2011-04-15T20:10:39-04:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 930391614 St Anthony Hospital STAN 5412783220 1601 SE COURT AVENUE PENDLETON OR 97801 Jim Schlenker 2011-04-11 7208741500 2009 2016-02-24 21:20:13Z Randall L Mee 1601 SE COURT AVENUE Pendleton OR 97801 53211910 false 0928 X www.sahpendleton.org X 1901 OR St Anthony Hospital was founded in 1902 by the Sisters of St. Francis to provide comprehensive healthcare to everyone regardless of ability to pay or social status in this rural community of Eastern Oregon. 12 10 359 70 315093 214381 95423 81680 45575670 50191534 -1044430 2579226 215317 239813 44841980 53092253 94401 114215 0 0 18762824 21853965 0 0 0 22290429 21276725 41147654 43244905 3694326 9847348 75712043 88284371 16391953 16880872 59320090 71403499 The organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. true false 33891087 114215 50190759 See Schedule H 33891087 true true false true false false false false false true false true false false false false false false false false true true false true false false false false false true false false false false false false false true true false false true 0 0 359 true true true false false false false false false false false 12 10 false false false false true true true true true false false true true true true true true true true false OR X Jim Schlenker 5412783220 1601 SE Court Avenue Pendleton OR 97801 Marie-Monica Borden 3.0 X RJ Blanc 3.0 X Cheryl Doyle 3.0 X X Brent Fife 3.0 X X RANDY MEE 40.0 X X 164439 31750 John McBee 3.0 X 73568 Beth O'Hanlon 3.0 X X Rudy Stefancik 3.0 X Jerry Simpson 6.0 X X Patricia Winn 3.0 X Tim Hawkins 3.0 X Marion Green 3.0 X Nancy Bridges 40.0 X 135168 19619 Gloria Larson 40.0 X 164401 27911 Jim Schlenker 40.0 X 158872 18158 Michael Brunsman 40.0 X 130220 1661 Amy Dickey 40.0 X 131376 15829 Cindy Parks 40.0 X 130578 29626 Abelardo Sotelo 40.0 X 471821 25845 Michael Rickman 40.0 X 123893 29667 Ted Fox 1.0 X 266781 35568 Robert Wehling 1.0 X 204916 1446329 709704 235634 15 true true false Interpath Laboratory PO Box 1208 Pendleton OR 97801 Laboratory Services 824679 Apogee Medical Management 2525 E Camelback Road Suite 1100 Phoenix AZ 85016 Hospitalist Program 457292 Northwest Emergency Physicians 3455 South 344th Way Suite 210 Federal Way WA 98001 Emergency Room Phys 265605 Staff Care Inc PO Box 281923 Atlanta GA 303841923 Locum Contract Phys 238794 Leone Keeble Inc PO Box 2747 Spokane WA 99220 General Contractor 181219 10 30634 26801 24245 81680 Patient Services 900099 49892181 49892181 RELATED RENTAL INCOME 900099 287236 286461 775 Medical Records Revenue/Transcription 541200 7262 7262 Medical Services 900099 4855 4855 50191534 1440344 197063 1243281 0 0 43147 98542 -55395 -55395 -55395 1158398 1599 21115 1158398 -19516 1138882 1138882 0 0 0 Cafeteria 722100 169695 15038 154657 MANAGEMENT FEES 900099 30000 30000 SERVICE SOLD 446110 45460 45460 50053 26757 23296 295208 53092253 50190759 315093 2504721 114215 114215 0 0 0 515409 106727 408682 0 15940371 14511879 1428492 805194 715744 89450 3404728 2632410 772318 1188263 1035722 152541 0 2829 2829 0 0 0 0 6022046 4133035 1889011 0 5261767 4958756 303011 0 0 1138196 396208 741988 232699 124866 107833 0 130557 1805 128752 569380 569380 1157502 1157502 2001795 1202478 799317 391670 326697 64973 Unrelated Business Taxes 30492 30492 Bad debts 3228997 2744648 484350 Dues & subscriptions 52559 9240 43319 Recruitment and relocation 433515 48986 384529 Repairs and maintenance 441835 170050 271785 180884 88241 92644 0 43244905 33891087 9353818 0 1550 1596 2227050 3264507 7383068 8354950 2819187 2731965 1157869 1298287 92687 67367 51941739 30130719 22956383 21811020 38921706 50644679 152543 110000 75712043 88284371 3254728 4957342 13137225 11923530 16391953 16880872 X 59298337 71377056 21753 26443 59320090 71403499 75712043 88284371 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1235 false false 1235 false false 990 Sch C Supplemental Lobbying Activities Explanation THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) and Catholic Healthcare association (CHA). THE PORTIONs OF ORGANIZATIONAL DUES THAT ARE RELATED to LOBBYING are as follows: AMERICAN HOSPITAL ASSOCIATION - $719 CATHOLIC HEALTHCARE ASSOCIATION - $516 0 1788742 1788742 0 26498543 10577523 15921020 0 680058 625554 54504 0 22770228 18927642 3842586 204167 0 204167 21811019 CHI OIP - Fixed Income 26356698 F CHI OIP - Equity Securities 24287981 F 50644679 0 UNCLAIMED PROPERTY 3282 ENVIRONMENTAL REMEDIATION LIABILITY 1226731 INTERCOMPANY PAYABLE 10688668 MISCELLANEOUS 4849 11923530 53092253 43244905 9847348 2900270 -664208 2236062 12083410 REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 SCH D, PART XIV St. Anthony Hospital's Financial Information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 footnote for the year ended June 30, 2010 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements." Other adjustments Schedule D Part XI Q8 Capital Resource Pool Contribution- ($767,280) CHI Connect Depreciation - $103,072 Total - (664,208) true true false false true true true false true true 4154 1826660 1826660 0.04560 15004 15004 0.00040 4154 1841664 1841664 0.04600 40 47505 210204 2572 207632 0.00520 6 549 142147 142147 0.00360 8 10755 182137 182137 0.00460 54 58809 534488 2572 531916 0.01340 54 62963 2376152 2572 2373580 0.05940 1 640 8871 8871 0.00020 19 6253 65928 5788 60140 0.00150 2 269 10621 10621 0.00030 1 10 4593 4593 0.00010 2 315 2815 2815 0.00010 2 115 348857 1000 347857 0.00870 1 221 350 350 28 7823 442035 6788 435247 0.01090 true 3238000 1657856 14592125 440515 14151610 true true St Anthony Hospital

1601 SE Court Avenue Pendleton OR 97801

