Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 06-30-2015
BCheck if applicable:
CName of organization
Catholic Health Initiatives
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
198 Inverness Drive West
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Englewood, CO80112
D Employer identification number

47-0617373
E Telephone number

G Gross receipts $ 2,280,274,599
F Name and address of principal officer:
Kevin Lofton
198 Inverness Drive West
Englewood,CO80112
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.catholichealthinit.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1996
M State of legal domicile: CO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Catholic Health Initiatives (CHI) is a national faith-based non-profit healthcare organization. CHI serves as an intregal part of its national system of hospitals and other healthcare providers.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 3,856
6 Total number of volunteers (estimate if necessary) ............. 6 12
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 46,759,923
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,627,411
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 70,000 43,318
9 Program service revenue (Part VIII, line 2g) ......... 1,703,705,782 1,980,033,386
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 226,717,296 187,741,975
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,621,339 7,339,381
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,938,114,417 2,175,158,060
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,774,900 38,837,105
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) 363,331,068 413,954,226
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,966,672,710 2,305,826,125
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,343,778,678 2,758,617,456
19 Revenue less expenses. Subtract line 18 from line 12....... -405,664,261 -583,459,396
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,344,042,829 8,496,035,053
21 Total liabilities (Part X, line 26)............. 9,638,124,694 10,606,134,430
22 Net assets or fund balances. Subtract line 21 from line 20..... -1,294,081,865 -2,110,099,377
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,396,221,664 including grants of $ 38,837,105 ) (Revenue $ 1,932,993,794 )
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 expensesMediumBullet1,396,221,664
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
5,040
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,856
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDean Swindle

198 Inverness Drive West
Englewood,CO80112 (303) 298-9100
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) KEVIN LOFTON FACHE
 
Chief Executive Officer
 58.00
.......................2.00 		X   X       4,042,825 0 46,442
(2) CHRISTOPHER LOWNEY
 
TRUSTEE/Board Chair
 10.00
.......................0 		X   X       61,200 0 0
(3) PATRICIA SMITH OSF JCD PHD
 
TRUSTEE/VICE CHAIR
 2.00
.......................0 		X   X       0 0 0
(4) MAUREEN COMER OP
 
TRUSTEE
 2.00
.......................0 		X           0 0 0
(5) James Hamill
 
Trustee
 2.00
.......................0 		X           9,864 0 0
(6) ANTOINETTE HARDY-WALLER RN
 
TRUSTEE
 2.00
.......................0.00 		X           9,331 0 0
(7) ELEANOR MARTIN SCN ESQ
 
TRUSTEE
 2.00
.......................0 		X           0 0 0
(8) Edward Speed
 
Trustee
 2.00
.......................0 		X           9,331 0 0
(9) Barbara Hagedorn SC
 
Trustee
 2.00
.......................0 		X           0 0 0
(10) Lillian Murphy RSM
 
Trustee
 2.00
.......................0 		X           0 0 0
(11) Geraldine Bednash PhD RN FAAN
 
Trustee
 2.00
.......................0 		X           9,829 0 0
(12) Richard Corrente
 
Trustee
 2.00
.......................0 		X           8,847 0 0
(13) Gary Yates MD
 
Trustee
 2.00
.......................0 		X           0 0 0
(14) DEBRA HANKS
 
ASSISTANT SECRETARY
 40.00
.......................0 		    X       85,989 0 14,998
(15) MITCH H MELFI ESQ
 
EVP Corporate Affairs & Chief Legal Officer/Secretary
 58.00
.......................2.00 		    X       1,098,952 0 61,750
(16) JOYCE ROSS
 
SVP COMMUNICATIONS/ASSISTANT SECRETARY
 60.00
.......................0 		    X       547,331 0 43,367
(17) MICHAEL ROWAN FACHE
 
President OF Health System Delivery & COO
 45.00
.......................15.00 		    X       2,500,443 0 53,656
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DEAN SWINDLE CPA
 
President OF Enterprise Business Lines & CFO/Treasurer
 58.00
.......................3.00 		    X       1,755,692 0 259,351
(19) THOMAS Clifford DEVENY MD
 
SVP-PHYS SERV & CLIN INTEGR
 59.00
.......................1.00 		      X     858,843 0 137,003
(20) JOHN DICOLA
 
EVP Enterprise Strategic DevELOPMENT
 50.00
.......................10.00 		      X     1,450,711 0 63,575
(21) PAUL EDGETT III
 
Executive Vice President Growth and Business Acquisitions
 51.00
.......................9.00 		      X     1,040,953 0 54,427
(22) PHILIP FOSTER
 
SVP RISK & Insurance
 60.00
.......................0 		      X     735,141 0 92,060
(23) STEVEN KEHRBERG
 
SVP SUPPLY CHAIN & Clinical Engineering
 60.00
.......................0 		      X     530,638 0 84,046
(24) THOMAS KOPFENSTEINER
 
EVP MISSION
 57.00
.......................3.00 		      X     1,131,013 0 41,342
(25) STEPHEN MOORE MD
 
SVP & CHIEF MEDICAL OFFICER
 59.00
.......................2.00 		      X     1,013,712 0 144,703
(26) MICHAEL O'ROURKE
 
SVP & CHIEF INFORMATION OFFICER
 60.00
.......................0 		      X     986,423 0 104,421
(27) KATHLEEN SANFORD RN DBA FACHE
 
SVP & CHIEF NURSING OFFICER
 58.00
.......................2.00 		      X     1,003,969 0 51,714
(28) PATRICIA WEBB
 
EVP & Chief Administrative/ Chief HR Officer
 60.00
.......................2.00 		      X     998,235 0 164,266
(29) ROBERT LANIK
 
SVP/MBO CEO
 0.00
.......................60.00 		        X   1,396,479 0 58,032
(30) RICK MILLER MD
 
SVP/Chief Quality Officer
  
.......................60.00 		        X   1,383,707 0 49,751
(31) JOAN NEUHAUS
 
Division SVP COO
  
.......................60.00 		        X   2,169,006 0 59,034
(32) RICHARD ROLSTON MD
 
MBO CEO
  
.......................60.00 		        X   2,197,112 23,500 94,570
(33) JOSEPH WILCZEK
 
SVP Divisional Ops/MBO CEO
  
.......................60.00 		        X   1,599,045 0 46,128
(34) DAVID J FINE
 
President & CEO CIRI
 0.00
.......................60.00 		          X 0 3,380,710 45,108
(35) CAROL KEENAN
 
FORMER INTERIM SVP HUMAN RESOURCES
 60.00
.......................0 		          X 376,538 0 52,514
(36) SUSANNA LAUNDY
 
FORMER INTERIM SVP & CFO/Treasurer
 59.00
.......................1.00 		          X 458,012 0 34,724
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 29,469,171 3,404,210 1,856,982
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet902
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CONIFER HEALTH SOLUTIONS

3560 DALLAS PARKWAY
FRISCO,TX75034 		REVENUE CYCLE SERVICES 366,601,864
DELOITTE CONSULTING LLP

30 ROCKEFELLER PLAZA
NEW YORK,NY101120015 		CONSULTING SERVICES 109,730,737
MONUMENT CONSULTING LLC

3957 WESTERRE PARKWAY SUITE 330
RICHMOND,VA23233 		CONSULTING 104,771,583
WIPRO LIMITED

DODDAKANNELLI
SARJAPUR ROAD
BANGALORE,KARNATAKA560035
IN 		IT CONSULTING SERVICES 98,953,879
HEWITT ASSOCIATES LLC

4 OVERLOOK POINT
LINCOLNSHIRE,IL60069 		CONSULTING SERVICES 16,570,633
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet340
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 43,318
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 43,318
Program Service RevenueAmt Business Code
2a Assessments 900099 1,913,563,369 1,869,233,630 44,329,739  
b Premiums 900099 3,166,452 3,166,452    
c Services Sold 900099 635,111   635,111  
d Equity changes of unconsolidated orgs 900099 -114,508,270 -116,583,012 2,074,742  
e Interest Income 900099 177,141,615 177,141,615    
f All other program service revenue . 35,109 35,109 0 0
g Total. Add lines 2a–2f........MediumBullet 1,980,033,386
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 31,775,375   -101,418 31,876,793
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 956,938  
b Less: rental expenses 1,135,189  
c Rental income or (loss) -178,251 0
d Net rental income or (loss).......MediumBullet -178,251   -178,251  
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 77,029,608 182,918,342
b Less: cost or other basis and sales expenses   103,981,350
c Gain or (loss) 77,029,608 78,936,992
d Net gain or (loss)..........MediumBullet 155,966,600     155,966,600
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..MediumBullet      
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a EPayables Rebate 900099 6,006,688     6,006,688
b Intercompany Transactions 900099 1,107,993     1,107,993
c Financial Services 541200 199,992     199,992
d All other revenue .... 202,959 0 0 202,959
e Total. Add lines 11a–11d ...... MediumBullet 7,517,632
12 Total revenue. See Instructions......MediumBullet 2,175,158,060 1,932,993,794 46,759,923 195,361,025
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 38,564,046 38,564,046
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 2,000 2,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 271,059 271,059
4 Benefits paid to or for members .... 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 22,447,974   22,447,974  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 324,183,549 62,708,685 261,474,864  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 2,924,148 2,635,086 289,062  
9 Other employee benefits ....... 41,448,676 8,509,584 32,939,092  
10 Payroll taxes ........... 22,949,879 4,347,300 18,602,579  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 132,152   132,152  
c Accounting ........... 22,126,343   22,126,343  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 619,413,242 5,135,077 614,278,165 0
12 Advertising and promotion .... 28,533 20,583 7,950  
13 Office expenses ....... 34,280,163 1,674,534 32,605,629  
14 Information technology ...... 12,143,294   12,143,294  
15 Royalties ..        
16 Occupancy ........... 11,026,300 130,754 10,895,546  
17 Travel ............ 14,110,322 1,701,764 12,408,558  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,265,918 143,649 3,122,269  
20 Interest ........... 293,336,339 291,030,200 2,306,139  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 63,334,495 716,687 62,617,808  
23 Insurance .............. 199,267,435 198,954,471 312,964  
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 Unrelated Business Tax 167,405   167,405  
b Repairs and maintenance 296,335,835 168,190,185 128,145,650  
c Restructuring Losses 65,735,794   65,735,794  
d Group Medical 603,813,151 603,813,151    
e All other expenses 67,309,404 7,672,849 59,636,555 0
25 Total functional expenses. Add lines 1 through 24e 2,758,617,456 1,396,221,664 1,362,395,792 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 549 1 0
2 Savings and temporary cash investments ......... 559,112,356 2 424,243,757
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 28,132,975 4 24,352,816
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 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
0 6  
7 Notes and loans receivable, net ............. 3,912,061,519 7 3,979,940,708
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 69,420,616 9 82,422,159
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,185,148,216
b Less: accumulated depreciation ..... 10b 369,168,836 913,525,318 10c 815,979,380
11 Investments—publicly traded securities .......... 0 11  
12 Investments—other securities. See Part IV, line 11 ..... 1,058,491,256 12 991,585,869
13 Investments—program-related. See Part IV, line 11 ..... 0 13  
14 Intangible assets ............... 20,900,000 14 18,700,000
15 Other assets. See Part IV, line 11 ........... 1,782,398,240 15 2,158,810,364
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 8,344,042,829 16 8,496,035,053
Liabilities 17 Accounts payable and accrued expenses ......... 502,397,515 17 560,903,797
18 Grants payable .................   18  
19 Deferred revenue ................ 89,653,883 19 614,953,989
20 Tax-exempt bond liabilities ............. 4,793,136,284 20 4,723,921,741
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 14,192 21 15,172
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.......... 0 22  
23 Secured mortgages and notes payable to unrelated third parties .. 712,586,524 23 965,343,029
24 Unsecured notes and loans payable to unrelated third parties .... 2,240,000,000 24 2,440,000,000
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.................... 1,300,336,296 25 1,300,996,702
26 Total liabilities. Add lines 17 through 25......... 9,638,124,694 26 10,606,134,430
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -1,294,520,034 27 -2,110,538,127
28 Temporarily restricted net assets ........... 438,169 28 438,750
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... -1,294,081,865 33 -2,110,099,377
34 Total liabilities and net assets/fund balances ........ 8,344,042,829 34 8,496,035,053
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,175,158,060
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,758,617,456
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-583,459,396
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-1,294,081,865
5
Net unrealized gains (losses) on investments ...............
5
-97,693,647
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-134,864,469
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-2,110,099,377
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations ............................. 1
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) CATHOLIC HEALTH CARE FEDERATION
  		999999999   Yes   0 0
Total : 11 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
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......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
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.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
Yes
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
Yes
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
Yes
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Catholic Health Initiative's articles of incorporation specifically designate Catholic Health Care Federation as its publicly supported organization and designate, by purpose, such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative.
Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) Catholic Health Initiatives is organized and operated, within the meaning of Section 509(a)(3)(A) of the Internal Revenue Code of 1986, as now in effect or as subsequently amended ("IRC"), exclusively for the benefit of, to perform the functions of, and/or to carry out the religious, charitable, scientific, and educational purposes within the meaning of Section 509(c)(3) of the IRC, of Catholic Health Care Federation ("CHCF"), a public juridic person within the meaning of the Code of Canon Law for the Roman Catholic Church ("Canon Law"), including by supporting such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative. Because CHCF is part of the Roman Catholic Church, is not required to apply for recognition of exempt status pursuant to IRC Section 508(c). By virtue of its decree of canonical erection by the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life, CHCF is a public juridic person of pontifical right, subject to the direct oversight and jurisdiction of the Apostolic See in the Vatican. As a public juridic person in the Church, CHCF is the juridical equivalent of a diocese or parish or religious order in the Catholic Church. As a public juridic person, CHCF is not merely affiliated with the Catholic Church; it is the Catholic Church, an official part of the Church itself, with a munus or duty assigned to it by the Church, and able to act publicly in the name of the Church. The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life by decree dated June 8, 1991, conferred public juridic personality in the Church on CHCF, stating that CHCF was "to be governed in accordance with Canon Law and its own approved Statutes."
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. During the year, Catholic Health Initiatives changed its public charity status to a supporting organization pursuant to IRC Section 509(a)(3). By authority of the organization's articles of incorporation, its purposes were amended to reflect this change. The organization's articles of incorporation now state its purposes as follows: Catholic Health Initiatives is organized and operated, within the meaning of Section 509(a)(3)(A) of the Internal Revenue Code of 1986, as now in effect or as subsequently amended ("IRC"), exclusively for the benefit of, to perform the functions of, and/or to carry out the religious, charitable, scientific, and educational purposes within the meaning of Section 509(c)(3) of the IRC, or Catholic Health Care Federation ("CHCF"), a public juridic person within the meaning of the Code of Canon Law for the Roman Catholic Church ("Canon Law"), including by supporting such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative. The corporation shall be operated exclusively in furtherance of these purposes and in conformity with the ethical and moral teachings of the Roman Catholic church and the Ethical and Religious Directives for Catholic Health Care Services, as promulgated by the United States Conference of Catholic Bishops.
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
Catholic Health Initiatives
  		Employer identification number

47-0617373
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
Catholic Health Initiatives
  		Employer identification number

47-0617373
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
Catholic Health Initiatives
  		Employer identification number

47-0617373
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
220,450
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
0
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
220,450
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1A- Catholic Health Initiatives' (CHI) online Advocacy Action Center was available to the general public and CHI employees for use in sending letters by e-mail to members of Congress. Draft letters were provided on CHI advocacy priorities. Individuals were able to create their own letters as well. LINE 1B- CHI has a Senior Vice President/Chief Advocacy Officer, a Vice President of Public Policy, and a Director of Regulatory Affairs who spend a portion of their time on lobbying activities at the federal level with minimal state level lobbying. The majority of lobbying-related activities are consultative to leadership and staff of the system's hospitals and health care organizations. LINE 1D- CHI communicates with leaders of the system's hospitals and health care organizations on advocacy activities primarily through e-mail. Most communications with Congress occur electronically through the Advocacy Action Center. CHI advocacy activities involved communications on CHI advocacy priorities, including access and coverage, reauthorization of the Children's Health Insurance Program, rural health care, Medicare and Medicaid reimbursement, repeal and replacement of the Sustainable Growth Rate formula for Medicare physician payments, critical access hospital length of stay payment requirements, access to outpatient therapies in critical access hospitals, 340B drug discount program, fairness in Medicare audit programs, the federal budget/deficit reduction and violence prevention. LINE 1G- CHI leaders have occasionally met with members of Congress or their staffs and made telephone calls to express positions on CHI advocacy priorities. Many of CHI's efforts are focused through our national and state hospital associations. An overview of Catholic Health Initiatives lobbying activities is provided below: Central to the Catholic Health Initiatives mission and vision is a commitment to advocate for systemic changes to improve the health and well-being of individuals and communities with a specific concern for persons who are poor and marginalized. The Catholic Health Initiatives advocacy activities are inextricably linked to its fundamental goal to build healthier communities. One dimension of the Catholic Health Initiatives program focuses on public policy advocacy, which includes attention to federal legislative and regulatory measures, formation of positions on priority issues, and political activism. The Catholic Health Initiatives public policy agenda includes both traditional health care policies as well as social justice policies. Policies addressing the expansion of health coverage and access, the viability of not-for-profit health care, protection of religiously-sponsored health care entities, clinically integrated care, community health improvement, quality and value, fair payment, rural health care, palliative care, and violence prevention are vitally important to Catholic Health Initiatives. Also important are policies that address societal concerns and injustices and policies that ultimately impact the health of individuals and communities. Catholic Health Initiatives believes advocating for policy measures that improve education, housing, employment, and socioeconomic status, particularly on behalf of the most vulnerable in society, is essential to the health and well-being of individuals and communities. At the Catholic Health Initiatives national office, public policy priorities are identified and advocacy strategies are initiated. The national advocacy office develops resources to facilitate the involvement of the entire health system in grassroots public policy initiatives. All Catholic Health Initiatives facilities in 19 states are encouraged to engage in advocacy through letter-writing, faxes, emails, phone calls, and meetings with federal and state political leadership. Catholic Health Initiatives will continue to expand its public policy program in an effort to demonstrate its commitment to the improvement of health and the promotion of social justice, particularly for the communities it serves and for persons who are most vulnerable.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
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 value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c 0
d Additions during the year .............................. 1d 0
e Distributions during the year ............................. 1e 0
f Ending balance ................................... 1f 0
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   12,109,072 12,109,072
b Buildings ................   70,328,831 7,510,095 62,818,736
c Leasehold improvements ............   13,229,237 7,310,681 5,918,556
d Equipment ................   649,058,626 354,347,126 294,711,500
e Other .................   440,422,450 934 440,421,516
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 815,979,380
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) CHI OIP - Fixed Income 		  F

