2012-05-14T10:02:35-04:00 2011-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2010-07-01 620532345 Memorial Health Care System MEMO 4234957878 2525 DeSales Avenue Chattanooga TN 37404 James Hobson 2012-05-10 JENNIFER WEYER 7208741500 2010 2016-02-24 21:20:13Z James Hobson 2525 DE SALES AVENUE Chattanooga TN 37377 526409467 false 0928 X www.memorial.org X 1952 TN Emphasize human dignity and social justice as we create healthier communities by providing health care services regardless of ability to pay, for those in Chattanooga, TN and the surrounding area. 21 18 3915 650 10553895 -2340539 1376103 3218619 456274747 507339970 6761045 11416598 3260786 4418090 467672681 526393277 572594 681473 0 0 180050828 198942187 0 0 0 252441285 283856457 433064707 483480117 34607974 42913160 434209411 465603214 100912375 86842385 333297036 378760829 X The mission of Memorial Health Care System and Catholic Health Initiatives 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. communities. true false 419870453 681473 497314182 SEE SCHEDULE H 419870453 true true false true false false false false false true true false false true true false true false false false false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 6 0 true 3915 true true true false false false false false false false false false X 21 18 false false false false true true true true true false true true true true true true true true true true true false TN X Cheryl Sadro 4234957878 2525 de Sales Avenue Chattanooga TN 37377 X CHARLES ARANT 1.0 X X LEO BROWN 1.0 X X 1568 ERIC CONN 1.0 X MICHAEL COSTELLO 1.0 X JOAN FRIERSON 1.0 X ROBERT GREVING 1.0 X EARLINE HOBBS SCN 1.0 X JAMES HOBSON 50.0 X X 534481 76095 KATHERINE LINDGREN 1.0 X X WARREN LOGAN JR 1.0 X CHRISTOPHER MCKEE 1.0 X MARY ELIZABETH O'BRIEN 1.0 X 953385 83485 SCOTT OSSEWARDE 1.0 X JUDITH RALEY SCN 1.0 X WAYNE SCOTT 1.0 X CAROLYN SMELTZER 1.0 X CAROLYNN THOMPSON 1.0 X BETTY VANNUCCI 1.0 X John Nash 1.0 X 7128 Aaron Web 1.0 X James Pesnell 1.0 X CAROL NEWTON 50.0 X 305922 34770 JACQUELINE JACKSON 50.0 X 276218 39834 DEBRA MOORE 50.0 X 257726 42569 SARAH FELLOWES 50.0 X 357972 35136 ANDREW MCGILL 50.0 X 270718 40644 ANASSER KHALIFEH 50.0 X 229538 39314 Gordon Utgard 50.0 X 222874 22879 Diona Brown 50.0 X 206971 30788 ARLENE DONOWITZ 1.0 X 22669 457460 24008 2159304 1945326 469522 80 true true false Xanitos Inc PO Box 95000-3290 Philadelphia PA 19195 Cleaning Services 4119535 Kinsey Probasco Hays 100 East 10th Street Chattanooga TN 37402 Construction 4019535 Sodexo Inc Affiliates PO Box 536922 Atlanta GA 30353 Dietary Services 3218482 Angelica Corporation 9506 Ooltewah Industrial Blvd Ooltewah TN 37363 Laundry Services 1729523 JJ Contractors 700 W Main Street Chattanooga TN 374024703 Construction 1704449 39 3218619 5612 3218619 Patient Services 900099 500877444 492221848 8655596 Rental Income 900099 3318351 3318351 Laboratory Services 621500 1286646 1286646 Pharmacy Services 446110 1370192 1370192 Research 900099 121932 121932 365405 365405 507339970 3751073 10351 3740722 0 0 32837 16190 16647 16647 16647 7630393 35132 7630393 35132 7665525 7665525 0 0 0 Services Sold 900099 1758080 517756 1240324 Child Care 624410 635669 635669 Leased Employees 561300 381624 381624 1626070 1626070 4401443 526393277 497314182 10553895 15306581 545909 545909 135564 135564 0 0 863822 863822 0 153645849 131703964 21941885 8314473 7090765 1223708 25233707 21509199 3724508 10884336 9282401 1601935 0 481571 481571 839041 839041 0 0 0 54570509 46394492 8176017 0 126088243 116142579 9945664 0 0 9582038 8952247 629791 706127 706127 0 89827 89827 1436997 1436997 8421516 8421516 22363866 21071572 1292294 2926920 2926920 Bad Debts 35835279 35835279 Dues & subscriptions 601956 601956 Income/sales/property taxes 14983386 14216257 767129 Repairs and maintenance 2326904 2326904 Recruitment and relocation 342477 342477 2259799 299404 1960396 483480117 419870453 63609664 0 11030 15033 29222905 20204417 4000 4000 87583692 66041371 639776 411788 13218053 14458558 817213 2013183 449595576 263466738 153403147 186128838 141939721 168005059 7042487 7042487 327387 1278480 434209411 465603214 57773587 48283242 575707 404877 2470712 2837709 40092369 35316557 100912375 86842385 X 333297036 378780829 -20000 333297036 378760829 434209411 465603214 X 42913160 2550633 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 19542 true 10071 true 3288 true 124544 157445 false 990 Schedule C, Part II-B, Q 1j Lobbying Activities Explanation B. Paid staff attended community forums, various community activities, strategic planning sessions and attended other legislative meetings and conventions. F. The portion of the organizations' dues that are related to lobbying are as follows: American Hospital Association ("AHA") - $1,435, Catholic Health Association ("CHA") - $4,316 and Tennessee Hospital Association ("THA") - $13,791. G. Attended "THA" legislative day/meetings, a Government Affairs Conference, the Catholic Legislative Advocacy Conference, and the Catholic Day on the Hill. H. Liz Jenkins, healthy community coordinator , attends several meetings per year at non-profit organizations in the community that have a health focus and attended the CHI Violence Prevention workshop. Others also attended THA Grassroots Advocacy/meetings, TN Public Health Association meetings and other THA meetings. I. The Ingram Group, Derryberry Public Relations - Health Care Advocacy, public relations, healthy community and strategic planning. 18910711 11507581 186454453 96420057 90034396 897800 358478 539121 213836304 159539039 54297265 29496509 7149164 29750475 186128838 CHI OIP - Fixed Income 79908886 CHI OIP - Equity Securities 88096173 168005059 0 UNCLAIMED PROPERTY 43615 ENVIRONMENTAL REMEDIATION LIABILITY 717940 CHI DEBT PROGRAM 34555002 35316557 Form 990, Sch. D, Part X, line 2 Memorial Health CAre System's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 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." true true X false false true true true false true true 7016 6119825 6119825 0.01370 15150 32958566 23459000 9499566 0.02120 22166 39078391 23459000 15619391 0.03490 17 9760 1699325 73319 1626006 0.00360 4 80 140830 140830 0.00030 5 11225 3182362 1418530 1763832 0.00390 3 704229 121392 582837 0.00130 9 763 1049704 1049704 0.00230 38 21828 6776450 1613241 5163209 0.01140 38 43994 45854841 25072241 20782600 0.04630 6 399 648508 648508 0.00140 1 28506 28506 0.00010 1 410333 410333 0.00090 8 399 1087347 1087347 0.00240 true 10301443 247376825 278906905 -31530080 X true true Memorial Mission Sur ambulatory surgery center 0.29300 0.70700 Berywood Office Prop physician office building 0.63000 0.37000 Mountain Management Management Services 1.00000 Caduceus Med Assoc Health Care Services 1.00000 2 1 Memorial Hospital

