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ALEGENT HEALTH-IMMANUEL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER (EIN 47-0376615)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202541339349306904
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)
Return2025-05-13T14:10:23-05:00ReturnTs
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)
EIN470376615EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH-IMMANUEL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALEGBusinessNameControlTxt
Phone4023434323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16901 NORTH 72ND STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK O'TOOLPersonNm
Person TitleMARKET CFOPersonTitleTxt
Phone4023434323PhoneNum
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 PersonHEATHER ADKINSPreparerPersonNm
PTINP01725376PTIN
Phone3032989100PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

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$235,813,419GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHIHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1835TotalEmployeeCnt
Total Volunteers142TotalVolunteersCnt
Total Gross UBI$55,309TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$28,077NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,507,023PYContributionsGrantsAmt
CY Contributions Grants$762,019CYContributionsGrantsAmt
PY Program Service Revenue$191,296,353PYProgramServiceRevenueAmt
CY Program Service Revenue$218,237,464CYProgramServiceRevenueAmt
PY Investment Income$3,764,588PYInvestmentIncomeAmt
CY Investment Income$7,152,332CYInvestmentIncomeAmt
PY Other Revenue$3,205,676PYOtherRevenueAmt
CY Other Revenue$4,421,411CYOtherRevenueAmt
PY Total Revenue$200,773,640PYTotalRevenueAmt
CY Total Revenue$230,573,226CYTotalRevenueAmt
PY Grants And Similar Paid$78,066PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$121,535CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$81,032,126PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$98,572,695CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$118,410,413PYOtherExpensesAmt
CY Other Expenses$124,425,143CYOtherExpensesAmt
PY Total Expenses$199,520,605PYTotalExpensesAmt
CY Total Expenses$223,119,373CYTotalExpensesAmt
PY Revenues Less Expenses$1,253,035PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,453,853CYRevenuesLessExpensesAmt
Total Assets BOY$770,711,717TotalAssetsBOYAmt
Total Assets EOY$805,829,267TotalAssetsEOYAmt
Total Liabilities BOY$11,559,127TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,725,570TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$759,152,590NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$781,103,697NetAssetsOrFundBalancesEOYAmt
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$24,840,014ExpenseAmt
Grant$25,395GrantAmt
Revenue$45,601,387RevenueAmt
DescALEGENT HEALTH-IMMANUEL MEDICAL CENTER REHABILITATION CENTER PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAMS FOR INDIVIDUALS OF ALL AGES. THE REHABILITATION CENTER IS THE REGION'S MOST COMPREHENSIVE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION, OFFERING PATIENTS SOME OF THE MOST ADVANCED REHABILITATIVE TECHNOLOGY. IMMANUEL REHABILITATION CENTER HAS RECEIVED THE HIGHEST LEVEL OF ACCREDITATION AWARDED BY THE JOINT COMMISSION AND BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). AT EVERY LEVEL OF CARE, A TEAM OF LICENSED AND CERTIFIED REHABILITATION PROFESSIONALS ARE AVAILABLE. EACH ONE OF THE REHABILITATION PROGRAMS ARE DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,779,602ExpenseAmt
Grant$13,352GrantAmt
Revenue$23,975,040RevenueAmt
DescALEGENT HEALTH-IMMANUEL MEDICAL CENTER OFFERS COMPREHENSIVE CARDIAC SERVICES THROUGH THE CHI HEALTH CLINIC HEART INSTITUTE AND ITS PHYSICIANS. THESE SERVICES OFFERED AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER INCLUDE BUT ARE NOT LIMITED TO: GENERAL CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, VASCULAR SURGERY, CARDIOVASCULAR SURGERY AND THORACIC SURGERY. IN ADDITION, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER IS ONE OF SIX CHI HEALTH HOSPITALS TO BE ACCREDITED FOR CHEST PAIN AND HEART FAILURE AND CERTIFIED IN ATRIAL FIBRILLATION BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. WHETHER IT'S THE LATEST RECOMMENDATIONS FOR DISEASE PREVENTION OR A BREAKTHROUGH TREATMENT, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER'S CARDIAC TEAM IS ALWAYS MOVING FORWARD FOR YOU AND YOUR HEALTH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,735,029ExpenseAmt
Grant$11,850GrantAmt
Revenue$21,278,462RevenueAmt
DescALEGENT HEALTH-IMMANUEL MEDICAL CENTER MENTAL HEALTH PHYSICIANS ARE UNIQUE IN THEIR CARE-GIVING APPROACH TO EMOTIONAL AND BEHAVIORAL PROBLEMS OF CHILDREN, ADOLESCENTS, ADULTS AND SENIORS. PHYSICIANS PROVIDE THE MOST APPROPRIATE CARE AT THE LEVEL OF SERVICE THAT EACH PATIENT NEEDS. OUTPATIENT AND INPATIENT BEHAVIORAL SERVICE PROGRAMS ARE PROVIDED. RECENTLY, IMMANUEL MEDICAL CENTER BUILT THE RESIDENTIAL TREATMENT CENTER. THIS NEW STATE OF THE ART FACILITY FEATURES 20 PRIVATE ROOMS FOR BOYS AND GIRLS BETWEEN THE AGES OF SIX AND EIGHTEEN YEARS OF AGE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$152,451,369ExpenseAmt
Grant$70,938GrantAmt
Revenue$127,382,575RevenueAmt
DescALEGENT HEALTH-IMMANUEL MEDICAL CENTER PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOT LIMITED TO: WEIGHT MANAGEMENT, A 24 HOUR EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY, DIAGNOSTIC SERVICES AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$152,451,369TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$70,938TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$127,382,575TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$212,806,014TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
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 IndividualsYes (1)GrantsToIndividualsInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1835EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
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 PRESIDENT & CEO CHI HEALTH0.000.00$0$2,787,233$48,534Yes (X)
TIM BRICKER
EX-OFFICIO BM/REGIONAL PRESIDENT5.0045.00Yes (X)$0$2,499,192$116,526Yes (X)
JEANETTE WOJTALEWICZ
FORMER CFO, CHI HEALTH0.000.00$0$1,344,835$12,367Yes (X)
ANN SCHUMACHER
PRESIDENT - IMC (TERMED 3/31/24)50.000.00$0$524,574$45,252Yes (X)
NICK O'TOOL
MARKET CFO5.0045.00$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
CY XAYARATH
TRAVELER RN5.0045.00$16,958$297,788$55,767Yes (X)
BRENDA WALLINGFORD
PEDIATRIC NURSE PRACTITIONER1.0049.00$387$279,993$36,780Yes (X)
MATTHEW BOGARD
PHYSICIAN EMERGENCY MEDICINE0.0050.00$0$270,110$40,400Yes (X)
MARK CIPOLLA
SENIOR PHYSICIST1.0049.00$1,951$250,522$49,648Yes (X)
COLVILLE OSBORNE
PHYSICIST CHIEF0.0050.00$0$254,089$46,571Yes (X)
BARBARA DAMRATOWSKI
TRAVELER RN50.000.00$261,805$5,055$26,166Yes (X)
HEIDI SAUNDERS
TRAVELER RN50.000.00$248,791$7,892$33,899Yes (X)
MATTHEW WALTERS
SENIOR PHYSICIST0.0050.00$0$265,135$15,861Yes (X)
ANTHONY ASHBY
INTERIM PRESIDENT - IMC40.0010.00$179,077$33,641$40,040Yes (X)
KENT BARNEY
TREASURER1.0011.00Yes (X)$0$0$0Yes (X)
SISTER MAURITA SOUKUP
BOARD CHAIR1.0011.00Yes (X)$0$0$0Yes (X)
LG SEARCEY
BOARD MEMBER1.0011.00Yes (X)$0$0$0
KEVIN FITZGERALD PHD
SECRETARY1.0011.00Yes (X)$0$0$0Yes (X)
KELLY BACON
BOARD MEMBER1.0011.00Yes (X)$0$0$0
DAVE TAYLOR
BOARD MEMBER1.0011.00Yes (X)$0$0$0
BILL YATES
VICE CHAIR1.0011.00Yes (X)$0$0$0Yes (X)
SISTER NADINE HEIMANN OSF
BOARD MEMBER1.0040.00Yes (X)$0$0$0
MARDELL WILSON EDD
BOARD MEMBER1.0011.00Yes (X)$0$0$0
CYNTHIA ALLOWAY
BOARD MEMBER1.0011.00Yes (X)$0$0$0
KATE CUTLER
BOARD MEMBER1.0011.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$708,969TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,925,753TotReportableCompRltdOrgAmt
Total Other Compensation$1,717,481TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K159IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
7ER GROUP
PO BOX 241072OMAHANE68124CONSTRUCTION SERVICES$945,485
MCCARTHY BUILDING COMPANIES
14217 DAYTON CIRCLE SUITE 8OMAHANE68137CONSTRUCTION SERVICES$482,335
EMERGENCY CLINICIANS ASSOC LLC
6901 N 72ND STOMAHANE68122MEDICAL SERVICES$390,281
MILLER ELECTRIC COMPANY
2501 SAINT MARYS AVENUEOMAHANE68105ELECTRICAL SERVICES$319,093
MMC MECHANICAL CONTRACTORS
9751 S 142ND STREETOMAHANE68138CONSTRUCTION SERVICES$258,696
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Membership Dues$55,800MembershipDuesAmt
Related Organizations$670,219RelatedOrganizationsAmt
All Other Contributions$36,000AllOtherContributionsAmt
Total Contributions$762,019TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICES900099$216,132,620$216,132,620$0$0
MEDICAL SERVICES621300$1,765,700$1,765,700$0$0
LABORATORY SERVICES621500$236,825$236,825$0$0
PHARMACY SERVICES446110$102,319$102,319$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$218,237,464TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,812,658TotalRevenueColumnAmt
Exclusion$2,812,658ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,111,054RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,983,015RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,128,039RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,128,039TotalRevenueColumnAmt
Exclusion$1,128,039ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,385,559SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$45,885OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,385,559SecuritiesAmt
Other-$45,885OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,339,674TotalRevenueColumnAmt
Exclusion$4,339,674ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$292,762GrossSalesOfInventoryAmt
Cost Of Goods Sold$211,293CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,469TotalRevenueColumnAmt
Exclusion$81,469ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INSURANCE524298$1,383,286$0$0$1,383,286
ADMINISTRATIVE REVENUE561000$928,437$0$0$928,437
CAFETERIA722100$553,627$0$0$553,627

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$346,553TotalRevenueColumnAmt
Unrelated Business Revenue$55,309UnrelatedBusinessRevenueAmt
Exclusion$291,244ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,211,903OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,573,226TotalRevenueColumnAmt
Related Or Exempt Func Income$218,237,464RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$55,309UnrelatedBusinessRevenueAmt
Exclusion$11,518,434ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$114,535TotalAmt
Program Services$114,535ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,000TotalAmt
Program Services$7,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$198,811TotalAmt
Program Services$159,049ProgramServicesAmt
Management And General$39,762ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,853,212TotalAmt
Program Services$73,990,373ProgramServicesAmt
Management And General$3,862,839ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,618,440TotalAmt
Program Services$3,437,518ProgramServicesAmt
Management And General$180,922ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,344,849TotalAmt
Program Services$10,777,607ProgramServicesAmt
Management And General$567,242ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,557,383TotalAmt
Program Services$5,279,514ProgramServicesAmt
Management And General$277,869ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,449,489TotalAmt
Program Services$4,227,015ProgramServicesAmt
Management And General$222,474ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$174,948TotalAmt
Management And General$174,948ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,794TotalAmt
Management And General$9,794ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$623,098TotalAmt
Program Services$591,943ProgramServicesAmt
Management And General$31,155ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,610,057TotalAmt
Program Services$38,340,107ProgramServicesAmt
Management And General$2,269,950ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,219TotalAmt
Program Services$2,108ProgramServicesAmt
Management And General$111ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,711,213TotalAmt
Program Services$3,525,652ProgramServicesAmt
Management And General$185,561ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,465,776TotalAmt
Program Services$8,992,487ProgramServicesAmt
Management And General$473,289ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,183,867TotalAmt
Program Services$6,824,674ProgramServicesAmt
Management And General$359,193ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$66,117TotalAmt
Program Services$62,811ProgramServicesAmt
Management And General$3,306ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,477TotalAmt
Program Services$15,653ProgramServicesAmt
Management And General$824ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$198,031TotalAmt
Program Services$198,031ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$7,653,713TotalAmt
Program Services$7,271,027ProgramServicesAmt
Management And General$382,686ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,819,308TotalAmt
Program Services$9,328,343ProgramServicesAmt
Management And General$490,965ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,011,855TotalAmt
Program Services$961,262ProgramServicesAmt
Management And General$50,593ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$24,868,503$24,868,503$0$0
