Catholic Health Initiatives

“Catholic health initiatives (chi) has not formally adopted a written policy or written procedure regarding joint ventures. However chi's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.”

“The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize and must in good faith approve or disapprove any transaction in which CHI or a CHI Entity is a party and in which the Trustee or Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI Entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the matter. However, if requested, such Trustee or Corporate Officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from Trustees, as his or her knowledge may be of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the Board, and that the interested Trustee or Corporate Officer was excused during the discussion, and that the interested Trustee abstained from voting. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose ei”

“Catholic Health Initiatives' BOARD OF STEWARDSHIP TRUSTEES DOES HAVE AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON, THE CHAIRPERSON-ELECT, vice-chairPERSON, AND UP TO THREE ADDITIONAL TRUSTEES APPOINTED BY THE BOARD OF STEWARDSHIP TRUSTEES. EXCEPT AS OTHERWISE PROVIDED BY LAW, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF STEWARDSHIP TRUSTEES. ADDITIONALLY, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXCERCISE SUCH POWERS TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF STEWARDSHIP TRUSTEES, PROVIDED THAT SUCH ACTIONS TAKEN SHALL BE CONSISTENT WITH AND NOT CONFLICT WITH ANY ACTIONS OR POLICIES OF THE BOARD OF STEWARDSHIP TRUSTEES, THE BYLAWS, OR APPLICABLE LAW. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF STEWARDSHIP TRUSTEES AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF STEWARDSHIP TRUSTEES.”

“Form 990 instructions define a "member" as any person who, pursuant to a provision of the organization's governing documents or applicable state law, has the right to... "approve significant decisions of the governing body" or to... "receive a share of the organization's profits or excess dues or a share of the organization's net assets upon the organization's dissolution". The corporation was founded by religious institutes of the roman catholic church. Those religious institutes of the roman catholic church that agree to accept the mission and vision of the organization and meet certain other requirements established by the board of stewardship trustees, and who are approved by a 2/3 vote of the board of stewardship trustees, have "participating congregation" rights and duties under the bylaws of the organization. Participating congregations have the right to approve substantial changes to the mission and philosophical direction of the organization, approve amendments to the articles and bylaws affecting any provision governing the qualifications, rights or responsibilities of the participating congregations, select and remove a person who represents that participating congregation in exercising its rights and duties, participate in the distribution of assets upon the dissolution of the organization, participate in organizational advocacy efforts, encourage members of the participating congregations to participate in the ministries sponsored by the organization, and participate through their representatives in meetings held at least once a year with the board of stewardship trustees. (section 3.1.1 of the bylaws of catholic health initiatives.)”

“Form 990 instructions indicate that an organization must answer "yes" if at any time during the organization's tax year, there were one or more persons who had the right to approve or ratify decisions of the organization's governing body such as approval of the governing body's decision to dissolve the organization. The corporation was founded by religious institutes of the roman catholic church. Those religious institutes of the roman catholic church that agree to accept the mission and vision of the organization and meet certain other requirements established by the board of stewardship trustees, and who are approved by a 2/3 vote of the board of stewardship trustees have participating congregation rights and duties under the bylaws of the organization. Participating congregations have the right to approve substantial changes to the mission and philosophical direction of the organization, approve amendments to the articles and bylaws affecting any provision governing the qualifications, rights or responsibilities of the participating congregations, select and remove a person who represents that participating congregation in exercising its rights and duties, participate in the distribution of assets upon the dissolution of the organization, participate in organizational advocacy efforts, encourage members of the participating congregations to participate in the ministries sponsored by the organization, participate through their representatives in meetings held at least once a year with the board of stewardship trustees. (section 3.1.1 of the bylaws of catholic health initiatives).”

“The catholic health initiatives (chi) vice president, legal - transactions and tax conducts a review of the form 990 in a meeting with the chi tax director. After incorporation of any changes resulting from this review, the form 990 is provided to the chi board of stewardship trustees a week in advance of the board meeting as part of the board packet. Upon chief financial officer approval and signature, the vice president, legal - transactions and tax files the final form 990 as provided to the board, making any non-substantive changes necessary in order to effect e-filing. Any such changes are not re-submitted to the board.”

“Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy (the "Policy") in place to maintain the integrity of all of its activities. The Policy applies to CHI Board of Stewardship Trustees and members of its committees; all CHI Entity board and board committee members; all CHI employees; and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each Person must promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The Person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the Person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership; * Employees at the level of manager and above (through 6/21/17) Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG staff”

“Catholic Health Initiatives (CHI) has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry 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 the Korn Ferry 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. The last review was September 11, 2017. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable.”

“See narrative for form 990, part vi, section b, line 15a.”

“Catholic health initiatives' articles of incorporation are available on the colorado secretary of state website. Catholic health initiatives' consolidated audited financial statements are available on the chi website at www.catholichealthinit.org. Catholic health initiatives' bylaws and conflict of interest policy are not publicly available.”

“An organization is not required to report compensation from a related organization to a person listed on form 990, part vii, section a if the organization is unable to secure the information on compensation paid by a related organization after making a reasonable effort to obtain it. In that case, the organization shall report the efforts undertaken on schedule o. Catholic health initiatives (chi) believes that it has fully disclosed all compensation paid by related organizations to the individuals listed on schedule j. However, in the event that any related party compensation has been inadvertently excluded, chi offers the following information concerning reasonable efforts: chi performed a comprehensive review of the compensation paid by each organization within the chi family as follows: each chi legal entity provided a list of its officers, directors, trustees, key employees and estimated top ten highest paid employees. This information was provided to various departments including, chi's centralized accounts payable service center, centralized payroll center and benefits coordinator. Each department provided a report reflecting the amount paid to each reportable individual by payor-entity. Each reportable individual received a report reflecting their compensation as it will be reported on the form 990 (including compensation paid by related organizations) and were asked to verify the accuracy of the information.”

“Other Miscellaneous Revenue - Total Revenue: 1358012, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1358012;”

“The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.”

“THE FOLLOWING EXAMPLES OF COMMUNITY BENEFIT ACTIVITIES IN FISCAL YEAR 2017 REPRESENT ONLY A SMALL FRACTION OF THOSE TAKING PLACE ON A DAILY BASIS AT THESE FACILITIES AND THROUGHOUT THE CATHOLIC HEALTH INITIATIVES HEALTH CARE SYSTEM. CHI St. Alexius Health - Devils Lake, N.D. Mercy Hospital provides a variety of education programs to the community at large for reduced or no charge to the recipient. Programs include: prepared childbirth, grief issues, unsafe lifestyle choices, advance directives, women's health, suicide prevention, strength training, and participation in many community health fairs. Cardiac Exercise Program Cardiac recovery for the post cardiac patient is a goal of Mercy Hospital's cardiac exercise program maintained by the Cardiac Rehab Department. All cardiac patients under the care of Mercy Hospital's medical staff are eligible for our exercise program for a nominal monthly fee. Other patients with specific disease states are also eligible for this service and routinely participate. Baby and I (Breast feeding Instruction Program) The incidence of pediatric admissions, particularly for newborns, has been reduced by the home breast feeding instruction program originally funded by the Sisters of Mercy of Omaha. The "Baby and I' program provides in-house instruction to mothers on the benefits of and proper techniques for breast-feeding. Follow up visits at home with the mother are conducted to provide assurance and continuity of care to the mother and infant. A support group also meets weekly to provide further support and enhance the benefits of breast-feeding. Medical Education Mercy Hospital staff routinely participate in internship programs with physicians, laboratory professionals, nursing, respiratory therapy, radiology, administration, pharmacy, and physical therapy students. Local high schools also use the hospital as a resource for shadow programs where students observe various types of healthcare careers. Financial Assistance Counseling Mercy participates in the Community Resource Coordinator program. This program assists patients who need insurance coverage to apply where ever funding may exist. The program covers a broad range of services including unmet prescription costs, hospital care, clinic services, diabetes, and dental care. Mercy provides full funding for this program. Necessary Health Services/Subsidized Health Services Mercy maintains necessary services such as OB, anesthesia, and other emergency care. These services are vital to the strength of the community. Subsidized Health Services supports Women's and Children's Services. Community Building Activities/Support Mercy Hospital's mission is also extended to the community through provision of space free of charge or at a nominal fee for various nonprofit community groups. Mercy Hospital's staff participates in a variety of community organizations, including local Devils Lake City Commission, Rotary, Kiwanis, Ramsey County Disaster Planning Committee, Lake Region Safe Communities Coalition, and Communities Organized against Disaster, Workforce Development Council, and the Lake Region Ministerial Committee. CHI Oakes Community Hospital, Oakes, N.D. Community Benefit is the name given to the programs we create in response to health needs in our service areas. An important part of our mission is building healthier communities through programs designed to serve the needs of people who are poor and disadvantaged in our community. This type of Community Benefit has the added the positive side-effect of delivering an improved quality of life for everyone. Community Benefit most often takes place outside the walls of our facilities and involves partner organizations in the community. Our Community Benefit activities are designed to: - Identify and increase awareness of health needs in Oakes - Provide resources to meet those needs - Create collaboration between community organizations that focus on health and well-being - Tackle problems such as pove”