X X X X If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the ultimate parent organization to St Anthony Hospital) established its charity care 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 Anthony Hospital 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. 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. St Anthony Hospital prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization. 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). 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 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $44,512,000/$86,901,000 results in a 51.2% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio. 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 $3,228,997 (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. (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) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. (B) St Anthony Hospital 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 Anthony Hospital does not issue separate company audited financial statements, however, the organization is included in the consolidated financial statement 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 periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payer 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". Part III, Section B, Line 8 (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. (B) 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. (A)St. Anthony Hospital is designated as a Critical Access Hospital ("CAH"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfalls are based on costs, not charges, and St. Anthony Hospital, due to its designation as a CAH, received cost-based reimbursement for Medicare purposes, St. Anthony Hospital will not experience Medicare related shortfalls. (B)However St. Anthony Hospital and its affiliates, believe that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. 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. St Anthony Hospital's debt collection policy provides that St Anthony Hospital will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through St Anthony Hospital community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the St Anthony Hospital community assistance policy is required to be returned immediately by the third-party collection agent to St Anthony Hospital for appropriate follow-up. St Anthony Hospital 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. Describe how the organization assesses the health care needs of the communities it serves. 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. 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). Community Benefit Annual Report FY 2010 Summary Introduction St. Anthony Hospital in 1902 was founded by the Sisters of St. Francis to provide healthcare to the rural farming and ranching community of Pendleton in Eastern Oregon. St. Anthony Hospital has an open medical staff with privileges available to all qualified physicians in the area. The St. Anthony Hospital ("SAH") Board of Trustees is made up of a majority of independent persons representative of the community. SAH continues to engage in the training and education of health care professionals who provide service to this community In 1997, St. Anthony Hospital joined Catholic Health Initiatives as a market-based organization. This was a blending of the health care ministries of multiple congregations of women religious. While each congregation had carried out the health care ministry of Jesus for many decades, they did so in different locations and in accordance with different traditions. Still, they shared a commitment to building healthy communities in which everyone, especially the poor and vulnerable, would have access to services needed for healthy minds, bodies and spirits. For this reason, SAH is committed to serve all persons in the community on a non-discriminatory basis. SAH operates an emergency room that is open to all persons regardless of ability to pay. In forming Catholic Health Initiatives, all of the founding congregations embraced a commitment to building healthy communities. Catholic Health Initiatives' 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 for persons of all ages. St. Anthony Hospital is a qualified Critical Access Hospital. In addition, SAH provides services through a federally qualified rural health clinic, called the Urgent Care Center, and Home Health & Hospice programs. In keeping with our mission, SAH provides care for all regardless of ability to pay. Last year SAH gave $2 million to underprivileged individuals and the broader community in charity care, community education, outreach and unpaid costs of Medicaid. Quality healthcare is delivered in a service area of over 116,000 residents in Umatilla, Union, Morrow and Grant counties. This consists of rural, primarily agricultural communities, in Northeastern Oregon. The vast majority of the population is Caucasian, with Hispanics making up most of the minority population at around 20%. Pendleton is the largest city in the area with approximately 17,000 people, followed by Hermiston with a population of approximately 14,000 and La Grande with approximately 11,000 residents. All towns in the four county area have 6,000 or less residents. Community Benefit Approach Multiple Avenues Leading to Healthy Communities Catholic Health Initiatives has created multiple avenues that all lead toward healthy communities. They include: * New and continuing community benefit activities * Support for international health missions * Community Health Services Organizations * Grants for projects and long-term partnerships that promote community health * Investments in organizations that serve disadvantaged populations Thirteen years or a century from now, the process of building healthy communities may be completely different than it is today; however, it will always be an emphasis of Catholic Health Initiatives. New and Continuing Community Benefit Activities Every Catholic Health Initiatives market-based organization is committed to community