TY 2012 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
EVERGREEN FAMILY MEDICINE2750 NW EDENBOWER BLVDROSEBURGOR97471	CONTRACT LABOR	10,571,053
UMPQUA MEDICAL GROUP LLCPO BOX 1700ROSEBURGOR97470	PROFESSIONAL SERVICES	1,778,111
DOUGLAS MEDICAL GROUP LLC1813 W HARVARD SUITE 206ROSEBURGOR97471	CONTRACT LABOR	978,002
DOUGLAS COUNTY IPA INC1813 W HARVARD SUITE 206ROSEBURGOR97471	CODING AND BILLING	688,285
EVERGREEN PROPERTY INVESTMENTS2570 NW EDENBOWER BLVD STE 100ROSEBRGOR97471	BUILDING RENT	406,005
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 10

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	3,584	3,584
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	8,483,773	8,217,296	266,477
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	399,192	384,987	14,205
9	Other employee benefits .......	1,519,410	1,483,416	35,994
10	Payroll taxes ...........	803,559	780,137	23,422
11	Fees for services (non-employees):
a	Management ......	221,883		221,883
b	Legal .........	3,600		3,600
c	Accounting ...........	47,550		47,550
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	9,911,511	7,996,647	1,914,864	0
12	Advertising and promotion ....	31,374		31,374
13	Office expenses .......	477,598	315,995	161,603
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	1,568,045	1,249,395	318,650
17	Travel ............	90,831	83,918	6,913
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	5,178	5,150	28
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	43,731	43,731
23	Insurance ..............	397,598	377,945	19,653
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	758,614	758,614
b	BAD DEBTS	749,348	749,348
c	REPAIRS & MAINTENANCE	81,655	81,655
d	DUES & SUBSCRIPTIONS	66,467	60,530	5,937
e	All other expenses	241,444	241,444	0	0
25	Total functional expenses. Add lines 1 through 24e	25,905,945	22,833,792	3,072,153	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............		1
2	Savings and temporary cash investments .........	253,901	2	65,446
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	2,608,915	4	2,216,219
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6	0
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........	82,949	9	28,904
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	229,311
b	Less: accumulated depreciation .....	10b	129,236	108,543	10c	100,075
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,054,308	16	2,410,644
	17	Accounts payable and accrued expenses .........	913,544	17	1,016,205
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	13,390,450	25	19,706,348
26	Total liabilities. Add lines 17 through 25.........	14,303,994	26	20,722,553
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	-11,249,686	27	-18,311,909
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-11,249,686	33	-18,311,909
34	Total liabilities and net assets/fund balances ........	3,054,308	34	2,410,644

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CENTENNIAL MEDICAL GROUP INC

Employer identification number

26-3946191

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .					0	0
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......		4,661,360	6,481,484	13,642,639	18,001,341	42,786,824
3	Gross receipts from activities that are not an unrelated trade or business under section 513..				309,719	591,441	901,160
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
6	Total. Add lines 1 through 5.	0	4,661,360	6,481,484	13,952,358	18,592,782	43,687,984
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...	0	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0	0
8	Public support (Subtract line 7c from line 6.)						43,687,984

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...	0	4,661,360	6,481,484	13,952,358	18,592,782	43,687,984
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..				15	0	15
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.		0	0	0	0	0
c	Add lines 10a and 10b.	0	0	0	15	0	15
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.						0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..	0	18	202	0	95,239	95,459
13	Total support. (Add lines 9, 10c, 11, and 12.)..	0	4,661,378	6,481,686	13,952,373	18,688,021	43,783,458

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
SCHEDULE A, PART III, LINE 12, OTHER INCOME, DESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - , COLUMN B - 18, COLUMN C - 202, COLUMN D - 0, COLUMN E - 95239, COLUMN F - 95459;

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTENNIAL MEDICAL GROUP INC

Employer identification number

26-3946191

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................			0
b	Buildings ................			0
c	Leasehold improvements ............	60,421	33,895	26,526
d	Equipment ................	168,890	95,341	73,549
e	Other .................			0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				100,075

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
INTERCOMPANY PAYABLES		19,706,348








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		19,706,348
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	CENTENNIAL MEDICAL GROUP, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, 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 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."

Schedule D (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTENNIAL MEDICAL GROUP INC

Employer identification number

26-3946191

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)GARY BRONSTEINPHYSICIAN	(i) (ii)	449,545 0	0 0	1,934 0	20,596 0	22,592 0	494,667 0	0 0
(2)GERALD ENGSTROMPHYSICIAN	(i) (ii)	464,845 0	15,000 0	7,144 0	20,596 0	22,592 0	530,177 0	0 0
(3)HOWARD FELDMANPHYSICIAN	(i) (ii)	626,411 0	54,709 0	10,055 0	23,096 0	14,452 0	728,723 0	0 0
(4)JASON GRAYPRESIDENT	(i) (ii)	0 270,968	0 31,941	0 1,381	0 20,596	0 18,264	0 343,150	0 0
(5)JOHN KASBERGERCFO, MMC	(i) (ii)	0 251,003	0 40,612	0 2,265	0 23,096	0 15,892	0 332,868	0 0
(6)KARTIK MANIPHYSICIAN	(i) (ii)	502,867 0	48,821 0	1,580 0	0 0	22,616 0	575,884 0	0 0
(7)KELLY MORGANBOARD CHAIR/CEO, MMC	(i) (ii)	0 471,717	0 210,593	0 60,519	0 65,657	0 15,265	0 823,751	0 37,907
(8)PATRICK DAVOLPHYSICIAN	(i) (ii)	375,880 0	0 0	17,882 0	20,596 0	18,934 0	433,292 0	0 0
(9)RAHUL AGARWALSECRETARY/TREASURER	(i) (ii)	0 177,849	0 30,155	0 1,352	0 22,016	0 22,580	0 253,952	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Arrangement used to establish the top management official's compensation	Schedule J, Part I, Line 3	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY MERCY MEDICAL CENTER, INC. (MMC), A RELATED ORGANIZATION. MMC USED THE FOLLOWING 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.
SEVERANCE OR CHANGE OF CONTROL PAYMENTS	SCHEDULE J, PART I, LINE 4A	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION IN THE 2012 CALENDAR YEAR.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	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: KELLY MORGAN DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: KELLY MORGAN $42,561 DURING 2012, THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: KELLY MORGAN $37,907
Non-fixed payments	Schedule J, Part I, Line 7	CERTAIN PHYSICIANS ARE ELIGIBLE FOR SIGNING AND RETENTION BONUSES. SECURING THE SERVICES OF SUCH PROFESSIONALS IS AN INDISPENSABLE PART OF CENTENNIAL MEDICAL GROUP, INC.'S (CMG) OPERATIONS. WITHOUT THE SERVICES OF THESE INDIVIDUALS, CMG WOULD BE SEVERELY LIMITED IN ITS ABILITY TO PROVIDE CARE TO MEMBERS OF OUR COMMUNITY. THEREFORE, IN CONJUNCTION WITH THE RECRUITMENT OF PHYSICIANS, CMG PROVIDES BONUSES TO CERTAIN PHYSICIANS. IN ADDITION, SEVERAL PHYSICIANS ARE ENTITLED TO INCENTIVE COMPENSATION BASED ON RVUS WORKED IN EXCESS OF A THRESHOLD AS STATED IN THEIR INDIVIDUAL EMPLOYMENT CONTRACTS. TOTAL PHYSICIAN COMPENSATION IS SET IN ADVANCE BY A COMMITTEE OF THE BOARD OF MERCY MEDICAL CENTER (MMC) USING IRC SECTION 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. PHYSICIAN TOTAL COMPENSATION IS SUBJECT TO A CAP THAT ENSURES PHYSICIAN COMPENSATION REMAINS WITHIN FAIR MARKET VALUE.