INTERCOMPANY ALLOCATION$10,651,397$10,118,827$532,570$0
REPAIRS AND MAINTENANCE$3,568,115$3,389,709$178,406$0
DUES & SUBSCRIPTIONS$149,325$141,859$7,466$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$191,841TotalAmt
Program Services$180,407ProgramServicesAmt
Management And General$11,434ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$223,119,373TotalAmt
Program Services$212,806,014ProgramServicesAmt
Management And General$10,313,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,376BOYAmt
EOY$3,190EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,805,064BOYAmt
EOY$2,164,435EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,478,851BOYAmt
EOY$34,348,529EOYAmt

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)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,392,437BOYAmt
EOY$5,263,050EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$222,277BOYAmt
EOY$4,244EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$187,711,203LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$99,541,105LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,055,506BOYAmt
EOY$88,170,098EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$151,886,971BOYAmt
EOY$167,333,038EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$18,946,620BOYAmt
EOY$23,531,733EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$485,920,615BOYAmt
EOY$485,010,950EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$770,711,717BOYAmt
EOY$805,829,267EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,343,678BOYAmt
EOY$9,844,507EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$60,813BOYAmt
EOY$60,813EOYAmt

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$5,154,636BOYAmt
EOY$14,820,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,559,127BOYAmt
EOY$24,725,570EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$759,059,265BOYAmt
EOY$781,010,372EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$93,325BOYAmt
EOY$93,325EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$759,152,590BOYAmt
EOY$781,103,697EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$770,711,717BOYAmt
EOY$805,829,267EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,453,853ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,575,452NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,921,802OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$9,794FilingOrganizationsTotalAmt
Affiliated Group Total$326,001AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$9,794FilingOrganizationsTotalAmt
Affiliated Group Total$326,001AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$212,806,015FilingOrganizationsTotalAmt
Affiliated Group Total$664,318,832AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$212,815,809FilingOrganizationsTotalAmt
Affiliated Group Total$664,644,833AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$223,566CurrentYearMinus3Amt
Current Year Minus2$281,919CurrentYearMinus2Amt
Current Year Minus1$304,849CurrentYearMinus1Amt
Current Year$326,001CurrentYearAmt
Total$1,136,335TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-A, COLUMN A, LINE 1CFormAndLineReferenceDesc
ExplanationTHE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: NEBRASKA HOSPITAL ASSOCIATION - $3,851 AMERICAN HOSPITAL ASSOCIATION - $4,014 CATHOLIC HEALTH ASSOCIATION - $1,732 340B - $197ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,668,670BeginningYearBalanceAmt
Contributions$308,786ContributionsAmt
Investment Earnings Or Losses$89,094InvestmentEarningsOrLossesAmt
Grants Or Scholarships$504,179GrantsOrScholarshipsAmt
Administrative Expenses$79,255AdministrativeExpensesAmt
End Year Balance$8,483,116EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,444,479BeginningYearBalanceAmt
Contributions$447,954ContributionsAmt
Investment Earnings Or Losses$29,152InvestmentEarningsOrLossesAmt
Grants Or Scholarships$252,915GrantsOrScholarshipsAmt
End Year Balance$8,668,670EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,026,882BeginningYearBalanceAmt
Contributions$238,613ContributionsAmt
Investment Earnings Or Losses$95,861InvestmentEarningsOrLossesAmt
Grants Or Scholarships$916,877GrantsOrScholarshipsAmt
End Year Balance$8,444,479EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,831,339BeginningYearBalanceAmt
Contributions$346,807ContributionsAmt
Investment Earnings Or Losses$110,162InvestmentEarningsOrLossesAmt
Grants Or Scholarships$261,426GrantsOrScholarshipsAmt
End Year Balance$9,026,882EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,772,255BeginningYearBalanceAmt
Contributions$123,107ContributionsAmt
Investment Earnings Or Losses$72,627InvestmentEarningsOrLossesAmt
Grants Or Scholarships$136,650GrantsOrScholarshipsAmt
End Year Balance$8,831,339EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.41471PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.58529TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,002,007OtherCostOrOtherBasisAmt
Book Value$17,002,007BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,687,721OtherCostOrOtherBasisAmt
Depreciation$54,136,257DepreciationAmt
Book Value$60,551,464BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$500,578OtherCostOrOtherBasisAmt
Depreciation$490,733DepreciationAmt
Book Value$9,845BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,953,964OtherCostOrOtherBasisAmt
Depreciation$40,927,387DepreciationAmt
Book Value$9,026,577BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,566,933OtherCostOrOtherBasisAmt
Depreciation$3,986,728DepreciationAmt
Book Value$1,580,205BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,170,098TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCSH OPERATING INVESTMENT POOLDesc
Book Value$167,333,038BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$167,333,038TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$483,962,587
RIGHT-OF-USE OPERATING LEASE$1,045,863
OTHER ASSETS$2,500
FieldValueIRS element (for citing)
Total Book Value Other Assets$485,010,950TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$13,319,649
OPERATING LEASE LIABILITY$952,548
ENVIRONMENTAL REMEDIATION LIABILITY$543,285
OTHER CURRENT LIABILITIES$4,768
FieldValueIRS element (for citing)
Total Liability$14,820,250TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE INTENDED TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
PART X, LINE 2:ALEGENT HEALTH-IMMANUEL MEDICAL CENTER'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.

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 Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served4906PersonsServedCnt
Total Community Benefit Expns$3,416,072TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,416,072NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served26811PersonsServedCnt
Total Community Benefit Expns$51,445,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,731,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,713,708NetCommunityBenefitExpnsAmt
Total Expense0.05700TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served31717PersonsServedCnt
Total Community Benefit Expns$54,861,628TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,731,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,129,780NetCommunityBenefitExpnsAmt
Total Expense0.07230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served2023PersonsServedCnt
Total Community Benefit Expns$345,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$343,498NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1087PersonsServedCnt
Total Community Benefit Expns$4,870,223TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$637,871DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,232,352NetCommunityBenefitExpnsAmt
Total Expense0.01900TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$178,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$178,897NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served3111PersonsServedCnt
Total Community Benefit Expns$5,394,673TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$639,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,754,750NetCommunityBenefitExpnsAmt
Total Expense0.02130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served34828PersonsServedCnt
Total Community Benefit Expns$60,256,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,371,771DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,884,530NetCommunityBenefitExpnsAmt
Total Expense0.09360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$14,636,247BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$32,325,945ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$36,582,949CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,257,004MedicareSurplusOrShortfallAmt

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 Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
CHI HEALTH IMMANUEL
16901 N 72ND STREETOMAHANE68122WWW.CHIHEALTH.COMNE 260002 & MHSU010Yes (X)Yes (X)Yes (X)A
CHI HEALTH PSYCH RES TREATMENT FACILITY
26845 N 68TH PLAZAOMAHANE68122WWW.CHIHEALTH.COMNE MHSU010Yes (X)AMENTAL HEALTH SUBSTANCE ABUSE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
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 URLWWW.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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: CHI HEALTH IMMANUEL, - FACILITY 2: CHI HEALTH PSYCH. RES. TREATMENT FACILITY
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:IN CONDUCTING ITS MOST RECENT CHNA, CHI HEALTH IMMANUEL 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 CHNA PROCESS, PROFESSIONAL RESEARCH CONSULTANTS (PRC), A THIRD-PARTY NATIONAL HEALTHCARE RESEARCH FIRM, CONTRACTED BY LOCAL HEALTH SYSTEMS (INCLUDING CHI HEALTH) AND HEALTH DEPARTMENTS. THE ASSESSMENT CONDUCTED ENCOMPASSED A FOUR-COUNTY AREA, INCLUDING POTTAWATTAMIE COUNTY, IOWA AND DOUGLAS, SARPY, AND CASS COUNTIES, NEBRASKA. THE ASSESSMENT WAS COMPOSED OF A SECONDARY DATA ANALYSIS, COMMUNITY HEALTH SURVEY, ONLINE KEY INFORMANT, AND COMMUNITY PRESENTATION. BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), ALONG WITH OTHER PUBLIC HEALTH SURVEYS, AND CUSTOMIZED TO ADDRESS GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION, DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES, THE PRC COMMUNITY HEALTH SURVEY WAS DEVELOPED BY THE SPONSORING ORGANIZATIONS AND PRC. THE SURVEY WAS KEPT SIMILAR TO A PREVIOUS SURVEY USED IN THE REGION IN 2011, 2015, AND 2018 TO ALLOW FOR TREND ANALYSIS. THE PRC COMMUNITY HEALTH SURVEY WAS COMPLETED BY 2,527 RESIDENTS VIA MIXED MODE METHODOLOGY, INCLUDING A TELEPHONE SURVEY WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS, AS WELL AS THROUGH ONLINE QUESTIONNAIRES, AND UTILIZED A STRATIFIED RANDOM SAMPLE OF INDIVIDUALS AGE 18 AND OVER ACROSS THE METRO AREA. THE HIGHER DOUGLAS COUNTY SAMPLE REFLECTS A TARGET OF 50 SURVEYS PER ZIP CODE WITHIN THE COUNTY (ALTHOUGH SOME LESSER-POPULATED ZIP CODES DID NOT REACH THIS THRESHOLD). ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE METRO AREA AS A WHOLE. PARTICIPANTS IN THE KEY INFORMANT SURVEY WERE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY AND WERE IDENTIFIED THROUGH THE SPONSORING ORGANIZATIONS. THE LIST INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS WHO THE SPONSORS FELT WERE ABLE TO IDENTIFY PRIMARY CONCERNS WITHIN THE POPULATIONS THEY SERVE, AS WELL AS THE COMMUNITY AS A WHOLE. KEY INFORMANTS WERE CONTACTED VIA EMAIL TO INTRODUCE THE PURPOSE OF THE SURVEY AND WERE PROVIDED A LINK TO COMPLETE THE SURVEY ONLINE. A TOTAL OF 150 KEY INFORMANTS COMPLETED THE SURVEY. DATA PRESENTATION AND DISCUSSION WAS IMPLEMENTED AT THE WELLBEING PARTNERS XCHANGE SUMMIT. COMMUNITY INPUT WAS COLLECTED AT THE XCHANGE SUMMIT ON OCT 6, 2021, CO-SPONSORED BY THE LOCAL AREA HOSPITAL SYSTEMS- CHI HEALTH, METHODIST HEALTH SYSTEM, CHILDREN'S HOSPITAL & MEDICAL CENTER AND NEBRASKA MEDICINE- ALONG WITH SEVERAL OTHER NON-GOVERNMENTAL HEALTH AND SOCIAL SERVICE ORGANIZATIONS. OVER 94 INDIVIDUALS REPRESENTING HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICES AND OTHERS ENGAGED IN A COMMUNITY CONVERSATION TO DIVE DEEPER INTO RESOURCES AND GAPS IN OUR REGIONAL APPROACH TO MENTAL HEALTH.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:- CHI HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER BERGAN MERCY- CHI HEALTH IMMANUEL- CHI HEALTH LAKESIDE- CHI HEALTH MERCY COUNCIL BLUFFS- CHI HEALTH MIDLANDS- LASTING HOPE RECOVERY CENTER- NEBRASKA SPINE HOSPITAL (A JOINT VENTURE)- NEBRASKA MEDICINE (BELLEVUE MEDICAL CENTER AND NEBRASKA MEDICAL CENTER)- METHODIST HEALTH SYSTEM (METHODIST HOSPITAL, METHODIST JENNIE EDMUNDSON HOSPITAL, AND METHODIST WOMEN'S HOSPITAL)
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:- DOUGLAS COUNTY HEALTH DEPARTMENT- POTTAWATTAMIE COUNTY PUBLIC HEALTH- SARPY/CASS HEALTH DEPARTMENT- OMAHA COMMUNITY FOUNDATION- CHARLES DREW HEALTH CENTER, INC.- ONE WORLD COMMUNITY HEALTH CENTERS, INC.- THE WELLBEING PARTNERS
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D:THIS CHNA WAS COMPLETED IN PARTNERSHIP WITH THE HEALTH DEPARTMENT AND HEALTH SYSTEMS, IN ADDITION PRESENTATIONS WERE MADE TO REGIONAL HEALTH COUNCIL ON APRIL 12TH, 2022, CHI CUMC BERGAN MERCY COMMUNITY BOARD ON MAY 12TH, 2022, CHI IMMANUEL COMMUNITY BOARD ON MAY 19TH, 2022, CHI LAKESIDE COMMUNITY BOARD ON JUNE 2ND, 2022, AND CHI MIDLANDS COMMUNITY BOARD ON JUNE 7TH, 2022.