benefit, which can be defined as the provision of health services and compassionate care to the poor and vulnerable as well as the broader community. In addition to providing uncompensated care to those in need, these activities include wellness programs; community education programs; and special programs for vulnerable populations such as children, the elderly, the disabled and the medically underserved. Assessing Health Care Needs St. Anthony Hospital draws from several sources to identity the health care needs in the community. These include the Oregon Housing and Community Service Poverty Report, the Oregon Healthy Teens Report, Healthy Aging in Oregon Counties Report, Keeping Oregonians Healthy Report, County Health Rankings, Umatilla County Health Department and Head Start. In July, 2008 St. Anthony Hospital formed a Community Health Improvement Coalition in order to: * assess the health needs of the community, * identify strengths and areas of improvement regarding existing health services, * develop a plan to address gaps, * identify key community organizations and players to respond to the gaps, and * Establish on-going relationships with community partners. The assessment process utilized both a questionnaire and focus group format in order to include individuals within the community, as well as all hospital employees and Board members. The data was combined with reports generated from county, state and independent health assessments pertaining to the broader Pendleton community served by St. Anthony Hospital. The following were the top identified needs of the community: -Shortage of physicians/Access to Healthcare -Child/Infant care -Affordable housing/Homelessness -Employment opportunities -Affordable healthcare -Health education -Mental health issues/addiction issues -Domestic violence -Prevention education: Smoking & Obesity -Palliative & End of Life Care QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor Pharmacy Indigent Care Program SAH provides prescription medications to persons who do not have the means to purchase them. Provisions of these medications helps the recipients to recover more quickly from their illnesses, better manage chronic conditions, and avoid costly hospitalizations. In fiscal year 2010, prescription drugs valued at $6,222.63 were provided to 224 individuals. Care Rides SAH collaborates with the City of Pendleton by paying $2,000 for one quarter of the cost of transportation for low-income patients in the community. This helps ensure the community has easy access to health care. Without this assistance, over 1,500 rides could not have been provided. This services helps patients timely address their needs, decreasing the cost of care for all. Salvation Army Meals SAH helps provide weekly meals at the Salvation Army, with over 5,541 meals served to the underprivileged last year, at a cost of $142,701. St. Anthony Hospital has faithfully provided this service to those in need in our community for many years. This year SAH went even further to make sure this service was not interrupted when the Salvation Army facilities. where these services were normally provided. had to shut down operations for a number of months because of building code safety issues. During this time the hospital opened its doors and provided the meal on site; keeping with its mission to serve the poor. Tonya's House Tonya's House provides support to homeless teenage girls. They provide food, shelter, clothing, mental health, tutoring, transportation to appointments, and health care. SAH supports this service through donations and volunteer hours valued at $4,593. These girls would have nowhere else in the community to go if this service was not provided. Many of the girls come from unhealthy home environments where their lives are at risk because of domestic violence and/or substance abuse. Over 600 girls' needs were served. Pioneer Relief Nursery SAH provides supplies, utilities and free space for Pioneer Relief Nursery ("PRN"). The nursery provides respite childcare and training to parents who have challenges with childcare. The goal is to prevent child abuse and neglect in Umatilla County through intensive family support. PRN addresses the cycle of child abuse and neglect by providing therapeutic early childhood classrooms, parenting education, planned respite and comprehensive family support. PRN utilizes research-based strategies to help families build skills to cope with the stress of raising children in families with risk factors such as poverty, substance abuse, domestic violence and isolation. This last year this program served 156 families and 350 children. Only 2% of the children served by PRN reported 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. Patients who qualify for charity care discounts shall be identified as soon as possible, either before services are provided or after an individual has received services to stabilize a medical condition. If it is difficult to determine a patient's eligibility for a charity care discount prior to the provision of services, such determination shall be made as soon as possible but shall not exceed a period of 18 months after the provision of such services. St Anthony Hospital offers financial assistance on all services provided to all patients if the service is deemed a medical necessity. Medical necessity is defined as any procedure reasonably determined to prevent, diagnose, correct, cure, alleviate, or prevent the worsening of conditions that endanger life, cause suffering or pain, resulting in illness or infirmity, threatening to cause or aggravate a handicap, or cause physical deformity or malfunction, if there is no other equally effective, more conservative or less costly course of treatment available. St Anthony Hospital will follow the hospital's admission criteria to determine the patient's medical necessity