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FLAGET HEALTHCARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FLAGET HEALTHCARE INC (EIN 61-1345363)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349302293
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T11:10:19-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611345363EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Flaget Healthcare IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFLAGNameControl
Phone5023505000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14305 New Shepherdsville RoadAddressLine1
CityBardstownCity
StateKYState
ZIP Code40004ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGary ErmersName
TitleCFOTitle
Date Signed2011-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK STOCKIName
Phone7208741500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGene WoodsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14305 New Shepherdsville RoadAddressLine1
CityBardstownCity
StateKYState
ZIP Code40004ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71224060GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.flaget.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionFlaget Memorial Hospital embraces the Mission of constantly striving to improve the health of the communities we serve, by offering the latest technology along with a personal and compassionate touch.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees519TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI141TotalGrossUBI
Contributions Grants Prior Year467757ContributionsGrantsPriorYear
Contributions Grants Current Year38334ContributionsGrantsCurrentYear
Program Service Revenue Prior Year65302282ProgramServiceRevenuePriorYear
Program Service Revenue CY68573210ProgramServiceRevenueCY
Investment Income Prior Year-946982InvestmentIncomePriorYear
Investment Income Current Year2445771InvestmentIncomeCurrentYear
Other Revenue Prior Year178315OtherRevenuePriorYear
Other Revenue Current Year156720OtherRevenueCurrentYear
Total Revenue Prior Year65001372TotalRevenuePriorYear
Total Revenue Current Year71214035TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10847GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13375GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22728284SalariesEtcPriorYear
Salaries Etc Current Year23765837SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year35263074OtherExpensePriorYear
Other Expenses Current Year35199309OtherExpensesCurrentYear
Total Expenses Prior Year58002205TotalExpensesPriorYear
Total Expenses Current Year58978521TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6999167RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12235514RevenuesLessExpensesCY
Total Assets BOY79910904TotalAssetsBOY
Total Assets EOY93574396TotalAssetsEOY
Total Liabilities BOY28606171TotalLiabilitiesBOY
Total Liabilities EOY27791598TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY51304733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY65782798NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense50266712Expense
Grants13375Grants
Revenue68573210Revenue
DescriptionSEE SCHEDULE HDescription
Total Program Service Expense50266712TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees519NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJohn C BradfordNamePerson
Telephone Number5023505041TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14305 New Shepherdsville RoadAddressLine1
CityBardstownCity
StateKYState
ZIP Code40004ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Mike Ades
Director2.0X
Jeff Amburgey
Director2.0X
Jeff Brother
Director2.0X
David Brown
Director2.0X
Frank Delzer
Treasurer3.0XX
Beverly Downs
Director50.0X15285325681
Robert Granacher
Director2.0X
Lynn Heper
Director2.0X
Bob Hewett
Vice Chair3.0XX
Miller Hoffman
Director2.0X
Mike Fiechter
Chair3.0XX
Patrick Kelleher
Director2.0X
Maureen Maxfield
Director2.0X
RALPH ALVARADO
Director10.0X
Pat Rutherford
Director2.0X
Michael Stahl
Director2.0X
Liz Wendeln
Secretary3.0XX
Eugene Woods
Chief Executive Officer50.0XX84151662904
Gary Ermers
Chief Financial Officer50.0X78416528765
JOHN BRADFORD
VICE PRESIDENT FINANCE50.018517134341X
Bruce Klockars
PRESIDENT50.016956359753280923X
NEVIN BAKER
CRNA40.022894038966X
Alan Dossett
CRNA40.025476637256X
Milton Jackson
M.D., HOSPITALIST42.019648135058X
James Nuss
M.D., HOSPITALIST42.019396233793X
Darrell Wesley
CRNA40.023709132387X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1618827TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1472592TotalReportableCompFrmRltdOrgs
Total Other Compensation459802TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Kentucky Orthopedic Rehab LLC
875 Pennsylvania AveBardstownKY40004SNU Rehab2268359
Architection PLLC
425 W Market StLouisvilleKY40202Architect Design2244051
Jewish Hospital Inc
200 Abraham Flexner WayLouisvilleKY40206Anesthesia Svcs364529
Sleep Testing Services of America
6517 Shelbyville RdSimpsonvilleKY40067Sleep Studies287480
Medical Doctor Associates LLC
145 Technology Parkway NWNorcrossGA30092OB/GYN Coverage173646
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations21000RelatedOrganizations
All Other Contributions17334AllOtherContributions
Total Contributions38334TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services9000996846725768467257
Rental Income900099105953105953
FieldValueIRS element (for citing)
Total Program Service Revenue68573210TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1190074TotalRevenueColumn
Unrelated Business Revenue141UnrelatedBusinessRevenue
Exclusion$1,189,933ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1263122Securities
Other2600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other10025Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1263122Securities
Other-7425Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1255697TotalRevenueColumn
Exclusion$1,255,697ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria722100118287$118,287
Medical Records Revenue/Transcription54120013788$13,788
Discounts Taken90009910428$10,428

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column14217TotalRevenueColumn
Exclusion$14,217ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue156720TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column71214035TotalRevenueColumn
Related Or Exempt Function Income68573210RelatedOrExemptFunctionIncome
Unrelated Business Revenue141UnrelatedBusinessRevenue
Exclusion$2,602,350ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13375Total
Program Services13375ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total575354Total
Management And General575354ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17674861Total
Program Services15947630ProgramServices
Management And General1727231ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total988817Total
Program Services887167ProgramServices
Management And General101650ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3258968Total
Program Services2923946ProgramServices
Management And General335022ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1267837Total
Program Services1112936ProgramServices
Management And General154901ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1440Total
Management And General1440ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7782256Total
Program Services6507342ProgramServices
Management And General1274914ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10929338Total
Program Services10503563ProgramServices
Management And General425774ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1379428Total
Program Services1260863ProgramServices
Management And General118565ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total110224Total
Program Services80600ProgramServices
Management And General29623ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2469Total
Program Services1571ProgramServices
Management And General898ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1084825Total
Program Services1084825ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1030272Total
Management And General1030272ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2577396Total
Program Services1933047ProgramServices
Management And General644349ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total467031Total
Program Services25285ProgramServices
Management And General441746ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debts75299617529961
Repairs and maintenance40783836122546613
Income/sales/property taxes268281268281