“TO FULFILL ITS MISSION, CATHOLIC HEALTH INITIATIVES (CHI), AS A VALUES-DRIVEN ORGANIZATION, ASSURES THE INTEGRITY OF THE MINISTRY BY FOSTERING RESEARCH AND DEVELOPMENT OF NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL AND SOCIAL SERVICES; PROMOTING LEADERSHIP DEVELOPMENT AND FORMATION FOR THE MINISTRY THROUGHOUT THE ORGANIZATION; ADVOCATING FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED AND UNDERSERVED; AND STEWARDING RESOURCES BY PROVIDING COORDINATED MANAGEMENT AND STRATEGIC PLANNING SERVICES ALONG WITH CENTRALIZED SHARED SERVICES (PAYROLL, H/R, A/P AND PURCHASING) FOR THE CHI NATIONAL HEALTHCARE MINISTRY. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL NONPROFIT HEALTH ORGANIZATION HEADQUARTERED IN DENVER. CHI'S EXEMPT PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE RELIGIOUS, CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES, WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, OF CATHOLIC HEALTH CARE FEDERATION, A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW FOR THE ROMAN CATHOLIC CHURCH, INCLUDING BY SUPPORTING SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE. CHI SERVES 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. TO FURTHER ITS EXEMPT PURPOSE, 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, 2017, INCLUDE APPROXIMATELY $79.5 MILLION FOR INSURANCE COSTS. COST SAVINGS ASSOCIATED WITH CENTRALIZED SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2017, INCLUDED MORE THAN $222 MILLION IN SUPPLY CHAIN EXPENSE. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO DELIVERY OF HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. THE CHI MISSION AND MINISTRY FUND PROVIDED $9.3 MILLION IN GRANTS DURING FISCAL YEAR 2017 TO BUILD HEALTHY COMMUNITIES IN THE UNITED STATES AND INTERNATIONALLY. DURING THE PAST 21 YEARS 500 GRANTS HAVE BEEN AWARDED FOR MORE THAN $77 MILLION. SINCE 2009 THE MISSION AND MINISTRY FUND ALLOCATED $19.5 MILLION ($638,000 IN FISCAL YEAR 2017) IN GRANTS TO REDUCE VIOLENCE IN THE COMMUNITIES CHI SERVES. CHI DIRECTLY INVESTS IN THE COMMUNITIES IT SERVES THROUGH CHI'S DIRECT COMMUNITY INVESTMENT PROGRAM WHICH HAS PROVIDED $54.8 MILLION IN LOW INTEREST LOANS TO ORGANIZATIONS THAT GIVE DISADVANTAGED POPULATIONS ACCESS TO JOBS, HOUSING, EDUCATION AND HEALTH CARE. Reporting Across the System: THE FAITH-BASED SYSTEM OPERATES IN 17 STATES AND COMPRISES 101 HOSPITALS, including three academic health centers and major teaching hospitals as well as 29 critical access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2017, CHI provided more than $1.2 billion in financial assistance and community benefit - a 11% increase over the previous year -- for programs and services for the poor, free clinics, educa”

“Purchased Svcs - Collection Fees - Total Expense: 100797, Program Service Expense: , Management and General Expenses: 100797, Fundraising Expenses: ; Purchased Svcs - Other - Total Expense: XXX-XX-XXXX, Program Service Expense: 1780504, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Purchased Svcs - Rev Cycle - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Consulting - Clinical - Total Expense: 11210, Program Service Expense: , Management and General Expenses: 11210, Fundraising Expenses: ; Consulting - Administrative - Total Expense: 3701194, Program Service Expense: 83923, Management and General Expenses: 3617271, Fundraising Expenses: ; Consulting - Strategic Planning - Total Expense: 86616, Program Service Expense: , Management and General Expenses: 86616, Fundraising Expenses: ; Consulting - Other - Total Expense: 28338185, Program Service Expense: 2499627, Management and General Expenses: 25838558, Fundraising Expenses: ; Contract Labor - AIMS - Total Expense: 3015, Program Service Expense: 3015, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Other - Total Expense: 12921490, Program Service Expense: 9432, Management and General Expenses: 12912058, Fundraising Expenses: ; Purchased Svcs-IT Managed Services - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Purchased Services - Food - Total Expense: 69243605, Program Service Expense: 69243605, Management and General Expenses: , Fundraising Expenses: ;”

“Capital Resource Pool Contributions - 48036557; Equity Transfers to/from affiliates - -57053357; Pension Adjustment - XXX-XX-XXXX; Returned Grants - 190497;”

“The House of Mercy is dedicated to assisting pregnant, parenting/non-parenting, and adolescent/adult women in developing personal responsibility and independence through counseling, education, and medical care in collaboration with other caring individuals. It is home to 11 vital human service and health care related programs and, on average, houses nearly 170 women and children in the residential treatment program. During their stay, women gain the skills they need to live independently, deal with addiction, overcome the effects of trauma and effectively parent their children. Flaget Memorial Hospital, Bardstown, Ky. Flaget Memorial Hospital employs medical eligibility counselors to assist individuals who need help enrolling in Kentucky's state-wide expansion programs. They assist patients/community members in navigating and applying for public medical programs. Nelson County Community Clinic The Nelson County Community Clinic (NCCC) is a vital safety net for Nelson County residents who are employed, but have no health insurance. Income-eligible residents have access to an array of free services, including medical care, basic dental care, lab tests, eye exams and free medications. Many volunteers who serve at the clinic are Flaget Memorial employees. The clinic was started in 2006 with a $278,000 grant from Catholic Health Initiative's Mission and Ministry Fund. Flaget Memorial donates money each year to help sustain the NCCC. Prescription Assistance Program Flaget Memorial partners with the Nelson County Community Clinic to help people who otherwise could not afford to pay for their prescription medications. By utilizing the assistance options through pharmaceutical companies, the program is able to ensure patients get the medications they need at no cost. This enables the patients to better manage their health and avoid unnecessary visits to the emergency department. Donation of Equipment/Supplies Flaget Memorial Hospital partners with Louisville based Supplies Over Seas (SOS), which offers an environmentally-friendly and cost-effective way of dealing with surplus medical products while simultaneously helping people in desperate need. SOS relies on these product donations to supply their qualified recipient institutions in the economically developing world as well as local clinics and individuals traveling on mission trips out of the country. "Room in the Inn" Homeless Ministry Flaget Memorial Hospital is proud to support Nelson County's "Room in the Inn" homeless ministry. Room in the Inn is a national model which brings together faith communities and community partners to provide shelter and resources for the homeless. Flaget Memorial provided first aid kits to each of the participating churches who participate in the program. Habitat for Humanity In May 2017, Flaget Memorial Hospital encouraged staff to participate in KentuckyOne Health's sponsorship of a Habitat for Humanity home located in Jefferson County. Staff participated in the three-day "Raise the Roof" experience. CHI Health, Omaha, Nebraska CHI Health has a history of centralized community benefit and hospital specific community benefit investments to address community health needs of the particular service area. Examples of how CHI Health furthers its exempt purpose by promoting the health of the community include: * Financial Assistance and Unpaid costs of Medicaid * Community health improvement services- * Community education, classes and programs (CPR, car seat safety checks, community behavioral health support and education, diabetes, cancer, physical activity and healthy eating and cooking) * AirCare-staff presented safety in-services to rural communities and participated in health fairs to advance the knowledge of the community. * Support groups (cancer, bereavement, youth, etc.) * Community health fairs and screenings * School based healthcare services * Parish Nursing Program and Faith Community Health Network-the CHI Health Faith Community Health Netw”

“These are programs, activities and partnerships that improve the health of persons in the community by addressing the determinants of health, which includes the social, economic and physical environment. See specific examples by community below: Omaha/Council Bluffs Metro * Hope Medical Outreach Coalition-Personnel support and annual operating subsidy. CHI Health hospitals and physicians are one of three health systems that provide access for the patients of three area federally qualified healthcare centers to specialty physician services and hospital based diagnostics and treatment that are unable to afford medical services. * Metro Area Continuum of Care for the Homeless-Financial support to this coalition addressing homelessness in the service area. * Live Well Omaha-a coalition founded by CHI Health (formerly Alegent Health) and the county health department that serves as convener of business, healthcare and community leaders to review health trends and catalyze community action to address health issues. * Live Well Omaha Kids-a community coalition using a collective impact approach to address childhood obesity. * Community Link-a partnership with Catholic Health Initiatives to improve the health and socioeconomic status of patients by assessing and treating their non-medical needs and barriers, which are important factors of their health. * Violence Prevention-a partnership with Catholic Health Initiatives, Women's Center for Advancement and Creighton University to implement a campus based violence prevention Plan known as "Green Dot". * African American Empowerment Network- Support of the Step Up summer jobs program, a workforce development and violence prevention initiative serving a typically low-income part of the community. * Together, Inc.-provided funds to support the newly developed homeless case management project to be housed out of the CUMC emergency department and then at University Campus. The program connects high utilizers of the emergency department, who are identified as homeless, with a case manager who will then assist them in finding sustainable housing and accessing other resources associated with social determinants of health. * One World Community Health-partnership for Baby's Health and Safety between One World and CHI Health to provide education around safe sleep, safe ride, and breastfeeding to expecting mothers, and provide car seats and pack-n-plays as incentive for participation in education program. * Building Healthy Futures-provided support for research to study and create culturally relevant, trauma-informed care for refugee populations to be utilized by front-line care providers. * Omaha Bridges Out of Poverty-provided support for Bridges Out of Poverty programming and training to support and train those in poverty on resources and skills to break the cycle of poverty in their family. * The 712 Initiative-provided support to administer programming by The Big Garden agency at the Creektop Community Garden in Council Bluffs, for low-income individuals to build technical skills and capacity for gardening and thereby improving their access to healthy food. * Mills County Public Health-provided funding for Family Matters Substance Abuse Prevention Project Omaha/Council Bluffs Metro & Lincoln State of Nebraska-provided funds to support pilot program Double-Up Food Bucks to address food insecurity and access to healthy foods through provision of additional funding for SNAP participants to purchase fresh fruits and vegetables at participating vendors and farmer's markets. Lincoln Partnership for a Healthy Lincoln-provided financial and partnership support as part of the community health improvement plan to PHL, a non-profit health coalition dedicated to improving the health, wellness, and fitness of all those in our community. Clinic with a Heart-in addition to staffing free clinics each month, provided financial support for infrastructure and program implementation to this free clinic serving th”