FACILITY REPORTING GROUP - A PART 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 AND SECONDARY DATA REVIEW INCLUDING A COMMUNITY SURVEY, AND KEY INFORMANT INTERVIEWS.TOP HEALTH NEEDS (FROM 2022 CHNA): 1. MENTAL HEALTH2. NUTRITION, PHYSICAL ACTIVITY & WEIGHT3. SUBSTANCE ABUSE4. DIABETES5. SEXUAL HEALTH6. INJURY & VIOLENCE7. HEART DISEASE & STROKE8. TOBACCO USE9. INFANT HEALTH & FAMILY PLANNING10. POTENTIALLY DISABLING CONDITIONS11. ORAL HEALTH12. ACCESS TO HEALTH CARE SERVICES13. RESPIRATORY DISEASE14. CANCERFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE MISUSE)TO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023-2025:1.1 EXPAND ACCESS TO MENTAL HEALTH SERVICES FOR YOUTH* 1.1.1 OPERATE AN INTEGRATED SCHOOL-BASED MENTAL HEALTH PROGRAMFY24 ACTIONS AND IMPACT:MAINTAINED AND INTEGRATED SCHOOL-BASED MENTAL HEALTH PROGRAM IN THE DC WEST SCHOOL SYSTEM IN VALLEY, NE. THE PROGRAM SERVES STUDENTS AND THEIR FAMILIES IN GRADES K-12.MEASURES:STUDENTS SERVED (NOT UNDUPLICATED): 41AVERAGE NUMBER OF STUDENTS SERVED IN SCHOOL-BASED AND VIRTUAL PROGRAMS: 26NEW STUDENT REFERRALS: 26BILLABLE OFFICE VISITS: 5331.2 EXPAND ACCESS TO RESOURCES FOR INDIVIDUALS LIVING WITH ALZHEIMERS AND DEMENTIA-RELATED DISEASES (ADRD)* 1.2.1 PROVIDE SUPPORT FOR INDIVIDUALS WITH ALZHEIMER'S/ DEMENTIA AND THEIR CAREGIVERS (SYSTEM)FY24 ACTIONS AND IMPACT: NOT AVAILABLE AT TIME OF REPORTING. MEASURES: NO MEASURES TO REPORT. 1.3 EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES FOR ADULTS IN CRISIS* 1.3.1 CONTINUE TO PROVIDE ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES AND REDUCE BEHAVIORAL HEALTH READMISSIONS THROUGH LASTING HOPE RECOVERY CENTER OUTPATIENT CLINICFY24 ACTIONS AND IMPACT:EXPANDED SERVICES OFFERED AT LASTING HOPE, INCLUDING AN INTENSIVE OUTPATIENT PROGRAM.MEASURES:LASTING HOPE OUTPATIENT CLINIC VISITS: 7,644* 1.3.2 INVEST IN NONPROFITS ADDRESSING OUR PRIORITY HEALTH NEED OF BEHAVIORAL HEALTH FY24 ACTIONS AND IMPACT:FUNDED FOUR NONPROFITS THROUGH COMMUNITY HEALTH IMPROVEMENT GRANTS (CHIG): IMMIGRANT LEGAL CENTER + REFUGEE EMPOWERMENT CENTER, LATINO CENTER OF THE MIDLANDS, COMUNIDAD MAYA PIXAN IXIM, RISE ACADEMY.MEASURES:CHIG FUNDS AWARDED (1/1/24-12/31/24): $190,000* 1.3.3 DEVELOP AND PILOT AN INTEGRATED PEER SUPPORT SPECIALIST (PSS) PROGRAM ACROSS ALL AREAS OF BEHAVIORAL HEALTH FY24 ACTIONS AND IMPACT:THE HEALTHY COMMUNITIES TEAM SUPPORTED THIS STRATEGY THROUGH A FY24-25 MISSION AND MINISTRY COMMUNITY HEALTH & WELLBEING PROJECT GRANT. THROUGHOUT FY24:HIRED AND TRAINED AN FTE FOR AN OUTPATIENT POSITION, A 0.6 FTE FOR PARTIAL CARE, AND A 0.4 FTE FOR YOUTH RESIDENTIAL. THESE STAFF RECEIVED TRAINING IN THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S (SAMHSA) TAKING ACTION FOR WHOLE HEALTH AND WELLBEING PROGRAM IN JUNE 2024. AN ADVISORY COUNCIL FIRST MET ON DECEMBER 18, 2023. THE COUNCIL CREATED A WORK GROUP TO IDENTIFY EXISTING RELEVANT QUALITY MEASURES FOR PERFORMANCE MANAGEMENT. EACH DEPARTMENT TO WHICH A PSS IS ASSIGNED WILL TAKE ON THE COST OF THE PSS. FUTURE WORK WILL EXPLORE HOW TO STRUCTURE SERVICE DELIVERY AND/OR ADVOCATE FOR MEDICAID/MEDICARE REIMBURSEMENT OF EXISTING SERVICE DELIVERY.1.4 ADVOCATE FOR POLICY CHANGE* 1.4.1 LEAD POLICY AND ADVOCACY EFFORTS THAT EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES FY24 ACTIONS AND IMPACT:THROUGH THE NEBRASKA HOSPITAL ASSOCIATION, CHI HEALTH SUPPORTED ADVOCACY EFFORTS THAT CULMINATED IN THE PASSAGE OF SEVERAL LAWS THAT PRESERVE ACCESS AND SUSTAINABILITY OF BEHAVIORAL HEALTH SERVICES, SUCH AS:LBB896- CHANGE PROVISIONS RELATING TO TELEHEALTH CONSULTATIONS INCLUDED IN HEALTH AND HUMAN SERVICES COMMITTEE PRIORITY LEGISLATION ELIMINATES THE REQUIREMENT TO COLLECT A SIGNED CONSENT STATEMENT FOR A TELEHEALTH CONSULTATION IF VERBAL CONSENT HAS ALREADY BEEN GIVEN. THE BILL REMOVES THE FOLLOWING LANGUAGE: "THE SIGNED STATEMENT MAY BE COLLECTED BY PAPER OR ELECTRONIC SIGNATURE AND SHALL BECOME A PART OF THE PATIENT'S MEDICAL RECORD. IF THE PATIENT GIVES VERBAL CONSENT DURING THE INITIAL TELEHEALTH CONSULTATION, THE SIGNED STATEMENT SHALL BE COLLECTED WITHIN TEN DAYS AFTER SUCH TELEHEALTH CONSULTATION."LB62 COVERAGE OF TRANSLATION AND INTERPRETATION SERVICES UNDER MEDICAID REQUIRES THE STATE TO PROVIDE COVERAGE FOR ALL NECESSARY TRANSLATION AND INTERPRETATION SERVICES FOR INDIVIDUALS WHO RECEIVE MEDICAID. IT REQUIRES THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE THE COVERAGE, AS WELL AS REIMBURSEMENT FOR PROVIDERS, AND TO "TAKE ALL ACTIONS NECESSARY" TO MAXIMIZE FEDERAL FUNDING TO DO SO. LB857 CREATES THE NEBRASKA PRENATAL PLUS PROGRAM, PROVIDE FOR USE OF THE MEDICAID MANAGED CARE EXCESS PROFIT FUND, AND CHANGE PROVISIONS RELATING TO COVERAGE OF GLUCOSE MONITORS UNDER THE MEDICAL ASSISTANCE ACT. LB857 CREATES THE NEBRASKA PRENATAL PLUS PROGRAM AT DHHS FOR WOMEN ELIGIBLE FOR MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM TO REDUCE THE INCIDENCE OF LOW BIRTH WEIGHT, PRE-TERM BIRTH, AND ADVERSE BIRTH OUTCOMES WHILE ALSO ADDRESSING OTHER LIFESTYLE, BEHAVIORAL, AND NONMEDICAL ASPECTS OF AN AT-RISK MOTHER'S LIFE THAT MAY AFFECT THE HEALTH AND WELL-BEING OF THE MOTHER OR THE CHILD. SERVICES ELIGIBLE FOR REIMBURSEMENT FOR AT-RISK MOTHERS INCLUDE NUTRITION COUNSELING, PSYCHOSOCIAL COUNSELING AND SUPPORT, GENERAL CLIENT EDUCATION AND HEALTH PROMOTION, BREASTFEEDING SUPPORT, AND TARGETED CASE MANAGEMENT. LB857 LIMITS ELIGIBILITY FOR AT-RISK MOTHERS OTHERWISE ELIGIBLE FOR MEDICAID WHILE PREGNANT, REMOVES CHIP ELIGIBILITY AND POSTPARTUM COVERAGE. IT ALSO LIMITS NUTRITION COUNSELING TO 6 OR FEWER SESSIONS.LB905 REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO SUBMIT A MEDICAID WAIVER OR STATE PLAN AMENDMENT FOR MEDICAL RESPITE CARE, CHANGE THE DEFINITION OF RESPITE CARE, AND CHANGE PROVISIONS RELATING TO THE MEDICAID MANAGED CARE EXCESS PROFIT FUND. LB905 REQUIRES DHHS TO SUBMIT A MEDICAID WAIVER OR STATE PLAN AMENDMENT TO DESIGNATE TWO MEDICAL RESPITE FACILITIES TO REIMBURSE FOR SERVICES PROVIDED TO AN INDIVIDUAL WHO IS HOMELESS AND AN ADULT IN THE EXPANSION POPULATION NO LATER THAN JAN. 1, 2025. LB1355 PROVIDE FOR RELEASE OF CERTAIN PATIENT DATA BY AN EMERGENCY MEDICAL SERVICE, CHANGE PROVISIONS OF THE OPIOID PREVENTION AND TREATMENT ACT, AND PROVIDE FOR STATE AID, RESEARCH, FIRST RESPONDER TRAINING, AND OVERDOSE FATALITY REVIEW. LB1355 REQUIRES THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE GRANTS TO LOCAL PUBLIC HEALTH DEPARTMENTS, LAW ENFORCEMENT AGENCIES, AND HEALTH CARE FACILITIES, TO AID PROGRAMS TO FACILITATE OPIOID OVERDOSE PREVENTION EFFORTS, EDUCATION AND TRAINING, RECOVERY, PROBLEM-SOLVING COURTS, AND DATA TRACKING. THE BILL INCLUDES THE INTENT OF THE LEGISLATURE TO APPROPRIATE $4,000,000 ANNUALLY FROM THE NEBRASKA OPIOID RECOVERY FUND BEGINNING IN FY2024-25 FOR GRANTS UNDER THE OPIOID PREVENTION AND TREATMENT ACT. WOULD PROVIDE $500,000 EACH TO A LOCAL PUBLIC HEALTH DEPARTMENT, A LAW ENFORCEMENT AGENCY APPLICANT, AND TO A HEALTH CARE FACILITY APPLICANT. LB1355 ALLOWS PHARMACISTS TO SELL, AND PUBLIC HEALTH DEPARTMENTS TO DISTRIBUTE, FENTANYL TEST STRIPS.MEASURES:BEHAVIORAL HEALTH BILLS APPROVED (OF THOSE SUPPORTED BY NHA AND/OR CHI HEALTH): 5* 1.4.2 SUPPORT SARPY/CASS TOBACCO COALITION FY24 ACTIONS AND IMPACT:TOBACCO EDUCATION & ADVOCACY OF THE MIDLANDS (TEAM) CONTINUED TO WORK WITH BUSINESSES, SCHOOL DISTRICTS, PUBLIC HOUSING PROGRAMS AND CITY PARKS TO IMPLEMENT SMOKE-FREE/ VAPE-FREE/ TOBACCO- FREE POLICIES. CONTINUED WORKING ON NEW INITIATIVES TO DECREASE THE NUMBER OF TOBACCO RETAILERS AND INCREASE THE NUMBER OF CESSATION ASSESSMENT AND REFERRAL SYSTEM POLICIES WITHIN HEALTH CARE, SOCIAL SERVICE, AND EDUCATION AGENCIES.MEASURES:TEAM COALITIONMEMBERS: 116NEW MEMBERS: 9MULTI-FAMILY BUILDINGS THAT ADOPTED 100% SMOKE-FREE/VAPE-FREE OR TOBACCO-FREE IN SARPY/CASS COUNTY: 10CESSATION ASSESSMENT AND REFERRAL SYSTEM POLICIES WITHIN HEALTH CARE, SOCIAL SERVICE, AND EDUCATION AGENCIES IN SARPY/CASS COUNTY: 8SEE PART V, SECTION B, LINE 11 DISCLOSURE CONTINUED
