STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NEBRASKA HEART HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA HEART HOSPITAL (EIN 39-2031968)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202541339349302494
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-13T12:30:23-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470617373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COMMONSPIRIT HEALTHBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN392031968EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA HEART HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEBRBusinessNameControlTxt
Phone4023283721PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 S 91ST STAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP685269772ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK O'TOOLPersonNm
Person TitleMARKET CFOPersonTitleTxt
Phone4023283721PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK STOCKIPreparerPersonNm
PTINP00642127PTIN
Phone3032989100PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHI HEALTH NEBRASKA HEARTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTIM BRICKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,941,468GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHIHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE NEBRASKA HEART HOSPITAL IS THE MIDWEST'S PREMIER FACILITY FOR CARDIAC, VASCULAR AND THORACIC SERVICES. THE HOSPITAL PROVIDES PATIENTS WITH INPATIENT AND OUTPATIENT CARE. BY FOCUSING CARE AND USING TECHNOLOGIES THAT CENTER ON THE PATIENT, THE PHYSICIANS AND STAFF STRIVE TO PROVIDE THE BEST TREATMENT FOR EACH PATIENT.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee323TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,280,182PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$74,547,587PYProgramServiceRevenueAmt
CY Program Service Revenue$74,220,779CYProgramServiceRevenueAmt
PY Investment Income$7,266PYInvestmentIncomeAmt
CY Investment Income$15,427CYInvestmentIncomeAmt
PY Other Revenue$847,167PYOtherRevenueAmt
CY Other Revenue$705,262CYOtherRevenueAmt
PY Total Revenue$76,682,202PYTotalRevenueAmt
CY Total Revenue$74,941,468CYTotalRevenueAmt
PY Grants And Similar Paid$5,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$28,925CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,485,211PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,733,018CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,501,969PYOtherExpensesAmt
CY Other Expenses$50,368,905CYOtherExpensesAmt
PY Total Expenses$68,992,180PYTotalExpensesAmt
CY Total Expenses$74,130,848CYTotalExpensesAmt
PY Revenues Less Expenses$7,690,022PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$810,620CYRevenuesLessExpensesAmt
Total Assets BOY$205,943,790TotalAssetsBOYAmt
Total Assets EOY$206,770,377TotalAssetsEOYAmt
Total Liabilities BOY$4,784,649TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,779,011TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$201,159,141NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$201,991,366NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,876,743ExpenseAmt
Grant$16,026GrantAmt
Revenue$41,122,211RevenueAmt
DescTHE NEBRASKA HEART HOSPITAL (NHH) PROVIDES A COMPREHENSIVE PROGRAM OF CARDIOLOGY SERVICES. THESE SERVICES BEGIN WITH THE PATIENT AND THEIR FAMILY PRACTICE OR PRIMARY CARE PHYSICIAN, A RELATIONSHIP FUNDAMENTAL IN THE PREVENTION AND TREATMENT OF HEART DISEASE. THE NEBRASKA HEART HOSPITAL PROVIDES AN INCLUSIVE SERIES OF NON-INVASIVE AND INVASIVE DIAGNOSTIC TESTING AND PRACTICES THE MOST UP-TO-DATE INTERVENTIONAL THERAPY IN THE TREATMENT OF HEART DISEASE. CARDIOLOGISTS AT THE NEBRASKA HEART HOSPITAL WORK WITH PATIENTS AND REFERRING PHYSICIANS TO ASSURE THAT A TEAM-BASED APPROACH IS USED FROM DIAGNOSIS THROUGH TREATMENT AND REHABILITATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,447,664ExpenseAmt
Grant$5,235GrantAmt
Revenue$13,433,442RevenueAmt
DescSURGEONS WITH THE NEBRASKA HEART INSTITUTE PERFORM A VARIETY OF PROCEDURES TO TREAT CARDIAC, VASCULAR, AND THORACIC DISEASES. THESE SURGERIES INCLUDE BUT ARE NOT LIMITED TO: CORONARY ARTERY BYPASS, TAVR, TRANSMYOCARDIAL REVASCULARIZATION (TMR), VALVULAR PROCEDURES, TRANSPLANTATION, VASCULAR DISEASE, PERIPHERAL ANGIOGRAPHY, AND VEIN CLINIC.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,248,664ExpenseAmt
Grant$2,584GrantAmt
Revenue$6,629,294RevenueAmt
DescDESPITE ADVANCES IN MEDICINE, HEART DISEASE REMAINS THE LEADING CAUSE OF DEATH IN THE UNITED STATES. THE NEBRASKA HEART HOSPITAL CARDIOVASCULAR HEALTH AND LIPID CLINIC IS COMMITTED TO WORKING TO PREVENT THE DEVELOPMENT AND PROGRESSION OF CORONARY AND VASCULAR DISEASE USING A HOLISTIC APPROACH INCLUDING RISK ASSESSMENT, LIFESTYLE CHANGES AND MEDICAL TREATMENT. A TEAM OF PHYSICIANS, ADVANCED PRACTICE CLINICIANS, NURSES AND DIETICIANS WORKS TO PROVIDE PERSONALIZED RISK ASSESSMENT AND A CUSTOMIZED PLAN TO DECREASE YOUR RISK OF DEVELOPING CARDIOVASCULAR DISEASE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$26,003,579ExpenseAmt
Grant$5,080GrantAmt
Revenue$13,035,832RevenueAmt
DescOTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$26,003,579TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$5,080TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$13,035,832TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$66,576,650TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee323EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICK O'TOOLPersonNm
Phone4023434323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN PETERSDORF
BOARD MEMBER1.0049.00Yes (X)$0$2,089,747$992,820
EVERT KUIPER
FORMER CEO CHI HEALTH0.000.00$0$2,787,233$48,534Yes (X)
TIMOTHY BRICKER
BOARD MEMBER/CEO CENTRAL REGION1.0049.00Yes (X)$0$2,499,192$116,526Yes (X)
RICK THOMPSON MD
PRESIDENT50.000.00$59,844$1,485,591$43,706Yes (X)
JEANETTE WOJTALEWICZ
FORMER CFO, CHI HEALTH0.000.00$0$1,344,835$12,367Yes (X)
DEREK VANCE
FORMER PRESIDENT0.000.00$0$1,032,975$25,180Yes (X)
NICK O'TOOL
MARKET CFO1.0049.00$0$349,020$50,949Yes (X)
KIRTIBALA GUPTA MD
BOARD MEMBER/PHYSICIAN1.0049.00Yes (X)$0$346,502$47,524
HEATHER MORGAN MD
BOARD MEMBER/PHYSICIAN1.0049.00Yes (X)$0$320,425$58,377
EMILY MANNSCHRECK
PHARMACY DIRECTOR10.0040.00$50,347$177,758$46,593Yes (X)
KEVIN MENDENHALL
NURSING SUPERVISOR50.000.00$218,037$0$49,784Yes (X)
MICHELE MURPHY
FORMER HCE0.0050.00$0$204,041$45,196Yes (X)
STEVE TYNDALL
MEDICAL DIRECTOR40.0010.00$210,828$30,642$5,242Yes (X)
GERALD SCHWARZ
FORMER HCE0.0050.00$0$207,401$36,687Yes (X)
JONI STREET
FORMER HCE0.0050.00$0$192,953$50,822Yes (X)
ANDREW BONNESS
PERFUSIONIST50.000.00$187,193$747$45,600Yes (X)
REBECCA ECKERT
VP PATIENT CARE SERVICES50.000.00$184,135$0$48,963Yes (X)
CYNTHIA ALLOWAY
BOARD MEMBER1.0011.00Yes (X)$0$0$0
KELLY BACON
BOARD MEMBER1.0011.00Yes (X)$0$0$0
KENT BARNEY
TREASURER1.0011.00Yes (X)$0$0$0Yes (X)
KATE CUTLER
BOARD MEMBER1.0011.00Yes (X)$0$0$0
KEVIN FITZGERALD
SECRETARY1.0011.00Yes (X)$0$0$0Yes (X)
SISTER NADINE HEIMANN OSF
BOARD MEMBER1.0040.00Yes (X)$0$0$0
LG SEARCEY
BOARD MEMBER1.0011.00Yes (X)$0$0$0
SISTER MAURITA SOUKUP
BOARD CHAIR1.0011.00Yes (X)$0$0$0Yes (X)
DAVE TAYLOR
BOARD MEMBER1.0011.00Yes (X)$0$0$0
MARDELL WILSON
BOARD MEMBER1.0011.00Yes (X)$0$0$0
BILL YATES
VICE CHAIR1.0011.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$910,384TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,069,062TotReportableCompRltdOrgAmt
Total Other Compensation$1,724,870TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPECTRANETICS CORPORATIONBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line19965 FEDERAL DRIVEAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80921ZIPCd
FieldValueIRS element (for citing)
ServicesMEDICAL SERVICESServicesDesc
Compensation$225,690CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICESDesc
Business900099BusinessCd
Total Revenue Column$74,220,779TotalRevenueColumnAmt
Related Or Exempt Func Income$74,220,779RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$74,220,779TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,872TotalRevenueColumnAmt
Exclusion$8,872ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,555SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,555SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,555TotalRevenueColumnAmt
Exclusion$6,555ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INSURANCE RECOVERIES900099$283,674$0$0$283,674
SERVICES SOLD900099$240,000$0$0$240,000
CAFETERIA722100$155,058$0$0$155,058

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,530TotalRevenueColumnAmt
Exclusion$26,530ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$705,262OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,941,468TotalRevenueColumnAmt
Related Or Exempt Func Income$74,220,779RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$720,689ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$28,925TotalAmt
Program Services$28,925ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$103,621TotalAmt
Program Services$98,440ProgramServicesAmt
Management And General$5,181ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,600,458TotalAmt
Program Services$17,670,435ProgramServicesAmt
Management And General$930,023ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$932,055TotalAmt
Program Services$885,452ProgramServicesAmt
Management And General$46,603ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,781,156TotalAmt
Program Services$2,642,098ProgramServicesAmt
Management And General$139,058ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,315,728TotalAmt
Program Services$1,249,942ProgramServicesAmt
Management And General$65,786ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$102,708TotalAmt
Program Services$97,573ProgramServicesAmt
Management And General$5,135ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,348TotalAmt
Management And General$3,348ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,605,514TotalAmt
Program Services$11,957,603ProgramServicesAmt
Management And General$647,911ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,458TotalAmt
Program Services$977ProgramServicesAmt
Management And General$481ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,605,612TotalAmt