Schedule J (Form 990) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

CENTENNIAL MEDICAL GROUP INC

Employer identification number

26-3946191

Identifier	Return Reference	Explanation
PROGRAM DESCRIPTION	FORM 990, PART III, LINE 4A	CENTENNIAL MEDICAL GROUP (CMG) IS AN OREGON NON-PROFIT CORPORATION FORMED ON JANUARY 1, 2009, TO INCREASE ACCESS TO QUALITY CLINICAL PHYSICIAN SERVICES FOR THE RESIDENTS OF DOUGLAS COUNTY, OREGON, THE SERVICE AREA OF ITS SOLE MEMBER, MERCY MEDICAL CENTER. DOUGLAS COUNTY, OREGON IS A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). MERCY MEDICAL CENTER (MMC) IS THE APPLICANT'S SOLE CORPORATE MEMBER AND AN OREGON NON-PROFIT HOSPITAL EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED UNDER §501(C)(3) AND §170(B)(1)(A)(III) OF THE INTERNAL REVENUE CODE (IRC) PURSUANT TO THE GROUP RULING ISSUED TO THE UNITED STATES CATHOLIC CONFERENCE OF BISHOPS. FOUNDED IN 1909, MMC IS A 174-BED FACILITY WITH A LEVEL III TRAUMA DESIGNATION WITH AN ADULT AND ADOLESCENT INTENSIVE CARE. MMC OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MMC PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MMC SERVES ALL PERSONS IN DOUGLAS COUNTY, OREGON (POP. 107,000) ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILITY TO PAY. MMC HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. CMG IS EXEMPT FROM TAX AS AN IRC §501(C)(3) CHARITABLE ORGANIZATION WITH NON-PRIVATE FOUNDATION STATUS AS A PUBLICLY SUPPORTED ORGANIZATION PURSUANT TO IRC §509(A)(2). CMG IS A MULTI-SPECIALTY PHYSICIAN CLINIC SERVING THE RESIDENTS OF DOUGLAS COUNTY, OREGON. THE FORMATION OF CMG PROVIDES AN INTEGRATED PLATFORM FOR THE DELIVERY OF HEALTH CARE BY CMG'S EMPLOYED HOSPITALISTS, PRIMARY CARE PHYSICIANS AND SPECIALISTS. BECAUSE THE PHYSICIANS WILL BE INTEGRATED INTO ONE MULTI-SPECIALTY PRACTICE, IT IS ANTICIPATED THAT PHYSICIANS WILL BETTER COORDINATE TRAINING AND EDUCATION ACTIVITIES AMONG THE SPECIALTIES. FURTHER, AS A RESULT OF THE INTEGRATION, PATIENTS WILL BENEFIT FROM ACCESS TO A BROAD RANGE OF PRIMARY AND SPECIALTY PHYSICIANS CAPABLE OF PROVIDING WELL COORDINATED CARE. MMC WILL PROVIDE CMG WITH BACK OFFICE SUPPORT INCLUDING BUT NOT LIMITED TO ACCOUNTING, PROVIDER CONTRACTING, INVESTMENT SUPPORT, HUMAN RESOURCES, AND PRACTICE MANAGEMENT, AS WELL AS ACCESS TO PATIENT ELECTRONIC MEDICAL RECORDS. MMC'S SUPPORT WILL FREE CMG'S PHYSICIANS TO FOCUS ON WHAT THEY DO BEST - DELIVERY OF HIGH QUALITY PATIENT CARE. FURTHER, AS MENTIONED PREVIOUSLY, CMG IS LOCATED IN A DESIGNATED HEALTH CARE SHORTAGE AREA. MMC WORKS WITH A LOCAL TEAM OF COMMUNITY HEALTH REPRESENTATIVES TO ASCERTAIN THE NEED FOR OTHER PHYSICIAN SPECIALTIES IN THE COMMUNITY. THE TEAM'S MOST RECENTLY CONDUCTED NEEDS ASSESSMENT INDICATED A SHORTAGE OF PHYSICIANS IN DOUGLAS COUNTY FOR SPECIALTIES INCLUDING CARDIOLOGY, ORTHOPEDICS, GASTROENTEROLOGY, UROLOGY, RADIATION/ONCOLOGY, AND PSYCHIATRY. THE EXISTENCE OF CMG AS AN EFFICIENT, WELL-INTEGRATED PRIMARY AND SPECIALTY CLINIC IS EXPECTED TO HAVE A POSITIVE IMPACT ON MMC'S ABILITY TO RECRUIT ADDITIONAL SPECIALTY PHYSICIANS TO THE COMMUNITY. CMG MEETS THE FOLLOWING CRITERIA, QUALIFYING IT AS AN IRC SEC. 501(C)(3) HEALTH CARE ORGANIZATION. COMMUNITY BOARD - MMC'S BOARD OF DIRECTORS IS COMPRISED OF 25% PHYSICIANS, 65% COMMUNITY MEMBERS AND 10% MANAGEMENT. CMG HAS A THREE PERSON BOARD, ALL OF WHOM ARE APPOINTED BY THE CORPORATE MEMBER, AND NONE OF WHOM ARE PHYSICIANS. ACCORDINGLY, BECAUSE THE CMG MANAGEMENT MUST ACT UNDER THE DIRECTION OF THE MMC COMMUNITY BOARD, CMG IS ULTIMATELY CONTROLLED BY AN INDEPENDENT COMMUNITY BOARD. OPEN MEDICAL STAFF - CMG WAS FORMED TO CONSOLIDATE THE PATIENT CARE OF CMG'S SPECIALISTS IN THE AREAS OF UROLOGY, PATHOLOGY, CARDIOLOGY, SURGERY, HOSPITALIST, ORTHOPEDICS, PULMONOLOGY, AND GASTROENTEROLOGY. WHETHER MMC'S MEDICAL STAFF PRIVILEGES ARE OPEN FOR A PARTICULAR SPECIALTY HAS BEEN DETERMINED ON A SERVICE BY SERVICE BASIS. OF THE CMG SPECIALTY AREAS, ONLY THE HOSPITALISTS AND PATHOLOGISTS ARE CLOSED SPECIALTIES. HOSPITAL CARE - CMG PROVIDES CARE TO ALL PERSONS IN THE COMMUNITY WHO ARE ABLE TO PAY THE COST OF CARE EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT. FURTHER, CONSISTENT WITH THE POLICY OF MMC AND CMG, CMG ACCEPTS MEDICARE AND MEDICAID PATIENTS. EMERGENCY ROOM / CHARITY CARE AND OTHER COMMUNITY BENEFIT - THE PHYSICIAN-EMPLOYEES OF CMG PARTICIPATE IN THE OPERATION OF THE MMC EMERGENCY ROOM WHICH IS OPEN TO ALL REGARDLESS OF ABILITY TO PAY AND WITHOUT DISCRIMINATION. MMC'S EMERGENCY ROOM PROVIDES TREATMENT TO INDIVIDUALS IN NEED OF IMMEDIATE MEDICAL TREATMENT, WITH CONTINUING CARE PROVIDED BY MMC OR CMG, OR OTHER PROVIDERS AS APPROPRIATE. WHILE CMG DOES NOT ITSELF OPERATE AN EMERGENCY ROOM, CMG HAS ADOPTED A CHARITY CARE POLICY MODELED ON THE MMC CHARITY CARE AND DISCOUNT POLICY AND RENDERS CHARITY CARE TO PATIENTS OF MMC AND CMG IN A MANNER SIMILAR TO THE FINANCIAL ASSISTANCE LEVELS RENDERED BY THE HOSPITAL. ELIGIBILITY FOR CHARITY CARE DISCOUNTS IS DETERMINED BASED ON 130% OF THE ANNUALLY UPDATED HUD GEOGRAPHIC VERY-LOW INCOME GUIDELINES, AS WELL AS THE PATIENT/GUARANTOR'S AVAILABLE ASSETS, AND ANY EXTENUATING CIRCUMSTANCES. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, CMG PROVIDED $6,730,804 IN CHARITY CARE. IN ADDITION, CMG PARTICIPATES OR HAS PARTICIPATED IN MMC'S COMMUNITY EDUCATION ACTIVITIES BY PROVIDING EMPLOYED PHYSICIANS TO LECTURE TO THE PUBLIC, PROVIDE GUIDANCE REGARDING ADVANCE DIRECTIVES, AND PROVIDE PREVENTATIVE HEALTH SCREENINGS. APPLICATION OF SURPLUS - TO THE EXTENT THAT CMG'S ACTIVITIES RESULT IN A SURPLUS, ANY SUCH SURPLUS WILL BE REINVESTED INTO PROGRAMS THAT ENHANCE PATIENT CARE.
NUMBER OF EMPLOYEES REPORTED ON FORM W-3	FORM 990, PART V, LINE 2A	CENTENNIAL MEDICAL GROUP (CMG) CONTRACTS PHYSICIANS FROM MERCY MEDICAL CENTER, INC. (MMC), A RELATED ORGANIZATION. THESE PHYSICIANS ARE CONTRACTUALLY EMPLOYED BY CMG, AND ARE REPORTED ON PART VII AS REQUIRED. HOWEVER, SINCE THESE EMPLOYEES ARE PAID BY MMC, CMG DID NOT REPORT ANY EMPLOYEES ON FORM W-3. ACCORDINGLY, THE ORGANIZATION HAS REPORTED ZERO ON FORM 990, PART V, LINE 2A AND FORM 990, PART VII, SECTION A, LINE 2.