2525 DeSales Avenue Chattanooga TN 37404

X X X 2 Memorial North Park Hospital

2051 Hamill Road Hixson TN 37343

X X X Memorial Hospital 1 Memorial North Park Hospital 2 7 Memorial Mission Surgery Center

2525 DeSales Avenue Chattanooga TN 37404

Ambulatory Surgery Center 29.3% ownership Memorial Home Health

6028 Shallowford Road Chattanooga TN 37421

Home Health Memorial Ooltewah Imaging Center

6401 Mountain View Road Ooltewah TN 37363

Outpatient Imaging Center Memorial Heart Institute

2501 Citico Avenue Chattanooga TN 37404

Cardiac Physician Practice Memorial Heart Institute

2051 Hamill Road Hixson TN 37343

Cardiac Physician Practice Memorial Heart Institute

400 Berywood Trail Suite A Cleveland TN 37312

Cardiac Physician Practice Memorial Heart Institute

979 East 3rd Street Suite C925 Medi Chattanooga TN 37403

Cardiac Physician Practice Part I, Line 3c Question A: If 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 Memorial Health Care System) established its charity care policy it was determined that using a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 19 states served by CHI hospitals and health care facilities. Memorial Health Care System bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. Coinciding with HUD's annual update to the published income limits, Memorial Health Care System appropriately updates the sliding scale. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, in determining whether to extend discounted or free care to a patient, the patient's assets are also taken into consideration. For example, a patient suffering a catastrophic illness may have an income above the income limits, but high expenses and a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. Part I, Line 6a Question: If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. MHCS Prepares its own annual written community benefits report. Its community benefit report is not contained in that of a related organization. Part I, Line 7g Question: To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1 There are no Physician Clinics included in subsidized health services. Part I, Line 7, Column (f) Question: If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $ 35,835,279. Part I, Line 7 Question A: Provide 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). Question B: 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. 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. This resulted in a cost-to-charge ratio of 29.04%. Worksheet 2 was not used to derive the cost-to-charge ratio. Part III, Section A, Line 4 Question A: Provide 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. Question B: 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 charity care policy, if sufficient information has been available to make a determination as to their eligibility. 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. (A) Memorial Health Care System (MHCS) is included in the audited financial statements of its parent organization, Catholic Health Initiatives, and does not issue separate audited financial statements, thus there is no footnote. Bad debt expense reported on the MHCS unaudited financial statements represents an estimate of bad debts based on historical collection results. It does not represent actual write-offs incurred during the period. 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 periodically 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, MHCS follows established guidelines for placing certain patient balances with collection agencies. (B) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 29.04%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. All patients that do not have insurance receive a discount that is calculated each year as 150% of the cost to charge ratio in accordance with Tennessee State Code. This discount is applied to the patients account prior to billing and is treated as an adjustment to net patient revenue in the same manner as a managed care discount. The provision of this discount to all patients without insurance lowers the amount that is billed to the patient and reduces the amount of any subsequent bad debt expense. In fiscal year 2011, self pay discounts at cost totaled $7.3 million. Memorial Health Care System uses a number of processes as described in Part VI, Item 3 below to identify who can and cannot afford to pay. Patients who are unable to pay are identified in advance of billing or during the billing and collection process, particularly those who are medically indigent or underinsured. At any time in the process that a patient is determined to be eligible for charity care, the patient is re-classified from bad debt and all billing and collection efforts are discontinued. In spite of the best efforts of Memorial Health Care System, some patients do not self-identify as needing assistance or provide enough information to allow the hospital to determine their eligibility and remain classified as bad debt. We are unable to accurately estimate the amount of bad debt expense (at cost) that is attributable to patients that would qualify for charity care. Part III, Section B, Line 8 Question A: Describe 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. Question C: Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Memorial Health Care System's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. (A (pt.2)) Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: 247,376,825 Total Medicare costs: 278,906,905 Surplus of Shortfall (31,530,081) (B) Memorial Health Care System believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Part III, Section C, Line 9b Question: If 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 charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. At any time during the collection cycle it is determined that a patient qualifies for charity care of financial assistance, the collection cycle stops until the account balance is adjusted for the level of charity care approved. This practice applies to all patients. Memorial Health Care System will perform a reasonable review of each account, prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program and do not qualify for coverage through the charity care program. After having been turned over to a third-party collection agent, any account that subsequently is determined to meet the charity care policy shall be returned immediately by the third-party agent to the Hospital for appropriate follow-up. 