Recruitment and relocation138571138571
Intra-Co Allocations11924471192447

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total297533Total
Program Services93376ProgramServices
Management And General204156ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58978521Total
Program Services50266712ProgramServices
Management And General8711807ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1049BOY
EOY1071EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4857389BOY
EOY1773807EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5667786BOY
EOY8249625EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY563061BOY
EOY463917EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY827814BOY
EOY1104760EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY540177BOY
EOY234030EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis52867776LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17099190LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32167203BOY
EOY35768586EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY35186282BOY
EOY45932488EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY100143BOY
EOY46112EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79910904BOY
EOY93574396EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6219246BOY
EOY6924003EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY220116BOY
EOY340490EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22166809BOY
EOY20527105EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28606171BOY
EOY27791598EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51203852BOY
EOY65782798EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100881BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51304733BOY
EOY65782798EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79910904BOY
EOY93574396EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,092GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$1,500DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB2592TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Identifier990 Sch C SupplementalIdentifier
Return ReferenceLobbying Activities ExplanationReturnReference
ExplanationQuestion f: catholic Hospital Association - $456, American Hospital Association - $636 Question g: Kentucky Hospital Association's (KHA) efforts to meet with Kentucky State legislators. The VP of Mission also participated in a local non-smoking coalition in Nelson County.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2733369OtherCostOrOtherBasis
Book Value2733369BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14174389OtherCostOrOtherBasis
Depreciation2443299Depreciation
Book Value11731090BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3048910OtherCostOrOtherBasis
Depreciation834176Depreciation
Book Value2214734BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27109263OtherCostOrOtherBasis
Depreciation13821715Depreciation
Book Value13287549BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5801845OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value5801845BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35768587TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCHI OPERATING INV. PROGRAM, LPDescription
Book Value45932488BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities45932488TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Other Current Liabilities$115,714
Accrued Grants$17,767
Physician Income Guarantee$10,000
Intercompany Payables$20,383,624
FieldValueIRS element (for citing)
Total Of Amounts20527105TotalOfAmounts
Total Revenue71214035TotalRevenue
Total Expenses58978521TotalExpenses
Excess Or Deficit For Year12235514ExcessOrDeficitForYear
Net Unrealized GL On Investments2822920NetUnrealizedGLOnInvestments
Other-$580,372OtherAmount
Total Adjustments2242548TotalAdjustments
Excess Or Deficit Per FS14478062ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 Footnote (Now known as ASC 740)Schedule D, Part X, Q. 2Flaget Healthcare Inc.'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 ADJUSTMENTSSchedule D, Part XI, Line 8Capital Resource Pool Contributions ($726,780) CHI Connect Depreciation $146,408

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served5132PersonsServed
Total Community Benefit Expense5760799TotalCommunityBenefitExpense
Direct Offsetting Revenue1436409DirectOffsettingRevenue
Net Community Benefit Expense4324390NetCommunityBenefitExpense
Percent Of Total Expense0.08410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served9445PersonsServed
Total Community Benefit Expense11364363TotalCommunityBenefitExpense
Direct Offsetting Revenue8438783DirectOffsettingRevenue
Net Community Benefit Expense2925580NetCommunityBenefitExpense
Percent Of Total Expense0.05690PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served14577PersonsServed
Total Community Benefit Expense17125162TotalCommunityBenefitExpense
Direct Offsetting Revenue9875192DirectOffsettingRevenue
Net Community Benefit Expense7249970NetCommunityBenefitExpense
Percent Of Total Expense0.14100PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served6777PersonsServed
Total Community Benefit Expense87934TotalCommunityBenefitExpense
Net Community Benefit Expense87934NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served91PersonsServed
Total Community Benefit Expense20200TotalCommunityBenefitExpense
Net Community Benefit Expense20200NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1267PersonsServed
Total Community Benefit Expense52051TotalCommunityBenefitExpense
Net Community Benefit Expense52051NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served8135PersonsServed
Total Community Benefit Expense160185TotalCommunityBenefitExpense
Net Community Benefit Expense160185NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served22712PersonsServed
Total Community Benefit Expense17285347TotalCommunityBenefitExpense
Direct Offsetting Revenue9875192DirectOffsettingRevenue
Net Community Benefit Expense7410155NetCommunityBenefitExpense
Percent Of Total Expense0.14410PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served220PersonsServed
Total Community Building Expense1970TotalCommunityBuildingExpense
Net Community Building Expense1970NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served220PersonsServed
Total Community Building Expense1970TotalCommunityBuildingExpense
Net Community Building Expense1970NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,674,621BadDebtExpenseAmount
Amount Reimbursed By Medicare10700938AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare17977727CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7276789MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Flaget Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14305 New Shepherdsville RoadAddressLine1
CityBardstownCity
StateKYState
ZIP Code40004ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaIf 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 Flaget Memorial 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. Flaget Memorial Hospital ("Flaget") bases its eligibility for charity care on the HUD Geographic Very Low-Income Guidelines, Medical Necessity (determined by patient medical history, Physician's order and/or medical documentation), available assets and any extenuating circumstances. Medical Necessity is defined as services or items, reasonable or necessary, for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Medical Necessity is determined on a case-by-case basis. 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 may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.IncomeBasedCriteria
Annual Community Benefit ExplnIf 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. For Schedule H purposes, Flaget Memorial Hospital does prepare its own separate community benefit report, but for reports distributed to the community and board members it is contained with Saint Joseph Health System's community benefit report. Related organizations include Saint Joseph Hospital, Saint Joseph East, Saint Joseph London, Saint Joseph Martin, Saint Joseph Berea, Saint Joseph Mount Sterling, Saint Joseph Hospital Foundation, Saint Joseph Medical Foundation, Saint Joseph London Foundation, Saint Joseph Berea Hospital Foundation, and Flaget Memorial Hospital Foundation.AnnualCommunityBenefitExpln
Costing Method UsedProvide 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 the formula above, cost-to-charge ratio is 48.8%. Worksheet 2 was not used to derive the cost-to-charge ratio.CostingMethodUsed