Delegate broad authority to a committee	Form 990, Part VI, Section A, Line 1a	PURSUANT TO SECTION 8.1 OF THE BYLAWS OF CENTENNIAL MEDICAL GROUP, INC., THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE VOTING DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE OTHER THAN THE NOMINATING ADVISORY COMMITTEE SHALL CONSIST OF AT LEAST TWO DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. THE PROVISIONS OF ARTICLE VI OF THESE BYLAWS WITH RESPECT TO REGULAR AND SPECIAL MEETINGS, QUORUM, MANNER OF ACTING, ACTION WITHOUT A MEETING, NOTICE, AND WAIVER OF NOTICE SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF CENTENNIAL MEDICAL GROUP, INC., THE ENTITY'S SOLE MEMBER IS MERCY MEDICAL CENTER, INC., AN OREGON NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	PURSUANT TO SECTION 6.5 OF CENTENNIAL MEDICAL GROUP, INC.'S BYLAWS, DIRECTORS SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30TH OF EACH YEAR, AS NEEDED TO FILL ANY EXPIRED TERMS OR VACANCIES AMONG THE DIRECTORS.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE ORGANIZATION'S CORPORATE MEMBER IS MERCY MEDICAL CENTER, INC. (MMC). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH MERCY MEDICAL CENTER AND CATHOLIC HEALTH INITIATIVES (CHI) (MERCY MEDICAL CENTER'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE MMC'S BOARD: APPROVE MEMBERS OF THE CENTENNIAL MEDICAL GROUP BOARD AMENDMENT OF THE CORPORATE DOCUMENTS OF CENTENNIAL MEDICAL GROUP APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CENTENNIAL MEDICAL GROUP ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CENTENNIAL MEDICAL GROUP. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CENTENNIAL MEDICAL GROUP REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CENTENNIAL MEDICAL GROUP APPROVAL OF ISSUANCE OF DEBT BY CENTENNIAL MEDICAL GROUP APPROVAL OF PARTICIPATION OF CENTENNIAL MEDICAL GROUP IN A JOINT VENTURE APPROVAL OF FORMATION OF A NEW CORPORATION BY CENTENNIAL MEDICAL GROUP APPROVAL OF A MERGER INVOLVING CENTENNIAL MEDICAL GROUP APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CENTENNIAL MEDICAL GROUP TO REQUIRE THE TRANSFER OF ASSETS BY CENTENNIAL MEDICAL GROUP TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, MMC OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. SUBSEQUENT TO PROVIDING A COPY OF THE RETURN TO THE CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE CFO.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHERE A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT AND CEO SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THE CONFLICT OF INTEREST POLICY STATEMENT AND DISCLOSURE STATEMENTS. THE DIRECTORS AND OFFICERS MUST PROMPTLY SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT, CEO, AND BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF 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 THIS 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 THIS POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS 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 THERE IS A DIFFERENCE OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR OR OFFICERS AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST, OR WHETHER THE BOARD OF DIRECTORS' REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED PER THIS POLICY STATEMENT, 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 COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE, AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE, ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY, AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS EITHER HAS A MATERIAL FINANCIAL INTEREST OR IS A DIRECTOR OR OFFICER OF THE OTHER PARTY (OTHER THAN THE CORPORATION'S OWN AFFILIATES). THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS OR OFFICERS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTION WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO THE CORPORATION. THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICTS OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE UNDER THE CIRCUMSTANCES WITH RESPECT TO THE DIRECTOR OR OFFICER IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION. THE BOARD SHOULD CONSULT WITH THE GENERAL COUNSEL OF THE CORPORATION WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN CONFLICTS OF INTEREST ARE CONSIDERED BY THE BOARD, THE DIRECTOR OR OFFICER MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE DIRECTOR OR OFFICER SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH DIRECTOR OR OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER OR FROM ANSWERING PERTINENT QUESTIONS FROM THE BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE DIRECTOR OR OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND ANY VOTE ON THE CONFLICT OF INTEREST. EMPLOYEES OF CENTENNIAL MEDICAL GROUP, INC. (CMG) HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN PARAMETERS THAT PRECLUDE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. NO EMPLOYEE, REGARDLESS OF POSITION, WHO DERIVES INCOME OR INTEREST FROM A COMPANY DOING BUSINESS WITH CMG WILL BE PERMITTED TO BE AN EMPLOYEE, OFFICER, OR HOLD FINANCIAL INTEREST IN THE COMPANY WITHOUT FIRST SECURING THE PERMISSION OF THE CHIEF EXECUTIVE OFFICER.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	FORM 990, PART VI, LINE 15A	CENTENNIAL MEDICAL GROUP, INC.'S TOP MANAGEMENT OFFICIAL IS PAID BY MERCY MEDICAL CENTER (MMC), THE ORGANIZATION'S SOLE CORPORATE MEMBER. MMC SEEKS COMPARABLE MARKET DATA FROM AN INDEPENDENT SOURCE. THE DATA IS PRESENTED TO A SUBCOMMITTEE OF THE MMC BOARD WHO APPROVES TOTAL COMPENSATION FROM A MARKET PERSPECTIVE. MARKET DATA IS REVIEWED ANNUALLY FOR ALL STAFF. COMPENSATION ADJUSTMENTS ARE RECOMMENDED DEPENDING ON THE DATA AND FINANCES.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEE	FORM 990, PART VI, LINE 15B	DURING THE TAX YEAR ENDED 6/30/13, NO OFFICERS, DIRECTORS, OR KEY EMPLOYEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS, OR KEY EMPLOYEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
NUMBER OF INDIVIDUALS WHO RECEIVED MORE THAN $100,000 OF REPORTABLE COMPENSATION	FORM 990, PART VII, SECTION A, LINE 2	CENTENNIAL MEDICAL GROUP (CMG) CONTRACTS PHYSICIANS FROM MERCY MEDICAL CENTER, INC. (MMC), A RELATED ORGANIZATION. THESE PHYSICIANS ARE CONTRACTUALLY EMPLOYED BY CMG, AND ARE REPORTED ON PART VII AS REQUIRED. HOWEVER, SINCE THESE EMPLOYEES ARE PAID BY MMC, CMG DID NOT REPORT ANY EMPLOYEES ON FORM W-3. ACCORDINGLY, THE ORGANIZATION HAS REPORTED ZERO ON FORM 990, PART V, LINE 2A AND FORM 990, PART VII, SECTION A, LINE 2.
Other Expenses	Form 990, Part IX, Line 11g	PHYSICIAN SALARIES - TOTAL EXPENSE: 3862842, PROGRAM SERVICE EXPENSE: 3862842, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; LOCUM TENUM PHYSICIAN LABOR - TOTAL EXPENSE: 1993782, PROGRAM SERVICE EXPENSE: 1993782, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PROFESSIONAL CODING & BILLING - TOTAL EXPENSE: 895809, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 895809, FUNDRAISING EXPENSES: ; COLLECTION FEES - TOTAL EXPENSE: 738176, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 738176, FUNDRAISING EXPENSES: ; OTHER PROFESSIONAL FEES - TOTAL EXPENSE: 2420902, PROGRAM SERVICE EXPENSE: 2140023, MANAGEMENT AND GENERAL EXPENSES: 280879, FUNDRAISING EXPENSES: ;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

