Michael Brooks
Catholic Health Initiatives (CHI) is a non-profit, faith-based health system that was formed in 1996 through the consolidation of four Catholic health systems. It operates in 18 states and comprises 100 to 104 hospitals, including academic health centres, major teaching hospitals, and critical-access facilities. CHI has expanded since 2011, entering new states and expanding in existing ones through mergers, acquisitions, and partnerships. The organisation generated operating revenues of $15 billion in fiscal year 2018, with total assets of approximately $20.5 billion.
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What You'll Learn
CHI's history of mergers and acquisitions
Catholic Health Initiatives (CHI) is a non-profit, faith-based health system that was formed in 1996 through the consolidation of four Catholic health systems. It operates in 18 states and comprises 100 to 104 hospitals, including academic health centres, major teaching hospitals, critical-access facilities, community health services organisations, accredited nursing colleges, home-health agencies, and other facilities. CHI has expanded since 2011, entering new states and expanding in existing ones.
1997
The Sisters of Charity of Nazareth Health System in Nazareth, Kentucky, consolidated with Catholic Health Initiatives.
1998
The Sisters of St. Francis of the Immaculate Heart of Mary in Hankinson, North Dakota, transferred sponsorship of a hospital and eight clinics to CHI.
2010
Consolidated Health Services, a home care service provider with 30 locations in Kentucky, Ohio, and Indiana, joined CHI. Home health was later rebranded as CHI Health at Home. Mercy Hospital, the first Catholic hospital in Nassau County, became part of CHI.
2013
St. Luke's Episcopal Health System, a six-hospital system based in Houston, Texas, joined CHI as St. Luke's Health System.
2014
Alexius Health of Bismarck, North Dakota, became a direct affiliate of CHI, adding St. Alexius Medical Center and two critical access hospitals to the system. Sylvania Franciscan Health also became part of CHI, adding St. Joseph Health System in the Brazos Valley region of Texas, Franciscan Living Communities in Kentucky and Ohio, and three hospitals in eastern Ohio.
2016
Brazosport Regional Health System in Lake Jackson, Texas, joined CHI St. Luke's Health, Houston.
2017
Dignity Health and CHI announced a definitive agreement to merge.
2018
Dignity Health and Catholic Health Initiatives received a merger approval from the Catholic Church, through the Vatican.
2019
KentuckyOne Health system decided to transition to the legacy of the Sisters of Charity of Nazareth, Lexington's first hospital. The new company, CommonSpirit Health, became the largest Catholic health system and the second-largest nonprofit hospital chain in the United States.
CHI's growth is part of a broader trend of Catholic health systems expanding across the United States. The ten largest Catholic health systems have grown and strengthened through mergers and acquisitions, increasing their control over short-term acute care hospitals and expanding into other categories of inpatient facilities. This expansion has led to concerns about the impact on access to reproductive and abortion care, as Catholic hospitals often deny patient reproductive care based on religious beliefs.
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CHI's financial assistance and community benefit
Catholic Health Initiatives (CHI) is a non-profit, faith-based health system that was formed in 1996 through the consolidation of four Catholic health systems. It is one of the nation's largest health systems, operating in 18 states and comprising 100-104 hospitals, including academic health centres, major teaching hospitals, critical-access facilities, community health services organisations, accredited nursing colleges, home-health agencies, and other facilities and services that span the inpatient and outpatient continuum of care.
CHI's financial assistance policies apply to uninsured or underinsured patients who require treatment. The program is designed to provide financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. To qualify for assistance, patients will be asked to complete a Financial Assistance Application, which includes information relating to household income and expenses. CHI is committed to working with patients to establish appropriate payment plans based on their financial status.
CHI also offers comprehensive benefit enrollment for low-income families with children in Miami-Dade, assisting them in enrolling in federally-funded assistance programs and other community-based support services. CHI recognizes that even with health insurance, families may face obstacles such as transportation, nutrition, housing, and more. Through this program, CHI helps close care gaps and reduce barriers for families.
CHI is also a partner in the Partnership for a Healthier America, which aims to make healthy choices easier for all Americans. More than 700 hospital partners (10% of all hospitals nationwide) participate in the Hospital Healthier Food Initiative, serving approximately 12 million meals per year.
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CHI's Hospital Healthier Food Initiative
Catholic Health Initiatives (CHI) is a non-profit, faith-based health system operating in 18 states across the US. It was formed in 1996 through the consolidation of four Catholic health systems and has since expanded through mergers, acquisitions, and partnerships. CHI operates hundreds of sites, including hospitals, academic health centres, critical-access facilities, community health services organisations, accredited nursing colleges, and home health agencies. The exact number of hospitals under CHI varies across sources, with figures ranging from 100 to 104.
