
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. In 2019, CHI merged with Dignity Health to form CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States. CHI has a long history of providing healthcare services and has expanded over the years through various consolidations and affiliations with other healthcare organizations. With a commitment to faith-based and innovative healthcare, CHI practices shareholder activism and advocates for social issues such as gun control. CHI's merger with Dignity Health created a vast healthcare network, including hospitals, clinics, and health services organizations across multiple states.
| Characteristics | Values |
|---|---|
| Type of Organization | Nonprofit, faith-based health system |
| Year Founded | 1996 |
| Headquarters | Englewood, Colorado |
| Number of Employees | 16,000 |
| Number of Hospitals | 104 |
| Academic Health Centers | 4 |
| Critical-Access Facilities | 30 |
| Areas Served | 18 States |
| Competitors | USA Health System, Geisinger Health System, ProHealth Care |
| Merger | Merged with Dignity Health in February 2019 to form CommonSpirit Health |
| Recognition | National Level Innovation in Patient Safety and Quality |
| Awards | Funding to reduce antibiotic resistance in children |
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What You'll Learn

Catholic Health Initiatives (CHI) history and mergers
Catholic Health Initiatives (CHI) was a national Catholic healthcare system headquartered in Englewood, Colorado. It was a non-profit, faith-based health system formed in 1996 through the consolidation of three Catholic health systems: the Catholic Health Corporation of Omaha, Nebraska; the Franciscan Health System of Aston, Pennsylvania; and the Sisters of Charity Health Care Systems of Cincinnati, Ohio.
In September 1997, the Sisters of Charity of Nazareth Health System in Nazareth, Kentucky, consolidated with Catholic Health Initiatives. This was followed by the Sisters of St. Francis of the Immaculate Heart of Mary in Hankinson, North Dakota, transferring sponsorship of a hospital and eight clinics to CHI in March 1998. CHI has continued to expand since 2011, entering new states and expanding in existing ones.
In January 2019, the KentuckyOne Health system transitioned to the legacy of the Sisters of Charity of Nazareth, becoming one of the largest health organizations in the Commonwealth of Kentucky. The following month, on February 1, 2019, CHI merged with Dignity Health, forming CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States. This merger was approved by the Catholic Church through the Vatican. CommonSpirit Health's Midwest Division, based in Chicago, IL, serves communities in Southwest Iowa, Nebraska, Minnesota, and North Dakota, employing about 12,500 people, including 4,122 physicians and advanced practice clinicians.
CHI has also expanded through partnerships with other healthcare providers, such as Centura Health in Englewood, Colorado, and MercyOne in Des Moines, Iowa. CHI St. Luke's Health in Houston, Texas, and Virginia Mason Franciscan Health in Washington are also part of the CHI network.
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CHI's stance on social issues
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. In February 2019, CHI merged with Dignity Health to form CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States.
For example, in 2018, following the Stoneman Douglas High School shooting, CHI co-led a shareholder resolution asking firearms manufacturer Sturm, Ruger & Co. to outline steps to reduce gun violence. This action was supported by Ruger's largest investor, BlackRock, and 69% of shareholders voted in favour, indicating a successful instance of CHI's stance on a social issue.
CHI has also been recognised for its contributions to innovation in patient safety and quality, receiving funding to reduce antibiotic resistance in children. The organisation prioritises community health and support, with a focus on building healthier communities and providing care for women's unique needs throughout their lives.
However, CHI has also faced controversy. In 2013, the organisation's defence lawyers contradicted Catholic doctrine by arguing that unborn foetuses should not be classed as persons in a wrongful death lawsuit. This incident sparked a response from the bishops of Colorado, who emphasised their commitment to defending human dignity.
While CHI's stance on social issues has included shareholder activism and initiatives for community health, it is difficult to provide a comprehensive overview of the organisation's stance on all social issues. The organisation's website and publicly available information primarily focus on its healthcare services and community initiatives rather than detailed stances on diverse social topics.