CENTENNIAL MEDICAL GROUP INC

Employer identification number

26-3946191

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA,NE68154	HEALTHCARE	NE	501(C)(3)	3	ACH	Yes
(2) ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA,NE68154	HEALTHCARE	NE	501(C)(3)	3	NA	Yes
(3) ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA,NE68124	HEALTHCARE	NE	501(C)(3)	3	ACH	Yes
(4) ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY,IA51555	HEALTHCARE	IA	501(C)(3)	3	AHIMC	Yes
(5) ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA,NE68154	FUNDRAISING	NE	501(C)(3)	7	ACH	Yes
(6) ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA,NE68122	HEALTHCARE	NE	501(C)(3)	3	ACH	Yes
(7) ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER,NE68661	HEALTHCARE	NE	501(C)(3)	3	AHIMC	Yes
(8) ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING,IA50841	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	Yes
(9) ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS,MN56345	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(10) APPLETREE COURT 601 OAK STREET BRECKENRIDGE,MN56520	SENIOR HOMES	MN	501(C)(3)	9	SFH	Yes
(11) BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES,IA50314	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	Yes
(12) BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING,PA19603	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes
(13) CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON,ND58421	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(14) CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	9	NA	Yes
(15) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS,CO80919	FUNDRAISING	CO	501(C)(3)	7	CHIC	Yes
(16) CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(17) CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS,CO80919	FUNDRAISING	CO	501(C)(3)	9	CHI	Yes
(18) CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes
(19) CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES,IA50314	HEALTHCARE	IA	501(C)(3)	3	CHI	Yes
(20) CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG,OR97470	PHYSICIANS	OR	501(C)(3)	9	MMC	Yes
(21) CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530	SURGERY CNTR	KS	501(C)(3)	3	CHI	Yes
(22) CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO,ND58104	HEALTHCARE	ND	501(C)(3)	9	CHI	Yes
(23) CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER,KY41018	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	Yes
(24) CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	9	CHI NHC	Yes
(25) CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(26) CHI NEBRASKA 6940 O STREET LINCOLN,NE68510	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	Yes
(27) COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI,OH45206	DIALYSIS	OH	501(C)(2)	N/A	GSH	Yes
(28) COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY,IA51555	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHCMH	Yes
(29) CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON,KY40509	LTACH	KY	501(C)(3)	3	SJHS	Yes
(30) COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HOME HEALTH	PA	501(C)(3)	11 - Type II	NA	Yes
(31) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW,WA98022	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes
(32) FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes
(33) FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	Yes
(34) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405	FUNDRAISING	WA	501(C)(3)	9	FHS	Yes
(35) FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA,WA98405	HEALTHCARE	WA	501(C)(3)	3	CHI	Yes
(36) FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA,WA98405	HEALTHCARE	WA	501(C)(3)	9	FHS	Yes
(37) FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE,WI53172	HEALTHCARE	WI	501(C)(3)	9	CHI	Yes
(38) GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG,SD57442	HEALTHCARE	SD	501(C)(3)	3	SMHC	Yes
(39) GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	Yes
(40) GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI,OH45206	EDUCATION	OH	501(C)(3)	2	GSH	Yes
(41) GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI,OH45206	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	Yes
(42) GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(43) GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY,NE68847	FUNDRAISING	NE	501(C)(3)	7	GSH	Yes
(44) ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON,TX77030	PHY PRACTICES	TX	501(C)(3)	3	SLHS	Yes
(45) HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER,CO80204	LOW INC.CARE	CO	501(C)(3)	7	CHIC	Yes
(46) HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	Yes
(47) HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN,WA98166	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes
(48) HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON,MD21204	HEALTHCARE	MD	501(C)(3)	9	SJMC	Yes
(49) HOUSE OF MERCY 1111 6TH AVENUE DES MOINES,IA50314	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	Yes
(50) JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE,KY40202	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes
(51) JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE,KY40202	HEALTHCARE	KY	501(C)(3)	9	JHSMH	Yes
(52) KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202	HEALTHCARE	KY	501(C)(3)	9	CHI	Yes
(53) LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE,MN56623	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(54) LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG,OR97470	SENIOR LIVING	OR	501(C)(3)	9	MMC	Yes
(55) LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON,ND58054	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(56) MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA,TN37404	FUNDRAISING	TN	501(C)(3)	7	MHCS	Yes
(57) MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA,TN37404	HEALTHCARE	TN	501(C)(3)	3	CHI	Yes
(58) MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA,TN37411	HEALTHCARE	TN	501(C)(3)	9	MHCS	Yes
(59) MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES,IA50314	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	Yes
(60) MERCY CLINICS INC 1111 6TH AVENUE DES MOINES,IA50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(61) MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES,IA50314	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	Yes
(62) MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES,IA50314	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	Yes
(63) MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG,OR97470	FUNDRAISING	OR	501(C)(3)	7	MMC	Yes
(64) MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	Yes
(65) MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY,ND58072	FUNDRAISING	ND	501(C)(3)	11 - Type III - FI	MHVC	Yes
(66) MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS,IA51503	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	Yes
(67) MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE,ND58301	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(68) MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE,ND58301	FUNDRAISING	ND	501(C)(3)	7	CHI	Yes
(69) MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY,ND58072	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(70) MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON,ND58801	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(71) MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE,IA52544	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	Yes