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. Part VI, Item 2 - Needs Assessment Question: Describe how the organization assesses the health care needs of the communities it serves. Memorial Health Care System assessed the needs of the community served by Memorial Hospital and Memorial North Park Hospital during the year by consulting with Board members, other health related organizations, and community outreach organizations. Initially eight counties were included in the original needs assessment. Later the scope was narrowed to Hamilton County and needs were prioritized accordingly. Obesity, diabetes, hypertension, and heart disease were identified as priority health needs to target. Many programs have been developed to address these issues in our community. MHCS conducted community focus groups in eight neighborhoods adjacent to Memorial Hospital to identify the major health issues. From the top ten health disparities data available at the Center for Disease Control and Prevention, residents selected diabetes, hypertension and obesity as their leading chronic diseases requiring intervention. In collaboration with the East Chattanooga Improvement, Inc. and the Chattanooga Parks and Recreation Department, Memorial established exercise classes, nutrition and diabetes classes along with weight management classes for participants whose ages have ranged from 7 thru 87 years of age. Exercise classes began three years ago with 25 participants, and have now grown to 120 residents who exercise five days a week at three city recreation centers. Fourteen of the original 25 remain in the program, and two have loss 100 pounds. Significant improvement has also occurred in participants' blood pressure with most now in the healthy range. The city has plans to soon expand the exercise classes to additional recreation centers helping ensure the sustainability of the healthy lifestyle program. Part VI, Item 3 - Patient education of eligibility for assistance Question: Describe 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 charity care policy. Memorial Health Care System includes information concerning its financial assistance policy on its website. In addition, Memorial Health Care System prominently displays information concerning its charity care policy in both English and Spanish in all waiting areas throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in Memorial Health Care System outpatient facilities. In addition, Memorial Health Care System Registrars and Financial Counselors are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under Memorial Health Care System's charity care policy. Once all EMTALA requirements are met, patients who are identified as uninsured during the registration process (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. Memorial Health Care System Registrars and Financial Counselors read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. Memorial Health Care System's staff will also assist the patient / guarantor with completing the Financial Assistance Application and applying for other available coverage (such as Medicaid), if necessary. After all EMTALA requirements are met, during the registration process uninsured patients are screened in the Emergency Department for possible eligibility for the Medicaid program. A TennCare application is faxed to the Department of Human Services if the screening determined that the patient might have a category that would qualify them for Medicaid. The patient is given instructions on how to follow-up with the Department of Human services to complete the application process. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. During the billing and collection process, all statements to the patient, including those mailed from the third party collection agency, alert the patient that financial assistance is available if they need it and instructs them on how to obtain an application. Part VI, Item 4 & 5 Community Information and Promotion of Community Health Question 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Question 5: Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Introduction Memorial Health Care System Inc ("MHCS") is part of Catholic Health Initiatives ("CHI"), a national health care system established to foster a more effective ministry of faith-based healthcare in the United States. The mission of MHCS and CHI is to nurture the healing ministry of the Church by brining it new life, energy and viability in the 21st century. Both MHCS and CHI are committed to fidelity to the Gospel, with emphasis on human dignity and social justice in the creation of healthier communities. MHCS is primarily made up of two hospitals, Memorial Hospital and Memorial North Park Hospital. Memorial Hospital opened its doors on January 2, 1952 in response to concerns about the severe shortage of hospital beds in the community. From the beginning, when Memorial Hospital was established and the Sisters of Charity of Nazareth put forth their commitment to provide leadership to the operations of the hospital, the care of the poor and quality health care for the entire community was central to our mission. Memorial North Park Hospital joined MHCS when it was purchased February 1, 1998 and has adopted the same commitment to excellent health care to everyone in the community. MHCS is one of the Southeast's leading medical systems and the regions preeminent provider of cardiac and cancer care with centers of excellence in surgery and orthopedics. MHCS hospitals have been named one of the nation's 100 Top Hospitals six times by Thomson Reuters, the health care industry's leading source of information on hospital quality. According to Thomson's research, facilities named to the annual 100 Top Hospitals roster outperform their peers in quality, safety and efficiency. Tax Exempt Purpose MHCS is a faith based, tax-exempt 501(c)(3) organization that provides medical care to all regardless of their ability to pay. MHCS's tax exempt status is substantiated by its inclusion in the Official Catholic Directory as a tax-exempt hospital. Community services have always been a significant part of MHCS. Each year, services and programs offered to