(B) CHI OIP - Equity Securities 		  F

(C) CHI OIP - Money Market 		  F

(D) Int Desiginated CHV II LP 		8,540,101 F

(E) Int Desiginated CHV III LP 		9,004,342 F

(F) Investments in Highmark Fund 		254,628,297 F

(G) Held for Debt Req - CHI Debt Program 		340 F

(H) CHI Legacy Gift - Texas Heart Institute 		54,052,067 F

(I) CHI Operating Investment Program 		665,360,722 F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 991,585,869
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Conifer Valuation & Revenue Cycle 15,945,981
(2) Execuflex Deferred Income Plan 11,969,567
(3) Cash Surrendor Value Life Insurance 3,065,433
(4) CHI 457(b) Plan 14,035,174
(5) Reinsurance Recovery Assets 1,960,000
(6) Intercompany Receivables 752,263,602
(7) Deferred Financing Costs - CHI Program  
(8) Investments in Unconsolidated Orgs - Controlling Interest 1,229,121,633
(9) Investments in Unconsolidated Orgs - Noncontrolling Interest 116,766,660
(10) Miscellaneous  
(11) Deposits  
(12) MSI Escrow 8,564,507
(13) Miscellaneous Assets 5,117,807
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,158,810,364
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
Pension Liability 554,633,392
Self-insurance reserves and claims 4,221,923
Interest Rate Swaps 143,886,998
Losses incurred but not reported 60,108,203
Intercompany Payables 414,970,667
THI Mission Admin Support 56,316,661
Miscellaneous Liabilities  
Legacy Gift - Texas Heart Institute 54,052,067
Unclaimed Property 1,113,206
Accrued SWAP Interest 748,694
Miscellaneous Liabilities 10,944,891
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,300,996,702
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
Schedule D, Part IV, Line 2b Explanation of escrow agreement CATHOLIC HEALTH INITIATIVES ACTS AS AGENT FOR THE EMPLOYEE FINANCIAL ASSISTANCE FUND, AN EMPLOYEE FUNDED PROGRAM.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria
used to award the grants or assistance? ...........................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Europe (Including Iceland and Greenland) 0 9 Program Services INDEPENDENT CONTRACTORS 28,487
North America (Canada & Mexico only) 0 33 Program Services INDEPENDENT CONTRACTORS 790,438
Central America and the Caribbean 0 0 Conducting board meetings   85,878
North America (Canada & Mexico only) 0 0 Conducting board meetings   105,665
Central America and the Caribbean 0 0 Investments   1,907,477
South Asia 0 1 Program Services INDEPENDENT CONTRACTORS 99,482,866
East Asia and the Pacific 0 0 Grantmaking   78,500
Central America and the Caribbean 0 0 Grantmaking   139,637
South Asia 0 0 Grantmaking   52,922
East Asia and the Pacific 0 2 Program Services INDEPENDENT CONTRACTORS 4,210
Central America and the Caribbean 0 3 Program Services INDEPENDENT CONTRACTORS 10,575
Europe (Including Iceland and Greenland) 0 0 Conducting board meetings   17,447
           
           
           
           
           
3a Sub-total ..... 0 48 102,704,102
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 48 102,704,102
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
East Asia and the Pacific Philippines Outreach Program 58,500 Wire      
Central America and the Caribbean Alma Mater Hospital Haiti 139,637 Check      
South Asia Nazareth Hospital Mokama India 34,342 Wire      
South Asia Catherine Spalding Centre Ranchi India 18,580 Wire      
East Asia and the Pacific NEPAL RELIEF EFFORTS 20,000 WIRE      
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
5
3
Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS CATHOLIC HEALTH INITIATIVES' (CHI) MISSION AND MINISTRY FUND PROVIDES GRANTS TO CHI ORGANIZATIONS AND PARTICIPATING RELIGIOUS CONGREGATIONS TO BE USED FOR THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF INITIATIVES TO PROMOTE HEALTHY COMMUNITIES. MOST GRANTS MADE BY CHI COME FROM THE MISSION AND MINISTRY FUND. FACILITIES AND GROUPS ASSOCIATED WITH CHI ARE ELIGIBLE TO APPLY FOR GRANT FUNDING FOR HEALTHY COMMUNITY COALITIONS AND PROJECTS. GRANTS FROM THE MISSION AND MINISTRY FUND ARE AWARDED BASED UPON A REVIEW OF GRANT APPLICATIONS SUBMITTED. A COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES IS CHARGED WITH GRANTEE SELECTION. FUNDS AWARDED THROUGH THE MISSION AND MINISTRY FUND ARE IDENTIFIED IN THE CATHOLIC HEALTH INITIATIVES GENERAL LEDGER SYSTEM. CHI ENSURES THAT GRANTS TO UNITED STATES RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. IN MOST CIRCUMSTANCES THE RECIPIENT IS A CHI AFFILIATE. THAT CHI-RELATED ENTITY SUPERVISES THE GRANT INITIATIVE, INCLUDING THE EXPENDITURE OF FUNDS IN FURTHERANCE OF THAT INITIATIVE. MISSION AND MINISTRY FUND GRANT RECIPIENTS ALSO PROVIDE SEMI-ANNUAL PROGRESS REPORTS, INCLUDING A FINANCIAL REPORT. WHERE THE RECIPIENT IS NOT A CHI AFFILIATE, CHI DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES.
Schedule F, Part I, Line 3(f) DESCRIPTION OF ACCOUNTING METHOD FOR COSTS IN REGION (3, 4, & 12) THERE ARE A FEW CATHOLIC HEALTH INITIATIVES (CHI) EMPLOYEES WHO SERVE ON THE BOARDS OF OFFSHORE CAPTIVES OF CHI. CHI ALLOCATED A PORTION OF THE SALARIES OF THESE INDIVIDUALS TO LINE 3(F). TRAVEL COSTS FOR THESE INDIVIDUALS WERE NOT PAID BY CHI. (5) CHI'S INVESTMENTS IN CAPTIVE MANAGEMENT INITIATIVES, NAZARETH ASSURANCE COMPANY, AND ALL SAINTS INSURANCE COMPANY, SPC, LTD ARE REFLECTED IN LINE 3. ALSO INCLUDED IN LINE 3 IS THE COMMON STOCK INVESTMENT IN FIRST INITIATIVES INSURANCE, LTD, A WHOLLY OWNED CORPORATION. FIRST INITIATIVES INSURANCE, LTD IS INCLUDED IN CHI'S CONSOLIDATED FINANCIAL STATEMENTS. (1, 2, 6, 10 & 11) CHI PAYS VARIOUS FOREIGN INDEPENDENT CONTRACTORS FOR PROGRAM RELATED SERVICES. INCLUDED IN LINE 6 IS APPROXIMATELY $99.5 MILLION PAID TO WIPRO FOR CENTRALIZED IT SUPPORT SHARED SERVICES PROVIDED TO CHI NATIONAL OFFICES AND MBOS. (7, 8 & 9) CHI PROVIDES CHARITABLE GRANTS TO OTHER U.S. 501(C)(3) ORGANIZATIONS TO SUPPORT FOREIGN PROGRAMS (SEE DESCRIPTION FOR PART I, LINE 2).
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Samaritan Behavioral Health
601 Edwin C Moses Blvd
Dayton,OH45417 		02-0633634 501(c)(3) 172,121       United Against Violence of Greater Dayt
(2) National League for Nursing
2600 Virginia Ave NW 8th Fl
Washington,DC20037 		13-1896510 501(c)(3) 6,000       Banquet sponsorship
(3) St Catherine Hospital
401 E Spruce
Garden City,KS67846 		48-0543721 501(c)(3) 128,215       Finney County Violence Prevention
(4) St Catherine Hospital
401 E Spruce
Garden City,KS67846 		48-0543721 501(c)(3) 85,829       Family Literacy Project
(5) Saint Alphonus Medical Center - Oregon
351 SW 9th St
Ontario,ID97914 		20-2683560 501(c)(3) 662,047       Health Resource Center
(6) St Joseph Medical Center Foundation
PO Box 316
Reading,PA19603 		23-2649362 501(c)(3) 100,000       Reading Youth Violence Prevention
(7) St Joseph Medical Center Foundation
PO Box 316
Reading,PA19603 		23-2649362 501(c)(3) 75,850       Centering Pregnancy
(8) Dominican Sisters of Peace
2320 Airport Drive
Columbus,OH43219 		26-3550703 501(c)(3) 147,930       Violence Prevention
(9) Saint Alphonus Medical Center - Nampa Inc
1512 12th Ave Rd
Nampa,ID83686 		27-1790052 501(c)(3) 297,397       Cancer Screening
(10) SAMC-Nampa
1512 12th Ave Rd
Nampa,ID83686 		27-1790052 501(c)(3) 681,941       Newborn Family
(11) Saint Joseph Health System Inc
225 Falcon Dr
Mt Sterling,KY40353 		61-1334601 501(c)(3) 16,200       Violence Prevention
(12) Good Samaritan Hosp Foundaton
375 Dixmyth Ave
Cincinnati,OH45220 		31-1027660 501(c)(3) 99,796       HOPE Program
(13) Ignation Solidarity Network
1 John Carroll Blvd
University HT,OH44118 		34-2000767 501(c)(3) 5,000       Loyola Circle Sponsorship
(14) Health Administration Press
1 N Franklin St
Chicago,IL60606 		36-0724325 501(c)(3) 5,000       Innovation in Healthcare Leadership
(15) National Association of Catholic Chaplains
4915 S Howell Avenue
Milwaukee,WI53207 		39-1368967 501(c)(3) 5,000       2015 NACC Award dinner sponsorship
(16) Unity Family HealthcareSt Gabriel's
116 8th Avenue SE
Little Falls,MN56345 		41-0695518 501(c)(3) 39,292       Violence Prevention Morrison County
(17) Unity Family HealthcareSt Gabriel's
116 8th Avenue SE
Little Falls,MN56345 		41-0695518 501(c)(3) 25,440       Live Better Live Longer Start Strong
(18) Unity Family HealthcareSt Gabriel's
116 8th Avenue SE
Little Falls,MN56345 		41-0695518 501(c)(3) 161,841       Patient-Centered Medical Home Devlp
(19) Franciscan Sr Little Falls
116 8th Avenue SE
Little Falls,MN56345 		41-0695518 501(c)(3) 91,450       Urock Against Violence
(20) St Francis Healthcare Campus
2400 St Francis Drive
Breckenridge,MN56520 		41-0695598 501(c)(3) 84,327       Violence Prevention
(21) St Joseph Area Health Services
600 Pleasant Ave
Park Rapids,MN56470 		41-0695603 501(c)(3) 58,181       Violence Prevention
(22) Mercy Foundation of Des Moines IA
1755 59th Pl
Des Moines,IA50266 		23-7358794 501(c)(3) 56,229       Childhood Obesity Prevention
(23) Mercy Foundation of Des Moines IA
1755 59th Pl
Des Moines,IA50266 		23-7358794 501(c)(3) 129,198       Mental Health Crisis Stabilization
(24) Mercy Foundation of Des Moines IA
1755 59th Pl
Des Moines,IA50266 		23-7358794 501(c)(3) 57,123       Healthy Relationships Violence Prevention
(25) Mercy Foundation of Des Moines IA
928 6th Ave
Des Moines,IA50314 		23-7358794 501(c)(3) 32,496       Maroons in Health Sciences
(26) Leadership Conf of Women Religious
8808 Cameron St
Silver Spring,MD20910 		43-6033728 501(c)(3) 7,500       LCWR Assembly /Diamond Sponsorship
(27) ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE
BISMARCK,ND58501 		45-0226711 501(C)(3) 10,000,000       PROGRAM SUPPORT
(28) Arupe Corp Work Study Program
4343 Utica St
Denver,CO80212 		46-0508814 501(c)(3) 53,475       Work Study Program
(29) St Francis Medical Center
2620 W Faidley Ave
Grand Island,NE68803 		47-0376601 501(c)(3) 76,004       Violence Prevention
(30) St Francis Medical Center
2620 W Faidley Ave
Grand Island,NE68803 		47-0376601 501(c)(3) 37,021       Outreach Edu & Screening
(31) St Elizabeth Foundation
555 S 70th Street
Lincoln,NE68510 		47-0625523 501(c)(3) 58,952       United Against Violence
(32) Mercy Housing Inc
1999 Broadway
Denver,CO80202 		47-0646706 501(c)(3) 5,000       Sister Lillian Murphy's Retirement - Tribute event
(33) Alegent Creighton Health
PO Box 642150
Omaha,NE68154 		47-0757164 501(c)(3) 98,323       Green Dot Violence Prevention
(34) Alegent Creighton Health
PO Box 642150
Omaha,NE68154 		47-0757164 501(c)(3) 130,100       Plan for Behavioral Health Svc
(35) Alegent Creighton Health
PO Box 642150
Omaha,NE68154 		47-0757164 501(c)(3) 232,000       Telepsychiatry for Rural Communities
(36) Good Samaritan Hospital Foundation
10 E 31st Street
Kearney,NE68847 		47-0659443 501(c)(3) 41,484       Project SEARCH
(37) Good Samaritan Hospital Foundation
10 E 31st Street
Kearney,NE68847 		47-0659443 501(c)(3) 92,189       Violence Prevention
(38) Good Samaritan Hospital Foundation
10 E 31st Street
Kearney,NE68847 		47-0659443 501(c)(3) 105,101       CHW Intervention Program
(39) Womens Business leader
1227 25th St NW
Washintgon,DC20037 		51-0410145 501(c)(3) 13,000       Women Empowerment
(40) Health Care Without Hard
12355 Sunrise Valley Dr
Reston,VA20191 		52-2358837 501(c)(3) 25,000       Healthier Hospitals Initiative
(41) American Red Cross
11710 Plaza America Drive
Reston,VA20190 		53-0196605 501(c)(3) 20,000       Global Red Cross Network
(42) Saint Joseph Health System Inc
305 Estill St
Berea,KY40403 		61-1334601 501(c)(3) 15,750       Violence Prevention
(43) Saint Joseph Health System Inc
11203 Main St
Martin,KY41649 		61-1334601 501(c)(3) 15,750       Violence Prevention
(44) Jewish Hospital & St Mary's Healthcare Inc
200 Abraham Flexner Way
Louisville,KY40202 		61-1029768 501(c)(3) 440,579       Health Connections Initiative
(45) Jewish Hospital & St Mary's Healthcare Inc
200 Abraham Flexner Way
Louisville,KY40202 		61-1029768 501(c)(3) 155,840       PACT in Action
(46) Saint Joseph Health System
424 Lewis Hargett Circle suite 160
Lexington,KY40503 		61-1334601 501(c)(3) 54,135       Integrated Patient Mgt Rural Outreach
(47) Saint Joseph Health System
424 Lewis Hargett Circle suite 160
Lexington,KY40503 		61-1334601 501(c)(3) 30,654       Violence Prevention
(48) Jewish Hospital & St Mary's Healthcare Inc
727 Hospital Dr
Shelbyville,KY40065 		61-1029768 501(c)(3) 15,750       Violence Prevention
(49) Flaget HealthcareInc
4305 New Shepherdsville Rd
Bardstown,KY40004 		61-1345363 501(c)(3) 14,730       Bardstown at Home
(50) Flaget HealthcareInc
4305 New Shepherdsville Rd
Bardstown,KY40004 		61-1345363 501(c)(3) 15,600       Violence Prevention Design
(51) Memorial Health Care
2525 de Sales Ave
Chattanooga,TN42506 		62-0532345 501(c)(3) 29,466       United Against Violence in Hamilton
(52) InRoads Inc
10 South Broadway
St Louis,MO63102 		62-0967197 501(c)(3) 10,350       Ethinic diversity
(53) National Association of Health Services Executives
1015 Connecticut Avenue NW
10th Floor
Washington,DC20036 		62-1312239 501(c)(3) 10,000       Career Transformation Center sponsorship
(54) St Vincent Health
Two St Vincent Circle
Little Rock,AR72205 		71-0236917 501(c)(3) 301,568       Health Connections Initiative
(55) ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE
BRYAN,TX77802 		74-2351158 501(C)(3) 22,000,000       PROGRAM SUPPORT
(56) St Luke's Hospital
6720 Bertner Ave
Houston,TX77030 		76-0377932 501(c)(3) 14,000       Sugarland Hospital
(57) St Luke's Hospital
6720 Bertner Ave
Houston,TX77030 		76-0377932 501(c)(3) 15,550       Violence Prevention
(58) Centura Health Corporation
188 Inverness Dr W Ste 500
Colorado Springs,CO80112 		84-1335382 501(c)(3) 63,747       South State Region Violence Prevention
(59) Centura Health Corporation
188 Inverness Dr W Ste 500
Denver,CO80112 		84-1335382 501(c)(3) 424,912       Healthy Living Colorado
(60) Centura Health Corporation
188 Inverness Dr W Ste 500
Frisco,CO80112 		84-1335382 501(c)(3) 84,200       Summit County Violence Prevention
(61) The Center for African American Health
3601 Martin Luther King Blvd
Denver,CO80205 		84-1477546 501(c)(3) 10,000       Annual Health Fair
(62) Francisan Foundation (FHS)
1149 Market St
Tacoma,WA984023515 		91-1145592 501(c)(3) 63,158       Community Building Health
(63) Francisan Foundation (FHS)
1149 Market St
Tacoma,WA984023515 		91-1145592 501(c)(3) 154,595       Youth Violence Prevention
(64) Francisan Foundation (FHS)
1149 Market St
Tacoma,WA984023515 		91-1145592 501(c)(3) 126,283       Responsive Care Coordination Program
(65) Mercy Housing Northwest
2505 Third Ave
Seattle,WA98121 		91-1546525 501(c)(3) 61,240       Affordable Housing & Healthcare
(66) Saint Anthony Pendleton
2801 St Anthony Way
Pendleton,OR97801 		93-0391614 501(c)(3) 15,000       Umatilla County Violence Prevention
(67) Mercy Foundation
2700 Stewart Parkway
Roseburg,OR97471 		93-6088946 501(c)(3) 82,065       UP2US Now Child Abuse Prevention
(68) Mercy Foundation
2700 Stewart Parkway
Roseburg,OR97471 		93-6088946 501(c)(3) 44,500       Rural Action Dental Health Program
(69) Faithful Fools Ministry
230 HYDE St
San Francisco,CA94102 		94-3348396 501(c)(3) 61,300       Institute for Street Level Learning
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
42
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds Catholic Health Initiatives' (CHI) Mission and Ministry Fund provides grants to CHI organizations and participating religious congregations to be used for the planning, development and implementation of initiatives to promote healthy communities. Most grants made by CHI come from the Mission and Ministry Fund. Facilities and groups associated with CHI are eligible to apply for grant funding for healthy community coalitions and projects. Grants from the Mission and Ministry Fund are awarded based upon a review of grant applications submitted. A committee of the Board of Stewardship Trustees is charged with grantee selection. Funds awarded through the Mission and Ministry Fund are identified in the Catholic Health Initiatives general ledger system. CHI ensures that grants to United States recipients are properly used for their intended purpose by ensuring that the grant recipients are primarily IRC section 501(c)(3) organizations. In most circumstances, the recipient is a CHI affiliate. That CHI-related entity supervises the grant initiative, including the expenditure of funds in furtherance of that initiative. Mission and Ministry Fund grant recipients also provide semi-annual progress reports, including a financial report. Where the recipient is not a CHI affiliate, CHI does not require accounting for the grant monies, since the recipient organizations are required, as IRC Sec 501(c)(3) organizations to use the funds in furtherance of exempt purposes.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Catholic Health Initiatives' (CHI) Mission and Ministry Fund provides grants to CHI organizations and participating religious congregations to be used for the planning, development and implementation of initiatives to promote healthy communities. Most grants made by CHI come from the Mission and Ministry Fund. Facilities and groups associated with CHI are eligible to apply for grant funding for healthy community coalitions and projects. Grants from the Mission and Ministry Fund are awarded based upon a review of grant applications submitted. A committee of the Board of Stewardship Trustees is charged with grantee selection. Funds awarded through the Mission and Ministry Fund are identified in the Catholic Health Initiatives general ledger system. CHI ensures that grants to United States recipients are properly used for their intended purpose by ensuring that the grant recipients are primarily IRC section 501(c)(3) organizations. In most circumstances, the recipient is a CHI affiliate. That CHI-related entity supervises the grant initiative, including the expenditure of funds in furtherance of that initiative. Mission and Ministry Fund grant recipients also provide semi-annual progress reports, including a financial report. Where the recipient is not a CHI affiliate, CHI does not require accounting for the grant monies, since the recipient organizations are required, as IRC Sec 501(c)(3) organizations to use the funds in furtherance of exempt purposes.
Schedule I (Form 990) 2014


