Michael Brooks
Catholic Health Initiatives (CHI) is a national Catholic healthcare system based in Englewood,
| Characteristics | Values |
|---|---|
| Year of Formation | 1996 |
| Type of Organization | Nonprofit, faith-based health system |
| Number of States | 18 or 19 or 21 |
| Number of Hospitals | 104 or 105 or 142 |
| Number of Care Sites | 700+ |
| Number of Employees | 150,000 |
| Number of Physicians and Advanced Practice Clinicians | 25,000 |
| Revenue | $29 billion |
| Charity Care, Community Benefit, and Unreimbursed Care | $4.2 billion |
| Headquarters | Englewood, Colorado |
| National Office | Chicago |
| Key Focus Areas | 5, including expanding clinical expertise and addressing social causes of poor health |
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What You'll Learn
CHI's merger with Dignity Health
Catholic Health Initiatives (CHI) and Dignity Health merged in February 2019 to create a nonprofit health system called CommonSpirit Health. The merger created the largest Catholic health system and the second-largest nonprofit hospital chain in the United States, with $29 billion in combined revenue. The new organisation serves communities in 21 states and comprises 142 hospitals and more than 700 sites of care, including research, virtual care, and home health capabilities.
The merger between CHI and Dignity Health had been anticipated since at least October 2016, with the two organisations having previously collaborated on various initiatives, including the formation of the Precision Medicine Alliance. The deal was expected to close in the second half of 2018, pending federal, state, and church approvals. The Catholic Church, through the Vatican, granted its approval in 2018, and California's Department of Justice also gave conditional approval, with conditions such as a 100% discount for patients earning below 250% of the federal poverty level.
The new organisation, CommonSpirit Health, is jointly led by Dignity Health CEO Lloyd Dean and CHI CEO Kevin Lofton. Lofton oversees mission, advocacy, sponsorship, governance, system partnerships, and IT, while Dean has authority over operations, including clinical, financial, and human resources. CommonSpirit Health has approximately 150,000 employees and 25,000 physicians and advanced practice clinicians.
The merger between CHI and Dignity Health was part of a larger trend of mergers and acquisitions in the healthcare industry, driven by factors such as new market entrants and investors seeking greater boardroom influence. The combined system aimed to leverage technology and outpatient efforts to develop a strong national brand while improving performance across revenue cycle, labour management, quality, and IT use. The merger was also expected to positively impact patient care, as stated by Lloyd Dean: "We didn't combine our ministries to get bigger, we came together to provide better care for more people."
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CHI's presence in 18-19 states
Catholic Health Initiatives (CHI) is a national Catholic healthcare system headquartered in Englewood, Colorado. It was formed in 1996 through the consolidation of three Catholic health systems and is one of the United States' largest healthcare systems.
CHI operates in 18 states, including Nebraska, Pennsylvania, Ohio, Kentucky, North Dakota, Arkansas, Iowa, and Tennessee. It comprises 104 hospitals, including four academic health centers and major teaching hospitals, 30 critical-access facilities, and community health services organizations.
In February 2019, CHI merged with Dignity Health to form CommonSpirit Health, a nonprofit Catholic health system serving communities in 21 states. The new organization operates more than 700 care sites and 142 hospitals, including facilities in Arizona and Nebraska, and supports a range of community health programs to address issues such as access to quality care, health equity, affordable housing, and a healthy environment.
With approximately 150,000 employees and 25,000 physicians and advanced practice clinicians, CommonSpirit Health is committed to expanding clinical expertise, focusing on care for patients with chronic and complex conditions, and providing services outside of hospitals, such as virtual care and home health programs.
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CHI's stance on gun control
Catholic Health Initiatives (CHI) is a national Catholic healthcare system headquartered in Englewood, Colorado. It operates in 18 states and comprises 104 hospitals, including four academic health centres and major teaching hospitals.
CHI's approach to gun control appears to align with specific measures supported by the ACLU and Vice President Kamala Harris. These measures include:
- Universal background checks: CHI's support for background checks is implied by their request for Sturm, Ruger & Co. to report on their efforts to reduce gun violence. Background checks aim to prevent firearms from reaching individuals prohibited from owning them.
- Red flag laws: These laws enable courts to temporarily remove firearms from individuals deemed a threat to themselves or others. While CHI has not explicitly supported red flag laws, their focus on reducing gun violence aligns with this measure.
- Addressing the root causes of violence: CHI's engagement with firearms manufacturers demonstrates their commitment to addressing the systemic causes of gun violence. This approach is also emphasised by the ACLU, which supports comprehensive approaches to school safety, including mental health services and conflict resolution programs.
While CHI has not publicly expressed opposition to any gun control measures, they may share the ACLU's concerns regarding certain proposals. For example, the ACLU opposes mandatory minimum sentences for gun-related crimes, arguing that they can disproportionately impact marginalised communities. Additionally, the ACLU supports a nuanced approach that balances the right to bear arms with public safety and equality under the law. CHI, as a faith-based organisation, likely considers the ethical implications of gun control measures and strives for a balanced approach that respects individual rights while promoting the common good.
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CHI's stance on abortion
Catholic Health Initiatives (CHI) is a national Catholic healthcare system headquartered in Englewood, Colorado. It is one of the largest healthcare systems in the United States, operating in 18 states and comprising 104 hospitals. CHI's stance on abortion aligns with the teachings of the Catholic Church, which considers abortion a "most serious matter". The Church's position is that abortion should be avoided, and members are encouraged to seek guidance from their bishops and through prayer before making any decisions.
In 2013, CHI was involved in a controversial lawsuit where its hospital defence lawyers argued against a wrongful death lawsuit by claiming that unborn fetuses should not be classed as persons. This contradicted Catholic doctrine established by Pope John Paul II. As a result, the bishops of Colorado issued a joint statement reiterating their commitment to defending human dignity.
While CHI, as a Catholic organisation, officially opposes abortion, it is worth noting that public opinion on abortion in the United States is varied and complex. According to a 2024 Pew Research Center survey, 63% of Americans believe abortion should be legal in all or most cases, while 36% say it should be illegal in all or most cases. Religious affiliation plays a role in these views, with 86% of religiously unaffiliated Americans supporting legal abortion, compared to 59% of Catholics.
The impact of abortion restrictions on maternity care and women's health has also been a subject of discussion. Some sources suggest that in states with significant abortion restrictions, pregnant women may experience delays, confusion, and substandard care. This can lead to complications and negatively impact the quality of healthcare provided to pregnant women, as seen in the example of Texas, which banned most abortions in 2022.
Overall, while CHI's stance on abortion reflects the Catholic Church's teachings, the organisation operates within a diverse societal context where views on abortion vary, and the implications of abortion restrictions on healthcare are carefully scrutinised.
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CHI's history
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: 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 the following two years, the Sisters of Charity of Nazareth Health System in Nazareth, Kentucky, and the Sisters of St. Francis of the Immaculate Heart of Mary in Hankinson, North Dakota, also joined CHI.
CHI was a nonprofit, faith-based health system and one of the United States' largest, operating in 18 to 19 states and comprising 104 to 105 hospitals, including four academic health centres and major teaching hospitals, and 30 critical-access facilities. It also included community health services organisations and research programs.
In February 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. The new company operates in 21 states with more than 700 care sites and 142 hospitals, as well as virtual care services, home health programs, and living communities. It is committed to advancing health for all people, creating healthier communities, delivering exceptional patient care, and ensuring everyone has access to quality healthcare.
CHI has a history of shareholder activism, 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 steps to reduce gun violence.
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Frequently asked questions
Catholic Health Initiatives (CHI) operates in 18 states.
Catholic Health Initiatives' headquarters are in Englewood, Colorado.
CommonSpirit Health, the product of the merger between Catholic Health Initiatives and Dignity Health, has its national office in Chicago.
Catholic Health Initiatives practices shareholder activism by purchasing shares in publicly traded corporations and engaging with corporate management on environmental, social, and corporate governance issues.