(72) MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG,OR97470	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(73) MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON,ND58801	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	Yes
(74) MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES,IA50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(75) MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	Yes
(76) MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	KS	501(C)(3)	3	SJRMC	Yes
(77) MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	NURSING CARE	OR	501(C)(3)	11 - Type I	CHI	Yes
(78) NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN,NE68526	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(79) OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES,ND58474	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(80) OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES,ND58474	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	Yes
(81) PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO,CO81004	COMMUNITY	CO	501(C)(3)	7	CHIC	Yes
(82) SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS,CO80906	LTERM CARE	CO	501(C)(3)	7	CHIC	Yes
(83) SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE,NJ07834	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	Yes
(84) SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE,NJ07834	FUNDRAISING	NJ	501(C)(3)	7	SCHS	Yes
(85) SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE,NJ07834	MANAGEMENT	NJ	501(C)(3)	7	CHI	Yes
(86) SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE,NJ07834	HEALTHCARE	NJ	501(C)(3)	3	SCHS	Yes
(87) SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN,NE68510	FUNDRAISING	NE	501(C)(3)	7	SERMC	Yes
(88) SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN,NE68510	HEALTHCARE	NE	501(C)(3)	3	SERMC	Yes
(89) SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(90) SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND,NE68803	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(91) SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802	FUNDRAISING	NE	501(C)(3)	7	SFMC	Yes
(92) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA,KY40403	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(93) SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON,KY40503	HEALTHCARE	KY	501(C)(3)	3	CHI	Yes
(94) SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON,KY40741	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(95) SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202	PHY PRACTICES	KY	501(C)(3)	3	SJHS	Yes
(96) SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING,KY40353	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(97) SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON,ND58601	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	Yes
(98) SAMARITAN BEHAVIORAL HEALTH 2222 PHILADELPHIA DRIVE DAYTON,OH45406	HEALTHCARE	OH	501(C)(3)	3	SHP	Yes
(99) SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON,OH45406	FUNDRAISING	OH	501(C)(3)	7	SHP	Yes
(100) SAMARITAN HEALTH PARTNERS 110 NORTH MAIN STREET DAYTON,OH45402	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	Yes
(101) SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH STREET SCHUYLER,NE68661	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	Yes
(102) SJMGROUP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	Yes
(103) SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	MO	501(C)(3)	3	CHI	Yes
(104) SL AUGUSTA CORP PO BOX 20269 HOUSTON,TX77225	TITLE HOLDING	TX	501(C)(2)	N/A	SL PROPERTIES	Yes
(105) ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes
(106) ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL PROPERTIES	Yes
(107) ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON,OR97801	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(108) ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON,OR97801	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	Yes
(109) ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DRIVE MORRILTON,AR72110	HEALTHCARE	AR	501(C)(3)	3	SVIMC	Yes
(110) ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY,KS67846	HEALTHCARE	KS	501(C)(3)	3	CHI	Yes
(111) ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY,KS67846	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	Yes
(112) ST DOMINIC OF ONTARIO OREGON 351 SW 9TH STREET ONTARIO,OR97914	HEALTHCARE	OR	501(C)(4)	N/A	CHI	Yes
(113) ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(114) ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE,NJ07834	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	Yes
(115) ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(116) ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(117) ST JOHN'S MERCY REGIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112	FUNDRAISING	MO	501(C)(3)	7	SJRMC	Yes
(118) ST JOSEPH COMMUNITY HEALTH 300 CENTRAL AVENUE SW ALBUQUERQUE,NM87102	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	Yes
(119) ST JOSEPH HOSPITAL FOUNDATION INC ONE SAITN JOSEPH DRIVE LEXINGTON,KY40504	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes
(120) ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	Yes
(121) ST JOSEPH MEDICAL CENTER FOUNDATION 7601 OSLER DRIVE TOWSON,MD21204	FUNDRAISING	MD	501(C)(3)	7	SJMC	Yes
(122) ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON,MD21204	HEALTHCARE	MD	501(C)(3)	3	CHI	Yes
(123) ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603	HEALTHCARE	PA	501(C)(3)	9	BHC	Yes
(124) ST JOSEPH PHYSICIAN ENTERPRISE INC 7601 OSLER DRIVE TOWSON,MD21204	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	Yes
(125) ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603	HEALTHCARE	PA	501(C)(3)	3	CHI	Yes
(126) ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS,MN56470	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(127) ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON,ND58601	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(128) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN SUITE 2505 HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	Yes
(129) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA R LAND HOSPITAL 6624 FANNIN SUITE 2505 HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes
(130) ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH 6624 FANNIN SUITE 1100 HOUSTON,TX77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	Yes
(131) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION 6624 FANNIN SUITE 2505 HOUSTON,TX77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	Yes
(132) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE 6624 FANNIN SUITE 2505 HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	Yes
(133) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC 6624 FANNIN SUITE 2505 HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	Yes
(134) ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL 6624 FANNIN SUITE 1100 HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes
(135) ST LUKE'S HEALTH SYSTEM FOUNDATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030	INVESTMENT MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	Yes