Program Services$1,402,440ProgramServicesAmt
Management And General$203,172ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,372,155TotalAmt
Program Services$919,344ProgramServicesAmt
Management And General$452,811ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,236,330TotalAmt
Program Services$828,341ProgramServicesAmt
Management And General$407,989ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,787TotalAmt
Program Services$13,257ProgramServicesAmt
Management And General$6,530ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,154TotalAmt
Program Services$773ProgramServicesAmt
Management And General$381ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,037,500TotalAmt
Program Services$695,125ProgramServicesAmt
Management And General$342,375ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,001,988TotalAmt
Program Services$1,341,332ProgramServicesAmt
Management And General$660,656ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$252,878TotalAmt
Management And General$252,878ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$25,790,818$25,790,818$0$0
INTERCOMPANY ALLOCATION$3,308,088$0$3,308,088$0
REPAIRS AND MAINTENANCE$780,157$741,149$39,008$0
DUES & SUBSCRIPTIONS$125,004$118,754$6,250$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$124,406TotalAmt
Program Services$93,872ProgramServicesAmt
Management And General$30,534ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$74,130,848TotalAmt
Program Services$66,576,650ProgramServicesAmt
Management And General$7,554,198ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$199BOYAmt
EOY$399EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,076,880BOYAmt
EOY$24,676,349EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,257,742BOYAmt
EOY$8,081,025EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$13,677BOYAmt
EOY$13,677EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,803,177BOYAmt
EOY$4,797,391EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,465,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,038,975LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,274,343BOYAmt
EOY$21,426,248EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$233,237BOYAmt
EOY$257,606EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$74,786,413BOYAmt
EOY$74,786,413EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$69,498,122BOYAmt
EOY$72,731,269EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$205,943,790BOYAmt
EOY$206,770,377EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,602,953BOYAmt
EOY$4,611,595EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$34,900BOYAmt
EOY$34,900EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,796BOYAmt
EOY$132,516EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,784,649BOYAmt
EOY$4,779,011EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$201,159,141BOYAmt
EOY$201,991,366EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,159,141BOYAmt
EOY$201,991,366EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$205,943,790BOYAmt
EOY$206,770,377EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$810,620ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,885NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,720OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$3,348GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,348TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,023 CATHOLIC HEALTH ASSOCIATION - $442 NEBRASKA HOSPITAL ASSOCIATION - $1,883ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,400,000OtherCostOrOtherBasisAmt
Book Value$1,400,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,279,013OtherCostOrOtherBasisAmt
Depreciation$8,830,623DepreciationAmt
Book Value$14,448,390BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,558,142OtherCostOrOtherBasisAmt
Depreciation$15,194,476DepreciationAmt
Book Value$3,363,666BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,228,068OtherCostOrOtherBasisAmt
Depreciation$1,013,876DepreciationAmt
Book Value$2,214,192BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,426,248TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$72,614,483
ROU OPERATING LEASE$116,786
FieldValueIRS element (for citing)
Total Book Value Other Assets$72,731,269TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LONG TERM PORTION OF LEASE LIABILITIES$34,605
CURRENT PORTION OF LEASE LIABILITIES$82,007
OTHER CURRENT LIABILITIES$2,862
PHYSICIAN RECRUIT AND GUARANTEE PAYABLE - ST$13,042
FieldValueIRS element (for citing)
Total Liability$132,516TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationNEBRASKA HEART HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served262PersonsServedCnt
Total Community Benefit Expns$406,163TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$406,163NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served925PersonsServedCnt
Total Community Benefit Expns$3,010,174TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,769,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$240,224NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served1187PersonsServedCnt
Total Community Benefit Expns$3,416,337TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,769,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$646,387NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served208PersonsServedCnt
Total Community Benefit Expns$61,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$709DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,103NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served299PersonsServedCnt
Total Community Benefit Expns$261,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$261,743NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$60,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,260NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served508PersonsServedCnt
Total Community Benefit Expns$383,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$709DirectOffsettingRevenueAmt
Net Community Benefit Expns$383,107NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served1695PersonsServedCnt
Total Community Benefit Expns$3,800,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,770,659DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,029,494NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,590,484BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$30,747,802ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$36,908,060CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,160,258MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA HEART HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 SOUTH 91ST STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68526ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.NEHEART.COMWebsiteAddressTxt
State LicenseH000118StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherHEART HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA HEART HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.CHIHEALTH.COM/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.CHIHEALTH.COM/CHNAStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTMLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTMLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTMLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI HEALTH NEBRASKA HEART HOSPITAL (NHH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN THIS CYCLE OF THE CHNA PROCESS, LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT (LLCHD) PILOTED AND IMPLEMENTED A NEW SHORTENED VERSION OF A COMMUNITY HEALTH STATUS ASSESSMENT IN THE FORM OF THE FIVE-QUESTION GEOSPATIAL COMMUNITY SURVEY. THIS SURVEY (PRIMARY DATA SOURCE) IN COMBINATION WITH THE ARRAY OF INDICATORS FROM SECONDARY DATA SOURCES (BIRTH, DEATH, BRFSS, YRBS, HOSPITAL DISCHARGE DATA) HELPS PROVIDE A ROBUST UNDERSTANDING OF HEALTH BEHAVIORS AND OUTCOMES IN LANCASTER COUNTY. THE GEOSPATIAL COMMUNITY SURVEY PROVIDED CENSUS TRACT ESTIMATES FOR THE SELF-REPORTED HEALTH STATUS OF THE COMMUNITY. THE LLCHD TEAM WAS UNABLE TO FIND SURVEY METHODOLOGY MATCHING THEIR FOCUS, AND ADAPTED A MODIFIED GEO-SPATIAL METHODOLOGY, USING GIS TO IDENTIFY 1 OUT OF EVERY 7 HOMES ON EVERY BLOCK OF THE CITY AND COUNTY. ROUGHLY 14,000 ADDRESSES WERE IDENTIFIED FOR THE INITIAL ROUND OF SURVEYING (THE METHODOLOGY ALLOWS FOR EASY SHIFTING IN THE FUTURE (I.E. HOME 2 OUT 7) TO AVOID SURVEY FATIGUE). THE SURVEY HAS NO METHOD FOR COLLECTING ADDITIONAL DEMOGRAPHIC INFORMATION, WHICH IS CURRENTLY OBTAINED THROUGH THE CENSUS. THE FOCUS OF THE SURVEY IS SOLELY HOW HEALTH IS EXPERIENCED BASED ON WHERE A PERSON LIVES. THE TOOL WAS TRANSLATED INTO FIVE ADDITIONAL LANGUAGES BASED ON THE TOP LANGUAGE NEEDS IDENTIFIED THROUGH OTHER SERVICES OFFERED BY THE LLCHD. NEARLY 500 SURVEYS WERE DISTRIBUTED, EACH WITH A CODE THAT CORRELATED TO THEIR CENSUS TRACT. THE PILOT HAD MORE THAN A 20% COMPLETION RATE AFTER TWO MAILINGS, SENT TWO WEEKS APART. BEYOND SENDING THE SURVEY TO ONE IN EVERY SEVEN PARCELS, THE LLCHD PARTNERED WITH THE CULTURAL CENTERS OF LINCOLN (CCL), THE COMMISSION FOR THE BLIND, AND THE HOMELESS COALITION, TO IDENTIFY AND SURVEY 11 EQUITY GROUPS TO BETTER ENSURE ENGAGEMENT AND REPRESENTATION AS PRIORITIES EMERGE FROM THE DATA FOR COMMUNITY HEALTH IMPROVEMENT PLANNING THE CCL INCLUDES THE ASIAN COMMUNITY AND CULTURAL CENTER, EL CENTRO DE LAS AMERICAS, GOOD NEIGHBOR COMMUNITY CENTER, INDIAN CENTER, MALONE CENTER, AND PONCA TRIBE OF NEBRASKA. EACH CENTER REPRESENTS A DISTINCT CONSTITUENCY, BUT THEY SHARE MANY CHARACTERISTICS, VALUES, AND GOALS. CCL SERVES AS A MODEL OF MULTICULTURAL COLLABORATION, ENCOURAGING DIALOGUE TO INCREASE UNDERSTANDING OF HEALTH, BEHAVIORAL HEALTH, SOCIAL, ECONOMIC, AND EDUCATIONAL NEEDS. BUILDING ON THE CHNA STEERING COMMITTEE'S SURVEY ANALYSIS, THE LLCHD TEAM COLLABORATED WITH THE CCL TO ARRANGE 2-HOUR CONVERSATIONS WITH COMMUNITY MEMBERS FROM NINE ETHNIC MINORITY GROUPS IN LANCASTER COUNTY. FOURTEEN CONVERSATIONS WERE COMPLETED (FIVE GROUPS HAD TWO CONVERSATIONS: AFRICAN AMERICAN, HISPANIC, MIDDLE-EASTERN, NATIVE AMERICAN, AND SUDANESE COMMUNITIES) WITH AN AVERAGE OF 10 PARTICIPANTS REPRESENTING 15 DIFFERENT COUNTRIES OF ORIGIN.