Additional Data


Software ID: 14000329
Software Version: 2014v1.0


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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KEVIN LOFTON FACHE
  Chief Executive Officer 		(i)
(ii)		 1,552,707
...............................
0 		1,345,241
...............................
0 		1,144,877
...............................
0 		37,702
...............................
0 		8,740
...............................
0 		4,089,267
...............................
0 		649,274
...............................
0
2SUSANNA LAUNDY
  FORMER INTERIM SVP & CFO/Treasurer 		(i)
(ii)		 372,677
...............................
0 		62,728
...............................
0 		22,607
...............................
0 		26,052
...............................
0 		8,672
...............................
0 		492,736
...............................
0 		0
...............................
0
3MITCH H MELFI ESQ
  EVP Corporate Affairs & Chief Legal Officer/Secretary 		(i)
(ii)		 624,664
...............................
0 		251,953
...............................
0 		222,335
...............................
0 		40,252
...............................
0 		21,498
...............................
0 		1,160,702
...............................
0 		79,605
...............................
0
4JOYCE ROSS
  SVP COMMUNICATIONS/ASSISTANT SECRETARY 		(i)
(ii)		 347,354
...............................
0 		62,998
...............................
0 		136,979
...............................
0 		34,670
...............................
0 		8,697
...............................
0 		590,698
...............................
0 		82,202
...............................
0
5MICHAEL ROWAN FACHE
  President OF Health System Delivery & COO 		(i)
(ii)		 1,195,620
...............................
0 		788,897
...............................
0 		515,926
...............................
0 		32,602
...............................
0 		21,054
...............................
0 		2,554,099
...............................
0 		224,413
...............................
0
6DEAN SWINDLE CPA
  President OF Enterprise Business Lines & CFO/Treasurer 		(i)
(ii)		 982,534
...............................
0 		628,162
...............................
0 		144,996
...............................
0 		238,041
...............................
0 		21,310
...............................
0 		2,015,043
...............................
0 		121,664
...............................
0
7CAROL KEENAN
  FORMER INTERIM SVP HUMAN RESOURCES 		(i)
(ii)		 292,850
...............................
0 		52,094
...............................
0 		31,594
...............................
0 		31,239
...............................
0 		21,275
...............................
0 		429,052
...............................
0 		0
...............................
0
8THOMAS Clifford DEVENY MD
  SVP-PHYS SERV & CLIN INTEGR 		(i)
(ii)		 572,895
...............................
0 		222,713
...............................
0 		63,235
...............................
0 		117,891
...............................
0 		19,112
...............................
0 		995,846
...............................
0 		39,883
...............................
0
9JOHN DICOLA
  EVP Enterprise Strategic DevELOPMENT 		(i)
(ii)		 716,844
...............................
0 		290,567
...............................
0 		443,300
...............................
0 		42,802
...............................
0 		20,773
...............................
0 		1,514,286
...............................
0 		278,909
...............................
0
10PAUL EDGETT III
  Executive Vice President Growth and Business Acquisitions 		(i)
(ii)		 539,079
...............................
0 		292,629
...............................
0 		209,245
...............................
0 		32,929
...............................
0 		21,498
...............................
0 		1,095,380
...............................
0 		77,599
...............................
0
11PHILIP FOSTER
  SVP RISK & Insurance 		(i)
(ii)		 384,574
...............................
0 		148,275
...............................
0 		202,292
...............................
0 		70,096
...............................
0 		21,964
...............................
0 		827,201
...............................
0 		39,362
...............................
0
12STEVEN KEHRBERG
  SVP SUPPLY CHAIN & Clinical Engineering 		(i)
(ii)		 392,296
...............................
0 		73,713
...............................
0 		64,629
...............................
0 		69,050
...............................
0 		14,996
...............................
0 		614,684
...............................
0 		47,685
...............................
0
13THOMAS KOPFENSTEINER
  EVP MISSION 		(i)
(ii)		 611,893
...............................
0 		248,546
...............................
0 		270,574
...............................
0 		32,602
...............................
0 		8,740
...............................
0 		1,172,355
...............................
0 		125,945
...............................
0
14STEPHEN MOORE MD
  SVP & CHIEF MEDICAL OFFICER 		(i)
(ii)		 631,477
...............................
0 		255,071
...............................
0 		127,164
...............................
0 		129,707
...............................
0 		14,996
...............................
0 		1,158,415
...............................
0 		100,220
...............................
0
15MICHAEL O'ROURKE
  SVP & CHIEF INFORMATION OFFICER 		(i)
(ii)		 584,532
...............................
0 		315,421
...............................
0 		86,470
...............................
0 		82,923
...............................
0 		21,498
...............................
0 		1,090,844
...............................
0 		59,527
...............................
0
16KATHLEEN SANFORD RN DBA FACHE
  SVP & CHIEF NURSING OFFICER 		(i)
(ii)		 578,662
...............................
0 		215,023
...............................
0 		210,284
...............................
0 		32,602
...............................
0 		19,112
...............................
0 		1,055,683
...............................
0 		99,228
...............................
0
17PATRICIA WEBB
  EVP & Chief Administrative/ Chief HR Officer 		(i)
(ii)		 642,302
...............................
0 		252,031
...............................
0 		103,902
...............................
0 		149,270
...............................
0 		14,996
...............................
0 		1,162,501
...............................
0 		72,038
...............................
0
18DAVID J FINE
  President & CEO CIRI 		(i)
(ii)		 0
...............................
927,604 		0
...............................
326,098 		0
...............................
2,127,008 		0
...............................
32,602 		0
...............................
12,506 		0
...............................
3,425,818 		0
...............................
57,320
19ROBERT LANIK
  SVP/MBO CEO 		(i)
(ii)		 337,316
...............................
0 		525,382
...............................
0 		533,781
...............................
0 		42,666
...............................
0 		15,366
...............................
0 		1,454,511
...............................
0 		127,815
...............................
0
20RICK MILLER MD
  SVP/Chief Quality Officer 		(i)
(ii)		 153,324
...............................
0 		1,000,187
...............................
0 		230,196
...............................
0 		30,052
...............................
0 		19,699
...............................
0 		1,433,458
...............................
0 		0
...............................
0
21JOAN NEUHAUS
  Division SVP COO 		(i)
(ii)		 553,100
...............................
0 		1,545,813
...............................
0 		70,093
...............................
0 		41,502
...............................
0 		17,532
...............................
0 		2,228,040
...............................
0 		0
...............................
0
22RICHARD ROLSTON MD
  MBO CEO 		(i)
(ii)		 512,792
...............................
23,500 		1,615,970
...............................
0 		68,350
...............................
0 		75,053
...............................
0 		19,517
...............................
0 		2,291,682
...............................
23,500 		45,003
...............................
0
23JOSEPH WILCZEK
  SVP Divisional Ops/MBO CEO 		(i)
(ii)		 837,498
...............................
0 		391,883
...............................
0 		369,664
...............................
0 		36,202
...............................
0 		9,926
...............................
0 		1,645,173
...............................
0 		213,698
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
Schedule J, Part I, Line 1a First-class or charter travel FOR EACH BENEFIT PROVIDED IN LINE 1A, THE ORGANIZATION MUST DISCLOSE RELEVANT INFORMATION WHICH MAY INCLUDE THE TYPE OF BENEFIT, THE LISTED PERSON WHO RECEIVED THE BENEFIT (OR CLASS OF INDIVIDUALS FOR WHOM THE BENEFIT WAS PROVIDED: I.E. ALL DIRECTORS), AND WHETHER OR NOT THE BENEFIT WAS INCLUDED IN THE INDIVIDUAL'S COMPENSATION. THE CATHOLIC HEALTH INITIATIVES (CHI) TRAVEL POLICY #5, WHICH IS APPLICABLE TO ALL EMPLOYEES, STATES THAT FIRST-CLASS AIRFARE IS GENERALLY NOT PERMITTED, BUT MAY BE UTILIZED IF APPROVED IN ADVANCE BY THE INDIVIDUAL'S SUPERVISOR AND WARRANTED BASED UPON THE FACTS AND CIRCUMSTANCES, WHICH MAY INCLUDE: AMOUNT OF TRAVEL INVOLVED, NATURE OF SPECIFIC TRIP, DURATION OF TRAVEL AND COST DIFFERENTIATION BETWEEN FIRST CLASS AND COACH. KEVIN LOFTON, CEO, UTILIZES FIRST CLASS TRAVEL ON OCCASION ONLY WHEN OTHER TICKETING OPTIONS ARE NOT LOGISTICALLY SUITABLE.
Schedule J, Part I, Line 1a Travel for companions TRAVEL FOR COMPANIONS IS AVAILABLE WITH TAX GROSS-UP PURSUANT TO CHI HR POLICY #4. COMPANION TRAVEL FOR CATHOLIC HEALTH INITIATIVES BOARD MEMBERS WAS REIMBURSED FOR THE PILGRIMAGE TO ROME. CATHOLIC HEALTH INITIATIVES AND ITS COMPANION CORPORATION, THE CATHOLIC HEALTHCARE FEDERATION (A PONTIFICAL PUBLIC JURIDIC PERSON), ARE REQUIRED TO PERIODICALLY DELIVER REPORTS TO THE VATICAN CONCERNING OUR HEALTHCARE MINISTRY. BECAUSE OF THE SIGNIFICANT TIME COMMITMENT ASSOCIATED WITH BOARD MEMBERSHIP AT CHI, BOARD MEMBERS WERE INVITED TO BRING THEIR SPOUSES TO PARTICIPATE IN THE PILGRIMAGE AND VISITATION OF HOLY SITES IN ROME. CHI REIMBURSED THOSE BOARD MEMBERS FOR CERTAIN COMPANION TRAVEL EXPENSES AND GROSSED-UP THE BOARD MEMBERS FOR THOSE EXPENSES. ALL SUCH COMPANION TRAVEL AND ASSOCIATED GROSS UP WAS INCLUDED AS INCOME ON THE BOARD MEMBER'S FORM 1099 OR W-2 AS APPLICABLE.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Catholic Health Initiatives reimbursed board members for certain companion travel expenses and grossed-up the board members for those expenses. All such companion travel and associated gross-up was Included as income on the board member's Form 1099 or W-2 as applicable.
Schedule J, Part I, Line 4a Severance or change-of-control payment Post-termination payments are addressed in executive employment agreements for employees at the level of vice president and above. 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. The following reportable individuals received severance payments from Catholic Health Initiatives during the 2014 calendar year, and these severance payments were included in the individuals' W-2 income and reportable compensation on Part VII and Schedule J, Part II, column (B)(iii): Robert Lanik -$312,137 Richard Miller - $176,371 DURING THE 2014 CALENDAR YEAR CHANGE OF CONTROL PAYMENTS WERE PAID TO CERTAIN St. Luke's Health System Corporation (SLHS) EMPLOYEES AS A RESULT OF THE ACQUISITION OF SLHS BY CATHOLIC HEALTH INITIATIVES. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED CHANGE OF CONTROL PAYMENTS DURING THE 2014 CALENDAR YEAR, AND THESE CHANGE OF CONTROL PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J: David Fine - $1,704,882
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2014 calendar year Catholic Health Initiatives (CHI) 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: Thomas Clifford Deveny John DiCola Paul Edgett Philip Foster Steven Kehrberg Thomas Kopfensteiner Kevin Lofton Mitch Melfi Stephen Moore Joan Neuhaus Richard Rolston Michael O'Rourke Joyce Ross Michael Rowan Kathleen Sanford Dean Swindle Patricia Webb Joseph Wilczek David Fine During 2014 the following contributions were made by CHI to the deferred compensation plan: Thomas Clifford Deveny - $87,839 Philip Foster - $34,944 Steven Kehrberg - $35,348 Stephen Moore- $99,655 Michael O'Rourke - $52,871 Richard Rolston - $45,001 Dean Swindle - $209,039 Patricia Webb - $119,218 During 2014 the following distributions were made by CHI from the deferred compensation plan: Thomas Clifford Deveny - $39,883 John DiCola- $278,909 Paul Edgett - $77,599 David Fine - $57,320 Philip Foster- $39,362 Steven Kehrberg - $47,685 Thomas Kopfensteiner- $125,945 Robert Lanik- $127,815 Kevin Lofton - $649,274 Mitch Melfi - $79,605 Stephen Moore - $100,220 Michael O'Rourke - $59,527 Richard Rolston - $45,003 Joyce Ross - $82,202 Michael Rowan - $224,413 Kathleen Sanford - $99,228 Dean Swindle - $121,664 Patricia Webb - $72,038 Joseph Wilczek - $213,698 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who have met certain requirements such as termination, age, or years of service were eligible to receive their 2014 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2014, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: John DiCola - $137,447 Paul Edgett - $92,810 Thomas Kopfensteiner - $117,685 Robert Lanik - $49,415 Kevin Lofton - $454,358 Mitch Melfi - $117,718 Joan Neuhaus - $43,127 Joyce Ross - $28,407 Michael Rowan - $266,409 Kathleen Sanford - $84,092 Joseph Wilczek - $133,897 ST. LUKE'S HEALTH SYSTEM CORPORATION (SLHS) MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR CERTAIN EXECUTIVES. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: DAVID FINE AFTER A RECIPIENT REACHES A CERTAIN AGE, CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2014, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY SLHS TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: DAVID FINE - $171,908
Schedule J, Part I, Line 7 Non-fixed payments Catholic Health Initiatives (CHI) maintains a variable pay program for managers and above that puts a certain amount of compensation at risk. Awards of incentive compensation under the variable pay program are made based upon achievement of organizational objectives including financial outcomes, quality improvement, and other measures as determined annually by the Board of Stewardship Trustees. However, eligible awards payable under this program are dependent on reaching minimum levels of operating margin and charity care levels, unless the HR Committee of the Board of Stewardship Trustees uses its discretion to approve an exception.
Schedule J (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number
47-0617373
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A COLORADO HEALTH FACILITIES AUTHORITY 2013A
  		84-0752932 19648AM85 11-14-2013 247,549,679 SEE PART VI - (2013A COMP ISSUE)   X   X   X
B CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A
  		52-1298872 162410CY8 11-14-2013 199,474,835 SEE PART VI - (2013A COMP ISSUE)   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTH 2013A
  		91-1108929 93978HHU2 11-14-2013 63,627,435 SEE PART VI - (2013A COMP ISSUE)   X   X   X
D KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2013A
  		61-0600439 49126PEB2 11-14-2013 76,508,787 SEE PART VI - (2013A COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2013B
  		91-1108929 93978HHW8 11-14-2013 200,000,000 SEE PART VI - (2013 B ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2013C
  		84-0752932   12-19-2013 100,000,000 SEE PART VI - (2013C ISSUE)   X   X   X
LOUISVILLEJEFFERSON METRO COUNTY GVT 2012A
  		32-0004900 54675QAV5 04-05-2012 299,657,170 SEE PART VI - (2012A ISSUE)   X   X   X
WASHINGTON HEALTH CARE AUTHORITY 2011A
  		91-1108929 93978HDP7 11-10-2011 106,950,848 SEE PART VI - (2011A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011A
  		84-0752932 19648AWL5 11-10-2011 432,722,079 SEE PART VI - (2011A COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2011B
  		61-0600439 49126PDY3 11-10-2011 158,155,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2011C
  		84-0752932   11-10-2011 125,000,000 SEE PART VI - (2011BC COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2009 AB
  		84-0752932 19648ARL1 11-10-2009 713,972,398 SEE PART VI - (2009AB COMP ISSUE) X     X   X
KENTUCKY ECONOMIC DEV FINANCE AUTH 2009 AB
  		61-0600439 49126PDF4 11-10-2009 133,269,543 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2009 AB
  		31-6000172 613549HX5 11-10-2009 263,401,078 SEE PART VI - (2009AB COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008A4-6
  		91-1108929 93978EJ60 07-29-2013 120,260,000 SEE PART VI - (WASH 2008A4-6) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2008D
  		84-0752932 19648ANL5 11-20-2008 213,260,679 SEE PART VI - (2008D COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2008D
  		31-6000172 613549GM0 11-20-2008 59,089,956 SEE PART VI - (2008D COMP ISSUE)   X   X   X
CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D
  		52-1298872 162410CT9 11-20-2008 24,105,267 SEE PART VI - (2008D COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTH 2008D
  		91-1108929 93978EY63 11-20-2008 172,027,377 SEE PART VI - (2008D COMP ISSUE)   X   X   X
COUNTY OF MONTGOMERY OHIO 2006C
  		31-6000172 613549FG4 11-09-2006 100,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006C
  		84-0752932 19648ADW2 11-09-2006 450,000,000 SEE PART VI - (2006C COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2006A
  		84-0752932 19648ADH5 11-09-2006 285,855,808 SEE PART VI - (2006A COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2004B-6
  		84-0752932 196574T34 09-25-2014 54,200,000 SEE PART VI   X   X   X
COUNTY OF MONTGOMERY OHIO 2004B
  		31-6000172 613549FE9 11-18-2004 73,700,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
KENTUCKY ECONOMIC DEV FINANCE AUTHORITY 2004CD
  		61-0600439 49126PCL2 11-18-2004 94,575,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C
  		52-1298872 162410CB8 11-18-2004 58,900,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
SAINT MARY HOSPITAL AUTHORITY (PA) 2004BC
  		23-1913910 792222EW7 11-18-2004 119,500,000 SEE PART VI - (2004BCD COMP ISSUE)   X   X   X
CITY OF BRECKENRIDGE MINNESOTA 2004A
  		41-6005005 106520AB5 11-18-2004 31,040,504 SEE PART VI - (2004A COMP ISSUE) X     X   X
COUNTY OF MONTGOMERY OHIO 2004A
  		31-6000172 613549FC3 11-18-2004 72,052,967 SEE PART VI - (2004A COMP ISSUE)   X   X   X
HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A
  		93-1239006 904078BJ0 11-18-2004 59,478,002 SEE PART VI - (2004A COMP ISSUE) X     X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002B
  		84-0752932 196474H42 12-01-2004 55,700,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
WASHINGTON HEALTH CARE FACILITIES 2002B
  		91-1108929 93978ETY8 12-01-2004 67,300,000 SEE PART VI - (2002B COMP ISSUE)   X   X   X
COLORADO HEALTH FACILITIES AUTHORITY 2002AB
  		84-0752932 196474G20 03-01-2010 1,223,728 SEE PART VI - (2002A/B REMD ISSUE) X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 247,551,687 199,474,835 63,627,582 76,509,117
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 330
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 0 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 247,549,679 160,903,777 63,627,582 7,529,586
11 Other spent proceeds . . . . . . . . . . . . . . 0 38,571,058 0 68,979,201
12 Other unspent proceeds . . . . . . . . . . . . . . 2,008 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2013 2013 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . .   X   X   X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.4 % 0.01 % 3.74 % 0.03 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.4 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.02 % 0.07 % 0 % 0.02 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . . X   X   X   X  
c No rebate due? . . . . . . . . X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . JP Morgan
  		 
