Community Benefit Financial Report 2017 Benefit to the poor and broader community As of June 30 2017 2016 (in 000s) For the year ended June 30, 2017 Cost of Community Benefit Cost of financial assistance provided $ 251,634 $ 204,927 (Free or reduced-cost health services for people who cannot afford to pay) Communities Unpaid cost of public programs, Medicaid and other indigent care programs 605,930 523,348 (Cost of services in excess of government reimbursement) Nonbilled services 29,355 34,700 (Clinics, meal programs, etc., provided free or at low cost) Cash and in-kind donations 19,559 28,974 (Donations of food, equipment, supplies, etc., to address the needs of people of Care who are poor or underserved) Education and research 123,883 115,410 (Cancer prevention workshops, stop-smoking programs, heart disease programs, etc.) Other benefit 109,463 117,802 Total cost of community benefit from continuing operations 1,139,824 1,025,161 Total cost of community benefit from discontinued operations 75,929 72,913 Total Cost of Community Benefit $ 1,215,763 $ 1,098,074 Unpaid cost of Medicare from continuing operations 911,572 956,725 together Unpaid cost of Medicare from discontinued operations 0 0 Total Unpaid Cost of Medicare 911,572 956,725 we’re Total Cost of Community Benefit and the Unpaid Cost of Medicare $ 2,127,325 $ 2,054,799 stronger Cost of financial assistance provided 21% Education and research 10% Other benefit As of December 2017 15% Unpaid cost of public programs Nonbilled services 50.0% 2% Cash and in-kind donations 284 2% Communities of Care Arkansas St. Catherine Hospital, Mercy Health Network, Kentucky Part of CHI Living Communities, CHI Health Mercy Corning, Garden City, KS Des Moines Toledo, OH: Corning, IA Arkansas Health Network – KentuckyOne Health Clinically Integrated Network* Bob Wilson Memorial Grant Mercy Health Network is a joint Madonna Manor, Villa Hills CHI Health Mercy Council Bluffs, Hospital, Ulysses, KS operating agreement between Catholic Continuing Care Hospital, Inc., Council Bluffs, IA CHI St. Vincent, Little Rock Lexington St. Mary-Corwin Medical Health Initiatives and Trinity Health, Minnesota CHI Health Midlands, Papillion CHI St. Vincent Hot Springs, Center, Pueblo Livonia, Michigan. Flaget Memorial Hospital, Hot Springs Bardstown CHI LakeWood Health, Baudette CHI Health Missouri Valley, St. Thomas More Hospital, Mercy Clinics, Inc., Des Moines Missouri CHI St. Francis Health, CHI St. Vincent Infirmary, Canon City Mercy College of Health Sciences, Frazier Rehab and Neuroscience Valley, IA Little Rock Center, Louisville Breckenridge Colorado Health Neighborhoods Des Moines CHI Health Nebraska Heart, CHI St. Francis Health St. Francis CHI St. Vincent Morrilton, – Clinically Integrated Network* Mercy Medical Center- Jewish Hospital, Louisville Lincoln Morrilton Medical Center, Breckenridge CHI Foundation, Colorado Des Moines, Des Moines Jewish Hospital Rudd Heart CHI Health Plainview, Plainview CHI St. Francis Health St. Francis CHI St. Vincent North, Sherwood Springs Iowa Heart Center, Des Moines and Lung Center, Louisville Home, Breckenridge CHI Health Schuyler, Schuyler CHI St. Vincent Rehabilitation CHI National Office, Englewood Skiff Medical Center, Newton Jewish Hospital Shelbyville, Hospital, Sherwood Shelbyville CHI St. Francis Health Appletree CHI Health St. Elizabeth, Lincoln CHI Direct Investments, Mercy Medical Center– Court, Breckenridge CHI Health St. Francis, Grand Englewood Centerville, Centerville Medical Center Jewish East, Louisville CHI St. Joseph’s Health, Island Colorado CHI Institute for Research and Mercy Medical Center-West Park Rapids CHI Health St. Mary’s, Nebraska Centura Health, Centennial Innovation, Englewood Lakes, West Des Moines Medical Center Jewish Northeast, Louisville CHI St. Gabriel’s Health, City Centura Health is a joint operating CHI Clinical Research supports CHI Mercy Park Apartments, Little Falls Lasting Hope Recovery Center, agreement between Catholic Health Medical Center Jewish South, as a learning health care organiza- Des Moines Omaha Initiatives and Adventist Health System tion to empower knowledge that Louisville CHI St. Gabriel’s Health Alverna Part of CHI Health, Omaha, NE: Apartments, Little Falls Sunbelt Healthcare Corporation, translates to advanced capabilities Medical Center Jewish Nebraska Spine Hospital, Omaha Florida. in evidence-based care, personalized CHI Health Mercy Corning, Southwest, Louisville CHI St. Gabriel’s Health St. The Physician Network, Lincoln medicine, innovative and cutting Corning Camillus Longmont United Hospital, UniNet – Clinically Integrated edge therapeutic clinical trials and KentuckyOne Health Medical Place, Little Falls Longmont CHI Health Mercy Council Bluffs, Group, Louisville Network* data