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 6A: CHI HEALTH NEBRASKA HEART HOSPITAL AND ST. ELIZABETH CONDUCTED A JOINT CHNA IN PARTNERSHIP WITH BRYAN HEALTH.
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 6B: LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 7D: THIS CHNA WAS COMPLETED IN PARTNERSHIP WITH THE HEALTH DEPARTMENT AND WAS REVIEWED BY THE BOARD OF HEALTH ON SEPTEMBER 15TH, 2021
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2022. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON WWW.CHIHEALTH.COM/CHNA. THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA COLLECTION AND REVIEW VIA SURVEYS AND FOCUS GROUPS, AS WELL AS A SECONDARY DATA REVIEW AND VALIDATION. TOP HEALTH NEEDS (FROM 2022 CHNA): 1. ACCESS TO CARE2. BEHAVIORAL HEALTH 3. CANCER4. CHRONIC & INFECTIOUS DISEASE (OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND RELATED HEALTH BEHAVIORS) 5. SOCIAL DETERMINANTS OF HEALTH6. VIOLENCE/INJURYFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: ACCESS TO CARETO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:- 1.1 ENGAGE WITH COMMUNITY PARTNERS AND KEY SERVICE PROVIDERS IN EXISTING EFFORTS TO IMPROVE ACCESS POINTS AND COORDINATION OF HEALTH CARE SERVICES ACROSS THE CITY OF LINCOLN AND LANCASTER COUNTY. -1.1.1 SUPPORT AND PARTICIPATE IN THE LLCHD CHIP ACCESS TO CARE WORK GROUP AND OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT WORK AROUND MATERNAL CHILD HEALTH, PREVENTATIVE CARE, AND BARRIERS TO CARE. FY2024 ACTIONS AND IMPACT:PARTICIPATED IN LLCHD CHIP ACCESS TO CARE WORKGROUP WHICH SET THE FOLLOWING PRIORITIES.PROVIDED FINANCIAL SUPPORT TO CLINIC WITH A HEART TO ENSURE GREATER HEALTHCARE ACCESS IN THE COMMUNITY.SUPPORTED MADONNA MEDICAL TRANSPORT PROGRAM THROUGH PARTNERSHIP AND A FINANCIAL CONTRIBUTION OF $10,000 TO ENSURE COMMUNITY MEMBERS COULD CONTINUE TO ACCESS NEEDED HEALTH CARE.SUPPORTED BRAVEBE CHILD ADVOCACY CENTER.NEWLY ADDED STRATEGY AROUND FOOD SECURITY, BASED ON REQUESTS MADE BY COMMUNITY PARTNERS.MEASURES:BOOKS FOR BABIES:FUNDS PROVIDED: $5,000MADONNA MEDICAL TRANSPORT:FUNDS PROVIDED: $10,000DURING THE LAST FISCAL YEAR, CMT PROVIDED 4,574 NON-EMERGENCY MEDICAL TRIPS. OF THOSE TRIPS, 611 WERE TO ST. ELIZABETH PROPERTIES, 1454 WERE TO B=BRYAN HEALTH PROPERTIES, 618 WERE TO DIALYSIS CENTERS AND THE OTHER TRIPS WERE TO MEDICAL OFFICES, SURGICAL CENTERS AND DIAGNOSTIC CENTERS.BRAVEBE: SUBMITTED A $599,996 MISSION AND MINISTRY FUND APPLICATION TO SUPPORT THEIR WORK. THE APPLICATION WAS FUNDED, WITH THE PROJECT COMMENCING IN FY25. CLINIC WITH A HEART: NO MEASURES TO REPORTSTATEWIDE DOUBLE UP FOODS BUCKS: FUNDS PROVIDED: $12,500-1.1.2 IDENTIFY AND IMPLEMENT SOLUTIONS TO REDUCE PREVENTABLE READMISSIONS AND OPTIMIZE TRANSITIONS OF CARE. FY2024 ACTIONS AND IMPACT:FORMED A READMISSIONS COMMITTEE AND WORKED TO IMPROVE DOCUMENTATION IN EPIC FOR MORE ACCURATE ANALYSIS OF ROOT CAUSES OF READMISSIONS. HEALTH EQUITY COMMITTEE PRIORITIZED CLOSING THE GENDER DISPARITY GAP IN HOSPITAL READMISSIONS AS THE FY25 CLINICAL QUALITY GOAL, THEREFORE ACTIONS AND MEASURES WILL BE REPORTED IN SUBSEQUENT REPORTING CYCLES.MEASURES: NO MEASURES TO REPORT.-1.1.3 PARTNER WITH AGING PARTNERS (AREA AGENCY ON AGING) TO IDENTIFY GAPS IN CARE SPECIFIC TO THE AGING AND DISABLED POPULATIONS AND IDENTIFY RELEVANT ACTIONS AND MEASURES OF SUCCESS FOR IDENTIFIED WORK. FY2024 ACTIONS AND IMPACT:CONTINUED PARTNERSHIP WITH AGING PARTNERS TO DETERMINE HEALTH NEEDS OF THE AGING POPULATION. CONTINUED TO EXPLORE ALIGNMENT AS THE ORGANIZATION MOVED INTO A BUILDING ACROSS THE STREET FROM ST. ELIZABETH.BEGAN PURSUING AN AGE FRIENDLY HEALTH SYSTEM DESIGNATION AT ST. ELIZABETH.MEASURES:OBTAINED LEVEL 1 AGE FRIENDLY HEALTH SYSTEM DESIGNATION.-1.1.4 EXPLORE AND IDENTIFY WAYS TO PROMOTE IMPROVED ALIGNMENT BETWEEN PRIMARY AND CARDIOVASCULAR SPECIALTY CARE IN THE LINCOLN COMMUNITY AND IDENTIFY RELEVANT ACTIONS AND MEASURES OF SUCCESS FOR IDENTIFIED WORK.FY2024 ACTIONS AND IMPACT:THE ANNUAL FALL CARDIOLOGY CONFERENCE WAS HELD OCTOBER 21, 2023; FOUR HOURS OF CME WAS PROVIDED; POST CONFERENCE SURVEYS INDICATED THE TOPICS OF DESIRE FOR FUTURE CONFERENCES; MEMBERS OF SPECIALTY AREAS INCLUDING CARDIOLOGY AND VASCULAR AND CARDIAC SURGERY WERE AVAILABLE AND VISITED WITH PRIMARY CARE COLLEAGUES IN THE PRIMARY AND SECONDARY SERVICE AREAS.MEASURES:OBTAINED LEVEL 1 AGE FRIENDLY HEALTH SYSTEM DESIGNATION.-1.1.5 SUPPORT THE ON-GOING OR INCREASED AVAILABILITY OF EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT PROGRAMMING THAT LEVERAGES PRIMARY AND SPECIALTY CARE ACCESS POINTS (I.E. TOBACCO CESSATION CLASSES, DIABETES SELF- MANAGEMENT, HEART FAILURE, ETC.) TO ENCOURAGE REFERRAL AND FEEDBACK LOOP PROCESSES.FY2024 ACTIONS AND IMPACT:THE 2023 FALL CARDIOLOGY CONFERENCE WAS HELD OCTOBER 21, 2024; TOPICS INCLUDED: IMAGING MODALITIES FOR VASCULAR AND CARDIAC DISEASE; THERAPIES FOR STRUCTURAL HEART DISEASE INCLUDING TAVR AND TRADITIONAL OPEN-HEART THERAPIES; DISCUSSION OF PREVENTION OF STROKE FOR PATIENTS WITH AFIB; DISCUSSION OF THERAPY FOR SLEEP APNEA WHICH MAY CONTRIBUTE TO CORONARY ARTERY DISEASE, PULMONARY DYSFUNCTION AND HEART FAILURE; PANEL DISCUSSIONS ALONG WITH LECTURE PRESENTATIONS AND CASE PRESENTATION WAS UTILIZED.MEASURES:TOBACCO CESSATION: NO MEASURES TO REPORT.LMEP FAMILY MEDICINE RESIDENTS: EIGHT RESIDENTS SPEND FOUR WEEKS INDIVIDUALLY WITH NEBRASKA HEART PHYSICIANS.WOUNDS CENTER VISITS ARE MADE TO ST. ELIZABETH HOSPITAL, ST. MARY'S HOSPITAL AND THE HOSPITAL IN FALLS CITY; THE AVERAGE MONTHLY PATIENTS SEEN IN THESE THREE CLINICS ARE 112 PATIENTS.