Grace Thompson
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. It was a non-profit, faith-based health system formed in 1996 through the consolidation of three Catholic health systems. In February 2019, CHI merged with Dignity Health to form CommonSpirit Health, a non-profit Catholic health system. CHI practices shareholder activism by purchasing shares in publicly traded corporations and engaging with corporate management on environmental, social and corporate governance issues.
| Characteristics | Values |
|---|---|
| Type | Nonprofit, faith-based health system |
| Formation | 1996 |
| Headquarters | Englewood, Colorado |
| Number of employees | 12,500 (Midwest Division) |
| Number of employed physicians and advanced practice clinicians | 4,122 (Midwest Division) |
| Number of hospitals | 142 |
| Number of care sites | 700+ |
| Number of clinic locations | 200 |
| Number of acute care hospitals | 28 |
| Number of critical access hospitals | 18 |
| Number of behavioral health facilities | 2 |
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What You'll Learn
Catholic Health Initiatives (CHI) is a non-profit organisation
Catholic Health Initiatives (CHI) is a non-profit, faith-based health system. It was 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 1997, the Sisters of Charity of Nazareth Health System in Nazareth, Kentucky, consolidated with CHI, and in 1998, the Sisters of St. Francis of the Immaculate Heart of Mary in North Dakota transferred sponsorship of a hospital and eight clinics to CHI.
CHI has expanded since 2011, entering new states and expanding in existing ones. In September 2010, Consolidated Health Services, a home care service provider with 30 locations in Kentucky, Ohio, and Indiana, joined CHI. In May 2013, St. Luke's Episcopal Health System, a six-hospital system based in Houston, Texas, joined CHI as St. Luke's Health System. CHI has continued to acquire and consolidate with other healthcare providers over the years.
CHI practices shareholder activism by purchasing shares in publicly traded corporations and engaging with corporate management 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 the steps they are taking to reduce gun violence.
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. CommonSpirit Health is a non-profit, Catholic health system dedicated to advancing health for all people and serving communities in 21 states. It operates more than 700 care sites and 142 hospitals, as well as research programs, virtual care services, home health programs, and living communities. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
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CHI's merger with Dignity Health
Catholic Health Initiatives (CHI) is a non-profit, faith-based healthcare system that was formed in 1996 through the consolidation of three Catholic health systems. In February 2019, CHI merged with Dignity Health, creating CommonSpirit Health, the largest Catholic health system and the second-largest nonprofit hospital chain in the United States.
The merger was first announced in December 2017, marking the end of a courtship period that began in October 2016. The combined revenue of the two organizations was estimated to be $28.4 billion across 139 hospitals operating in 28 states. The merger created a new health system with 142 hospitals and more than 700 care sites, as well as research, virtual care, and home health capabilities. The new organization is committed to advancing health for all people and improving the health of millions, especially those who are most in need.
The merger received approval from the Catholic Church through the Vatican and California's Department of Justice, with certain conditions. These included a 100% discount for patients earning below 250% of the federal poverty level, and an allocation of $20 million over six years to support homeless patients. The new health system, CommonSpirit Health, is led jointly by Dignity Health CEO Lloyd Dean and CHI CEO Kevin Lofton, with both serving as co-CEOs.
The merger between CHI and Dignity Health reflects a growing trend in the healthcare industry, with providers seeking to leverage power and scale through mergers and acquisitions. The combined organization consists of a range of healthcare facilities, including acute care hospitals, critical access hospitals, behavioral health facilities, and home health agencies. The goal of the merger is to improve access to quality healthcare and advance social justice for all.
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CHI's work in shareholder activism
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. It was a non-profit, faith-based health system formed in 1996 through the consolidation of three Catholic health systems. In February 2019, CHI merged with Dignity Health, forming CommonSpirit Health, the second-largest non-profit hospital chain in the United States.
CHI engages in shareholder activism by purchasing shares in publicly traded corporations and addressing corporate management on environmental, social, and governance issues. An example of this is when Catholic Health Initiatives co-filed a shareholder resolution with the Adrian Dominican Sisters in the wake of the 2018 Stoneman Douglas High School shooting. The resolution asked firearms manufacturer Sturm, Ruger & Co. to report on the steps they were taking to reduce gun violence. Ruger opposed the resolution, but it was supported by BlackRock, the world's largest asset manager, and Ruger's largest investor, as well as the two most prominent shareholder advisory firms in the United States. At Ruger's annual meeting in May 2018, 69% of shareholders voted in favor, and Ruger agreed to heed the resolution.