for patients who apply for charity discounts. Patients receiving emergency services shall be treated in accordance with the hospital's emergency services policy, developed in accordance with EMTALA and other requirements. Reasonable registration processes shall include asking whether an individual is insured and, if so, the name of the insurance program, if such inquiry does not delay screening or treatment. The registration process shall not discourage patients, from remaining for further evaluation. Financial issues will only be discussed after the patient has been screened and stabilized. Once EMTALA requirements are met, patients identified through the registration process as being without Medicare/Medicaid, other local health care financial assistance or adequate health insurance shall receive a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or immediate financial counseling from staff including the presentation of the application for financial assistance. In addition to the financial packet, emergency inpatient admissions will be assisted by the admissions clerk in contacting the Oregon Health Plan. After the patient's information is submitted to the Oregon Health Plan, the patient or guarantor will receive an application for medical assistance. Even though OHP will not usually become retroactive if the patient and or guarantor qualify they would be eligible for future medical assistance through the OHP. The non-emergency patient scheduling an admission or other procedure shall receive a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or financial counseling assistance from staff, including the application for financial assistance, if they are without Medicare/Medicaid, other local health care financial assistance or adequate health insurance. In both instances, the packet of information clearly indicates that St Anthony Hospital provides care, without regard to ability to pay, to individuals with limited financial resources, and explains how patients can apply for financial assistance. Assistance is available for patients not proficient in reading, writing or speaking English. St Anthony Hospital clearly posts signage in English to advise patients of the availability of financial assistance. Signs will be posted in other languages in instances where 10% or more of the local population speaks a foreign language to be determined by Administration. Staff members shall communicate the contents of signs to people who do not appear able to read. St Anthony Hospital identifies the availability of financial assistance in information booklets provided to patients and in general information provided on the St Anthony Hospital website. Physician practices or clinics that are an integral part of St Anthony Hospital or its non-profit subsidiaries shall adopt this charity care policy. These organizations shall comply with the same charity care policy and procedures adopted by the St Anthony Hospital board of trustees for the tax-exempt healthcare provider. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. 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). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. 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. St. Anthony Hospital, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain - provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $10 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. OR true Umatilla County Public Health 200 SE 3rd Street Pendleton OR 97801 936001993 501(C)(3) 52800 Book PROMOTE HEALTH Blue Mountain Community College PO Box 100 Pendleton OR 97801 930506536 501(C)(3) 20000 Book PROMOTE HEALTH Pendleton Roundup Association PO Box 609 Pendleton OR 97801 930269331 501(C)(3) 36100 Book PROMOTE HEALTH 3 Schedule I Part I Q2 Procedures for monitoring the use of grants These are donations deemed to be made by hospital administration with the backing of the Board of Directors. Each donation is brought to the attention of the Board prior to being dispensed. X X true true true true false false false false false true false Nancy Bridges 111829 11429 11910 19619 154787 Ted Fox 34681 232100 35568 302349 RANDY MEE 144084 20356 13200 18550 196189 Gloria Larson 132781 25968 5652 27911 192312 Cindy Parks 130451 127 29626 160204 Abelardo Sotelo 390179 50000 31642 25845 497666 Jim Schlenker 138656 20085 131 18158 177030 Michael Rickman 115808 2250 5835 29667 153560 Robert Wehling 204916 204916 BENEFITS PROVIDED TO EXECUTIVES Sch J Pt I Q1a BOARD MEMBERS, HIGHLY COMPENSATED EMPLOYEES, AND OFFICERS ARE ELIGIBLE FOR THE FOLLOWING BENEFITS: TRAVEL FOR COMPANIONS AND A HOUSING ALLOWANCE. THESE BENEFITS ARE PROVIDED PURSUANT TO A WRITTEN POLICY, SUBSTANTIATION IS REQUIRED FOR ALL EXPENSES, AND THE BENEFITS ARE INCLUDED IN TAXABLE COMPENSATION ON FORM W-2 AS APPROPRIATE. IN ADDITION, TAX GROSS-UP PAYMENTS ARE MADE TO ELIGIBLE EMPLOYEES BASED ON THE AMOUNT OF BENEFITS INCLUDED IN COMPENSATION, WHICH ARE ALSO INCLUDED IN TAXABLE COMPENSATION. METHODS USED TO ESTABLISH CEO COMPENSATION Sch J Pt I Q3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES, (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. POST-TERMINATION PAYMENTS Sch J Pt I Q4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CHI'S VPS and above including 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 INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING 2009 calendar YEAR. Ted Fox - $221,153 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN Sch J Pt I Q4B DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUAL was ELIGIBLE TO PARTICIPATE: Randy Mee. THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR: Randy Mee- $13,200 NON-FIXED PAYMENTS Schedule J, PART I, Q. 7 The organization has an incentive compensation plan for productivity contracts for nurse practitioners and physicians. The plan is based on a combination of