Subsidized Health Services ExplnTo 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 Flaget did not have any subsidized health services in FY 2010.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnIf 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. Note: Column F is supposed to be "net community benefit expense" in column (e) divided by the sum of "total functional expenses" on Form 990, Part IX, line 25, column A (less bad debt expense), and the organizations proportionate share of total expenses of all joint ventures for which it reports expenses on the table on part 1. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $7,529,961.PercentOfTotalExpenseExpln
Bad Debt FootnoteProvide 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. 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. The cost to charge ratio is applied to self pay revenue to determine bad debt expense. 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. Bad debt expense is not included in Community Benefit. The business office has detailed guidelines to follow to determine patient's eligibility for financial assistance. Flaget Memorial 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. Flaget's financial statements are included in the consolidated financial statements of Catholic Health Initiatives (CHI). CHI's bad debt footnote read: 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, 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.BadDebtFootnote
Shortfall As Community BenefitDescribe 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. 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. 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: $10,700,938 Total Medicare costs: $17,977,727 Surplus or Shortfall ($7,276,789) Flaget 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, 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.ShortfallAsCommunityBenefit
Debt Collection PolicyIf 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. Flaget Memorial Hospital's debt collection policy provides that Flaget 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 Flaget's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Flaget community assistance policy is required to be returned immediately by the third-party collection agent to Flaget for appropriate follow-up. Flaget 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.DebtCollectionPolicy
Needs AssessmentLine 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: 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). Flaget Memorial Hospital Community Benefit Report FY 2010 ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE Flaget Memorial Hospital was founded in 1951 by the Sisters of Charity of Nazareth. The Sisters of Charity of Nazareth, along with civic leaders and local physicians, wanted to respond to the health care needs of the residents of Nelson County, Kentucky and surrounding geographic areas. Since its inception, Flaget Memorial Hospital ("Flaget") has embraced the mission of the Sisters of Charity of Nazareth to provide healthcare as a continuation of the healing ministry of Jesus, which means a preferential option for the poor and vulnerable among us. This tradition has been complimented and enhanced with Flaget's membership in Catholic Health Initiatives and now as members of Saint Joseph Health System. The mission of Flaget Memorial Hospital, Saint Joseph Health 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." Catholic Health Initiative's vision is to live up to our name as one CHI. Catholic: Living our Mission and Core Values. Health: Improving the health of the people and communities we serve Initiatives: Pioneering models and systems of care to enhance care delivery Flaget Memorial Hospital's vision is to live out our Catholic identity through the integration of our mission and core values, improve the health of the communities we serve, and pioneer models and systems of care to enhance care delivery. Our community benefit efforts flow naturally from our mission statement and core values. We work with our federal and state government participating in programs such as Medicare and Medicaid. The programs and services described throughout this report not only serve the community, but also reduce the burdens on the government. For example, if Flaget Memorial Hospital did not serve all people in need and provide charity care, the burden would likely fall on tax supported institutions. COMMUNITY BENEFIT APPROACH Our charitable purpose, our true motivation, is found in fulfilling our collective calling to serve the healthcare needs of all people regardless of their social or economic standing. This commitment is displayed throughout Flaget's operations, including our Emergency Department, which is always open to care for people who do not have a means to pay. The Flaget Immediate Care Clinic is a designated rural health facility that provides corporate health services, walk-in sub-emergent care, and primary care. Our primary care physician located in the Immediate Care Clinic predominately treats patients that are either self-pay or qualify for Passport, a Medicaid servicer. Prior to Flaget providing primary care through the Flaget Immediate Care Clinic, patients who qualified for Passport often did not have a primary care physician because such practices were closed to Passport patients. Flaget recognized this substantial unmet need, and found a way to meet that calling in the community through the Immediate Care Clinic. We are proud that the services we provide to our community have expanded over the years as we have grown into a comprehensive healthcare provider. We compliment our ability to offer the latest technology with a personal and compassionate touch. Thomson - Reuters has noted our excellence in healthcare naming Flaget Memorial Hospital as one of the top 100 hospitals in the United States for four consecutive years. As an organization, we recognize that the practice of Catholic healthcare calls us to serve the entire human person. Therefore, the services we offer our community not only meet our patient's physical needs, but also their psychological, spiritual, educational and social needs. For patients who cannot afford to pay for their care, we have stated policies that allow us to offer financial counseling and assistance through our charity care programs. Our most recent effort to expand the services to our community is the Flaget Cancer Center. Before the Flaget Cancer Center, patients suffering from cancer who required radiation therapy had to travel a minimum of 45 miles in order to receive cancer treatments. The Flaget Cancer Center includes both medical oncology and radiation therapy under the same roof. The Flaget Cancer Center is designed with the integrated purpose of providing the best technology in a non-institutional environment that evokes calmness for the patient and loved ones. Every detail was considered for its function, relationships and efficiency to best serve the people we care for and those providing that care. The Cancer Center will set the standard in design, function, and patient experience for cancer care. With the use of the best technology and a patient centered model of care, Flaget has opened the best comprehensive cancer treatment center in our region. We welcome and grant privileges to all qualified physicians on our open medical staff. Flaget is governed by the board of Saint Joseph Health System which is predominantly comprised of independent person's representative of communities throughout Kentucky. A local council of community members also provides guidance as to how Flaget can most effectively serve community needs. Furthermore, we help prepare future healthcare leaders through a teen volunteer program and by operating a clinical site for students in various clinical training programs. We continuously work closely with the social service providers in Nelson County to maximize resources and avoid duplication of services. Through our collaborative coalition we can more effectively monitor trends and significant community needs and issues. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Prescription Assistance Program The Flaget Prescription Assistance Program seeks to build a healthy community by assisting people who are having difficulty paying for their non-narcotic prescription drugs. This service is available to everyone in our community and utilizes programs through the pharmaceutical companies that allow people to receive long-term medications at little or no cost. However, the pharmaceutical company programs have limitations. It can be difficult for a patient to find the correct application form, the forms are complex and vary company to company, making them difficult to complete. Furthermore, even when a patient qualifies for these programs, it can take up to 8 weeks to begin receiving medications. During the waiting period, the patient is responsible for the cost of the medication. To address these concerns, Flaget hired a part-time social worker who has expertise with the available programs and is available to walk patients through the application process and maintain on-going paperwork. Additionally, to bridge the gap between when a patient applies for medication, and when a patient receives the benefit, we have created a voucher system that makes funds available to the patients so they can immediately receive the prescriptions needed. This past fiscal year our Prescription Assistance Program granted over $833,000 in free prescriptions for our community. Food Drive and Christmas Sponsorship We partner with local social service organizations and organize a hospital food drive and Christmas sponsorship for individuals and families in need over the holidays. Health Screenings The Flaget Health Connection is open to provide regular health screenings for the community. Partnering with organizations such as the Kentucky Department of Highways, we offer health screenings, which include blood pressure checks, blood sugar checks, prostate screenings, and cholesterol testing at various sites in the community. Health Education and Wellness Our Flaget Health Connection serves as a community resource for anyone in need of information on healthy living and managing illness. The program also coordinates a "Trim Down Bardstown" event, which works with community members to achieve weight-loss goals. We regularly attend community-wide events and provide health information and needed first-aid care at events such as the Bourbon Festival, the Salt River Electric Picnic, and My Old Kentucky Home Bike Tour.NeedsAssessment
Patient Education AssistanceDescribe 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. We communicate the charity program to all patients through signage, information in the patient handbook, and oral communication. Any patient presenting to a facility without insurance is apprised of the available assistance programs including charity, Medicaid, and the Kentucky Hospital Care program. Patients are provided financial assistance applications upon registration, and all patient statements have financial assistance applications on the back, including statements sent by third party collection agencies. In addition, Financial Counselors are available to meet with patients and discuss financial assistance options. Staff counselors are at all facilities in the registration department, in the Emergency Department and at offsite ancillary locations. Financial Counselors are also available by phone and do a great deal of follow-up work by contacting patients that are at risk of being turned over to a collection agency as a last effort to communicate available financial assistance alternatives.PatientEducationAssistance
Community InformationDescribe 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.CommunityInformation
Community Building ActivitiesDescribe 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.CommunityBuildingActivities
Other InformationProvide 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.OtherInformation
Affiliated Health Care SystemIf 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. In July 2008, Flaget Memorial Hospital joined 7 other Kentucky facilities to become Saint Joseph Health System Kentucky (SJHS Kentucky). Flaget Memorial Hospital and SJHS Kentucky, 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 $3.9 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.AffiliatedHealthCareSystem
Reports Filed With StatesKYReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I Part I Q2Identifier
Return ReferenceProcedures for monitoring the use of grantsReturnReference
ExplanationThe organization only makes grants to 501(c)(3) organizations to ensure the funds will be used properly.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NEVIN BAKER
220807798115238966267906
JOHN BRADFORD
14333830349114843434121951211019
Beverly Downs
1247892766839525681178534
Gary Ermers
36574910272760289321604625660718139291
Alan Dossett
249018559615237256292022
Milton Jackson
19624223935058231539
Bruce Klockars
1112323573422597156821852451842835920337438180912598132499543566
James Nuss
19372323933793227755
Eugene Woods
514665124654235854385840293747055
Darrell Wesley
228894798121632387269478

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATIONSchedule J, Part 1, Q 3COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES, (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
POST-TERMINATION PAYMENTSSchedule J, Part 1, Q 4ASaint Joseph Health System's severance may be offered to regular full-time or part-time employees based on years of service and scheduled hours. To be eligible for severance, an employee must stay with the organization through the end of the announced separation date and not accept another regular full-time or part-time position within the organization. An employee will not be eligible for severance if he or she separates from the organization due to performance issues prior to the job elimination date. Management has the right to change severance pay amounts at any time as business needs change. The severance period will immediately follow termination of employment. Employees must sign a valid and complete waiver of all claims prior to commencement of severance pay. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2009 CALENDAR YEAR.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANSchedule J, Part 1, Q 4BDURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: Eugene Woods, Bruce Klockars AND GARY EMERS THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR. GARY EMERS - $32,160 BRUCE KLOCKARS - $18,091 EUGENE WOODS - $43,858 THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNTS WERE INCLUDED IN THE INDIVIDUALS' REPORTABLE COMPENSATION FOR SCHEDULE J: JOHN BRADFORD - $11,019 GARY EMERS - $39,291 Bruce Klockars - $43,566

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 Part III, Q.2NEW SIGNIFICANT PROGRAM SERVICESIn September, 2009, Flaget opened up an outpatient Bariatric Services department staffed by a General/Bariatric Surgeon, and an outpatient OBGYN Services department staffed by an OB/GYN physician.
FORM 990 Part III, Q.3CEASE CONDUCTING PROGRAM SERVICESEffective March 20,2010, the contract with Kentucky Orthopedic Rehab Team (KORT) to manage our outpatient physical therapy was terminated. An RFP was sent to KORT and another group regarding the development of an outpatient physical therapy department on the hospital's campus. Until that occurs, volumes and revenues will be negatively impacted.
FORM 990, PART VI, Q.1AEXECUTIVE COMMITTEEThe 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 Executive Director, the President and Executive Director of the Corporate Member, each of whom serve as ex officio voting members of the Executive Committee, and at least one voting member appointed by the Board of Directors. The Executive Committee HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.
FORM 990, PART VI, Q.6MEMBERS OR STOCKHOLDERSTHE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
FORM 990, PART VI, Q.7APROCESS FOR ELECTION OF ONE OR MORE MEMBERS OF GOVERNING BODYTHE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, Q.7BDECISIONS OF GOVERNING BODY TO APPROVAL BY MEMBERS OR STOCKHOLDERSThe organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: Substantial change in the mission or philosophy of Flaget Healthcare, Inc. ("FHI") Amendment of the corporate documents of FHI Approve members of FHI board Removal of a member of the governing body of FHI Approval of issuance of debt by FHI Approval of participation of FHI in a joint venture Approval of formation of a new corporation by FHI Approval of a merger involving FHI Approval of the sale of all or substantially all of the assets of FHI To require the transfer of assets by FHI to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Adoption of long range and strategic plans for FHI Pursuant to Section 5.5 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.