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CHI's services and specialisations
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. It was a non-profit, faith-based organisation that was formed in 1996 through the consolidation of three Catholic health systems. In 2019, CHI merged with Dignity Health to become CommonSpirit Health, the largest Catholic health system and the second-largest non-profit hospital chain in the United States.
CHI's services are provided in conjunction with the professional services of a physician or other billing practitioners. Auxiliary staff can be employed by the practice or contracted through an external organisation. These services include building patient self-advocacy skills, helping patients access healthcare and facilitating behavioural changes to meet diagnosis and treatment goals. CHI also offers urgent care, women's health services, and comprehensive and advanced heart care treatments.
CHI operates in 18 states, with 104 hospitals, including four academic health centres, 30 critical-access facilities, and community health services organisations. It provides care and services to communities in Nebraska, southwest Iowa, and northern Kansas, with more than 1,000 providers and 150+ locations.
CHI also practices shareholder activism by purchasing shares in publicly traded corporations and engaging on environmental, social, and corporate governance issues. For example, following the 2018 Stoneman Douglas High School shooting, CHI co-filed a shareholder resolution asking firearms manufacturer Sturm, Ruger & Co. to report on steps to reduce gun violence.
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CHI's competitors
I could not find specific information on whether Catholic Health Initiatives (CHI) uses a group purchasing organization (GPO). However, I can provide you with information on CHI's competitors.
In 2019, CHI merged with Dignity Health to form CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States. Before the merger, CHI was already one of the largest healthcare systems in the country, operating in 18 states with 104 hospitals and various other healthcare facilities. With such a large presence in the healthcare industry, CHI has many competitors, including:
- PepsiCo
- Danone
- Kraft Heinz Company
- Hormel Foods
- General Mills
- Farmer's Fridge
- Pioneer Foods
- Coca-Cola Company
- Lori & Associates
- Lift Truck Center
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CHI's employee count and locations
Catholic Health Initiatives (CHI) was a national Catholic healthcare system headquartered in Englewood, Colorado. It was formed in 1996 through the consolidation of three Catholic health systems and was one of the United States' largest healthcare systems, operating in 18 states. In 2019, CHI merged with Dignity Health to form CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States.
CHI has a presence in multiple states, including Kentucky, Ohio, Indiana, Texas, Arkansas, North Dakota, Nebraska, Iowa, Kansas, and Florida. In Kentucky, CHI partnered with Consolidated Health Services, a home care service provider with 30 locations in the state, as well as in Ohio and Indiana. In Texas, St. Luke's Episcopal Health System, a six-hospital system based in Houston, joined CHI in 2013. CHI also has a presence in Arkansas, with hospitals and medical groups such as CHI St. Vincent and Mercy Health of Hot Springs. In North Dakota, CHI is affiliated with CHI St. Alexius Health in Bismarck.
CHI Health Clinic has more than 1,000 providers and 150 locations in Nebraska, southwest Iowa, and northern Kansas. In Florida, CHI has 13 health centers in Miami-Dade and Monroe counties, offering primary and behavioral healthcare services.
While an exact employee count for CHI before its merger with Dignity Health is not readily available, the scale of its operations across multiple states and its position as one of the largest healthcare systems in the United States indicates a substantial number of employees.
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Frequently asked questions
Catholic Health Initiatives (CHI) was a national Catholic healthcare system, with headquarters in Englewood, Colorado. In February 2019, CHI merged with Dignity Health, forming CommonSpirit Health.
Catholic Health Initiatives serves hundreds of thousands of people each year, providing care that extends from the beginning of life to helping people live their final years in comfort. They offer acute care hospitals, nursing homes, home health services, hospice, and a network of physician practices.
Catholic Health Initiatives is unique in that it is a faith-based, nonprofit healthcare system. It practices shareholder activism by engaging with corporate management on environmental, social, and corporate governance issues.










