physician productivity, quality, and patient satisfaction. Dr John McBee business relationship 80538 surgery call coverage false undertake any significant program services Form 990, Part III, Q. 2 The Coumadin Clinic was established in April 2010 to assist the physicians in Pendleton with monitoring their patients who are taking Warfarin. The clinic is open one day a week or as needed to meet the needs of the patients. The clinic started out small seeing only 4 patients in April and has grown to now see on average 25 patients weekly. Physicians are updated monthly on their patients. Referrals are made to the clinic by physicians in the community. Executive Committee FORM 990, PART VI, Q. 1A Pursuant to Section 8.6 of the Bylaws of St. Anthony Hospital, The Executive Committee CONSISTS only OF directors of the Corporation and IS composed of the Chairperson of the Board, the Vice Chairperson of the Board, and the President and Chief Executive Director, and at least one Member of Sisters of the St. Francis of Philadelphia, each of whom shall serve as ex officio voting member of the Executive Committee. Except as provided by the law, the executive committee MAY exercise ANY powers delegated to it by the Board of Directors. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS. The Organization's Corporate Members/Stockholders: 990 Pt VI Q6 The sole corporate member of St. Anthony Hospital is Catholic Health Initiatives (CHI), a Colorado non-profit corporation. MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD Form 990, Part VI, Q. 7A THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Decision of governing body subject to approval by member Form 990, Part VI, Q. 7b The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.5.2 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 the St. Anthony Hospital * Amendment of the corporate documents of the St. Anthony Hospital * Approve members of the St. Anthony Hospital's board * Removal of a member of the governing body of the St. Anthony Hospital * Approval of issuance of debt by St. Anthony Hospital * Approval of participation of St. Anthony Hospital in a joint venture * Approval of formation of a new corporation by St. Anthony Hospital * Approval of a merger involving the St. Anthony Hospital * Approval of the sale of all or substantially all of the assets of the St. Anthony Hospital * To require the transfer of assets by the St. Anthony Hospital to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for St. Anthony Hospital 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. Process, if any, the organization uses to review Form 990 Form 990, Part VI, Q. 11 St. Anthony Hospital's controller and CFO are responsible for reviewing the final tax returns prepared by the CHI Tax Department. After the CFO's review, the returns are provided to the board of directors prior to the Board meeting. Subsequent to the distribution to the board, the tax department files the return with the appropriate federal agency and making any non substantive changes necessary to effect E-filing. Any such changes are not re-submitted to the board. Procedures for monitoring and enforcing the COI policy Form 990, Part VI, Q. 12c POLICY It is the policy of St. Anthony Hospital to ensure that no conflicts of interest occur through personal interests or activities that might influence, or appear to influence employee's ability to act in the best interest of this hospital. PROCEDURE 1. Actions or relationships that could create a conflict of interest must be disclosed in advance and approved accordingly. Avoid situations in which personal interests conflict or appear to conflict with the interests of the organization. 2. Contractor/Vendor Relations. Business relationships with contractors must be conducted fairly and in the best interest of this organization. Avoid personal ties or bias towards contractors. Use the CHI reporting process to ask questions if there are concerns about a contractor relationship; report attempts by contractors to inappropriately influence business activities. 3. Requesting and Accepting Gifts and Gratuities. Do not request or accept gifts from a business source that could influence your decisions or create the impression of influence over your decisions. Do not accept personal gifts of cash or cash equivalents from any business source. Gifts of minimum value are acceptable, such as T-shirts; promotional pens or office supplies; and flowers, fruit, candy or other small, perishable gifts. Gifts that primarily benefit patients may be acceptable if they are not of substantial value, i.e., a stethoscope for use in an examination room. Gifts given to a department as a whole or in the form of scholarships, grants or educational funds are generally acceptable. A reasonably priced meal provided in conjunction with a business meeting is generally acceptable. a. It is generally acceptable to allow a vendor, supplier or other business associate to contribute to a celebratory event, i.e., after auditing patient records, the contracted audit firm might sponsor a small party for hospital employees who assisted with the audit; or, a vendor might donate a gift to the nursing staff during "Nurses Week." b. Small gifts may be accepted from patients, residents or their family members in the form of perishable or consumable goods (candy, fruit baskets, flowers, etc.); however, these items should be shared with co-workers. Never accept cash or cash equivalents from patients, residents or members of their families. 