(136) ST LUKE'S PROPERTIES CORPORATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	Yes
(137) ST LUKE'S FOUNDATION 1213 HERMANN DRIVE SUITE 855 HOUSTON,TX77004	FUNDRAISING	TX	501(C)(3)	7	SLHS	Yes
(138) ST LUKE'S MEDICAL CENTER 6624 FANNIN HOUSTON,TX77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes
(139) ST MARY'S COMMUNITY HOSPITAL 1314 3RD AVENUE NEBRASKA CITY,NE68410	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(140) ST MARY'S HEALTHCARE CENTER 801 EAST SIOUX AVENUE PIERRE,SD57501	HEALTHCARE	SD	501(C)(3)	3	CHI	Yes
(141) ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVENUE NEBRASKA CITY,NE68410	FUNDRAISING	NE	501(C)(3)	7	SMH	Yes
(142) ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	Yes
(143) ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205	HEALTHCARE	AR	501(C)(3)	3	CHI	Yes
(144) ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205	HEALTHCARE	AR	501(C)(3)	9	SVIMC	Yes
(145) ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN SUITE 2505 HOUSTON,TX77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL CDC - SL	Yes
(146) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206	HEALTHCARE	OH	501(C)(3)	3	CHI	Yes
(147) THE PHYSICIAN NETWORK 2000 Q STREET SUITE 500 LINCOLN,NE68503	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	Yes
(148) TOTAL HEALTHCARE 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD,CO80112	HEALTHCARE	CO	501(C)(3)	3	CHIC	Yes
(149) UNITY FAMILY HEALTHCARE 815 SE 2ND STREET LITTLE FALLS,MN56345	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(150) VILLA NAZARETH INC 801 PAGE DRIVE FARGO,ND58103	LT CARE	ND	501(C)(3)	9	CHI	Yes
(151) VISITING NURSE ASSOCIATION OF ST CLARE'S 191 WOODPORT ROAD SPARTA,NJ07871	HOME HEALTH	NJ	501(C)(3)	9	SCHS	Yes
(152) WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL 16251 SYLVESTER RD SW BURIEN,WA98166	AUXILIARY	WA	501(C)(3)	11 - Type II	HMC	Yes
(153) WOODLANDS DOCTOR GROUP 17200 ST LUKES WAY SUITE 170 THE WOODLANDS,TX77384	PHY PRACTICES	TX	501(C)(3)	9	SL CHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AUDUBON LAND COMPANY LLC 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 84-1513085	REAL ESTATE	CO	CHIC	RELATED	34,991	8,665,388		No	0		No	50.1 %
(2) AVANTAS LLC 11128 JOHN GALT BLVD SUITE 400 OMAHA,NE68137 39-2045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-210,405	4,806,071		No	-439,536		No	95 %
(3) BERYWOOD OFFICE PROPERTIES LLC 400 BERYWOOD TRAIL CLEVELAND,TN37312 62-1875199	PHYS OFFICE	TN	MHCS	RELATED	57,545	1,013,237		No	0	Yes		63 %
(4) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY SUITE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC	KY	SJHS	RELATED	308,428	3,317,191		No	0		No	65 %
(5) CENTRAL NEBRASKA HOME CARE SERVICES PO BOX 1146-4510 SECOND AVENUE KEARNEY,NE68848 47-0692112	HEALTHCARE SRVC	NE	NA	RELATED	228,435	675,251		No	0	Yes		100 %
(6) CENTRAL NEBRASKA REHAB SERVICES 3004 W FAIDLEY AVE GRAND ISLAND,NE68802 81-0653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1,710,199	2,712,656		No	0		No	51 %
(7) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	CHI	UNRELATED	344,962,532	4,617,413,792		No	0	Yes		79.92 %
(8) HEALTHCARE SUPPORT SERVICES PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	NA	RELATED	98,583	3,190,677		No	0		No	100 %
(9) MRI AT ST JOSEPH MEDICAL CENTER LLC 7253 AMBASSADOR ROAD BALTIMORE,MD21244 52-1958002	MEDICAL IMAGING	MD	SJMC	RELATED	423,167	2,174,155		No	0	Yes		51 %
(10) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVENUE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81,071	1,077,536		No	0		No	57.45 %
(11) O'DEA MEDICAL ARTS LIMITED PARTNERSHIP 7601 OSLER DRIVE TOWSON,MD21204 52-1682964	REAL ESTATE	MD	TMI	RELATED	9,490	0		No	0	Yes		66.58 %
(12) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80255 37-1577105	ORTHO HOSPITAL	CO	THC	RELATED	1,846,153	8,411,844		No	0		No	60 %
(13) PENINSULA RADIATION ONCOLOGY LLC 315 MARTIN LUTHER KING JR WAY 111 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	FHS	RELATED	256,567	3,262,002		No	0		No	60 %
(14) PENRAD IMAGING 1390 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	CHIC	RELATED	715,094	3,489,436		No	0		No	70 %
(15) RUXTON SURGICENTER LLC 8322 BELLONA AVENUE SUITE 201 BALTIMORE,MD21204 52-2095835	SURGERY CENTER	MD	SJMC	RELATED	-69,345	0		No	0	Yes		51 %
(16) SAINT JOSEPH - SCA HOLDINGS LLC 1451 HARRDOSBURG ROAD LEXINGTON,KY40504 45-3801157	OP SURGERY	DE	SJHS	RELATED	0	0		No	0	Yes		51 %
(17) SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 72-1386840	SURGERY CENTER	KY	JH	RELATED	3,388	666,017		No	0	Yes		51 %
(18) ST FRANCIS LAND COMPANY LLC 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	CHIC	RELATED	-130,967	13,823,763		No	0		No	51 %
(19) ST FRANCIS MEDICAL CENTER ASSOCIATES 1717 SOUTH J STREET TACOMA,WA98405 91-1352698	MED. OFFICE	WA	FHS	RELATED	238,717	1,907,063		No	0		No	58.46 %
(20) ST JOSEPH-PAML LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 45-2116736	MGMT SVCS	KY	SJHS	RELATED	30,446	1,149,003		No	0	Yes		62.5 %
(21) SUPERIOR MEDICAL IMAGING LLC 5000 NORTH 26TH STREET LINCOLN,NE68521 26-2884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-200,323	821,112		No	0	Yes		51 %
(22) SURGERY CENTER OF LEXINGTON LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 62-1179539	SURGERY CENTER	DE	SJHS	RELATED	-200,318	4,079,584		No	0	Yes		51 %
(23) SURGERY CENTER OF LOUISVILLE LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE,KY40202 62-1179537	SURGERY CENTER	KY	JH	RELATED	-15,452	396,101		No	0	Yes		51 %
(24) ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC 3606 N 156TH STREET OMAHA,NE68116 06-1786985	OP DIAGNOSTICS	NE	ACH	RELATED	116,752	776,649		No	0	Yes		51 %
(25) BERGAN MERCY SURGERY CENTER LLC 7710 MERCY ROAD STE 100 OMAHA,NE68124 20-8671994	AMBUL SURG CTR	NE	ACH	RELATED	142,085	3,294,472		No	0		No	63.94 %
(26) LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA,NE68130 20-4267902	AMBUL SURG CTR	NE	ACH	RELATED	3,465,880	1,951,221		No	0		No	51.6 %
(27) LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA,NE68130 20-5544496	ENDOSCOPY SRVC	NE	ACH	RELATED	1,455,294	1,013,126		No	0		No	52.28 %
(28) NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND STREET OMAHA,NE68122 27-0263191	SPINE HOSPITAL	NE	ACH	RELATED	10,501,730	17,301,869		No	0		No	51 %
(29) PRAIRIE HEALTH VENTURES LLC 421 S 9TH ST 102 LINCOLN,NE68508 20-4962103	TECH SERVICES	NE	AH-IMC	RELATED	1,011,804	5,564,586		No	68,565	Yes		62.7 %
(30) SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DRIVE SUITE 300 MILFORD,OH45150 26-3330545	HOME HEALTH	KY	JH	RELATED	3,208,139	9,684,824		No	0		No	96.9 %
(31) LINCOLN CK LEASING LLC 8770 BRYN MAWR SUITE 1370 CHICAGO,IL60631 26-2496856	REAL ESTATE	NE	SERMC	RELATED	397,452	439,334		No	0		No	53.76 %
(32) HIGHLINE IMAGING LLC 275 SW 160TH ST BURIEN,WA98166 20-0460005	DIAGNOSTIC	WA	HMC	RELATED	840,222	1,784,058		No	0		No	80 %
(33) HC SL VINTAGE I LLC 18000 WEST SARAH LANE SUITE 250 BROOKFIELD,WI53045 27-0453767	PROPERTY HOLD	WI	SL CDC - VINTAGE	RELATED	1,027,057	105,658,490		No	0		No	51 %
(34) ST LUKE'S HOSPITAL AT THE VINTAGE LLC 6624 FANNIN SUITE 2505 HOUSTON,TX77030 26-3734516	HOSPITAL	TX	SL CDC - VINTAGE	RELATED	-19,253,743	69,158,748		No	0	Yes		51 %
(35) PMC HOSPITAL LLC 6624 FANNIN SUITE 2505 HOUSTON,TX77030 27-3280598	HOSPITAL	TX	SL CDC - PMC	RELATED	1,092,540	20,751,174		No	0	Yes		51 %
(36) ST LUKE'S DIAGNOSTIC CATH LAB LLP 6620 MAIN ST SUITE 1520 HOUSTON,TX77030 71-0959365	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	273,448	868,814		No	0		No	57.3 %
(37) ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN SUITE 2505 HOUSTON,TX77030 30-0427437	HOSPITAL	TX	SL CDC - WOODLANDS	RELATED	1,106,628	25,874,619		No	0	Yes		51 %
(38) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN SUITE 800 HOUSTON,TX77030 46-2795726	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	0	0		No	0		No	51 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) ALTERNATIVE INSURANCE MANAGEMENT SERVICE 3900 OLYMPIC BOULEVARD SUITE 400 ERLANGER,KY41018 84-1112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	6,272,746	100 %	Yes
(2) AMERICAN NURSING CARE 1700 EDISON DRIVE MILFORD,OH45150 31-1085414	HOME HEALTH	OH	CHS	C CORPORATION	5,118,606	51,920,207	100 %	Yes
(3) AMERIMED INC 1700 EDISON DRIVE MILFORD,OH45150 31-1158699	HOME HEALTH	OH	ANC	C CORPORATION	2,134,392	14,669,219	100 %	Yes
(4) BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE,KY40215 31-1542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	100 %	Yes
(5) CADUCEUS MEDICAL ASSOCIATES INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA,TN37411 62-1570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1,008	100 %	Yes
(6) CAPTIVE MANAGEMENT INITIATIVES PO BOX 10073 APO GEORGETOWN,GRAND CAYMANKY1-1001 CJ 98-0663022	CAPTIVE MANAGEMENT	CJ	CHI	C CORPORATION	0	0	100 %	Yes
(7) CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	RESEARCH	CO	CIRI	C CORPORATION	-2,286,538	1,241,259	100 %	Yes
(8) CGH REALTY COMPANY INC 2500 BERNVILLE RD READING,PA19603 23-2326801	REAL ESTATE	PA	SJHM	C CORPORATION	0	0	100 %	Yes
(9) COMCARE SERVICES 4231 W 16TH AVENUE DENVER,CO80204 84-0904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	100 %	Yes
(10) CONSOLIDATED HEALTH SERVICES 1700 EDISON DRIVE MILFORD,OH45150 31-1378212	HOME HEALTH	OH	CHI	C CORPORATION	-879,467	52,379,487	100 %	Yes
(11) DES MOINES MEDICAL CENTER INC 1111 6TH AVENUE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	61,204	1,064,032	92.98 %	Yes
(12) FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN,GRAND CAYMANKY1-1001 CJ 98-0203038	INSURANCE	CJ	CHI	C CORPORATION	0	0	100 %	Yes
(13) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HEALTHCARE	CO	CHI	C CORPORATION	-7,868	718,254	100 %	Yes
(14) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-257,418	180,468	100 %	Yes
(15) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MANAGEMENT	NE	GSH	C CORPORATION	87,278	1,377,820	100 %	Yes
(16) HEALTHCARE MGMT SERVICES ORG INC 1149 MARKET ST TACOMA,WA98402 91-1865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %	Yes
(17) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	153,510	1,152,715	100 %	Yes
(18) MERCY PARK APARTMENTS LTD 1111 6TH AVENUE DES MOINES,IA50314 42-1202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369,231	1,937,218	100 %	Yes
(19) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0824308	RETAIL SALES	OR	MMC	C CORPORATION	-440,596	1,423,377	100 %	Yes
(20) MHSERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 43-1457881	DME	MO	SJRMC	C CORPORATION	0	0	100 %	Yes
(21) MOUNTAIN MANAGEMENT SERVICES INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA,TN37411 62-1570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	96,044	6,465,179	100 %	Yes
(22) NAZARETH ASSURANCE COMPANY PO BOX 10073 APO GEORGETOWN,GRAND CAYMANKY1-1001 CJ 03-0304831	INSURANCE	CJ	CHI	C CORPORATION	0	0	100 %	Yes
(23) PATIENT TRANSPORT SERVICES INC 1700 EDISON DRIVE MILFORD,OH45150 31-1100798	HOME HEALTH	OH	ANC	C CORPORATION	-164,340	5,488,275	100 %	Yes
(24) PHYSICIAN HEALTH SYSTEM NETWORK 1149 MARKET ST TACOMA,WA98402 91-1746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %	Yes
(25) SAINT CLARES PRIMARY CARE INC 66 FORD ROAD DENVILLE,NJ07834 22-2441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-357,263	1,361,242	100 %	Yes
(26) SAMARITAN FAMILY CARE INC 40 W FOURTH ST 1700 DAYTON,OH45402 31-1299450	HEALTHCARE	OH	SHP	C CORPORATION	0	0	100 %	Yes
(27) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	HEALTHCARE	CO	FSI	C CORPORATION	-197,039	3,331,737	100 %	Yes
(28) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR 160 LEXINGTON,KY40503 27-0164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	100 %	Yes
(29) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	114,663	2,936,102	100 %	Yes
(30) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2,408,638	15,225,732	100 %	Yes
(31) ST JOSEPH DEVELOPMENT COMPANY INC 1717 SOUTH J STREET TACOMA,WA98405 91-1480569	RENTAL	WA	FSI	C CORPORATION	655,478	12,357,418	100 %	Yes
(32) ST JOSEPH OFFICE PARK ASSOCIATION 1401 HARRODSBURG ROAD BLDG B70 LEXINGTON,KY40504 61-1079899	MANAGEMENT	KY	SJHS	C CORPORATION	0	882,139	85 %	Yes
(33) TOWSON MANAGEMENT INC 7601 OSLER DRIVE TOWSON,MD21204 52-1710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	516,457	197,196	100 %	Yes
(34) COLLABHEALTH MANAGED SOLUTIONS INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1222808	HOLDING CO	CO	CHI	C CORPORATION	0	23,806,707	100 %	Yes
(35) COLLABHEALTH PLAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 46-1224037	ADMIN SERVICES	CO	CHMS	C CORPORATION	-1,082,933	38,272,608	100 %	Yes
(36) HIGHLINE MEDICAL GROUP 15811 AMBAUM BLVD SW 170 BURIEN,WA98166 91-1407026	MEDICAL SERVICES	WA	HMC	C CORPORATION	-6,049,147	5,689,139	100 %	Yes
(37) SOUNDPATH HEALTH INC 32129 WEYERHAEUSER WAY S SUITE 201 FEDERAL WAY,WA98001 42-1720801	INSURANCE	WA	CHPS	C CORPORATION	-154,741	10,976,973	55.6 %	Yes
(38) SLEHS HOLDINGS INC 6624 FANNIN SUITE 800 HOUSTON,TX77030 76-0637138	HOLDING CO	TX	SLHS	C CORPORATION	1,425,313	33,114,103	100 %	Yes
(39) ST LUKE'S ANESTHESIOLOGY ASSOCIATES 6624 FANNIN SUITE 1100 HOUSTON,TX77030 46-1517163	MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	100 %	Yes
(40) SLMT PARKING INC 6624 FANNIN SUITE 800 HOUSTON,TX77030 76-0637140	PARKING	TX	SLHS	C CORPORATION	1,117,934	13,768,221	100 %	Yes
(41) ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030 30-0355517	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	100 %	Yes
(42) ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC 6720 BERTNER HOUSTON,TX77030 76-0377932	PHO	TX	SLMC	C CORPORATION	6	0	60 %	Yes
(43) ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030 30-0355518	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	100 %	Yes
(44) ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030 76-0298751	CONDOMINIUM ASSOC	TX	SLMTC	C CORPORATION	0	0	100 %	Yes
(45) SUGAR LAND DOCTOR GROUP 1317 LAKE POINTE PARKWAY SUGAR LAND,TX77478 45-4270163	MEDICAL CLINIC	TX	SL CHS	C CORPORATION	-1,159,411	566,590	100 %	Yes
(46) THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B UILDING CONDOMINIUM ASSOCIATION 6624 FANNIN SUITE 1100 HOUSTON,TX77030 90-0064009	CONDOMINIUM ASSOC	TX	SLMC	C CORPORATION	0	0	100 %	Yes
(47) ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC 12809 WEST DODGE ROAD OMAHA,NE68154 47-0802396	MANAGED CARE	NE	ACH	C CORPORATION	5,312,313	4,520,865	100 %	Yes
(48) ALL SAINTS INSURANCE COMPANY SPC LTD PO BOX 69 GT 720 WEST BAY ROAD GEORGETOWN,GRAND CAYMANKY-1102 CJ	INSURANCE	CJ	SLHS	C CORPORATION	0	43,866,961	100 %	Yes
(49) VINTAGE DOCTOR GROUP 6624 FANNIN SUITE 1100 HOUSTON,TX77030	MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	100 %	Yes