the community are evaluated and expanded to promote increased access to healthcare and healthier communities that targets chronic disease prevention and management for vulnerable and underserved populations. To enhance the health status of Chattanoogans, MHCS focuses on the whole person including the person's spiritual, emotional, and physical well-being. In FY 2010 MHCS hired an outside consultant to perform a Community Needs Assessment on the 8 County MHCS Region. This data will be used to determine the current immediate health needs of this region and will aid in the development of a community benefit plan. In accordance with its mission and philosophy, MHCS commits substantial resources to sponsor a broad range of services to both the poor as well as the broader community. Benefits for the poor include the cost of providing services to individuals who are unable to afford health care due to inadequate resources and/or those that are uninsured or underinsured. Benefits for the poor include traditional charity care, unpaid costs of Medicaid, subsidized or free health services, and cash and in-kind donations to organizations that serve the poor. The amounts reported reflect the costs of these services, net of contributions, government payments and other revenues received as direct assistance. Community benefits provided to the broader community includes the costs of providing services to other populations who may not qualify as poor but may need special services and support. Benefits to the broader community include: health promotion and education; health fairs and screenings; unpaid costs of training health professionals such as medical residents, nursing students and students in allied health professions; cash and in-kind donations to organizations that serve the broader community; and the unpaid costs of testing medical equipment and controlled studies of therapeutic protocols. In fiscal year 2011, MHCS provided community benefits and community building activities to approximately 44,483 people at a total cost of $46,942,188. Donations, grants, and other receipts totaling $25,072,241 were available as direct offsets to these costs. Emergency Room MHCS operates a 24-hour emergency room 365 days per year at both Memorial and Memorial North Park Hospitals. Both emergency rooms are open to all individuals regardless of ability to pay. During FY 2011, over 78,000 patients visited one of these emergency rooms. Memorial Hospital's emergency room is a Level 3 Certified Chest Pain Center. This is important for a hospital that focuses on cardiac care where every minute counts when patients are experiencing chest pain. Uncompensated Care Charity care is the cost of care of uninsured or underinsured, low-income patients who are not expected to pay all of a bill, or who are able to pay only a portion using an income-related scale. Those receiving charity care are not eligible for public programs such as TennCare. MHCS has a charity care policy, which assures that all persons receive medically necessary hospital services regardless of their ability to pay. MHCS provides a significant level of charity care each year. In FY 2011, the cost of charity care was $6,119,825. Additionally, MHCS provided unreimbursed costs in the amount of $9,499,566 for patients who qualified for the TennCare program. In FY 2011, MHCS classified charity and unreimbursed TennCare costs for reporting purposes in a manner consistent with a standardized approach developed by CHI for reporting and budgeting benefits provided to the community. Community Outreach for the Poor Prescription Drug Program MHCS provides prescription drugs to those Chattanoogans who cannot afford to purchase them. In FY 2011 MHCS provided $113,372 in free prescription drugs to 780 people. Pharmaceutical Assistance Program MHCS has partnered with Dispensary of Hope, a national organization that helps qualifying uninsured patients obtain necessary medications and other pharmaceutical assistance programs. MHCS is one of 80 Dispensary of Hope sites that redistribute pharmaceuticals that have been received as a donation from physicians, distributors, and manufacturers. Patients are made aware of this program through physicians, case managers, nurses and other caregivers. MHCS was able to assist 687 individuals, who received their prescription drugs through Dispensary of Hope. MHCS incurred $150,682 in expenses related to this program. Homeless Health Care Clinic The Homeless Health Care Clinic provides comprehensive health care to homeless men, women, and children. The clinic staff goes to abandoned buildings, campsites and shelters looking for homeless people who may need medical attention. Many homeless people are afraid to talk to people or leave their familiar surroundings. The clinic provides them with blankets and warm clothes in the winter and water in the summer. Memorial Hospital assists the homeless by providing free lab tests costing $55,317 and funds a nursing position in the amount of $40,000. Free Laboratory Tests MHCS provides free lab tests to the Samaritan Center, Homeless Health Care Clinic, Volunteers in Medicine, Project Access, Northshore Clinic, and Westside Clinic for those patients without insurance or adequate means to pay. Lab tests provided in FY 2011 totaled $301,407 and served 8,553 people. Catholic Charities MHCS provided $41,000 in FY 2011 to Catholic Charities to help fund their Interfaith Senior Services, Family Support Services, and their Counseling Program. These funds are used to help provide transportation services to frail and low income elderly individuals. Project Access Project Access is a referral network that offers access to medical care for low-income residents of Hamilton County who do not have insurance. Patients enrolled in this program must be below 150% of the poverty level and cannot be eligible for health insurance or other medical benefits such as Medicare or TennCare. Project Access helps patients get specialty health care that primary clinics may not be able to provide. Individuals that qualify are eligible for specialty care for three months and primary care for six months. Patients are also provided a prescription card that will allow them to get their medication with a $5.00 co-pay. Memorial Hospital participates as a provider in this network. Costs