FORM 990, PART VI, Q. 11APROCESS THE ORGANIZATION USES TO REVIEW FORM 990THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER BEFORE THE CFO PRESENTS THE RETURN TO THE BOARD AT ITS BOARD MEETING. SUBSEQUENT TO THE BOARD AND CFO 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.
FORM 990, PART VI, Q. 12CProcedures for monitoring and enforcing the COI policyConflict of interest statements are reviewed by the facility president and then presented to the board chair for directors and board members. The process of resolving potential conflicts begins when the president presents the information to the board chair. The board chair further investigates and reports to the executive committee of the board for final determination. For employees, conflict disclosure statements are reviewed by Human Resources and the president if there are any potential conflicts.
FORM 990, PART VI, Q. 15ADETERMINING COMPENSATION OF CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENTThe organization'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.
FORM 990, PART VI, Q. 15BDETERMINING COMPENSATION OF OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATIONExecutive leadership compensation is reviewed by the Executive Committee to the Board. An outside consultant provided comparative data based on base compensation, total compensation, and executive benefits. Physician compensation is reviewed and approved by PLC, management PTRC, Board PTRC, and ultimately the full board.
FORM 990, PART VI, Q. 19Governing documents - COI Policy - Financial Statements availableTHE 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. The organization's conflict of interest policy and governing documents are available upon request from the administration department.
Form 990, Part VIIESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONSCOMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St Joseph Community Health Services
300 Central SW Suite 300AlbuquerqueNM87102710897107CommunityNM501(c)(3)11aCHI
St Joseph Community Health Foundation
300 Central SW Suite 300AlbuquerqueNM87102850253087FoundationNM501(c)(3)7SJCHS
St Francis of Baker City
3325 Pocahontas RoadBaker CityOR97814930412495HospitalOR501(c)(3)3CHI
St Elizabeth Health Care Foundation
3325 Pocahontas RoadBaker CityOR97814943164869FoundationOR501(c)(3)7SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville RoadBardstownKY40004562351341FundraisingKY501(c)(3)11aFH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville RoadBardstownKY40004611345363HospitalKY501(c)(3)3CHI
Lakewood Health Center
600 Main Avenue SouthBaudetteMN56623410758434LTerm CareMN501(c)(3)3CHI
Appletree Court
601 Oak StreetBreckenridgeMN56520411850500Senior HomesMN501(c)(3)9SFH
Healthcare and Wellness Foundation
2400 St Francis DriveBreckenridgeMN56520760761782FoundationMN501(c)(3)11aSFMC
St Francis Home
2400 St Francis DriveBreckenridgeMN56520410729978LTerm CareMN501(c)(3)9CHI
St Francis Medical Center
2400 St Francis DriveBreckenridgeMN56520410695598HealthcareMN501(c)(3)3CHI
Carrington Health Center
800 North 4th StreetCarringtonND58421450227311HealthcareND501(c)(3)3CHI
Saint Clare's Community Care
66 Ford RoadDenvilleNJ07834222876836HealthcareNJ501(c)(3)11bSCHS
Saint Clare's Foundation Inc
66 Ford RoadDenvilleNJ07834222502997FundraisingNJ501(c)(3)7SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth AveCincinnatiOH45220311778403EducationKY501(c)(3)2GHS
Total Healthcare
PO Box 7021Colorado SpringsCO80933840927232HealthcareCO501(c)(3)3CHI Colorado
Memorial Health Care System Inc
2525 De Sales AvenueChattanoogaTN37404620532345HospitalTN501(c)(3)3CHI
Memorial Health Care System Foundation
2525 De Sales AvenueChattanoogaTN37404621839548FoundationTN501(c)(3)7MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford RoadChattanoogaTN37421030417049HealthcareTN501(c)(3)9MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 WestCincinnatiOH45206237419853DialysisOH501(c)(2)noneGSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 WestCincinnatiOH45206311206047FoundationOH501(c)(3)11aGSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 WestCincinnatiOH45206310537486HospitalOH501(c)(3)3TRI-HEALTH
Saint Clare's Hospital
66 Ford RoadDenvilleNJ07834223319886HospitalNJ501(c)(3)3CHI
St Francis Life Care Corporation
19 Pocono RoadDenvilleNJ07834222536017Elderly CareNJ501(c)(3)9SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 WestCincinnatiOH45206311074519PhysiciansOH501(c)(3)11aGSH
Catholic Health Initiatives Colorado Fou
961 East Colorado AvenueColorado SpringsCO80903840902211FoundationCO501(c)(3)7CHI Colorado
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29Colorado SpringsCO80903841183335LTerm CareCO501(c)(3)7CHI Colorado
Catholic Health Initiatives
1999 Broadway Suite 4000DenverCO80202470617373HealthcareCO501(c)(3)9CHI
Catholic Health Care Federation
1999 Broadway Suite 4000DenverCO80202208473567Jurdic PersonCO501(c)(3)11aCHI
Global Health Initiatives
1999 Broadway Suite 4000DenverCO80202201536108MinistriesCO501(c)(3)11aCHI
Health SET
4200 West Conejos Place 436DenverCO80204841102943Low Inc.CareCO501(c)(3)7CHI Colorado
Bishop Drumm Retirement Center