CHI's mission is to create and nurture healthy communities by providing care that addresses the body, mind, and spirit. As part of this mission, CHI has launched several initiatives to promote health and well-being, including the Hospital Healthier Food Initiative.
CHIs Hospital Healthier Food Initiative:
The initiative involves a network of corporate partners from various sectors, including government and philanthropy. By leveraging their collective influence, these partners work together to improve the availability and accessibility of nutritious food options in hospitals. This includes connecting businesses across sectors to share ideas, resources, and best practices for promoting healthy eating in healthcare settings.
CHI's focus on healthier food options in hospitals aligns with the broader growth and expansion of Catholic health systems in the United States. Catholic health systems have been expanding beyond traditional acute care hospitals, increasing their presence in rehabilitation centres, substance abuse treatment centres, and other inpatient specialty care programs. This expansion allows Catholic health systems to reach and influence a more diverse range of patient populations.
The impact of the Hospital Healthier Food Initiative extends beyond the walls of CHI hospitals. By partnering with government and philanthropic organisations, CHI helps improve access to nutritious food nationwide. This initiative contributes to CHI's overall mission of creating healthier communities and promoting wellness among the populations they serve. Through this initiative, CHI is not just treating patients but also proactively investing in their long-term health and well-being.
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CHI's stance on gun control
Catholic Health Initiatives (CHI) is a nonprofit, faith-based health system that was formed in 1996 through the consolidation of four Catholic health systems. It is one of the nation's largest health systems, operating in 18 states and comprising 100-104 hospitals, including two to four academic health centres, major teaching hospitals, and 30 critical-access facilities.
In terms of CHI's stance on gun control, there is limited direct evidence available. However, following the 2018 Stoneman Douglas High School shooting, Catholic Health Initiatives co-filed a shareholder resolution with the Adrian Dominican Sisters. This resolution asked firearms manufacturer Sturm, Ruger & Co. to report on their efforts to reduce gun violence. Ruger initially opposed the resolution, but after BlackRock and other major shareholder advisory firms supported it, 69% of shareholders voted in favour, and Ruger agreed to comply. This suggests that CHI supports increased transparency and accountability from firearms manufacturers regarding gun violence prevention.
Additionally, CHI's participation in the Hospital Healthier Food Initiative, which involves providing approximately 12 million meals per year in its hospitals, could be interpreted as an indirect form of gun control. This initiative aims to improve access to nutritious food for patients, staff, and visitors. Research has shown that improving social determinants of health, such as access to nutritious food, can help reduce violence and improve community health outcomes.
CHI's commitment to "creating and nurturing healthy communities" and its focus on providing financial assistance and community benefits, totalling approximately $2.1 billion, further demonstrate its dedication to addressing societal issues that may contribute to gun violence.
Overall, while CHI has not released any official statements or policies specifically regarding gun control, its actions indicate a proactive approach to reducing gun violence and improving community health and safety.
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CHI's hospitals and services in Arkansas
Catholic Health Initiatives (CHI) is one of the nation's largest health systems, operating in 18 states and comprising 100 to 104 hospitals, including two to four academic health centres, major teaching hospitals, and 30 critical-access facilities. In April 2014, Mercy Health of Hot Springs, Arkansas, signed an agreement to transfer ownership of Mercy Hot Springs Hospital and its medical group to CHI.
In Arkansas, CHI operates as CHI St. Vincent, headquartered in Little Rock, and provides comprehensive care through a network of hospitals, clinics, and specialty services. CHI St. Vincent has hospitals in Little Rock, Sherwood, Morrilton, and Hot Springs, as well as a 37-acre ambulatory campus in west Little Rock. With 80 primary care and specialty clinics, over 300 affiliated physicians, the state's largest team of cardiologists, and 4,300 dedicated employees, CHI St. Vincent is committed to serving its communities with excellence and compassion.
CHI St. Vincent Infirmary in Arkansas is recognised as one of the nation's top-performing hospitals for the treatment of heart attack patients. The hospital provides expert, compassionate care at locations across central and southwest Arkansas, bringing resources closer to home for its patients.
CHI St. Vincent is a proud member of CommonSpirit Health, which was formed in 2019 and is the largest Catholic health system and the second-largest nonprofit hospital chain in the United States.
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Frequently asked questions
Catholic Health Initiatives (CHI) operates 104 hospitals in 18 states, including four academic health centres and major teaching hospitals.
Catholic Health Initiatives is a non-profit, faith-based health system that was formed in 1996 through the consolidation of four Catholic health systems. It is one of the largest health systems in the United States.
Some hospitals in the CHI system include St. Luke's Health System, St. Alexius Medical Center, St. Joseph Health System, St. Joseph Hospital, St. Francis Hospital & Heart Center, and St. Catherine of Siena Hospital.