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, AND VIOLENCE)TO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:-2.1 PROVIDE ENTRY POINTS FOR BEHAVIORAL HEALTH CARE AND ENGAGE IN THE BEHAVIORAL HEALTH CONTINUUM TO ENSURE PROPER REFERRAL OF THOSE NEEDING CARE -2.1.1 ASSESS THE BARRIERS AND NEED FOR INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE, INCLUDING INCREASED NEED FOR CARE COORDINATION IN THE HEALTH CARE SETTING, AND IDENTIFY STRATEGIES FOR ADDRESSING KNOWN BARRIERS.FY2024 ACTIONS AND IMPACT:CONTINUED TO INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING. THE FULL TIME BEHAVIORAL HEALTH SPECIALIST MOVED TO THE NEW YANKEE HILL FAMILY HEALTH CENTER, REACHING MORE PATIENTS WITH BEHAVIORAL HEALTH SERVICES. A PSYCHIATRIC NURSE PRACTITIONER HAS BEEN ADDED TO THE TEAM, AND THEY BEGAN RECRUITING FOR A FULL TIME THERAPIST. THERE IS ALSO A FULLTIME PA ON STAFF TO SUPPORT MEDICAL AND BEHAVIORAL HEALTH NEEDS OF PATIENTS, AND THE NEW CLINIC IS ACCEPTING REFERRALS FROM ALL LINCOLN BASED CHI HEALTH CLINICS. BEHAVIORAL HEALTH STAFFING WILL CONTINUE TO BE A PRIORITY AS FAMILY HEALTH CENTERS ARE DEVELOPED THROUGHOUT THE SYSTEM. PROVIDED ACCESS OPPORTUNITIES WITH APRN WORKING ONE SUNDAY A MONTH. DUE TO GROWTH, WE POSTED A FULL TIME THERAPIST POSITION WHICH HAS BEEN FILLED. MEASURES:482 BILLABLE OFFICE VISITS (LIMPH WAS OFF SIGNIFICANT PORTION OF FY24)8.8% NO SHOW RATESTAFF HIRED: 1 (START DATE: DECEMBER 2024)-2.1.2 SUPPORT PROVIDER AND STAFF RESILIENCY THROUGH GRAND ROUNDS PRESENTATIONS AND EXPLORE OTHER INTERNAL AND COMMUNITY BEHAVIORAL HEALTH NEEDS THROUGH THE ALIGNMENT OF THE PSYCHIATRY DEPARTMENT AND MISSION INTEGRATION.FY2023 ACTIONS AND IMPACT: NO UPDATES TO REPORTMEASURES: NO MEASURES TO REPORT. -2.1.3 PARTNER WITH THE LLCHD BEHAVIORAL HEALTH CHIP WORKGROUP TO SUPPORT YOUTH MENTAL HEALTH, ACCESS TO BEHAVIORAL HEALTH CARE, AND SUICIDE, AS WELL AS OTHER NEED AREAS IDENTIFIED BY THE WORKGROUP. FY2024 ACTIONS AND IMPACT: NO UPDATES TO REPORTMEASURES: NO MEASURES TO REPORT-2.1.4 PREVENT VIOLENCE AND BUILD CAPACITY OF THE HEALTH CARE WORKFORCE TO APPROPRIATELY INTERVENE WHEN IT IS SUSPECTED.FY2024 ACTIONS AND IMPACT: ENCOURAGED STAFF PARTICIPATION IN MANDATORY EDUCATIONAL MODULES AS WELL AS RECRUITED TASK FORCE MEMBERS.INCREASE STAFF CAPACITY FOR CARE MANAGEMENT OF SURVIVORS OF HUMAN TRAFFICKING AND SEXUAL ABUSE.REGISTERED ONLINE CLASSES: THE ONLINE NUMBER INCLUDES THE NUMBER OF SIGN ONS BUT DOES NOT ACCOUNT FOR THE NUMBER OF ATTENDEES THAT MAY HAVE BEEN WATCHING TOGETHER ONLINE. HOSTED A HUMAN TRAFFICKING AWARENESS CONFERENCE. MANY ATTENDEES MADE COMMENTS THAT THEY LEARNED MORE ABOUT HOW HUMAN TRAFFICKING IS PRESENT IN OUR COMMUNITY AND FURTHERMORE WHAT TO DO TO HELP CONTRIBUTE TO REDUCING THE ISSUES HUMAN TRAFFICKING CAUSES IN OUR AREA. MEASURES:# IN PERSON CONFERENCE ATTENDEES: 135# REGISTERED TO ATTEND CONFERENCE ONLINE: 125
NEBRASKA HEART HOSPITALPART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.
PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA.
PART V, SECTION B, LINE 11B (CONTINED):IN ACKNOWLEDGING THE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, CHI HEALTH NEBRASKA HEART HOSPITAL PRIORITIZED ACCESS TO CARE AND BEHAVIORAL HEALTH IN ORDER TO MOST EFFECTIVELY FOCUS RESOURCES AND MEANINGFULLY IMPACT THE SELECTED HEALTH ISSUES. AS DESCRIBED IN THE PROCESS ABOVE, THE HOSPITAL TOOK INTO CONSIDERATION EXISTING PARTNERSHIPS, AVAILABLE RESOURCES, THE HOSPITAL'S LEVEL OF EXPERTISE, EXISTING INITIATIVES (OR LACK THEREOF), POTENTIAL FOR IMPACT, AND THE COMMUNITY'S INTEREST IN THE HOSPITAL ENGAGING IN THAT AREA IN ORDER TO SELECT THE PRIORITIES. THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: CANCER, CHRONIC, AND INFECTIOUS DISEASE. THE HOSPITALS DID NOT PRIORITIZE THESE HEALTH NEEDS FOR THREE KEY REASONS. FIRST, THERE IS A LARGE BODY OF EXISTING EFFORTS IN THE COMMUNITY THAT ARE WORKING TO REDUCE CHRONIC DISEASE AND NEGATIVE IMPACTS ASSOCIATED WITH SUCH DISEASES AS CANCER, HEART DISEASE, AND STROKE. SECOND, IN ORDER TO MAXIMIZE IMPACT, ST. ELIZABETH AND NHH HAVE PRIORITIZED ACCESS TO HEALTHCARE SERVICES AS IMPROVING ACCESS POINTS, REDUCING BARRIERS TO PREVENTIVE CARE, AND IMPROVING THE QUALITY OF HEALTHCARE. THIRD, THE HOSPITALS HAVE BEEN AWARDED A GRANT TO ENHANCE ONCOLOGY NAVIGATION IN PARTNERSHIP WITH NEBRASKA CANCER COALITION AND CHI HEALTH CLINICS. THESE EFFORTS IMPROVE THE ABILITY OF HEALTH CARE SERVICE PROVIDERS AND COMMUNITY PARTNERS TO ADDRESS CHRONIC DISEASE ON AN INDIVIDUAL BASIS. SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS DID NOT WRITE A SPECIFIC STRATEGY AROUND THIS HEALTH AREA IN ORDER TO FOCUS ON THE NEEDS PRIORITIZED. THERE IS SIGNIFICANT WORK IN THE COMMUNITY AROUND THE SOCIAL DETERMINANTS OF HEALTH THAT CHI HEALTH ST. ELIZABETH AND NHH LEADERSHIP AND STAFF ARE ACTIVELY INVOLVED IN SUCH AS, PARTICIPATING ON THE BOARD OF DIRECTORS FOR THE COMMUNITY HEALTH ENDOWMENT, PARTNERING WITH THE HEALTH DEPARTMENT TO ADDRESS COMMUNITY NEEDS, AND USE AND PROMOTION OF SOCIAL NEEDS REFERRAL PLATFORMS, SUCH AS UNITE US AND MYLNK. THE HOSPITALS WILL ALSO INDIRECTLY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH THROUGH A NUMBER OF THE ACTIVITIES THAT FALL UNDER THE PRIORITIZED HEALTH NEEDS BELOW. VIOLENCE/INJURY. THIS HEALTH NEED WAS NOT PRIORITIZED IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. IN FY21, CHI HEALTH ST. ELIZABETH RECEIVED A TWO-YEAR GRANT TO INCREASE THE CAPACITY OF THE HEALTH SYSTEM AND COMMUNITY PARTNERS TO IDENTIFY AND RESPOND TO HUMAN TRAFFICKING AND INTERPERSONAL VIOLENCE. THIS WORK IS PART OF A SYSTEM WIDE EFFORT TO PREVENT AND TREAT VIOLENCE IN CHI HEALTH COMMUNITIES THAT PERSISTS BEYOND THE INITIAL GRANT TERM. CHI HEALTH ST. ELIZABETH ALSO HAS A ROBUST TRAUMA PROGRAM, IN WHICH PREVENTION AND OUTREACH ARE INTEGRATED TO SUPPORT LINCOLN AND THE SURROUNDING COMMUNITIES. ADDITIONALLY, THERE IS A ROBUST NETWORK OF PARTNERS ADDRESSING INJURY AND VIOLENCE PREVENTION THROUGH THE LLCHD COMMUNITY HEALTH IMPROVEMENT PLAN. CHI HEALTH ST. ELIZABETH AND NHH HAVE LONG SUPPORTED AND WILL CONTINUE TO SUPPORT THIS WORK THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LINE 3C:UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.
PART I, LINE 6A:THE 2023 COMMUNITY BENEFIT REPORT FOR NEBRASKA HEART HOSPITAL WAS PREPARED BY ALEGENT CREIGHTON HEALTH, DBA CHI HEALTH, A RELATED ORGANIZATION. THE COMMUNITY BENEFIT REPORT CONTAINS INFORMATION FOR SEVERAL RELATED ORGANIZATIONS IN IOWA AND NEBRASKA.
PART I, LINE 7:COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:CHI HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE SUPPORT OF LOCAL HEALTH COALITIONS, INVESTMENTS IN PARTNERSHIPS AND PROGRAMS THAT ADDRESS TOP COMMUNITY HEALTH NEEDS, PARTICIPATION IN LOCAL COMMITTEES AND BOARDS TIED TO TOP HEALTH NEEDS, AND INVESTMENTS IN MANY OTHER WAYS AS DESCRIBED IN OTHER AREAS OF THE SCHEDULE H NARRATIVE.