  		JP Morgan
  		 
 
c Term of hedge . . . . . . . . . . 28.0   28.0 23.0
d Was the hedge superintegrated? . . . .   X       X   X
e Was the hedge terminated? . . . . . .   X       X   X
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part VI SERIES 2009 A/B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2009 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-09 LINE E ISSUE PRICE $1,110,643,019 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2009 A/B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, NEW JERSEY AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 1997B-1, 1997B-2, 1997B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2004B-4 AND 2004B-5 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004) AND IOWA 1997B BONDS (REISSUANCE DATE: DECEMBER 2, 1999) KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. COUNTY OF MONTGOMERY, OHIO 2009 A/B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF OHIO 1997B (ORIGINAL ISSUANCE DATE: NOVEMBER 25, 1997), 2006B-1 AND 2006B-2 BONDS (ORIGINAL ISSUANCE DATE: NOVEMBER 9, 2006). $108,439 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $66,585 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2009A AND 2009B BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $42,296 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $14,179 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2009B BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $124,961,585 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $34,855,000 LINE 3 TOTAL PROCEEDS OF ISSUE $1,110,718,482 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $34,855,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2009B TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $10,176,162 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $160 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $721,533,816 LINE 11 OTHER SPENT PROCEEDS $379,008,344 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.19%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.2%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002AB REMEDIATED ISSUE PART I LINE F PURPOSE: THE SERIES 2002AB REMEDIATED ISSUE WAS TREATED AS REISSUED ON MARCH 1, 2010, AS A RESULT OF REMEDIAL ACTION TAKEN IN CONNECTION WITH A PORTION OF THE SERIES 2002B COMPOSITE ISSUE AND A PORTION OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2002A BONDS, WHICH ARE NOT OTHERWISE REPORTED ON SCHEDULE K. PART II LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 DISPOSITION PROCEEDS APPLIED TO DEFEASE A PORTION OF THE SERIES 2002AB REMEDIATED ISSUE LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $500,000 $500,000 OF DISPOSITION PROCEEDS WERE APPLIED TO AN ALTERNATIVE USE. LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2010 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI LOUISVILLE/JEFFERSON METRO COUNTY GOVT 2012A PART I LINE F PURPOSE: ADVANCE REFUNDING OF LOUISVILLE/JEFFERSON METRO COUNTY GVT REVENUE BONDS SERIES 2008 (ORIGINAL ISSUANCE DATE: JULY 10, 2008) LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2011A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $539,672,927 LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON COLORADO HEALTH FACILITIES AUTHORITY 2011 A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA AND CURRENT REFUNDING OF COLORADO 2000B (ORIGINAL ISSUANCE DATE: MARCH, 20, 2000), 2004B-1, 2004B-2 AND 2004B-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 18, 2004), AND 2008C-8 (ORIGINAL ISSUANCE DATE: NOVEMBER 20, 2008) PART II LINE 1 AMOUNT OF BONDS RETIRED $38,520,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $539,673,326 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $4,922,927 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $334 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $256,900,000 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.03%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2004BCD COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B AND C IN PART I, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004CD COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $346,675,000 LINE F PURPOSE: COUNTY OF MONTGOMERY, OHIO 2004B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO AND CURRENT REFUNDING OF HAMILTON CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994) AND MONT. CTY, OH 1994 BONDS (ORIGINAL ISSUANCE DATE: FEBRUARY 2, 1994). KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2004C/D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2004C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. SAINT MARY HOSPITAL AUTHORITY (PA) 2004B/C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN PENNSYLVANIA. $8,184 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2004B BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $56,875,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $354,213,248 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $2,728,583 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $339,174,424 LINE 11 OTHER SPENT PROCEEDS $12,370,242 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2006 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.71%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 6 TOTAL OF LINES 4 AND 5 [0.8%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2006A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINE B IN PART I, TOGETHER WITH BALTIMORE COUNTY, MARYLAND REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006A, WHICH WERE DEFEASED ON DECEMBER 10, 2012 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $402,830,297 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2006A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $118,345 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $60,650 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006A BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $15,565,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $113,500,000 CHI HAS PROVIDED FOR THE DEFEASANCE OF $113,500,000 OF THE BALTIMORE COUNTY, MARYLAND 2006A BONDS ON DECEMBER 10, 2012. LINE 3 TOTAL PROCEEDS OF ISSUE $420,074,822 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $128,691,978 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $4,693,109 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $415,381,713 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.42%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.04%] LINE 6 TOTAL OF LINES 4 AND 5 [0.46%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2002B COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES C AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2002B COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 1-DEC-04 LINE E ISSUE PRICE $123,000,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2002B - REISSUANCE OF COLORADO 2002B WASHINGTON HEALTH CARE FACILITIES 2002B - REISSUANCE OF WASHINGTON 2002B PART II LINE 1 AMOUNT OF BONDS RETIRED $29,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $123,000,000 LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 11 OTHER SPENT PROCEEDS $123,000,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2005 PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2011BC COMPOSITE ISSUE SERIES 2011BC COMPOSITE ISSUE: THE BONDS DESCRIBED ON LINES B AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2011BC COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 10-NOV-11 LINE E ISSUE PRICE $283,155,000 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2011 C - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN ARKANSAS, COLORADO, IOWA, KANSAS AND NEBRASKA KENTUCKY ECONOMIC DEV. FINANCE AUTH. 2011 B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $4,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $283,155,431 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,380,000 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $431 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $225,000,000 LINE 11 OTHER SPENT PROCEEDS $56,775,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2011 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.49%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.49%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES 2008D COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A, B, AND C IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2008D COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 20-NOV-08 LINE E ISSUE PRICE $468,483,279 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, IOWA, MINNESOTA, NEBRASKA, NEW JERSEY AND OREGON. COUNTY OF MONTGOMERY, OHIO 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. CHATTANOOGA TN HEALTH ED & HOUSING FAC BD 2008D - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE. WASHINGTON HEALTH CARE FACILITIES AUTHORITY 2008D - REFUND WA AUTH BONDS 2007A1-3 (ORIGINAL ISSUANCE DATE: NOVEMBER 8, 2007) $30,256 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008D-1 AND SERIES 2008 D-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $16,922 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $9,016 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008D-2 AND 2008D-3 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $5,515,256 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $5,655,000 LINE 3 TOTAL PROCEEDS OF ISSUE $469,132,709 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FOR THE DEFEASANCE OF $5,655,000 OF THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $6,135,034 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $1261 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $293,271,414 LINE 11 OTHER SPENT PROCEEDS $169.725,000 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2013 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.31%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.32] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. SOME OF THE SALES PROCEEDS OF THE COUNTY OF MONTGOMERY, OHIO SERIES 2008D BONDS BEING HELD IN A PROJECT ACCOUNT FOR THE OHIO PROJECTS HAVE NOT YET BEEN SPENT. CHI AND THE OHIO AFFILIATES ARE CONTINUING TO PROCEED WITH DUE DILIGENCE ON THE PROJECTS. IF NECESSARY, A YIELD REDUCTION PAYMENT WILL BE MADE. IN ADDITION, GROSS PROCEEDS IN THE DEFEASANCE ESCROW FOR THE COLORADO HEALTH FACILITIES AUTHORITY SERIES 2008D-2 HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2006/2008 COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D AND A IN PART I, TOGETHER WITH COUNTY OF MONTGOMERY, OHIO VARIABLE RATE REVENUE BONDS (CATHOLIC HEALTH INITIATIVES) SERIES 2006B, WHICH WERE REDEEMED ON NOVEMBER 10, 2009 AND ARE NO LONGER OUTSTANDING, ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2006/2008 COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 9-NOV-06 LINE E ISSUE PRICE $750,000,000 LINE F PURPOSE: COUNTY MONTGOMERY, OHIO 2006B - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COUNTY OF MONTGOMERY, OHIO 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. COLORADO HEALTH FACILITIES AUTHORITY 2006C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, ARKANSAS, IOWA, MISSOURI AND NEBRASKA. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $27,110 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON OCTOBER 1, 2012 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $10,508 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON FEBRUARY 14, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,794 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2008C-2 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $91,793 OF PROCEEDS OF THE COUNTY OF MONTGOMGERY, OHIO 2006C-1 BONDS WERE REISSUED ON NOVEMBER 1, 2013 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,044 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2006C-1 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. $47,043 OF PROCEEDS OF THE COLORADO HEALTH FACILITIES AUTHORITY 2008C-2 BONDS WERE REISSUED ON APRIL 1, 2014 AS AN "ALTERNATE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION FOR CHANGE IN OWNERSHIP OF CERTAIN BOND FINANCED PROPERTY. THESE "REISSUED" PORTIONS OF THE BONDS HAVE BEEN SEPARATELY REPORTED IN A FORM 8038 AND NOT REPORTED IN THIS SCHEDULE K. PART II LINE 1 AMOUNT OF BONDS RETIRED $145,000,000 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $769,154,344 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $11 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $2,188,562 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $8,264,326 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $760,873,135 LINE 11 OTHER SPENT PROCEEDS $0 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2009. PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.09%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.01%] LINE 6 TOTAL OF LINES 4 AND 5 [0.1%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINES 4A-C CHI ENTERED INTO SEPARATE INTEREST RATE SWAP AGREEMENTS WITH UBS AG AND WITH JPMORGAN (COLLECTIVELY, THE "HEDGES") WITH RESPECT TO A PORTION (COLORADO SERIES 2006C-5, C-6, C-7 AND C-8) OF THE SERIES 2006/2008 COMPOSITE ISSUE (THE "HEDGED BONDS"). THE INTEREST RATE ON THESE COLORADO 2006C BONDS WAS CONVERTED ON VARIOUS DATES IN 2008 PURSUANT TO SEVERAL CONVERSION TRANSACTIONS OR CONVERSION AND EXCHANGE TRANSACTIONS. ACCORDINGLY, ON AND AFTER EACH RESPECTIVE CONVERSION DATE, THE NOTIONAL AMOUNT OF THE HEDGES CORRESPONDING TO THE CONVERTED HEDGED BONDS IS NO LONGER TREATED AS A QUALIFIED HEDGE OF THE HEDGED BONDS. LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI WA 2008A4-6 PART I, LINE F PURPOSE: REISSUANCE OF WASH. HFA 2008A4-6, ORIGINALLY ISSUED ON APRIL 21, 2008 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2010. ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTH. SERIES 2008A4-6 BONDS ON JULY 29, 2013. PART III, LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES 2004A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES D, A AND B IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2004A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 18-NOV-04 LINE E ISSUE PRICE $162,571,473 LINE F PURPOSE: CITY OF BRECKENRIDGE, MINNESOTA 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN MINNESOTA. COUNTY OF MONTGOMERY, OHIO 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OHIO. HOSP FACILITIES AUTHORITY OF UMATILLA OR 2004A - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN OREGON AND CURRENT REFUNDING OF HOSP. AUTH. 2 DOUGLAS CTY 1994B BONDS PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $15,020,000 LINE 3 TOTAL PROCEEDS OF ISSUE $164,653,282 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $0 CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $14,575,000 OF THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS TO THEIR EARLIEST CALL DATE. CHI HAS PROVIDED FUNDS FOR THE DEFEASANCE OF $125,000 OF THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS TO THEIR EARLIEST CALL DATE. LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $1,614,670 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $155,337,302 LINE 11 OTHER SPENT PROCEEDS $7,701,309 LINE 12 OTHER UNSPENT PROCEEDS $0 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: 2008 PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.89%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.03%] LINE 6 TOTAL OF LINES 4 AND 5 [0.92%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? YES. GROSS PROCEEDS IN THE DEFEASANCE ESCROWS FOR THE HOSP. FACILITIES OF UMATILLA OREGON 2004A BONDS AND THE CITY OF BRECKENRIDGE, MINNESOTA 2004A BONDS HAVE BEEN INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD AT A RESTRICTED YIELD.
Schedule K, Part VI SERIES 2013A COMPOSITE ISSUE THE BONDS DESCRIBED ON LINES A,B,C, AND D IN PART I ARE PART OF A COMPOSITE ISSUE FOR FEDERAL INCOME TAX PURPOSES (THE SERIES 2013A COMPOSITE ISSUE). ALL AMOUNTS REPORTED BELOW ARE FOR THE COMPOSITE ISSUE RATHER THAN THE COMPONENT PARTS. PART I LINE D DATE ISSUED 24-NOV-13 LINE E ISSUE PRICE $587,160,736 LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN COLORADO, NEBRASKA AND TEXAS CHATTANOOGA TN HEALTH ED & HOUSING FAC 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN TENNESSEE AND CURRENT REFUNDING OF COMMERCIAL PAPER NOTES WASHINGTON HEALTH CARE FACILITIES 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON KENTUCKY ECONOMIC DEV. FINANCE AUTHORITY 2013A - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN KENTUCKY PART II LINE 1 AMOUNT OF BONDS RETIRED $0 LINE 2 AMOUNT OF BONDS LEGALLY DEFEASED $0 LINE 3 TOTAL PROCEEDS OF ISSUE $587,162,856 INCLUDES INVESTMENT EARNINGS LINE 4 GROSS PROCEEDS IN RESERVE FUNDS $330 LINE 5 CAPITALIZED INTEREST FROM PROCEEDS $0 LINE 6 PROCEEDS IN REFUNDING ESCROWS $0 LINE 7 ISSUANCE COSTS FROM PROCEEDS $0 LINE 8 CREDIT ENHANCEMENT FROM PROCEEDS $0 LINE 9 WORKING CAPITAL EXPENDITURES FROM PROCEEDS $0 LINE 10 CAPITAL EXPENDITURES FROM PROCEEDS $478,819,002 LINE 11 OTHER SPENT PROCEEDS $107,550,259 LINE 12 OTHER UNSPENT PROCEEDS $793,483 LINE 13 YEAR OF SUBSTANTIAL COMPLETION: PART III LINE 1 WAS THE ORGANIZATION A PARTNER IN A PARTNERSHIP, OR A MEMBER OF AN LLC, WHICH OWNED PROPERTY FINANCED BY TAX-EXEMPT BONDS? NO LINE 2 ARE THERE ANY LEASE ARRANGEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY? YES LINE 3 A ARE THERE ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 B IF "YES", TO LINE 3A, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY? YES LINE 3 C ARE THERE ANY RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE USE OF BOND-FINANCED PROPERTY? YES LINE 3 D IF "YES" TO LINE 3C, DOES THE ORGANIZATION ROUTINELY ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL TO REVIEW ANY RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTY? YES PRIVATE USE IS COMPUTED FOR THE COMPOSITE ISSUE AS A WHOLE, RATHER THAN BASED ON ITS COMPONENT PARTS. FOR PRESENTATION PURPOSES ON LINES 4-6 OF THE SCHEDULE K, PART III TABLE, PRIVATE USE PERCENTAGES FOR THE COMPOSITE ISSUE, AS A WHOLE, HAVE BEEN REPORTED UNDER THE FIRST COMPONENT OF THE COMPOSITE ISSUE. THE SECTIONS OF THE TABLE FOR THE REMAINING COMPONENT PARTS OF THE COMPOSITE ISSUE WERE LEFT BLANK. LINE 4 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.4%] LINE 5 ENTER THE PERCENTAGE OF FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY YOUR ORGANIZATION, ANOTHER 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT [0.00%] LINE 6 TOTAL OF LINES 4 AND 5 [0.4%] LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET. LINE 9 HAS THE ORGANIZATION ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATATIONS SECTIONS 1.141-12 AND 1.145-2? YES PART IV LINE 6 WERE ANY GROSS PROCEEDS INVESTED BEYOND AN AVAILABLE TEMPORARY PERIOD? NO
Schedule K, Part VI SERIES CO 2013C PART I LINE F PURPOSE: COLORADO HEALTH FACILITIES AUTHORITY 2013C - CAPITAL IMPROVEMENTS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN NEBRASKA AND OREGON. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI WASHINGTON HEALTH CARE FACILITIES 2013B PART I LINE F PURPOSE: WASHINGTON HEALTH CARE FACILITIES 2013B - CAPITAL IMPROVEMENTS, ACQUISITIONS AND EQUIPMENT ACQUISITIONS FOR AFFILIATES IN WASHINGTON PART II LINE 3 TOTAL PROCEEDS INCLUDES INVESTMENT EARNINGS PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THAT THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part VI SERIES CO 2004B-6 PART I, LINE F PURPOSE: REISSUANCE OF COLORADO HEALTH FACILITIES AUTHORITY 2004B-6, ORIGINALLY ISSUED ON NOVEMBER 18, 2004 ALL OF THE DEEMED PROCEEDS OF THE REISSUANCE WERE TREATED AS REFUNDING ALL OF THE OUTSTANDING COLORADO HEALTH FACILITIES AUTHORITY 2004B-6 ON SEPTEMBER 25, 2014. PART III LINE 7 DOES THE BOND ISSUE MEET THE PRIVATE SECURITY OR PAYMENT TEST? CHI MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. BECAUSE CHI HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS, SOLELY FOR SCHEDULE K REPORTING PURPOSES, WE HAVE ASSUMED THE PRIVATE PAYMENT TEST HAS NOT BEEN MET.
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COLORADO HEALTH FACILITIES AUTHORITY 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: COUNTY OF MONTGOMERY, OHIO 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: CHATTANOOGA TN HLTH ED & HOUSING FAC BD 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K, Part IV, Line 2c Rebate Calculation Issuer name: WASHINGTON HEALTH CARE FACILITIES AUTH 2008D The calculation for computing no rebate due was performed on 07/25/2014
Schedule K (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Return Reference Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
