CHI Physician Services

Mission The Mission of Catholic Health Initiatives is to nurture the healing ministry of the Church, sup - ported by education and research. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthier communities.

Vision Mission Core Values

Core Strategies

3 AT A GLANCE Fiscal year 2014 statistics

OUR SCOPE

ND OPERATIONS IN 19 STATES OR

MN WI IA 104 HOSpITALS, InCLUDInG: NE PA IN NJ OH CO MD

KS KY 4 ACADEMIC HEALTH CEnTERS TN

NM AR AnD MAJOR TEACHInG HOSpITALS

TX 30 CRITICAL ACCESS HOSpITALS

About 54 million people – or 12 CLInICALLy InTEGRATED nETWORkS nearly 17% of the US population – live within a 60-mile POLICY 10 InSURAnCE pLAnS radius of a CHI hospital.

CARE INTERACTIONS

pHySICIAn AnD ADVAnCED pRACTICE CLInICIAn VISITS: 8.6 MILLION HOME VISITS: ACUTE CARE ADMISSIOnS: 969,884 487,432

OUTpATIEnT EMERGEnCy VIRTUAL HEALTH: VISITS: MORE THAN 1.8 MILLION 80 PROGRAMS OFFERED

OUTpATIEnT nOn-EMERGEnCy VISITS: 5 MILLION COVERED LIVES: 103,866 FINANCIAL HIGHLIGHTS

$13.9 BILLION In TOTAL AnnUAL OpERATInG REVEnUES $21.8 BILLIOn In ASSETS $910 MILLION In TOTAL AnnUAL COnTRIBUTIOnS TO CHARITy CARE AnD COMMUnITy BEnEFIT

MISSION & MINISTRY FUND MORE THAn $55 MILLION In GRAnTS FOR BUILDInG HEALTHy COMMUnITIES

EMPLOYEE COMMUNITY 90,500 EMpLOyEES

PROVIDER TYPES

physicians account for of total 65 % provider types

AppROxIMATELy 90,500 EMpLOyEES, InCLUDInG AppROxIMATELy 3,850 { EMpLOyED pHySICIAnS AnD ADVAnCED pRACTICE CLInICIAnS

ADMINISTRATORS HOSPITALISTS PRIMARY CARE SPECIALISTS PHYSICIANS ADVANCED PRACTICE CLINICIANS

EMpLOyED pROVIDERS By STATE Building Health and Wellness

Healthy Communities It’s virtually impossible to have individual health in a community that is not healthy; and, it’s completely impossible to have a healthy community without healthy individuals. We collaborate with community partners, individual community members, and other providers of health and human services to create innovative new models of community health. Our hallmark programs for building healthy communities include:

n Direct Community Loan Program Low-interest loans for organizations that increase access to jobs, housing, education and health care.

n Mission and Ministry Fund Grants and guidance for building healthy communities around the world.

n International Ministry Relations Caring for our brothers and sisters in other parts of the world.

n United Against Violence National campaign to eradicate violence in our communities.

Clinically Integrated

WA Networks Rainier HHealthealttht NetworkNeetwork ND NorthNorth DakotaDakotaa CIN A clinically integrated network is a OR

AArchitraverchitrave HealthHealth MN WI new model of health care delivery IA designed to provide better health NE MercyMercy HealthHealth NJ UniNetUniNet NNetworketwork IN OH results and lower costs through CO TriHealthTriHiHealthh

ColoradoColooloradooradoo HealthHealth improved efficiency. CHI participates NeighborhoodsNeeighboreighborhoods KS KentuckyOneKeentuckyOy ne HHealthealth KY PartnersPartnersers in 12 clinically integrated networks TN MissionMMissiosion HealthCareHealthChhCare NetworkNetwork across the country, and that number NM ArkansasArkkansasa HHealtheeaalth AR NetworkNeetwork will continue to grow.

TX LufkinLuffkin (in development)devvelopment)elopelopmpmmenment)nt) St.St. Luke’sLuke’’ss HHealthealth Primary and Specialty Care CHI employs and partners with physicians Patient Centered Medical Homes and advanced practice clinicians and ensure patient access to comprehen- physician practices to provide patients sive, coordinated care that delivers with primary and specialty care. quality and safety: this is the basis All of CHI’s primary care practices are of individual and community transforming into Patient Centered health. Whenever needed, the Medical Homes, a model of care that medical homes coordinate patient focuses on the individual needs and care with specialty physicians. convenience of patients.