FACILITY REPORTING GROUP - A PART 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 11 (CONTINUED 1):1.5 DECREASE BEHAVIORAL HEALTH WORKFORCE SHORTAGE THROUGH EDUCATIONAL PARTNERSHIPS* 1.5.1 DEVELOP, IMPLEMENT AND EVALUATE BEHAVIORAL HEALTH WORKFORCE RECRUITMENT AND RETENTION STRATEGIESCONTINUED TO IMPLEMENT RETENTION STRATEGIES. UTILIZED FUNDING FOR QUARTERLY RECOGNITION OF PRECEPTORS, SUPERVISORS, AND MENTORS AND FOR SPONSORING CONFERENCES AND CONTINUING EDUCATION. RELOCATED THE CREIGHTON PSYCHIATRIC RESIDENCY PROGRAM TO IMMANUEL TO ACCOMMODATE ADDITIONAL THERAPISTS AT LASTING HOPE.ADDED A NEW INTENSIVE OUTPATIENT PROGRAM FOR CHEMICAL DEPENDENCY AT LASTING HOPE. MEASURES:HIRED:PSYCHIATRISTS: 4PSYCHIATRIC NURSE PRACTITIONERS: 6CHEMICAL DEPENDENCY PROGRAMTHERAPISTS: 2NURSE: 1ADDICTION PSYCHIATRIST: 1VACANCY RATES AS OF JULY 2024 IMMANUEL: 18.98% (23.67% IN JUNE 2024)LASTING HOPE: 30.34% (39.33% IN JUNE 2024)1.6 REDUCE MENTAL HEALTH STIGMA* 1.6.1 SUPPORT INTERNAL/COMMUNITY MENTAL HEALTH STIGMA REDUCTION CAMPAIGNSFY24 ACTIONS AND IMPACT:IMPLEMENTED THE AMERICAN HOSPITAL ASSOCIATION'S PEOPLE MATTER WORDS MATTER CAMPAIGN BY DISTRIBUTING MONTHLY POSTERS AND COMMUNICATIONS AND ENSURING THAT ALL ORGANIZATION LEADERS KNEW HOW TO ORDER PROMOTIONAL MATERIALS.MEASURES: NO MEASURES TO REPORT.1.7 EARLY DETECTION OF DEPRESSION AND CONNECTION TO MENTAL HEALTH SERVICES AMONG PREGNANT PEOPLE* 1.7.1 CONDUCT PERINATAL DEPRESSION SCREENING DURING PRENATAL VISIT, WHILE INPATIENT FOR DELIVERY AND AT POSTPARTUM VISITFY24 ACTIONS AND IMPACT:CONTINUED TO IMPLEMENT INPATIENT DEPRESSION SCREENING.MEASURES:CUMC - BERGAN MERCY: 30,000IMMANUEL: 504LAKESIDE: 9231.8 PREVENT SUICIDE* 1.8.1 EXPLORE LOCAL SCHOOL NEEDS REGARDING SUICIDE PREVENTION SUICIDE AND PROVIDE TRAINING AND FINANCIAL RESOURCES (E.G. QUESTION. PERSUADE. RESPOND (QPR), MENTAL HEALTH FIRST AID, ETC.)FY24 ACTIONS AND IMPACT: NO ACTIONS TO REPORT. MEASURES: NO MEASURES TO REPORT.
PART V, SECTION B, LINE 11 (CONTINUED 2):PRIORITY HEALTH NEED #2: HEALTH-RELATED SOCIAL NEEDSTO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023-2025:- HEALTHY FOOD ACCESS* 2.1.1 IMPLEMENT AND EVALUATE A FOOD PRESCRIPTION PROGRAM PILOT FY24 ACTIONS AND IMPACT:CONTINUED TO SUPPORT THE CURA PROJECT.MEASURES:# OF PARTICIPANTS: 105PARTICIPANT A1C: AVERAGE BASELINE A1C: 8.1% BASELINE A1C <7%: 32.4% (N = 34)BASELINE A1C 7-8.9%: 32.4% (N = 34)BASELINE A1C>9%: 35.2% (N = 37)OVERALL RETENTION RATE FOR THE 18-MONTH PROGRAM: 72.7% * 2.1.2 PROVIDE FINANCIAL SUPPORT AND PROMOTION OF DOUBLE UP FOOD BUCKS, A SNAP INCENTIVE PROGRAMFY24 ACTIONS AND IMPACT:CONTINUED TO SUPPORT THE DOUBLE UP FOOD BUCKS (DUFB) PROGRAM STATEWIDE. PARTICIPANTS ENGAGED WITH DUFB AT PARTICIPATING RETAIL SITES [GROCERY STORES, FARMERS MARKETS, AND COMMUNITY SUPPORTED AGRICULTURE (CSAS)] THROUGH FOOD DEMONSTRATIONS, PROGRAM USE, AND PROGRAM PROMOTION/OUTREACH.MEASURES:VALUE OF QUALIFYING SNAP PURCHASES OF FRESH FRUITS AND VEGETABLES: $351,715.72DOUBLE UP FOOD BUCKS REDEEMED: >$192,800DOUBLE UP FOOD BUCKS PURCHASES: $16,321 UNDUPLICATED DOUBLE UP FOOD BUCKS CUSTOMERS: 5,869* 2.1.3 PROVIDE FINANCIAL SUPPORT TO ORGANIZATIONS ADDRESSING FOOD SECURITY, SUCH AS SAVING GRACEFY24 ACTIONS AND IMPACT:DONATED FUNDS TO SAVING GRACE PERISHABLE FOOD RESCUE.MEASURES:FUNDS DONATED: $1,000* 2.1.4 SUPPORT A SENIOR AND WIC FARMERS MARKET VOUCHER REDEMPTION PROGRAM AND POP UP FARM STANDS FY24 ACTIONS AND IMPACT:CONTINUED TO PARTNER WITH BIG GARDENS AND WHISPERING ROOTS TO OFFER POP-UP FARM STANDS AT FIVE WOMEN, INFANT AND CHILDREN (WIC) CLINICS AND TWO SENIOR CENTERS IN DOUGLAS AND SARPY COUNTY. THESE SITES WERE SELECTED TO ACCOMMODATE INDIVIDUALS PARTICIPATING IN THE WIC AND SENIOR FARMER'S MARKET VOUCHER PROGRAM IN A SAFER, SMALLER MARKET ENVIRONMENT AND TO IMPROVE ACCESS (TRANSPORTATION WAS CITED AS A BARRIER CONTRIBUTING TO HISTORICALLY LOW REDEMPTION RATES IN THE WIC FARMER'S MARKET VOUCHER PROGRAM IN NE).THE STATE OF NEBRASKA ELIMINATED WIC VOUCHERS IN 2022, SO WHISPERING ROOTS, RATHER THAN ACCEPTING AND MATCHING THE VOUCHERS, BEGAN DISTRIBUTING MONTHLY TOKENS TO WIC AND OTHER LOW-INCOME FAMILIES TO SPEND ON FRESH PRODUCE. MEASURES:PARTICIPATING SITES: 7FARM STAND CUSTOMERS SERVED: 616VALUE OF FREE PRODUCE DISTRIBUTED TO WIC AND OTHER LOW-INCOME FAMILIES: $52,566VALUE OF SENIOR FARMER'S MARKET VOUCHERS REDEEMED: $4,371 (1,457 VOUCHERS)VALUE OF SENIOR PRODUCE MATCH PROVIDED TO VOUCHERS RECIPIENTS TO 'DOUBLE UP': $5,754TOTAL OF ALL PURCHASES OF FRESH, LOCAL PRODUCE: $63,8802.2 FINANCIAL LITERACY* 2.2.1 PROVIDE FINANCIAL SUPPORT AND PROMOTION OF THE BRIDGES OUT OF POVERTY FINANCIAL LITERACY PROGRAMFY24 ACTIONS AND IMPACT:AWARDED A COMMUNITY HEALTH IMPROVEMENT GRANT (CHIG) TO BRIDGES OUT OF POVERTY.MEASURES:CHIG FUNDS AWARDED (1/1/24-12/31/24): $50,000GETTING AHEAD PROGRAMGRADUATION RATE: 91% (416/441)PARTICIPANT DEMOGRAPHICS:AFRICAN-AMERICAN: 25.34%ASIAN: 2.45%CAUCASIAN: 25.61%HISPANIC: 40.33%MIDDLE EASTERN: 0.27%NATIVE AMERICAN: 2.45%OTHER: 3.54%3 MONTHS POST GRADUATION ASSESSMENT:AVERAGE MONTHLY INCOME INCREASE: $1,500AVERAGE MONTHLY BILL REDUCTION: $580AVERAGE INCREASE IN ASSETS: $7,500AVERAGE REDUCTION IN MONTHLY PUBLIC BENEFITS USAGE: $124AVERAGE DECREASE IN DEBT TO INCOME RATIO: 50%2.3 SUPPORT EFFORTS TO ADDRESS HOUSING STABILITY* 2.3.1 IMPLEMENT AND SUSTAIN A MEDICAL RESPITE PROGRAM FY24 ACTIONS AND IMPACT:MEDICAL RESPITE GUESTS RECEIVE CASE MANAGEMENT, ACCESS TO MEDICAL CARE, DAILY MEALS, AND CLOTHING. COMMUNITY PARTNERS, SUCH AS UNITED HEALTHCARE, AND NEBRASKA TOTAL CARE, COMMUNITY ALLIANCE (PEER SUPPORT AND SOAR), HOUSING NAVIGATION AND DIVERSION ARE ALSO AVAILABLE AT THE SHELTER FOR GUESTS.MEASURES:PATIENTS DISCHARGED INTO MEDICAL RESPITE CARE: 28GENDERMALE: 22FEMALE: 6AGE35-44: 645-54: 655-64: 11 65+: 5RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN: 9WHITE: 17MULTIPLE RACES: 1HISPANIC/LATINO: 1PATIENTS CONNECTED TO ADDITIONAL WRAPAROUND SERVICES IN MEDICAL RESPITE: 100%PATIENTS IN MEDICAL RESPITE REFERRED TO A PRIMARY CARE PROVIDER: 100%PATIENTS SCREENED FOR BEHAVIORAL HEALTH CARE AND SUBSTANCE USE NEEDS: 100%PATIENTS CONNECTED TO PERMANENT HOUSING: 2* 2.3.2 SUPPORT A HEALTH AND HOUSING COALITION FY24 ACTIONS AND