Form 990, Part III, Line 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION St. Joseph's Children's, Albuquerque, NM CHI St. Joseph's Children (SJC) is a non-profit organization that works to ensure children reach kindergarten with the health and family capacity necessary to support learning. SJC achieves this goal through three primary programs: Home Visiting, Enhanced Referral Services, and Advocacy. During fiscal year FY 2015 SJC provided benefits to the economically disadvantaged in the amount of $3,410,040 and to the broader community in the amount of $631,740. Those dollars represented 76,010 contacts with residents of the State of New Mexico. The home visiting program is the flagship program of SJC providing home visits by trained professionals to expectant moms and families with first born children. SJC utilizes an outcomes-based model (First Born) that has proven results in improving child and family outcomes. The benefits of early intervention and health promotion in maternal and child health are well-documented and have a lifetime affect. The net benefit provided to the community by this program during fiscal year 2015 was $3,000,057 and included 11,858 contacts. CHI St. Joseph's Health, Park Rapids, MN CHI St. Joseph's Health's Community Dental Clinic provides dental care to the publicly funded populations throughout north central Minnesota. This past year, they provided 6,903 dental visits. The "Give Kids a Smile" day provided hygiene and exams to 85 children and provided 14 classrooms with dental education. The hospital's Healthy Families-Healthy was developed to address the needs of at-risk mothers and children living in our county. The program includes prenatal education, parenting education and support. CHI St. Joseph's Health provides the oversight of the grants and the additional funding for this program. Vaccinations are one of the most effective ways to prevent disease and also one of the most cost efficient medical interventions available. The hospital offers low cost or free vaccinations to eligible children from birth to age 19 through our participating schools. Annual flu shot clinics are provided to area businesses. CHI St. Joseph's Health provides outreach to uninsured individuals in our service area. The hospital assists them in the enrollment to Minnesota Care or makes referrals for other insurance services. CHI St. Joseph's Health has been certified as an MNCAA agent (Minnesota Community Application Agent) since 2010 to help assist eligible patients with their Medical Assistance applications. Mercy Medical Center-Centerville, Centerville, IA The hospital sponsors a community bus which provides transportation to medical appointments for the elderly and those with low income who are unable to drive or have no one to transport them. Through Meals on Wheels, the hospital provides meal preparation and dietICIAN consultant service for the county meals on wheels program. Mercy offers a certified diabetes education and support group from patients with diabetes and their spouses. This program offers both presentations from various disciplines involved in managing diabetes as well as discussion. Mercy holds a monthly Alzheimer's support group to meet the growing needs of the elderly facing Alzheimer's and those who are providing care to them in the home. The group has both a morning and evening session for the convenience of caregivers. The hospital provided blood pressure and glucose screenings to the community throughout the year and provided community education on heart disease and diabetes. Mercy Medical Center, Roseburg, OR Mercy Medical Center helps to alleviate hunger in the community by donating excess food prepared by the hospital kitchen to the Roseburg Rescue Mission and Umpqua Community Action Network (UCAN) (Foodbank). Additionally Mercy Medical Center, Inc. participates in UCAN's "March Against Hunger" annual event, encouraging staff to assist in the planning and implementation. Mercy's Community Education Program is designed specifically to provide the community with preventive and health education services. Mercy's Community Education Programs are free to the public and designed to provide instruction to help COMMUNITY RESIDENTS TO achieve the healthiest possible lifestyles. During fiscal year 2015 Mercy Medical Center, Inc. contributed $564,292 to Community Health Improvement and Education programs. The American Diabetes Association certifies Mercy's Diabetes Education. Mercy's outpatient Diabetes Learning Center provide information, resources and confidence to help people with diabetes control their condition and enjoy a full, healthy life. One-on-one education is provided by diabetes certified registered nurse and dietitian. In addition, the hospital offers individual and group classes for diabetes education. CHI-St. Elizabeth Hospital, Enumclaw, WA The hospital provided assistance in completing Medicaid application forms to hospital patients free of charge, resulting in 305 people receiving assistance for a cost of $27,981. A place to meet was provided free of charge to the WIC (Women, Infant, Child) program to assist in making that program available to the hospital community. This program was available two days per week and served many moms and infants. Immunization clinics and interpreter services were offered free of charge. Other community Outreach for the Broader Community included: Free blood pressure screenings offered through the Emergency Department; First aid classes were offered to the community on a monthly basis; the hospital supported other community events by providing refreshments and other assistance as necessary; various support groups were sponsored at no charge, dealing with such issues as grief, fibromyalgia, caregivers, diabetes, new moms, and widowhood; free mammograms are offered 4 times each year for under-insured women in the community. CHI Mercy Medical Center, Williston, ND CHI Mercy Medical Center donates excess medical supplies and equipment to underprovided nations through Global Health Ministries. CHI's Fargo Division gathers supplies and equipment for the International Sister-to-Sister Hospital Program of the Indigenous People's Hospital opened on May 18, 2012 in Nueva Vizcaya, Philippines. The hospital, located in a remote region of the country, now provides care to impoverished tribal people. The new clinic/ hospital were immediately busy and provided care to more than 600 people on day one of opening. Mercy sponsors 10 children overseas through Unbound (formerly Christian Foundation for Children and Aging). Unbound is a lay Catholic organization serving the poor at mission sites around the world. Through sponsorship, we build a relationship of mutual respect and support while raising awareness in our own country of needs and gifts of the poor and the mission outreach of the Church. Though this began as a payroll deduction for employees, The Christian Awareness Committee of the Medical Center funded the ministry this year through other donations. Our Cancer Treatment Center provides cash and gas cards for those who need to travel for treatments and/or appointments. CHI Mercy Medical Center collects food and clothing to be distributed to the Salvation Army. In FY2015 the collected amount for both was equivalent to more than $2000. University Medical Center, Louisville, KY ULH has provided staff and financial support to the Harambee Clinic, a nurse-run clinic that provides additional access to health care services in underserved areas of Jefferson County. ULH also works to enhance the health of the community through violence prevention interventions, health fairs in underserved areas, and community collaboration with other nonprofits to address the issues around hospital super-utilizers, among other initiatives. One initiative that simultaneously improves access to health care and promotes healthy living is Walk with a Doc, A FREE PROGRAM, open to the public, and held in three separate geographic locations in the Louisville market. KentuckyOne Health completely absorbs the cost of this program, including fees and allocating staff time in order to provide this benefit to the whole community.
Form 990, Part III, Line 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS TO FULFILL ITS MISSION, CATHOLIC HEALTH INITIATIVES (CHI), AS A VALUES-DRIVEN ORGANIZATION, ASSURES THE INTEGRITY OF THE MINISTRY BY FOSTERING RESEARCH AND DEVELOPMENT OF NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL AND SOCIAL SERVICES; PROMOTING LEADERSHIP DEVELOPMENT AND FORMATION FOR THE MINISTRY THROUGHOUT THE ORGANIZATION; ADVOCATING FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED AND UNDERSERVED; AND STEWARDING RESOURCES BY PROVIDING COORDINATED MANAGEMENT AND STRATEGIC PLANNING SERVICES ALONG WITH CENTRALIZED SHARED SERVICES (PAYROLL, H/R, A/P AND PURCHASING) FOR THE CHI NATIONAL HEALTHCARE MINISTRY. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL NONPROFIT HEALTH ORGANIZATION HEADQUARTERED IN DENVER. THE FAITH-BASED SYSTEM OPERATES IN 19 STATES AND COMPRISES 101 HOSPITALS, INCLUDING FOUR ACADEMIC HEALTH CENTERS, 10 INSURANCE PLANS AND 30 CRITICAL-ACCESS FACILITIES; COMMUNITY HEALTH-SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME-HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2015, CHI, THROUGH ITS AFFILIATES, PROVIDED APPROXIMATELY $981 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT; A 8 PERCENT INCREASE OVER FISCAL YEAR 2014. COMMUNITY BENEFIT INCLUDES THE COST OF SUPPLIES AND LABOR RELATED TO FREE CLINICS, DONATIONS AND OTHER SERVICES PROVIDED TO MEET THE NEEDS OF THE POOR AND of the COMMUNITY. TOTAL CHARITY CARE AND COMMUNITY BENEFIT COSTS EQUALED MORE THAN $1.6 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. CHI'S EXEMPT PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE RELIGIOUS, CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES, WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, OF CATHOLIC HEALTH CARE FEDERATION, A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW FOR THE ROMAN CATHOLIC CHURCH, INCLUDING BY SUPPORTING SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE. chi SERVES AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI HEALTHCARE FACILITIES PROVIDED 9.2 MILLION PHYSICIAN AND PRACTICE CLINICIAN VISITS, 503,285 ACUTE CARE ADMISSIONS, 2 MILLION OUTPATIENT EMERGENCY VISITS, 5.2 MILLION NON-EMERGENCY VISITS AND 1,049,365 HOME VISITS. ADDITIONALLY, MORE THAN 80 VIRTUAL HEALTH PROGRAMS WERE OFFERED ACROSS THE COUNTRY AND 170,039 LIVES WERE COVERED THROUGH CHI INSURANCE PROGRAMS. IN ORDER TO SERVE THE CONTINUALLY CHANGING HEALTHCARE NEEDS OF THE COMMUNITIES CHI SERVES CHI IMPLEMENTED Clinically Integrated Networks. A clinically integrated network is a model of health care delivery designed to provide better health results and lower costs through improved efficiency. CHI participates in 12 clinically integrated networks across the country, and that number will continue to grow. CHI DIRECTLY INVESTS IN THE COMMUNITIES IT SERVES THROUGH CHI'S DIRECT COMMUNITY INVESTMENT PROGRAM WHICH HAS PROVIDED $58.3 MILLION IN LOW INTEREST LOANS TO ORGANIZATIONS THAT GIVE DISADVANTAGED POPULATIONS ACCESS TO JOBS, HOUSING, EDUCATION AND HEALTH CARE. THE CHI MISSION AND MINISTRY FUND PROVIDED $8 MILLION IN GRANTS TO BUILD HEALTHY COMMUNITIES IN THE UNITED STATES AND INTERNATIONALLY. THE MISSION AND MINISTRY FUND ALSO ALLOCATED $15 MILLION IN GRANTS TO REDUCE VIOLENCE IN THE COMMUNITIES CHI SERVES. DURING THE PAST 19 YEARS 452 GRANTS HAVE BEEN AWARDED FOR MORE THAN $63 MILLION. TO FURTHER ITS EXEMPT PURPOSE, CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN - PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. COST SAVINGS ASSOCIATED WITH CENTRALIZED SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2015, INCLUDE MORE THAN $267 MILLION IN SUPPLY CHAIN EXPENSE AND APPROXIMATELY $61.1 MILLION FOR INSURANCE COSTS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO DELIVERY OF HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. REPORTING ACROSS THE SYSTEM: THE FOLLOWING EXAMPLES OF COMMUNITY BENEFIT ACTIVITIES IN FISCAL YEAR 2015 REPRESENT ONLY A SMALL FRACTION OF THOSE TAKING PLACE ON A DAILY BASIS AT THESE FACILITIES AND THROUGHOUT THE CATHOLIC HEALTH INITIATIVES HEALTH CARE SYSTEM. St. Francis Medical Center, Breckenridge, MN St. Francis Medical Center provides prescription medications to persons who have no means to procure those medications. Provision of these medications helps the recipients to recover more quickly from their illnesses, better manage chronic conditions, and avoid costly hospitalizations and interventions. In fiscal year 2015, prescription drugs were provided to 35 low-income, elderly, and/or uninsured individuals. Milnor Clinic is a rural health clinic located in Southeast North Dakota, 40 miles west of Breckenridge. Clinic services are provided to a medically underserved community through a Nurse Practitioner and a rotation of physicians. Approximately 686 patient visits were conducted during fiscal year 2015 at a net cost of $187,259. St. Francis is the sole community provider for orthopedic services in our community. These services allow residents an opportunity to receive this type of care close to home. Some 1,226 patients were seen this past fiscal year with a net cost to St. Francis of $395,507. Flaget Memorial Hospital, Bardstown, KY Flaget Memorial Hospital partners with the Nelson County Community Clinic (NCCC) to help people who otherwise could not afford to pay for their prescription medications. By utilizing the assistance options through pharmaceutical companies, the program is able to ensure patients get the medications they need at no cost. This enables the patients to better manage their health and avoids unnecessary utilization of high cost emergency department services. The hospital supports the prescription assistance program by contributing $2,500 per year to the NCCC to cover overhead cost. The hospital partners with Supplies Over Seas (SOS), which offers an environmentally-friendly and cost-effective way of dealing with surplus medical products while simultaneously helping people in desperate need. SOS relies on these product donations to supply their qualified recipient institutions in the economically developing world with a wide variety of equipment and supplies.
Form 990, Part VI, Line 16b ADOPTION OF WRITTEN POLICY OR PROCEDURE REGARDING JOINT VENTURES CATHOLIC HEALTH INITIATIVES (CHI) HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Form 990, Part VI, Line 1a Delegate broad authority to a committee Catholic Health Initiatives' BOARD OF STEWARDSHIP TRUSTEES DOES HAVE AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON, THE CHAIRPERSON-ELECT, vice-chairPERSON, AND UP TO THREE ADDITIONAL TRUSTEES APPOINTED BY THE BOARD OF STEWARDSHIP TRUSTEES. EXCEPT AS OTHERWISE PROVIDED BY LAW, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF STEWARDSHIP TRUSTEES. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF STEWARDSHIP TRUSTEES AT THE NEXT REGULAR MEETING OF THE BOARD OF STEWARDSHIP TRUSTEES.
Form 990, Part VI, Line 4 Significant changes to organizational documents CATHOLIC HEALTH INITIATIVES AMENDED ITS BYLAWS AND ARTICLES OF INCORPORATION TO CHANGE ITS PUBLIC CHARITY STATUS FROM a publicly supported charity pursuant to IRC Section 509(a)(2) to a supporting organization pursuant to IRC Section 509(a)(3) OPERATING exclusively for the benefit of, to perform the functions of, and/or to carry out the religious, charitable, scientific, and educational purposes within the meaning of Section 501(c)(3) of the IRC, of Catholic Health Care Federation ("CHCF"), a public juridic person within the meaning of the Code of Canon Law for the Roman Catholic Church ("Canon Law"), including by supporting such other charitable organizations, the purposes of which are to embody the mission of the healing ministry of Jesus in the Church through ownership, management, or governance of health ministries, or the offering of or supporting of charitable and religious programs or services consistent with such purposes, in keeping with the gospel imperative.
Form 990, Part VI, Line 6 Classes of members or stockholders FORM 990 INSTRUCTIONS DEFINE A "MEMBER" AS ANY PERSON WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS OR APPLICABLE STATE LAW, HAS THE RIGHT TO... "APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY" OR TO... "RECEIVE A SHARE OF THE ORGANIZATION'S PROFITS OR EXCESS DUES OR A SHARE OF THE ORGANIZATION'S NET ASSETS UPON THE ORGANIZATION'S DISSOLUTION". THE CORPORATION WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES, HAVE "PARTICIPATING CONGREGATION" RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, PARTICIPATE IN THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN ORGANIZATIONAL ADVOCACY EFFORTS, ENCOURAGE MEMBERS OF THE PARTICIPATING CONGREGATIONS TO PARTICIPATE IN THE MINISTRIES SPONSORED BY THE ORGANIZATION, AND PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD TWICE PER YEAR WITH THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 3.1.1 OF THE BYLAWS OF CATHOLIC HEALTH INITIATIVES.)
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders FORM 990 INSTRUCTIONS INDICATE THAT AN ORGANIZATION MUST ANSWER "YES" IF AT ANY TIME DURING THE ORGANIZATION'S TAX YEAR, THERE WERE ONE OR MORE PERSONS WHO HAD THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING BODY'S DECISION TO DISSOLVE THE ORGANIZATION. THE CORPORATION WAS FOUNDED BY RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH. THOSE RELIGIOUS INSTITUTES OF THE ROMAN CATHOLIC CHURCH THAT AGREE TO ACCEPT THE MISSION AND VISION OF THE ORGANIZATION AND MEET CERTAIN OTHER REQUIREMENTS ESTABLISHED BY THE BOARD OF STEWARDSHIP TRUSTEES, AND WHO ARE APPROVED BY A 2/3 VOTE OF THE BOARD OF STEWARDSHIP TRUSTEES HAVE PARTICIPATING CONGREGATION RIGHTS AND DUTIES UNDER THE BYLAWS OF THE ORGANIZATION. PARTICIPATING CONGREGATIONS HAVE THE RIGHT TO APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION, APPROVE AMENDMENTS TO THE ARTICLES AND BYLAWS AFFECTING ANY PROVISION GOVERNING THE QUALIFICATIONS, RIGHTS OR RESPONSIBILITIES OF THE PARTICIPATING CONGREGATIONS, SELECT AND REMOVE A PERSON WHO REPRESENTS THAT PARTICIPATING CONGREGATION IN EXERCISING ITS RIGHTS AND DUTIES, PARTICIPATE IN THE DISTRIBUTION OF ASSETS UPON THE DISSOLUTION OF THE ORGANIZATION, PARTICIPATE IN ORGANIZATIONAL ADVOCACY EFFORTS, ENCOURAGE MEMBERS OF THE PARTICIPATING CONGREGATIONS TO PARTICIPATE IN THE MINISTRIES SPONSORED BY THE ORGANIZATION, PARTICIPATE THROUGH THEIR REPRESENTATIVES IN MEETINGS HELD TWICE PER YEAR WITH THE BOARD OF STEWARDSHIP TRUSTEES. (SECTION 3.1.1 OF THE BYLAWS OF CATHOLIC HEALTH INITIATIVES).
Form 990, Part VI, Line 11b Review of form 990 by governing body THE CATHOLIC HEALTH INITIATIVES (CHI) VICE PRESIDENT, LEGAL - TRANSACTIONS AND TAX CONDUCTS A REVIEW OF THE FORM 990 IN A MEETING WITH THE CHI TAX DIRECTOR. AFTER INCORPORATION OF ANY CHANGES RESULTING FROM THIS REVIEW, THE FORM 990 IS PROVIDED TO THE CHI BOARD OF STEWARDSHIP TRUSTEES A WEEK IN ADVANCE OF THE BOARD MEETING AS PART OF THE BOARD PACKET. THE FORM 990 IS scheduled to be FORMALLY PRESENTED TO THE BOARD BY THE VICE PRESIDENT, LEGAL - TRANSACTIONS AND TAX at a BOARD MEETING. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE VICE PRESIDENT, LEGAL - TRANSACTIONS AND TAX FILES THE FINAL FORM 990 AS PROVIDED TO THE BOARD, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the Board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board will act as it would in reviewing transactions with unrelated third parties. The transaction is not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy.
Form 990, Part VI, Line 15a Process to establish compensation of top management official Catholic Health Initiatives (CHI) has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by the Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 14, 2015. In addition, Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable.
Form 990, Part VI, Line 15b Process to establish compensation of other employees SEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public CATHOLIC HEALTH INITIATIVES' ARTICLES OF INCORPORATION ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE WEBSITE. CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE CHI WEBSITE AT WWW.CATHOLICHEALTHINIT.ORG AND AT WWW.DACBOND.COM. CATHOLIC HEALTH INITIATIVES' BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE.
Form 990, Part VII, Section A EXPLANATION OF REASONABLE EFFORTS TO OBTAIN RELATED ORGANIZATION COMP AN ORGANIZATION IS NOT REQUIRED TO REPORT COMPENSATION FROM A RELATED ORGANIZATION TO A PERSON LISTED ON FORM 990, PART VII, SECTION A IF THE ORGANIZATION IS UNABLE TO SECURE THE INFORMATION ON COMPENSATION PAID BY A RELATED ORGANIZATION AFTER MAKING A REASONABLE EFFORT TO OBTAIN IT. IN THAT CASE, THE ORGANIZATION SHALL REPORT THE EFFORTS UNDERTAKEN ON SCHEDULE O. CATHOLIC HEALTH INITIATIVES (CHI) BELIEVES THAT IT HAS FULLY DISCLOSED ALL COMPENSATION PAID BY RELATED ORGANIZATIONS TO THE INDIVIDUALS LISTED ON SCHEDULE J. HOWEVER, IN THE EVENT THAT ANY RELATED PARTY COMPENSATION HAS BEEN INADVERTENTLY EXCLUDED, CHI OFFERS THE FOLLOWING INFORMATION CONCERNING REASONABLE EFFORTS: CHI PERFORMED A COMPREHENSIVE REVIEW OF THE COMPENSATION PAID BY EACH ORGANIZATION WITHIN THE CHI FAMILY AS FOLLOWS: EACH CHI LEGAL ENTITY PROVIDED A LIST OF ITS OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND ESTIMATED TOP TEN HIGHEST PAID EMPLOYEES. THIS INFORMATION WAS PROVIDED TO VARIOUS DEPARTMENTS INCLUDING, INTER ALIA, CHI'S CENTRALIZED ACCOUNTS PAYABLE SERVICE CENTER, CENTRALIZED PAYROLL CENTER AND BENEFITS COORDINATOR. EACH DEPARTMENT PROVIDED A REPORT REFLECTING THE AMOUNT PAID TO EACH REPORTABLE INDIVIDUAL BY PAYOR-ENTITY. EACH REPORTABLE INDIVIDUAL RECEIVED A REPORT REFLECTING THEIR COMPENSATION AS IT WILL BE REPORTED ON THE FORM 990 (INCLUDING COMPENSATION PAID BY RELATED ORGANIZATIONS) AND WERE ASKED TO VERIFY THE ACCURACY OF THE INFORMATION.
Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 35109, Related or Exempt Function Revenue: 35109, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 202959, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 202959;
Form 990, Part IX, Line 11g Other Fees Purchased Svcs - Collection Fees - Total Expense: 675699, Program Service Expense: , Management and General Expenses: 675699, Fundraising Expenses: ; Purchased Svcs - Other - Total Expense: XXX-XX-XXXX, Program Service Expense: 2316688, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Purchased Svcs - Rev Cycle - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Purchased Svcs - HIM - Total Expense: 8976701, Program Service Expense: , Management and General Expenses: 8976701, Fundraising Expenses: ; Purchased Svcs - Patient Access - Total Expense: 6120027, Program Service Expense: , Management and General Expenses: 6120027, Fundraising Expenses: ; Purchased Svcs - Enhanced Svc - Total Expense: 15025288, Program Service Expense: , Management and General Expenses: 15025288, Fundraising Expenses: ; Purchased Svcs- Levrgd Cost - Total Expense: 13906707, Program Service Expense: , Management and General Expenses: 13906707, Fundraising Expenses: ; Purchased Svcs - Support Cost - Total Expense: 24728674, Program Service Expense: , Management and General Expenses: 24728674, Fundraising Expenses: ; Consulting - Clinical - Total Expense: 307529, Program Service Expense: , Management and General Expenses: 307529, Fundraising Expenses: ; Consulting - Administrative - Total Expense: 4232068, Program Service Expense: 95960, Management and General Expenses: 4136108, Fundraising Expenses: ; Consulting - Strategic Planning - Total Expense: 42189, Program Service Expense: , Management and General Expenses: 42189, Fundraising Expenses: ; Consulting - Other - Total Expense: 37043640, Program Service Expense: 2688824, Management and General Expenses: 34354816, Fundraising Expenses: ; Contract Labor - AIMS - Total Expense: 2256, Program Service Expense: 2256, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Other - Total Expense: 42947385, Program Service Expense: 31349, Management and General Expenses: 42916036, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Resource Pool Contributions - 75003574; Equity Transfers to/from Affiliates - -XXX-XX-XXXX; Pension Adjustment - -97949046; Returned Grants - 60548;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Catholic Health Initiatives
 