1111 6th AvenueDes MoinesIA50314420725196LTerm CareIA501(c)(3)9CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th AvenueDes MoinesIA50314420680448HospitalIA501(c)(3)3CHI-IA Corp
House of Mercy
1111 6th AvenueDes MoinesIA50314421323808ShelterIA501(c)(3)7CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th AvenueDes MoinesIA50314426076069AuxiliaryIA501(c)(3)11aCHI-IA Corp
Mercy Clinics Inc
1111 6th AvenueDes MoinesIA50314421193699PhysicianIA501(c)(3)9CHI-IA Corp
Mercy College of Health Sciences
1111 6th AvenueDes MoinesIA50314421511682EducationIA501(c)(3)2CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th AvenueDes MoinesIA50314237358794FoundationIA501(c)(3)7CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs DriveCentervilleIA52544420680308HospitalIA501(c)(3)3CHI-IA Corp
Mercy Professional Practice Associates
1111 6th AvenueDes MoinesIA50314421470935PhysicianIA501(c)(3)9CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh StreetDevils LakeND58301450227012HealthcareND501(c)(3)3CHI
Saint Joseph's Hospital Foundation
30 West 7th StreetDickinsonND58601363418207FoundationND501(c)(3)11aSJHHC
St Joseph's Hospital and Health Center
30 West 7th StreetDickinsonND58601450226429HealthcareND501(c)(3)3CHI
Mercy Regional Medical Center of Durango
1010 Three Springs BlvdDurangoCO81301840405515HospitalCO501(c)(3)3CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400ErlangerKY41018202741651HealthcareKY501(c)(3)11aCHI
Villa Nazareth Inc
801 Page DriveFargoND58103450226714LT CareND501(c)(3)9CHI
St Catherine Hospital
401 East Spruce StreetGarden CityKS67846480543721HospitalKS501(c)(3)3CHI
St Catherine Hospital Development Found
401 East Spruce StreetGarden CityKS67846200598702FoundationKS501(c)(3)11aSCH
Saint Francis Medical Center Foundation
PO Box 9804Grand IslandNE68802470630267FoundationNE501(c)(3)7SFMC
Saint Francis Medical Center
PO Box 9804Grand IslandNE68802470376601HealthCareNE501(c)(3)3CHI Nebraska
Central Kansas Medical Center
3515 BroadwayGreat BendKS67530480543724HospitalKS501(c)(3)3CHI
St Joseph Memorial Hospital
923 Carroll AveLarnedKS67550481253246HospitalKS501(c)(3)3CKMC
MNMCH Inc
220 North PennsylvaniaColumbusKS66725481216238HospitalKS501(c)(3)3SJRMC
Mercy Lifecare Systems
2727 McClelland BlvdJoplinMO64804431305163Property MgmtMO501(c)(3)11aSJRMC
St John's Medical Group
2727 McClelland BlvdJoplinMO64804431882377Phys PracticeMO501(c)(3)9SJRMC
St John's Mercy Regional Foundation
2727 McClelland BlvdJoplinMO64804431308084FoundationMO501(c)(3)7SJRMC
St John's Regional Medical Center
2727 McClelland BlvdJoplinMO64804440545809HospitalMO501(c)(3)3CHI
Good Samaritan Hospital
PO Box 1990KearneyNE68848470379755HealthCareNE501(c)(3)3CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810KearneyNE68848470659443FoundationNE501(c)(3)7GSH
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150LancasterPA17602232342997HealthPA501(c)(3)11aCHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150LancasterPA17602232605579FundraisingPA501(c)(3)11aSJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150LancasterPA17602201425375Dental carePA501(c)(3)11aSJHM
Continuing Care Hospital
150 North Eagle Creek DriveLexingtonKY40509611400619LTACHKY501(c)(3)3SJHS
Saint Joseph Berea Hospital Foundation
305 Estill StreetBereaKY40403260152877FoundationKY501(c)(3)7SJHS
Saint Joseph Health System Inc
150 N Eagle Creek DrLexingtonKY40509611334601HospitalKY501(c)(3)3CHI
St Joseph Hospital Foundation Inc
One St Joseph DriveLexingtonKY40504611159649FoundationKY501(c)(3)11aSJHS
Saint Joseph Medical Foundation Inc
One St Joseph DriveLexingtonKY40504311539059Phy PracticesKY501(c)(3)3SJHS
Visiting Nurse Association of Saint Clar
191 Woodport RoadSpartaNJ07871221768334Home HealthNJ501(c)(3)9SCHS
Saint Elizabeth Foundation
555 South 70th StreetLincolnNE68510470625523FoundationNE501(c)(3)7SERMC
Saint Elizabeth Health Services
555 South 70th StreetLincolnNE68510363233120HealthcareNE501(c)(3)3SERMC
CHI Nebraska
555 South 70th StreetLincolnNE68510363233121HealthcareNE501(c)(3)11aCHI
Saint Elizabeth Regional Medical Center
555 South 70th StreetLincolnNE68510470379836HealthcareNE501(c)(3)3CHI Nebraska
The Physician Network
8055 O Street Suite 300LincolnNE68510470780857HealthcareNE501(c)(3)11aCHI Nebraska
Lisbon Area Health Services
905 Main StreetLisbonND58054820558836HealthcareND501(c)(3)3CHI
Alverna Apartments
300 SE 8th AvenueLittle FallsMN56345411351177Lterm CareMN501(c)(3)9CHI
Unity Family Healthcare
815 2nd Street SELittle FallsMN56345410721642HealthcareMN501(c)(3)3CHI
St Anthony's Hospital Association
4 Hospital DriveMorriltonAR72110710245507HealthcareAR501(c)(3)3SVIMC
St Vincent Infirmary Medical Center
2 St Vincent CircleLittle RockAR72205710236917HealthcareAR501(c)(3)3CHI
St Vincent Medical Group
2 St Vincent CircleLittle RockAR72205710830696HealthcareAR501(c)(3)9SVIMC
Maria-Joseph Center
4830 Salem AvenueDaytonOH45416310935118HealthcareOH501(c)(3)9SHP
Saint Joseph London Foundation Inc
310 East Ninth StreetLondonKY40741260438748FoundationKY501(c)(3)11aSJHS
Samaritan Behavioral Health
601 S Edwin C Moses BlvdDaytonOH45408020633634HospitalOH501(c)(3)3SHP
Mercy Medical Center
1512 12th Avenue RoadNampaID83686820200896HospitalID501(c)(3)3CHI
Mercy Medical Center Foundation
1512 12th Avenue RoadNampaID83686261737256FoundationID501(c)(3)11aMercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue RoadNampaID83686208192593Phys GroupID501(c)(3)9Mercy Med Ct