IMPACT:THE HEALTH & HOUSING COALITION CONTINUES TO MEET AND DISCUSS: THE PURPOSE OF THE COALITION AND THE ROLE OF PARTICIPANTS, THE INTERSECTION OF CLINICAL CARE AND HOUSING NEEDS, IMPLEMENTATION OF THE MEDICAL RESPITE PILOT, UPDATES FROM THRESHOLD CONTINUUM OF CARE (FORMERLY METRO AREA CONTINUUM OF CARE), NEWS FROM THE CITY OF OMAHA'S HOMELESS SERVICES COORDINATOR, HEALTH SYSTEM IMPLEMENTATION OF SOCIAL NEEDS SCREENGINGS, AND HOUSING LEGISLATION.THE MEDICAL RESPITE STEERING COMMITTEE CONTINUED TO MEET (BIWEEKLY). THE HIGH UTILIZERS OF EMERGENCY SERVICES COMMITTEE TRANSITIONED TO A FREQUENT USERS SYSTEMS ENGAGEMENT (FUSE) COMMITTEE. MEASURES:COALITION MEETING ATTENDANCE:AUGUST 29, 2023: 43 PEOPLE REPRESENTING 27 ORGANIZATIONS SEPTEMBER 14, 2023: 15 PEOPLE REPRESENTING 21 ORGANIZATIONSNOVEMBER 14, 2023: 42 PEOPLE REPRESENTING 25 ORGANIZATIONSJANUARY 30, 2024: 39 PEOPLE REPRESENTING 26 ORGANIZATIONSAPRIL 30, 2024: 40 PEOPLE REPRESENTING 27 ORGANIZATIONS* 2.3.3 EVALUATE AND SUSTAIN AN INPATIENT HOUSING CASE MANAGEMENT PROGRAM FY24 ACTIONS AND IMPACT:CONTINUED TO IMPROVE THE PROCESS OF IDENTIFYING AND REFERRING PATIENTS WITH HOUSING INSTABILITY ADMITTED TO CUMC-BERGAN MERCY TO TOGETHER FOR ONSITE HOUSING PROBLEM SOLVING AND CASE MANAGEMENT.MEASURES:REFERRALS MADE TO TOGETHER FOR HOUSING CASE MANAGEMENT: 67INTERVENTIONS:PREVENTION: 44DIVERSION: 13GENERAL INFORMATION: 2UTILITIES: 1FINANCIAL INTERVENTIONS TO PREVENT HOMELESSNESS OR ACHIEVE STABLE HOUSING: $87,382.472.4 ADDRESS TRANSPORTATION BARRIERS TO ACCESSING HEALTHCARE SERVICES* 2.4.1 CONVENE AN INTERNAL WORKING GROUP TO EXPLORE OPPORTUNITIES TO MEET PATIENT TRANSPORTATION NEEDSFY24 ACTIONS AND IMPACT: NO UPDATES TO REPORT. MEASURES: NO MEASURES TO REPORT. 2.5 SOCIAL NEEDS INTEGRATION* 2.5.1 DEVELOP AND TEST REFERRAL PROCESSES FOR SOCIAL NEEDS THROUGH UNITE US FY24 ACTIONS AND IMPACT:INTEGRATED UNITE US WITHIN THE ELECTRONIC HEALTH RECORD SYSTEM, EPIC, IN MAY 2024. LAUNCHED UNIVERSAL HEALTH-RELATED SOCIAL NEEDS SCREENING OF ALL ADULT INPATIENT ADMISSIONS IN APRIL 2024.MEASURES:CHI HEALTH CUMC - BERGAN MERCYPATIENTS IMPACTED BY UNITE US REFERRALS: 20REFERRALS: 37CHI HEALTH IMMANUELPATIENTS IMPACTED BY UNITE US REFERRALS: 20REFERRALS: 50*NOTE: COUNTS MAY BE SKEWED. REFERRAL TRACKING WAS BROKEN OUT BY HOSPITAL BEGINNING IN MAY 2024. PREVIOUSLY, ALL TRACKING WAS CENTRALIZED UNDER ONE HOSPITAL/CLINIC REPORTING ORGANIZATION.* 2.5.2 LEVERAGE COMMUNITY HEALTH WORKERS TO IMPROVE PATIENT OUTCOMES AND REDUCE HEALTH DISPARITIES FY24 ACTIONS AND IMPACT:COMMUNITY LINK MAINTAINED COMMUNITY HEALTH WORKERS (CHWS) IN FOUR AMBULATORY CLINICS, BUT RECEIVED SOCIAL WORK REFERRALS FROM A TOTAL OF 28 OMAHA METRO CHI HEALTH CLINICS. FOUR COMMUNITY LINK CHWS COMPLETED HRSA-FUNDED COMMUNITY HEALTH WORKER TRAINING PROGRAMS DURING WHICH THEY COMPLETED APPRENTICESHIPS IN THEIR CURRENT ROLES. SEVERAL COMMUNITY LINK CHWS SHARED THEIR TIME AND EXPERTISE WITH THE NEBRASKA CHW CONSULTANT-TRAINER CADRE TO SUPPORT CHW WORKFORCE DEVELOPMENT. COMMUNITY LINK SERVED AS A CONSULTANT TO THE NEBRASKA ASSOCIATION OF LOCAL HEALTH DIRECTORS (NALHD) AS THEY DEVELOPED CHW TRAINING MODULES. CHI INTEGRATED THE UNITE US RESOURCE AND REFERRAL PLATFORM INTO THE ELECTRONIC HEALTH RECORD SYSTEM. COMMUNITY LINK CONTINUED TO USE UNITE US TO SEND REFERRALS THAT DID NOT REQUIRE IMMEDIATE RESPONSE.COMMUNITY LINK CONTINUED TO COLLABORATE ON A MIDWEST CHW COMMUNITY OF PRACTICE CALL THAT INCLUDES ALL THE CHW TEAMS FROM THE UPPER AND LOWER CENTRAL REGION (INCLUDING NE/IA/ND/MN).MEASURES:REFERRALS RECEIVED: 3,627BARRIERS IDENTIFIED: 4,895 (TOP 5 INCLUDE FINANCIAL, INSURANCE, TRANSPORTATION, FOOD, AND HOUSING)BARRIERS ADDRESSED: 7,657INTERVENTIONS PROVIDED: 9,337
PART V, SECTION B, LINE 11 (CONTINUED 3):* 2.5.3 SUPPORT THE IMPLEMENTATION OF PATHWAYS COMMUNITY HUB TO SUSTAIN A COMMUNITY HEALTH WORKER (CHW) WORKFORCE IN THE OMAHA METRO AND REDUCE DISPARATE MATERNAL AND INFANT HEALTH OUTCOMES FY24 ACTIONS AND IMPACT: AWARDED A COMMUNITY HEALTH IMPROVEMENT GRANT (CHIG) TO OMAHA PATHWAYS COMMUNITY HUB TO SERVE PREGNANT PEOPLE AT RISK FOR POOR BIRTH OUTCOMES DUE TO SOCIAL, MEDICAL AND BEHAVIORAL RESOURCES WITH 1) A FOCUS ON SERVING INDIVIDUALS EAST OF 72ND ST. IN DOUGLAS AND SARPY COUNTIES IN NEBRASKA AND 2) A PRIORITY TO SERVE BLACK PREGNANT INDIVIDUALS.MEASURES:CHIG FUNDS AWARDED (1/1/24-12/31/24): $50,000PATHWAYS COMMUNITY HUB METRICS (MARCH 1, 2024-JUNE 30, 2024):PREGNANT PEOPLE SERVED (MEANING AT LEAST ONE NEED SUCCESSFULLY ADDRESSED): 38REFERRED INDIVIDUALS ENROLLED IN THE PROGRAM: 70% (47/63)PATHWAYS CLOSED: 98; ACROSS 12 NEED AREASSOCIAL SERVICE REFERRAL: 58PREGNANCY: 13FOOD SECURITY: 5FAMILY PLANNING: 4POSTPARTUM: 4EMPLOYMENT: 3HEALTHCARE COVERAGE: 3MEDICAL REFERRAL: 3ORAL HEALTH: 2TRANSPORTATION: 1MEDICAL HOME: 1HOUSING: 1HEALTH EDUCATION MODULES DELIVERED: 77* 2.5.4 INVEST IN NONPROFITS ADDRESSING OUR PRIORITY HEALTH NEED OF HEALTH RELATED SOCIAL NEEDS FY24 ACTIONS AND IMPACT:FUNDED FIVE NONPROFITS THROUGH COMMUNITY HEALTH IMPROVEMENT GRANTS (CHIG): OMAHA COMMUNITY FOUNDATION, NO MORE EMPTY POTS, OMAHA BRIDGES OUT OF POVERTY, INCOMMON COMMUNITY, TOGETHER.MEASURES:CHIG FUNDS AWARDED (1/1/24-12/31/24): $247,0862.6 INCREASE THE NUMBER AND DIVERSITY OF YOUTH INTERESTED IN HEALTH CARE CAREERS* 2.6.1 CREATE A HEALTH CARE CAREER PIPELINE FOR STUDENTS FY24 ACTIONS AND IMPACT:HOSTED A MEDICAL ACADEMY FOR HIGH SCHOOL STUDENTS INTERESTED IN A HEALTH CARE CAREER. MEASURES:NO MEASURES TO REPORT. * 2.6.2 SUPPORT SIEMBRA SALUD, HEALTH CAREER LADDER PROGRAMFY24 ACTIONS AND IMPACT:CONTINUED TO SUPPORT THE SIEMBRA SALUD INTERNSHIP PROGRAM. INTERNS SPLIT THEIR TIME BETWEEN URBAN AGRICULTURE OR PROFESSIONAL DEVELOPMENT LEARNING AND CAREER EXPLORATION ACTIVITIES. THEY COMPLETED MENTAL HEALTH FIRST AID, (MHFA); CPR; QUESTION, PERSUADE, REFER (QPR); AND STOP THE BLEED TRAININGS. THE CNA TRAINING AND LICENSURE PROGRAM RECRUITED STUDENTS FROM TWO HUBSTHE LATINO CENTER OF THE MIDLANDS AND BRYAN HIGH SCHOOL. STUDENTS RECEIVED THEIR TRAINING AT METROPOLITAN COMMUNITY COLLEGE OR FULTON HOMES. PARTNERED WITH MCC TO SUPPORT STUDENTS AND PILOT AN INSTRUCTIONAL RESTRUCTURING. MEASURES:SIEMBRA SALUDAPPLICATIONS RECEIVED: 37APPLICATIONS ACCEPTED: 12INTERNS: 14HEALTH CAREER EXPERIENCES: 5HOSPITAL: 2CLINIC: 1CAREER PANEL PRESENTATIONS: 2TRAININGS AND CERTIFICATIONS: 15FAMILIES REACHED THROUGH HOME GARDENING PROGRAM: 50 CNA LICENSURE AND TRAINING PROGRAMAPPLICATIONS RECEIVED: 49ENROLLEES: 5GRADUATES: 4HIRED BY CHI: 22.7 HEALTH EQUITY TRANSFORMATION ASSESSMENT (HETA)* 2.7.1 COLLECT RACE, ETHNICITY AND LANGUAGE DATA FOR PATIENTS AND STAFF. ASSESS DATA AND IDENTIFY STRATEGIES TO RECRUIT/ RETAIN A HEALTHCARE WORKFORCE REFLECTIVE OF THE RACIAL, ETHNIC AND LINGUISTIC DIVERSITY OF OUR PATIENTS AND COMMUNITY.FY24 ACTIONS AND IMPACT:COMPLETED THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY TRANSFORMATION ASSESSMENT. CREATED A HEALTH EQUITY ACTION PLAN AND FORMED A COMMITTEE TO ADVANCE THE WORK. WILL FOCUS ON UNDERSTANDING DRIVERS OF PREVENTABLE READMISSIONS (INCLUDING UNMET SOCIAL NEEDS) IN FY25.MEASURES: NO MEASURES TO REPORT.
PART V, SECTION B, LINE 11 (CONTINUED 4):PRIORITY HEALTH NEED #3: VIOLENCE PREVENTION & INTERVENTIONTO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023-2025:3.1 PROVIDE RESOURCES AND SUPPORT TO VICTIMS OF VIOLENCE* 3.1.1 SUPPORT AND EXPAND THE FORENSIC NURSE EXAMINER PROGRAM FY24 ACTIONS AND IMPACT:THE FORENSIC NURSE EXAMINER (FNE) PROGRAM MARKET MANAGER PROVIDED ONGOING EDUCATION ON INTIMATE PARTNER VIOLENCE (IPV), SEXUAL ASSAULT (SA), AND HUMAN TRAFFICKING (HT) IDENTIFICATION TO EMERGENCY DEPARTMENTS.MEASURES:FNES: 18IDENTIFIED IPV, SA, AND/OR HT CASES FOR WHICH FNES WERE CALLED TO PROVIDE SUPPORT (AS OF NOVEMBER 13, 2024): 434# OF SURVIVORS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND HUMAN TRAFFICKING SERVED THROUGH THE FORENSIC NURSE EXAMINER PROGRAM: 547* 3.1.2 SUPPORT TRAUMA RESPONSE, INCLUDING INPATIENT CASE MANAGEMENT AND COMMUNITY-BASED VIOLENCE INTERVENTION EFFORTS FY24 ACTIONS AND IMPACT:CONTINUED TO PARTNER WITH YOUTURN. MEASURES:HOSPITAL TRAUMA RESPONSES: 0 (IN-PERSON RESPONSE PAUSED DUE TO COVID-19) CURRENTLY PLANNING TO REINSTATE TRAUMA RESPONSE FOR FY25FACILITATED ENCOUNTERS WITH HIGH SCHOOL STUDENTS: 4,428TRAINING PROVIDED TO HIGHEST RISK YOUTH: 78DIRECT CONTACT WITH HIGHEST RISK YOUTH HOUSED AT DOUGLAS COUNTY YOUTH CENTER: 745CASE MANAGEMENT FOR ADOLESCENT AND YOUNG ADULTS: 137COMMUNITY-BASED REFERRALS: 875PUBLIC EDUCATION MATERIALS DISTRIBUTED: 3,852COMMUNITY MEMBERS REACHED THROUGH VIOLENCE PREVENTION EVENTS: 10,253 3.2 PREVENT VIOLENCE AND INTERVENE WHEN IT IS SUSPECTED* 3.2.1 INCREASE HEALTH SYSTEM AND COMMUNITY CAPACITY TO IDENTIFY VICTIMS OF HUMAN TRAFFICKING AND RESPOND APPROPRIATELYFY24 ACTIONS AND IMPACT:THE HEALTHY COMMUNITIES TEAM SUPPORTED THIS STRATEGY THROUGH A FY22-24 MISSION AND MINISTRY UNITED AGAINST VIOLENCE GRANT. THROUGHOUT FY24:THE FORENSIC NURSE EXAMINER (FNE) PROGRAM MARKET MANAGER PROVIDED ONGOING EDUCATION ON INTIMATE PARTNER VIOLENCE (IPV), SEXUAL ASSAULT (SA), AND HUMAN TRAFFICKING (HT) IDENTIFICATION TO EMERGENCY DEPARTMENTS.CHI HEALTH AWARDED HUMAN TRAFFICKING AND VIOLENCE PREVENTION MINI-GRANTS TO SUPPORT COMMUNITY ORGANIZATIONS SERVING VICTIMS AND SURVIVORS IN THE OMAHA METRO AREA; AWARDEES: RESTORED WINGS (FY23 + FY24), HEARTLAND FAMILY SERVICE (FY23 + FY24), AND MEN AGAINST DOMESTIC VIOLENCE ACTION COALITION (FY24).SUPPORTED COMMUNITY TRAINING/EDUCATION FACILITATED BY THE WOMEN'S CENTER FOR ADVANCEMENT (WCA), AN ADVOCACY ORGANIZATION PROVIDING DIRECT SUPPORT TO VICTIMS/SURVIVORS OF VIOLENCE.THE INTERNAL EDUCATION AND AWARENESS INITIATIVES BECAME SELF-SUSTAINED/AUTONOMOUS AND NO LONGER REQUIRED THE OVERSIGHT OF THE HOSPITAL-BASED OMAHA METRO HUMAN TRAFFICKING/VIOLENCE PREVENTION TASK FORCE, SO THE TASK FORCE TRANSITIONED TO A BI-MONTHLY "ADVISORY COUNCIL." THE ADVISORY COUNCIL REGULARLY ATTENDED THE NEBRASKA HUMAN TRAFFICKING TASK FORCE MEETINGS LED BY THE NEBRASKA ATTORNEY GENERAL'S OFFICE, AND REGULARLY CONNECTED WITH VARIOUS MULTIDISCIPLINARY TASK FORCES/RESPONSE GROUPS IN THE OMAHA METRO COMMUNITIES. HOSTED, IN COLLABORATION WITH CREIGHTON UNIVERSITY'S OFFICE OF CONTINUING EDUCATION AND 11 COMMUNITY/STATE ORGANIZATIONS, INCLUDING WILLOW RISING, CATHOLIC CHARITIES, OMAHA POLICE DEPARTMENT, AND THE DOUGLAS COUNTY SHERIFF'S DEPARTMENT, THE SECOND ANNUAL MIDWEST REGIONAL ANTI-HUMAN TRAFFICKING CONFERENCE ON NOVEMBER 8, 2023 IN OMAHA, NE. CONFERENCE ATTENDEES RECEIVED ALL RESOURCES SUCH AS POWERPOINTS AND HANDOUTS VIA THE VIRTUAL EVENT APP. REQUIRED HUMAN TRAFFICKING 101, PEARR (TRAUMA-INFORMED APPROACH TO VICTIM ASSISTANCE IN HEALTH CARE SETTINGS), AND TRAUMA INFORMED CARE STAFF TRAINING VIA PATHWAYS. THE DIVISION RELEASES THESE TRAININGS ANNUALLY ON OCTOBER 1ST AND REQUIRES THEIR COMPLETION BY DECEMBER 31ST.MEASURES:FNES: 18IDENTIFIED IPV, SA, AND/OR HT CASES FOR WHICH FNES WERE CALLED TO PROVIDE SUPPORT (AS OF NOVEMBER 13, 2024): 434FY24 VIOLENCE PREVENTION/TRAUMA RESPONSE MINI-GRANTS: $21,500ESTHETICIANS AND TATTOO ARTISTS TRAINED ON IDENTIFYING IPV/ HUMAN TRAFFICKING: 100MIDWEST REGIONAL ANTI-HUMAN TRAFFICKING CONFERENCE REGISTRANTS: 377LIVE ATTENDEES: 161 VIRTUAL AND 77 IN-PERSON FROM 22 DIFFERENT STATESCEUS: 786.5 CLAIMED BY 143 ELIGIBLE PROFESSIONALSSTAFF PATHWAYS TRAININGS (NEBRASKA AND IOWA COMPLETION RATES AS OF JANUARY 2024)HUMAN TRAFFICKING 101: 85% (11,194/13,128)PEARR TOOL: 90% (6893/7686**ASSIGNED TO DEFINED CLINICAL STAFF ONLY.TRAUMA-INFORMED CARE: 90% (7089/7854)* 3.2.2 INVEST IN COMMUNITY ORGANIZATION ADDRESSING OUR PRIORITY HEALTH NEED OF VIOLENCE PREVENTION & INTERVENTION FY24 ACTIONS AND IMPACT:FUNDED ONE NONPROFIT THROUGH COMMUNITY HEALTH IMPROVEMENT GRANTS (CHIG): RISE ACADEMY.FUNDED THREE NONPROFITS THROUGH HUMAN TRAFFICKING AND VIOLENCE PREVENTION MISSION AND MINISTRY FUND (MMF) MINI GRANTS: HEARTLAND FAMILY SERVICE, RESTORED WINGS, AND MEN AGAINST DOMESTIC VIOLENCE ACTION COALITION (MADVAC).NEBRASKA SPINE DONATED TO THE OMAHA POLICE AND FIRE DEPARTMENTS TO SUPPORT THEIR COMMUNITY OUTREACH EVENTS AND EDUCATION.MEASURES:CHIG FUNDS AWARDED (1/1/24-12/31/24): $40,000HUMAN TRAFFICKING AND VIOLENCE PREVENTION MMF MINI GRANT FUNDS AWARDED: $21,500FUNDS DONATED TO THE OMAHA POLICE AND FIRE DEPARTMENTS: $2,0003.3 PROVIDE TRAUMA-INFORMED CARE FOR PATIENTS* 3.3.1 EXPLORE ONGOING OPPORTUNITIES TO PROMOTE TRAUMA-INFORMED CARE PRACTICES WITHIN THE BEHAVIORAL HEALTH SERVICE LINE FY24 ACTIONS AND IMPACT: ALL STAFF RECEIVE ANNUAL TRAUMA INFORMED CARE TRAINING. MEASURES: NO MEASURES TO REPORT. 3.4 SUPPORT SCHOOL-BASED PROGRAMMING TO INCREASE PROTECTIVE FACTORS AND REDUCE RISK FACTORS FOR VIOLENCE* 3.4.1 PROVIDE FUNDING TO COMMUNITY-BASED ORGANIZATIONS DELIVERING EDUCATION AND TRAINING TO LOCAL SCHOOLS F24 ACTIONS AND IMPACT: NO UPDATES TO REPORT. MEASURES: NO MEASURES TO REPORT.
PART V, SECTION B, LINE 11 (CONTINUED 5):THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: ACCESS TO HEALTHCARE SERVICES. ACCESS TO CARE IS A FUNDAMENTAL COMPONENT OF CHI HEALTH'S MISSION AND STRATEGY. THIS ISSUE WAS NOT ELEVATED TO A PRIORITY FOR THIS PARTICULAR PLAN BECAUSE THE INTENT WAS TO IDENTIFY ADDITIONAL STRATEGIES AND INITIATIVES THAT REACH ABOVE AND BEYOND CHI HEALTH'S TYPICAL BUSINESS. FOR EXAMPLE, CHI HEALTH CONTINUES TO OFFER A WIDE ARRAY OF PRIMARY CARE ACCESS POINTS INCLUDING: EXTENDED CLINIC HOURS, PRIORITY CARE SERVICES (WALK-IN CARE), QUICK CARE AND VIRTUAL CARE. ADDITIONAL PROGRAMS LIKE MD SAVE, WHICH ALLOWS PATIENTS TO PRE-PURCHASE CERTAIN SERVICES AT A DISCOUNTED PRICE, AND THE MEDICATION ACCESS PROGRAM (A PRESCRIPTION MEDICATION FINANCIAL ASSISTANCE PROGRAM), ARE WORKING TO LOWER THE COST OF CARE TO THE CONSUMER. IN ADDITION TO PROVIDING THE MAJORITY OF CARE TO THE UNINSURED AND UNDERINSURED IN THE OMAHA METRO AREA, CHI HEALTH WILL CONTINUE TO ADDRESS ACCESS TO HEALTHCARE SERVICES THROUGH FINANCIAL SUPPORT PROVIDED TO THE MAGIS CLINIC ANDHOPE MEDICAL, AS WELL AS THROUGH FREE HEALTH SCREENINGS AND IMMUNIZATION CLINICS IN THE COMMUNITY.CANCER. CHI HEALTH DID NOT PRIORITIZE CANCER AS A TOP HEALTH NEED BASED ON THE CONSIDERATIONS ABOVE AND IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. CHI HEALTH WILL CONTINUE TO PERFORM EXISTING CANCER OUTREACH THROUGHOUT THE COMMUNITY AND FINANCIALLY SUPPORT COMMUNITY PARTNERS SUCH AS THE AMERICAN CANCER SOCIETY, THE NEBRASKA CANCER COALITION AND PROJECT PINK'D. CHI HEALTH PARTICIPATES IN THE EVERY WOMAN MATTERS AND NEBRASKA COLON CANCER SCREENING PROGRAMS TO PROVIDE TESTING AND DIAGNOSTIC SERVICES FOR THE MEDICALLY UNDERSERVED IN NEBRASKA. ADDITIONALLY, CHI HEALTH CLINICS ARE WORKING TO INCREASE UTILIZATION OF HPV VACCINATION TO PREVENT CERVICAL CANCER.DIABETES. CHI HEALTH DID NOT PRIORITIZE DIABETES BASED ON THE CONSIDERATIONS ABOVE AND IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. CHI HEALTH WILL CONTINUE PERFORMING DIABETES OUTREACH AND EDUCATION ACROSS THE OMAHA METRO AREA, INCLUDING THROUGH THE INTEGRATION OF CERTIFIED DIABETES EDUCATORS INTO PRIMARY CARE CLINICS. SEE ALSO HEALTH RELATED SOCIAL NEEDS FOR RELATED ACTIVITIES, SUCH AS THE CURA PROJECT/ PRODUCE PRESCRIPTION PROGRAM FOR LOW- INCOME, DIABETIC PATIENTS.HEART DISEASE AND STROKE. WHILE THIS NEED WAS NOT PRIORITIZED SPECIFICALLY, THE FOCUS ON SUBSTANCE ABUSE THROUGH THE BEHAVIORAL HEALTH PRIORITY WILL HAVE AN IMPACT ON BEHAVIORAL RISK FACTORS FOR HEART DISEASE AND STROKE, SUCH AS ALCOHOL AND SUBSTANCE ABUSE. ADDITIONALLY, CHI HEALTH OFFERS PROGRAMMING DESIGNED TO MITIGATE RISK FACTORS FOR HEART DISEASE AND STROKE THROUGH CHI HEALTH HEART CARE CLASSES INCLUDING HEALTHY COOKING CLASSES. CHI HEALTH IS A FINANCIAL SUPPORTER OF THE AMERICAN HEART ASSOCIATION.INFANT HEALTH & FAMILY PLANNING. WHILE THIS NEED WAS NOT PRIORITIZED SPECIFICALLY, IT IS ANTICIPATED THAT THE PRIORITY FOCUS AREAS WILL HAVE AN IMPACT ON INFANT HEALTH & FAMILY PLANNING, PARTICULARLY THROUGH THE PATHWAYS COMMUNITY HUB PROGRAM, PERINATAL DEPRESSION SCREENING, BLACK, INDIGENOUS, PEOPLE OF COLOR (BIPOC) DOULA PROGRAM AND CENTERING PREGNANCY. REPRESENTATIVES FROM CHI HEALTH PARTICIPATE IN THE DOUGLAS COUNTY HEALTH DEPARTMENT- LED BABY BLOSSOMS COLLABORATIVE. IN ADDITION, CHI SUPPORTS ORGANIZATIONS FOCUSED ON IMPROVING CHILD AND MATERNAL HEALTH OUTCOMES AND REDUCING RACIAL/ ETHNIC DISPARITIES, SUCH AS I BE BLACK GIRL AND MARCH OF DIMES. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT.- THIS NEED WILL BE ADDRESSED IN PART THROUGH THE FOOD ACCESS STRATEGIES UNDER THE HEALTH RELATED SOCIAL NEEDS PRIORITY, INCLUDING PROVIDING FINANCIAL SUPPORT FOR DOUBLE UP FOOD BUCKS AND THE WOMEN, INFANT & CHILDREN (WIC)/ SENIOR FARMER'S MARKET VOUCHER PROGRAM. THERE IS SIGNIFICANT EXISTING WORK WITHIN CHI HEALTH AND THE COMMUNITY TO ADDRESS NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS, SUCH AS THE HEALTHY FAMILIES PROGRAM, AND 5-4-3-2-1 GO! CAMPAIGN. ADDITIONALLY, CHI HEALTH PROVIDES FINANCIAL SUPPORT AND IN-KIND CONTRIBUTIONS TO ORGANIZATIONS COMMITTED TO THIS WORK, SUCH AS: CITY SPROUTS, BIG GARDEN/ "GATHER" MOBILE KITCHEN CLASSROOM, SAVING GRACE AND WHISPERING ROOTS.RESPIRATORY DISEASES. CHI HEALTH DID NOT PRIORITIZE RESPIRATORY DISEASES BASED ON THE CONSIDERATIONS ABOVE AND IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. CHI HEALTH WILL CONTINUE TO PROVIDE FISCAL SPONSORSHIP, PROVIDE IN- KIND SUPPORT OF TOBACCO EDUCATION AND ADVOCACY OF THE MIDLANDS (TEAM). ORAL HEALTH. CHI HEALTH DID NOT PRIORITIZE ORAL HEALTH BASED ON THE CONSIDERATIONS ABOVE AND IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. OTHER COMMUNITY PARTNERS ARE ADDRESSING THIS NEED SUCH AS CHARLES DREW HEALTH CENTER DENTAL CLINIC, ONE WORLD COMMUNITY HEALTH CENTER AND FAMILY INC.POTENTIALLY DISABLING CONDITIONS. THIS NEED WILL BE MET IN PART THROUGH THE BEHAVIORAL HEALTH PRIORITY, WHICH IDENTIFIES, "PROVIDING SUPPORT FOR INDIVIDUALS WITH ALZHEIMER'S/ DEMENTIA AND THEIR CAREGIVERS" AS A KEY ACTIVITY. IN ADDITION, CHI HEALTH IMMANUEL OPERATES AN INPATIENT AND OUTPATIENT GERIATRIC PSYCHIATRY PROGRAM AND RECENTLY OPENED A NEUROLOGICAL INSTITUTE. CHI HEALTH PROVIDES FINANCIAL SUPPORT TO THE NEBRASKA ALZHEIMER'S ASSOCIATION FOR FREE CARE CONSULTATION FOR FAMILIES WITH A LOVED ONE WHO HAS RECENTLY RECEIVED A DEMENTIA/ ALZHEIMER'S DIAGNOSIS.SEXUAL HEALTH. THERE IS EXTENSIVE EXISTING WORK CURRENTLY TAKING PLACE AROUND SEXUALLY TRANSMITTED DISEASES ACROSS THE OMAHA METRO AREA LED BY COMMUNITY PARTNERS, SUCH AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WOMEN'S FUND AND THE FEDERALLY QUALIFIED HEALTH CENTERS. THEREFORE, THIS IS NOT AN AREA THAT CHI HEALTH PRIORITIZED. HOWEVER, AS MENTIONED IN THE CANCER SECTION ABOVE, CHI HEALTH CLINICS ARE FOCUSING ON HPV VACCINATION FOR THE PREVENTION OF CERVICAL CANCER.

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:CHI HEALTH SYSTEM PRODUCES AN ANNUAL PUBLIC COMMUNITY BENEFIT REPORT THAT IS MAILED TO A CORE CONSTITUENCY, PLACED IN KEY PLACES THROUGHOUT THE ORGANIZATION AND DISTRIBUTED IN COMMUNITY MEETINGS. IT IS ALSO AVAILABLE ON THE COMPANY'S INTRANET SITE AND ON ITS PUBLIC WEBSITE AT HTTPS://WWW.CHIHEALTH.COM/ABOUT-US/MISSION-VALUES/COMMUNITY-BENEFIT.
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:ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER'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. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER ALSO 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, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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:ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $4,257,004 MILLION 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:CHI HEALTH IMMANUEL IS LOCATED IN OMAHA, NE AND LARGELY SERVES THE OMAHA METRO AREA THAT CONSISTS OF DOUGLAS, SARPY, AND CASS COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA. THESE FOUR COUNTIES WERE IDENTIFIED AS THE COMMUNITY FOR THIS CHNA, AS THEY ENCOMPASS THE PRIMARY SERVICE FOR CHI HEALTH HOSPITALS LOCATED IN THE OMAHA METRO AREA, THUS COVERING BETWEEN 75% AND 90% OF PATIENTS SERVED. THESE COUNTIES ARE CONSIDERED TO BE AND REFERRED TO AS THE "OMAHA METRO AREA." FOR THE PURPOSES OF THE CHNA DOUGLAS, SARPY, AND CASS COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA WERE IDENTIFIED AS THE COMMUNITY FOR THIS CHNA. WITH A TOTAL POPULATION OF OVER 800,000 IN THE FOUR COUNTY AREA, THE DATA SHOW A LARGELY NON-HISPANIC WHITE POPULATION ACROSS THE FOUR COUNTIES WITH GREATER DIVERSITY OBSERVED IN DOUGLAS COUNTY AND TO A LESSER EXTENT, SARPY COUNTY, BOTH OF WHICH ARE THE MOST URBAN COUNTIES IN THE OMAHA METRO AREA. WHILE DOUGLAS COUNTY IS THE MOST DIVERSE OF THE FOUR COUNTIES, WITH 11.5% OF THE POPULATION IDENTIFYING AS BLACK OR AFRICAN AMERICAN AND 12.9% IDENTIFYING AS HISPANIC, IT IS LESS DIVERSE THAN THE UNITED STATES OVERALL (13.4% BLACK OR AFRICAN AMERICAN, 18.5% HISPANIC). CASS COUNTY HAS THE LARGEST PERCENTAGE OF THE POPULATION OVER THE AGE OF 65 YEARS (16%), INDICATING UNIQUE HEALTH NEEDS SPECIFIC TO THE AGING POPULATION. DOUGLAS COUNTY HAS THE HIGHEST PERCENTAGE OF UNINSURED RESIDENTS OVERALL AND UNINSURED CHILDREN (UNDER THE AGE OF 19). THE AVERAGE INCOME FOR THE FOUR COUNTY AREA IS AS FOLLOWS DOUGLAS ($66,600), SARPY ($83,051), CASS ($73,683) AND POTTAWATTAMIE ($60,065). SARPY COUNTY HAS THE HIGHEST MEDIAN INCOME IN THE FOUR COUNTY AREA (DOUGLAS: $66,600, SARPY $83,051, CASS: $73,683, POTTAWATTAMIE: $60,065). DOUGLAS COUNTY HAS THE HIGHEST PERCENTAGE OF PEOPLE LIVING IN POVERTY IN THE FOUR COUNTY AREA (DOUGLAS: 9.8%, SARPY: 4.9%, CASS 5.9%, POTTAWATTAMIE: 9.2%). THE PERCENTAGE OF PERSONS WITHOUT HEALTH INSURANCE UNDER 65 IS 10.3% IN DOUGLAS COUNTY, 5.7% IN SARPY COUNTY, 6.6% IN CASS COUNTY, AND 6% IN POTTAWATTAMIE COUNTY. THE FOUR COUNTY SERVICE AREA HAS 26 DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) INCLUDING PRIMARY CARE, DENTAL HEALTH, MENTAL HEALTH DISCIPLINES. THE 26 DESIGNATED HPSA HAVE SCORES THAT RANGE FROM NINE TO 25 WHERE THE SCORE RANGE IS ZERO TO 26 (HIGHER SCORES INDICATE AN INCREASINGLY GREATER HEALTH PROFESSIONAL SHORTAGE). THE FOUR COUNTY SERVICE AREA HAS EIGHT DESIGNATED MEDICALLY UNDERSERVED AREAS (MUA) INCLUDING PRIMARY CARE. THE EIGHT DESIGNATED MUA'S HAVE SCORES THAT RANGE FROM 44.9 - 64.3 IN WHICH THE LOWEST SCORE (HIGHEST NEED) IS ZERO; THE HIGHEST SCORE (LOWEST NEED) IS 100. THE FOLLOWING ORGANIZATIONS REPRESENT HOSPITALS AND OTHER HEALTHCARE SYSTEMS DELIVERING HEALTHCARE SERVICES IN THE OMAHA COUNCIL BLUFFS METROPOLITAN AREA:FEDERALLY QUALIFIED HEALTH CENTERS: * ALL CARE HEALTH CENTER * CHARLES DREW HEALTH CENTER * ONE WORLD COMMUNITY HEALTH CENTERS, INC. * COUNCIL BLUFFS COMMUNITY HEALTH CENTER * FRED LEROY HEALTH & WELLNESS CENTERHEALTH DEPARTMENTS: * DOUGLAS COUNTY HEALTH DEPARTMENT * POTTAWATTAMIE COUNTY PUBLIC HEALTH DEPARTMENT * SARPY CASS DEPARTMENT OF HEALTH & WELLNESSHEALTH SYSTEMS (HOSPITALS/ CLINICS): * CHI HEALTH CLINICS * CHILDREN'S HOSPITAL & MEDICAL CENTER * METHODIST HEALTH SYSTEM * NEBRASKA MEDICINE * VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586501(C)(3)$17,295$0GENERAL SUPPORT
IMMIGRANT LEGAL CENTER
4223 CENTER STREETOMAHANE68105743195841501(C)(3)$50,000$0GENERAL SUPPORT
OMAHA COMMUNITY FOUNDATION
1120 S 101ST ST STE 320OMAHANE68124470645958501(C)(3)$39,839$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient4RecipientCnt
Cash Grant$7,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS.
PART III:SCHOLARSHIPS ARE PROVIDED BY THE IMMANUEL MEDICAL CENTER AUXILIARY TO PROVIDE CONTINUING EDUCATION FOR ALEGENT HEALTH - IMMANUEL MEDICAL CENTER EMPLOYEES FOR THEIR PERSONAL GROWTH AND/OR PROFESSIONAL DEVELOPMENT. ALL PERMANENT, FULL-TIME AND PART-TIME EMPLOYEES IN GOOD STANDING WHO HAVE SIX MONTHS OR MORE OF SERVICE WITH ALEGENT HEALTH - IMMANUEL MEDICAL CENTER MAY APPLY FOR THE SCHOLARSHIPS. PAYMENT FOR TUITION, LAB FEES, BOOKS, AND REGISTRATION EXPENSES WILL BE MADE DIRECTLY TO THE INSTITUTION UPON RECEIPT OF A STATEMENT OF COSTS FROM THE INSTITUTION. THE AWARDING OF THE SISTER INGEBORG BLOMBERG SCHOLARSHIP SHALL BE SUBJECT TO THE FOLLOWING CRITERIA: 1 APPLICATION IS MADE PRIOR TO MAKING A COMMITMENT TO THE SCHOOL 2. THE SCHOOL AND COURSE ARE OF RECOGNIZED STANDING 3. THE EMPLOYEE CONTINUES TO MAINTAIN HIS/HER REGULARLY SCHEDULED WORKING HOURS 4. THE EMPLOYEE SHALL SIGN AN AUTHORIZATION ALLOWING THE AUXILIARY TO RECEIVE WRITTEN CERTIFICATION OF PERFORMANCE FROM THE INSTITUTION 5. IT IS EVIDENT THAT THE COURSE, OR COURSES ARE MUTUALLY BENEFICIAL TO THE EMPLOYEE AND TO ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6. THE EMPLOYEE IS EXPECTED TO REMAIN EMPLOYED AT ALEGENT HEALTH - IMMANUEL MEDICAL CENTER FOR AT LEAST ONE YEAR AFTER RECEIVING THE SISTER INGEBORG BLOMBERG SCHOLARSHIP. ALEGENT HEALTH - IMMANUEL MEDICAL CENTER OCCASIONALLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.

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 PRESIDENT & CEO CHI HEALTH$0$749,566$0$0$0$2,037,667$0$20,045$0$28,489$0$2,835,767$0$0
TIM BRICKER
EX-OFFICIO BM/REGIONAL PRESIDENT$0$876,719$0$1,582,430$0$40,043$0$82,634$0$33,892$0$2,615,718$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
ANN SCHUMACHER
PRESIDENT - IMC (TERMED 3/31/24)$0$493,561$0$0$0$31,013$0$19,350$0$25,902$0$569,826$0$0
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
CY XAYARATH
TRAVELER RN$14,457$247,894$0$800$2,501$49,094$0$18,317$663$36,787$17,621$352,892$0$0
BRENDA WALLINGFORD
PEDIATRIC NURSE PRACTITIONER$387$277,509$0$800$0$1,684$0$16,596$3$20,181$390$316,770$0$0
MATTHEW BOGARD
PHYSICIAN EMERGENCY MEDICINE$0$255,259$0$0$0$14,851$0$19,000$0$21,400$0$310,510$0$0
MARK CIPOLLA
SENIOR PHYSICIST$1,909$248,211$0$800$42$1,511$0$15,483$102$34,063$2,053$300,068$0$0
COLVILLE OSBORNE
PHYSICIST CHIEF$0$247,854$0$800$0$5,435$0$16,452$0$30,119$0$300,660$0$0
BARBARA DAMRATOWSKI
TRAVELER RN$221,582$3,235$0$800$40,223$1,020$15,123$0$11,005$38$287,933$5,093$0$0
HEIDI SAUNDERS
TRAVELER RN$221,040$7,031$0$800$27,751$61$13,846$0$19,719$334$282,356$8,226$0$0
MATTHEW WALTERS
SENIOR PHYSICIST$0$263,742$0$800$0$593$0$15,239$0$622$0$280,996$0$0
ANTHONY ASHBY
INTERIM PRESIDENT - IMC$134,547$33,641$44,239$0$291$0$0$11,585$8,691$19,764$187,768$64,990$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3:DURING 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 I, 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. 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 I, 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. 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: ANN SCHUMACHER, $25,394. 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 ONE BOARD MEMBERS/OFFICER, FOUR KEY EMPLOYEES, ONE HIGHEST COMPENSATED EMPLOYEE AND ONE FORMER KEY EMPLOYEE OCCURRED DURING 2023 INCLUDE 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:ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 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
FORM 990, PART V, LINE 1C:PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH FILES THE FORMS 1099 AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAME WINNINGS. THE FORMS 1099 ISSUED ON BEHALF OF ALEGENT HEALTH-IMMANEUL MEDICAL CENTER ARE REPORTED TO THE IRS.
FORM 990, PART VI, SECTION A, LINE 2KEVIN FITZGERALD AND MARDELL WILSON - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6CHI NEBRASKA IS THE SOLE MEMBER OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND COMMONSPIRIT HEALTH 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'S BOARD: *APPROVE MEMBERS OF THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER BOARD. *AMENDMENT OF THE CORPORATE DOCUMENTS OF THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. 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 ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *APPROVAL OF ISSUANCE OF DEBT BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *APPROVAL OF PARTICIPATION OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTER IN A JOINT VENTURE. *APPROVAL OF FORMATION OF A NEW CORPORATION BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *APPROVAL OF A MERGER INVOLVING THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. *TO REQUIRE THE TRANSFER OF ASSETS BY THE ALEGENT HEALTH-IMMANUEL MEDICAL CENTER TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO 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. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX.
FORM 990, PART VI, SECTION B, LINE 11BFOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH (CSH), A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE CSH 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 AT WWW.SOS.NE.GOV/BUSINESS. 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 VI, LINE 16B:ALEGENT HEALTH-IMMANUEL MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 15,328,516. MANAGEMENT AND GENERAL EXPENSES 806,764. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,135,280. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,587,485. MANAGEMENT AND GENERAL EXPENSES 504,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,092,089. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 7,884,406. MANAGEMENT AND GENERAL EXPENSES 414,969. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,299,375. CONSULTING: PROGRAM SERVICE EXPENSES 41,525. MANAGEMENT AND GENERAL EXPENSES 2,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,711. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 5,498,175. MANAGEMENT AND GENERAL EXPENSES 541,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,039,602.
FORM 990, PART XI, LINE 9:EQUITY CHANGES IN UNCONSOLIDATED ORGS 4,922,014. OTHER CHANGES -212.

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
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981065338CAPTIVE INSURANCEN/AC0PO BOX 1051 GRAND CAYMAN ISLGRAND CAYMAN ISLCJCJ
TOWSON MANAGEMENT INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112521710750INACTIVEMDN/AC0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026MGMT SERVICESOHN/AC0
UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION
1950 MOUNTAIN VIEW AVELONGMONTCO80501841526130REAL ESTATECON/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEGENT CREIGHTON HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 W DODGE ROADAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd
FieldValueIRS element (for citing)
EIN470757164EIN
Electing OrganizationYes (X)ElectingOrganizationInd
Total Grassroots Lobby$0TotalGrassrootsLobbyAmt
Total Direct Lobby$316,207TotalDirectLobbyAmt
Total Lobby Expenditure$316,207TotalLobbyExpenditureAmt
Other Exempt Purpose Expend$451,512,818OtherExemptPurposeExpendAmt
Total Exempt Purpose Expend$451,829,025TotalExemptPurposeExpendAmt
Lobby Nontx$1,000,000LobbyNontxAmt
Grassroots Nontx$250,000GrassrootsNontxAmt
Total Lobby Grssroot Mns Nontx$0TotalLobbyGrssrootMnsNontxAmt
Tot Lbby Expend Mns Lobby Nontx$0TotLbbyExpendMnsLobbyNontxAmt
Share Excess Lobby Expend$0ShareExcessLobbyExpendAmt