7 Emergency and Community Health Outpatient Care Services Organizations Many CHI hospitals provide emergency CHI’s Community Health Services Organiza - medicine, attending to patients who tions provide the healing ministry in need immediate attention for acute communities that no longer have a Catholic illnesses and injuries. health care facility. CHI hospitals and a variety of freestanding CHI St. Joseph’s Children, Albuquerque, facilities also provide top-quality outpatient NM, and CHI St. Joseph Children’s Health, care, delivering rehabilitation and therapy Lancaster, PA, carry on the ministry through services, care for chronic diseases, and community-based services that meet performing minor surgeries that do not identified needs. require hospital admission. In Albuquerque, St. Joseph’s Children focuses on early childhood development; Acute Care in Lancaster, St. Joseph Children’s Health CHI’s hospitals provide treatment and care focuses on oral health as an essential to patients who require hospitalization for a element of overall health. wide range of medical issues from childbirth to the most delicate surgeries. CHI Virtual Health CHI’s hospitals include major urban medical CHI Virtual Health links more than 80 centers, academic health centers, tertiary fa - programs that provide care across a distance cilities, community hospitals, critical access via two-way electronic communications. hospitals, and specialty rehabilitation and Examples include: behavioral health hospitals. n Teleradiology services that enable patients in rural hospitals to have their Long-Term Care images read immediately by trained Some CHI markets provide long-term care radiologists hundreds of miles away. options for consumers who need continuing n ePharmacist Direct, which provides assistance with medical issues, emotional hospitals with the expertise of a clinical needs or personal care. pharmacist 24 hours a day. These facilities include independent living These virtual health programs increase apartments with services, assisted living access to care for patients in remote loca - apartments, memory care facilities, skilled tions, minimize the need to travel to receive nursing facilities, and group homes for indi - specialty care and alleviate health care work - viduals who have developmental disabilities. force shortages. CHI Virtual Health provides services to organizations that are part of and external to CHI. CHI Health at Home Providing care in the comfort of a patient’s home is an essential element in the continuum of care; CHI Health at Home is CHI’s national home care service provider. CHI Health at Home provides and coordinates four types of home care services: n Home health care, including nursing care, physical therapy and hospice services. n Home infusion therapy, serving patients who need IV medications and enteral therapy. n Home medical equipment, including wheelchairs, beds, walking aids, bath safety fixtures, and diabetes supplies. n Non-emergency medical transportation via ambulance or mobile intensive care unit, between a patient’s home and a medical facility or from one medical facility to another.

9 Research ominence Health The CHI Institute for Research and Innovation Through Prominence Health, CHI has become (CIRI) provides a systemwide infrastructure an active participant in health plan networks, for research and clinical trials, piloting inno - a provider of health program administration, vations in care delivery and consumer and an operator of innovative health insur - engagement. It expands clinician and ance products — including commercial and consumer access to treatments, devices Medicare Advantage health plans — in a and research protocols that might otherwise growing number of CHI markets. The health be unavailable in the community health care insurance plans offered by Prominence setting. CIRI has three operating units, each Health are designed to extend access to with its own specialty: quality, affordable care to a greater number of people. n The Center for Clinical Research creates access to and participation in the latest research in medicine, diagnostics, and CHI Physician Services medical devices through a growing To provide innovative business services that systemwide infrastructure for clinical support high-quality ambulatory care, CHI trials. created CHI Physician Services (CHIPS) to n The Center for Healthcare Innovation provide best-in-class physician practice creates and evaluates new care delivery management services. CHIPS supports CHI’s models that enable CHI to offer advances employed and hospital-based physicians in integrated care, chronic care, and across the enterprise. population health that improve the The key business functions that CHIPS pro - overall health of patients and vides include practice management and communities served. staffing, charge entry, coding, revenue cycle, n The Center for Translational Research patient referral and scheduling services, and advances personalized and precision business analytics. medicine in community health care through research on biospecimens, CHI Captive Management biomarkers and medical data. Initiatives, Ltd. Since 2008, CHI Captive Management Initia - tives (CMI) has provided management and consulting services to captive insurance firms that serve the health care industry, with particular expertise in serving faith-based health organizations. CMI’s management services include book - keeping, reporting and records management; consulting services include feasibility studies for new captive insurance firms, evaluation of existing corporate structures, and acting as advocates with other service providers.

CHAN Healthcare Mercy Housing CHAN HEALTHCARE was formed in 1997 Mercy Housing, one of the nation’s largest through a partnership between Catholic affordable housing organizations, offers Health Initiatives and Ascension Health. In housing programs for low-income families, 2013, CHI and Ascension Health formed a seniors and people with special needs in 41 strategic partnership between CHAN and states. Because nearly one-third of people Horwath LLP, which created one of the largest who are low-income or homeless have a providers of internal audit and financial advi - chronic health condition, Mercy Housing sory services in the nation. Both CHI and As - partners with CHI and other major health cension Health retain an ownership interest care systems to provide enhanced services in the combined enterprise. for the health and well-being of its residents.

Conifer Health Solutions CHI and Tenet Healthcare share ownership of Conifer Health Solutions, a company that helps health care organizations manage financial risk, improve alignment with physicians, and implement population health management. Conifer also provides services that streamline the patient sched - uling process and care management capa - bilities that help to coordinate patient care across the continuum.

11 Communities of Care

As of August 2015

Arkansas St. Thomas More Hospital, Canon City Arkansas Health Network – Clinically Integrated Network* Part of CHI Living Communities, Toledo, OH: CHI St. Vincent, Little Rock Medalion Retirement Community, Chad S. Aduddell Colorado Springs Interim President Namaste Alzheimer Center, Colorado CHI St. Vincent Hot Springs, Springs Hot Springs The Gardens at St. Elizabeth, Denver CHI St. Vincent Infirmary, Little Rock The Villas at Sunny Acres, Thornton CHI St. Vincent Morrilton, Morrilton CHI Institute for Research and CHI St. Vincent north, Sherwood Innovation, Englewood CHI St. Vincent Rehabilitation Hospital, Sherwood David Fine, President CHI Physician Services, Englewood Colorado T. Cliﬀord Deveny, MD, Senior Vice President Centura Health, Englewood CHI Virtual Health, Englewood Centura Health is a joint operating agreement between Catholic Health Initiatives and Steve Moye, President Adventist Health System Sunbelt Healthcare Corporation, Florida. Colorado Health Neighborhoods – Gary Campbell, FACHE, Clinically Integrated Network* President and CEO Prominence Health, Englewood Mercy Regional Medical Center, Juan Serrano, CEO, and Durango Senior Vice President, Payer Strategy OrthoColorado Hospital, Lakewood and Operations penrose-St. Francis Health Services, Colorado Springs Indiana penrose Hospital, Colorado Springs CHI Health at Home St. Francis Medical Center, Daniel Dietz, President and CEO Colorado Springs progressive Care Center, Canon City Iowa St. Anthony Hospital, Lakewood Mercy Health Network – St. Anthony north Hospital, Clinically Integrated Network* Westminster Mercy Health Network, Des Moines St. Anthony Summit Medical Center, Mercy Health Network is a joint operating Frisco organization created by Catholic Health St. Catherine Hospital, Garden City, kS Initiatives and Trinity Health. St. Mary-Corwin Medical Center, David H. Vellinga, CEO pueblo and Senior Vice President, Divisional Operations, Catholic Health Initiatives St. Rose Ambulatory & Surgery Center, Great Bend, kS

*Coordinates patient care, services and payment across a broad spectrum of functions, processes and settings in order to maximize value. A CIN is a legal structure with shared provider governance and an integrated delivery system. Bishop Drumm Retirement Center, Jewish Hospital Shelbyville, Minnesota Johnston Shelbyville Mercy Clinics, Inc., Des Moines Medical Center Jewish East, CHI LakeWood Health, Baudette Mercy College of Health Sciences, Louisville Ben Koppelman, Interim President Des Moines Medical Center Jewish northeast, CHI St. Francis Health, Breckenridge Mercy Franklin Center, Des Moines Louisville Mercy Medical Center-Des Moines, Medical Center Jewish South, David A. Nelson, President Louisville Des Moines CHI St. Francis Health St. Francis Mercy Medical Center-Centerville, Medical Center Jewish Southwest, Medical Center, Breckenridge Louisville Centerville CHI St. Francis Health St. Francis Mercy Medical Center-West Lakes, kentuckyOne Health Medical Group, Home, Breckenridge Louisville West Des Moines CHI St. Francis Health Appletree Mercy park Apartments, Des Moines kentuckyOne Health partners, Court, Breckenridge Louisville Part of CHI Health, Omaha, NE: CHI St. Joseph's Health, Park Rapids CHI Health Mercy Corning, Corning Our Lady of peace, Louisville CHI Health Mercy Council Bluffs, Council Bluffs Saint Joseph Berea, Berea Ben Koppelman, President CHI Health Missouri Valley, Missouri Valley Saint Joseph East, Lexington CHI St. Gabriel's Health, Little Falls Women's Hospital Saint Joseph Lee M. Boyles, President Kansas East, Lexington Part of Centura Health, Englewood, CO: Saint Joseph Hospital, Lexington CHI Albany Area Health, Albany St. Catherine Hospital, Garden City Saint Joseph Jessamine RJ CHI St. Gabriel's Health Alverna St. Rose Ambulatory & Surgery Center, Corman Ambulatory Care Center, Apartments, Little Falls Great Bend nicholasville CHI St. Gabriel's Health St. Camillus Saint Joseph London, London place, Little Falls Kentucky Saint Joseph Martin, Martin CHI St. Gabriel's Health St. Gabriel's Hospital, Little Falls KentuckyOne Health, Louisville Saint Joseph Mount Sterling, KentuckyOne Health is the merged entity of Mount Sterling the former Jewish Hospital & St. Mary’s Sts. Mary & Elizabeth Hospital, Nebraska Louisville HealthCare and Saint Joseph Health System, CHI Health with an operating agreement for the University of Louisville Hospital | University of Louisville Hospital | James James Graham Brown Cancer Center, Cliff Robertson, MD, CEO and Senior Vice Graham Brown Cancer Center. Louisville President, Divisional Operations, Catholic Health Initiatives Ruth Brinkley, President and CEO and University of Louisville Hospital, Senior Vice President, Divisional Opera - Louisville CHI Health Alegent Creighton Clinic, tions, Catholic Health Initiatives Part of CHI Living Communities, Toledo, OH: Omaha Continuing Care Hospital, Inc., Madonna Manor, Villa Hills CHI Health Bergan Mercy, Omaha Lexington KentuckyOne Health Partners – CHI Health Creighton University Clinically Integrated Network* Flaget Memorial Hospital, Bardstown Medical Center, Omaha Frazier Rehab and neuroscience CHI Health Good Samaritan, kearney Center, Louisville Maryland Richard young Behavioral Health Center, kearney Jewish Hospital, Louisville CHI Institute for Research and Jewish Hospital Rudd Heart Innovation, Towson CHI Health Immanuel, Omaha and Lung Center, Louisville CHI Health Lakeside, Omaha David Fine, President CHI Health Mercy Corning, Corning, IA CHI Health Mercy Council Bluffs, Council Bluffs, IA

13 Communities of Care

CHI Health Midlands, papillion CHI Oakes Hospital, Oakes CHI Health Missouri Valley, Rebecca L. Thompson, President Missouri Valley, IA CHI Health nebraska Heart, Lincoln CHI Riverview Place, Fargo CHI Health plainview, plainview Jeﬀ L. Pederson, President CHI Health Schuyler, Schuyler CHI St. Alexius Health, Bismarck CHI Health St. Elizabeth, Lincoln CHI Health St. Francis, Grand Island Joseph A. Messmer, Interim President CHI Health St. Mary's, nebraska City CHI St. Alexius Health Community Memorial Hospital, Turtle Lake Lasting Hope Recovery Center, Omaha CHI St. Alexius Health Garrison nebraska Spine Hospital, Omaha Memorial Hospital, Garrison The physician network, Lincoln CHI St. Alexius Health St. Alexius UniNet – Clinically Integrated Medical Center, Bismarck Network* CHI St. Alexius Health Clinics, Bismarck New Mexico CHI St. Joseph's Health, Dickinson Reed Reyman, President CHI St. Joseph's Children, Albuquerque North Dakota Clinically Integrated Allen Sánchez, President and CEO Network*

North Dakota Ohio CHI Carrington Health, Carrington CHI Health at Home, Milford Mariann Doeling, RN, President Daniel Dietz , President and CEO

CHI Friendship, Fargo Premier Health, Dayton Jeﬀ L. Pederson, President Premier Health is a joint operating agreement between Catholic Health Initiatives and CHI Health at Home, Fargo MedAmerica Health Systems Corporation, Atrium Health System and Upper Valley Sue Heitkamp, Executive Director Medical Center. CHI Lisbon Health, Lisbon James R. Pancoast, President and CEO Peggy Larson, President Dayton Heart & Vascular Hospital at Good Samaritan, Dayton CHI Mercy Medical Center, Williston Good Samaritan Hospital, Dayton Matthew Grimshaw, President Sylvania Franciscan Health, Toledo CHI Mercy Hospital, Devils Lake James Pope, President Andrew Lankowicz, President CHI Living Communities CHI Mercy Health, Valley City Rick Ryan, President and CEO Keith Heuser, President

*Coordinates patient care, services and payment across a broad spectrum of functions, processes and settings in order to maximize value. A CIN is a legal structure with shared provider governance and an integrated delivery system. Franciscan Care Center, Toledo CHI Mercy Health Linus Oakes, Inc., CHI St. Luke's Health Baylor St. Luke’s Madonna Manor, Villa Hills, ky Roseburg Medical Center, Houston Medalion Retirement Commu- CHI Mercy Health Mercy Medical CHI St. Luke's Health Hospital at nity, Colorado Springs, CO Center, Roseburg The Vintage, Houston namaste Alzheimer Center, CHI St. Anthony Hospital, Pendleton CHI St. Luke's Health Lakeside Colorado Springs, CO Hospital, The Woodlands Harold Geller, President providence Care Center, CHI St. Luke's Health patients Medical Sandusky Center, pasadena St. Clare Commons, perrysburg Pennsylvania CHI St. Luke's Health Sugar Land Hos - pital, Sugar Land St. Leonard, Centerville CHI St. Joseph Children's Health, CHI St. Luke's Health The Woodlands The Gardens at St. Elizabeth, Lancaster Hospital, The Woodlands Denver, CO Philip K. Goropoulos, President CHI St. Luke's Health Memorial, The Villas at Sunny Acres, Lufkin Thornton, CO Gary Looper, President and CEO Trinity Health System Tennessee CHI St. Luke's Health Memorial Med - Trinity Hospital Twin City, CHI Memorial, Chattanooga ical Center-Livingston, Livingston Dennison Ricky Napper, Interim President CHI St. Luke's Health Memorial Sylvania Franciscan Health and Tri-State Medical Center-Lufkin, Lufkin are 50-50 joint venture partners of the follow - CHI Memorial Hospital, Chattanooga ing Trinity locations. Sylvania Franciscan CHI Memorial Hospital Hixson, Hixson CHI St. Luke's Health Memorial Health manages the joint venture. Medical Center-San Augustine, Mission HealthCare Network – San Augustine Trinity Medical Center-East, Clinically Integrated Network* Steubenville CHI St. Luke's Health Memorial Specialty Hospital, Lufkin Trinity Medical Center-West, Steubenville Texas St. Luke's Health – Clinically Integrated Network* TriHealth, Cincinnati CHI St. Joseph Health TriHealth is a joint operating agreement Jim Schuessler, President and CEO between Catholic Health Initiatives and Washington Bethesda, Inc. Cincinnati. Bellville St. Joseph Health Center, CHI Franciscan Health, Tacoma John S. Prout, President and CEO Bellville, Tx Burleson St. Joseph Health Ketul J. Patel, CEO and Senior Vice Good Samaritan College of nursing Center, Caldwell, Tx President, Divisional Operations, and Health Sciences, Cincinnati Burleson St. Joseph Manor, Catholic Health Initiatives Good Samaritan Hospital, Cincinnati Caldwell, Tx CHI Franciscan Health Medical Group, TriHealth – Clinically Integrated Grimes St. Joseph Health Center, Tacoma Network* navasota, Tx CHI Franciscan Health Harrison Madison St. Joseph Health Medical Center-Bremerton, Bremerton Oregon Center, Madisonville, Tx CHI Franciscan Health Harrison St. Joseph Manor, Bryan, Tx Medical Center-Silverdale, Silverdale Architrave Health – Clinically St. Joseph Regional Health CHI Franciscan Health Highline Integrated Network* Center, Bryan, Tx Medical Center, Burien CHI Mercy Health, Roseburg CHI St. Luke’s Health, Houston CHI Franciscan Health Regional Kelly C. Morgan, President and CEO Hospital for Respiratory and Michael Covert, CEO and Senior Vice Complex Care, Burien President, Divisional Operations, Catholic Health Initiatives

15 CHI Franciscan Health St. Anthony Wisconsin Hospital, Gig Harbor CHI Franciscan Health St. Clare CHI Franciscan Villa, Hospital, Lakewood South Milwaukee CHI Franciscan Health St. Elizabeth Char Adams, President Hospital, Enumclaw CHI Franciscan Health St. Francis Hospital, Federal Way CHI Franciscan Health St. Joseph Medical Center, Tacoma Rainier Health Network – Clinically Integrated Network*

Englewood Englewood Meridian Northern Kentucky Home Office 11045 East Lansing Circle 3900 Olympic Boulevard 198 Inverness Drive West Englewood, CO 80112-5909 Suite 400 Englewood, CO 80112 720.875.7100 Erlanger, KY 41018-1099 303.298.9100 859.594.3000 Fargo 188 Inverness Drive West 4816 Amber Valley Parkway Englewood, CO 80112 Suite 100 720.874.1900 Fargo, ND 58104 701.237.8100

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