associa Part VI, Item 6 - Affiliated Health Care System Question: If 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. Memorial Health Care System, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; 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. Memorial Health Care System operates with its wholly owned affiliates and community partners, along with its fundraising arm, Memorial Health Care System Foundation, to serve the health care needs of the Chattanooga, Tennessee communities. Part VI, Item 8 - States Community Benfit Report is Filed in Question: If applicable, identify all states with which the organization, or a related organization, files a community benefit report. Memorial Health Care System files a community benefit report with the State of Tennessee. true Catholic Charities of East Tennessee 859 McCallie Avenue Chattanooga TN 37403 621377551 501c3 41000 FMV American Heart Association 7272 Greenville Avenue Dallas TX 75231 620532345 501c3 22500 FMV Access One EAP Partnership 1800 McCallie Avenue Chattanooga TN 37404 620911679 501c3 10000 FMV Allied Arts of Greater Chattanooga 406 Frazier Avenue Chattanooga TN 37405 237005188 501c3 6000 FMV Chattanooga Area Chamber of Commerce 811 Broad Str Ste 100 Chattanooga TN 37402 620154480 501c3 25955 FMV United Way 630 Market Street Chattanooga TN 37405 620565962 501c3 48429 FMV Friends of the Festival 180 Hamm Road Chattanooga TN 37405 621112739 501c3 16761 FMV Notre Dame High School 2701 Vermont Avenue Chattanooga TN 37404 500207635 501c3 10000 FMV American Diabetes Association 1701 N Beauregard St Alexandria VA 22311 131623888 501c3 6000 FMV Chattanooga State Tech Community College 4501 Amnicola Hwy Chattanooga TN 37406 620725362 501c3 50000 FMV American Cancer Society 850 Fort Wood St Chattanooga TN 37403 237040934 501c3 11000 FMV Susan G Komen For the Cure PO Box 11208 Chattanooga TN 37401 752875175 501c3 10000 FMV Siskin Hospital for Physical Rehab 3rd Street Chattanooga TN 37403 621220402 501c3 13156 FMV Goodwill Industries 3500 Dodds Avenue Chattanooga TN 37407 620544853 501c3 10000 FMV Hamilton County Government 921 East Third Street Chattanooga TN 37403 626000636 501c3 40000 FMV Univerisity of Tennessee MOCS PO Box 843038 Kansas City MO 64184 626001636 501c3 40950 FMV Creative Discovery Museum 321 Chestnut Street Chattanooga TN 37405 621509462 501c3 10000 FMV 17 Transportation assistance 10 268 FMV Lymphedema therapy assistance 30 11146 FMV We Care Weekend for cancer survivors & their famil 60 15661 FMV Radiologist interpretations paid through grant 1600 51702 FMV Educational assistance 30 35250 FMV Disaster relief 100 21537 FMV Schedule I Part I Q2 Procedures for monitoring the use of grants Grant requests are coordinated through the Memorial Health Care System Foundation. The beneficiary of the grant is responsible for using the funds in accordance with the grant requirements. All grant spending is reviewed by Fiscal Services and the Foundation before grant spending is reimbursed through the Foundation. Periodic reporting is coordinated between the beneficiary, Fiscal Services, and the Foundation. false true false false false false false true false JAMES HOBSON 433620 78201 22660 59243 16852 610576 MARY ELIZABETH O'BRIEN 590267 334408 28710 73013 10472 1036870 CAROL NEWTON 283418 10000 12504 27578 7192 340692 ARLENE DONOWITZ 8276 245208 211352 14393 900 22678 1330 22669 481468 JACQUELINE JACKSON 250133 10000 16085 32394 7440 316052 DEBRA MOORE 246671 10000 1055 30028 12541 300295 SARAH FELLOWES 347140 10000 832 20228 14908 393108 ANDREW MCGILL 260146 10000 572 22954 17690 311362 ANASSER KHALIFEH 220342 9196 20028 19286 268852 Gordon Utgard 169646 26131 27097 14196 8683 245753 Diona Brown 196206 10000 765 24860 5928 237759 Schedule J, Part I, Line 3 Methods used to establish CEO Compensation Compensation for the top management official of memorial helath care system 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 J, Part I, Line 4a Severence payment Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") and related organizations' employees at the level of vice president and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. No such termination benefits were made to this group of individuals. Schedule J, Part I, Line 4b Deferred Compensation During the 2010 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: James Hobson, Mary Elizabeth O'Brien During 2010 the following contributions were made by chi to the deferred compensation plan: James Hobson $39,015 Mary Elizabeth O'Brien $52,785 Schedule J, Part I, Line 7 Incentive Compensation Memorial Health Care System (MHCS) issued bonuses based on individual performance and specified events. 990 Part III, Q 2 New Significant Program Services Memorial Health Care System ("MHCS") has purchased a local Cardiac Physician Group named Memorial Heart Institute, LLC dba The Chattanooga Heart Institute, a Single Member LLC of MHCS. The purchase was effective 1/1/11. The new entity is Memorial Heart Institute, LLC which is a SMLLC of MHCS. 990 Part VI, Section A, Q 1a Executive Committee Composition and Authority Pursuant to Section 8.6 of the Bylaws of Memorial Health Care System, the Executive Committee is composed of the board chair, the board vice chair, the Immediate past chairperson of the board, the President and CEO, the Secretary, with one or two other directors. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. 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. 990 Part VI, Section A, Q 6 Members or Stockholders ACCORDING TO THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE ENTITIES SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION. 990 Part VI, Section A, Q 7a Electing Directors ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30th OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. 990 Part VI, Section A, Q 7b Governing Powers Memorial Health Care System's ("MHCS"), corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of MHCS's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of MHCS * Amendment of the corporate documents of MHCS * Approve members of the MHCS board * Removal of a member of the governing body of MHCS * Approval of issuance of debt by MHCS * Approval of participation of MHCS in a joint venture * Approval of formation of a new corporation by MHCS * Approval of a merger involving MHCS * Approval of the sale of all or substantially all of the assets of MHCS * To require the transfer of assets by MHCS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for MHCS. In addition, pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. 