4. outside Interests and Activities. If an employee owns or has any type of employment or consulting relationship with an outside organization from which the hospital buys goods or services, the situation must be reviewed by the employee's manager to avoid a possible conflict of interest. Any outside consulting or other business activities must be conducted on the employees own time and must not conflict with or affect work performance. a. If employed elsewhere, the employee must report the name of the employer and the type of employment to their department manager to determine if there is a conflict of interest. b. As a representative of this organization, do not provide testimonial statements or endorsements for use in a vendor's or contractor's advertisement, brochure or other marketing material. Do not speak on behalf of this organization unless you have written approval from the Corporate Responsibility Officer. 5. Participation on Outside Boards of Trustees/Directors. St. Anthony Hospital encourages its employees to be active in the community. This includes serving on the boards of charitable and civic organizations. When serving on such boards: a. Obtain management approval before serving on the board of any organization that may conflict with the interests of this hospital. b. Do not vote on matters that might affect the interests of this hospital. c. When speaking as a board member, do not identify yourself as speaking on behalf of this hospital unless given written approval from the Corporate Responsibility Officer. d. Consult management or human resources before accepting payment from an outside group for services performed during regular work hours. e. St. Anthony Hospital retains the right to prohibit membership on any outside board. PROCESS FOR DETERMINING EXECUTIVE COMPENSATION FORM 990, PART VI, Q. 15A St. Anthony Hospital's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, Q. 15B ST. ANTHONY HOSPITAL UTILIZES MARKET COMPENSATION RANGES FROM MARKET SURVEYS, COMPARABILITY STUDIES and Board approval TO SET EXECUTIVE COMPENSATION UNDER THE ORGANIZATION'S COMPENSATION PHILOSOPHY. SPECIAL CONSIDERATION IS MADE FOR HIGH PERFORMERS AND THOSE WITH SPECIALIZED SKILLS OR EXPERIENCE. THIS PROCESS IS USED NOT ONLY FOR NEW HIRES BUT FOR ANNUAL MARKET ADJUSTMENTS AS WELL. Governing documents - COI Policy - Financial Statements available Form 990, Part VI, Q. 19 The organization's governing documents and the Conflict of Interest Policy are available to the public upon request. 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.COM Estimate of Hours Devoted to Related Organizations Form 990, Part VII Compensation reported on the Form 990, Part VII was paid to these individuals by related organizations in exchange for the fulfillment of their duties as full-time, 60 hours per week employees. St Joseph Community Health Services 300 Central SW Suite 300 Albuquerque NM 87102 710897107 Community NM 501(c)(3) 11a CHI St Joseph Community Health Foundation 300 Central SW Suite 300 Albuquerque NM 87102 850253087 Foundation NM 501(c)(3) 7 SJCHS St Francis of Baker City 3325 Pocahontas Road Baker City OR 97814 930412495 Hospital OR 501(c)(3) 3 CHI St Elizabeth Health Care Foundation 3325 Pocahontas Road Baker City OR 97814 943164869 Foundation OR 501(c)(3) 7 SEHS Flaget Memorial Hospital Foundation Inc 4305 New Shepherdsville Road Bardstown KY 40004 562351341 Fundraising KY 501(c)(3) 11a FH Flaget Healthcare DBA Flaget Memorial 4305 New Shepherdsville Road Bardstown KY 40004 611345363 Hospital KY 501(c)(3) 3 CHI Lakewood Health Center 600 Main Avenue South Baudette MN 56623 410758434 LTerm Care MN 501(c)(3) 3 CHI Appletree Court 601 Oak Street Breckenridge MN 56520 411850500 Senior Homes MN 501(c)(3) 9 SFH Healthcare and Wellness Foundation 2400 St Francis Drive Breckenridge MN 56520 760761782 Foundation MN 501(c)(3) 11a SFMC St Francis Home 2400 St Francis Drive Breckenridge MN 56520 410729978 LTerm Care MN 501(c)(3) 9 CHI St Francis Medical Center 2400 St Francis Drive Breckenridge MN 56520 410695598 Healthcare MN 501(c)(3) 3 CHI Carrington Health Center 800 North 4th Street Carrington ND 58421 450227311 Healthcare ND 501(c)(3) 3 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 Good Samaritan College of Nursing & Heal 375 Dixmyth Ave Cincinnati OH 45220 311778403 Education KY 501(c)(3) 2 GHS Total Healthcare PO Box 7021 Colorado Springs CO 80933 840927232 Healthcare CO 501(c)(3) 3 CHI Colorado Memorial Health Care System Inc 2525 De Sales Avenue Chattanooga TN 37404 620532345 Hospital TN 501(c)(3) 3 CHI Memorial Health Care System Foundation 2525 De Sales Avenue Chattanooga TN 37404 621839548 Foundation 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 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 Foundation of Cincinnati 619 Oak Street Accounting-3 West Cincinnati OH 45206 311206047 Foundation OH 501(c)(3) 11a GSH The Good Samaritan Hospital of Cincinnat 619 Oak Street Accounting-3 West Cincinnati OH 45206 310537486 Hospital OH 501(c)(3) 3 TRI-HEALTH Saint Clare's Hospital 66 Ford Road Denville NJ 07834 223319886 Hospital 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 TriHealth Physician Institute 619 Oak Street Accounting-3 West Cincinnati OH 45206 311074519 Physicians OH 501(c)(3) 11a GSH Catholic Health Initiatives Colorado Fou 961 East Colorado Avenue Colorado Springs CO 80903 840902211 Foundation CO 501(c)(3) 7 CHI Colorado 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 Catholic Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 470617373 Healthcare CO 501(c)(3) 9 CHI Catholic Health Care Federation 1999 Broadway Suite 4000 Denver CO 80202 208473567 Jurdic Person CO 501(c)(3) 11a CHI Global Health Initiatives 1999 Broadway Suite 4000 Denver CO 80202 201536108 Ministries CO 501(c)(3) 11a CHI Health SET 4200 West Conejos Place 436 Denver CO 80204 841102943 Low Inc.Care CO 501(c)(3) 7 CHI Colorado Bishop Drumm Retirement Center 1111 6th Avenue Des Moines IA 50314 420725196 LTerm Care IA 501(c)(3) 9 CHI-IA Corp Mercy Medical Center - Des Moines AKA 1111 6th Avenue Des Moines IA 50314 420680448 Hospital IA 501(c)(3) 3 CHI-IA Corp House of Mercy 1111 6th Avenue Des Moines IA 50314 421323808 Shelter 