PART III, LINE 2:THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:NEBRASKA HEART HOSPITAL MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. NEBRASKA HEART HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. NEBRASKA HEART HOSPITAL ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, NEBRASKA HEART HOSPITAL DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:NEBRASKA HEART HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES."
PART III, LINE 8:COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. NEBRASKA HEART HOSPITAL'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $6,160,258 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.
PART III, LINE 9B:COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 3:INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
PART VI, LINE 4:LANCASTER COUNTY INCLUDES RESIDENTS LIVING IN THE TOWNS OF BENNET, DAVEY, DENTON, FIRTH, HALLAM, HICKMAN, LINCOLN, MALCOLM, PANAMA, RAYMOND, ROCA, SPRAGUE, WAVERLY, AND TEN UNINCORPORATED VILLAGES. LANCASTER COUNTY COVERS AN AREA OF 839 SQUARE MILES IN SOUTHEASTERN NEBRASKA, WITH LINCOLN AS THE LARGEST CITY AND WHICH SERVES AS THE NEBRASKA STATE CAPITOL. THE 2020 POPULATION ESTIMATE FOR LANCASTER COUNTY IS 322,608. THE MAJORITY OF LANCASTER COUNTY RESIDENTS LIVE IN THE LINCOLN URBAN AREA (90%). OVER THE PAST SEVERAL DECADES THE MINORITY POPULATION OF LINCOLN AND LANCASTER COUNTY HAS INCREASED AND THE AREA HAS A HIGHER PERCENTAGE OF FOREIGN BORN PERSONS THAN THE STATE OVERALL. OVER THE DECADE FROM 2010 TO 2019, THE INCREASE IN THE BLACK (34.7%), AMERICAN INDIAN AND ALASKA NATIVE (22.5%), ASIAN (34.4%), MULTIRACIAL (84.3%) AND HISPANIC OR LATINO (44.7%) POPULATIONS IS VERY LARGE RELATIVE TO THE WHITE ALONE POPULATION. THE LANCASTER COUNTY HOMELESS POPULATION IS BEST MEASURED USING THE POINT-IN-TIME COUNT CONDUCTED ANNUALLY. THE NUMBER OF HOMELESS PERSONS COUNTED HAS DECLINED SINCE 2012. IN 2012, THERE WERE 981 INDIVIDUALS COUNTED, BUT THIS NUMBER STEADILY DECREASED TO 451 IN 2018. IN 2019, THERE WERE 449 PERSONS FROM 325 HOUSEHOLDS COUNTED. THERE WERE 279 PERSONS THAT WERE FORMERLY HOMELESS HOUSED IN PERMANENT SUPPORTIVE HOUSING PROGRAMS, 234 PERSONS FORMERLY HOMELESS IN RAPID REHOUSING PROGRAMS, AND 52 PERSONS THAT WERE FORMERLY HOMELESS HOUSED IN OTHER PERMANENT HOUSING PROGRAMS. A REVIEW OF THE SOCIOECONOMIC FACTORS SHOWS THAT LANCASTER COUNTY, AND THE STATE OF NEBRASKA OVERALL HAVE A LOW UNEMPLOYMENT RATE. INTERESTINGLY, THE PERCENT OF POPULATION AGES 25 AND OVER WITH COMPLETION OF HIGH SCHOOL OR POST-SECONDARY EDUCATION IN LINCOLN AND LANCASTER COUNTY IS HIGHER THAN THE STATE, HOWEVER, POVERTY (9.4%) AND UNEMPLOYMENT (2.3%) ARE HIGHER IN LANCASTER COUNTY THAN THE STATE OVERALL (9.2% AND 1.3%, RESPECTIVELY). THIS COULD BE ATTRIBUTED TO THE EXISTENCE OF THE UNIVERSITY OF NEBRASKA LINCOLN, LOCATED IN LINCOLN, BUT IS STILL CONCERNING THAT THERE ARE A LARGER PERCENTAGE OF INDIVIDUALS AND FAMILIES LIKELY NOT AFFILIATED WITH THE UNIVERSITY AFFECTED BY POVERTY LANCASTER COUNTY IS DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA IN THE FOLLOWING AREAS: PRIMARY CARE (BLUESTEM HEALTH [19], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [17]), DENTAL HEALTH (BLUESTEM HEALTH [23], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [17]), AND MENTAL HEALTH (MENTAL HEALTH CATCHMENT AREA 5 [8], BLUESTEM HEALTH [21], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [13]. THE SCORE RANGES FROM 0-26 WHERE THE HIGHER THE SCORE, THE GREATER THE PRIORITY. LANCASTER COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED AREA (MUA) IN PRIMARY CARE WITH AN INDEX OF MEDICAL UNSERVED SCORE OF 60.4 (TO QUALIFY FOR THIS DESIGNATION, THE SCORE MUST BE BELOW OR EQUAL TO 62.0 ON A SCALE OF 0 - 100 WITH 100 BEING THE LOWEST NEED)LINCOLN HAS A WIDE RANGE OF HEALTHCARE PROVIDERS, INCLUDING MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES THAT NOT ONLY ADDRESS THE NEEDS OF THE LOCAL POPULATION, BUT ALSO RESIDENTS FROM THROUGHOUT SOUTHEAST NEBRASKA, NORTHERN KANSAS, AND FROM ACROSS THE STATE. THE LLCHD, AS WELL AS STATE AGENCIES, PROVIDE POPULATION HEALTH SERVICES. AGING PARTNERS IS THE LOCAL AREA AGENCY ON AGING ORGANIZATION, AND WHILE IT SERVES LANCASTER COUNTY, IT IS OPERATED BY THE CITY OF LINCOLN. BELOW IS A LIST OF PROMINENT PROVIDERS RELATED TO HEALTH AND HUMAN SERVICES IN THE LINCOLN-LANCASTER COUNTY: - BRYAN HEALTH EAST CAMPUS (HOSPITAL) - BRYAN HEALTH WEST CAMPUS (HOSPITAL) - BLUESTEM HEALTH (FORMERLY PEOPLE'S HEALTH CENTER) - CHI HEALTH CLINICS IN LANCASTER COUNTY - HEALTH 360 (LUTHERAN FAMILY SERVICES & BLUESTEM HEALTH PARTNERSHIP) - MADONNA REHABILITATION HOSPITAL - LINCOLN SURGICAL HOSPITAL - LINCOLN REGIONAL CENTER (PSYCHIATRIC HOSPITAL) - LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT (LLHD) - LINCOLN MEDICAL EDUCATION PARTNERSHIP - LINCOLN VETERANS ADMINISTRATION MEDICAL CENTER - CLINIC WITH A HEART PEOPLE'S CITY MISSION - UNIVERSITY HEALTH CENTER (UNIVERSITY OF NEBRASKA LINCOLN AND NEBRASKA MEDICINE) - MEDEXPRESS URGENT CARE (FORMERLY LINC-CARE) - URGENT CARE CLINIC OF LINCOLN - LANCASTER COUNTY MEDICAL SOCIETY (LCMS) - CENTER FOR PEOPLE IN NEED - COMMUNITY HEALTH ENDOWMENT OF LINCOLN - PARTNERSHIP FOR HEALTHY LINCOLN
PART VI, LINE 5:FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS.
PART VI, LINE 6:THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. 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 DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MALONE COMMUNITY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12032 U STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68503ZIPCd
FieldValueIRS element (for citing)
Recipient EIN470376577RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$28,925CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN PETERSDORF
BOARD MEMBER$0$645,040$0$716,812$0$727,895$0$923,913$0$68,907$0$3,082,567$0$713,173
EVERT KUIPER
FORMER CEO CHI HEALTH$0$749,566$0$0$0$2,037,667$0$20,045$0$28,489$0$2,835,767$0$0
TIMOTHY BRICKER
BOARD MEMBER/CEO CENTRAL REGION$0$876,719$0$1,582,430$0$40,043$0$82,634$0$33,892$0$2,615,718$0$0
RICK THOMPSON MD
PRESIDENT$59,844$1,089,095$0$386,765$0$9,731$11,550$0$21,889$10,267$93,283$1,495,858$0$0
JEANETTE WOJTALEWICZ
FORMER CFO, CHI HEALTH$0$128,679$0$132,479$0$1,083,677$0$9,698$0$2,669$0$1,357,202$0$0
DEREK VANCE
FORMER PRESIDENT$0$172,974$0$155,062$0$704,939$0$11,388$0$13,792$0$1,058,155$0$39,486
NICK O'TOOL
MARKET CFO$0$252,554$0$96,047$0$419$0$16,660$0$34,289$0$399,969$0$0
KIRTIBALA GUPTA MD
BOARD MEMBER/PHYSICIAN$0$342,890$0$0$0$3,612$0$18,825$0$28,699$0$394,026$0$0
HEATHER MORGAN MD
BOARD MEMBER/PHYSICIAN$0$319,514$0$0$0$911$0$18,500$0$39,877$0$378,802$0$0
EMILY MANNSCHRECK
PHARMACY DIRECTOR$50,347$140,658$0$36,476$0$624$0$13,174$2,338$31,081$52,685$222,013$0$0
KEVIN MENDENHALL
NURSING SUPERVISOR$207,837$0$800$0$9,400$0$11,819$0$37,965$0$267,821$0$0$0
MICHELE MURPHY
FORMER HCE$0$195,219$0$800$0$8,022$0$11,826$0$33,370$0$249,237$0$0
STEVE TYNDALL
MEDICAL DIRECTOR$208,000$30,642$0$0$2,828$0$5,208$0$34$0$216,070$30,642$0$0
GERALD SCHWARZ
FORMER HCE$0$205,228$0$800$0$1,373$0$14,334$0$22,353$0$244,088$0$0
JONI STREET
FORMER HCE$0$191,794$0$800$0$359$0$11,502$0$39,320$0$243,775$0$0
ANDREW BONNESS
PERFUSIONIST$186,010$747$800$0$383$0$0$11,451$8,457$25,692$195,650$37,890$0$0
REBECCA ECKERT
VP PATIENT CARE SERVICES$144,846$0$38,872$0$417$0$10,409$0$38,554$0$233,098$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.
