{"success":true,"data":{"_id":930412495,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"St. Elizabeth health services, inc. Provides quality health care to all in need regardless of race, creed, sex, national origin, handicap, age or ability to pay.","primary_activities":"Please refer to Schedule H, The Needs Assessment Narrative, Part VI, Item 2.\n\nSt. Elizabeth Health Services, Inc. has ceased conducting business, effective March 31, 2010. Accordingly, the information contained in this Form 990 represents St. Elizabeth Health Services, Inc.'s wind-up period.","year":2009,"name":"ST ELIZABETH HEALTH SERVICES INC","phone":"5415231737","website":"www.stelizabethhealth.com","type":"990","principal_officer":"Leanne Irsik","state_legal_domicile":"OR","total_volunteers":10,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"3325 Pocahontas Road, baker city, OR, 97814, USA","city":"baker city","state":"OR","country":"USA","zip_code":"97814"},"Governance":{"501c determination":true,"Number of voting members":10,"Number of independent voting members":10,"Number of employees total":216,"Total Gross UBI":0,"Net unrelated business taxable income":-1,"Number of employees":216,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":true,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional 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Irsik","address_line1":"3325 Pocahontas Road","city":"BAKER CITY","state":"OR","zip":"97814"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"audited_financial_statement_consolidated":true,"federal_grant_audit_required":false},"related_party_due_diligence":{"officer_entity_with_business_relationship":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":true,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"person_name":"ROBERT WEHLING","phone":"5415242953","address_line1":"3325 POCAHONTAS ROAD","city":"Baker City","state":"OR","zip":"97814"},"contractor_compensation":[{"person_name":"INTERPATH LABORATORY","compensation":431199,"services_description":"LABORATORY","address_line1":"PO BOX 1208","city":"PENDELTON","state":"OR","zip":"97801","name":"INTERPATH LABORATORY","address":"PO BOX 1208, PENDELTON, OR, 97801"},{"person_name":"MRI MOBILE","compensation":286685,"services_description":"MRI","address_line1":"PO BOX 9589","city":"BOISE","state":"ID","zip":"83707","name":"MRI MOBILE","address":"PO BOX 9589, BOISE, ID, 83707"},{"person_name":"TREASURE VALLEY LAB","compensation":333160,"services_description":"LABORATORY","address_line1":"PO BOX 2693","city":"SPOKANE","state":"WA","zip":"99220","name":"TREASURE VALLEY LAB","address":"PO BOX 2693, SPOKANE, WA, 99220"},{"person_name":"DUPUY ORTHOPAEDICS","compensation":567406,"services_description":"ORTHOPAEDICS","address_line1":"3325 Pocahontas Road","city":"BAKE CITY","state":"OR","zip":"97814","name":"DUPUY ORTHOPAEDICS","address":"3325 Pocahontas Road, BAKE CITY, OR, 97814"},{"person_name":"AMERISOURCE","compensation":621084,"services_description":"NURSING","address_line1":"3325 Pocahontas Road","city":"BAKER CITY","state":"OR","zip":"97814","name":"AMERISOURCE","address":"3325 Pocahontas Road, BAKER CITY, OR, 97814"}],"officers_directors_key_employees":[{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD MEMBER","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"BOARD 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BUS","average_hours_per_week":45.0,"reportable_comp_from_org":67260,"reportable_comp_from_related_orgs":0,"other_compensation":15240,"officer":true},{"title":"NURSING HOME ADMINISTRATOR","average_hours_per_week":45.0,"reportable_comp_from_org":85249,"reportable_comp_from_related_orgs":0,"other_compensation":11949,"officer":true},{"title":"CFO/VP FINANCE","average_hours_per_week":45.0,"reportable_comp_from_org":31916,"reportable_comp_from_related_orgs":0,"other_compensation":4272,"officer":true},{"title":"OFFICER","average_hours_per_week":45.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":204916,"other_compensation":0,"officer":true},{"title":"VP PATIENT CARE SERVICES","average_hours_per_week":45.0,"reportable_comp_from_org":99515,"reportable_comp_from_related_orgs":0,"other_compensation":21457,"officer":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":568270,"reportable_comp_from_related_orgs":0,"other_compensation":41430,"key_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":254301,"reportable_comp_from_related_orgs":0,"other_compensation":31335,"key_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":247467,"reportable_comp_from_related_orgs":0,"other_compensation":36441,"key_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":211255,"reportable_comp_from_related_orgs":0,"other_compensation":30320,"highest_compensated_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":205237,"reportable_comp_from_related_orgs":0,"other_compensation":30835,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":true,"grants_other_organizations_amount":360,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":false,"total_lobbying_expenditures":360,"not_described_section_501c3":false,"form_4720_filed_4912_tax":false},"supplemental_information":[{"identifier":"990 