990 Part VI, Section B, Q 11b Process the organization uses to review Form 990 MHCS's Form 990 is prepared and reviewed by the internal tax department of its parent organization, CHI. The return is then reviewed by MHCS's Fiscal Services department and its Chief Financial Officer. Prior to filing, the return is made available to each member of the board of directors with opportunities for them to ask questions or make comments. Subsequent to Board Review, 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. 990 Part VI, Section B, Q 12a Conflict of Interest Policy The Board of Directors has its own COI Policy that differs from the one that MHCS employees follow. The policy that MHCS employees follow has not been approved by the BOD. 990 Part VI, Section B, Q 12c Procedures for monitoring and enforcing the COI policy The Conflict of Interest Policy of MHCS covers all directors and officers who hold the title of vice president and above. The policy applies to all affiliates of the Corporation and is intended to supplement, but not replace, any applicable laws governing conflicts of interest applicable to nonprofit corporations. If a director or officer has a potential or actual conflict with the Corporation and/or any of its Affiliates, such director or officer is deemed to also have a potential or actual conflict with respect to the Corporation and all of its Affiliates. Each director must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. Disclosure must be made to the Corporation's President and CEO who will report such disclosure to the Board Chair. A written record of the disclosure will be made. The CEO shall annually send to all directors and officers a copy of the Conflict of Interest Policy and Disclosure Statement. At the beginning of the Board meeting and all committee meetings, members are asked to declare any conflicts of interest that need to be disclosed. The Board of Directors shall carefully scrutinize, and must in good faith approve or disapprove, any transaction in which the Corporation and/or any of its Affiliates is a party, and in which one or more of the Corporation's directors or officers has either a material financial interest or is a director or officer of the other party. By a majority vote of the disinterested directors, the Board shall take whatever action is deemed appropriate under the circumstances with respect to the director or officer in order to best protect the interests of the Corporation, including possible disciplinary or corrective action. 990 Part VI, Section B, Q 14 Document Retention and Destruction Policy The Document Retention and Destruction policy is more of an operational policy. These type of policies usually do not go the too BOD. This has not been approved by the BOD. 990 Part VI, Section B, Q 15a Process for Determining Compensation The organization's CEO's compensation is paid by CHI. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2011. In addition, in December 2009, Hay Group completed a comprehensive review of all positions at the level of vice president and above to determine and validate appropriate compensation levels. 990 Part VI, Section B, Q 15b Process for Determining Compensation On an annual basis MHCS engages an external consultant to review the compensation of its executives. The review is performed to ensure that executive salaries are within comparable market ranges for that position. The results of the review are presented to the Executive Compensation Human Resources Committee for review and recommendation to the Board of Directors for approval. 990 Part VI, Section B, Q 16b Joint Venture Policy MHCS has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel. 990 Part VI, Section C, Q 19 Availability of Governing Documents, COI Policy, Financial Statements The Organizing Documents and Conflict of Interest Policy are not available to the public. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. The Financial Statements are also available through Annual Reports filed with the state of Tennessee. 990 Part VII Estimate of Hours Devoted to Related Organizations COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 50 HOUR-PER-WEEK EMPLOYEES. 990 Part XI, Q 5 Net Unrealized Gains/Losses $15,121,659 CHI Connect Depriciation $ 1,292,294 Capital Resource Pool Contributions ($ 668,532) Contributions of Services ($14,330,088) Acquisition of Berrywood & Non Controlling Interest $ 1,135,301 Net Change $ 2,550,634 Memorial Hospital Auxiliary 2525 De Sales Avenue Chattanooga TN 37404 621839548 Support MHCSF TN 41740 117491 MHCSF Memorial Health Partners 6028 Shallowford Road Chattanooga TN 37421 621784262 Contract Svcs TN MHCS Memorial Heart Institute LLC dba 2525 De Sales Avenue Chattanooga TN 37404 273799362 Physician Svc TN -3170986 12652091 MHCS Catholic Health Initiatives 198 Inverness Drive West Englewood CO 80112 470617373 Healthcare CO 501(c)(3) 9 CHI Bornemann Healthcare Corporation 2500 Bernville Road PO Box 316 Reading PA 19603 232187242 Healthcare PA 501(c)(3) 11a CHI CHI Institute For Research and Innovatio 198 Inverness Drive West Englewood CO 80112 271050565 Healthcare CO 501(c)(3) 11a CHI CHI National Foundation 198 Inverness Drive West Englewood CO 80112 270930004 Fundraising CO 501(c)(3) 11a CHI CHI National Services 198 Inverness Drive West Englewood CO 80112 452532084 Healthcare CO 501(c)(3) 9 CHI CHI National Home Care 198 Inverness Drive West Englewood CO 80112 451261716 Healthcare CO 501(c)(3) 11a CHI Global Health Initiatives 198 Inverness Drive West Englewood CO 80112 201536108 Ministries CO 501(c)(3) 11a CHI St Joseph Physician Enterprises 7601 Osler Drive Towson MD 21204 521311775 Physicians MD 501(c)(3) 11a CHI St Vincent Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 710236917 Healthcare AR 501(c)(3) 3 CHI St Anthony's Hospital Association 4 Hospital Drive Morrilton AR 72110 710245507 Healthcare AR 501(c)(3) 3 SVIMC St Vincent Foundation Two St Vincent Circle Little Rock AR 72205 510169537 Fundraising AR 501(c)(3) 11a SVIMC St Vincent Medical Group 2 St Vincent