PART 1, LINE 4A:CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2023 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): EVERT KUIPER, $2,025,542; JEANETTE WOJTALEWICZ, $1,083,464; DEREK VANCE, $658,888. IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, DIGNITY HEALTH'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION.
PART 1, LINE 4B:DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2023 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: DEREK VANCE, $40,496. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 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 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: DEREK VANCE, $5,215.
PART 1, LINE 4B (CONTINUED)CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR CERTAIN EMPLOYEES OCCURRED DURING 2023 INCLUDING J. PETERSDORF, $713,173. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2023.
PART II:NEBRASKA HEART HOSPITAL FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 1C:PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE NO FORM 1099S ARE ISSUED BY NEBRASKA HEART HOSPITAL. COMMONSPIRIT HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY COMMONSPIRIT HEALTH ON BEHALF OF NEBRASKA HEART HOSPITAL ARE REPORTED TO THE IRS.
FORM 990, PART VI, SECTION A, LINE 1APURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS OF THE ARTICLES REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2MARDELL WILSON AND KEVIN FITZGERALD - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6ACCORDING TO THE BYLAWS OF NEBRASKA HEART HOSPITAL, THE ENTITY'S SOLE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND COMMONSPIRIT HEALTH (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: * APPROVE MEMBERS OF THE NEBRASKA HEART HOSPITAL BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE NEBRASKA HEART HOSPITAL * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE NEBRASKA HEART HOSPITAL THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE NEBRASKA HEART HOSPITAL * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL * APPROVAL OF ISSUANCE OF DEBT BY NEBRASKA HEART HOSPITAL * APPROVAL OF PARTICIPATION OF NEBRASKA HEART HOSPITAL IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY NEBRASKA HEART HOSPITAL * APPROVAL OF A MERGER INVOLVING THE NEBRASKA HEART HOSPITAL * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE NEBRASKA HEART HOSPITAL * TO REQUIRE THE TRANSFER OF ASSETS BY THE NEBRASKA HEART HOSPITAL TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 11BFOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW AND ARE ABLE TO ASK THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD AND FINANCE COMMITTEE, 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, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15BCOMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR CERTAIN EXECUTIVES WITHIN ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE IN DETERMINING VARIABLE COMPENSATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AND FINANCIAL LEGAL COUNSEL TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH AND REASONABLENESS OF THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES) FOR ALL OTHER STAFF AND LEADERSHIP ROLES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE NEBRASKA SECRETARY OF STATE WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 374,705. MANAGEMENT AND GENERAL EXPENSES 41,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 416,339. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,406,526. MANAGEMENT AND GENERAL EXPENSES 231,922. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,638,448. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,847,187. MANAGEMENT AND GENERAL EXPENSES 93,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,941,059. OTHER FEES: PROGRAM SERVICE EXPENSES 5,329,185. MANAGEMENT AND GENERAL EXPENSES 280,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,609,668.
FORM 990, PART XI, LINE 9:AFFILIATE TRANSFER 6,720.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (198 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HOSPITALNE501(C)(3)LINE 3ACH0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HOSPITALIA501(C)(3)LINE 3CHI NEBRASKA0
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(C)(3)LINE 10CSH0
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(C)(3)LINE 10SFH0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RDARROYO GRANDECA93420203256066FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREETBAKERSFIELDCA93301951802779HOSPITALCA501(C)(3)LINE 3DCC0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(C)(3)LINE 12A, ISLHS0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(C)(3)LINE 3BSLHV0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242INACTIVEPA501(C)(3)LINE 12A, ICSH0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261PHYSICIANSTX501(C)(3)LINE 3TCHB0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HOSPITALTX501(C)(3)LINE 3SLH-CO0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931REHABILITATIONTX501(C)(3)LINE 10SJSC0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUELOS ANGELESCA90015954000909FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDCC0
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HOSPITALND501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLECENTENNIALCO80112840405257HOSPITALCO501(C)(3)LINE 3CSH0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL AVECENTENNIALCO80112840902211FUNDRAISING FOUNDATIONCO501(C)(3)LINE 7CHIC0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204COLORADO SPRINGSCO80920270930004FUNDRAISING FOUNDATIONCO501(C)(3)LINE 12A, ICSH0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796TELEHEALTHCO501(C)(3)LINE 12A, ICSH0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191SURGERY CENTEROR501(C)(3)LINE 10MMC - ROSEBURG0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200BAKERSFIELDCA93311844171789CLINICCA501(C)(3)LINE 3DCC0
CENTRAL KANSAS MEDICAL CENTER
9100 E MINERAL CIRCLECENTENNIALCO80112480543724INACTIVEKS501(C)(3)LINE 3CSH0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847SENIOR LIVINGMN501(C)(3)LINE 10CSH0
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7ACH0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651INVESTMENTSKY501(C)(3)LINE 12A, ICSH0
CHI LIVING COMMUNITIES
930 S WYNN ROADOREGONOH43616341892096SENIOR LIVINGOH501(C)(3)LINE 12A, ISFH-OH0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HOSPITALGA501(C)(3)LINE 3MHCS0
CHI NEBRASKA
12809 WEST DODGE ROADOMAHANE68510363233121HOLDING CONE501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(C)(3)LINE 12A, ICSH0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(C)(3)LINE 12A, ICSH0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HOSPITALAR501(C)(3)LINE 3CHI-SVHS0
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(C)(3)LINE 12A, ISVIMC0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131PHYSICIANSAR501(C)(3)LINE 3CHI-SVHS0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(C)(3)LINE 12A, I0N/A
COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112853374038FUNDRAISING FOUNDATIONCO501(C)(3)LINE 7CSH0
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200SAN FRANCISCOCA94107850919176OPERATING INVESTMENTSDE501(C)(3)LINE 12A, ICSH0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565RESEARCHCO501(C)(3)LINE 12A, ICSH0
COMMONSPIRIT MOUNTAIN REGION
9100 EAST MINERAL CIRCLECENTENNIALCO80112841335382MANAGEMENT COMPANYCO501(C)(3)LINE 12A, ICHIC0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVESAN BERNARDINOCA92411951643373HOSPITALCA501(C)(3)LINE 3DCC0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202237419853HOLDING COOH501(C)(2)GSH0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAH-CMHMV0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611400619HOSPITALKY501(C)(3)LINE 3SJHS0
DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200SAN FRANCISCOCA94107815009488HOSPITALCO501(C)(3)LINE 3CSH0
DIGNITY HEALTH
185 BERRY STREET STE 200SAN FRANCISCOCA94107941196203HOSPITALCA501(C)(3)LINE 3CSH0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVEREDDINGCA96003237115371SENIOR CENTER SERVICESCA501(C)(3)LINE 7DH0
DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200SAN FRANCISCOCA94107462037641FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUESAN BERNARDINOCA92404237440086FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROADCHANDLERAZ85224742418514FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDH0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVERANCHO CORDOVACA95670680220314MULTI-SPECIALTY OUTPATIENT MEDICAL CLINICCA501(C)(3)LINE 12A, IDCC0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVESANTA CRUZCA95065770056778COMMUNITY HEALTH SYSTEMCA501(C)(3)LINE 12A, IDH0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVESANTA CRUZCA95065942450442FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVESANTA CRUZCA95065770127719OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONSCA501(C)(3)LINE 10DHS0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HOSPITALWA501(C)(3)LINE 3FHS0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HOSPITALKY501(C)(3)LINE 3KOH0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, IFH0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(C)(3)LINE 10CHILC0
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISING FOUNDATIONWA501(C)(3)LINE 10FHS0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HOSPITALWA501(C)(3)LINE 3CSH0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739PHYSICIANSWA501(C)(3)LINE 10FHS0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUESAN LUIS OBISPOCA93401203256125FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDCC0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HOSPITALND501(C)(3)LINE 3SAMC0
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUEGLENDALECA91204953625651FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDCC0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108INACTIVECO501(C)(3)LINE 12A, ICSH0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311778403EDUCATIONOH501(C)(3)LINE 2GSH0
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7GSH-KN0
GOOD SAMARITAN HOSPITAL FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202311206047FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, IGSH0
HARRISON MEDICAL CENTER
1800 NW MYHRE RDSILVERDALEWA98383910565546HOSPITALWA501(C)(3)LINE 3FHS0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISING FOUNDATIONMN501(C)(3)LINE 12A, ISFMC-MN0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611029768HOSPITALKY501(C)(3)LINE 3KOH0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800LOUISVILLEKY40202611352729PHYSICIANSKY501(C)(3)LINE 10JHSMH0
KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611029769HEALTHCAREKY501(C)(3)LINE 12A, ICSH0
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HOSPITALMN501(C)(3)LINE 3CSH0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISING FOUNDATIONND501(C)(3)LINE 7LHC0
LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, IKOH0
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HOSPITALND501(C)(3)LINE 3CSH0
LONGMONT UNITED HOSPITAL
1950 MOUNTAIN VIEW AVELONGMONTCO80501840460697HOSPITALCO501(C)(3)LINE 3CHIC0
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HOSPITALTX501(C)(3)LINE 3SLH-CO0
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635ASSISTED LIVINGKY501(C)(3)LINE 10CHILC0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREETSANTA MARIACA93454953818027FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROADSAN ANDREASCA95249680127677HOSPITALCA501(C)(3)LINE 3DCC0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISING FOUNDATIONTN501(C)(3)LINE 7MHCS0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HOSPITALTN501(C)(3)LINE 3CSH0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(C)(3)LINE 10MHCS0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HOSPITALTX501(C)(3)LINE 3SLH-CO0
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX75904752721155PHYSICIANSTX501(C)(3)LINE 12A, IMHSET0
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX75902752492741INACTIVETX501(C)(3)LINE 3MHSET0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119BAKERSFIELDCA93302770201321FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISING FOUNDATIONOR501(C)(3)LINE 7MMC - ROSEBURG0
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHMH-CORNING0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMHVC0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISING FOUNDATIONIA501(C)(3)LINE 12A, IAHBMHS0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HOSPITALND501(C)(3)LINE 3CSH0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISING FOUNDATIONND501(C)(3)LINE 7MHDL0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HOSPITALND501(C)(3)LINE 3CSH0
MERCY MCMAHON TERRACE
3865 J STREETSACRAMENTOCA95816680117340SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIESCA501(C)(3)LINE 10DH0
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HOSPITALND501(C)(3)LINE 3CSH0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREETMERCEDCA95340770035928FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HOSPITALOR501(C)(3)LINE 3CSH0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IMMC WILLISTON0
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUEBISMARCKND58501911845296MANAGEMENTND501(C)(3)LINE 7SAMC0
NORTHLAND PACE PROGRAM
2223 EAST ROSSER AVENUEBISMARCKND58501261689193HEALTHCAREND501(C)(3)LINE 10NHA0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVDNORTHRIDGECA91328237444901FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDCC0
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HOSPITALND501(C)(3)LINE 3CSH0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, IOCH0
PACIFIC CENTRAL COAST HEALTH CENTERS
1414 E MAIN STREET SUITE 201SANTA MARIACA93454770447575CLINICCA501(C)(3)LINE 3DCC0
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(C)(3)LINE 12A, IMHSET0
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVERANCHO CORDOVACA95670465322209HOSPITALCA501(C)(3)LINE 3DH0
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625LTERM CAREOH501(C)(3)LINE 10CHILC0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(C)(3)LINE 10CHILC0
SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112222876836INACTIVENJ501(C)(3)LINE 12B, IISCHS0
SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112223639733INACTIVENJ501(C)(3)LINE 10CSH0
SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112223319886INACTIVENJ501(C)(3)LINE 3SCHS0
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SERMC0
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120INACTIVENE501(C)(3)LINE 3SERMC0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SFMC-NE0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREETSAN FRANCISCOCA94109941156295HOSPITALCA501(C)(3)LINE 3DCC0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVELEXINGTONKY40504611334601HOSPITALKY501(C)(3)LINE 3KOH0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200LEXINGTONKY40504611159649FUNDRAISING FOUNDATIONKY501(C)(3)LINE 12A, ISJHS0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISING FOUNDATIONKY501(C)(3)LINE 7SJHS0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREETDICKINSONND58601363418207FUNDRAISING FOUNDATIONND501(C)(3)LINE 12A, ISJHHC0
SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVESAN GABRIELCA91776953430341INACTIVECA501(C)(3)LINE 12A, IDH0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISING FOUNDATIONNE501(C)(3)LINE 12A, IAHMHS0
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAYGRASS VALLEYCA95945941439787HOSPITALCA501(C)(3)LINE 3DCC0
SJMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809INACTIVEMO501(C)(3)LINE 3CSH0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREETSANTA BARBARACA93103770022302INACTIVECA501(C)(3)LINE 12A, IDH0
ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUEOXNARDCA93030202865781FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
ST JOSEPHS FOUNDATION (PHOENIX)
350 WEST THOMAS ROADPHOENIXAZ85013942941245FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IDH0
ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREETSTOCKTONCA95204510432777FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUELONG BEACHCA90813237153876FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUELONG BEACHCA90813237373088INACTIVECA501(C)(3)LINE 12A, IDH0
ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREETSAN FRANCISCOCA94117943336143FUNDRAISING FOUNDATIONCA501(C)(3)LINE 12A, IDH0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAYHENDERSONNV89052880349432FUNDRAISING FOUNDATIONNV501(C)(3)LINE 12A, IDH0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HOSPITALND501(C)(3)LINE 3CSH0
ST ANNE OC
1145 BROADWAY PLAZA STE 1200TACOMAWA98402863590968INACTIVEWA501(C)(3)LINE 10FHS0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAYPENDLETONOR97801930391614HOSPITALOR501(C)(3)LINE 3CSH0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAYPENDLETONOR97801930992727FUNDRAISING FOUNDATIONOR501(C)(3)LINE 12A, ISAH0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HOSPITALAR501(C)(3)LINE 3SVIMC0
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HOSPITALKS501(C)(3)LINE 3CSH0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISING FOUNDATIONKS501(C)(3)LINE 12A, ISCH0
ST CLARE COMMONS
12469 FIVE POINT ROADTOLEDOOH43551270163752LIVING COMMOH501(C)(3)LINE 10CHILC0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692INVESTMENTSOR501(C)(4)CSH0
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(C)(3)LINE 10CSH0
ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112222536017INACTIVENJ501(C)(3)LINE 8SCHS0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HOSPITALMN501(C)(3)LINE 3CSH0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594LTERM CARETX501(C)(3)LINE 10SJSC0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112520591461INACTIVEMD501(C)(3)LINE 3CSH0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIANSTX501(C)(3)LINE 3SJSC0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112521311775INACTIVEMD501(C)(3)LINE 12A, ISJMC0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HOSPITALTX501(C)(3)LINE 3SJSC0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(C)(3)LINE 10SJSC0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(C)(3)LINE 12A, ISLHS0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HOSPITALMN501(C)(3)LINE 3CSH0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY STREETDICKINSONND58601450226429HOSPITALND501(C)(3)LINE 3CSH0
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(C)(3)LINE 10CHILC0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISING FOUNDATIONTX501(C)(3)LINE 7SLHS0
ST LUKE'S HEALTH CLINICAL OPERATIONS
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HOSPITALTX501(C)(3)LINE 3SLHS0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269HOUSTONTX77225760536232MANAGEMENTTX501(C)(3)LINE 12A, ICSH0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HOSPITALTX501(C)(3)LINE 3SLH-CO0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004760531716PROPERTY MGMTTX501(C)(3)LINE 12A, ISLHS0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(C)(3)LINE 12A, ISLCDC-SL0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARDNEBRASKA CITYNE68410470443636HOSPITALNE501(C)(3)LINE 3CHI NEBRASKA0
ST MARY'S HOSPITAL FOUNDATION
1301 GRUNDMAN BLVDNEBRASKA CITYNE68410470707604FUNDRAISING FOUNDATIONNE501(C)(3)LINE 7SMCH0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISING FOUNDATIONAR501(C)(3)LINE 12A, ISVIMC0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HOSPITALAR501(C)(3)LINE 3CSH0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696PHYSICIANSAR501(C)(3)LINE 10SVIMC0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112341412964HOLDING COOH501(C)(3)LINE 12A, ICSH0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112455357161INACTIVEOH501(C)(3)LINE 12A, ISFH-OH0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSISTED LIVINGOH501(C)(3)LINE 10CHILC0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HOSPITALTX501(C)(3)LINE 3SLH-CO0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOORCINCINNATIOH45202310537486HOSPITALOH501(C)(3)LINE 3CSH0
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(C)(3)LINE 12A, ICHI NEBRASKA0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLECENTENNIALCO80112840927232INACTIVECO501(C)(3)LINE 3CHIC0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISING FOUNDATIONOH501(C)(3)LINE 12A, ITHS0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(C)(3)LINE 12A, I0N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HOSPITALOH501(C)(3)LINE 3THS0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSISTED LIVINGOH501(C)(3)LINE 7THS0
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HOSPITALMN501(C)(3)LINE 3CSH0
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(C)(3)LINE 10CSH0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112221768334INACTIVENJ501(C)(3)LINE 10SCHS0
YAVAPAI COMMUNITY HOSPITAL ASSOCIATION
1003 WILLOW CREEK ROADPRESCOTTAZ86301860098923HOSPITALAZ501(C)(3)LINE 3DCC0
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROADPRESCOTTAZ86301861038463FUNDRAISING FOUNDATIONAZ501(C)(3)LINE 12A, IYRMC0

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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