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	12000266
Software Version:	v2012.1.0

1	Briefly describe the organization’s mission or most significant activities: CENTENNIAL MEDICAL GROUP PROVIDES HOSPITAL-BASED PHYSICIAN SERVICES, AS WELL AS SPECIALTY PHYSICIAN SERVICES IN A CLINIC SETTING TO PATIENTS IN THE ROSEBURG COMMUNITY ON A CHARITABLE BASIS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	155,701
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-85,596

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	13,642,639	18,001,341
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	15	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	504,186	842,381
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	14,146,840	18,843,722
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	825	3,584
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	9,051,856	11,205,934
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	10,092,191	14,696,427
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	19,144,872	25,905,945
19	Revenue less expenses. Subtract line 18 from line 12.......	-4,998,032	-7,062,223
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,054,308	2,410,644
21	Total liabilities (Part X, line 26).............	14,303,994	20,722,553
22	Net assets or fund balances. Subtract line 21 from line 20.....	-11,249,686	-18,311,909

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 22,833,792 including grants of $ 3,584 ) (Revenue $ 18,001,341 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses22,833,792

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) JASON GRAY........................................................................ President	5.00 .......................40.00	X	X		0	304,290	38,860
(2) KELLY MORGAN........................................................................ Board Chair/CEO, MMC	2.00 .......................58.00	X	X		0	742,829	80,922
(3) RAHUL AGARWAL........................................................................ Secretary/Treasurer	2.00 .......................40.00	X	X		0	209,356	44,596
(4) JOHN KASBERGER........................................................................ CFO, MMC	0.00 .......................60.00		X		0	293,880	38,988
(5) GARY BRONSTEIN........................................................................ Physician	50.00 .......................0			X	451,479	0	43,188
(6) GERALD ENGSTROM........................................................................ Physician	50.00 .......................0			X	486,989	0	43,188
(7) HOWARD FELDMAN........................................................................ Physician	50.00 .......................0			X	691,175	0	37,548
(8) KARTIK MANI........................................................................ Physician	50.00 .......................0			X	553,268	0	22,616
(9) PATRICK DAVOL........................................................................ Physician	50.00 .......................0			X	393,762	0	39,530

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,576,673	1,550,355	389,436

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	PATIENT SERVICES		900099	18,001,341	18,001,341
b				0
c				0
d				0
e				0
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			18,001,341
3	Investment income (including dividends, interest, and other similar amounts).......			0			0
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	0	0
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	LABORATORY SERVICES		621500	747,142		155,701	591,441
b	LEASED EMPLOYEES		561300	86,479			86,479
c	REIMBURSEMENT OF EXPENSES		900099	8,760			8,760
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			842,381
12	Total revenue. See Instructions......			18,843,722	18,001,341	155,701	686,680


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............				1
2	Savings and temporary cash investments .........			253,901	2	65,446
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			2,608,915	4	2,216,219
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ..........			82,949	9	28,904
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	229,311
b	Less: accumulated depreciation .....	10b	129,236	108,543	10c	100,075
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,054,308	16	2,410,644
17	Accounts payable and accrued expenses .........			913,544	17	1,016,205
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22	0
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			13,390,450	25	19,706,348
26	Total liabilities. Add lines 17 through 25.........			14,303,994	26	20,722,553
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			-11,249,686	27	-18,311,909
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			-11,249,686	33	-18,311,909
34	Total liabilities and net assets/fund balances ........			3,054,308	34	2,410,644