Shareholder activism is a way for shareholders to influence a company's behaviour by exercising their rights as partial owners. Shareholders typically buy a minority stake in a company and then employ various tactics to force change. These tactics can include media pressure, litigation threats, and strategic use of media channels to prompt greater pressure from other shareholders. Shareholder activism can be driven by a desire to increase the value of the company, address governance practices, or take issue with the company's products or business practices.
The role of the board of directors is crucial in an activist environment. Directors can anticipate which activists may target the company and the issues they may raise, encouraging management to proactively address common issues. The board also plays a key role in shareholder engagement and responding to activist requests and demands. An effective response to shareholder activism is critical, as an ineffective response may give the impression that the company's management is not attuned to shareholder concerns.
Shareholder activism has increased in recent years, with 2018 being a record year, according to the Harvard Law School Forum on Corporate Governance. Approximately $65 billion in capital was deployed, with an increase in campaigns and investors. Environmental and social matters have become a key priority for investors, with some asset managers pledging to vote against company boards that fall short on these issues.
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CHI's national foundation
Catholic Health Initiatives (CHI) was a national Catholic healthcare system, with headquarters in Englewood, Colorado. It was a nonprofit, faith-based health system formed in 1996 through the consolidation of three Catholic health systems. In February 2019, CHI merged with Dignity Health, forming CommonSpirit Health, the second-largest nonprofit hospital chain in the United States.
The Catholic Health Initiatives National Foundation is a 501(c)(3), tax-exempt charitable foundation incorporated in 2009. It serves as a support structure for CHI's market-based organization (MBO) foundations. The National Foundation is a national operations office that provides administrative support and strategic outreach staff who offer training and mentoring for individual development offices across 49 CHI communities, representing over 70 foundations.
The National Foundation collaborates with local market-based foundations to cultivate fundraising efforts and share leading practices and materials. The local foundation board and MBO CEO are accountable for achieving fundraising results in the local community, and the local foundation board determines how the locally raised funds are used. The regional foundation vice president identifies and shares leading philanthropy practices within CHI and throughout the country, partnering with local foundations to seek new funding opportunities and explore reductions in expenses.
As an affiliate of CommonSpirit Health, the National Foundation contributes to the mission of creating healthier communities and advancing health for all people. CommonSpirit Health operates more than 700 care sites and 142 hospitals, as well as research programs, virtual care services, home health programs, and living communities. It is committed to delivering exceptional patient care and ensuring access to quality healthcare for all, especially the vulnerable, while advancing social justice.
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CHI's regional healthcare network
Catholic Health Initiatives (CHI) was a national Catholic healthcare system based in Englewood, Colorado. It was a non-profit, faith-based health system formed in 1996 through the consolidation of three Catholic health systems. In February 2019, CHI merged with Dignity Health to form CommonSpirit Health, the largest Catholic health system and the second-largest non-profit hospital chain in the United States.
CHI Health, the Midwest Division of CommonSpirit Health, is a regional healthcare network with a unified mission: "nurturing the healing ministry of the Church, while creating healthier communities." With its national office in Chicago, Illinois, CHI Health Midwest serves communities in Southwest Iowa, Nebraska, Minnesota, and North Dakota, as well as northern Kansas. The division has approximately 12,500 employees and 4,122 employed physicians and advanced practice clinicians.
CHI Health provides care and services to its communities through more than 1,000 providers and 150+ locations. The network consists of one Academic Medical Center, 28 acute care hospitals, 200 clinic locations, 18 critical access hospitals, two free-standing behavioural health facilities, one centre for the developmentally disabled, and one home health agency.
CHI Health's hospitals include CHI Health St. Francis, CHI Health St. Elizabeth, CHI Health St. Mary's, CHI St. Francis Health, CHI St. Gabriel's Health, CHI St. Joseph's Health, and several locations of CHI St. Alexius Health. The network also includes MercyOne in Des Moines, Iowa, and Centura Health in Englewood, Colorado, through partnerships with other healthcare systems.
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Frequently asked questions
Yes, Catholic Health Initiatives (CHI) is a non-profit, faith-based health system.
Catholic Health Initiatives is dedicated to advancing health for all people and creating healthier communities. They aim to deliver exceptional patient care and ensure access to quality health care for everyone.
Catholic Health Initiatives was founded 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.
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