management capabilities. Council Bluffs CHI St. Gabriel’s Health St. Mercy Regional Medical Center, KentuckyOne Health Partners - CHI Physician Services, Gabriel’s Durango CHI Health Missouri Valley, Clinically Integrated Network* New Mexico Englewood Missouri Valley Hospital, Little Falls OrthoColorado Hospital, Our Lady of Peace, Louisville QualChoice Health, Englewood CHI St. Joseph’s Children, Lakewood Part of CHI Living Communities, Albuquerque Toledo, OH: Saint Joseph Berea, Berea Nebraska Penrose-St. Francis Health Part of CHI Living Communities, Toledo, OH: Services, Colorado Springs Bishop Drumm Retirement Saint Joseph East, Lexington CHI Health Center, Johnston North Dakota Penrose Hospital, Colorado Namaste Alzheimer Center, Women’s Hospital Saint Joseph CHI Health Alegent Creighton Colorado Springs CHI Friendship, Fargo Springs East, Lexington Clinic, Omaha The Gardens at St. Elizabeth, Kansas CHI Health at Home, Fargo St. Francis Medical Center, Saint Joseph Hospital, Lexington CHI Health Creighton University Denver Colorado Springs Part of Centura Health, Saint Joseph Jessamine RJ Medical Center-Bergan Mercy, CHI Lisbon Health, Lisbon Centennial, CO: Omaha Progressive Care Center, Corman Ambulatory Care CHI Mercy Health, Valley City Indiana Center, Nicholasville CHI Health Good Samaritan, Canon City St. Catherine Hospital, CHI Oakes Hospital, Oakes CHI Health at Home Garden City Saint Joseph London, London Kearney St. Anthony Hospital, Lakewood CHI St. Alexius Health, Bismarck Bob Wilson Memorial Saint Joseph Martin, Martin Richard Young Behavioral St. Anthony North Hospital, Grant Hospital, Ulysses Health Center, Kearney CHI St. Alexius Health Bismarck Westminster Iowa Saint Joseph Mount Sterling, CHI Health Immanuel, Omaha Medical Center, Bismarck Mercy Health Network – St. Rose Ambulatory & Surgery Mount Sterling St. Anthony Summit Medical Center, Great Bend CHI St. Alexius Health Clinics, Clinically Integrated Network* CHI Health Lakeside, Omaha Center, Frisco Sts. Mary & Elizabeth Hospital, Bismarck Louisville *A Clinically Integrated Network (CIN) coordinates patient care, services and payment 1 across a broad spectrum of functions, processes and settings in order to maximize value. A 2 CIN is a legal structure with shared provider governance and an integrated delivery system. Communities of Care CHI St. Alexius Health Carrington CHI Linus Oakes, Roseburg, OR Pennsylvania CHI St. Luke’s Health Hospital at CHI Franciscan Health Highline Medical Center, Carrington The Vintage, Houston Medical Center, Burien CHI Riverview Place, Fargo, ND CHI St. Joseph Children’s Health, CHI St. Alexius Health Devils Lake Franciscan Care Center, Toledo Lancaster CHI St. Luke’s Health Lakeside CHI Franciscan Health Medical Hospital, Devils Lake Hospital, The Woodlands Group, Tacoma Franciscan Villa, South CHI St. Alexius Health Dickinson Milwaukee, WI Tennessee CHI St. Luke’s Health Patients CHI Franciscan Health Regional Medical Center, Dickinson Medical Center, Pasadena Hospital for Respiratory and Madonna Manor, Villa Hills, KY CHI Memorial, Chattanooga CHI St. Alexius Health Garrison, CHI St. Luke’s Health Spring- Complex Care, Burien Garrison Medalion Retirement Commu- CHI Memorial Hospital, woods Village, Spring CHI Franciscan Health St. nity, Colorado Springs, CO Chattanooga CHI St. Alexius Health Turtle Lake, CHI St. Luke's Health Pinecroft, Anthony Hospital, Gig Harbor Turtle Lake Namaste Alzheimer Center, CHI Memorial Hospital Hixson, Shenandoah CHI Franciscan Health St. Clare Colorado Springs, CO Hixson CHI St. Alexius Health Williston CHI St. Luke’s Health Sugar Land Hospital, Lakewood Medical Center, Williston Providence Care Center, Mission HealthCare Network – Hospital, Sugar Land CHI Franciscan Health St. Sandusky Clinically Integrated Network* Part of CHI Living Communities, CHI St. Luke’s Health The Wood- Elizabeth Hospital, Enumclaw Lima, OH: St. Clare Commons, Perrysburg lands Hospital, The Woodlands CHI Franciscan Health St. Francis CHI Riverview Place, Fargo St. Leonard, Centerville Texas CHI St. Luke’s Health Memorial, Hospital, Federal Way North Dakota Clinically The Gardens at St. Elizabeth, CHI St. Joseph Health, Bryan Lufkin CHI Franciscan Health St. Joseph Integrated Network* Denver, CO CHI St. Joseph Health Bellville CHI St. Luke’s Health Memorial Medical Center, Tacoma The Villas at Sunny Acres, Hospital, Bellville Medical Center-Livingston, Rainier Health Network – Livingston Clinically Integrated Network* Ohio Thornton, CO CHI St. Joseph Health Burleson CHI St. Luke’s Health Memorial Premier Health, Dayton TriHealth, Cincinnati Hospital, Caldwell Medical Center-Lufkin, Lufkin CHI St. Joseph Health Grimes Wisconsin Premier Health is a joint operating TriHealth is a joint operating