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 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 Foundation IA 501(c)(3) 7 CHI-IA Corp Mercy Medical Center - Centerville FKA 1 St Josephs Drive Centerville IA 52544 420680308 Hospital IA 501(c)(3) 3 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 Hospital of Devils Lake 1031 East Seventh Street Devils Lake ND 58301 450227012 Healthcare ND 501(c)(3) 3 CHI Saint Joseph's Hospital Foundation 30 West 7th Street Dickinson ND 58601 363418207 Foundation ND 501(c)(3) 11a SJHHC St Joseph's Hospital and Health Center 30 West 7th Street Dickinson ND 58601 450226429 Healthcare ND 501(c)(3) 3 CHI Mercy Regional Medical Center of Durango 1010 Three Springs Blvd Durango CO 81301 840405515 Hospital CO 501(c)(3) 3 CHI CHI Kentucky Inc 3900 Olympic Blvd Suite 400 Erlanger KY 41018 202741651 Healthcare KY 501(c)(3) 11a CHI Villa Nazareth Inc 801 Page Drive Fargo ND 58103 450226714 LT Care ND 501(c)(3) 9 CHI St Catherine Hospital 401 East Spruce Street Garden City KS 67846 480543721 Hospital KS 501(c)(3) 3 CHI St Catherine Hospital Development Found 401 East Spruce Street Garden City KS 67846 200598702 Foundation KS 501(c)(3) 11a SCH Saint Francis Medical Center Foundation PO Box 9804 Grand Island NE 68802 470630267 Foundation NE 501(c)(3) 7 SFMC Saint Francis Medical Center PO Box 9804 Grand Island NE 68802 470376601 HealthCare NE 501(c)(3) 3 CHI Nebraska Central Kansas Medical Center 3515 Broadway Great Bend KS 67530 480543724 Hospital KS 501(c)(3) 3 CHI St Joseph Memorial Hospital 923 Carroll Ave Larned KS 67550 481253246 Hospital KS 501(c)(3) 3 CKMC MNMCH Inc 220 North Pennsylvania Columbus KS 66725 481216238 Hospital KS 501(c)(3) 3 SJRMC Mercy Lifecare Systems 2727 McClelland Blvd Joplin MO 64804 431305163 Property Mgmt MO 501(c)(3) 11a 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 Foundation MO 501(c)(3) 7 SJRMC St John's Regional Medical Center 2727 McClelland Blvd Joplin MO 64804 440545809 Hospital MO 501(c)(3) 3 CHI 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 Foundation NE 501(c)(3) 7 GSH St Joseph Health Ministries 2135 Noll Drive Suite C Lancaster PA 17603 232342997 Health PA 501(c)(3) 11a SJHM St Joseph Health Ministries Foundation 2135 Noll Drive Suite C Lancaster PA 17603 232605579 Fundraising PA 501(c)(3) 11a SJHM St Joseph Health Services Inc 2135 Noll Drive Suite C Lancaster PA 17603 201425375 Dental care PA 501(c)(3) 11a SJHM Continuing Care Hospital 150 North Eagle Creek Drive Lexington KY 40509 611400619 LTACH KY 501(c)(3) 3 SJHS Saint Joseph Berea Hospital Foundation 305 Estill Street Berea KY 40403 260152877 Foundation KY 501(c)(3) 7 SJHS Saint Joseph Health System Inc 150 N Eagle Creek Dr Lexington KY 40509 611334601 Hospital KY 501(c)(3) 3 CHI St Joseph Hospital Foundation Inc One St Joseph Drive Lexington KY 40504 611159649 Foundation 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 Visiting Nurse Association of Saint Clar 191 Woodport Road Sparta NJ 07871 221768334 Home Health NJ 501(c)(3) 9 SCHS Saint Elizabeth Foundation 555 South 70th Street Lincoln NE 68510 470625523 Foundation 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 CHI Nebraska 555 South 70th Street Lincoln NE 68510 363233121 Healthcare NE 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 The Physician Network 8055 O Street Suite 300 Lincoln NE 68510 470780857 Healthcare NE 501(c)(3) 11a CHI Nebraska Lisbon Area Health Services 905 Main Street Lisbon ND 58054 820558836 Healthcare ND 501(c)(3) 3 CHI Alverna Apartments 300 SE 8th Avenue Little Falls MN 56345 411351177 Lterm Care MN 501(c)(3) 9 CHI Unity Family Healthcare 815 2nd Street SE Little Falls MN 56345 410721642 Healthcare MN 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 Infirmary Medical Center 2 St Vincent Circle Little Rock AR 72205 710236917 Healthcare AR 501(c)(3) 3 CHI St Vincent Medical Group 2 St Vincent Circle Little Rock AR 72205 710830696 Healthcare AR 501(c)(3) 9 SVIMC Maria-Joseph Center 4830 Salem Avenue Dayton OH 45416 310935118 Healthcare OH 501(c)(3) 9 SHP Saint Joseph London Foundation Inc 310 East Ninth Street London KY 40741 260438748 Foundation KY 501(c)(3) 11a SJHS Samaritan Behavioral Health 601 S Edwin C Moses Blvd Dayton OH 45408 020633634 Hospital OH 501(c)(3) 3 SHP Mercy Medical Center 1512 12th Avenue Road Nampa ID 83686 820200896 Hospital ID 501(c)(3) 3 CHI Mercy Medical Center Foundation 1512 12th Avenue Road Nampa ID 83686 261737256 Foundation ID 501(c)(3) 11a Mercy Med Ct Mercy Physician Group Inc 1512 12th Avenue Road Nampa ID 83686 208192593 Phys Group ID 501(c)(3) 9 Mercy Med Ct St Mary's Hospital 1314 3rd Avenue Nebraska City NE 68410 470443636 Hospital NE 501(c)(3) 3 CHI Nebraska St Mary's Hospital Foundation 1314 3rd Avenue Nebraska City NE 68410 470707604 Foundation NE 501(c)(3) 7 SMH Oakes Community Hospital 314 South 8th Street Oakes ND 58474 450231675 Hospital ND 501(c)(3) 3 CHI Oakes Community Hospital Foundation 314 South 8th Street Oakes ND 58474 710966606 Foundation ND 501(c)(3) 11a OCH St Dominic at Ontario 351 SW 9th Street Ontario OR 97914 930433692 Hospital OR 501(c)(3) 3 CHI Holy Rosary Medical Center Foundation 351 SW 9th Street Ontario OR 97914 202683560 Foundation OR 501(c)(3) 11a HRMC St Joseph's Area Health Services 600 Pleasant Avenue Park Rapids MN 56470 410695603 Hospital MN 501(c)(3) 3 CHI St Anthony Hospital 1601 SE Court Avenue Pendleton OR 97801 930391614 Hospital OR 501(c)(3) 3 CHI St Anthony Hospital Foundation 1601 SE Court Avenue Pendleton OR 97801 930992727 Foundation OR 501(c)(3) 11a SA Hospital Gettysburg Medical Center 606 East Garfield Avenue Gettysburg SD 57442 460234354 Hospital SD 501(c)(3) 3 SMHC St Mary's Healthcare Center 801 East Sioux Avenue Pierre SD 57501 460230199 Healthcare SD 501(c)(3) 3 CHI Mt St Joseph Inc 3060 SE Stark Street Portland OR 97214 930386870 Nursing Care OR 501(c)(3) 