Circle Little Rock AR 72205 710830696 Healthcare AR 501(c)(3) 9 SVIMC CHI Colorado 188 Inverness Drive West Englewood CO 80112 840405257 Healthcare CO 501(c)(3) 3 CHI Mercy Regional Medical Center of Durango 1010 Three Springs Blvd Durango CO 81301 840405515 Healthcare CO 501(c)(3) 3 CHI Catholic Health Initiatives Colorado Fou 961 East Colorado Avenue Colorado Springs CO 80903 840902211 Fundraising CO 501(c)(3) 7 CHI Colorado Health SET 4200 West Conejos Place 436 Denver CO 80204 841102943 Low Inc.Care CO 501(c)(3) 7 CHI Colorado Pueblo Stepup 1925 East Orman Avenue Suite G52 Pueblo CO 81004 841234295 Community CO 501(c)(3) 7 CHI SET of Colorado Springs Inc 825 E Pikes Peak Avenue Bldg 29 Colorado Springs CO 80903 841183335 LTerm Care CO 501(c)(3) 7 CHI Colorado Total Healthcare PO Box 7021 Colorado Springs CO 80933 840927232 Healthcare CO 501(c)(3) 3 CHI Colorado CHI-Iowa Corp 1111 6th Avenue Des Moines IA 50314 420680448 Healthcare IA 501(c)(3) 3 MHN Bishop Drumm Retirement Center 1111 6th Avenue Des Moines IA 50314 420725196 LTerm Care IA 501(c)(3) 9 CHI-IA Corp House of Mercy 1111 6th Avenue Des Moines IA 50314 421323808 Shelter IA 501(c)(3) 7 CHI-IA Corp Mercy Clinics Inc 1111 6th Avenue Des Moines IA 50314 421193699 Physician IA 501(c)(3) 9 CHI-IA Corp Mercy College of Health Sciences 1111 6th Avenue Des Moines IA 50314 421511682 Education IA 501(c)(3) 2 CHI-IA Corp Mercy Foundation of Des Moines IA 1111 6th Avenue Des Moines IA 50314 237358794 Fundraising IA 501(c)(3) 7 CHI-IA Corp Mercy Auxiliary of Central Iowa 1111 6th Avenue Des Moines IA 50314 426076069 Auxiliary IA 501(c)(3) 11a CHI-IA Corp Mercy Professional Practice Associates 1111 6th Avenue Des Moines IA 50314 421470935 Physician IA 501(c)(3) 9 CHI-IA Corp Mercy Medical Center - Centerville FKA 1 St Josephs Drive Centerville IA 52544 420680308 Healthcare IA 501(c)(3) 3 CHI-IA Corp St Rose Ambulatory and Surgery Center F 3515 Broadway Great Bend KS 67530 480543724 Surgery Cntr KS 501(c)(3) 3 CHI St Catherine Hospital 401 East Spruce Street Garden City KS 67846 480543721 Healthcare KS 501(c)(3) 3 CHI St Catherine Hospital Development Found 401 East Spruce Street Garden City KS 67846 200598702 Fundraising KS 501(c)(3) 11a SCH CHI Kentucky Inc 3900 Olympic Blvd Suite 400 Erlanger KY 41018 202741651 Healthcare KY 501(c)(3) 11a CHI Saint Joseph Health System Inc 150 N Eagle Creek Dr Lexington KY 40509 611334601 Healthcare KY 501(c)(3) 3 CHI Continuing Care Hospital 150 North Eagle Creek Drive Lexington KY 40509 611400619 LTACH KY 501(c)(3) 3 SJHS Flaget Healthcare DBA Flaget Memorial 4305 New Shepherdsville Road Bardstown KY 40004 611345363 Healthcare KY 501(c)(3) 3 CHI Flaget Memorial Hospital Foundation Inc 4305 New Shepherdsville Road Bardstown KY 40004 562351341 Fundraising KY 501(c)(3) 11a FH Saint Joseph London Foundation Inc 310 East Ninth Street London KY 40741 260438748 Fundraising KY 501(c)(3) 11a SJHS Saint Joseph Berea Hospital Foundation 305 Estill Street Berea KY 40403 260152877 Fundraising KY 501(c)(3) 7 SJHS St Joseph Hospital Foundation Inc 305 Estill Street Lexington KY 40504 611159649 Fundraising KY 501(c)(3) 11a SJHS Saint Joseph Medical Foundation Inc One St Joseph Drive Lexington KY 40504 311539059 Phy Practices KY 501(c)(3) 3 SJHS Saint Joseph Mount Sterling Foundation 50 Sterling Avenue Mount Sterling KY 40353 272884584 Fundraising KY 501(c)(3) 7 SJHS St Joseph Medical Center Inc 7601 Osler Drive Towson MD 21204 520591461 Healthcare MD 501(c)(3) 3 CHI St Joseph Medical Center Foundation In 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 7 SJMC Alverna Apartments 300 SE 8th Avenue Little Falls MN 56345 411351177 Lterm Care MN 501(c)(3) 9 CHI Lakewood Health Center 600 Main Avenue South Baudette MN 56623 410758434 LTerm Care MN 501(c)(3) 3 CHI St Francis Home 2400 St Francis Drive Breckenridge MN 56520 410729978 LTerm Care MN 501(c)(3) 9 CHI Appletree Court 601 Oak Street Breckenridge MN 56520 411850500 Senior Homes MN 501(c)(3) 9 SFH St Francis Medical Center 2400 St Francis Drive Breckenridge MN 56520 410695598 Healthcare MN 501(c)(3) 3 CHI Healthcare and Wellness Foundation 2400 St Francis Drive Breckenridge MN 56520 760761782 Fundraising MN 501(c)(3) 11a SFMC St Joseph's Area Health Services 600 Pleasant Avenue Park Rapids MN 56470 410695603 Healthcare MN 501(c)(3) 3 CHI Unity Family Healthcare 815 2nd Street SE Little Falls MN 56345 410721642 Healthcare MN 501(c)(3) 3 CHI St John's Regional Medical Center 2727 McClelland Blvd Joplin MO 64804 440545809 Healthcare MO 501(c)(3) 3 CHI Mercy Lifecare Systems 2727 McClelland Blvd Joplin MO 64804 431305163 Property Mgmt MO 501(c)(3) 11a SJRMC MNMCH Inc 220 North Pennsylvania Columbus KS 66725 481216238 Healthcare KS 501(c)(3) 3 SJRMC St John's Medical Group 2727 McClelland Blvd Joplin MO 64804 431882377 Phys Practice MO 501(c)(3) 9 SJRMC St John's Mercy Regional Foundation 2727 McClelland Blvd Joplin MO 64804 431308084 Fundraising MO 501(c)(3) 7 SJRMC Alegent Health - Bergan Mercy Health Sys 7500 Mercy Road Omaha NE 68124 470484764 Healthcare NE 501(c)(3) 3 CHI Alegent Health - Mercy Hospital Corning PO Box 368 Corning IA 50841 420782518 Healthcare IA 501(c)(3) 3 AHBMHS Mercy Health Care Foundation PO Box 368 Corning IA 50841 421461064 Fundraising NE 501(c)(3) 11a AHMH Mercy Hospital Foundation Council Bluff 800 Mercy Drive Council Bluffs IA 51503 421178204 Fundraising IA 501(c)(3) 11a AHBMHS CHI Nebraska 555 South 70th Street Lincoln NE 68510 363233121 Healthcare NE 501(c)(3) 11a CHI The Physician Network 8055 O Street Suite 300 Lincoln NE 68510 470780857 Phys Practice NE 501(c)(3) 11a CHI Nebraska Good Samaritan Hospital PO Box 1990 Kearney NE 68848 470379755 HealthCare NE 501(c)(3) 3 CHI Nebraska Good Samaritan Hospital Foundation PO Box 1810 Kearney NE 68848 470659443 Fundraising NE 501(c)(3) 7 GSH Catholic Health Care Federation 198 Inverness Drive West Englewood CO 80112 208473567 Jurdic Person CO 501(c)(3) 11a CHI Saint Elizabeth Regional Medical Center 555 South 70th Street Lincoln NE 68510 470379836 Healthcare NE 501(c)(3) 3 CHI Nebraska Saint Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 Fundraising NE 501(c)(3) 7 SERMC Saint Elizabeth Health Services 555 South 70th Street Lincoln NE 68510 363233120 Healthcare NE 501(c)(3) 3 SERMC Saint Francis Medical Center PO Box 9804 Grand Island NE 