Sch C Supplemental","form_and_line_reference":"Lobbying Activities Explanation","explanation":"The entity's controlling organization, Catholic Health Initiatives, pays annual dues to the American Hospital Association (\"AHA\") & Catholic Hospital Association (\"CHA\"), a portion of which allocated to lobbying. The amount shown in Line 1f above represents this entity's share of allocated lobbying expenses. The amounts allocated from each organization are as follows: AHA - $210; CHA - $150"}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":0,"book_value":0},"buildings":{"other_cost_or_other_basis":0,"book_value":0,"depreciation":0},"equipment":{"other_cost_or_other_basis":0,"book_value":0,"depreciation":0},"other_land_buildings":{"other_cost_or_other_basis":0,"depreciation":0},"total_book_value":0},"securities":{"total_book_value":0},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"INTERCOMPANY PAYABLES","amount":3150}],"total_liability":3150},"net_assets_reconciliation":{"total_revenue":27247804,"total_expenses":24053696,"excess_or_deficit_for_year":3194108,"net_unrealized_gains_losses_on_investments":25825,"total_adjustments":25825,"excess_or_deficit_per_financial_statements":3219933},"supplemental_information":[{"identifier":"FIN 48 FOOTNOTE","form_and_line_reference":"SCHEDULE D PART X","explanation":"ST. ELIZABETH HEALTH SERVICES, 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.\""}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":false,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":5596375,"reimbursed_by_medicare":6863168,"cost_of_care_reimbursed_by_medicare":6863168,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":315,"total_community_benefit_expense":513716,"net_community_benefit_expense":513716,"total_expense_percentage":0.0279},"unreimbursed_medicaid":{"persons_served":2568,"total_community_benefit_expense":1300838,"direct_offsetting_revenue":1196242,"net_community_benefit_expense":104596,"total_expense_percentage":0.0057},"unreimbursed_costs":{"total_community_benefit_expense":1814554},"total_financial_assistance":{"persons_served":2883,"total_community_benefit_expense":3629108,"direct_offsetting_revenue":1196242,"net_community_benefit_expense":618312,"total_expense_percentage":0.0336},"community_health_services":{"activities_or_programs":9,"persons_served":1073,"total_community_benefit_expense":8289,"net_community_benefit_expense":8289,"total_expense_percentage":0.0004},"subsidized_health_services":{"activities_or_programs":1,"total_community_benefit_expense":897924,"direct_offsetting_revenue":529943,"net_community_benefit_expense":367981,"total_expense_percentage":0.0199},"cash_and_inkind_contributions":{"activities_or_programs":4,"persons_served":1193,"total_community_benefit_expense":14402,"net_community_benefit_expense":14402,"total_expense_percentage":0.0008},"total_other_benefits":{"activities_or_programs":14,"persons_served":2266,"total_community_benefit_expense":920615,"direct_offsetting_revenue":529943,"net_community_benefit_expense":390672,"total_expense_percentage":0.0211},"total_community_benefits":{"activities_or_programs":14,"persons_served":5149,"total_community_benefit_expense":4549723,"direct_offsetting_revenue":1726185,"net_community_benefit_expense":1008984,"total_expense_percentage":0.0547}},"community_building":{"other_community_building_activities":{"activities_or_programs":1,"total_community_benefit_expense":57685,"net_community_benefit_expense":57685,"total_expense_percentage":0.0031},"total_community_building_activities":{"activities_or_programs":1,"total_community_benefit_expense":57685,"net_community_benefit_expense":57685,"total_expense_percentage":0.0031}},"hospital_facilities":[{"business_name_line1":"St Elizabeth Health Services Inc","address_line1":"3325 Pocahontas Road","city":"Baker City","state":"OR","zip":"97814","licensed_hospital":true,"general_medical_and_surgical":true,"critical_access_hospital":true,"emergency_room_24_hours":true,"name":"St Elizabeth Health Services Inc","address":"3325 Pocahontas Road, Baker City, OR, 97814"}],"part_vi_explanations":{"affiliated_health_care_system":"St. Elizabeth Health Services, 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.","annual_community_benefit":"St. Elizabeth Health Services prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization.","bad_debt_footnote":"(A) Costing methodology for amounts reported on line 2 was calculated as bad debt write-offs less bad debt recoveries per Statement 15. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. (B) St. Elizabeth Health Services does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. St. Elizabeth Health Services, Inc. does not issue separate company audited financial statements, rather it is included in the consolidated CHI financial statements. 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.","community_building_activities":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","community_information":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","costing_method_used":"(A) 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. (B) The cost-to-charge ratio for the year ended 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment, bad debt expense and other losses) divided by gross patient revenue. Based on that formula, $18,500,000 / $34,700,000 results in a 53.3% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio.","debt_collection_policy":"St. Elizabeth Health Services' (\"SEHS\") debt collection policy provides that SEHS will perform a reasonable review of each inpatient account prior to turning an account to a third-party collection agent and prior to instituting any legal action for non-payment, to ensure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through SEHS'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 SEHS community assistance policy is required to be returned immediately by the third-party collection agent to SEHS for appropriate follow-up. SEHS 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.","income_based_criteria":"When Catholic Health Initiatives (the ultimate parent organization to St. Elizabeth Health Services) 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. St. Elizabeth Health Services bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. 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.","needs_assessment":"ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: The Sisters of St. Francis of Philadelphia opened St. Elizabeth Hospital on August 24, 1897 in response to a request by Archbishop William L. Gross. The now St. Elizabeth Health Services (SEHS) has continued to serve the needs of Baker County Oregon for over 110 years. The Mission of St. Elizabeth Health Services is to nurture the healing ministry of the Church by bringing it new life, energy and viability. Fidelity to the Gospel urges SEHS to emphasize human dignity and social justice as we move toward the creation of healthier communities. Independent community representatives significantly comprise the board of directors. SEHS operates a 24-hour emergency room 365 days per year. That emergency room is open to all individuals regardless of ability to pay. The ER is a Level 4 trauma center and the only one within 45 miles. SEHS employs specialty surgeons that are able to provide care locally that might not otherwise be available in Baker County. SEHS has an open medical staff, participates in Medicare and Medicaid, and has an active charity care program. In 2003, SEHS became a critical access hospital licensed for 36 acute beds and 50 long term beds. Community service has always been a base value of SEHS activities. Each year, services and programs are expanded to promote a healthy community. The programs and services described throughout this report not only serve the community, but also reduce the burdens on the government. For example, if SEHS did not provide charity care, the burden of providing charity care might not be available in the county. SEHS is included in the Official Catholic Directory as a tax-exempt hospital. SEHS added its long term care wing in 1987. The long term care unit is committed to serving the needs of community members without regard to one's ability to pay. SEHS requires residents to demonstrate the ability to pay the facility fees and charges, which are set at a rate that is affordable to a significant segment of the elderly residing in the area. It should be understood that Medicaid funds the majority of resident care. SEHS will not force a resident to move from the facility if the individual and / or the individual's family become unable to pay the facility charges. COMMUNITY BENEFIT APPROACH Located in a valley in the Elkhorn Mountains in Eastern Oregon, SEHS has a primary service area of 15,600 located in 5 zip codes in Baker County. Nearest significant communities are located 45 miles to the north and 70 miles to the south. These \"nearby\" communities are difficult to reach in the winter as mountain passes must be navigated and are sometimes closed. Due to limited services available locally, most emergent services are airlifted to the nearest metropolitan areas that is either a 2 hour drive or a 45 minute helicopter flight. Also, Baker County has been designated as a Low Income Medically Underserved Area and a health professional shortage area for mental health providers for many years. Availability of an adequate number of healthcare providers is an ongoing challenge for the community. SEHS has been involved in community health collaboration for many years, especially working with the North East Oregon Network. The latest community assessment provides understanding of unique communities' needs derived from collaborative needs assessments, focus groups, and surveys. The study identified that availability; accessibility and knowledge of what is available locally are key issues. 