG ROADLEXINGTONKY40504621179539SURGERY CENTERDESJHSRELATED8088404236901false$0false0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ALTERNATIVE INSURANCE MANAGEMENT SERVICES
3900 OLYMPIC BOULEVARD SUITE 400ERLANGERKY41018841112049MANAGEMENT SERVICESCOCHIC CORPORATION032674411
AMERICAN NURSING CARE
1700 EDISON DRIVEMILFORDOH45150311085414HOME HEALTHOHCHSC CORPORATION1778617444703581
AMERIMED INC
1700 EDISON DRIVEMILFORDOH45150311158699HOME HEALTHOHANCC CORPORATION2395230118696571
CADUCEUS MEDICAL ASSOCIATES INC
6028 SHALLOWFORD ROAD SUITE DCHATTANOOGATN37422621570736HEALTHCARETNMHCSC CORPORATION010081
CAPTIVE MANAGEMENT INITIATIVES
980663022CAPTIVE MANAGEMENTCHIC CORPORATION001PO BOX 10073 APOGEORGETOWNGEORGETOWN, GRAND CAYMANCJKY1-1001CJ
CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511HEALTHCARECOCHIC CORPORATION-224796216685891
CENTRAL KANSAS HEALTH SERVICES ASSOCIATION
3515 BROADWAYGREAT BENDKS67530481042853MEDICAL EQUIPMENTKSCKMCC CORPORATION001
CGH REALTY COMPANY INC
215 N 12TH STREADINGPA19603232326801REAL ESTATEPASJHMC CORPORATION1007424151
COMCARE SERVICES
4231 W 16TH AVENUEDENVERCO80204840904813INACTIVECOCHICC CORPORATION001
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVEMILFORDOH45150311378212HOME HEALTHOHCHIC CORPORATION0115951251
DAVID DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192395INVESTMENTSNEGSHFTRUST48801664251
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUEDES MOINESIA50314420837382REAL ESTATEIACHI-IA CORPC CORPORATION012534520.9298
FIRST INITIATIVES INSURANCE LTD
980203038INSURANCECHIC CORPORATION001PO BOX 10073 APOGEORGETOWNGEORGETOWN, GRAND CAYMANCJKY1-1001CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HEALTHCARECOCHIC CORPORATION-507578119142841
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NEBRASKAC CORPORATION-29210633551101
HAROLD W RASE 1995 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601456090420INVESTMENTSNDSJHHCTRUST1240215531
HAROLD W RASE 1996 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037112INVESTMENTSNDSJHHCTRUST900154951
HAROLD W RASE 1997 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037104INVESTMENTSNDSJHHCTRUST1025202611
HAROLD W RASE 1999 CHARITABLE UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037099INVESTMENTSNDSJHHCTRUST1313250271
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC CORPORATION2528914430491
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET STTACOMAWA98402911865474HEALTH ORG.WAFHSC CORPORATION001
JAMES & HENRIETTA NISTLER UNITRUST
30 WEST 7TH STREETDICKINSONND58601206021899INVESTMENTSNDSJHHCTRUST-16708414551
JEANNE DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192398INVESTMENTSNEGSHFTRUST48801663201
JOSEPH A SCHUSTER ANNUITY TRUST #1
400 UNIVERSITY AVENUEDES MOINESIA50314421195122INVESTMENTSIAMFDMTRUST189244414881
LODESCA MILLER CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476186933INVESTMENTSNEGSHFTRUST3387863671
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDMH OF WILLISTONC CORPORATION98529625541
MERCY HEALTH SERVICES CORPORATION
2727 MCCLELLAND BLVDJOPLINMO64804431457881DMEMOST JOHN'S RMCC CORPORATION-153337113690831
MERCY PARK APARTMENTS LTD
1111 6TH AVENUEDES MOINESIA50314421202422HOUSINGIACHI-IA CORPC CORPORATION26448917960531
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97470930824308RETAIL SALESORMMCC CORPORATION-6902679547981
MOUNTAIN MANAGEMENT SERVICES INC
6028D SHALLOWFORD ROADCHATTANOOGATN37422621570739MGMT SVC ORGTNMHCSC CORPORATION-38602046679981
NAZARETH ASSURANCE COMPANY
76 ST PAUL STREET SUITE 500BURLINGTONVT05401030304831INSURANCEVTCHIC CORPORATION-3791235351
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVEMILFORDOH45150311100798HOME HEALTHOHANCC CORPORATION66242553259411
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET STTACOMAWA98402911746721HEALTH ORG.WAFHSC CORPORATION001
RAY & SHIRLEY DAVID 1999 UNITRUST
30 WEST 7TH STREETDICKINSONND58601206037077INVESTMENTSNDSJHHCTRUST1250241941
ROBERT & WANDA CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848266191916INVESTMENTSNEGSHFTRUST130305377751
SAINT CLARE''S PRIMARY CARE INC
66 FORD ROADDENVILLENJ07834222441202BILLING SERVICESNJSCCCC CORPORATION-34297021771661
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700DAYTONOH45402311299450HEALTHCAREOHSHPC CORPORATION1
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408HEALTHCARECOFSIC CORPORATION-51836031801001
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160LEXINGTONKY40503270164198MANAGEMENTKYSJHSC CORPORATION001
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORST ANTHONY HC CORPORATION5389130075541
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARSVIMCC CORPORATION2309129140493751
ST JOSEPH DEVELOPMENT COMPANY
1717 SOUTH J STREETTACOMAWA98405911480569RENTALWAFSIC CORPORATION-36395121680221
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70LEXINGTONKY40504611079899MANAGEMENTKYSJHSC CORPORATION166448821390.85
TOM DEYLE CHARITABLE REMAINDER UNITRUST
PO BOX 1810KEARNEYNE68848476192393INVESTMENTSNEGSHFTRUST48841663211
TOWSON MANAGEMENT INC
7601 OSLER DRIVETOWSONMD21204521710750MANAGEMENT SERVICESMDFSIC CORPORATION-4690164983931
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST VINCENT FOUNDATION
C2456498FMV
ST VINCENT MEDICAL GROUP
A36624FMV
NORTH RIVER SURGERY CENTER
A44956FMV
ST VINCENT FOUNDATION
L1069773COST
CATHOLIC HEALTH INITIATIVES
I41371679FMV
CATHOLIC HEALTH INITIATIVES
O4278515COST
CATHOLIC HEALTH INITIATIVES
Q19680745FMV
CATHOLIC HEALTH INITIATIVES
E7102218FMV
ST VINCENTAR SPECIALITY ORTHOPAEDIC CENTER LLC
A269319FMV