St Mary's Hospital
1314 3rd AvenueNebraska CityNE68410470443636HospitalNE501(c)(3)3CHI Nebraska
St Mary's Hospital Foundation
1314 3rd AvenueNebraska CityNE68410470707604FoundationNE501(c)(3)7SMH
Oakes Community Hospital
314 South 8th StreetOakesND58474450231675HospitalND501(c)(3)3CHI
Oakes Community Hospital Foundation
314 South 8th StreetOakesND58474710966606FoundationND501(c)(3)11aOCH
St Dominic at Ontario
351 SW 9th StreetOntarioOR97914930433692HospitalOR501(c)(3)3CHI
Holy Rosary Medical Center Foundation
351 SW 9th StreetOntarioOR97914202683560FoundationOR501(c)(3)11aHRMC
St Joseph's Area Health Services
600 Pleasant AvenuePark RapidsMN56470410695603HospitalMN501(c)(3)3CHI
St Anthony Hospital
1601 SE Court AvenuePendletonOR97801930391614HospitalOR501(c)(3)3CHI
St Anthony Hospital Foundation
1601 SE Court AvenuePendletonOR97801930992727FoundationOR501(c)(3)11aSA Hospital
Gettysburg Medical Center
606 East Garfield AvenueGettysburgSD57442460234354HospitalSD501(c)(3)3SMHC
St Mary's Healthcare Center
801 East Sioux AvenuePierreSD57501460230199HealthcareSD501(c)(3)3CHI
Mt St Joseph Inc
3060 SE Stark StreetPortlandOR97214930386870Nursing CareOR501(c)(3)9CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52PuebloCO81004841234295CommunityCO501(c)(3)7CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316ReadingPA19603232187242HealthcarePA501(c)(3)11aCHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316ReadingPA19603232649362FoundationPA501(c)(3)11aSJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316ReadingPA19603208544021HealthcarePA501(c)(3)9BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316ReadingPA19603231352211HealthcarePA501(c)(3)3CHI
Linus Oakes Inc
2700 Stewart ParkwayRoseburgOR97470930821381Senior LivingOR501(c)(3)9MMC
Mercy Foundation Inc
2700 Stewart ParkwayRoseburgOR97470936088946FoundationOR501(c)(3)7MMC
Mercy Medical Center
2700 Stewart ParkwayRoseburgOR97470930386868HospitalOR501(c)(3)3CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago AvenueSouth MilwaukeeWI53172391093829HealthcareWI501(c)(3)9CHI
Enumclaw Community Hospital
1450 Battersby AvenueEnumclawWA98022910715805HospitalWA501(c)(3)3FHS
Franciscan Foundation
1717 South J StreetTacomaWA98405911145592FundraisingWA501(c)(3)9FHS
Franciscan Health System FKA Franciscan
1717 South J StreetTacomaWA98405910564491HealthcareWA501(c)(3)3CHI
Franciscan Medical Group
1708 South Yakima AvenueTacomaWA98405911939739HealthcareWA501(c)(3)9FHS
St Joseph Medical Center Foundation In
7601 Osler DriveTowsonMD21204521681044FundraisingMD501(c)(3)7SJMC
St Joseph Medical Center Inc
7601 Osler DriveTowsonMD21204520591461HospitalMD501(c)(3)3CHI
St Joseph Physician Enterprises
7601 Osler DriveTowsonMD21204521311775PhysiciansMD501(c)(3)11aCHI
Samaritan Health Foundation
2222 Philadelphia DriveDaytonOH45406237296923FoundationOH501(c)(3)7SHP
Mercy Hospital of Valley City
570 Chautauqua BoulevardValley CityND58072450226553HospitalND501(c)(3)3CHI
Mercy Medical Center
1301 15th Avenue WestWillistonND58801450231183HealthcareND501(c)(3)3CHI
Mercy Medical Foundation
1301 15th Avenue WestWillistonND58801450381803FoundationND501(c)(3)11aMMC
Samaritan Health Partners
2222 Philadelphia DriveDaytonOH45406311107411HealthcareOH501(c)(3)11aCHI
St Vincent Foundation
Two St Vincent CircleLittle RockAR72205510169537FundraisingAR501(c)(3)11aSVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th StreetOntarioOR97914943059469HospitalOR501(c)(3)9HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh StreetDevils LakeND58301352367360FoundationND501(c)(3)11aMHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy RoadOmahaNE68124470484764HospitalNE501(c)(3)3CHI
Alegent Health - Mercy Hospital Corning
PO Box 368CorningIA50841420782518HospitalIA501(c)(3)3AHBMHS
Mercy Health Care Foundation
PO Box 368CorningIA50841421461064FoundationNE501(c)(3)11aAHMH
Mercy Hospital Foundation Council Bluff
800 Mercy DriveCouncil BluffsIA51503421178204FoundationIA501(c)(3)11aAHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive WestEnglewoodCO80112271050565HealthcareCO501(c)(3)11aCHI
CHI Colorado
188 Inverness Drive WestEnglewoodCO80112840405257HealthcareCO501(c)(3)3CHI
Saint Joseph Mount Sterling Foundation
50 Sterling AvenueMount SterlingKY40353272884584FoundationKY501(c)(3)7SJHS
Centennial Medical Group Inc
2700 Stewart ParkwayRoseburgOR97470900433062PhysiciansOR501(c)(3)9MMC
CHI National Foundation
198 Inverness Drive WestEnglewoodCO80112270930004FoundationCO501(c)(3)11aCHI
Saint Clare's Health Services Inc
25 Pocono RoadDenvilleNJ07834223639733ManagementNJ501(c)(3)7CHI
Good Samaritan Hospital
2222 Philadelphia DriveDaytonOH45406310536981HospitalOH501(c)(3)3SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
Superior Medical Imaging LLC
5000 North 26th StreetLincolnNE68521262884555OP DiagnosticsNESERMCRelated-155495993429false$272false
Central Nebraska Rehab Services
3004 W Faidley AveGrand IslandNE68802810653461Physical TherapyNECHIRelated18169792933623false$5,050false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244CliveIA50325900129077Ambulatory SurgIACHI-IA CorpRelated19177161695121falsefalse
Audubon Land Company LLC