68802 470376601 HealthCare NE 501(c)(3) 3 CHI Nebraska Saint Francis Medical Center Foundation PO Box 9804 Grand Island NE 68802 470630267 Fundraising NE 501(c)(3) 7 SFMC St Mary's Hospital 1314 3rd Avenue Nebraska City NE 68410 470443636 Healthcare NE 501(c)(3) 3 CHI Nebraska St Mary's Hospital Foundation 1314 3rd Avenue Nebraska City NE 68410 470707604 Fundraising NE 501(c)(3) 7 SMH Saint Clare's Health Services Inc 25 Pocono Road Denville NJ 07834 223639733 Management NJ 501(c)(3) 7 CHI Saint Clare's Community Care 66 Ford Road Denville NJ 07834 222876836 Healthcare NJ 501(c)(3) 11b SCHS Saint Clare's Foundation Inc 66 Ford Road Denville NJ 07834 222502997 Fundraising NJ 501(c)(3) 7 SCHS Saint Clare's Hospital 66 Ford Road Denville NJ 07834 223319886 Healthcare NJ 501(c)(3) 3 CHI St Francis Life Care Corporation 19 Pocono Road Denville NJ 07834 222536017 Elderly Care NJ 501(c)(3) 9 SCHS Visiting Nurse Association of Saint Clar 191 Woodport Road Sparta NJ 07871 221768334 Home Health NJ 501(c)(3) 9 SCHS St Joseph Community Health Services 300 Central Ave SW Suite 3000W Albuquerque NM 87102 710897107 Community NM 501(c)(3) 11a CHI CHI Health Connect at Home - Fargo 4816 Amber Valley Parkway Fargo ND 58104 271966847 Healthcare ND 501(c)(3) 3 CHI Carrington Health Center 800 North 4th Street Carrington ND 58421 450227311 Healthcare ND 501(c)(3) 3 CHI Lisbon Area Health Services 905 Main Street Lisbon ND 58054 820558836 Healthcare ND 501(c)(3) 3 CHI Mercy Hospital of Devils Lake 1031 East Seventh Street Devils Lake ND 58301 450227012 Healthcare ND 501(c)(3) 3 CHI The Mercy Hospital of Devils Lake Fdn 1031 East Seventh Street Devils Lake ND 58301 352367360 Fundraising ND 501(c)(3) 11a MHDL Mercy Hospital of Valley City 570 Chautauqua Boulevard Valley City ND 58072 450226553 Healthcare ND 501(c)(3) 3 CHI Mercy Medical Center 1301 15th Avenue West Williston ND 58801 450231183 Healthcare ND 501(c)(3) 3 CHI Mercy Medical Foundation 1301 15th Avenue West Williston ND 58801 450381803 Fundraising ND 501(c)(3) 11a MMC Oakes Community Hospital 314 South 8th Street Oakes ND 58474 450231675 Healthcare ND 501(c)(3) 3 CHI Oakes Community Hospital Foundation 314 South 8th Street Oakes ND 58474 710966606 Fundraising ND 501(c)(3) 11a OCH St Joseph's Hospital and Health Center 30 West 7th Street Dickinson ND 58601 450226429 Healthcare ND 501(c)(3) 3 CHI Saint Joseph's Hospital Foundation 30 West 7th Street Dickinson ND 58601 363418207 Fundraising ND 501(c)(3) 11a SJHHC Villa Nazareth Inc 801 Page Drive Fargo ND 58103 450226714 LT Care ND 501(c)(3) 9 CHI Samaritan Health Partners 2222 Philadelphia Drive Dayton OH 45406 311107411 Healthcare OH 501(c)(3) 11a CHI Samaritan Behavioral Health 601 S Edwin C Moses Blvd Dayton OH 45408 020633634 Healthcare OH 501(c)(3) 3 SHP Samaritan Health Foundation 2222 Philadelphia Drive Dayton OH 45406 237296923 Fundraising OH 501(c)(3) 7 SHP The Good Samaritan Hospital of Cincinnat 619 Oak Street Accounting-3 West Cincinnati OH 45206 310537486 Healthcare OH 501(c)(3) 3 TRI-HEALTH The Community Limited Care Dialysis Cent 619 Oak Street Accounting-3 West Cincinnati OH 45206 237419853 Dialysis OH 501(c)(2) none GSH Good Samaritan College of Nursing & Heal 375 Dixmyth Ave Cincinnati OH 45220 311778403 Education KY 501(c)(3) 2 GHS Good Samaritan Foundation of Cincinnati 619 Oak Street Accounting-3 West Cincinnati OH 45206 311206047 Fundraising OH 501(c)(3) 11a GSH Hospital Association for St Joseph Hosp 7601 Osler Drive Towson MD 21204 526050777 Healthcare MD 501(c)(3) 9 SJMC Mercy Medical Center 2700 Stewart Parkway Roseburg OR 97470 930386868 Healthcare OR 501(c)(3) 3 CHI Centennial Medical Group Inc 2700 Stewart Parkway Roseburg OR 97470 900433062 Physicians OR 501(c)(3) 9 MMC Linus Oakes Inc 2700 Stewart Parkway Roseburg OR 97470 930821381 Senior Living OR 501(c)(3) 9 MMC Mercy Foundation Inc 2700 Stewart Parkway Roseburg OR 97470 936088946 Fundraising OR 501(c)(3) 7 MMC Mt St Joseph Inc 3060 SE Stark Street Portland OR 97214 930386870 Nursing Care OR 501(c)(3) 9 CHI St Anthony Hospital 1601 SE Court Avenue Pendleton OR 97801 930391614 Healthcare OR 501(c)(3) 3 CHI St Anthony Hospital Foundation 1601 SE Court Avenue Pendleton OR 97801 930992727 Fundraising OR 501(c)(3) 11a SA Hospital St Dominic at Ontario 351 SW 9th Street Ontario OR 97914 930433692 Healthcare OR 501(c)(3) 3 CHI St Francis of Baker City 3325 Pocahontas Road Baker City OR 97814 930412495 Healthcare OR 501(c)(3) 3 CHI St Joseph Health Ministries 1929 Lincoln Hwy E Ste 150 Lancaster PA 17602 232342997 Health PA 501(c)(3) 11a CHI St Joseph Health Ministries Foundation 1929 Lincoln Hwy E Ste 150 Lancaster PA 17602 232605579 Fundraising PA 501(c)(3) 11a SJHM St Joseph Health Services Inc 1929 Lincoln Hwy E Ste 150 Lancaster PA 17602 201425375 Dental care PA 501(c)(3) 11a SJHM St Joseph Regional Health Network 2500 Bernville Road PO Box 316 Reading PA 19603 231352211 Healthcare PA 501(c)(3) 3 CHI St Joseph Medical Group 2500 Bernville Road PO Box 316 Reading PA 19603 208544021 Healthcare PA 501(c)(3) 9 BHC St Joseph Medical Center Foundation 2500 Bernville Road PO Box 316 Reading PA 19603 232649362 Fundraising PA 501(c)(3) 11a SJRHN St Mary's Healthcare Center 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare SD 501(c)(3) 3 CHI Gettysburg Medical Center 606 East Garfield Avenue Gettysburg SD 57442 460234354 Healthcare SD 501(c)(3) 3 SMHC Memorial Health Care System Inc 2525 De Sales Avenue Chattanooga TN 37404 620532345 Healthcare TN 501(c)(3) 3 CHI Memorial Health Care System Foundation 2525 De Sales Avenue Chattanooga TN 37404 621839548 Fundraising TN 501(c)(3) 7 MHCS Memorial Health Partners Foundation Inc 6028 Shallowford Road Chattanooga TN 37421 030417049 Healthcare TN 501(c)(3) 9 MHCS Franciscan Health System FKA Franciscan 1717 South J Street Tacoma WA 98405 910564491 Healthcare WA 501(c)(3) 3 CHI Enumclaw Regional Hospital Association 1450 Battersby Avenue Enumclaw WA 98022 910715805 Healthcare WA 501(c)(3) 3 FHS Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 Fundraising WA 501(c)(3) 9 FHS Franciscan Medical Group 1708 South Yakima Avenue Tacoma WA 98405 911939739 Healthcare WA 501(c)(3) 9 FHS Franciscan Villa of South Milwaukee Inc 3601 South Chicago Avenue South Milwaukee WI 53172 391093829 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