1) Availability is affected by financial affordability and age and not as much as lack of primary care level services. 2) Connecting into a service (bureaucracy) is difficult due to patient age and education. 3) The service available was not perceived to be up to the level of care that they would like to receive. It was recognized that the health of the community could be improved if residents could maximize the local services available by increased communication and education about these services. Also, improvement in the use of technology to bring in higher level of services through \"telemedicine\" would be a cost effective way to provide certain types of care to the remote location. Many businesses understanding that a healthy community is not just a health care providers responsibility, have implemented programs to improve safety, reduce on the job accidents, and provide preventive health measures to minimize illness absences. Uncompensated Care for the Poor SEHS provides a significant level of free care each year. In fiscal year 2008, the cost of charity care provided by the organization exceeded $500,000. An additional $105,000 was incurred for unreimbursed costs for services provided to Medicaid patients, which represented approximately 12 percent of the patients served by SEHS. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT Community Outreach for the Poor Baker County is rated a low income county and most jobs are of a \"Blue Collar\" nature requiring, at most, a high school education. There are few high paying jobs that typically require higher education; thus this small hospital, by its location, is considered to be serving the poor. Over 2,800 people received healthcare services which were either free or the hospital was paid less than cost. Community Outreach for the Broader Community Trauma Rated Emergency Services Typically a hospital and community of this size do not have Emergency Services that are Level 4 Trauma rated. This requires on site Emergency Physicians 24/7. Due to the low income of the county residents, these physicians must be subsidized in order to provide this service. The SEHS Board has made a conscious decision to provide this level of service for the community in order to provide a \"safety net\" for the local residents in times of a health crisis. In addition, being located on a highly traveled interstate highway, this service is available to travelers and has proven to have saved lives. Emergency services of this level also support the community in recruiting businesses to the community by providing safety net protections for industrial accidents. Collaborative Efforts to Improve Community Health SEHS works with NEON to plan, develop, and implement various health care initiatives for the community. In addition, SEHS annually provides low cost screening lab tests and on an ongoing basis provides facilities, at no cost, for rape crisis intervention in conjunction with local law enforcement. Physician availability is a major issue in Baker County. The county is rated as being medically underserved by the government. The hospital frequently assists and provides subsidies to recruit physicians to the community. A Family Practitioner was successfully recruited this year. Health Professions Education SEHS serves as a clinical education site for medical professionals. In fiscal year 2010, assistance was provided in the education of the following health professionals: RN & CNA nursing students; and radiology technicians and physical therapy students. Also, scholarships are provided for students to become CNAs.","number_of_facility_type":"Not Applicable. SEHS doesn't have any free standing clinics that are not required to be licensed.","other_information":"Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.","patient_education_assistance":"St. Elizabeth Health Services (\"SEHS\") includes information concerning its financial assistance policy on its website. In addition, SEHS prominently displays its charity care policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in SEHS outpatient facilities. In addition, SEHS registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under SEHS's charity care policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. SEHS registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. SEHS's staff will also assist the patient / guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies.","percent_of_total_expense":"Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $5,596,375","reports_filed_with_states":"OR","shortfall_as_community_benefit":"(A)St. Elizabeth Health Services, Inc. is designated as a Critical Access Hospital (\"CAH\"). CAHs are rural community hospitals that are certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP). Shortfalls are created when a facility receives payments that are less than the costs of caring for program beneficiaries. Because shortfalls are based on costs, not charges, and St. Elizabeth Health Services, Inc., due to its designation as a CAH, received cost-based reimbursement for Medicare purposes, St. Elizabeth Health Services, Inc. will not experience Medicare related shortfalls. (B)However St. Elizabeth Health Services, Inc. and its affiliates, believe that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as \"subsidized health services.\" Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.","subsidized_health_services":"St. Elizabeth Health Services does not have any physician clinics included in subsidized health services."}},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"GARY 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DELASHMUTT","base_compensation_filing_org":182585,"bonus_filing_org":22185,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":30835,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":467,"other_compensation_related_orgs":0,"total_compensation_filing_org":236072,"total_compensation_related_orgs":0,"name":"STEVEN DELASHMUTT"},{"person_name":"DAVID GOODE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":120573,"compensation_based_on_related_orgs":453182,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":410385,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":126,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43341,"other_compensation_filing_org":0,"other_compensation_related_orgs":459299,"total_compensation_filing_org":0,"total_compensation_related_orgs":1076521,"name":"DAVID GOODE"},{"person_name":"ERIC SANDEFUR","base_compensation_filing_org":421627,"bonus_filing_org":146210,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":41430,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":433,"other_compensation_related_orgs":0,"total_compensation_filing_org":609700,"total_compensation_related_orgs":0,"name":"ERIC SANDEFUR"},{"person_name":"BARBARA TYLKA","base_compensation_filing_org":216992,"bonus_filing_org":37068,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":31335,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":241,"other_compensation_related_orgs":0,"total_compensation_filing_org":285636,"total_compensation_related_orgs":0,"name":"BARBARA TYLKA"},{"person_name":"DAVID RICHARDS","base_compensation_filing_org":219720,"bonus_filing_org":27638,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":36441,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":109,"other_compensation_related_orgs":0,"total_compensation_filing_org":283908,"total_compensation_related_orgs":0,"name":"DAVID RICHARDS"},{"person_name":"LEANNE IRSIK","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":214738,"other_compensation_related_orgs":0,"total_compensation_filing_org":214738,"total_compensation_related_orgs":0,"name":"LEANNE IRSIK"},{"person_name":"ROBERT WEHLING","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":204916,"total_compensation_filing_org":0,"total_compensation_related_orgs":204916,"name":"ROBERT WEHLING"}],"supplemental_information":[{"identifier":"SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN","form_and_line_reference":"SCH. J, PART I, Q. 4B","explanation":"DURING THE 2009 CALENDAR YEAR, CHI MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: David Goode. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS 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: David Goode $423,784. A contribution in the amount of $126 was made to the supplemental non-qualified deferred compensation plan during the 2009 calendar year"},{"identifier":"METHODS USED TO ESTABLISH CEO COMPENSATION","form_and_line_reference":"Schedule J, Part I, Q. 3","explanation":"Compensation for the top management official of St. Elizabeth Health Services, Inc. was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract."},{"identifier":"NON-FIXED BONUS PAYMENTS","form_and_line_reference":"SCHEDULE J, PART I, Q. 7","explanation":"CHI MAINTAINS A VARIABLE PAY PROGRAM FOR MANAGERS AND ABOVE THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING HEALTH OUTCOMES, QUALITY IMPROVEMENT, LEVEL OF COMMUNITY BENEFIT PROVIDED, AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE BOARD OF STEWARDSHIP TRUSTEES. HOWEVER, NO AWARD IS PAYABLE UNDER THIS PROGRAM UNLESS OPERATING MARGIN AND CHARITY CARE LEVELS ARE ACHIEVED AT A DESIGNATED PERCENT OF BUDGET. IN ADDITION, CERTAIN PHYSICIANS RECEIVE BONUSES PURSUANT TO THEIR EMPLOYMENT CONTRACTS. THE BONUSES ARE BASED ON SEVERAL CRITERIA, ONE OF WHICH IS THE PHYSICIAN'S REVENUE COLLECTIONS."}]},"ScheduleN":{"successor_relationships":{"director_of_successor":true,"employee_of_successor":true,"owner_of_successor":false,"received_compensation":false},"dispositions":[{"person_name":"TRINITY ST ELIZABETH HEALTH SERVICE","ein":271790052,"irc_section":"501(C)(3)","distribution_date":"2009-03-31T00:00:00","description":"BUILDINGS","fair_market_value":7465685,"method_of_fmv_determination":"VALUATION","address_line1":"3325 POCAHONTAS ROAD","city":"BAKER CITY","state":"OR","zip":"97814","name":"TRINITY ST ELIZABETH HEALTH SERVICE","address":"3325 POCAHONTAS ROAD, BAKER CITY, OR, 97814"},{"person_name":"TRINITY ST ELIZABETH HEALTH SERVICE","ein":271790052,"irc_section":"501(C)(3)","distribution_date":"2009-03-31T00:00:00","description":"equipment","fair_market_value":1523737,"method_of_fmv_determination":"VALUATION","address_line1":"3325 POCAHONTAS ROAD","city":"BAKER CITY","state":"OR","zip":"97814","name":"TRINITY ST ELIZABETH HEALTH SERVICE","address":"3325 POCAHONTAS ROAD, BAKER CITY, OR, 97814"},{"person_name":"TRINITY ST ELIZABETH HEALTH SERVICE","ein":271790052,"irc_section":"501(C)(3)","distribution_date":"2009-03-31T00:00:00","description":"LAND","fair_market_value":49138,"method_of_fmv_determination":"VALUATION","address_line1":"3325 POCAHONTAS ROAD","city":"BAKERCITY","state":"OR","zip":"97814","name":"TRINITY ST ELIZABETH HEALTH SERVICE","address":"3325 POCAHONTAS ROAD, BAKERCITY, OR, 97814"},{"person_name":"TRINITY ST ELIZABETH HEALTH SERVICE","ein":271790052,"irc_section":"501(C)(3)","distribution_date":"2009-03-31T00:00:00","description":"FURNITURE","fair_market_value":10814,"method_of_fmv_determination":"VALUATION","address_line1":"3325 POCAHONTAS ROAD","city":"BAKER CITY","state":"OR","zip":"97814","name":"TRINITY ST ELIZABETH HEALTH SERVICE","address":"3325 POCAHONTAS ROAD, BAKER CITY, OR, 97814"}],"supplemental_information":[{"identifier":"Schedule N Part II Q 2e","explanation":"St. Elizabeth Health Services, Inc. SOLD SUBSTANIALLY ALL OF ITS ASSETS TO TRINITY ST ELIZABETH HEALTH SERVICES INC. ON MARCH 31, 2009. ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES THAT ARE LISTED ON PART VII ON THIS FORM 990 WILL HOLD THE SAME POSITIONS AFTER THE TRANSISTION TO TRINITY ST ELIZABETH HEALTH SERVICES INC."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":710897107,"business_name_line1":"St Joseph Community Health Services","primary_activities":"Community","exempt_code_section":"501(c)(3)","public_charity_status":"11a","legal_domicile_state":"NM","direct_controlling_business_name_line1":"CHI","address_line1":"300 Central SW Suite 300","city":"Albuquerque","state":"NM","zip":"87102","name":"St Joseph Community Health Services","address":"300 Central SW Suite 300, Albuquerque, NM, 87102"},{"ein":850253087,"business_name_line1":"St Joseph Community Health Foundation","primary_activities":"Foundation","exempt_code_section":"501(c)(3)","public_charity_status":"7","legal_domicile_state":"NM","direct_controlling_business_name_line1":"SJCHS","address_line1":"300 Central SW Suite 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OR, 97814"},{"ein":562351341,"business_name_line1":"Flaget Memorial Hospital Foundation Inc","primary_activities":"Fundraising","exempt_code_section":"501(c)(3)","public_charity_status":"11a","legal_domicile_state":"KY","direct_controlling_business_name_line1":"FH","address_line1":"4305 New Shepherdsville Road","city":"Bardstown","state":"KY","zip":"40004","name":"Flaget Memorial Hospital Foundation Inc","address":"4305 New Shepherdsville Road, Bardstown, KY, 40004"},{"ein":611345363,"business_name_line1":"Flaget Healthcare DBA Flaget Memorial","primary_activities":"Hospital","exempt_code_section":"501(c)(3)","public_charity_status":"3","legal_domicile_state":"KY","direct_controlling_business_name_line1":"CHI","address_line1":"4305 New Shepherdsville Road","city":"Bardstown","state":"KY","zip":"40004","name":"Flaget Healthcare DBA Flaget Memorial","address":"4305 New Shepherdsville Road, Bardstown, KY, 40004"},{"ein":410758434,"business_name_line1":"Lakewood Health 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MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.