Employer identification number

47-0617373
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on 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
(1) CHI HOUSING INITIATIVES LLC
198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-3867953 		RESIDENTIAL REAL ESTATE RENTALS CO 966,515 12,304,442 CHI
 
(2) CHI PATIENT SAFETY ORGANIZATION LLC
198 INVERNESS DR W
ENGLEWOOD,CO80112
47-1682623 		PATIENT SAFETY PROGRAMS CO 58,343 45,476 CHI
 








Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
Yes No
(1) ALEGENT CREIGHTON CLINIC
12809 W DODGE RD

OMAHA,NE68154
47-0765154 		HEALTHCARE NE 501(c)(3 3 ACH
 
Yes
 
(2) ALEGENT CREIGHTON HEALTH
12809 W DODGE RD

OMAHA,NE68154
47-0757164 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(3) ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RD

OMAHA,NE68154
47-0648586 		FUNDRAISING NE 501(c)(3 7 ACH
 
Yes
 
(4) ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD

OMAHA,NE68124
47-0484764 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(5) ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-0776568 		HEALTHCARE IA 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(6) ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST

OMAHA,NE68122
47-0376615 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(7) ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST

SCHUYLER,NE68661
47-0399853 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(8) ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368

CORNING,IA50841
42-0782518 		HEALTHCARE IA 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(9) ALVERNA APARTMENTS
300 SE 8TH AVE

LITTLE FALLS,MN56345
41-1351177 		LTERM CARE MN 501(c)(3 9 CHI
 
Yes
 
(10) APPLETREE COURT
601 OAK ST

BRECKENRIDGE,MN56520
41-1850500 		SENIOR LIVING MN 501(c)(3 9 SFH
 
Yes
 
(11) BELLEVILLE ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
27-4005511 		HEALTHCARE TX 501(c)(3 3 SHSC
 
Yes
 
(12) BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVE

DES MOINES,IA50314
42-0725196 		LTERM CARE IA 501(c)(3 9 CHI-IA CORP
 
Yes
 
(13) BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316

READING,PA19603
23-2187242 		HEALTHCARE PA 501(c)(3 Type I CHI
 
Yes
 
(14) BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2759890 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(15) BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2913931 		HEALTHCARE TX 501(c)(3 9 SJSC
 
Yes
 
(16) CARRINGTON HEALTH CENTER
800 N 4TH ST

CARRINGTON,ND58421
45-0227311 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(17) CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
47-0617373 		HEALTHCARE CO 501(c)(3 Type I NA
 
Yes
 
(18) CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500

ENGLEWOOD,CO80112
84-0405257 		HEALTHCARE CO 501(c)(3 3 CHI
 
Yes
 
(19) CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE

DES MOINES,IA50314
42-0680448 		HEALTHCARE IA 501(c)(3 3 CHI
 
Yes
 
(20) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301

COLORADO SPRINGS,CO80919
84-0902211 		FUNDRAISING CO 501(c)(3 7 CHIC
 
Yes
 
(21) CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DR

COLORADO SPRINGS,CO80919
27-0930004 		FUNDRAISING CO 501(c)(3 Type I CHI
 
Yes
 
(22) CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
46-0992796 		HEALTHCARE CO 501(c)(3 Type I CHINS
 
Yes
 
(23) CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY

ROSEBURG,OR97471
26-3946191 		PHYSICIANS OR 501(c)(3 9 MMC
 
Yes
 
(24) CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY

GREAT BEND,KS67530
48-0543724 		SURGERY CENTER KS 501(c)(3 3 CHI
 
Yes
 
(25) CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S

FARGO,ND58104
27-1966847 		HEALTHCARE MN 501(c)(3 9 CHI
 
Yes
 
(26) CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
27-1050565 		HEALTHCARE CO 501(c)(3 Type I CHI
 
Yes
 
(27) CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400

ERLANGER,KY41018
20-2741651 		HEALTHCARE KY 501(c)(3 Type I CHI
 
Yes
 
(28) CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-1261716 		HEALTHCARE CO 501(c)(3 9 CHI NS
 
Yes
 
(29) CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
45-2532084 		HEALTHCARE CO 501(c)(3 Type I CHI
 
Yes
 
(30) CHI NEBRASKA
6940 O ST STE 200

LINCOLN,NE68510
36-3233121 		HEALTHCARE NE 501(c)(3 Type I CHI
 
Yes
 
(31) CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW

ALBUQUERQUE,NM87102
71-0897107 		COMMUNITY NM 501(c)(3 Type I CHI
 
Yes
 
(32) CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN ST

HOUSTON,TX77030
74-1161938 		HEALTHCARE TX 501(c)(3 3 SLHS
 
Yes
 
(33) CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
71-0236913 		HEALTHCARE AR 501(c)(3 3 CHISVHS
 
Yes
 
(34) CHI ST VINCENT HOT SPRINGS
300 WERNER ST

HOT SPRINGS,AR71913
26-1125064 		HOLDING CO AR 501(c)(3 Type II SVIMC
 
Yes
 
(35) CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
1 MERCY LANE STE 201

HOT SPRINGS,AR71913
26-1125131 		HEALTHCARE AR 501(c)(3 3 CHISVHS
 
Yes
 
(36) COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
23-7419853 		HOLDING CO OH 501(c)(2   GSH
 
Yes
 
(37) COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST

MISSOURI VALLEY,IA51555
42-1294399 		FUNDRAISING IA 501(c)(3 Type I AH-CMHMV
 
Yes
 
(38) CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DR

LEXINGTON,KY40509
61-1400619 		LT ACH KY 501(c)(3 3 SJHS
 
Yes
 
(39) COVENANT HOME CARE
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
23-2028429 		HOME HEALTH PA 501(c)(3 Type II CHI NHC
 
Yes
 
(40) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVE

ENUMCLAW,WA98022
91-0715805 		HEALTHCARE WA 501(c)(3 3 FHS
 
Yes
 
(41) FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
61-1345363 		HEALTHCARE KY 501(c)(3 3 KOH
 
Yes
 
(42) FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD

BARDSTOWN,KY40004
56-2351341 		FUNDRAISING KY 501(c)(3 Type I FH
 
Yes
 
(43) FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD

TOLEDO,OH43623
34-1931806 		HEALTHCARE OH 501(c)(3 9 FLC
 
Yes
 
(44) FRANCISCAN FOUNDATION
1717 SOUTH J ST

TACOMA,WA98405
91-1145592 		FUNDRAISING WA 501(c)(3 9 FHS
 
Yes
 
(45) FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST

TACOMA,WA98405
91-0564491 		HEALTHCARE WA 501(c)(3 3 CHI
 
Yes
 
(46) FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY

TACOMA,WA98402
43-1882377 		PHYSICIANS MO 501(c)(3 9 CHI
 
Yes
 
(47) FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A

TOLEDO,OH43623
34-1892096 		HEALTHCARE OH 501(c)(3 Type I SFH
 
Yes
 
(48) FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200

TACOMA,WA98402
91-1939739 		HEALTHCARE WA 501(c)(3 9 FHS
 
Yes
 
(49) FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE

SOUTH MILWAUKEE,WI53172
39-1093829 		HEALTHCARE WI 501(c)(3 9 CHI
 
Yes
 
(50) GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST

GARRISON,ND58540
45-0227752 		HEALTHCARE ND 501(c)(3 3 SAMC
 
Yes
 
(51) GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
20-1536108 		MINISTRIES CO 501(c)(3 Type I CHI
 
Yes
 
(52) GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-1778403 		EDUCATION OH 501(c)(3 2 GSH
 
Yes
 
(53) GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-1206047 		FUNDRAISING OH 501(c)(3 Type I GSH
 
Yes
 
(54) GOOD SAMARITAN HOSPITAL
PO BOX 1990

KEARNEY,NE68848
47-0379755 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(55) GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST

KEARNEY,NE68847
47-0659443 		FUNDRAISING NE 501(c)(3 7 GSH
 
Yes
 
(56) GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500

DAYTON,OH45402
23-7296923 		FUNDRAISING OH 501(c)(3 7 SHP
 
Yes
 
(57) HARRISON MEDICAL CENTER
2520 CHERRY AVE

BREMERTON,WA98310
91-0565546 		HEALTHCARE WA 501(c)(3 3 FHS
 
Yes
 
(58) HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE

BREMERTON,WA98310
91-1197626 		FUNDRAISING WA 501(c)(3 7 HMC
 
Yes
 
(59) HEALTH SET
2420 W 26TH AVE STE 460D

DENVER,CO80211
84-1102943 		LOW INC CARE CO 501(c)(3 7 CHIC
 
Yes
 
(60) HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
76-0761782 		FUNDRAISING MN 501(c)(3 Type I SFMC
 
Yes
 
(61) HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW

BURIEN,WA98166
91-0712166 		HEALTHCARE WA 501(c)(3 3 FHS
 
Yes
 
(62) HOUSE OF MERCY
1111 6TH AVE

DES MOINES,IA50314
42-1323808 		SHELTER IA 501(c)(3 7 CHI-IA CORP
 
Yes
 
(63) JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1029768 		HEALTHCARE KY 501(c)(3 3 KOH
 
Yes
 
(64) KENTUCKYONE HEALTH MEDICAL GROUP INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1352729 		HEALTHCARE KY 501(c)(3 9 JHSMH
 
Yes
 
(65) KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1029769 		HEALTHCARE KY 501(c)(3 9 CHI
 
Yes
 
(66) LAKEWOOD HEALTH CENTER
600 MAIN AVE S

BAUDETTE,MN56623
41-0758434 		HEALTHCARE MN 501(c)(3 3 CHI
 
Yes
 
(67) LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S

BAUDETTE,MN56623
41-1893795 		FUNDRAISING ND 501(c)(3 7 LHC
 
Yes
 
(68) LINUS OAKES INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0821381 		SENIOR LIVING OR 501(c)(3 9 MMC
 
Yes
 
(69) LISBON AREA HEALTH SERVICES
905 MAIN ST

LISBON,ND58054
82-0558836 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(70) LUFKIN VISION ACQUISITIONS
PO BOX 1447

LUFKIN,TX75901
82-0563768 		PROPERTY MGMT TX 501(c)(3 Type III-FI MHSET
 
Yes
 
(71) MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2761145 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(72) MADONNA MANOR INC
2344 AMSTERDAM ROAD

VILLA HILLS,KY51017
61-0654635 		LIVING ASSIST KY 501(c)(3 1 FLC
 
Yes
 
(73) MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-1839548 		FUNDRAISING TN 501(c)(3 7 MHCS
 
Yes
 
(74) MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE

CHATTANOOGA,TN37404
62-0532345 		HEALTHCARE TN 501(c)(3 3 CHI
 
Yes
 
(75) MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500

CHATTANOOGA,TN37411
03-0417049 		HEALTHCARE TN 501(c)(3 9 MHCS
 
Yes
 
(76) MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447

LUFKIN,TX75902
75-0755367 		HEALTHCARE TX 501(c)(3 3 CHI
 
Yes
 
(77) MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447

LUFKIN,TX75902
76-0436439 		HEALTHCARE TX 501(c)(3 3 MHSET
 
Yes
 
(78) MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447

LUFKIN,TX75902
75-2663904 		HEALTHCARE TX 501(c)(3 3 MHSET
 
Yes
 
(79) MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE

LUFKIN,TX95904
75-2721155 		PHYSICIANS TX 501(c)(3 Type III-FI MHSET
 
Yes
 
(80) MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447

LUFKIN,TX95902
75-2492741 		HEALTHCARE TX 501(c)(3 3 MHSET
 
Yes
 
(81) MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE

DES MOINES,IA50314
42-6076069 		AUXILIARY IA 501(c)(3 Type I MF-DM IA
 
Yes
 
(82) MERCY CLINICS INC
1111 6TH AVE

DES MOINES,IA50314
42-1193699 		PHYSICIANS IA 501(c)(3 9 CHI-IA CORP
 
Yes
 
(83) MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE

DES MOINES,IA50314
42-1511682 		EDUCATION IA 501(c)(3 2 CHI-IA CORP
 
Yes
 
(84) MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE

DES MOINES,IA50314
23-7358794 		FUNDRAISING IA 501(c)(3 7 CHI-IA CORP
 
Yes
 
(85) MERCY FOUNDATION INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-6088946 		FUNDRAISING OR 501(c)(3 7 MMC
 
Yes
 
(86) MERCY HEALTH CARE FOUNDATION
PO BOX 368

CORNING,IA50841
42-1461064 		FUNDRAISING IA 501(c)(3 Type I AHMH-Corning
 
Yes
 
(87) MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0435338 		FUNDRAISING ND 501(c)(3 Type I MHVC
 
Yes
 
(88) MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR

COUNCIL BLUFFS,IA51503
42-1178204 		FUNDRAISING IA 501(c)(3 Type I AHBMHS
 
Yes
 
(89) MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE

DEVILS LAKE,ND58301
45-0227012 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(90) MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE

DEVILS LAKE,ND58301
35-2367360 		FUNDRAISING ND 501(c)(3 7 MHDL
 
Yes
 
(91) MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD

VALLEY CITY,ND58072
45-0226553 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(92) MERCY MEDICAL CENTER
1301 15TH AVE WEST

WILLISTON,ND58801
45-0231183 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(93) MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE

CENTERVILLE,IA52544
42-0680308 		HEALTHCARE IA 501(c)(3 3 CHI-IA CORP
 
Yes
 
(94) MERCY MEDICAL CENTER INC
2700 STEWART PKWY

ROSEBURG,OR97471
93-0386868 		HEALTHCARE OR 501(c)(3 3 CHI
 
Yes
 
(95) MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST

WILLISTON,ND58801
45-0381803 		FUNDRAISING ND 501(c)(3 Type I MMC
 
Yes
 
(96) MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVE

DES MOINES,IA50314
42-1470935 		PHYSICIANS IA 501(c)(3 9 CHI-IA CORP
 
Yes
 
(97) NEBRASKA HEART HOSPITAL
7500 S 91ST ST

LINCOLN,NE68526
39-2031968 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(98) NORTH CENTRAL HEALTH CARE ALLIANCE DBA PRIMECARE HEALTH GROUP
401 N 9th St

BISMARCK,ND585014507
45-0439894 		HEALTHCARE ND 501(c)(3 9 NHCA
 
Yes
 
(99) OAKES COMMUNITY HOSPITAL
1200 N 7TH ST

OAKES,ND58474
45-0231675 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(100) OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST

OAKES,ND58474
71-0966606 		FUNDRAISING ND 501(c)(3 Type I OCH
 
Yes
 
(101) PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447

LUFKIN,TX75902
75-2493116 		PROPERTY MGMT TX 501(c)(3 Type III-FI MHSET
 
Yes
 
(102) PROVIDENCE CARE CENTER
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1658625 		HEALTHCARE OH 501(c)(3 9 FLC
 
Yes
 
(103) PROVIDENCE CARE CENTERS
2025 HAYES AVENUE

SANDUSKY,OH44870
34-1826099 		HOLDING CO OH 501(c)(3 Type II FLC
 
Yes
 
(104) PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1896807 		LIVING COMM OH 501(c)(3 9 FLC
 
Yes
 
(105) PUEBLO STEPUP
1925 E ORMAN AVE STE G52

PUEBLO,CO81004
84-1234295 		COMMUNITY CO 501(c)(3 7 CHIC
 
Yes
 
(106) REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD S

TUKWILA,WA98168
91-1170040 		HEALTHCARE WA 501(c)(3 3 FHS
 
Yes
 
(107) SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450

COLORADO SPRINGS,CO80906
84-1183335 		LTERM CARE CO 501(c)(3 7 CHIC
 
Yes
 
(108) SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD

DENVILLE,NJ07834
22-2876836 		HEALTHCARE NJ 501(c)(3 Type II SCHS
 
Yes
 
(109) SAINT CLARE'S FOUNDATION INC
25 POCONO RD

DENVILLE,NJ07834
22-2502997 		FUNDRAISING NJ 501(c)(3 7 SCHS
 
Yes
 
(110) SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD

DENVILLE,NJ07834
22-3639733 		MANAGEMENT NJ 501(c)(3 Type II CHI
 
Yes
 
(111) SAINT CLARE'S HOSPITAL INC
25 POCONO RD

DENVILLE,NJ07834
22-3319886 		HEALTHCARE NJ 501(c)(3 3 SCHS
 
Yes
 
(112) SAINT ELIZABETH FOUNDATION
555 S 70TH ST

LINCOLN,NE68510
47-0625523 		FUNDRAISING NE 501(c)(3 7 SERMC
 
Yes
 
(113) SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST

LINCOLN,NE68510
36-3233120 		HEALTHCARE NE 501(c)(3 3 SERMC
 
Yes
 
(114) SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST

LINCOLN,NE68510
47-0379836 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(115) SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY

GRAND ISLAND,NE68803
47-0376601 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(116) SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804

GRAND ISLAND,NE68802
47-0630267 		FUNDRAISING NE 501(c)(3 7 SFMC
 
Yes
 
(117) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST

BEREA,KY40403
26-0152877 		FUNDRAISING KY 501(c)(3 7 SJHS
 
Yes
 
(118) SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAY

LOUISVILLE,KY40202
61-1334601 		HEALTHCARE KY 501(c)(3 3 KOH
 
Yes
 
(119) SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVE

LEXINGTON,KY40504
61-1159649 		FUNDRAISING KY 501(c)(3 Type I SJHS
 
Yes
 
(120) SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE

LONDON,KY40741
26-0438748 		FUNDRAISING KY 501(c)(3 7 SJHS
 
Yes
 
(121) SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR

MOUNT STERLING,KY40353
27-2884584 		FUNDRAISING KY 501(c)(3 7 SJHS
 
Yes
 
(122) SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH ST

DICKINSON,ND58601
36-3418207 		FUNDRAISING ND 501(c)(3 Type I SJHHC
 
Yes
 
(123) SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVD

DAYTON,OH45417
02-0633634 		HEALTHCARE OH 501(c)(3 7 SHP
 
Yes
 
(124) SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500

DAYTON,OH45402
31-1107411 		HEALTHCARE OH 501(c)(3 Type I CHI
 
Yes
 
(125) SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST

SCHUYLER,NE68661
36-3630014 		FUNDRAISING NE 501(c)(3 Type I AHMHS
 
Yes
 
(126) SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
44-0545809 		HEALTHCARE MO 501(c)(3 3 CHI
 
Yes
 
(127) SL AUGUSTA CORP
PO BOX 20269

HOUSTON,TX77225
76-0226623 		TITLE HOLDING TX 501(c)(2   SLPC
 
Yes
 
(128) ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE

BISMARCK,ND58501
45-0226711 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(129) ST ANTHONY HOSPITAL
1601 SE COURT AVE

PENDLETON,OR97801
93-0391614 		HEALTHCARE OR 501(c)(3 3 CHI
 
Yes
 
(130) ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVE

PENDLETON,OR97801
93-0992727 		FUNDRAISING OR 501(c)(3 Type I SAH
 
Yes
 
(131) ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR

MORRILTON,AR72110
71-0245507 		HEALTHCARE AR 501(c)(3 3 SVIMC
 
Yes
 
(132) ST CATHERINE HOSPITAL
401 EAST SPRUCE ST

GARDEN CITY,KS67846
48-0543721 		HEALTHCARE KS 501(c)(3 3 CHI
 
Yes
 
(133) ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST

GARDEN CITY,KS67846
20-0598702 		FUNDRAISING KS 501(c)(3 Type I SCH
 
Yes
 
(134) ST CLARE COMMONS
5942 RENAISSANCE PLACE STE A

TOLEDO,OH43623
27-0163752 		LIVING COMM OH 501(c)(3 9 FLC
 
Yes
 
(135) ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
93-0433692 		HEALTHCARE OR 501(c)(4   CHI
 
Yes
 
(136) ST FRANCIS HOME
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0729978 		LTERM CARE MN 501(c)(3 9 CHI
 
Yes
 
(137) ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD

DENVILLE,NJ07834
22-2536017 		ELDERLY CARE NJ 501(c)(3 9 SCHS
 
Yes
 
(138) ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR

BRECKENRIDGE,MN56520
41-0695598 		HEALTHCARE MN 501(c)(3 3 CHI
 
Yes
 
(139) ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST

ENGLEWOOD,CO80112
93-0412495 		HEALTHCARE OR 501(c)(3 3 CHI
 
Yes
 
(140) ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2351158 		FUNDRAISING TX 501(c)(3 Type I SJSC
 