9 CHI Pueblo Stepup 1925 East Orman Avenue Suite G52 Pueblo CO 81004 841234295 Community CO 501(c)(3) 7 CHI Bornemann Healthcare Corporation 2500 Bernville Road PO Box 316 Reading PA 19603 232187242 Healthcare PA 501(c)(3) 11a CHI St Joseph Medical Center Foundation 2500 Bernville Road PO Box 316 Reading PA 19603 232649362 Foundation PA 501(c)(3) 11a SJRHN St Joseph Medical Group 2500 Bernville Road PO Box 316 Reading PA 19603 208544021 Healthcare PA 501(c)(3) 9 BHC St Joseph Regional Health Network 2500 Bernville Road PO Box 316 Reading PA 19603 231352211 Healthcare PA 501(c)(3) 3 CHI 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 Foundation OR 501(c)(3) 7 MMC Mercy Medical Center 2700 Stewart Parkway Roseburg OR 97470 930386868 Hospital OR 501(c)(3) 3 CHI Franciscan Villa of South Milwaukee Inc 3601 South Chicago Avenue South Milwaukee WI 53172 391093829 Healthcare WI 501(c)(3) 9 CHI Enumclaw Community Hospital 1450 Battersby Avenue Enumclaw WA 98022 910715805 Hospital WA 501(c)(3) 3 FHS Franciscan Foundation 1717 South J Street Tacoma WA 98405 911145592 Fundraising WA 501(c)(3) 9 FHS Franciscan Health System FKA Franciscan 1717 South J Street Tacoma WA 98405 910564491 Healthcare WA 501(c)(3) 3 CHI Franciscan Medical Group 1708 South Yakima Avenue Tacoma WA 98405 911939739 Healthcare WA 501(c)(3) 9 FHS St Joseph Medical Center Foundation In 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 7 SJMC St Joseph Medical Center Inc 7601 Osler Drive Towson MD 21204 520591461 Hospital MD 501(c)(3) 3 CHI St Joseph Physician Enterprises 7601 Osler Drive Towson MD 21204 521311775 Physicians MD 501(c)(3) 11a CHI Samaritan Health Foundation 2222 Philadelphia Drive Dayton OH 45406 237296923 Foundation OH 501(c)(3) 7 SHP Mercy Hospital of Valley City 570 Chautauqua Boulevard Valley City ND 58072 450226553 Hospital 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 Foundation ND 501(c)(3) 11a MMC Samaritan Health Partners 2222 Philadelphia Drive Dayton OH 45406 311107411 Healthcare OH 501(c)(3) 11a CHI St Vincent Foundation Two St Vincent Circle Little Rock AR 72205 510169537 Fundraising AR 501(c)(3) 11a SVIMC Auxiliary of Holy Rosary Hospital Inc 351 SW 9th Street Ontario OR 97914 943059469 Hospital OR 501(c)(3) 9 HRMC The Mercy Hospital of Devils Lake Fdn 1031 East Seventh Street Devils Lake ND 58301 352367360 Foundation ND 501(c)(3) 11a MHDL Alegent Health - Bergan Mercy Health Sys 7500 Mercy Road Omaha NE 68124 470484764 Hospital NE 501(c)(3) 3 CHI Alegent Health - Mercy Hospital Corning PO Box 368 Corning IA 50841 420782518 Hospital IA 501(c)(3) 3 AHBMHS Mercy Health Care Foundation PO Box 368 Corning IA 50841 421461064 Foundation NE 501(c)(3) 11a AHMH Mercy Hospital Foundation Council Bluff 800 Mercy Drive Council Bluffs IA 51503 421178204 Foundation IA 501(c)(3) 11a AHBMHS CHI Institute For Research and Innovatio 198 Inverness Drive West Englewood CO 80112 271050565 Healthcare CO 501(c)(3) 11a CHI CHI Colorado 188 Inverness Drive West Englewood CO 80112 840405257 Healthcare CO 501(c)(3) 3 CHI Saint Joseph Mount Sterling Foundation 50 Sterling Avenue Mount Sterling KY 40353 272884584 Foundation KY 501(c)(3) 7 SJHS Centennial Medical Group Inc 2700 Stewart Parkway Roseburg OR 97470 900433062 Physicians OR 501(c)(3) 9 MMC CHI National Foundation 198 Inverness Drive West Englewood CO 80112 270930004 Foundation CO 501(c)(3) 11a CHI Saint Clare's Health Services Inc 25 Pocono Road Denville NJ 07834 223639733 Management NJ 501(c)(3) 7 CHI Good Samaritan Hospital 2222 Philadelphia Drive Dayton OH 45406 310536981 Hospital OH 501(c)(3) 3 SHP Superior Medical Imaging LLC 5000 North 26th Street Lincoln NE 68521 262884555 OP Diagnostics NE SERMC Related -155495 993429 false 272 false Central Nebraska Rehab Services 3004 W Faidley Ave Grand Island NE 68802 810653461 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Related -5375165 15265510 false false Mercy Outpatient Surgery Center LLC 1512 12th Avenue Road Nampa ID 83686 841380439 Surgery Center ID MMC Related -812036 949357 false 4620 true Peninsula Radiation Oncology 314 Martin Luther King Jr Way 11 Tacoma WA 98405 870808610 Healthcare Srvc WA FHS Related -516076 3860362 false false Healthcare Support Services LLC PO Box 9804 Grand Island NE 68802 721546196 Laundry NE CHI Related 199968 3913481 false 58436 false Bluegrass Regional Imaging Center 1218 South Broadway Suite 310 Lexington KY 40504 611386736 Diagnostic KY SJ HospitalLex Related 242456 3773725 false false North River Surgery Center LLC 2209 Wildwood Avenue Sherwood AR 72120 710799771 Ambul Surg Ctr AR SVIMC Related 213989 1696001 false false CHI Operating Investment Program LP 198 Inverness Drive West Englewood CO 80112 470727942 Investments CO CHI Investment 58022 4069968 false 14031 true Ruxton Surgicenter LLC 8322 Bellona Avenue Suite 201 Baltimore MD 21204 522095835 Surgery Center MD SJMC Related -75716 3421084 false true Central Nebraska Home Care Services PO Box 1146-4510 Second Avenue Kearney NE 68848 470692112 Healthcare Srvc NE HSEINC Related -102982 1021500 false true Mercy Health Services Corporation 2727 McClelland Blvd Joplin MO 64804 431457881 DME MO St John's RMC C Corp -1033832 2093683 1.00000 Mountain Management Services Inc 6028D Shallowford Road Chattanooga TN 37422 621570739 mgmt svc org TN MHCS C Corp 348642 4530845 1.00000 MedQuest 1301 15th Avenue West Williston ND 58801 450392137 Sale of DME ND MHof Williston C Corp -16794 911494 1.00000 St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR St Anthony H C Corp 41861 3047938 1.00000 GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY NE 68848 470659440 MEDICAL CLINIC NE CHI Nebraska C Corp -2491623 840232 1.00000 HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY NE 68848 470664558 MANAGEMENT NE GSH C Corp 10957 1559747 1.00000 Mercy Park 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