\""}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DOUGLAS WICKERHAM","title":"TREASURER/CHI VP CORPORATE FINANCE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":71272,"compensation_based_on_related_orgs":272548,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":30596,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":19456,"other_compensation_filing_org":0,"other_compensation_related_orgs":20398,"total_compensation_filing_org":0,"total_compensation_related_orgs":414270,"name":"DOUGLAS WICKERHAM"},{"person_name":"JOHN DICOLA","title":"PRESIDENT/DIRECTOR/CHI VP STRATEGY BUSINESS DVLP","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":193114,"compensation_based_on_related_orgs":610649,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":82269,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":125880,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":21597,"other_compensation_filing_org":0,"other_compensation_related_orgs":109213,"total_compensation_filing_org":0,"total_compensation_related_orgs":1060453,"name":"JOHN DICOLA"},{"person_name":"MARK PARRINGTON","title":"SECRETARY/DIRECTOR/CHI VP STRATEGIC TRANSACTIONS","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":80464,"compensation_based_on_related_orgs":307116,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23096,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15031,"other_compensation_filing_org":0,"other_compensation_related_orgs":23586,"total_compensation_filing_org":0,"total_compensation_related_orgs":449293,"name":"MARK PARRINGTON"}],"supplemental_information":[{"identifier":"Arrangement used to establish the top management official's compensation","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. 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NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE FROM THE FILING ORGANIZATION OR A RELATED ORGANIZATION IN 2012."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JOHN DICOLA DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JOHN DICOLA - $92,784 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOHN DICOLA - $82,269"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"ALEGENT CREIGHTON CLINIC","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"ACH","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON CLINIC","address":"12809 WEST DODGE ROAD, OMAHA, NE, 68154"},{"business_name_line1":"ALEGENT CREIGHTON 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MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.\""}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DOUGLAS WICKERHAM","title":"TREASURER/CHI VP CORPORATE FINANCE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":71272,"compensation_based_on_related_orgs":272548,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":30596,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":19456,"other_compensation_filing_org":0,"other_compensation_related_orgs":20398,"total_compensation_filing_org":0,"total_compensation_related_orgs":414270,"name":"DOUGLAS WICKERHAM"},{"person_name":"JOHN DICOLA","title":"PRESIDENT/DIRECTOR/CHI VP STRATEGY BUSINESS DVLP","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":193114,"compensation_based_on_related_orgs":610649,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":82269,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":125880,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":21597,"other_compensation_filing_org":0,"other_compensation_related_orgs":109213,"total_compensation_filing_org":0,"total_compensation_related_orgs":1060453,"name":"JOHN DICOLA"},{"person_name":"MARK PARRINGTON","title":"SECRETARY/DIRECTOR/CHI VP STRATEGIC TRANSACTIONS","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":80464,"compensation_based_on_related_orgs":307116,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23096,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15031,"other_compensation_filing_org":0,"other_compensation_related_orgs":23586,"total_compensation_filing_org":0,"total_compensation_related_orgs":449293,"name":"MARK PARRINGTON"}],"supplemental_information":[{"identifier":"Arrangement used to establish the top management official's compensation","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. 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NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE FROM THE FILING ORGANIZATION OR A RELATED ORGANIZATION IN 2012."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JOHN DICOLA DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JOHN DICOLA - $92,784 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JOHN DICOLA - $82,269"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"ALEGENT CREIGHTON CLINIC","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"NE","direct_controlling_business_name_line1":"ACH","address_line1":"12809 WEST DODGE ROAD","city":"OMAHA","state":"NE","zip":"68154","name":"ALEGENT CREIGHTON CLINIC","address":"12809 WEST DODGE ROAD, OMAHA, NE, 68154"},{"business_name_line1":"ALEGENT CREIGHTON 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