Yes
 
(141) ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150

LANCASTER,PA17602
23-2342997 		HEALTHCARE PA 501(c)(3 Type I CHI
 
Yes
 
(142) ST JOSEPH MANOR
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2847594 		HEALTHCARE TX 501(c)(3 9 SJSC
 
Yes
 
(143) ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316

READING,PA19603
23-2649362 		FUNDRAISING PA 501(c)(3 Type I SJRHN
 
Yes
 
(144) ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-0591461 		HEALTHCARE MD 501(c)(3 3 CHI
 
Yes
 
(145) ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316

READING,PA19603
20-8544021 		HEALTHCARE PA 501(c)(3 9 BHC
 
Yes
 
(146) ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE

BRYAN,TX77802
20-3159302 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(147) ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212

HUNT VALLEY,MD21030
52-1311775 		PHYSICIANS MD 501(c)(3 Type I SJMC
 
Yes
 
(148) ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-1282696 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(149) ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE RD PO BOX 316

READING,PA19603
23-1352211 		HEALTHCARE PA 501(c)(3 3 CHI
 
Yes
 
(150) ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE

BRYAN,TX77802
45-4088170 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(151) ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE

BRYAN,TX77802
46-3265423 		HEALTHCARE TX 501(c)(3 3 SJSC
 
Yes
 
(152) ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE

BRYAN,TX77802
74-2455161 		MANAGEMENT TX 501(c)(3 Type I SFH
 
Yes
 
(153) ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE

PARK RAPIDS,MN56470
41-0695603 		HEALTHCARE MN 501(c)(3 3 CHI
 
Yes
 
(154) ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH ST

DICKINSON,ND58601
45-0226429 		HEALTHCARE ND 501(c)(3 3 CHI
 
Yes
 
(155) ST LEONARD
8100 CLYO ROAD

CENTERVILLE,OH45458
34-1940863 		LIVING COMM OH 501(c)(3 9 FLC
 
Yes
 
(156) ST LEONARD FOUNDATION
8100 CLYO ROAD

CENTERVILLE,OH45458
32-0102715 		FUNDRAISING OH 501(c)(3 7 SLEO
 
Yes
 
(157) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-0274448 		MANAGEMENT TX 501(c)(3 Type I SLHS
 
Yes
 
(158) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505

HOUSTON,TX77030
27-3733278 		HEALTHCARE TX 501(c)(3 3 SLCDC
 
Yes
 
(159) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-1947374 		HEALTHCARE TX 501(c)(3 3 SLHS
 
Yes
 
(160) ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-0335902 		HEALTHCARE TX 501(c)(3 3 SLCDC
 
Yes
 
(161) ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0536234 		HEALTHCARE TX 501(c)(3 3 SLHS
 
Yes
 
(162) ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855

HOUSTON,TX77004
45-3811485 		FUNDRAISING TX 501(c)(3 7 SLHS
 
Yes
 
(163) ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0536232 		MANAGEMENT TX 501(c)(3 Type I CHI
 
Yes
 
(164) ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505

HOUSTON,TX77030
26-3734606 		HEALTHCARE TX 501(c)(3 3 SLHS
 
Yes
 
(165) ST LUKE'S MEDICAL GROUP
6624 FANNIN ST

HOUSTON,TX77030
76-0458535 		PHYSICIANS TX 501(c)(3 3 SLHS
 
Yes
 
(166) ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0531713 		PROPERTY MGMT TX 501(c)(3 Type I CHI-SLH
 
Yes
 
(167) ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100

HOUSTON,TX77030
76-0531716 		PROPERTY MGMT TX 501(c)(3 Type I SLHS
 
Yes
 
(168) ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505

HOUSTON,TX77030
45-4120549 		PROPERTY MGMT TX 501(c)(3 Type I SLCDC-SL
 
Yes
 
(169) ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVE

NEBRASKA CITY,NE68410
47-0443636 		HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA
 
Yes
 
(170) ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE

NEBRASKA CITY,NE68410
47-0707604 		FUNDRAISING NE 501(c)(3 7 SMCH
 
Yes
 
(171) ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
51-0169537 		FUNDRAISING AR 501(c)(3 Type I SVIMC
 
Yes
 
(172) ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0236917 		HEALTHCARE AR 501(c)(3 3 CHI
 
Yes
 
(173) ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE

LITTLE ROCK,AR72205
71-0830696 		HEALTHCARE AR 501(c)(3 9 SVIMC
 
Yes
 
(174) SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
34-1412964 		HEALTHCARE OH 501(c)(3 Type I CHI
 
Yes
 
(175) SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200

MAUMEE,OH43537
45-5357161 		FUNDRAISING OH 501(c)(3 Type I FLC
 
Yes
 
(176) THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE

SANDUSKY,OH44870
34-1826097 		ASSIST LIVING OH 501(c)(3 9 FLC
 
Yes
 
(177) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W

CINCINNATI,OH45206
31-0537486 		HEALTHCARE OH 501(c)(3 3 CHI
 
Yes
 
(178) THE PHYSICIAN NETWORK
2000 Q ST STE 500

LINCOLN,NE68503
47-0780857 		PHYSICIANS NE 501(c)(3 Type I CHI NEBRASKA
 
Yes
 
(179) TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500

ENGLEWOOD,CO80112
84-0927232 		HEALTHCARE CO 501(c)(3 3 CHIC
 
Yes
 
(180) TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET

DENNISON,OH44621
27-5401105 		HEALTHCARE OH 501(c)(3 3 SFH
 
Yes
 
(181) UNITY FAMILY HEALTHCARE
815 SE 2ND ST

LITTLE FALLS,MN56345
41-0721642 		HEALTHCARE MN 501(c)(3 3 CHI
 
Yes
 
(182) VILLA NAZARETH INC
801 PAGE DR

FARGO,ND58103
45-0226714 		LTERM CARE ND 501(c)(3 9 CHI
 
Yes
 
(183) VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD

SPARTA,NJ07871
22-1768334 		HOME HEALTH NJ 501(c)(3 9 SCHS
 
Yes
 
(184) WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY STE 170

THE WOODLANDS,TX77384
27-4499340 		PHYSICIANS TX 501(c)(3 9 SLCHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Alegent Health Northwest Imaging Center LLC

3606 N 156th St
OMAHA,NE68116
06-1786985 		OP Diagnostics NE ACH
  		Related -147,872 429,431   No 0 Yes   51 %
(2) Audubon Ambulatory Surgery Center LLC

3030 North Circle Dr
COLORADO SPRINGS,CO80909
84-1482638 		AMBUL SURG CTR CO CHIC
  		Related 3,069,333 3,517,273   No 0 Yes   56.1 %
(3) Audubon Land Company LLC

5390 N Academy Blvd STE 300
COLORADO SPRINGS,CO80918
84-1513085 		Real Estate CO CHIC
  		Related 116,620 10,842,022   No 0   No 69.4 %
(4) AVANTAS LLC

11128 JOHN GALT BLVD STE 400
OMAHA,NE68137
39-2045003 		Staffing of Nurses NE AHBMHS
  		Related 270,464 4,883,491   No -449,169   No 95 %
(5) BERGAN MERCY SURGERY CENTER LLC

7710 Mercy Rd Ste 200
OMAHA,NE68124
20-8671994 		AMBUL SURG CTR NE ACH
  		Related 262,283 2,676,707   No 0   No 63.57 %
(6) BERYWOOD OFFICE PROPERTIES LLC

400 BERYWOOD TRAIL
CLEVELAND,TN37312
62-1875199 		PHYS OFFICE TN MHCS
  		Related 77,646 976,529   No 0 Yes   63 %
(7) BLUEGRASS REGIONAL IMAGING CENTER

1218 SOUTH BROADWAY STE 310
LEXINGTON,KY40504
61-1386736 		DIAGNOSTIC IMAGING KY SJHS
  		Related 216,144 3,219,211   No 0   No 65 %
(8) CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
46-2945938 		PRACTICE MGMT SRVC DE CHI
  		Related -572,398 4,681,573   No 0 Yes   80 %
(9) CENTRAL NEBRASKA HOME CARE SERVICES

PO BOX 1146 4502 N SECOND AVE
KEARNEY,NE68848
47-0692112 		HEALTHCARE SRVC NE na
  		Related -49,959 152,789   No -22,980 Yes   100 %
(10) CENTRAL NEBRASKA REHABILITATION SERVICES LLC

3004 W FAIDLEY AVENUE
GRAND ISLAND,NE68803
81-0653461 		Physical Therapy NE SFMC
  		Related 2,441,607 3,412,341   No 0   No 51 %
(11) CHI OPERATING INVESTMENT PROGRAM LP

198 INVERNESS DRIVE WEST
ENGLEWOOD,CO80112
47-0727942 		INVESTMENTS CO CHI
  		Unrelated 0 0   No 0 Yes   100 %
(12) CHICAMSURG Surgery Centers LLC

188 INVERNESS DRIVE WEST 500
ENGLEWOOD,CO80112
46-5683027 		SURGERY CENTER CO CHIC
  		Related 0 0   No 0   No 51 %
(13) CHICLARKIN VENTURES LLC

188 INVERNESS DRIVE WEST 500
ENGLEWOOD,CO80112
47-4210888 		URGENT CARE CO CHIC
  		Related 0 0   No 0 Yes   87 %
(14) Colorado Springs CK Leasing LLC

8770 W Bryn Mawr Ste 1370
CHICAGO,IL60631
26-2982714 		REAL ESTATE CO CHI
  		Related 120,659 1,039,682   No 0 Yes   66 %
(15) HC SL VINTAGE I LLC

18000 W SARAH LANE STE 250
BROOKFIELD,WI53045
27-0453767 		PROPERTY HOLDING WI SL HOSP-VINTAGE
  		Related 1,365,254 55,596,761   No 0   No 51 %
(16) HEALTHCARE SUPPORT SERVICES LLC

PO BOX 9804
GRAND ISLAND,NE68802
72-1546196 		LAUNDRY NE na
  		Related 317,516 3,231,655   No 98,557   No 100 %
(17) Heartland Oncology LLC

2337 E Crawford St
Salina,KS67401
46-4265403 		ONCOLOGY KS SCH
  		Related 0 0   No 0   No 51 %
(18) HIGHLINE IMAGING LLC

PO BOX 184
BRUSH PRAIRIE,WA98606
20-0460005 		DIAGNOSTIC IMAGING WA HMC
  		Related 65,074 1,408,012   No 0   No 80 %
(19) LAKESIDE AMBULATORY SURGICAL CENTER LLC

17031 LAKESIDE HILLS DR
OMAHA,NE68130
20-4267902 		AMBUL SURG CTR NE ACH
  		Related 3,533,817 1,380,299   No 0   No 53.93 %
(20) LAKESIDE ENDOSCOPY CENTER LLC

17001 LAKESIDE HILLS PLZ STE 201
OMAHA,NE68130
20-5544496 		ENDOSCOPY SRVC NE ACH
  		Related 1,590,148 895,940   No 0   No 50.96 %
(21) LINCOLN CK LEASING LLC

6003 Old Cheney Rd
Lincoln,NE68516
26-2496856 		Real Estate NE SERMC
  		Related 488,450 230,998   No 0   No 53.76 %
(22) NEBRASKA SPINE HOSPITAL LLC

6901 N 72ND ST
OMAHA,NE68122
27-0263191 		SPINE HOSPITAL NE ACH
  		Related 13,895,341 16,839,322   No 0   No 51 %
(23) NORTH RIVER SURGERY CENTER LLC

2209 WILDWOOD AVE
SHERWOOD,AR72120
71-0799771 		AMBUL SURG CTR AR SVIMC
  		Related 141,898 0   No 0   No 57.45 %
(24) ORTHOCOLORADO LLC

11650 WEST 2ND PLACE
LAKEWOOD,CO80255
37-1577105 		ORTHO HOSPITAL CO THC
  		Related 9,103,000 2,202,895   No 0   No 60 %
(25) PENINSULA RADIATION ONCOLOGY LLC

314 MLK JR WAY STE 11
TACOMA,WA98405
87-0808610 		HEALTHCARE SRVC WA FHS
  		Related 278,198 2,753,330   No 0   No 60 %
(26) Penrad Imaging

1390 Kelly Johnson Blvd
COLORADO SPRINGS,CO80920
84-1072619 		Medical Imaging CO CHIC
  		Related -9,742 2,091,440   No 0   No 70 %
(27) PMC HOSPITAL LLC

3100 MAIN ST STE 500
HOUSTON,TX77002
27-3280598 		HOSPITAL TX SL CDC-PMC
  		Related 5,287,747 67,411,280   No 0 Yes   51 %
(28) PRAIRIE HEALTH VENTURES LLC

421 S 9TH ST STE 102
LINCOLN,NE68508
20-4962103 		TECH SRVC NE AH-IMC
  		Related 0 0   No 0 Yes   65.75 %
(29) Pueblo Ambulatory Surgery Center LLC

188 INVERNESS DRIVE WEST 500
ENGLEWOOD,CO80112
62-1488737 		SURGERY CENTER CO CHIC
  		Related 0 0   No 0   No 51 %
(30) Saint JOSEPH - PAML LLC

200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
45-2116736 		MGMT SVCS KY SJHS
  		Related 60,881 406,070   No 0 Yes   62.5 %
(31) SAINT JOSEPH - SCA HOLDINGS LLC

1451 Harrodsburg RD
LEXINGTON,KY40503
45-3801157 		OP SURGERY DE SJHS
  		Related 0 0   No 0 Yes   51 %
(32) SAINT JOSEPH-ANC HOME CARE SERVICES

1700 EDISON DR
MILFORD,OH45150
26-3330545 		HOME HEALTH KY JHSMH
  		Related 7,722,504 1,056,144   No 0   No 100 %
(33) SCA Premier Surgery Center of Louisville LLC

200 Abraham Flexner Way
LOUISVILLE,KY40202
72-1386840 		SURGERY CENTER KY JHSMH
  		Related -177,796 2,205,015   No 0   No 51 %
(34) ST FRANCIS LAND COMPANY

5390 N ACADEMY BLVD STE 300
COLORADO SPRINGS,CO80918
26-3134100 		REAL ESTATE CO CHIC
  		Related -217,802 12,693,252   No 0   No 51 %
(35) ST FRANCIS MEDICAL CENTER ASSOCIATES

1717 SOUTH J ST
TACOMA,WA98405
91-1352698 		MED OFFICE WA FHS
  		Related 265,783 1,961,020   No 0   No 61.08 %
(36) ST LUKE'S DIAGNOSTIC CATH LAB LLP

6624 FANNIN ST STE 800
HOUSTON,TX77030
71-0959365 		DIAGNOSTICS TX SLHS HOLDINGS
  		Related 611,532 1,117,217   No 0   No 61.45 %
(37) ST LUKE'S LAKESIDE HOSPITAL LLC

6624 FANNIN STE 2505
HOUSTON,TX77030
30-0427437 		HOSPITAL TX SL CDC-W
  		Related 277,867 42,485,184   No 0 Yes   51 %
(38) ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

6624 FANNIN STE 800
HOUSTON,TX77030
46-2795726 		DIAGNOSTICS TX SLHSH
  		Related -76,879 1,171,971   No 0 Yes   51 %
(39) Superior Medical Imaging LLC

5000 North 26th ST
LINCOLN,NE68521
26-2884555 		OP Diagnostics NE SERMC
  		Related 0 0   No 0 Yes   51 %
(40) SURGERY CENTER OF LEXINGTON LLC

200 ABRAHAM FLEXNER WAY
LOUISVILLE,KY40202
62-1179539 		SURGERY CENTER KY SJHS
  		Related 187,315 2,777,419   No 0 Yes   51 %
(41) SURGERY CENTER OF LOUISVILLE LLC

200 Abraham Flexner Way
LOUISVILLE,KY40202
62-1179537 		SURGERY CENTER KY JHSMH
  		Related 11,207 803,899   No 0 Yes   51 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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?
Yes No
(1) Alegent HealthCreighton St Joseph Managed Care Services Inc

12809 West Dodge Rd
Omaha,NE68154
47-0802396 		Managed Care NE CHI Nebraska
  		C Corporation -3,506,547 6,404,877 100 % Yes  
(2) All Saints Insurance Company SPC Ltd

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
Insurance CJ CHI
  		C Corporation 0 0 100 % Yes  
(3) ALLIANCE HEALTH PROVIDERS OF BRAZOS

2801 FRACNISCAN DRIVE
BRYAN,TX77802
74-2466914 		Healthcare TX SJSC
  		C Corporation 204,115 535,165 100 % Yes  
(4) Alternative Insurance Management Service Inc

3900 OLYMPIC BLVD STE 400
Erlanger,KY41018
84-1112049 		Management Services CO CHI
  		C Corporation 7,902 6,274,993 100 % Yes  
(5) AMERICAN NURSING CARE Inc

1700 EDISON DR
MILFORD,OH45150
31-1085414 		HOME HEALTH OH CHS
  		C Corporation 0 0 100 % Yes  
(6) AMERIMED INC

1700 EDISON DR
MILFORD,OH45150
31-1158699 		HOME HEALTH OH ANC
  		C Corporation 0 0 100 % Yes  
(7) BC HOLDING COMPANY INC

1850 BLUEGRASS AVE
LOUISVILLE,KY40215
31-1542851 		Fitness Club KY JHSMH
  		C Corporation 0 0 100 % Yes  
(8) Caduceus Medical Associates INC

5600 Brainerd Road Ste 500
Chattanooga,TN37411
62-1570736 		Healthcare TN MHCS
  		C Corporation 0 1,008 100 % Yes  
(9) Captive Management Initiatives Ltd

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-0663022 		Captive Management CJ CHI
  		C Corporation 38,500 164,455 100 % Yes  
(10) Carmona-DeSoto Building Horizontal Property Regime Inc

300 Werner St
Hot Springs,AR71913
71-0771076 		Healthcare AR CHI-SVHS
  		C Corporation 0 0 100 % Yes  
(11) Catholic Health Initiatives Center for Translational Research

198 INVERNESS DRIVE WEST
Englewood,CO80112
27-2269511 		Research CO CIRI
  		Trust 207 1,241,259 100 % Yes  
(12) CGH REALTY COMPANY INC

2500 Bernville Rd
Reading,PA19603
23-2326801 		Real Estate PA SJHM
  		C Corporation 9,432 57,096 100 % Yes  
(13) CHI St Luke's Health Baylor College of Medicine Medical Center Condominium
Assoc
6624 Fannin STE 1100
Houston,TX77030
46-5079545 		Condo Assoc TX CHI-SLHBCM
  		C Corporation 0 0 100 % Yes  
(14) ClearRiver Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4495960 		Insurance TN PHPSI
  		C Corporation 36,560 6,936,559 100 % Yes  
(15) Comcare Services Inc

5570 DTC Parkway
Englewood,CO80111
84-0904813 		Inactive CO CHIC
  		C Corporation 0 0 100 % Yes  
(16) CONSOLIDATED HEALTH SERVICES

1700 EDISON DR
MILFORD,OH45150
31-1378212 		HOME HEALTH OH CHI
  		C Corporation 0 0 100 % Yes  
(17) Des Moines Medical Center Inc

1111 6TH AVE
Des Moines,IA50314
42-0837382 		Real Estate IA CHI-IA Corp
  		C Corporation 66,600 1,084,162 92.98 % Yes  
(18) East Texas Clinical Services Inc

2801 Via Fortuna 500
Austin,TX78746
45-4736213 		Healthcare TX MHSET
  		C Corporation 0 16,782 100 % Yes  
(19) First Initiatives Insurance LTD

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-0203038 		Insurance CJ CHI
  		C Corporation 0 0 100 % Yes  
(20) Franciscan Services Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2487967 		Healthcare CO CHI
  		C Corporation 0 11,732,007 100 % Yes  
(21) Good Samaritan Outreach Services

PO Box 1990
Kearney,NE68848
47-0659440 		Medical Clinic NE CHI Nebraska
  		C Corporation 0 0 100 % Yes  
(22) Health Systems Enterprises Inc

1700 EDISON DR
MILFORD,OH45150
47-0664558 		MGMT NE GSH
  		C Corporation 117,378 1,101,845 100 % Yes  
(23) Healthcare MGMT Services Organization INC

1149 MARKET ST
Tacoma,WA98402
91-1865474 		Health Org. WA FHS
  		C Corporation 0 0 100 % Yes  
(24) HeartlandPlains Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4368223 		Insurance NE PHPSI
  		C Corporation 16,717 3,317,219 100 % Yes  
(25) Highline Medical Group

15811 AMBUAN Blvd SW STE A
Burien,WA98166
91-1407026 		Medical Services WA HMC
  		C Corporation 4,004,636 7,896,793 100 % Yes  
(26) Medquest

1301 15TH AVENUE WEST
Williston,ND58801
45-0392137 		Sale of DME ND MMC Williston
  		C Corporation 680,617 2,138,655 100 % Yes  
(27) Mercy Park Apartments LTD

1111 6th AVE
Des Moines,IA50314
42-1202422 		Housing IA CHI-IA Corp
  		C Corporation 1,871,589 2,272,598 100 % Yes  
(28) Mercy Services Corp

2700 STEWART PARKWAY
Roseburg,OR97471
93-0824308 		Retail Sales OR MMC
  		C Corporation 2,365,469 1,363,682 100 % Yes  
(29) MHI Clinical Services

1201 W Frank Ave
Lufkin,TX75904
46-1967952 		Healthcare TX MHSET
  		C Corporation 0 0 100 % Yes  
(30) Mountain Management Services Inc

6028 Shallowford Rd
Chattanooga,TN37421
62-1570739 		MGMT SVC ORG TN MHCS
  		C Corporation 30,454,753 7,395,265 100 % Yes  
(31) Nazareth Assurance Company

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
03-0304831 		Insurance CJ CHI
  		C Corporation 0 0 100 % Yes  
(32) PATIENT TRANSPORT SERVICES INC

1700 EDISON DR
MILFORD,OH45150
31-1100798 		HOME HEALTH OH ANC
  		C Corporation 0 0 100 % Yes  
(33) PhysicianHealth System Network

1149 MARKET ST
Tacoma,WA98402
91-1746721 		Health Org. WA FHS
  		C Corporation 0 0 100 % Yes  
(34) Prominence Health Plan Services Inc (fka CollabHealth Plan Services Inc)

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1224037 		Admin Services CO PHI
  		C Corporation 5,403,442 38,272,607 100 % Yes  
(35) Prominence Health Inc (fka CollabHealth Managed Solutions Inc)

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-1222808 		Holding Co CO CHI
  		C Corporation 0 23,806,707 100 % Yes  
(36) QCA Health Plan Inc

12615 Chenal Parkway STE 300
Little Rock,AR72211
71-0794605 		Insurance AR QCHI
  		C Corporation 0 64,017,278 100 % Yes  
(37) QualChoice Holdings Inc

12615 Chenal Parkway STE 300
Little Rock,AR72211
27-4075520 		Holding Co AR PHPS
  		C Corporation 0 10,190 100 % Yes  
(38) QualChoice Life and Health Insurance Company Inc

12615 Chenal Parkway STE 300
Little Rock,AR72211
71-0386640 		Insurance AR QCH
  		C Corporation 0 7,484,480 100 % Yes  
(39) RiverLink Health

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4380824 		Insurance OH PHPS
  		C Corporation 18,330 3,418,330 100 % Yes  
(40) RiverLink Health of Kentucky Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4828332 		Insurance KY PHPS
  		C Corporation 28,342 5,528,676 100 % Yes  
(41) Saint Clare's Primary Care Inc

66 FORD RD
Denville,NJ07834
22-2441202 		Billing Services NJ SCCC
  		C Corporation 1,080,457 1,584,958 100 % Yes  
(42) SAMARITAN FAMILY CARE INC

40 W FOURTH ST STE 1700
Dayton,OH45402
31-1299450 		Healthcare OH SHP
  		C Corporation 0 0 100 % Yes  
(43) SFH ASSURANCE LTD

PO BOX 10073 APO
Georgetown,GRAND CAYMANKY11001
CJ
98-1056892 		Insurance CJ SFH
  		C Corporation 0 0 100 % Yes  
(44) SJH Services Corporation

198 INVERNESS DRIVE WEST
Englewood,CO80112
23-2307408 		Healthcare CO FSI
  		C Corporation 0 0 100 % Yes  
(45) SJL PHYSICIAN MANAGEMENT SERVICES INC

200 Abraham Flexner Way
Louisville,KY40202
27-0164198 		Mgmt KY SJHS
  		C Corporation 51,739 0 100 % Yes  
(46) SLMT Parking Inc

6624 Fannin STE 800
Houston,TX77030
76-0637140 		Parking TX SLHS
  		C Corporation 3,907,811 14,848,162 100 % Yes  
(47) SoundPath Health Inc

32129 Weyerhaeuser Way S STE 201
Federal Way,WA98001
42-1720801 		Insurance WA PHPS
  		C Corporation 152,264,069 31,407,675 100 % Yes  
(48) St Alexius Health Services Inc

900 East Broadway Avenue
Bismarck,ND58501
45-0402812 		Healthcare ND SAMC
  		C Corporation 0 1,263 100 % Yes  
(49) St Anthony Development Company

1415 Southgate
Pendleton,OR97801
93-1216943 		Athletic Club OR SAH
  		C Corporation 1,570,570 2,201,473 100 % Yes  
(50) St Joseph Development Company Inc

1717 SOUTH J ST
Tacoma,WA98405
91-1480569 		Rental WA FSI
  		C Corporation 0 0 100 % Yes  
(51) ST JOSEPH OFFICE PARK ASSOCIATION

1451 HARRODSBURG RD STE D202
Lexington,KY40504
61-1079899 		Mgmt KY SJHS
  		C Corporation 0 0 85 % Yes  
(52) St Luke's 6620 Main Condominium Association

6624 Fannin STE 1100
Houston,TX77030
30-0355517 		Condo Assoc TX SLPC
  		C Corporation 0 0 100 % Yes  
(53) St Luke's Anesthesiology Associates

6624 Fannin STE 1100
Houston,TX77030
46-1517163 		Medical Clinic TX CHI-SLH
  		C Corporation 4,178,843 2,295,469 100 % Yes  
(54) St Luke's Episcopal Hospital Physician Hospital Organization Inc

6720 Bertner MC4-262
Houston,TX77030
76-0377932 		PHO TX CHI-SLH
  		C Corporation 550,615 0 60 % Yes  
(55) St Luke's Health System Holdings Inc (fka SLEHS Holdings Inc)

6624 Fannin STE 800
Houston,TX77030
76-0637138 		Holding Co TX SLHS
  		C Corporation 1,919,866 25,724,802 100 % Yes  
(56) St Luke's Medical Arts Center I Condominium Association

6624 Fannin STE 1100
Houston,TX77030
30-0355518 		Condo Assoc TX SLPC
  		C Corporation 0 0 100 % Yes  
(57) St Luke's Medical Tower Condominium Association

6624 Fannin STE 1100
Houston,TX77030
76-0298751 		Condo Assoc TX SLMTC
  		C Corporation 0 0 100 % Yes  
(58) St Vincent Community Health Services Inc

TWO ST VINCENT CIRCLE
Little Rock,AR72205
71-0710785 		Healthcare AR SVIMC
  		C Corporation 4,570,363 16,185,431 100 % Yes  
(59) StableView Health Inc

198 INVERNESS DRIVE WEST
Englewood,CO80112
46-4373713 		Insurance KY PHPS
  		C Corporation 28,342 5,528,676 100 % Yes  
(60) Sugar Land Doctor Group

1317 Lake Point Parkway
Sugar Land,TX77478
45-4270163 		Medical Clinic TX SLCDC-SL
  		C Corporation 788,883 991,134 100 % Yes  
(61) The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B
uilding Comdominium Association
6624 Fannin STE 1100
Houston,TX77030
90-0064009 		Condo Assoc TX CHI-SLH
  		C Corporation 0 0 100 % Yes  
(62) Towson Management Inc

7601 OSLER DR
Towson,MD21204
52-1710750 		Mgmt Services MD FSI
  		C Corporation 0 0 100 % Yes  
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Alegent Health-Bergan Mercy Health System

 A 18,761,075 FMV
(2) St Alexius Medical Center

 A 975,398 FMV
(3) St Rose Ambulatory (fka Central Kansas Medical Center)

 A 151,868 FMV
(4) Catholic Health Initiatives-Colorado

 A 10,460,431 FMV
(5) Catholic Health Initiatives-Iowa Corp

 A 6,143,010 FMV
(6) Enumclaw Regional Hospital Association

 A 753,265 FMV
(7) Flaget Healthcare

 A 554,887 FMV
(8) Franciscan Health System

 A 5,683,968 FMV
(9) Franciscan Villa of South Milwaukee Inc

 A 145,206 FMV
(10) Good Samaritan Hospital

 A 724,217 FMV
(11) The Good Samaritan Hospital of Cincinnati OH

 A 3,985,843 FMV
(12) Highline Medical

 A 5,690,732 FMV
(13) Good Samaritan Hospital

 A 4,654,275 FMV
(14) Jewish Hospital & St Mary's Healthcare

 A 18,883,116 FMV
(15) Lakewood Health Center

 A 91,620 FMV
(16) Lisbon Area Health Services

 A 38,861 FMV
(17) Memorial Health Care System Inc

 A 11,394,177 FMV
(18) Mercy Medical Center

 A 1,396,430 FMV
(19) Mercy Medical Center - Centerville

 A 37,301 FMV
(20) Mercy Medical Center

 A 1,085,135 FMV
(21) Oakes Community Hospital

 A 245,607 FMV
(22) Saint Clare's Hospital

 A 4,846,526 FMV
(23) St Francis Life Care Corporation

 A 1,412,102 FMV
(24) St Anthony Hospital

 A 149,542 FMV
(25) St Catherine Hospital

 A 733,710 FMV
(26) St Francis Medical Center

 A 364,731 FMV
(27) St Joseph Community Health

 A 67,785 FMV
(28) Saint Joseph Health System Inc

 A 12,879,718 FMV
(29) St Joseph Regional Health Network

 A 6,037,617 FMV
(30) St Joseph's Area Health Services

 A 60,280 FMV
(31) St Joseph's Hospital and Health Center

 A 4,899,155 FMV
(32) St Mary's Community Hospital

 A 1,880,334 FMV
(33) St Vincent Infirmary Medical Center

 A 9,879,462 FMV
(34) Sylvania Franciscan Health

 A 225,453 FMV
(35) Unity Family Healthcare

 A 748,106 FMV
(36) Villa Nazareth Inc

 A 127,192 FMV
(37) CHI Health Connect at Home - Fargo

 A 142,157 FMV
(38) CHI Nebraska

 A 3,087,037 FMV
(39) St Luke's Hospital

 A 29,775,344 FMV
(40) Harrison Medical Center

 A 4,878,300 FMV
(41) Memorial Health System of East Texas

 A 2,994,063 FMV
(42) Consolidated Health Services

 A 96,579 FMV
(43) Alegent Health-Bergan Mercy Health System

 B 460,423 FMV
(44) Catholic Health Initiatives Colorado Foundation

 B 139,637 FMV
(45) Catholic Health Initiatives-Iowa Corp

 B 275,046 FMV
(46) Central Nebraska Home Care Services

 B 238,774 FMV
(47) Good Samaritan Foundation of Cincinnati Inc

 B 99,796 FMV
(48) Jewish Hospital & St Mary's Healthcare

 B 612,169 FMV
(49) Mercy Foundation Inc

 B 126,565 FMV
(50) St Catherine Hospital

 B 214,044 FMV
(51) Saint Elizabeth Regional Medical Center

 B 58,952 FMV
(52) St Francis Medical Center

 B 84,327 FMV
(53) Saint Francis Medical Center

 B 113,025 FMV
(54) Saint Joseph Health System Inc

 B 136,111 FMV
(55) St Joseph's Area Health Services

 B 58,181 FMV
(56) St Joseph Regional Health Network

 B 175,850 FMV
(57) St Vincent Infirmary Medical Center

 B 301,568 FMV
(58) Franciscan Foundation

 B 344,036 FMV
(59) Unity Family Healthcare

 B 226,573 FMV
(60) CHI Health Connect at Home - Fargo

 B 58,500 FMV
(61) ST JOSEPH FOUNDATION OF BRYAN TEXAS

 B 22,000,000 FMV
(62) ST ALEXIUS MEDICAL CENTER

 B 10,000,000 FMV
(63) St Alexius Medical Center

 D 81,558,409 FMV
(64) Jewish Hospital & St Mary's Healthcare

 D 15,000,000 FMV
(65) Memorial Health Care System Inc

 D 25,000,000 FMV
(66) St Joseph's Hospital and Health Center

 D 10,000,000 FMV
(67) St Mary's Community Hospital

 D 1,143,000 FMV
(68) St Luke's Hospital

 D 136,876,209 FMV
(69) CHI OPERATING INVESTMENT PROGRAM LP

 F 9,526,906 FMV
(70) Alegent Health-Bergan Mercy Health System

 L 5,794,143 FMV
(71) Bishop Drumm Retirement Center

 L 422,960 FMV
(72) St Alexius Medical Center

 L 149,858 FMV
(73) Bluegrass Regional Imaging Center

 L 311,121 FMV
(74) Carrington Health Center

 L 5,321,987 FMV
(75) St Rose Ambulatory (fka Central Kansas Medical Center)

 L 596,954 FMV
(76) Central Nebraska Home Care Services

 L 2,921,229 FMV
(77) The Physican Network

 L 310,864 FMV
(78) Catholic Health Initiatives-Colorado

 L 19,617,057 FMV
(79) Catholic Health Initiatives-Iowa Corp

 L 151,922,037 FMV
(80) Catholic Health Initiatives Center for Translational Research

 L 96,606 FMV
(81) CHI St Luke's - Livingston

 L 61,770 FMV
(82) CHI St Luke's - Lufkin

 L 1,872,391 FMV
(83) Continuing Care Hospital

 L 972,705 FMV
(84) Enumclaw Regional Hospital Association

 L 1,359,053 FMV
(85) Flaget Healthcare

 L 5,104,770 FMV
(86) Franciscan Health System

 L 245,913,326 FMV
(87) Franciscan Villa of South Milwaukee Inc

 L 2,710,282 FMV
(88) Fransician Medical Group

 L 6,657,272 FMV
(89) Good Samaritan Hospital

 L 349,196 FMV
(90) The Good Samaritan Hospital of Cincinnati OH

 L 12,547,119 FMV
(91) Highline Medical

 L 4,689,751 FMV
(92) Good Samaritan Hospital

 L 9,066,923 FMV
(93) Jewish Hospital & St Mary's Healthcare

 L 28,803,457 FMV
(94) KYOne Health Medical Group (fka Jewish Physician Group)

 L 2,146,864 FMV
(95) Lakewood Health Center

 L 5,242,594 FMV
(96) Lisbon Area Health Services

 L 3,263,784 FMV
(97) Memorial Health Care System Inc

 L 106,050,780 FMV
(98) Mercy Medical Center

 L 33,637,913 FMV
(99) Mercy Hospital of Devils Lake

 L 5,813,394 FMV
(100) Mercy Hospital of Valley City

 L 3,747,068 FMV
(101) Mercy Medical Center - Centerville

 L 535,272 FMV
(102) Mercy Medical Center

 L 14,510,566 FMV
(103) Nebraska Heart Hospital

 L 934,970 FMV
(104) Oakes Community Hospital

 L 3,429,470 FMV
(105) Saint Clare's Hospital

 L 50,401,917 FMV
(106) St Anthony's Hospital Association

 L 329,420 FMV
(107) St Anthony Hospital

 L 9,560,546 FMV
(108) St Catherine Hospital

 L 2,689,902 FMV
(109) Saint Elizabeth Regional Medical Center

 L 3,763,380 FMV
(110) St Francis Medical Center

 L 7,867,633 FMV
(111) Saint Francis Medical Center

 L 1,922,207 FMV
(112) St Joseph Community Health

 L 714,781 FMV
(113) St Joseph Development Company Inc

 L 144,303 FMV
(114) St Joseph Health Ministries

 L 186,784 FMV
(115) Saint Joseph Health System Inc

 L 56,787,193 FMV
(116) St Joseph Regional Health Network

 L 46,809,127 FMV
(117) St Joseph's Area Health Services

 L 10,937,475 FMV
(118) St Joseph's Hospital and Health Center

 L 12,359,625 FMV
(119) St Mary's Community Hospital

 L 343,109 FMV
(120) St Vincent Infirmary Medical Center

 L 80,591,940 FMV
(121) Sylvania Franciscan Health

 L 1,595,982 FMV
(122) Unity Family Healthcare

 L 16,248,680 FMV
(123) Villa Nazareth Inc

 L 3,208,213 FMV
(124) CHI Health Connect at Home - Fargo

 L 845,760 FMV
(125) CHI Nebraska

 L 263,847,271 FMV
(126) KentuckyOne Health Inc

 L 242,571,963 FMV
(127) St Luke's Hospital

 L 92,584,061 FMV
(128) Harrison Medical Center

 L 8,026,840 FMV
(129) Hot Springs

 L 21,005,485 FMV
(130) CHI Physician Services

 L 25,314,141 FMV
(131) Memorial Health System of East Texas

 L 3,055,946 FMV
(132) Consolidated Health Services

 L 18,979,237 FMV
(133) Alegent Health-Bergan Mercy Health System

 S 17,147,854 FMV
(134) St Alexius Medical Center

 S 488,783 FMV
(135) St Rose Ambulatory (fka Central Kansas Medical Center)

 S 869,212 FMV
(136) Catholic Health Initiatives-Colorado

 S 5,673,002 FMV
(137) Catholic Health Initiatives-Iowa Corp

 S 6,549,370 FMV
(138) Enumclaw Regional Hospital Association

 S 655,653 FMV
(139) Flaget Healthcare

 S 2,137,301 FMV
(140) Franciscan Health System

 S 10,386,733 FMV
(141) Franciscan Villa of South Milwaukee Inc

 S 341,178 FMV
(142) Good Samaritan Hospital

 S 4,182,205 FMV
(143) The Good Samaritan Hospital of Cincinnati OH

 S 12,327,520 FMV
(144) Highline Medical

 S 3,375,378 FMV
(145) Good Samaritan Hospital

 S 6,904,159 FMV
(146) Jewish Hospital & St Mary's Healthcare

 S 24,900,172 FMV
(147) Lakewood Health Center

 S 343,661 FMV
(148) Lisbon Area Health Services

 S 187,320 FMV
(149) Memorial Health Care System Inc

 S 7,421,451 FMV
(150) Mercy Medical Center

 S 2,237,723 FMV
(151) Mercy Medical Center - Centerville

 S 179,798 FMV
(152) Mercy Medical Center

 S 1,079,767 FMV
(153) Oakes Community Hospital

 S 195,693 FMV
(154) Saint Clare's Hospital

 S 5,993,864 FMV
(155) St Francis Life Care Corporation

 S 2,509,215 FMV
(156) St Anthony Hospital

 S 6,623,641 FMV
(157) St Catherine Hospital

 S 853,534 FMV
(158) St Francis Medical Center

 S 598,162 FMV
(159) St Joseph Community Health

 S 71,255 FMV
(160) Saint Joseph Health System Inc

 S 14,280,765 FMV
(161) St Joseph Regional Health Network

 S 1,550,688 FMV
(162) St Joseph's Area Health Services

 S 226,108 FMV
(163) St Joseph's Hospital and Health Center

 S 1,723,621 FMV
(164) St Mary's Community Hospital

 S 1,182,956 FMV
(165) St Vincent Infirmary Medical Center

 S 13,916,396 FMV
(166) Unity Family Healthcare

 S 909,960 FMV
(167) Villa Nazareth Inc

 S 606,665 FMV
(168) CHI Health Connect at Home - Fargo

 S 152,222 FMV
(169) CHI Nebraska

 S 2,946,452 FMV
(170) St Luke's Hospital

 S 15,127,507 FMV
(171) Harrison Medical Center

 S 5,075,000 FMV
(172) Consolidated Health Services

 S 2,081,893 FMV
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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