5390 N Academy Blvd Suite 300Colorado SpringsCO80918841513085Real EstateCOTHCRelated675779001605falsefalse
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11BreckenridgeCO80424651295958Medical ClinicCOTHCRelatedfalsefalse
Penrad Imaging
1390 Kelly Johnson BlvdColorado SpringsCO80920841072619Medical ImagingCOTHCRelated19224418248492falsefalse
St Anthony Regional Mtn Cancer Center
4231 W 16th AvenueDenverCO80112371568013Cancer CenterCOTHCRelated60513318803falsefalse
St Francis Land Company
5390 N Academy Blvd Suite 300Colorado SpringsCO80918263134100Real EstateCOTHCRelated-18097914886022falsefalse
OrthoColorado LLC
11650 West 2nd PlaceLakewoodCO80255371577105Ortho HospitalCOTHCRelated-537516515265510falsefalse
Mercy Outpatient Surgery Center LLC
1512 12th Avenue RoadNampaID83686841380439Surgery CenterIDMMCRelated-812036949357false$4,620true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11TacomaWA98405870808610Healthcare SrvcWAFHSRelated-5160763860362falsefalse
Healthcare Support Services LLC
PO Box 9804Grand IslandNE68802721546196LaundryNECHIRelated1999683913481false$58,436false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310LexingtonKY40504611386736DiagnosticKYSJ HospitalLexRelated2424563773725falsefalse
North River Surgery Center LLC
2209 Wildwood AvenueSherwoodAR72120710799771Ambul Surg CtrARSVIMCRelated2139891696001falsefalse
CHI Operating Investment Program LP
198 Inverness Drive WestEnglewoodCO80112470727942InvestmentsCOCHIInvestment580224069968false$14,031true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201BaltimoreMD21204522095835Surgery CenterMDSJMCRelated-757163421084falsetrue
Central Nebraska Home Care Services
PO Box 1146-4510 Second AvenueKearneyNE68848470692112Healthcare SrvcNEHSEINCRelated-1029821021500falsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland BlvdJoplinMO64804431457881DMEMOSt John's RMCC Corp-103383220936831.00000
Mountain Management Services Inc
6028D Shallowford RoadChattanoogaTN37422621570739mgmt svc orgTNMHCSC Corp34864245308451.00000
MedQuest
1301 15th Avenue WestWillistonND58801450392137Sale of DMENDMHof WillistonC Corp-167949114941.00000
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSt Anthony HC Corp4186130479381.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NebraskaC Corp-24916238402321.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC Corp1095715597471.00000
Mercy Park Apartments Ltd
1111 6th AvenueDes MoinesIA50314421202422HousingIACHI-IA CorpC Corp22724418061991.00000
Des Moines Medical Center Inc
1111 6th AvenueDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corp11231730.92980
Comcare Services
4231 W 16th AvenueDenverCO80204840904813InactiveCOCHICC Corp1.00000
Mednow Inc
1512 12th Avenue RoadNampaID83686820389927Outpat PharmacyIDMercy Med CtrC Corp-67295453484761.00000
Saint Clare's Primary Care Inc
66 Ford RoadDenvilleNJ07834222441202Billing ServicesNJSCCCC Corp-35063025904871.00000
Healthcare Mgmt Services Org Inc
1149 Market StTacomaWA98402911865474Health Org.WAFHSC Corp1.00000
Physician Health System Network
1149 Market StTacomaWA98402911746721Health Org.WAFHSC Corp1.00000
Mercy Services Corp
2700 Stewart ParkwayRoseburgOR97470930824308Retail SalesORMercy MedicalC Corp-49940914030011.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite DChattanoogaTN37422621570736HealthcareTNMHCSC Corp10081.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 BroadwayGreat BendKS67530481042853MEDICAL EQUIPMENTKSCKMCC Corp1101251.00000
St Vincent Community Health Services In
Two St Vincent CircleLittle RockAR72205710710785HealthcareARSVIMCC Corp2404944101950001.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400ErlangerKY41018841112049Management ServicCOCHIC Corp32721761.00000
Nazareth Assurance Company
76 St Paul Street Suite 500BurlingtonVT05401030304831InsuranceVTCHIC Corp1.00000
Franciscan Services Inc
198 Inverness Drive WestEnglewoodCO80112232487967HealthcareCOCHIC Corp194756125982581.00000
SJH Services Corporation
198 Inverness Drive WestEnglewoodCO80112232307408HealthcareCOFSIC Corp31434634230121.00000
St Joseph Development Company Inc
1717 South J StreetTacomaWA98405911480569RentalWAFSIC Corp1677122119847251.00000
Towson Management Inc
7601 Osler DriveTowsonMD21204521710750Management ServicMDFSIC Corp993154983831.00000
Captive Management Initiatives
980663022Captive ManagemenCHIC Corp1.00000CJ
First Initiatives Insurance Ltd
980203038InsuranceCHIC Corp1.00000CJ
Center for Translational Research
198 Inverness Drive WestEnglewoodCO80112272269511HealthcareCOCHIC Corp-84094917462011.00000
Samaritan Family Care Inc
40 W Fourth St 1700DaytonOH45402311299450HealthcareOHSHPLLC-119983648943971.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160LexingtonKY40503999999999ManagementKYSJHSC Corp1.00000
CGH Realty Company Inc
215 N 12th StReadingPA19603232326801Real EstatePASJHMC Corp1007424151.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70LexingtonKY40504611079899ManagementKYSJHSC Corp102175728430.85000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Saint Joseph Health System
o1354510
Saint Joseph Medical Foundation
p97033
Catholic Health Initiatives
i7184842
Catholic Health Initiatives
o665717
Catholic Health Initiatives
c35915
Catholic Health Initiatives
q2749826