AMERICAN MERCY HOME CARE LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150830486150HOME HEALTHOHN/AN/A00
ARIZONA CARE NETWORK - NEXT LLC
4222 E THOMAS RD STE 400PHOENIXAZ85018474696671CARE NETWORKAZN/AN/A00
ARIZONA CARE NETWORK LLC
4222 E THOMAS RD STE 400PHOENIXAZ85018454494682CARE NETWORKAZN/AN/A00
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUELOS ANGELESCA90025851067265IMAGING CENTERDEN/AN/A00
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906841513085REAL ESTATECON/AN/A00
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
3100 MAIN STE 566HOUSTONTX77002472079184HEALTHCARE SERVICESTXN/AN/A00
BERGAN MERCY SURGERY CENTER LLC
7500 MERCY RD STE 4300OMAHANE68124208671994AMBUL SURG CTRNEN/AN/A00
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUECHATTANOOGATN37404621875199HEALTHCARE SERVICESTNN/AN/A00
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
HEALTH SERVICESN/AN/A00709 WING ON PLAZA 62 MODY ROAD TSHONG KONGCHCH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC SERVICESKYN/AN/A00
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUEBAKERSFIELDCA93309461602286RADIATION / ONCOLOGYCAN/AN/A00
CENTRAL NEBRASKA REHAB SVCS LLC
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461PHYSICAL THERAPYNEN/AN/A00
CENTURA SUMMIT ORTHOPEDICS LLC
68 SCHOOL RDFRISCOCO80443871308304DIAGNOSTIC SERVICESCON/AN/A00
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVDNASHVILLETN37215465683027SURGERY CENTERCON/AN/A00
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200COLORADO SPRINGSCO80906262982714REAL ESTATECON/AN/A00
COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150311746556HOME HEALTHOHN/AN/A00
DE JV LLC
8686 NEW TRAILS DRIVETHE WOODLANDSTX77381320496548EMERGENCY CARENVN/AN/A00
DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD)
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DHHP SURGERY CENTERS LLC
1513 S GRAND AVENUE STE 350LOS ANGELESCA90015831847466SURGERYDEN/AN/A00
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107352484591HOLDING COMPANYDEN/AN/A00
DIGNITY- GOHEALTH AND URGENT CARE MGMT LLC
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DIGNITY HEALTH AT HOME LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150824674115DIAGNOSTIC SERVICESDEN/AN/A00
DH PACIFICLINKAGE HEALTH INT'L LTD
HEALTH SERVICESN/AN/A00RMS 1318-20 HLWD PLAZA 610 NATHANHONG KONGCHCH
DIGNITY HEALTH SPECIALTY PHARMACY LLC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107320589462SPECIALTY PHARMACY SERVICESDEN/AN/A00
DIGNITY HOME RECOVERY CARE LLC
3854 AMERICAN WAY SUITE ABATON ROUGELA70816832832522HOME RECOVERY PROGRAMDEN/AN/A00
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254202999237SURGERYTXN/AN/A00
DIGNITYUSP NORCAL SURGERY CENTERS LLC
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DIGNITYUSP PHOENIX SURGERY CENTERS LLC
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DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
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DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
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ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVECOLORADO SPRINGSCO80909352656413AMBUL SURG CTRCON/AN/A00
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FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NWGIG HARBORWA98335463494108REAL ESTATEWAN/AN/A00
FRANCISCAN SPECIALTY CARE LLC
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HC SL VINTAGE I LLC
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HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEN/AN/A00
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD STSALINAKS67402464265403ONCOLOGYKSN/AN/A00
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17030 LAKESIDE HILLS PLAZA STE 110OMAHANE68130204267902AMBUL SURG CTRNEN/AN/A00
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPYNEN/AN/A00
LEXINGTON MBO PARTNERS LTD
4600 SOUTH SYRACUSE ST STE 500DENVERCO80237651132855REAL ESTATECON/AN/A00
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLINCOLNNE68510262496856REAL ESTATENEN/AN/A00
LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE
1950 MOUNTAIN VIEW AVELONGMONTCO80501454432224ORTHOPEDIC SERVICESCON/AN/A00
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201BAKERSFIELDCA93301364510880REAL ESTATECAN/AN/A00
MILITARY ROAD PROPERTIES LLC
18229 TERRACE COURT SWNORMANDY PARKWA98166912067879REAL ESTATEWAN/AN/A00
MOUNTAIN MEDICAL IMAGING LLC
9100 EAST MINERAL CIRCLECENTENNIALCO80112870687391MEDICAL IMAGINGTXN/AN/A00
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNEN/AN/A00
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVESANTA CRUZCA95065460502935NEONATAL HEALTHCARECAN/AN/A00
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARN/AN/A00
NORTHERN PLAINS LABORATORY LLC
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NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209770409291AMBULATORY SURGICAL CENTERCAN/AN/A00
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCON/AN/A00
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE SPARK RAPIDSMN56470204926259HEALTHCARE SERVICESMNN/AN/A00
PEAK ONE SURGERY CENTER LLC
PO BOX 4460FRISCOCO80443201620230SURGERY CENTERCON/AN/A00
PENINSULA RADIATION ONCOLOGY CENTER LLC
4230 BRIDGEPORT WAY W STE BUNIVERSITY PLACEWA98466870808610HEALTHCARE SERVICESWAN/AN/A00
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCON/AN/A00
PERFORMANCE MED EQUIP & RESPIR SVSC LLC
19625 62ND AVE SOUTH 101KENTWA98032452901632HOLDING COMPANYWAN/AN/A00
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100SANTA MARIACA93454770573567SURGERYCAN/AN/A00
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY SOUTHPASADENATX77505273280598HOSPITALTXN/AN/A00
PRECISION MEDICINE ALLIANCE LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159DIAGNOSTIC SERVICESCON/AN/A00
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCAN/AN/A00
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120HENDERSONNV89074271466450AMBULANCENVN/AN/A00
REID-ANC HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150371454747HOME HEALTHINN/AN/A00
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RDLEXINGTONKY40503453801157INACTIVEDEN/AN/A00
SAINT JOSEPH HEALTH ASC LLC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504852155230SURGERYKYN/AN/A00
SANTA CRUZ COMPREHENSIVE IMAGING LLC
1661 SOQUEL DRIVE SUITE GSANTA CRUZCA95065010550623IMAGINGCAN/AN/A00
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCAN/AN/A00
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1801 ORANGE TREE LANE SUITE 200REDLANDSCA92374851559544SURGERYCAN/AN/A00
SOUTHEASTERN HOME CARE LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150271219638HOME HEALTHOHN/AN/A00
ST JOSEPH'S SURGERY CENTER LP
15305 DALLAS PARKWAY SUITE 1600 LBADDISONTX75001201019390SURGERYTXN/AN/A00
ST ELIZABETH HOME CARE SERVICES LLC
6281 TRI RIDGE BLVD STE 300LOVELANDOH45150261236191HOME HEALTHKYN/AN/A00
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECON/AN/A00
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTIC SERVICESTXN/AN/A00
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXN/AN/A00
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
PO BOX 4717HOUSTONTX77210462795726DIAGNOSTIC SERVICESTXN/AN/A00
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUEOXNARDCA93030770332349REAL ESTATECAN/AN/A00
THE VASCULAR CENTER OF COLORADO LLC
2222 N NEVADA AVE STE 3000COLORADO SPRINGSCO80907753193527MEDICAL SERVCSCON/AN/A00
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TIA ARIZONA LLC
3030 N CENTRAL AVENUE SUITE 1402PHOENIXAZ85012863158670CLINICAZN/AN/A00
TOPTOLIFE LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112872868634RETAILCON/AN/A00
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC
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ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVEBRYANTX77802742466914HEALTHCARETXN/AC0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112841112049MANAGEMENT SERVICESCON/AC0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851INACTIVEKYN/AC0
BRAZOSPORT HEALTH ALLIANCE
100 MEDICAL DRIVELAKE JACKSONTX77566760518376HEALTHCARETXN/AC0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511LAB SERVICESCON/AC0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVELUFKINTX75904834184717CONDO ASSOCTXN/AC0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101PISMO BEACHCA93449743000596AMBULATORY SURGERY CENTERCAN/AS0
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107460675371HOLDING CONVN/AC0
DIGNITY HEALTH PROVIDER RESOURCES INC
185 BERRY STREET SUITE 200SAN FRANCISCOCA94107473366764HEALTH PLANCAN/AC0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVELAKE JACKSONTX77566760222679HEALTHCARETXN/AC0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HOLDING COCON/AC0
GALLERIA PAVILION OWNERS' ASSOCIATION
800 N GIBSON RDHENDERSONNV89011824275367REAL ESTATENVN/AC0
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNEN/AC0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473451750INSURANCEWAN/AC0
HEALTH AT HOME BLOCKER LLC
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HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
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HIGHLINE MEDICAL GROUP
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MEDQUEST
1602 11TH ST WWILLISTONND58801450392137SALE OF DMENDN/AC0
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1201 W FRANK AVELUFKINTX75904463622849INACTIVETXN/AC0
MERCY SERVICES CORP
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MHI CLINICAL SERVICES
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MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411621570739MANAGEMENT SERVICESTNN/AC0
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QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461224037ADMIN SERVICESCON/AC0
QUALCHOICE HEALTH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461222808HOLDING COCON/AC0
QUALCHOICE HOLDINGS INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112274075520HOLDING COARN/AC0
RIVERLINK HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112464380824INSURANCEOHN/AC0
ROSS PARK PHARMACY INC
380 SUMMIT AVESTEUBENVILLEOH43952341832654PHARMACYOHN/AC0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112222441202INACTIVENJN/AC0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408INACTIVECON/AC0
SJL PHYSICIAN MANANGEMENT SERVICES INC
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STRATEGIC AND PHYSICIANS INSURANCE LTD
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TRINITY MANAGEMENT SERVICES ORGANIZATION
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FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd